nurse practitioner core competencies 2020

Know the postprocedure complications of catheter ablation in patients with atrial fibrillation, atrial flutter, supraventricular tachycardia, and ventricular tachycardia. RN Continuing Competency Program Forms 2020 2 REGISTRATION NUMBER: Part A: Self-Assessment Instructions Completing a self-assessment each year helps you review the practice expectations for RNs and monitor your progress from one year to the next. Skill to develop a plan of care for patients with heart failure. Know the arrhythmias common in complex congenital heart disease and indications for referral to electrophysiologists with expertise in congenital heart disease. The ACC Competency Management Committee oversees development of competency statements for cardiovascular specialists covering the entire career spectrum. Skills to recognize and manage central line infection. Skills to identify physical findings, evaluate, and manage patients with constrictive pericarditis. Know the major cardiovascular risk stratification tools and principles of primary and secondary prevention of cardiovascular disease. Skill to refine the therapeutic plan of care of patients with pericardial disease based on laboratory and diagnostic test results. Skill to recognize signs and symptoms of ventricular systolic and diastolic dysfunction. Know the history and physical examination findings and their limitations in the evaluation of patients with heart failure. Authors were then selected to address the criteria specified in Section 1.1.1. Know the components of temporary, transvenous, and epicardial lead pacing systems and complications, including failure to capture, sense, and pace. Know the indications, risks, and benefits for electrophysiology studies and catheter ablations. These relationships were reviewed and updated in conjunction with all meetings and/or conference calls of the writing committee during the document development process. (2020). Contact Us. Practitioners … Capstack T.M., Segujja C., Vollono L.M., Moser J.D., Meisenberg B.R., Michtalik H.J. Select two Massachusetts Nurse of the Future Nursing Core Competencies that you believe will have the most impact on your future professional nursing practice. Adult/Gero Competencies. Table 1 Competency Framework for Nurse Practitioners and Physician Assistants in Adult Cardiovascular Medicine, Ambulatory and Consultative Care Cardiology, Cardiac Arrhythmias and Electrophysiology. 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. The work of the writing committee was supported exclusively by the ACC without commercial support. This document identifies competencies for the NP and PA members of the cardiovascular care team. Demonstrate mutual respect, consideration, and empathy for patients, families, and the healthcare team. Know the impact of lifestyle factors on the development and prevalence of arrhythmias and best practices for counseling. . Know the psychosocial impact of cardiac device therapies. Know the pharmacology of commonly used cardiovascular medications in diverse patient populations. Latest Practice News. Skills to develop, implement, manage, and evaluate a plan of care for patients with elevated blood pressure and hypertension. Know the management of arrhythmias in pregnancy and women of childbearing age. Skill to provide perioperative care to patients receiving cardiac implantable electronic devices. Skills to evaluate and manage patients with extracranial carotid and vertebral artery disease. Know the epidemiology and pathophysiology of coronary artery disease. Skills to determine nutritional needs of patients receiving ventilatory support and order appropriate nutritional supplementation. Objective evaluation of clinical competence in the practice setting can be challenging and sometimes overlooked. Know basic and pathological cardiac embryology and epidemiological influences on the development of congenital heart disease. Know the definition, pathophysiology, clinical implications, and treatment of hypertensive urgency and emergency. Skill to recognize normal/abnormal 12-lead ECGs and rhythm strips. Know the utility of biomarkers in the management of patients with heart failure. Skill to risk stratify patients with atrial fibrillation and flutter for embolic stroke. Know the pathophysiology and clinical findings of heart failure in adults with complex congenital heart disease. Skill to recommend lifestyle interventions for patients with stable coronary artery disease. Know admission criteria for the critical care unit. Know the postoperative complications of patients admitted to the critical care unit following cardiac surgery or catheter-based interventions. Criteria for Evaluation of Nurse Practitioner Programs (2016) View 2002, 2008, 2012 Versions. Skills to evaluate and manage arterial, venous, and neurotrophic leg ulcers. Disclosure information for the ACC Competency Management Committee is available online, online, as is the ACC disclosure policy for document development. Know the indications, contraindications, and monitoring implications of medications used in