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. Skill to identify genetic syndromes in adults with congenital heart disease. Know the indications and contraindications for advanced cardiac imaging in patients with heart failure. Develop the practice of lifelong learning, including regular review of journals and practice guidelines, appropriate use criteria, consensus statements, and participation in scientific and continuing professional education meetings. Skills to evaluate and manage patients with venous thromboembolism. Know the indications, contraindications, and monitoring implications of medications used in adults with complex congenital heart disease. Brush J.E., Handberg E.M., Biga C., et al. Know the causes, physical findings, and treatment of lymphedema. Know the causes, pathophysiology, and natural history of aortic, carotid, renal, mesenteric, and extremity peripheral artery diseases. Skill to counsel patients about cardiovascular disease prevention strategies. Skill to provide palliative care for patients with refractory heart failure. Know the indications, risks, and complications of device extraction. Know the indications for and contraindications to pharmacological agents for treatment of acute and relapsing pericarditis. Skills to participate in elective cardioversion and manage risks and complications. Skills to recognize and manage patients with postural orthostatic tachycardia syndrome, inappropriate sinus tachycardia, and neurocardiogenic syncope. Know the recommendations for antithrombotic therapy for patients with valvular heart disease or prosthetic heart valves. Skill to perform clinical assessments for patients in all forms of shock. Identify, disclose, and manage relationships with industry and other entities to minimize bias and undue influence on clinical decision-making. Know the risk of arrhythmias and sudden death in patients with congenital or acquired structural heart disease. Provide emotional support to patients, families, and caregivers. Skill to educate patients with cardiovascular disease on a heart healthy diet regimen. Skills to clinically evaluate and manage patients with acute and relapsing pericarditis. Know the epidemiology of cardiovascular disease. J Am Coll Cardiol 2020;75:2483–2517. Skill to develop a plan for lifestyle interventions in patients with heart failure. Know the key components for evaluation and diagnostic workup for patients with hypertension. Know the indications and contraindications of primary percutaneous coronary intervention as initial reperfusion strategies. One impetus for this request was the 2015 ACC Health Policy Statement on Cardiovascular Team-Based Care and the Role of Advanced Practice Providers (2) that highlighted the importance of team-based delivery of cardiovascular care and advocated for development of a nationally-recognized set of core competencies. Skills to obtain a clinical history and perform a physical examination of the peripheral circulation. Know the determinants of coronary blood flow and myocardial oxygen consumption. Clinical competencies for NPs and PAs are designed to promote a framework for educational initiatives and practice performance. Know the appropriate timing to refer patients with heart failure for cardiac resynchronization therapy, invasive monitoring, invasive support, and/or transplant. Skills to obtain and interpret a problem-focused history and physical examination for patients entering cardiac rehabilitation. Know the indications for and limitations of ambulatory arrhythmia monitoring. Know the effect of arrhythmias on heart failure status, initial treatment of arrhythmias, and referral for patients with arrhythmias. Know the findings associated with mechanical complications of myocardial infarction. Select two Massachusetts Nurse of the Future Nursing Core Competencies that you believe will have the most impact on your future professional nursing practice. Engage patients in shared decision-making based upon balanced presentations of risks, benefits, and alternatives, factoring in patients’ values and preferences. 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. Buy; SDC; Take the CE Test; Metrics Abstract. Skill to refine the therapeutic plan of care of patients with pericardial disease based on laboratory and diagnostic test results. Know the differential diagnosis of heart failure or shock following cardiac transplantation. Skill to identify patients with pericardial disease who are candidates for cardiac catheterization. Skill to recognize ECG changes suggestive of myocardial ischemia and/or infarction. Skill to manage patients with heart failure with implantable hemodynamic monitoring (e.g., pulmonary artery pressure monitoring systems), including changes in volume status. Know the noninvasive diagnostic studies and indications for vascular screening for carotid artery disease, abdominal aortic aneurysm, and peripheral artery disease. Skills to identify physical findings, evaluate, and manage patients with constrictive pericarditis. Nurse practitioners are well positioned to implement advance care planning with their patients; however, very few patients have an advance care plan. Skills to obtain a cardiovascular family history and to recommend family screening as indicated. The ACC approved the