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Functional Abilities Essential for Nursing Practice
Functional Ability Standard Examples
Gross Motor Skills Gross motor skills sufficient to provide the full range of safe and effective nursing care Move within confined spaces
Sit and stand and maintain balance
Reach above shoulders (IV poles)
Reach below waist
Fine Motor Skills Fine motor skills sufficient to perform psychomotor skills Pick up objects with hands Grasp small objects with hands Write with pen/pencil, key/type (computer)
Pinch/pick or otherwise work with fingers (manipulate a syringe)
Twist and squeeze fingers (turn knobs, administer eye-drops)
Physical Endurance Physical stamina sufficient to perform client care activities for entire length of work roleStand (at client side during surgical or therapeutic procedure) Sustain repetitive movements (CPR)
Maintain physical tolerance (work entire shift)
Physical Strength Physical strength sufficient to perform full range of required client care activities Push and pull 25 lbs (position clients) Support 25 lbs of weight (ambulate client)
Lift 50 lbs* (pick up child, transfer client)
Move heavy objects weighing from 11-50 lbs Carry equipment/supplies
Use upper body strength (CPR, physically restrain a client)
Squeeze with hands (operate fire extinguisher)
Mobility Physical activities sufficient to move from place to place and to maneuver to perform nursing activities Walk with or without assistive devices
Twist, bend, stoop/squat, move quickly (respond to emergency) Climb (ladders, stools)
Hearing Auditory ability sufficient for physical monitoring and assessment of client healthcare needs (with or without assistive devices) Hear normal speaking level sounds (person-to-person report)
Hear faint voices Hear faint body sounds (blood pressure, assess placement of tubes)
Hear in situations when not able to see lips (when masks are used)
Hear auditory alarm (monitors, fire alarms, call bells)
Visual Visual ability sufficient for accurate observation and performance of nursing care (with or without assistive devices) See objects up to 20 inches away (information on a computer screen)
See objects more than 20 feet away (client at end of hall)
Use depth perception Use peripheral vision
Distinguish color and color intensity (color codes on supplies, charts, beds, flushed skin, paleness)
Tactile Tactile ability sufficient for physical monitoring and assessment of healthcare needs Feel vibrations
Detect temperature variations (skin, solutions)
Feel differences in surface characteristics, sizes, shapes (palpate, identify body landmarks, skin turgor)
Detect environmental temperature (drafts)
Smell Olfactory ability sufficient for physical monitoring and assessment of healthcare needs Detect odors from client (foul smelling drainage, alcohol on breath)
Detect smoke, gasses or noxious smells
Reading Reading ability sufficient to comprehend the written word at a minimum of a tenth grade level Read and understand written documents (textbooks, _______)
Arithmetic Competence Arithmetic ability sufficient to do computations at a minimum of an eighth grade level, includes three concepts: counting, measuring and computing Read and understand columns of writing (flow sheet, charts), digital displays and graphic printouts
Calibrate equipment, convert numbers to and from the metric system
Tell time and measure time
Count rates and use measuring tools
Read instrument marks
Add, subtract, multiply and divide numbers
Compute fractions
Use a calculator
Write numbers in records
Emotional Stability Emotional stability sufficient to assume responsibility/accountability for actionsProvide client with emotional support
Adapt to changing environments/stress
Deal with the unexpected
Establish therapeutic boundaries
Focus attention to task
Monitor own emotions
Perform multiple responsibilities concurrently
Handle strong emotions
Analytical Thinking Reasoning skills sufficient to perform deductive/inductive thinking for nursing decisionsTransfer knowledge from one situation to another
Process information, evaluate outcomes
Problem solve
Prioritize tasks
Use long-term and short-term memory
Critical Thinking Critical thinking ability sufficient to exercise sound nursing judgment Identify cause/effect relationships
Plan/control activities for others
Synthesize knowledge and skills
Sequence information
Interpersonal Skills Interpersonal abilities sufficient to interact with individuals, families and groups respecting social, cultural and spiritual differences Negotiate interpersonal conflict
Respect differences in clients
Establish rapport with clients and co-workers
Communication Skills Communication abilities sufficient for interaction with others in oral and written formTeach clients/family about healthcare
Explain procedures
Give oral reports
Interact with others
Speak on the telephone
Influence people
Direct activities of others
Convey info through writing
Functional Ability

Gross Motor Skills
Fine Motor Skills
Physical Endurance
Physical Strength
Mobility
Hearing
Visual
Tactile
Smell
Reading
Arithmetic Competence
Emotional Stability
Analytical Thinking
Critical Thinking
Interpersonal Skills
Communication Skills

Standard

Gross motor skills sufficient to provide the full range of safe and effective nursing care

