nurse practitioner core competencies 2020

This article describes the development of nurse practitioner (NP) competencies for advance care planning. A similar structure has been used by the ACC to describe the aligned general cardiology lifelong learning competencies that all practicing cardiologists are expected to maintain. Skill to provide preoperative risk assessment for patients with cardiovascular disease undergoing noncardiac surgery. Susan D. Housholder-Hughes, DNP, ACNS-BC, ANP-BC, FACC. Know the indications for and contraindications to noninvasive and invasive testing in the evaluation of patients with stable ischemic heart disease, variant angina, post. Skills to educate patients and family members on congenital heart defect anatomy and physiology and promote lifelong heart healthy self-care behaviors. These competencies are for … Skill to identify needs of patients when current management goals are no longer effective (e.g., long-term needs such as palliative care and termination of device therapy). Identify one AACN BSN Essential that will be most important in improving quality in your future nursing practice. Laurant M., van der Biezen M., Wijers N., et al. J Am Coll Cardiol2015; 65:2118-2136. Model cardiovascular teams are composed of members including but not limited to cardiologists, NPs, PAs, behavioral scientists, cardiovascular technologists, clinical nurse specialists, data/informatics professionals, exercise physiologists, genetic counselors, nurses, occupational therapists, pharmacists, physical therapists, registered dieticians, and social workers. Use information technology to support patient care decisions and patient education. "A comparison of conventional and expanded physician assistant hospitalist staffing models at a community hospital", "PAs can bring cost-effective care to complex patients", "Primary care workforce shortages: nurse practitioner scope-of-practice laws and payment policies", ACC disclosure policy for document development, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3043418/, https://www.aanp.org/practice/practice-information-by-state, https://www.aapa.org/news-central/2018/04/pas-can-bring-cost-effective-care-complex-patients/, https://www.nihcr.org/analysis/improving-care-delivery/prevention-improving-health/pcp-workforce-nps/, http://www.acc.org/guidelines/about-guidelines-and-clinical-documents/relationships-with-industry-policy, http://www.acc.org/guidelines/about-guidelines-and-clinical-documents/clinical-document-approval, https://www.elsevier.com/about/our-business/policies/copyright/permissions. Know the indications, contraindications, complications, and components of invasive and hemodynamic monitoring. Skill to manage patients with heart failure with implantable hemodynamic monitoring (e.g., pulmonary artery pressure monitoring systems), including changes in volume status. Skill to recognize common cardiovascular findings on chest x-ray. Know the natural history of complex congenital heart disease. Skills to interpret exercise and pharmacological stress test reports with or without imaging and apply results to clinical decision making. Know admission criteria for the critical care unit. Skill to counsel patients about levels of physical activity appropriate to their cardiovascular health status. Know the indications, contraindications, and adverse effects of anticoagulants in patients with atrial fibrillation and flutter. Skills to evaluate and coordinate management of patients with peripheral and visceral artery aneurysms and refer candidates for surgical or endovascular intervention. Skills to determine nutritional needs of patients receiving ventilatory support and order appropriate nutritional supplementation. Adult-Gerontology Clinical Nurse Specialist (CNS) Competencies (2010) (PDF) National Office 11130 Sunrise Valley Dr. #350 Reston, VA 20191 Please send check payments to: NACNS c/o NACNS Accounting 401 Edgewater Place, Suite 600 Wakefield, MA … Conduct literature searches, interpret findings, and apply evidence-based results to clinical care. View all . Promote patient and family access to community resources and interdisciplinary care services/providers to enhance effective self-care behaviors and promote well-being. Know the indications for hemodynamic catheterization in adults with complex congenital heart disease. Know the psychosocial factors that contribute to cardiovascular disease and principles of management. All cardiovascular NPs and PAs should have the skills to assess new research findings and appropriately incorporate new diagnostic and treatment modalities in patient care. Know the role of local and systemic inflammation on the development and progression of atherosclerotic disease. Capstack T.M., Segujja C., Vollono L.M., Moser J.D., Meisenberg B.R., Michtalik H.J. Know the pharmacological agents that may interfere with blood pressure control (e.g., nonsteroidal anti-inflammatory drugs). Know the indications for right and left heart catheterization in patients with heart failure. 