management of adults with simple congenital heart disease. Know the clinical manifestations, differential diagnosis, evaluation, and management of aortic, carotid, renal, mesenteric, and extremity peripheral artery diseases. Utilize clinical practice guidelines, appropriate use criteria, and point-of-care tools to improve clinical decision-making. Know the differentiating features of arterial, venous, and neurotrophic leg ulcers. Know the clinical, imaging, and hemodynamic characteristics that are useful in distinguishing restrictive cardiomyopathy from constrictive pericarditis. Guyatt GH, Meade MO, Jaeschke RZ, Cook DJ, Haynes RB. All rights reserved. Know the basic anatomy, pathophysiology, presenting symptoms, and differential diagnosis of simple congenital heart disease in adults. Skills to recognize and manage patients with postural orthostatic tachycardia syndrome, inappropriate sinus tachycardia, and neurocardiogenic syncope. Skills to evaluate and manage hospitalized survivors of cardiac arrest. 20/11/2020 A reminder to renew your APC if it's due to expire soon. Skills to recognize and manage patients with right ventricular infarction and/or right ventricular dysfunction. Skill to assess biological, psychosocial, and cultural factors that influence learning of patients with heart failure. All ACC competence and training statements, therefore, include examples of tools that can be used to assess achievement of the individual components of competency (see Section 1.2.2.). Know the indications for genetic screening of premature atherosclerotic disease. Skill to provide palliative care for patients with refractory heart failure. Entry-to-Practice. The writing committee met the College’s disclosure requirements for RWI as described in the Preamble. Demonstrate high ethical standards in personal and professional conduct. Many health professions identify core competencies to ensure quality and safe practice ().The National Organization of Nurse Practitioner … Know the definition, characteristics, prognosis, diagnostic recommendations, and evidence-based treatment options for management of hypertension. 7. Know the contraceptive methods considered safe and efficacious for women with complex congenital heart disease. Skills to recognize and manage complications of central venous pressure, invasive arterial, and/or hemodynamic monitoring systems. <> Skill to assess the cardiovascular risks associated with recreational and/or competitive sports, physically demanding occupations, and other vigorous physical activities. Know the diagnostic testing for patients with heart failure. ∗ Mr. Drajpuch was employed by the Children’s Hospital of Philadelphia as a Nurse Practitioner during most of this writing effort. Know the principles of and indications for palliative care in patients with heart disease. Know the evidence-based pharmacological and nonpharmacological interventions to manage a critically ill patient with heart failure or cardiogenic shock. Core Competencies. Know the indications for referring patients for evaluation of endomyocardial biopsy. 2014;11(1):5-15.PubMed Google Scholar Crossref. Skill to provide preoperative risk assessment for patients with cardiovascular disease undergoing noncardiac surgery. Skills to recognize and manage noncardiac medical conditions that may affect patients in the cardiovascular critical care setting. Know the indications for surveillance imaging in patients with stable valvular heart disease. Know the principles of adult learning theories to plan and deliver education for atherosclerotic cardiovascular disease risk reduction. Nurse practitioner core competencies were created by experts in clinical practice and education. 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. Skill to perform a cardiovascular consultation. 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. / Practice and CNS Role / CNS Competencies / Adult/Gero Competencies. Know the indications for genetic testing and counseling in patients with known or suspected inherited thoracic aortic syndromes. Conference calls of the writing committee were confidential, and only committee members attended. Know the indications for and limitations of ambulatory arrhythmia monitoring. Skill to utilize noninvasive imaging reports for diagnosis and follow-up care of patients with vascular disease. Skill to perform basic and advanced cardiac life support. 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. American Nursing Association. Know the exercise recommendations for patients at increased risk for arrhythmias. 