• Each narrative must explicitly demonstrate at least these three competencies:
  • ITP2:Incorporate a working knowledge of psychological and sociological disciplines and religious beliefs and practices in the provision of spiritual care.Demonstrate this with an analysis (in Part 3 below).
  • PPS10:Formulate and utilize spiritual assessments, interventions, outcomes, and care plans in order to contribute effectively to the well-being of the person receiving care.Demonstrate this with a spiritual assessment (in Part 4 below).
  • PPS11:Document one's spiritual care effectively in the appropriate records.Provide an example of patient-record charting. This may be a printout of an electronic medical recordwith all the identifying information removedorit may simply be what the chaplain would have written in the medical record.Please be mindful of HIPAA regulations.All information sent must be de-identified in accordance with the requirements found in45 CFR 164.514.Information that must be de-identified is on the second page of this document.Applications sent with HIPAA violations will be returned to the candidate, who must wait for the next application deadline before resubmitting anapplication.
• Competencies(other than ITP2, PPS10, & PPS11)must also be demonstrated in the clinical contact and analysis. In the word-for-word encounter (Part 2 below), clearly identifywherethe competency is being addressed. Then, in the analysis (Part 6 below), elaborate onhowit is demonstrated. For example: To demonstrate PPS5, the chaplain clinical contact (Part 2) would include spiritual care for a grieving person, noting "PPS5" in the margins or parentheses at the most salient moment(s) of such care, and the analysis (Part 6) would discuss how the chaplain's intervention at that moment provided effective support.