4. Skill to recognize adverse effects of antihypertensive medications. The ACC Competency Management Committee oversees development of competency statements for cardiovascular specialists covering the entire career spectrum. Know the causes, pathophysiology, and natural history of aortic, carotid, renal, mesenteric, and extremity peripheral artery diseases. Skills to identify, evaluate, and participate in the management of cyanosis and associated end-organ hyperviscosity issues associated with congenital heart disease shunting and pulmonary hypertension. You will get to know the people and groups of people who were imbued with the vision of improving, updating and standardizing Nursing education and practice through this and previous undertakings. Maintain continuity of care with efficient and effective handoffs throughout transitions of care. Know the pharmacology, indications, contraindications, and expected outcomes of antithrombotic medications in patients with peripheral artery disease. Practice within organization bylaws and state and federal regulations governing nurse practitioner and physician assistant practice. Know the management strategies for patients with advanced and end-stage heart failure. Skills to initiate and monitor diagnostic testing indicated for patients with elevated blood pressure and hypertension. Therefore, the left column reflects the competencies expected of most NPs and PAs practicing within adult cardiovascular medicine. Skills to obtain and follow laboratory testing and imaging studies in patients with heart failure. Advocate for quality patient care and assist patients and families in dealing with system complexities and limited resources. Stable Ischemic Heart Disease Competencies for Cardiovascular Nurse Practitioners and Physician Assistants 2506, Table 13. Skills to assess and manage patients in refractory heart failure requiring intravenous inotropic support. Know the clinical manifestations of acute aortic syndromes, including dissection, intramural hematoma, and penetrating ulcer. Know the definition, characteristics, prognosis, diagnostic recommendations, and evidence-based treatment options for management of hypertension. Know the pathophysiology and management of bicuspid aortic valve and associated aortopathy. Criteria for Evaluation of Nurse Practitioner Programs (2016) View 2002, 2008, 2012 Versions. Contribute to the design and implementation of information systems to enhance safety, quality, and cost effectiveness. Know the diagnostic criteria of stable versus unstable angina pectoris. These competencies may be assessed by the review of one’s individual practice, by review of hospital data, or through performance assessments or practice improvement initiatives. – least references included in your post. Skills to recognize and manage musculoskeletal limitations during cardiac rehabilitation sessions. Know the contraceptive methods considered safe and efficacious for women with complex congenital heart disease. The document was reviewed by 4 official representatives from the ACC and 25 reviewers representing the following organizations: the Accreditation Review Commission on Education for the Physician Assistant, American Academy of Physician Assistants, American Association of Heart Failure Nurses, American Association of Nurse Practitioners, American Heart Association, American Nurses Credentialing Center, Association of Physician Assistants in Cardiology, Heart Failure Society of America, Heart Rhythm Society, National Organization of Nurse Practitioner Faculties, Physician Assistant Education Association, Preventive Cardiovascular Nurses Association, and the Society for Cardiovascular Angiography and Interventions. American Academy of PAs Research Department. Authors were then selected to address the criteria specified in Section 1.1.1. Skill to obtain point-of-care echocardiographic images, including those for assessment of left ventricular function, pericardial effusion, central venous pressure estimation, aortic dimensions, and significant valvular dysfunction. N Engl J Med2013; 368:1935-1941. Seton Heart Institute—Associate Chief of Cardiology for Education; Dell Medical School—Associate Professor of Medicine, Mayo Clinic, Department of Cardiovascular Medicine—Associate Professor of Medicine, Boston Children’s Hospital BACH Cardiology—Physician Assistant, United Heart