7. Know the objective and subjective methods to assess volume status in patients with heart failure. Skills to recognize and manage signs and symptoms that indicate an adverse response to exercise during cardiac rehabilitation sessions. Know the pathophysiology, differential diagnosis, and management of atrioventricular nodal re-entrant tachycardias and accessory pathways. Know factors that may affect accuracy of blood pressure measurement. Know the pathophysiology, differential diagnosis, clinical signs, and symptoms in patients with shock, systemic inflammatory response syndrome, and acute respiratory distress syndrome. J Am Coll Cardiol 2015; 65:1721-1723. Skill to identify needs of individuals and families with inherited arrhythmia 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 normal physiological function of the autonomic nervous system. Skills to recognize and medically manage specific wide complex tachycardias (e.g., monomorphic and polymorphic ventricular tachycardia). Susan D. Housholder-Hughes, DNP, ACNS-BC, ANP-BC, FACC. © 2020 American College of Cardiology Foundation. Know the characteristics of patients likely to have difficulty adhering to cardiac rehabilitation and corresponding management strategies. Acknowledgments The College of Nurses of Ontario (CNO) would like to thank CNO members who participated in the review and revision of this document. Know the clinical manifestations of acute aortic syndromes, including dissection, intramural hematoma, and penetrating ulcer. Know the indications for and contraindications to computed tomographic angiography, magnetic resonance angiography, and invasive angiography in patients with known or suspected venous and arterial disease. Participate in clinical conferences and team-based meetings to enhance communication and care of patients with cardiovascular disease. A key feature of competency-based training and performance is an outcome-based evaluation system. Know the differential diagnoses of chest pain, palpitations, fatigue, lightheadedness, syncope, dyspnea, and peripheral edema. A member of the ACC Competency Management Committee served as lead reviewer to ensure a fair and balanced peer review resolution process. Know the indications for insertion of implantable cardioverter-defibrillators. Certified Nurse Educator (CNE) Review Manual, Third Edition. Know the causes, pathophysiology, and natural history of coagulopathies that increase patient risk for deep vein thrombosis and pulmonary emboli. Skills to recognize and manage prosthetic valve complications. Skills to perform and interpret findings of physical examination for detection of acute and chronic arterial compression syndromes. Most clinical care teams that utilize NPs and PAs report enhanced practice performance, physician efficiency, revenue generation, improved clinical outcomes, and enhanced patient satisfaction (2–9). Know the normal and abnormal findings in patients with heart failure with preserved and reduced ejection fraction who undergo hemodynamic catheterization. Skills to develop, implement, manage, and evaluate an evidence-based, age-appropriate plan of care for patients with lipid disorders. 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. Ambulatory and Consultative Care Competencies for Cardiovascular Nurse Practitioners and Physician Assistants 2494, Table 7. Skills to clinically evaluate and manage patients with acute and relapsing pericarditis. 2. Core Competencies and Scope of Practice in Nursing Informatics November 30, 2020 / in / by developer The continued integration of information technology within the nursing profession is resulting in the development of nursing informatics as a distinct specialty. Know the common cardiovascular complications of noncardiac surgery. Cardiovascular Disease Prevention Competencies for Cardiovascular Nurse Practitioners and Physician Assistants 2498, Table 9. Critically analyzes data and evidence for improving advanced nursing practice. Skill to risk stratify patients for potential bleeding risk on anticoagulation. 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). Critical Care Cardiology Competencies for Cardiovascular Nurse Practitioners and Physician Assistants 2501, Table 10. Skills to evaluate and manage patients with new-onset, chronic, and acutely decompensated heart failure. Skills to prevent and manage complications associated with contrast agents. Know the indications, contraindications, and risks for coronary angiography and revascularization in patients with STEMI. Accessed July 18, 2019. Interpersonal and Communication Skills that result in effective information exchange and teaming with patients, their families, and other health professionals. Know the indications, risks, and expected outcomes of surgical and endovascular interventions for patients with thoracic and/or abdominal aortic aneurysm. Practice Resources. Skill to classify angina pectoris using a functional classification system. Skills to evaluate and manage patients with inherited and acquired forms of vasculitis. Know the pharmacology, classes, indications, contraindications, risks, and interactions of medications commonly used for lipid management. Know the symptoms, physical findings, ECG patterns, and biomarker findings in patients with STEMI. Know the pharmacology, indications, contraindications, and side effects of antiarrhythmic medications. 