document for publication with endorsement from the 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 Rhythm Society, Physician Assistant Education Association, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and The National Organization of Nurse Practitioner Faculties. Know the pathophysiology, differential diagnosis, and management of atrioventricular nodal re-entrant tachycardias and accessory pathways. Skills to interpret exercise and pharmacological stress test reports with or without imaging and apply results to clinical decision making. Know the diagnostic testing and clinical evaluation indicated prior to surgical or transcatheter intervention for valvular heart disease. Skills to recognize and medically manage specific wide complex tachycardias (e.g., monomorphic and polymorphic ventricular tachycardia). Identify and address socioeconomic barriers impacting cardiovascular care and refer to other team members as needed. 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). Demonstrate mutual respect, consideration, and empathy for patients, families, and the healthcare team. These competencies are for … This table represents relationships of committee members with industry and other entities that were determined to be relevant to this document. Know the symptoms, physical findings, ECG patterns, and biomarker findings in patients with STEMI. Know the pathophysiology and risks of thrombosis and thromboembolism in adults with congenital heart disease. Both the writing committee and the ACC Competency Management Committee approved the final document to be sent for organizational approval. Certified Nurse Educator (CNE) Review Manual, Third Edition. Know the mechanisms and clinical implications of essential, secondary, masked, white-coat, and resistant hypertension. Relationships that exist with no financial benefit are also included for the purpose of transparency. CNS Competencies CNS Competencies. To implement CBE, existing NP core competencies need to be reduced in number and … Know the risks and benefits of exercise in adults with complex congenital heart disease, including those with associated pulmonary hypertension. Know the supplemental ECG leads to obtain in patients suspected of having right ventricular dysfunction. . Know the indications for extubation from mechanical ventilation. Know the management strategies for patients post–heart transplantation. Know the epidemiology and pathophysiology of coronary artery disease. There are two steps to the self-assessment. Collaborate with all team members to reduce preventable hospitalizations for patients with cardiovascular disease. Skill to manage hemodynamically unstable patients. Know the clinical manifestations, differential diagnosis, evaluation, and treatment for common venous disorders. "Practice information by state: what you need to know about NP practice in your state" 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 risks and benefits of exercise in adults with simple congenital heart disease. Skill to interpret coronary angiography report findings for patients with acute coronary syndromes. Skill to recognize abnormalities in segmental limb blood pressure measurements, pulse volume recordings, Doppler waveforms, and treadmill exercise test results in patients with known or suspected peripheral artery disease. A Nurse Practitioner is an Advanced Practice Nurse who integrates clinical skills associated with nursing and medicine in order to assess, diagnose and man- age patients in primary healthcare (PHC) settings and acute care populations as well as ongoing care for populations with chronic illness. Know the definition, characteristics, prognosis, diagnostic recommendations, and evidence-based treatment options for management of hypertension. Know the risks associated with noncardiac surgery in adults with congenital heart disease. Know the management interventions for patients experiencing complications of arterial catheterization. Competency Framework for Nurse Practitioners and Physician Assistants in Adult Cardiovascular Medicine 2487, Table 3. Know the contraceptive methods considered safe and efficacious for women with complex congenital heart disease. Know the cardiovascular risks of nonsteroidal anti-inflammatory drug use in patients with ischemic heart disease and recommendations for musculoskeletal pain management. Authors were then selected to address the criteria specified in Section 1.1.1. Continuing education for NPs and PAs is important for ensuring high-quality care, fostering practice collaboration, sharing best practices, and providing an opportunity for self-assessment and reflection. Rather, it is intended to delineate those competencies relevant to services that cardiovascular NPs and PAs provide to patients within the care delivery system of a cardiovascular practice. Competencies for Registered Nurses will take effect September 2020. Scholarly activity and clinical research are also important in lifelong learning and professional competency. When practicing at the full scope of education, training, and licensure, NPs and PAs improve access to care and provide comprehensive clinical care, including diagnosis, management, test ordering and interpretation, procedure participation, patient education, and care coordination. The table does not necessarily reflect relationships with industry at the time of publication. 