and Vascular Clinic, AllinaHealth—Nurse Practitioner-Electrophysiology, Baylor Scott & White Health—Nurse Practitioner in Advanced Heart Failure Clinic, Penn Medicine, Heart and Vascular Intensive Care Unit—Nurse Practitioner, Bozeman Deaconess Cardiology Consultants—Cardiologist, Mayo Clinic, Department of Cardiovascular Diseases—Nurse Practitioner, Lucile S Packard Children’s Hospital Stanford—Program Director, ACHD Service; Stanford Hospital and Clinics—Clinical Associate Professor, University of Michigan—Nurse Practitioner, Adjunct Clinical Faculty, School of Nursing, Emory Healthcare—Director of Strategic and Programmatic Initiatives, Heart and Vascular, Einstein Health Network, Greater Philadelphia Region; Bryn Mawr Medical Specialists—Physician Assistant, Stanford University—Associate Program Director, Clinical Assistant Professor, Cardiology, Intermountain Heart Institute, Intermountain Healthcare and Rocky Mountain University of Health Professions Physician Assistant Program—Cardiology Research Physician Assistant, Vanderbilt Heart and Vascular Institute—Professor of Medicine, Director, CV Medicine Fellowship Program. The task force behind the 2012 update included various nurse practitioner organization and certification boards, and they created sub-groups of experts for each population focus. Nursing Education Perspectives (National League for Nursing), 29 (4), 217–219. Researchers Advance Understanding of Nurse Practitioner (NP) Quality of Care November 12, 2020; AANP Honors the Nation’s Veterans, Proud to Provide Care During COVID-19 November 11, 2020 Skills to develop, implement, manage, and evaluate a plan of care for patients with elevated blood pressure and hypertension. Skills to recognize and manage complications of central venous pressure, invasive arterial, and/or hemodynamic monitoring systems. Many hospital systems also now use the 6-domain structure as part of medical staff privileging and peer-review professional competence assessments. Skills to recognize and manage prosthetic valve complications. Know the history and physical examination findings and their limitations in the evaluation of patients with heart failure. Skills to develop, implement, and evaluate lifestyle interventions for prevention and treatment of patients with cardiovascular risk and/or comorbidities. Subsequent updates have incorporated major advances and revisions—both in content and structure—including a further move toward competency-based training, and the use of the 6-domain competency structure promulgated by the Accreditation Council for Graduate Medical Education and the American Board of Medical Specialties, and endorsed by the American Board of Internal Medicine. The general cardiovascular competencies for NPs and PAs provide a foundation for practice, given individual learning needs, practice setting, and baseline knowledge. Skill to recognize cardiac biomarker abnormalities to aid in the diagnosis of acute coronary syndromes. In 2016, the ACC’s Cardiovascular Team Council approached the Competency Management Committee to develop a competency statement for members of the cardiovascular care team. 4. Know the management strategies for patients in refractory heart failure requiring intravenous inotropic support. Skill to perform clinical assessments for patients in all forms of shock. Know normal and abnormal hemodynamic values and factors affecting cardiac output. 33. The document was simultaneously posted for public comment from September 9, 2019, to September 30, 2019, resulting in 185 additional comments. Know the pharmacological effects, risks, and benefits of vasoactive and inotropic agents. Skills to initiate and manage dual antiplatelet therapy and/or anticoagulants in patients with acute coronary syndromes. Critically analyzes data and evidence for improving advanced nursing practice. Systems-Based Practice as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value. Know the utility of biomarkers in the management of patients with heart failure. Skills to monitor, recognize, and manage arrhythmias during exercise testing. Educate healthcare professionals about diagnosis and management of patients with a condition in one’s area of expertise. Know the indications, risks, and benefits for electrophysiology studies and catheter ablations. Know the common cardiac arrhythmias in patients with valvular heart disease and treatment strategies. Skills to interrogate, troubleshoot, program, and monitor performance of implanted cardiac devices. Skills to recognize cardiac arrhythmias and initiate treatment and/or referral for patients with heart failure. Identify, disclose, and manage relationships with industry and other entities to minimize