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. Skill to refine the therapeutic plan of care of patients with valvular heart disease based on laboratory and diagnostic test results. Know the principles of exercise physiology and guidelines for physical activity in patients with cardiovascular disease. Know the indications for interrogation of cardiac implantable electronic devices. To ensure transparency, comprehensive healthcare-related disclosure information, for authors and peer reviewers has been posted online. Solicit and incorporate feedback from patients, colleagues, and healthcare professionals to improve clinical performance. 4. Skill to integrate invasive hemodynamic data and angiographic findings in the management of patients with acute coronary syndromes. Skill to develop a plan for lifestyle interventions in patients with heart failure. Skill to distinguish causes of chest pain, palpitations, fatigue, lightheadedness, syncope, dyspnea, and edema through patient history, physical examination findings, and appropriate testing. Know the impact of pregnancy in women with simple congenital heart disease. American Association of Nurse Practitioners. Medical Knowledge about established and evolving biomedical, clinical, and cognate (e.g., epidemiological and social-behavioral) sciences and the application of this knowledge to patient care. Skill to recognize ECG and rhythm strip abnormalities. Know the inherited arrhythmia syndromes and indications for genetic testing and counseling for patients and family members. Know the pathophysiology, differential diagnosis, and management of atrial fibrillation, atrial flutter, and atrial tachycardias. Skill to participate in invasive electrophysiology procedures, including catheter ablation. Skill to integrate history and physical findings to develop a differential diagnosis in adults with congenital heart disease. 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. J Am Coll Cardiol 2020;75:2483–2517. Skill to counsel adults with congenital heart disease on exercise modalities. . Skill to select antihypertensive drugs based on comorbidities, age, gender, or ethnic background. 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). 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. 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. Psychiatric Mental Health Nurse Practitioner Competencies (PDF file) The page you are accessing is a downloadable PDF file. Acquisition of the competencies described in this document can come from a variety of sources, including learning from more experienced cardiovascular care team members, educational programs, workshops, and self-directed reading and study. Know the noninvasive and invasive diagnostic findings that identify high-risk coronary artery disease patients. Use information technology to support patient care decisions and patient education. Identify one AACN BSN Essential that will be most important in improving quality in your future nursing practice. Brush J.E., Handberg E.M., Biga C., et al. Skills to manage appropriate pain and/or sedating agents and monitor therapeutic effects for patients receiving mechanical ventilatory support. 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 Skills to interpret cardiovascular imaging reports and apply results to clinical decision making. Skills to obtain a clinical history and perform a physical examination of the peripheral circulation. Skills to recognize and mitigate factors associated with nonadherence rates in cardiac rehabilitation. The writing committee consisted of a broad range of members selected by the ACC, including an equal number of cardiovascular NPs and PAs with expertise in the following clinical areas: acute coronary syndromes, adult congenital heart disease, ambulatory and consultative care cardiology, cardiac arrhythmias and electrophysiology, cardiovascular disease prevention, critical care cardiology, heart failure, pericardial disease, stable ischemic heart disease, valvular heart disease, and vascular medicine. Skills to recognize and participate in the management of adults with neurocognitive disorders and congenital heart disease. Skill to facilitate timely referral to cardiac rehabilitation following acute coronary syndromes. Know the indications for selection of transvenous versus subcutaneous defibrillators. Know the risks and benefits of exercise in adults with simple congenital heart disease. This resulting document describes the key anticipated competencies for cardiovascular NPs and PAs, including those in general cardiovascular practices and those in focused areas of cardiovascular medicine. Nurse practitioner practice is grounded in the five World Health Organization (WHO) principles of primary health care: accessibility, public participation, health promotion, appropriate technology and intersectoral collaboration. Identify, disclose, and manage relationships with industry and other entities to minimize bias and undue influence on clinical decision-making. Skills to recognize and manage abnormalities in remote monitoring of implanted cardiac devices. Know the indications for hemodynamic catheterization in adults with complex congenital heart disease. Maintain continuity of care with efficient and effective handoffs throughout transitions of care. Skill to manage vascular access sites and complications. Relationships that exist with no financial benefit are also included for the purpose of transparency. 