I can tell you I had the exact same experience. This is what I did. I made a master list of all competencies that were to be needed. For each competency, there is a skill checklist that accompanies it. Example: for nurses to be competent in urinary catheterization, they must complete the skill checklist for urinary catheterization. The checklist is basically a step by step of the procedure (which I had to either create or update in certain circumstances). It was a huge undertaking, but now that it's done, I'm glad. Hope this helps you.