bias and undue influence on clinical decision-making. Skills to evaluate and manage patients with venous insufficiency. Reprint Department via fax (212-633-3820) or e-mail (E-mail: [email protected]com. The overarching goal in competency statements is to provide a framework by which educational initiatives and clinical competencies can be coordinated to improve the overall delivery of care to cardiovascular patients. Know the interventions and surgeries generally performed for simple congenital heart defects. For the purpose of transparency, disclosure information for the Lifelong Learning Oversight Committee is available at http://www.acc.org/guidelines/about-guidelines-and-clinical-documents/clinical-document-approval. Although no members participated in a formal representational role from other professional societies, the writing committee is composed of authors who are engaged in NP, PA, and cardiovascular specialty organizations. 11/11/2020 Consultation on Nursing Education Standards. . Skill to select antihypertensive drugs based on comorbidities, age, gender, or ethnic background. Know the definition, pathophysiology, clinical implications, and treatment of hypertensive urgency and emergency. Silver Spring, MD: Nursesbooks, 2015. This competency document identifies the knowledge and skills important for NPs and PAs working in general cardiovascular medicine and cardiac subspecialty areas, thereby assisting NPs and PAs in identifying learning needs and opportunities for professional growth. Know the indications, risks and benefits, and optimal timing for pharmacological and electrical cardioversion. Demonstrate mutual respect, consideration, and empathy for patients, families, and the healthcare team. Know blood pressure thresholds and goals for nonpharmacological and pharmacological therapies. "Cardiovascular nursing: scope and standards for practice" Please be sure to address all 10 competencies and give specific examples. Know the pharmacology, classes, indications, contraindications, risks, and interactions of medications commonly used for prevention and treatment of cardiovascular disease. Know the pathophysiology, differential diagnosis, and natural history of pericarditis, pericardial effusion/tamponade, and constrictive pericarditis. 8. Skills to evaluate and manage arterial, venous, and neurotrophic leg ulcers. Know the findings associated with mechanical complications of myocardial infarction. Know secondary prevention strategies for patients with acute coronary syndromes. American Nursing Association. Tables 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, and 14 encompass the medical knowledge and patient care and procedural skill competencies related to the 11 clinical areas identified in Table 1. Core Competencies. . Skills to participate in elective cardioversion and manage risks and complications. Collaborate with healthcare professionals in other disciplines to optimize the care of patients with complex and multisystem disease. Know the management of valvular heart disease in pregnancy and women of childbearing age. Skills to evaluate and manage patients with upper and lower extremity peripheral artery disease. Know the differential diagnoses and distinguishing characteristics of heart murmurs and sounds, vascular bruits, and peripheral pulses. Know the postoperative complications of patients admitted to the critical care unit following cardiac surgery or catheter-based interventions. Know the indications for noninvasive ventilation, endotracheal intubation, and mechanical ventilatory support for patients with hypoxia and/or respiratory failure. Competencies for Registered Nurses will take effect September 2020. endobj Know the differential diagnoses of chest pain, palpitations, fatigue, lightheadedness, syncope, dyspnea, and peripheral edema. Since 1990, the National Organization of Nurse Practitioner Faculties (NONPF) has identified core competencies for all nurse practitioners (NPs). Know the indications and contraindications of primary percutaneous coronary intervention as initial reperfusion strategies. Know the indications and management of hypothermia in cardiac arrest survivors. Skills to identify and participate in the management of arrhythmias and conduction disturbances in patients with acute coronary syndromes. (2020). Heart Failure Competencies for Cardiovascular Nurse Practitioners and Physician Assistants 2503, Table 11. Journal of the American Association of Nurse Practitioners: March 2020 - Volume 32 - Issue 3 - p 200-217. doi: 10.1097/JXX.0000000000000384. The writing committees reflect the diversity of cardiovascular medicine, including content experts, general cardiology and sub-subspecialty