This letter outlines the competencies required of nursing staff in order to provide safe and effective care to residents in nursing homes and other healthcare facilities. It states that staff must have the knowledge and skills necessary to assess, evaluate, plan and implement resident care plans, and respond to resident needs. It also explains that staff must demonstrate competency in areas such as resident rights, communication, basic nursing skills, skin and wound care, medication management, pain management, infection control, identification of changes in condition, and cultural competency. Facilities must also provide training to staff on recognizing abnormal changes in body functioning and the importance of reporting them. This letter requires nursing staff to have the appropriate competencies and skill sets to provide safe and effective care to residents, and for facilities to provide training and evaluate staff competencies.

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