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  1. Beamer, Jenna C. MSN, RN-BC
  2. Kromer, Rachel S. MSN, RN-BC
  3. Jeffery, Alvin D. PhD, RN-BC, CCRN-K, FNP-BC


To streamline competency assessment documentation during orientation, we developed a comprehensive, three-phase plan, consisting of a tiered skills acquisition model, entrustable professional activities, and the full incorporation of Donna Wright's recommendations for initial competency development, allowing for the transition away from the traditional skills checklist (Wright, 2005). We were able to reduce orientation time and preceptor confusion while increasing orientation process satisfaction by the end of our revisions.