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. Know the pathophysiology, differential diagnosis, and management of atrial fibrillation, atrial flutter, and atrial tachycardias. Utilize clinical practice guidelines, appropriate use criteria, and point-of-care tools to improve clinical decision-making. Entry-to-Practice. Know the indications for implantation of permanent pacemakers. 1. Know the pharmacological agents and nonpharmacological therapies for preventing and treating thrombotic complications in adults with congenital heart disease. Utilize the concepts of motivational interviewing when counseling patients. Skill to assist with or remove central venous or arterial catheters and hemodynamic monitoring systems. Know lifestyle interventions for management of patients with stable ischemic heart disease, variant angina, post. Know the indications for performing home blood pressure monitoring. Skill to integrate assessment of left ventricular function into the management of patients with acute coronary syndromes. Identify cost, resource utilization, and value when caring for patients with cardiovascular disease. Know the causes, pathophysiology, and natural history of coagulopathies that increase patient risk for deep vein thrombosis and pulmonary emboli. J Am Coll Cardiol 2015; 65:1721-1723. American Academy of PAs Research Department. The American College of Cardiology Lifelong Learning Oversight Committee approved this document in January 2020. Know the differences in etiology, evaluation, and management of primary versus secondary mitral regurgitation. Know the entrance testing requirements for a cardiac rehabilitation phase II program and methods for developing a management plan. Skill to utilize diagnostic testing for initial diagnosis and follow-up care of patients with cardiovascular disease. Yee T., Boukus E., Cross D., Samuel D.R. Skills to recognize and participate in the management of adults with neurocognitive disorders and congenital heart disease. Know the medical, interventional, and surgical management strategies for patients with stable ischemic heart disease, variant angina, post, Know the indications for and contraindications to pharmacological agents for management of patients with stable ischemic heart disease, variant angina, post. Accessed July 18, 2019. Know the epidemiology of cardiovascular conditions, including incidence, prevalence, age, gender, and ethnicity, and the implications for diagnostics, management, and surveillance recommendations. Know the pharmacology, indications, contraindications, and expected outcomes of antithrombotic medications in patients with peripheral artery disease. Skills to develop, implement, and evaluate patient-centric education plans for patients with heart failure. Know the indications and recommendations for initial testing for known or suspected simple congenital heart disease in adults. Skill to manage cardiac arrhythmias and perioperative complications in patients with valvular heart procedures. Educate healthcare professionals about diagnosis and management of patients with a condition in one’s area of expertise. Skill to obtain an accurate blood pressure in the clinical setting. Skill to manage patients with chronic aortic syndromes. Given the document design, the competencies that define an individual’s practice may overlap with multiple topic areas even for highly specialized practitioners. Retrieved October 22, 2020, from Wittmann-Price, R. A., Godshall, M., & Wilson, L. (2017). Know the comorbidities that contribute to cardiovascular disease. "A comparison of conventional and expanded physician assistant hospitalist staffing models at a community hospital" The NACNS CNS Statement for Clinical Nurse Specialist Practice and Education (3 rd ed.) Skills to recognize and manage abnormalities in remote monitoring of implanted cardiac devices. 3 0 obj Skill to manage pain and sedation for patients in the critical care setting. Know the causes, symptoms, and indications for diagnostic testing and referral for inherited and acquired forms of vasculitis. Skills to perform a cardiovascular risk assessment and to develop an evidence-based treatment plan. Skill to identify genetic syndromes associated with inherited thoracic aortic syndromes, including Marfan Syndrome and Loeys-Dietz. The American Nurses Credentialing Center endorsed the document in April 2020. Skills to educate patients and family members on congenital heart defect anatomy and physiology and promote lifelong heart healthy self-care behaviors. Skills to manage and coordinate care for postoperative patients admitted to the critical care unit following surgery or catheter-based intervention. Communicate with patients, families, and healthcare professionals in an effective, timely, and culturally-competent manner. Know management strategies for patients with arterial compression devices and arterial sheaths. Registered nurses in British Columbia must meet the entry-level competencies to be eligible to practice in the province. 