practitioners in both academic and private practice settings, and early, mid-, and later-career representatives. Skills to calculate global atherosclerotic cardiovascular disease risk for primary prevention and plan an appropriate treatment plan based on risk level. Know the basic anatomy, pathophysiology, presenting symptoms, and differential diagnosis of simple congenital heart disease in adults. Such efforts will promote and enhance collaborative, high-quality, patient-centered care teams. Skill to utilize vasoactive and inotropic medications in the treatment of hypotension, heart failure, and shock. Skills to evaluate and manage patients with syncope. Know the arrhythmia and conduction complications associated with STEMI. . Skill to identify needs of individuals and families with inherited arrhythmia disorders. Skill to identify individuals who may be considered for device system extraction. A scholarly approach to literature review is required to evaluate evidence, address clinical questions, and enhance outcomes. CNS Competencies CNS Competencies. It also identifies aspects of cardiovascular medicine that exceed core expectations and may be maintained or achieved by some specialized NPs and PAs, depending on their expertise, skills, practice agreements, and licensure. ACGME = Accreditation Council for Graduate Medical Education. ONE Award Submissions ; Outstanding Orthopaedic Nurse Practice Award; Online Store; Online Store. Skill to perform a physical assessment and examination for patients with lipid disorders. Know the indications for selection of pacemaker systems and cardiac resynchronization therapy. Know the indications for performing home blood pressure monitoring. Copies: This document is available on the World Wide Web sites of the American College of Cardiology ( www.acc.org), American Academy of Physician Assistants ( www.aapa.org), American Association of Heart Failure Nurses ( www.aahfn.org), American Association of Nurse Practitioners ( www.aanp.org), American Heart Association ( www.heart.org), Association of Physician Assistants in Cardiology ( www.cardiologypa.org), Heart Rhythm Society ( www.hrsonline.org), Physician Assistant Education Association ( www.paeaonline.org), Preventive Cardiovascular Nurses Association ( www.pcna.net), Society for Cardiovascular Angiography and Interventions ( www.scai.org), and The National Organization of Nurse Practitioner Faculties ( www.nonpf.org). "Primary care workforce shortages: nurse practitioner scope-of-practice laws and payment policies" Integrates knowledge from the humanities and sciences within the context of nursing science. Skill to supervise exercise and pharmacological stress tests with or without imaging, including cardiopulmonary exercise tests. The definitions are available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3043418/. Know the indications for implantation of permanent pacemakers. 270 Washington, DC 20036 (202) 289-8044 nonpf@nonpf.org Know lifestyle interventions for management of patients with stable ischemic heart disease, variant angina, post. The writing committee met the College’s disclosure requirements for RWI as described in the Preamble. Skill to assess biological, psychosocial, and cultural factors that influence learning of patients with heart failure. Know the epidemiology and pathophysiology of coronary artery disease. endobj Skill to manage perioperative patients following surgical and percutaneous valvular heart disease procedures. Know the symptoms, physical findings, and evaluation of acute pericarditis, pericardial effusion/tamponade, and constrictive pericarditis. The basic assumption of CBE is that the student will demonstrate acquisition of the identified essential knowledge, skills, and attitudes expected for the designated educational process before leaving the learning environment. Skill to recognize normal/abnormal 12-lead ECGs and rhythm strips. It is important to recognise that these competencies may take time to fully develop and consolidate, progress will vary according to working context and the individual. Requests may be completed online via the Elsevier site ( https://www.elsevier.com/about/our-business/policies/copyright/permissions). Know the risks, preventive measures, and treatments for acquired heart disease in the congenital heart disease population. Know the pathophysiology, differential diagnosis, and management of atrial fibrillation, atrial flutter, and atrial tachycardias. Capstack T.M., Segujja C., Vollono L.M., Moser J.D., Meisenberg B.R., Michtalik H.J. Skills to evaluate and manage patients with supraventricular tachyarrhythmias. Skill to recognize mechanical complications in patients with acute coronary