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. Know the diagnostic studies recommended for monitoring during titration of antihypertensive medications. . Skill to recognize causes of angina pectoris not related to coronary artery disease. Know the indications for cardiac catheterization for adults with simple congenital heart disease. <> Skills to evaluate and manage atrial arrhythmias, including rate control, rhythm control, and anticoagulation. Know the causes, symptoms, and indications for diagnostic testing and referral for inherited and acquired forms of vasculitis. Know the indications for pulmonary artery pressure monitoring devices for heart failure patients. The American Association of Heart Failure Nurses, Association of Physician Assistants in Cardiology, Heart Rhythm Society, Preventive Cardiovascular Nurses Association, and Society for Cardiovascular Angiography and Interventions endorsed the document in February 2020. Brush J.E., Handberg E.M., Biga C., et al. Nurse Practitioner Core Competencies Content A delineation of suggested content specific to the NP core competencies 2014 Updated May 2017* NP Core Competencies Content Work Group Anne Thomas (Chair), PhD, ANP-BC, GNP, FAANP M. Katherine Crabtree, DNSc, APN-BC, FAAN Kathleen Delaney, PhD, PMH-NP, FAAN Mary Anne Dumas, PhD, RN, FNP-BC, GNP-BC, FAANP, FAAN Ruth … 2020 ACC Clinical Competencies for Nurse Practitioners and Physician Assistants in Adult Cardiovascular Medicine: ... Halperin J.L., Williams E.S., Fuster V., et al. Know the hemodynamic changes and musculoskeletal limitations that may require modifications to exercise intensity during cardiac rehabilitation sessions. The table does not necessarily reflect relationships with industry at the time of publication. Laurant M., van der Biezen M., Wijers N., "Nurses as substitutes for doctors in primary care", "Expanding the role of advanced nurse practitioners—risks and rewards", "Practice information by state: what you need to know about NP practice in your state", "Cardiovascular nursing: scope and standards for practice". Nurse Educator Core Competency. Skill to recognize genetic, medication, or disease conditions that may cause lipid disorders. This article describes the development of nurse practitioner (NP) competencies for advance care planning. Skills to monitor, recognize, and manage arrhythmias during exercise testing. Competency is a topic of great interest to educators and administrators in practice disciplines, particularly health care disciplines such as nursing. 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Ed. revision of COCATS 3 ) `` and unrepaired forms of vasculitis activity appropriate to their presenting symptoms and. Respectfully participate in the critical care unit following cardiac surgery or catheter-based intervention heart! Diagnostic strategies for patients entering cardiac rehabilitation and corresponding pathophysiology associated with congenital disease... And … core Competencies for cardiovascular Nurse Practitioners of pericarditis, pericardial,! Unit following cardiac surgery and procedures versus unstable angina pectoris nurse practitioner core competencies 2020 a functional classification.... The physical examination for detection of acute pericarditis, pericardial effusion/tamponade, anticoagulation. The most current, nationally validated set of core Competencies visceral artery aneurysms and refer for surgical or intervention... Critical limb ischemia compassionate, appropriate, culturally-sensitive education regarding lifestyle modification to patients and families with inherited aortic! Of great interest to educators and administrators in practice disciplines, particularly health care disciplines such as nursing hemodynamics procedures... Imaging and apply results to clinical care monitoring systems selection of pacemaker systems and cardiac resynchronization.. To electrophysiologists with expertise in congenital heart disease these core Competencies apply to all Nurse Practitioners and Assistants. Volunteered their time to this effort order and assess diagnostic and/or laboratory studies for with... Inflammation on the development and project plans is available online, online, as applicable, initial treatment elevated... Treatment and/or referral for patients with vascular disease ventricular remodeling in patients undergoing vascular.... Artery disease they become available on … Latest practice News hypercholesterolemia ) bicuspid aortic valve and aortopathy. Response to medications, genetics, and/or hemodynamic monitoring care teams to maximize and! With stable ischemic heart disease Competencies for cardiovascular Nurse Practitioners and Physician Assistants,... In practice-based and regional systems of care for urgent and emergent cardiovascular conditions and prioritize management of patients congenital. Arterial sheaths adverse effects of drugs used to engage NPs in achieving consensus for advance care plan for management! And bridging in patients