270 Washington, DC 20036 (202) 289-8044 nonpf@nonpf.org Know the differential diagnoses of symptoms commonly associated with heart failure. Halperin J.L., Williams E.S., Fuster V., et al. Skill to counsel patients about levels of physical activity appropriate to their cardiovascular health status. This document is not intended to describe independent practice for a particular discipline or outline training standards. 4. To ensure transparency, comprehensive healthcare-related disclosure information, for authors and peer reviewers has been posted online. Silver Spring, MD: Nursesbooks, 2015. Skills to order and assess diagnostic and/or laboratory studies for patients entering cardiac rehabilitation. Skill to care for patients with direct arterial catheters, central venous catheters, and/or hemodynamic monitoring systems. Recommendations in these statements are based on available evidence and, where evidence is lacking, reflect the consensus of expert opinion. Latest Practice News. Respectfully participate in interdisciplinary care teams and consider opposing viewpoints for management. ACHD = adult congenital heart disease; BACH = Boston Adult Congenital Heart; UPMC = University of Pittsburgh Medical Center. Skills to recognize cardiac arrhythmias in adults with congenital heart disease and refer to electrophysiologists with expertise in congenital heart disease. Relationships in this table are modest unless otherwise noted. Permissions: Multiple copies, modification, alteration, enhancement, and/or distribution of this document are not permitted without the express permission of the American College of Cardiology. Renew your Annual Practising Certificate read more. The definitions are available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3043418/. J Am Coll Cardiol2015; 65:1721-1723. Pre-Order: Core Curriculum for Orthopaedic Nursing, 8th Edition. Skill to manage patients on mechanical ventilator support. 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. Know the pharmacological and lifestyle interventions for the treatment of lipid disorders for primary and secondary prevention. Know the normal and abnormal findings in patients with heart failure with preserved and reduced ejection fraction who undergo hemodynamic catheterization. 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). Practice within organization bylaws and state and federal regulations governing nurse practitioner and physician assistant practice. Skills to initiate management of patients with suspected acute aortic syndromes and coordinate care to ensure medical stability. Practice-Based Learning and Improvement that involve investigation and evaluation of their own patient care, self-appraisal, assimilation of scientific evidence, and improvements in patient care. Know causes of angina pectoris not related to coronary artery disease. Know the indications for genetic screening of premature atherosclerotic disease. Skills to obtain and follow laboratory testing and imaging studies in patients with heart failure. <> endobj Skill to integrate invasive hemodynamic data and angiographic findings in the management of patients with acute coronary syndromes. Skill to provide perioperative care to patients receiving cardiac implantable electronic devices. Skill to educate patients and their families on the technique of performing home blood pressure monitoring and target goals. Know the clinical manifestations, differential diagnosis, evaluation, and management of aortic, carotid, renal, mesenteric, and extremity peripheral artery diseases. Skills to interrogate, troubleshoot, program, and monitor performance of implanted cardiac devices. Know which medications, genetics, and/or disease conditions increase the risk for lipid abnormalities. Skills to identify, evaluate, and manage patients at high risk for sudden cardiac death. Skill to identify needs of individuals and families with inherited arrhythmia disorders. 3. Anyone who is practising as a nurse in new Zealand must have an Annual Practising certificate (APC) To renew your APC please log on to the MyNC portal. 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. American Association of Nurse Practitioners. Know the types of, indications for, and contraindications to mechanical circulatory support, including intra-aortic balloon counterpulsation, percutaneous and surgical ventricular assist devices, and extracorporeal membrane oxygenation. Know the risk reduction strategies for populations at increased risk for cardiovascular disease. "ACC 2015 core cardiovascular training statement (COCATS 4) (revision of COCATS 3) " . Know the indications and contraindications of reperfusion therapies in patients with STEMI. Know the indications, risks and benefits, and surveillance for anticoagulation and bridging in patients with atrial arrhythmias. 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. Background: Competency-based education (CBE) has been recommended for nurse practitioner (NP) education. Skills to evaluate and manage patients with bradyarrhythmias and heart block. Know the pathophysiology, differential diagnosis, and management of ventricular arrhythmias. Skills to develop, implement, manage, and evaluate an evidence-based, age-appropriate plan of care for patients with lipid disorders. Know the indications for right and left heart catheterization in patients with heart failure. Know the complications of vascular access. 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. 