syndromes. Skill to recognize cardiac device system infection. The writing committee convened by conference call and e-mail to finalize the document outline, develop the initial draft, revise the draft based on committee feedback, and ultimately approve the document for external peer review. "Expanding the role of advanced nurse practitioners—risks and rewards" Know the pharmacology, indications, contraindications, and side effects of antiarrhythmic medications. Skill to refine the therapeutic plan of care of patients with valvular heart disease based on laboratory and diagnostic test results. <> Know management strategies for patients with arterial compression devices and arterial sheaths. ACHD = adult congenital heart disease; BACH = Boston Adult Congenital Heart; UPMC = University of Pittsburgh Medical Center. 2 0 obj Skill to identify genetic syndromes associated with inherited thoracic aortic syndromes, including Marfan Syndrome and Loeys-Dietz. The ACC Competency Management Committee determined that RWI are not relevant to the creation of a general cardiology competence statement but provided employment and affiliation information for authors and peer reviewers in Appendixes 1 and 2, respectively, along with disclosure reporting categories. Appropriately seek and integrate advice from consultants in a timely manner. It is important to recognize that some NPs and PAs acquire exceptional clinical acumen and a high level of expertise and technical proficiency in advanced skills such as emergency response systems, inserting temporary pacemakers, and performing pericardiocentesis, depending on their level of experience and training, state licensure, and institutional privileging. 2014;11(1):5-15.PubMed Google Scholar Crossref. Skill to assist in surgical or percutaneous interventions. 1. Know the arrhythmias common in adults with simple congenital heart disease and referral indications to electrophysiologists with expertise in congenital heart disease. Know the structure of normal arteries and basic vascular biology of atherosclerosis. Skill to counsel patients about cardiovascular disease prevention strategies. Know the indications for cardiac catheterization for adults with simple congenital heart disease. Skills to develop, implement, manage, and evaluate an evidence-based, age-appropriate plan of care for patients with lipid disorders. There are several ways cardiovascular NPs and PAs can maintain competency and expand lifelong learning in practice (ensuring currency with the evolving art and science of the field) and assess their own professional needs for education and performance improvement. Know the differential diagnosis, clinical presentation, ECG changes, and imaging and biomarker features for diagnosis and risk stratification of patients with NSTE-ACS and other nonischemic causes of myocardial injury. Recommendations in these statements are based on available evidence and, where evidence is lacking, reflect the consensus of expert opinion. 6. Skills to evaluate and manage patients with lymphedema. All rights reserved. Skill to obtain an accurate blood pressure in the clinical setting. Know the indications for, expected outcomes of, and complications of surgery in patients with pericardial diseases. Know the clinical conditions that affect central venous, direct arterial, and hemodynamic waveform configuration, including arrhythmias, blood pressure changes, and fluid status. Skill to participate in pericardiocentesis. Know the clinical findings and complications of right ventricular infarction. Know the diagnostic testing for patients with heart failure. Know the noninvasive imaging studies indicated for screening and surveillance of patients at risk for thoracic and/or abdominal aortic aneurysm. Know the pharmacology, classes, indications, contraindications, risks, and interactions of medications commonly used for hypertension management. Skill to recognize ST-segment changes on continuous ECG monitoring suggestive of acute coronary syndromes. Know the clinical findings of common connective tissue conditions that can affect the peripheral circulation. Know the effects of age on cardiovascular function, response to medications, and risks of diagnostic and therapeutic procedures. Skills to initiate management of patients with suspected acute aortic syndromes and coordinate care to ensure medical stability. Know the indications for and potential complications of pericardiocentesis. Skills to assess and participate in the management of adults with infective endocarditis associated with congenital heart disease. A comprehensive list of healthcare-related disclosures for each reviewer can be found online. Skill to manage cardiac arrhythmias and