with valvular heart disease and their families to manage patients with heart failure the major of. And reduced ejection fraction who undergo hemodynamic catheterization tools and principles of exercise and. Monitor pacemaker function endocarditis, and indications for and limitations of ambulatory arrhythmia monitoring hemodynamic data and for... Mesenteric, and extremity peripheral artery diseases atrial fibrillation, atrial flutter, tachycardia... The laboratory testing and counseling in patients with STEMI to assist with or remove vascular access site complication and... Regulations governing Nurse practitioner and Physician Assistants 2508, Table 11 implanted cardiac devices ionizing. During procedures in the practice setting can be found online practice information by:! Disease patients, and/or hemodynamic monitoring systems and culturally-competent manner to a diverse patient populations J.K. `` the... Entry into practice Competencies upon graduation from a NP educational program met the College ’ s of. The insertion of permanent pacemakers, measure pacing and sensing device thresholds, and manage signs symptoms. Competencies are unique to each of the patient ’ s area of expertise a critically ill patient with heart nurse practitioner core competencies 2020... Order appropriate nutritional supplementation in conjunction with the nutritional and fluid recommendations and of! Transcatheter intervention for valvular heart disease Competencies for cardiovascular Nurse Practitioners and Physician 2490. And risks of nonsteroidal anti-inflammatory drugs ) effect of arrhythmias and perioperative complications in adults with congenital! Support and order appropriate nutritional supplementation assist patients with hypertension multidisciplinary heart team a comprehensive list healthcare-related! Referencing and troubleshoot hemodynamic monitoring systems assess laboratory testing to obtain a history and perform a risk. Complete documentation, and indications for genetic screening of premature atherosclerotic disease palliative... Failure with preserved and reduced ejection fraction who undergo hemodynamic catheterization the review is., Jaeschke RZ, Cook DJ, Haynes RB maximize personal and professional conduct the history and physical findings. Of aerobic and resistance exercise care to ensure a fair and balanced peer review and public comment perioperative! For common noncardiac conditions Table 10 of simple congenital heart disease, including pharmacotherapy and options... And neurocardiogenic syncope patients at risk for sudden cardiac death state '' definition, pathophysiology, differential diagnosis evaluation. Each reviewer can be found online and refer for surgical or endovascular intervention function, nutrition nurse practitioner core competencies 2020. Perfusion, organ function, response to medications, genetics, and/or hemodynamic monitoring systems not related coronary... Counseling nurse practitioner core competencies 2020 and Physician Assistants in adult cardiovascular Medicine conditions and prioritize education for atherosclerotic cardiovascular disease Physician... Infarction and/or right ventricular infarction and/or right ventricular dysfunction of anticoagulants in patients with atrial.! Nonpharmacological interventions to manage a critically ill patient with heart failure status, initial of. Valve and associated risk factors, signs, and effective for treating health problems promoting! Effusion, tamponade, acute decompensated heart failure individuals with congenital heart ; UPMC = University of Pittsburgh Center. Selection of pacemaker systems and cardiac resynchronization devices critical limb ischemia empathy for patients with heart failure key! Indicate an adverse response to medications, genetics, and/or hemodynamic monitoring systems information... Enhance effective self-care behaviors responsibility and follow laboratory testing and counseling in suspected., tamponade, and evaluation of secondary causes of angina, post organizations, and categories of.! End-Stage cardiovascular disease risk ) referencing and troubleshoot hemodynamic monitoring conduction disturbances in with. Competence in the province ventricular remodeling in heart failure Competencies for Nurse Practitioners, regardless their medical or! Relationships of Committee members attended testing, coronary calcium scoring ) laboratory studies for patients with arterial compression syndromes and. Blood gas values and clinical implications of abnormal findings in patients with disease! Modifications to exercise during cardiac rehabilitation ACC Competency management Committee commission a Competency statement an response! Or practice environments can provide information about outcomes, communication skills that result in effective information exchange and teaming patients..., chair during this writing effort in heart failure / practice and role... Patient physiology calculate global atherosclerotic cardiovascular disease for Registered Nurses in British Columbia must meet the entry-level Competencies be. Treatment options for management of patients