2020 ACC clinical competencies for nurse practitioners and physician assistants in adult cardiovascular medicine: a report of the ACC Competency Management Committee. NPs and PAs are integral members of the cardiovascular care team in diagnosis and management of patients with cardiovascular disease, both in general and specialty cardiovascular practices. Skill to coordinate care transitions across the lifespan for individuals with congenital heart disease. Know the effects of diabetes mellitus, obesity, hypertension, lipid disorders, physical inactivity, obstructive sleep apnea, psychological stress, diet, and tobacco use on the development and progression of atherosclerosis and corresponding management strategies. Know the pharmacology, classes, indications, contraindications, risks, and interactions of medications commonly used for hypertension management. Appropriately seek and integrate advice from consultants in a timely manner. 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 interpret cardiovascular imaging reports and apply results to clinical decision making. Skill to provide age appropriate, culturally-sensitive education regarding lifestyle modification to patients with cardiovascular disease and their family members. Know the effects of heart failure on perfusion, organ function, nutrition, and energy metabolism. Know the natural history of complex congenital heart disease. Many health professions identify core competencies to ensure quality and safe practice ().The National Organization of Nurse Practitioner … Skill to participate in invasive electrophysiology procedures, including catheter ablation. . Know the differential diagnoses and distinguishing characteristics of heart murmurs and sounds, vascular bruits, and peripheral pulses. Know the indications, risks, and benefits for electrophysiology studies and catheter ablations. Skill to participate in the insertion of implantable loop recorders. Skills to evaluate and manage patients with upper and lower extremity peripheral artery disease. Capstack T.M., Segujja C., Vollono L.M., Moser J.D., Meisenberg B.R., Michtalik H.J. Accessed November 14, 2019. Skill to recognize cardiac devices that are designated magnetic resonance imaging conditional. Table 1 Competency Framework for Nurse Practitioners and Physician Assistants in Adult Cardiovascular Medicine, Ambulatory and Consultative Care Cardiology, Cardiac Arrhythmias and Electrophysiology. Use practice data to assess appropriateness, quality, and safety of cardiovascular care. Worldviews Evid Based Nurs. A comprehensive list of healthcare-related disclosures for each reviewer can be found online. Know the arrhythmias common in adults with simple congenital heart disease and referral indications to electrophysiologists with expertise in congenital heart disease. Know the indications for and potential complications of pericardiocentesis. Nurse practitioner core competencies are an essential element of nurse practitioner competence assessment. The topic areas in Table 1 define the clinical competencies for practicing cardiovascular NPs and PAs. Integrates knowledge from the humanities and sciences within the context of nursing science. Skill to participate in intubation and extubation of patients from mechanical ventilatory support. Know the interventions and surgeries generally performed for simple congenital heart defects. 9. 8. The document was simultaneously posted for public comment from September 9, 2019, to September 30, 2019, resulting in 185 additional comments. † Ms. Nickolaus was employed by the UPMC Susquehanna Heart & Vascular Institute as a Nurse Practitioner during most of this writing effort. Skills to order and assess laboratory testing at various stages of lipid management. Know the pharmacological agents that may interfere with blood pressure control (e.g., nonsteroidal anti-inflammatory drugs). Skill to assess biological, psychosocial, and cultural factors that influence learning of patients with heart failure. Core Practice Doctorate Clinical Nurse Specialist (CNS) Competencies (RETIRED) (PDF). The American College of Cardiology requests that this document be cited as follows: Rodgers GP, Linderbaum JA, Pearson DD, Fernandes SM, Housholder-Hughes SD, Mendes LA, Berg NC, Day J, Drajpuch D, Erb B Jr, Farquhar-Snow M, Johnson H, Keegan P, Kindler C, Larsen R, Le VT, Nickolaus MJ, Phillips CM, Ross L, Webb SR, Zado ES. Participate in activities to promote a safe environment for patients, families, and healthcare professionals. / Practice and CNS Role / CNS Competencies / Adult/Gero Competencies. 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 risks, benefits, and importance of timing of an invasive versus noninvasive strategy for the management of patients with NSTE-ACS. Know the clinical presentation and diagnostic findings of statin-induced myopathies. Develop, implement, and evaluate individualized, patient-centered educational strategies. Skills to calculate global atherosclerotic cardiovascular disease risk for primary prevention and plan an appropriate treatment plan based on risk level. Skill to distinguish stable from unstable coronary syndromes. Know the common cardiac arrhythmias in patients with valvular heart disease and treatment strategies. Professionalism as manifested by a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population. View all . Skills to evaluate and manage patients with palpitations. 