Abstract
Clinical nurse competency can be well supported through the institution of competency-based nurse orientation programs. The aims of this quality improvement project are twofold: to develop an orientation checklist that contains competency-based education techniques and assessment tools and to evaluate the usability of the competency-based orientation checklist by nursing staff. The project used a pre-post survey design to assess usability. The findings demonstrate that competency-based education and assessment increase checklist usability and increase staff satisfaction.