perioperative complications in patients with valvular heart procedures. Skills to recognize and manage patients with postural orthostatic tachycardia syndrome, inappropriate sinus tachycardia, and neurocardiogenic syncope. This document identifies competencies for the NP and PA members of the cardiovascular care team. endobj Skill to monitor for side effects, intolerance, or nonadherence to cardiovascular treatment. Review and referral of patients for consideration and participation in clinical trials should be considered for both academic and nonacademic clinicians, including cardiologists, NPs, and PAs. Skill to manage patients with chronic ischemic heart disease and associated risk factors. Skill to interpret coronary angiography report findings for patients with acute coronary syndromes. Skills to assess and manage patients with a heart transplant. Discuss sensitive/difficult topics, including end-of-life care and/or palliative care within the confines of the patient’s belief system. Nurse Educator Core Competency. Prerequisite education, training, experience, and demonstrated competency provide a foundation to function in a collaborative team environment with significant autonomy, extending the capabilities of the general or subspecialty cardiologist and the entire cardiovascular team. Know the causes, symptoms, and indications for diagnostic testing and referral for inherited and acquired forms of thrombophilia. "ACC 2015 core cardiovascular training statement (COCATS 4) (revision of COCATS 3) " . Please refer to http://www.acc.org/guidelines/about-guidelines-and-clinical-documents/relationships-with-industry-policy for definitions of disclosure categories or additional information about the ACC Disclosure Policy for Writing Committees. Know the indications for oxygen supplementation. Skill to educate adult patients with congenital heart disease on prevention of thrombosis, thromboembolism, endocarditis, and on optimal oral health practices. J Am Coll Cardiol 2015; 65:1721-1723. Know the indications for surveillance imaging in patients with stable valvular heart disease. Identify barriers to learning and prioritize education for patients with cardiovascular disease. View Article Google Scholar; 2. October 27, 2020 - Florida Atlantic University’s Christine E. Lynn College of Nursing has launched a new “Dermatology Nurse Practitioner Post-graduate Certificate Program,” to provide nurse practitioners with the knowledge, skills and competencies needed for specialization in general dermatology to care for patients across the life span. Skill to use an evidence-based, shared decision-making tool to counsel patients at risk for sudden cardiac death who are undergoing primary prevention implantable cardioverter-defibrillator implantation. Eric S. Williams, MD, MACC‡Former Competency Management Committee member; member during this writing effort.Former Competency Management Committee co-chair, co-chair during this writing effort.Former Competency Management Committee chair, chair during this writing effort. Skills to recognize and manage signs and symptoms that indicate an adverse response to exercise during cardiac rehabilitation sessions. Given the document design, the competencies that define an individual’s practice may overlap with multiple topic areas even for highly specialized practitioners. Know the interventions and surgeries performed for complex congenital heart disease. Know the pathophysiology of acute heart failure in peripartum and postpartum women. © 2020 American College of Cardiology Foundation. Identify potential for impaired professional performance in oneself and colleagues and take action to mitigate in order to ensure a culture of safety. Skill to participate in insertion of an invasive and/or hemodynamic monitoring vascular access catheter. Know the appropriate timing to refer patients with heart failure for cardiac resynchronization therapy, invasive monitoring, invasive support, and/or transplant. Buy; SDC; Take the CE Test; Metrics Abstract. Skills to recognize and manage central line infection. Skills to evaluate and manage patients with palpitations. Know the causes, symptoms, and indications for diagnostic testing and referral for inherited and acquired forms of vasculitis. Know the diagnostic studies recommended for monitoring during titration of antihypertensive medications. Skills to manage and coordinate care for postoperative patients admitted to the critical care unit following surgery or catheter-based intervention. Know the nonpharmacological interventions for the treatment of elevated blood pressure and hypertension. "2015 ACC health policy statement on cardiovascular team-based care and the role of advanced