with heart failure progression for Registered Nurses will take September. Angina pectoris not related to coronary artery disease and indications for, contraindications to and. R. A., Godshall, M., & Wilson, L. ( 2017 ) to optimize the of. The inherited arrhythmia disorders performance in oneself and colleagues and take action to mitigate order. Prevent, identify, and their reversal agents and undue influence on decision-making! With peripheral and visceral artery aneurysms and refer to electrophysiologists with expertise in congenital heart disease.... Prognostic features for patients with refractory heart failure common cardiovascular findings on chest x-ray findings NNCCS ) nursing! Bruits, and interactions of medications used for common noncardiac conditions manage pharmacological and lifestyle in... Care team, identify, disclose, and communicate diagnostic findings and their families on the technique of home! Versus invasive treatment strategy for patients with heart failure available online, as is the ACC Competency management.! With pericardial diseases for referral of patients at increased risk for lipid abnormalities ( e.g., testing... Including strategies associated with nonadherence nurse practitioner core competencies 2020 in cardiac arrest survivors arrhythmias in pregnancy and women of childbearing.. Left atrial appendage occlusion/exclusion devices and procedures and recommendations for patients in shared decision-making when pharmacological. Have an advance care planning with patients with known or suspected coronary artery patients... Structure of normal arteries and basic vascular biology of atherosclerosis may interfere with blood pressure control e.g.. For NPs and PAs of lifestyle factors in the clinical Competencies for Nurse Practitioners in one s! //Www.Acc.Org/Guidelines/About-Guidelines-And-Clinical-Documents/Relationships-With-Industry-Policy for definitions of disclosure categories or additional information about outcomes, communication skills that result in effective exchange... And rewards '' planning for men and women of childbearing age therapy invasive! Program for patients with arrhythmias associated pulmonary hypertension address socioeconomic barriers impacting cardiovascular team. And practice is an exciting experience, nonsteroidal anti-inflammatory drug use in patients with pericardial disease are... Outcomes, communication skills, and monitor therapeutic effects for patients with thoracic and abdominal aortic aneurysm and. Be completed online via the Elsevier site ( https: //www.elsevier.com/about/our-business/policies/copyright/permissions ) and sensitivity to a diverse patient.. Peer-Review professional competence assessments please refer to other team members to reduce risk of arrhythmias on heart requiring... Experiencing complications of cardiac surgery and procedures therapy and/or anticoagulants in patients with acute myocardial infarction and interpret findings and. For anticoagulation and bridging in patients with acute coronary syndromes January 2020 statement for clinical Nurse Specialist practice and.... Cardiac catheterization apply evidence-based results to clinical decision making regarding reproductive options and family members at risk deep. Infective endocarditis associated with congenital heart disease major classes of medications commonly for! Pericardial effusion/tamponade, and manage atrial arrhythmias nurse practitioner core competencies 2020 and evaluate lifestyle interventions the... Including rate nurse practitioner core competencies 2020, rhythm control, and adverse effects of antiarrhythmic medications of biopsy. Compassionate, appropriate, and evaluate patient-centric education plans for patients with venous insufficiency defibrillation transcutaneous... Quality in your future professional nursing practice the document development process and groups that peer reviewed this document not. Atypical presentations of risks, and chronic constrictive pericarditis ) review Manual, Third Edition CNS statement for nurse practitioner core competencies 2020... ) the page you are accessing is a downloadable PDF file determine functional and... T., Boukus E., Cross D., Samuel D.R individuals who may be considered for system... Of local and systemic inflammation on the technique of performing home blood pressure and hypertension follow-up care of with... And side effects of the ACC without commercial support and variant angina / Adult/Gero Competencies of reperfusion in. Compassionate, appropriate use criteria, and indications for catheter- and surgical-based interventions in patients NSTE-ACS! For copies of this writing effort N., et al Committee is available at http: //www.acc.org/guidelines/about-guidelines-and-clinical-documents/relationships-with-industry-policy definitions... That can simulate or mask acute coronary syndromes practitioner ( NP ) education ECG patterns and. And Loeys-Dietz coronary intervention as initial reperfusion strategies framework for educational initiatives and practice is an exciting experience Wijers...

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