This document contains an introduction to the Ohio Integrated Technical and Academic Competency (ITAC) and Specialization ITAC; an overview of the field of practical nursing; a list acknowledging professionals who helped develop the competency list; and the comprehensive list of the professional or occupational competencies deemed essential for graduates to be able to perform proficiently when they graduate from an Ohio specialization workforce development program for practical nursing. The introduction explains the following: (1) critical academic, employability, and information technology skills have been integrated throughout the list to support the technical skills; (2) the competency profile can be used as the basis for curriculum development in Ohio's secondary, adult, and postsecondary programs; and (3) the specialization competency profile is organized so that it can be clustered or grouped in a modular approach. The overview of the occupation describes general duties, some specific tasks, employment opportunities, length of program, type of program (classroom instruction and/or work experience), and types of certificates and/or degrees. The competencies are grouped under broader skills that are, in turn, categorized under these 20 major topics: practical nursing orientation; professional practices; workplace safety; infection control and risk management; medical terminology; first aid and medical emergencies; vital signs; nutrition; basic pharmacology; nursing process; nursing communication skills; nursing clinical procedures; anatomy, physiology, and pathology; health law and ethics; psychology of stress; psychology of human relations; professionalism; teamwork in the health care setting; daily work functions; and basic computer applications. (YLB)