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. 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. The work of the writing committee was supported exclusively by the ACC without commercial support. Core Competencies for Cardiovascular Nurse Practitioners and Physician Assistants 2488, Table 4. 2020 ACC Clinical Competencies for Nurse Practitioners and Physician Assistants in Adult Cardiovascular Medicine: ... Halperin J.L., Williams E.S., Fuster V., et al. 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. Skill to provide preoperative risk assessment for patients with cardiovascular disease undergoing noncardiac surgery. Know the transitional and outpatient strategies to avoid preventable hospitalizations in patients recently discharged with heart failure. Know the effects of age on cardiovascular function, response to medications, and risks of diagnostic and therapeutic procedures. Know the risks, preventive measures, and treatments for acquired heart disease in the congenital heart disease population. Skills to develop, implement, and evaluate lifestyle interventions for prevention and treatment of patients with cardiovascular risk and/or comorbidities. Know the indications for catheter- and surgical-based interventions in patients with valvular heart disease. 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 nutritional needs of patients on mechanical ventilation and appropriate nutritional supplementation in conjunction with the nutritional support team. Skill to recognize the type of cardiovascular implantable electronic device, lead location, and lead condition based on chest x-ray findings. CNO also recognizes and thanks the Canadian Council of Registered Nurse Regulators: Revision of Entry-Level Competencies Project Working Group … Know the impact of pregnancy in women with complex congenital heart disease, including those with associated pulmonary hypertension. Know normal and abnormal hemodynamic values and factors affecting cardiac output. Know the indications for hemodynamic catheterization in adults with complex congenital heart disease. J Clin Outcomes Manag2016; 23:455-461. Skill to participate in pericardiocentesis. Know the indications for, contraindications to, and pharmacology of fibrinolytic agents and glycoprotein IIb/IIIa inhibitors. Skill to participate in the insertion of permanent pacemakers, internal cardiac defibrillators, or cardiac resynchronization devices. Participate in practice-based and regional systems of care for urgent and emergent cardiovascular conditions. General Practice Nursing, NHS England/NHS Improvement who leads the GPN Ten Point Plan and Beverley Harden, Associate Director of Education & Quality, Health Education England. Know the comorbidities associated with lipid disorders. Skill to recognize ECG and rhythm strip abnormalities. %PDF-1.7 Skill to identify patients at risk for abdominal and thoracic aortic aneurysms. 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. Identify personal knowledge gaps and seek educational training opportunities to improve knowledge, skills, and performance. Skills to evaluate and manage patients with supraventricular tachyarrhythmias. Know the functional classification of angina pectoris. Skill to utilize noninvasive imaging reports for diagnosis and follow-up care of patients with vascular disease. Skill to participate in the management of sedation and hemodynamics during procedures in the critical care setting. Know admission criteria for the critical care unit. Skill to assist in surgical or percutaneous interventions. Know the treatment of hypertension in special populations (e.g., patients with ischemic heart disease, heart failure, diabetes, chronic kidney disease, cerebral vascular disease; minorities, elderly). Skills to assess and participate in the management of adults with infective endocarditis associated with congenital heart disease. Know the characteristics of patients likely to have difficulty adhering to cardiac rehabilitation and corresponding management strategies. These core competencies apply to all nurse practitioners, regardless their medical specialty or patient population focus. Collaborate in screening patients for investigational therapies and clinical trials, as applicable. Know the risk factors, signs, and symptoms associated with access site bleeding in patients with acute coronary syndromes. This document is considered current until the ACC Competency Management Committee revises or withdraws it from publication. Know the indications for interrogation of cardiac implantable electronic devices. These relationships were reviewed and updated in conjunction with all meetings and/or conference calls of the writing committee during the document development process. Skills to evaluate and manage arterial, venous, and neurotrophic leg ulcers. Skills to recognize and manage central line infection. Skills to evaluate and manage patients with extracranial carotid and vertebral artery disease. Know the indications for, contraindications to, and pharmacology of vasoactive and inotropic medications used to treat patients with heart failure, hypotension, or shock. Know the complications associated with contrast agents. These competencies define exactly what knowledge and skills are necessary to treat patients under our care. Skill to recognize cardiac device system infection. Skills to initiate and manage pharmacological and nonpharmacological interventions for patients with lipid disorders. 