Know discharge criteria for the critical care unit. Know the supplemental ECG leads to obtain in patients suspected of having right ventricular dysfunction. . Know the major cardiovascular risk stratification tools and principles of primary and secondary prevention of cardiovascular disease. Know the noninvasive imaging studies indicated for screening and surveillance of patients at risk for thoracic and/or abdominal aortic aneurysm. Skills to interpret cardiovascular imaging reports and apply results to clinical decision making. Know the determinants of coronary blood flow and myocardial oxygen consumption. ACHD = adult congenital heart disease; BACH = Boston Adult Congenital Heart; UPMC = University of Pittsburgh Medical Center. Know the indications for genetic testing and counseling in patients with inherited cardiomyopathy syndromes. Know pharmacotherapy for the management of patients with acute coronary syndromes. Please be sure to address all 10 competencies and give specific examples. 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. 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. NLN Core Competencies Note: The task statements that accompany each competency can be found in NLN Core Competencies for Nurse Educators: A Decade of Influence (2019) and The Scope of Practice for Academic Nurse Educators & Academic Clinical Nurse Educators (2020). Identify cost, resource utilization, and value when caring for patients with cardiovascular disease. 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. † Ms. Nickolaus was employed by the UPMC Susquehanna Heart & Vascular Institute as a Nurse Practitioner during most of this writing effort. Know the effects of stress, anxiety, and depression in patients with known or suspected cardiovascular disease. 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). Skill to risk stratify patients for potential bleeding risk on anticoagulation. Know the indications, risks and benefits, and optimal timing for pharmacological and electrical cardioversion. These competencies are for … Know the pharmacology of commonly used cardiovascular medications in diverse patient populations. . Contact Us. Know the indications for genetic testing and counseling in patients with known or suspected inherited thoracic aortic syndromes. A modified Delphi method was used to engage NPs in achieving consensus for advance care planning competencies. Skills to perform zero referencing and troubleshoot hemodynamic monitoring systems. 2014;11(1):5-15.PubMed Google Scholar Crossref. All tables distinguish competencies generally expected of all cardiovascular NPs and PAs (left column) from those generally expected of selected cardiovascular NPs and PAs based on background, specialized knowledge, skills, experience, and practice focus (right column). "Cardiovascular nursing: scope and standards for practice" Know the correlation between hemodynamic waveforms and patient physiology. Know the pathophysiology and management of bicuspid aortic valve and associated aortopathy. %PDF-1.7 Know interventions to reduce risk of deterioration of physical and mental functioning in patients with acute heart failure. The competencies are organized in seven content domains: Management of Patient Health/Illness Status, The Nurse Practitioner-Patient Relationship, The Teaching-Coaching Function, Professional Role, Managing and Negotiating Health Care Delivery Systems, Monitoring and Ensuring the Quality of Health Care Practices and Culturally-Sensitive Care (NONPF, 2006). Know the indications for noninvasive ventilation, endotracheal intubation, and mechanical ventilatory support for patients with hypoxia and/or respiratory failure. American Academy of PAs Research Department. These minimum general competencies were endorsed by the ACGME in February 1999 ( www.acgme.org) and all Residency Review Committees and Institutional Review Committees were to include this minimum language in their respective Program and Institutional Requirements by June 2001. This competency framework addresses the common core competencies and the wider range of skills, knowledge and behaviours a nurse needs, to be a fully proficient General Practice Nurse (GPN). It also helps to increase awareness of the roles that NPs and PAs have within the cardiovascular team. Skill to manage patients with valvular heart disease with complex comorbid conditions. Skills to perform and interpret findings of physical examination for detection of acute and chronic arterial compression syndromes. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> CNO also recognizes and thanks the Canadian Council of Registered Nurse Regulators: Revision of Entry-Level Competencies Project Working Group … Patient Care that is compassionate, appropriate, and effective for treating health problems and promoting health. Know the interventions and surgeries performed for complex congenital heart disease. Skills to recognize and manage central line infection. Skill to recognize the type of cardiovascular implantable electronic device, lead location, and lead condition based on chest x-ray findings. Required by the Commission on Collegiate Nursing Education for schools seeking accreditation for DNP programs, these Essentials outline the foundational competencies that are core to all advanced nursing practice roles, including the four nationally-recognized Advanced Practice Registered Nursing