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  1. Ostrander, Kathy MSN, RN, CPN
  2. Garrison, Elisabeth MSN, MBA, APN, ACNP-BC, CWON, RN-BC
  3. Caruso, April MSN, APN, ACNS-BC, RNC


Competence in nursing practice can be determined by self-assessment, peer review, knowledge tests, and performance observations. In the hospital setting, this determination is traditionally completed during an annual competency day. By implementing on-demand competencies in one organization, the assessment of nurse competence is completed in real-time, resulting in increased nurse satisfaction and positive financial impact for the organization.