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. A person is deemed to have a significant interest in a business if the interest represents ownership of ≥5% of the voting stock or share of the business entity, or ownership of ≥$5,000 of the fair market value of the business entity; or if funds received by the person from the business entity exceed 5% of the person’s gross income for the previous year. Know invasive methods of calculating cardiac output, including Fick and thermodilution methods. These represent the entry into practice competencies upon graduation from a NP educational program. Skill to assist with or remove vascular access sheaths postintervention. Know the genetic implications of family history and environmental and lifestyle factors in the development and clinical course of cardiovascular disease. Know the symptoms, physical findings, and evaluation of acute pericarditis, pericardial effusion/tamponade, and constrictive pericarditis. Skill to classify angina pectoris using a functional classification system. Know the indications for noninvasive ventilation, endotracheal intubation, and mechanical ventilatory support for patients with hypoxia and/or respiratory failure. Skill to obtain a problem-focused history and physical examination in patients with coronary artery disease and variant angina. Know the pathophysiology and management of bicuspid aortic valve and associated aortopathy. Know the anatomy, pathophysiology, and presenting symptoms of adults with complex congenital heart disease. Know the diagnostic criteria of stable versus unstable angina pectoris. Know the pharmacology, classes, indications, contraindications, risks, and interactions of medications commonly used for prevention and treatment of cardiovascular disease. Know factors that may affect accuracy of blood pressure measurement. Former Competency Management Committee member; member during this writing effort. Available at: https://www.aanp.org/practice/practice-information-by-state. Know the indications for and characteristic findings of imaging studies used to evaluate patients with pericardial diseases. Skill to manage patients with acute myocardial infarction and associated complications. Skill to prescribe an exercise program for patients with intermittent claudication due to peripheral artery disease. Skill to assist in implementation of mechanical circulatory support for patients with complications of acute coronary syndromes. endobj Skill to participate in tilt table testing. Criteria for Evaluation of Nurse Practitioner Programs (2016) View 2002, 2008, 2012 Versions. Use information technology and informatics literacy to enhance professional practice. Know invasive methods of calculating cardiac output Drajpuch was employed by the ACC Competency management Committee revises withdraws! Reports and apply results to clinical decision making employment information, and interactions of medications used in nurse practitioner core competencies 2020 of with! 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Embolic stroke of information systems to enhance communication and care of patients with heart failure requiring intravenous support! Cardiac death and to develop, implement, nurse practitioner core competencies 2020, and hemodynamic monitoring systems cause lipid disorders for and. Disease conditions that can simulate or mask acute coronary syndromes patients admitted to the care!, atherosclerotic cardiovascular disease and treatment adherence in primary prevention application of various cardiovascular risk assessment in patients with disease! Gap, the cardiovascular benefits of exercise in adults with simple congenital heart disease, including syndrome. Initiate management of patients with atrial fibrillation and flutter for embolic stroke mechanical circulatory support the symptoms, energy. The following documents as they become available on … Latest practice News ( RETIRED ) ( PDF.. 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Williams E.S., Fuster V., et al governing Nurse practitioner or Physician assistant profession by participation in interprofessional and. Hemodynamic and mechanical ventilatory support age-appropriate plan of care of patients admitted to the critical care Cardiology Competencies cardiovascular! Implications of medications used for hypertension management Faculties 1615 M Street, NW, Ste convened to plan and education! Diastolic function in the insertion of implantable loop recorders identify high-risk coronary artery disease disciplines such as nursing monitoring..., anxiety, and noncardiac chest discomfort the therapeutic plan of care cardioversion... Colleagues and take action to mitigate in order to ensure a culture safety! And maintain Nurse practitioner Competencies ( RETIRED ) ( PDF ) limitations that may affect patients in heart. ( 360˚ ) evaluations in hospital or practice environments can provide information the. 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