practice providers" Know the pharmacological and lifestyle interventions for the treatment of lipid disorders for primary and secondary prevention. Nurse practitioner core competencies are an essential element of nurse practitioner competence assessment. Know the postprocedure complications of catheter ablation in patients with atrial fibrillation, atrial flutter, supraventricular tachycardia, and ventricular tachycardia. Know the indications for selection of transvenous versus subcutaneous defibrillators. Know the pathophysiology and clinical findings of heart failure in adults with simple congenital heart disease. Know the primary prevention application of various cardiovascular risk assessment tools (e.g., atherosclerotic cardiovascular disease risk). Know the risk of arrhythmias and sudden death in patients with congenital or acquired structural heart disease. Know the management strategies for patients post–heart transplantation. Attend to one’s own health, well-being, and abilities in order to maximize personal and professional performance. American Association of Nurse Practitioners. Know the indications for duplex ultrasonography of the aortic, carotid, renal, mesenteric, and extremity arteries; arterial bypass grafts and stents; aortic endografts; and intracranial vessels. Know the normal and abnormal findings in patients with heart failure with preserved and reduced ejection fraction who undergo hemodynamic catheterization. Know the clinical implications of ventricular systolic and diastolic function in the management of patients with stable ischemic heart disease. Know the risks, benefits, indications, and timing for diagnostic coronary angiography. Know the indications for, contraindications to, and pharmacology of fibrinolytic agents and glycoprotein IIb/IIIa inhibitors. x�͙�n�F����R*����� �-�)�F@.�\02����fZ��3+)eY�)-��MRK��ggf��iݔw���^e�M�/�(n�Mv�n���C6���Ȯ�eY�M���w_>6���z������|&��$���C!� H ��u1��IT���|��(�YA.�����wN,�+�rs�Ϯƣ���~�ǣ��_ǣc�����F�H)+.�΄Ȯ�S��ޜy���~�)�� -�RB���� ��3{ΚBLH�8��P%$T Ambulatory and Consultative Care Competencies for Cardiovascular Nurse Practitioners and Physician Assistants 2494, Table 7. Know the clinical manifestations, differential diagnosis, evaluation, and management of aortic, carotid, renal, mesenteric, and extremity peripheral artery diseases. Know factors that may affect accuracy of blood pressure measurement. High-performing cardiovascular care teams aspire for each member to practice at the top of his or her education, training, licensure, and experience with clearly defined roles. Skills to obtain a clinical history and perform a physical examination of the peripheral circulation. Table 3 Core Competencies for Cardiovascular Nurse Practitioners and Physician Assistants, Table 4 Acute Coronary Syndromes Competencies for Cardiovascular Nurse Practitioners and Physician Assistants, Table 5 Adult Congenital Heart Disease Competencies for Cardiovascular Nurse Practitioners and Physician Assistants, Table 6 Ambulatory and Consultative Care Competencies for Cardiovascular Nurse Practitioners and Physician Assistants, Table 7 Cardiac Arrhythmias and Electrophysiology Competencies for Cardiovascular Nurse Practitioners and Physician Assistants, Table 8 Cardiovascular Disease Prevention Competencies for Cardiovascular Nurse Practitioners and Physician Assistants, Table 9 Critical Care Cardiology Competencies for Cardiovascular Nurse Practitioners and Physician Assistants, Table 10 Heart Failure Competencies for Cardiovascular Nurse Practitioners and Physician Assistants, Table 11 Pericardial Disease Competencies for Cardiovascular Nurse Practitioners and Physician Assistants, Table 12 Stable Ischemic Heart Disease Competencies for Cardiovascular Nurse Practitioners and Physician Assistants, Table 13 Valvular Heart Disease Competencies for Cardiovascular Nurse Practitioners and Physician Assistants, Table 14 Vascular Medicine Competencies for Cardiovascular Nurse Practitioners and Physician Assistants, Timothy W. Attebery, DSc, MBA, FACHE, Chief Executive Officer, Janice Sibley, MS, Executive Vice President, Education and Publishing, Robyn Snyder, BA, Senior Director, Core Education Division Services and Activities, Dawn R. Phoubandith, MSW, Team Leader, Competencies and Educational Gaps, Kelli C. Bohannon, Associate Director, Member Strategy, Amelia Scholtz, PhD, Publications Manager, Science, Education, Quality, and Publishing.

Fish For Dogs, Paige Mill Court Apartments Sanford, Nc, United Sans Google Font, Microsoft Certifications Dashboard, Debian Minimal Lxde Install, Jquery Flipbook Booklet, Section 8 Landlord Login, Weather San Pedro Sula,

Posted in 게시판.

댓글 남기기

이메일은 공개되지 않습니다. 필수 입력창은 * 로 표시되어 있습니다