Basic and Advanced Nursing Foot care Competencies and Standards

Basic and Advanced Foot care Nurse Competencies and Standards

  •   Identify what Basic and Advanced Nursing Foot Care is and the role of the Certified Foot care nurse CFCN in providing foot care treatment within the nurses scope of practice.
  •   Describe the basic pathophysiology of diabetes including characteristic signs and symptoms.
  •   Able to distinguish between the major types of diabetes in terms of; Etiology, Prevention, defining characteristics of incidents, and prevalence.
  •   Describe the effects of nutrition and exercise in blood glucose.
  •   Identify the risk factors which contribute significantly to the macro/micro vascular, and neurological complications of diabetes.
  •   Identify the use of AIC count monitoring, regarding prevention of complications of diabetes.
  •   Describe presenting symptoms, potential causes, diagnostic methods, and treatment plans related to problems that may be present with feet.
  •   Describe the role of the multidisciplinary team in referring clients with diabetic ulcers and amputation to wound care nurses or primary health care practitioners.
  •   Describe strategies to prevent foot problems and complications.
  •   Identify common foot and nail disorders of the diabetic and geriatric foot.
  •   Identify common conditions of the feet such as; corns, calluses, warts, ulcers, hallux valgus, tissue changes, and nail changes (including rams horns and infections).
  •   Describe and apply corrective padding and strapping.
  •   Describe and apply packing to nail to prevent ingrown nails.
  •   Identify the use of the using urea based cream on diabetic clients’ feet.
  •   Describe and identify safe use of tools when cutting diabetic toenails and the nails of the elderly.
  •   Identify safe nail and callus care for the diabetic and safe use of the foot file and other disposable tools.
  •   Identify foot care techniques including; nail cutting using ingrown scissors, nail nippers, the black file, nail debris evacuator, rotary tool, and a corn remover tool for seeded/soft/hard corns.
  •   Use of nail clipper, nail probe, nippers,  nail rasp, disposable foot file, corn remover, and cordless drill or dremel.
  •   Identify the safe use of protective equipment when providing foot care treatment including; face goggles, face shields, hair nets, and disposable waterproof or plastic apron and gloves.
  •   Identify safe use of barrier beneath the client's feet and use of foot stool during treatment in prevention of spreading bacterial and fungal spores. In addition, identify the rational of using antibacterial wipes to clean diabetic and elderly client feet prior to providing foot care treatment.
  • Identify safe use of disposable liner in foot baths or foot basin when soaking client's feet, and dispose liner after use and clean foot basin or foot bath using a hospital grade disinfectant.
  •   Identify the safe use of disposable monofilament when assessing for sensation for high risk clients.
  •   Identify the safe use of the dremel or electric drill in care and the safe use of disposable foot files with a disposable abrasive pad to file calluses.
  •   Provide information on the safe disposal of sharp objects in the sharps container.
  •   Provide a checklist on foot care and resources to clients from the diabetic association web sites professional section to educate the client about the importance of foot care.
  •   Identify the effects of non-prescription remedies commonly used by people with diabetes for foot care in treating fungal nails. (For example, the use of tea tree oil).
  •   Discuss safe infection control issues related to diabetes equipment.
  •   Discuss the findings and implications of current major research to practice in implementing effective infection control in the clinical setting relating to fungal spores, bacteria, and viruses.
  •   Identify the safe use of an autoclave or the chemosterilant method such as PREmpt/Accel CS 20 to sterilize tools and equipment.
  •   Assess the relationship between social and socio-economic support systems, environment, daily living diabetes, and foot care.
  •   Identify potential psychosocial strengths and barriers to diabetes self-care
  •   Identify the impact of diabetes on life events including; interpersonal relations, vocation, education, and recreation
  •   Identify the use of assessment tools including the monofilament tool to check for the foot complication
  • Identify potential destabilizing effects of stress on blood glucose, and approaches to self- care/foot care  Discuss the impact of cultural background and beliefs on adaptation to diabetes and self-care and foot care practices
  •   Identify possible feelings of attitudes held by the person with diabetes at various stages in the life cycle in relation to foot care hygiene, and describe appropriate interventions.
  •   Identify aspects of assessment, education, and management that are unique to the elderly.
  •   Identify the role of the foot care nurse in advocacy regarding care and treatment in preventing amputation and foot ulcers.
  •   Provide a copy of a diabetic foot screen to the diabetic client to give to their doctor or physician. Results of decreased sensation noted on their diabetic foot screen are to follow up regarding monofilament testing.
  •   Be able to devise an educational treatment plan for the client with calluses, corns, and fungal nails.
  •   Identify aspects of assessment, education, and management that are unique to children and/or adolescents with diabetes with respect to foot care.
  •   Describe potential chronic complications of diabetes in terms of pathology, associated risk factors, frequency, and recommendations for screening, prevention, management, and foot care education. Describe potential risks of complications for diabetic and elderly client’s feet when using of soap or alcohol when cleaning the diabetic foot prior to foot care treatment. 
  •   Identify the resources and information on starting a foot care business in Canada, or working in private practice as a certified foot care nurse.
  •   Describe and apply cognitive behavior intervention and self-management teaching strategies when working with diabetic clients. 


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