Fine motor skills sufficient to perform psychomotor skills

Physical stamina sufficient to perform client care activities for entire length of work role

Physical strength sufficient to perform full range of required client care activities

Physical activities sufficient to move from place to place and to maneuver to perform nursing activities

Auditory ability sufficient for physical monitoring and assessment of client healthcare needs (with or without assistive devices)

Visual ability sufficient for accurate observation and performance of nursing care (with or without assistive devices)

Tactile ability sufficient for physical monitoring and assessment of healthcare needs

Olfactory ability sufficient for physical monitoring and assessment of healthcare needs

Reading ability sufficient to comprehend the written word at a minimum of a tenth grade level

Arithmetic ability sufficient to do computations at a minimum of an eighth grade level, includes three concepts: counting, measuring and computing

Emotional stability sufficient to assume responsibility/accountability for actions

Reasoning skills sufficient to perform deductive/inductive thinking for nursing decisions

Critical thinking ability sufficient to exercise sound nursing judgment

Interpersonal abilities sufficient to interact with individuals, families and groups respecting social, cultural and spiritual differences

Communication abilities sufficient for interaction with others in oral and written form

Examples

Adapt to changing environments/stress
Add, subtract, multiply and divide numbers
Calibrate equipment, convert numbers to and from the metric system
Carry equipment/supplies
Climb (ladders, stools)
Compute fractions
Convey info through writing
Count rates and use measuring tools
Deal with the unexpected
Detect environmental temperature (drafts)
Detect odors from client (foul smelling drainage, alcohol on breath)
Detect smoke, gasses or noxious smells
Detect temperature variations (skin, solutions) Feel differences in surface characteristics, sizes, shapes (palpate, identify body landmarks, skin turgor)
Direct activities of others
Distinguish color and color intensity (color codes on supplies, charts, beds, flushed skin, paleness)
Establish rapport with clients and co-workers
Establish therapeutic boundaries
Explain procedures
Feel vibrations
Focus attention to task
Give oral reports
Grasp small objects with hands
Handle strong emotions
Hear auditory alarm (monitors, fire alarms, call bells)
Hear faint body sounds (blood pressure, assess placement of tubes)
Hear faint voices
Hear in situations when not able to see lips (when masks are used)
Hear normal speaking level sounds (person-to-person report)
Identify cause/effect relationships
Influence people
Interact with others
Lift 50 lbs* (pick up child, transfer client)
Maintain physical tolerance (work entire shift)
Monitor own emotions
Move heavy objects weighing from 11-50 lbs
Move within confined spaces
Negotiate interpersonal conflict
Perform multiple responsibilities concurrently
Pick up objects with hands
Pinch/pick or otherwise work with fingers (manipulate a syringe)
Plan/control activities for others
Prioritize tasks
Problem solve
Process information, evaluate outcomes
Provide client with emotional support
Push and pull 25 lbs (position clients)
Reach above shoulders (IV poles)
Reach below waist
Read and understand columns of writing (flow sheet, charts), digital displays and graphic printouts
Read instrument marks
Respect differences in clients
See objects more than 20 feet away (client at end of hall) Use depth perception
See objects up to 20 inches away (information on a computer screen)
Sequence information
Sit and stand and maintain balance
Speak on the telephone
Squeeze with hands (operate fire extinguisher)
Stand (at client side during surgical or therapeutic procedure)
Support 25 lbs of weight (ambulate client)
Sustain repetitive movements (CPR)
Synthesize knowledge and skills
Teach clients/family about healthcare
Tell time and measure time
Transfer knowledge from one situation to another
Twist and squeeze fingers (turn knobs, administer eye-drops)
Twist, bend, stoop/squat, move quickly (respond to emergency)
Use a calculator
Use long-term and short-term memory
Use peripheral vision
Use upper body strength (CPR, physically restrain a client)
Walk with or without assistive devices
Write numbers in records
Write with pen/pencil, key/type (computer)

What is a Functional Capacity Evaluation?

A Functional Capacity Evaluation (FCE) is a systematic process of assessing an individual's physical capacities and functional abilities. The FCE matches human performance levels to the demands of a specific job or work activity or occupation. The FCE establishes the physical level of work an individual can perform. The FCE is useful in determining job placement, job accommodation, or return to work after injury or illness. FCEs can provide objective information regarding functional work ability in the determination of occupational disability status. The FCE may be used:

To determine the individual's ability to safely ________ to work full time or on modified duty.
To determine if work restrictions, job modifications, or reasonable accommodations are necessary to prevent further injury
To determine the extent to which impairments exist, or the degree of physical disability for _______ purposes
To predict the potential ability to perform work following _____________-