roles: nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives. Skill to recognize cardiac device system infection. Know the differential diagnoses of symptoms commonly associated with heart failure. Skill to refine the therapeutic plan of care of patients with valvular heart disease based on laboratory and diagnostic test results. Skills to evaluate and manage patients with upper and lower extremity peripheral artery disease. Former Competency Management Committee member; member during this writing effort. Skill to facilitate timely referral to cardiac rehabilitation following acute coronary syndromes. Know the contraceptive methods considered safe and efficacious for women with complex congenital heart disease. Skills to initiate and manage pharmacological and nonpharmacological interventions for patients with lipid disorders. Identify and address socioeconomic barriers impacting cardiovascular care and refer to other team members as needed. Using the Institute of Medicine (2003) competencies for nursing, QSEN faculty have defined pre-licensure and graduate quality and safety competencies for nursing and proposed targets for the knowledge, skills, and attitudes to be developed in nursing pre-licensure programs for each competency.. Patient-Centered Care; Teamwork & Collaboration; Evidence-Based Practice Know the pathophysiology and clinical findings of heart failure in adults with simple congenital heart disease. Skills to recognize and manage noncardiac medical conditions that may affect patients in the cardiovascular critical care setting. Know the cardiovascular toxicity, drug interactions, and side effects of the major classes of medications used for common noncardiac conditions. Skill to participate in the insertion of implantable loop recorders. Committee members represented a diversity of geographic location; urban, suburban, and rural practice settings; academic and community-based practice settings; institution size; gender; ethnicity; and stage in career (early, mid, and later), as well as those who exemplified practice acumen and team model care expertise. Know the indications, risks, and complications of device extraction. Know the strategies for promoting behavioral change and treatment adherence in primary prevention of atherosclerosis. Skill to recognize ST-segment changes on continuous ECG monitoring suggestive of acute coronary syndromes. Skill to perform clinical assessments for patients in all forms of shock. Skills to perform perioperative evaluation and manage patients undergoing vascular procedures. CNS Competencies CNS Competencies. endobj Skills to evaluate and manage patients with bradyarrhythmias and heart block. This article describes the development of nurse practitioner (NP) competencies for advance care planning. Know the indications for endocarditis prophylaxis in adults with congenital heart disease. Know the basic anatomy, pathophysiology, presenting symptoms, and differential diagnosis of simple congenital heart disease in adults. A member of the ACC Competency Management Committee served as lead reviewer to ensure a fair and balanced peer review resolution process. Know the pathophysiology, differential diagnosis, and management of cardiac conduction disturbances. Skills to initiate and manage dual antiplatelet therapy and/or anticoagulants in patients with acute coronary syndromes. Skill to classify angina pectoris using a functional classification system. Skills to recognize and manage complications of central venous pressure, invasive arterial, and/or hemodynamic monitoring systems. Know the complications associated with contrast agents. Skill to perform pre-pregnancy risk assessment and peripartum coordination with obstetric colleagues for women with congenital heart disease. Know general concepts and modes of mechanical ventilation (e.g., tidal volume, fraction of inspired oxygen, positive end-expiratory pressure). Skills to recognize and manage signs and symptoms that indicate an adverse response to exercise during cardiac rehabilitation sessions. J Am Coll Cardiol2015; 65:1721-1723. Skill to obtain a problem-focused history and physical examination in patients with coronary artery disease and variant angina. Since the 1995 publication of its Core Cardiovascular Training Statement (COCATS) (1), the American College of Cardiology (ACC) has played a central role in defining the knowledge, experiences, skills, and behaviors expected of all clinical cardiologists upon completion of training. Participate in activities to promote a safe environment for patients, families, and healthcare professionals. Know normal and abnormal hemodynamic values and factors affecting cardiac output. Skills to obtain a clinical history and perform a physical examination of the peripheral circulation. Clinical competencies for NPs and PAs are designed to promote a framework for educational initiatives and practice performance. Skill to recognize adverse effects of antihypertensive medications. Curriculum Survey on Master’s Level Nurse Practitioner Programs (2001) Interprofessional Oral Health Faculty Tool Kit for Primary Care Nurse Practitioner and Midwifery Programs. Skills to prevent and manage complications associated with contrast agents. Skills to recognize and medically manage specific supraventricular arrhythmias (e.g., atrioventricular nodal re-entrant tachycardia, atrioventricular re-entrant tachycardia).