Know the management strategies for patients post–heart transplantation. Skill to participate in insertion of an invasive and/or hemodynamic monitoring vascular access catheter. 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. This document is not intended to describe independent practice for a particular discipline or outline training standards. 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. To ensure transparency, comprehensive healthcare-related disclosure information, for authors and peer reviewers has been posted online. Know the management strategies for patients with advanced and end-stage heart failure. Know the determinants of coronary blood flow and myocardial oxygen consumption. Participate in clinical conferences and team-based meetings to enhance communication and care of patients with cardiovascular disease. Know the common cardiovascular complications of noncardiac surgery. 8. CNS Competencies CNS Competencies. This table represent the individuals, organizations, and groups that peer reviewed this document. View all . The work of the writing committee was supported exclusively by the ACC without commercial support. Know the risks and benefits of exercise in adults with complex congenital heart disease, including those with associated pulmonary hypertension. Acute Coronary Syndromes Competencies for Cardiovascular Nurse Practitioners and Physician Assistants 2490, Table 5. Attend to one’s own health, well-being, and abilities in order to maximize personal and professional performance. Skills to identify physical findings, evaluate, and manage patients with constrictive pericarditis. Know the findings associated with mechanical complications of myocardial infarction. Know the findings associated with pulmonary embolism, aortic dissection, pericardial tamponade, acute decompensated heart failure, and myocardial infarction. Know the pathophysiology and clinical findings of heart failure in adults with complex congenital heart disease. <>/Metadata 4077 0 R/ViewerPreferences 4078 0 R>> Know the indications, contraindications, and management strategies for mechanical circulatory support in patients with heart failure. Skill to recognize signs and symptoms of ventricular systolic and diastolic dysfunction. These competencies are unique to each of the clinical areas identified in Table 1. Skills to evaluate and manage patients with venous thromboembolism. Know the indications, risks and benefits, and surveillance for anticoagulation and bridging in patients with atrial arrhythmias. Guyatt GH, Meade MO, Jaeschke RZ, Cook DJ, Haynes RB. Many hospital systems also now use the 6-domain structure as part of medical staff privileging and peer-review professional competence assessments. Therefore, the left column reflects the competencies expected of most NPs and PAs practicing within adult cardiovascular medicine. Know the risks, preventive measures, and treatments for acquired heart disease in the congenital heart disease population. Know the indications for implantation of permanent pacemakers. Know the indications for and potential complications of pericardiocentesis. endobj Skills to recognize and medically manage specific wide complex tachycardias (e.g., monomorphic and polymorphic ventricular tachycardia). Systems-Based Practice as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value. Know the indications for and limitations of ambulatory arrhythmia monitoring. 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. The ACC Competency Management Committee oversees development of competency statements for cardiovascular specialists covering the entire career spectrum. Know the management of valvular heart disease in pregnancy and women of childbearing age. Know the principles of exercise physiology and guidelines for physical activity in patients with cardiovascular disease. Know the laboratory testing to obtain at various stages of lipid management. Cardiac Arrhythmias and Electrophysiology Competencies for Cardiovascular Nurse Practitioners and Physician Assistants 2496, Table 8. Know the indications for surveillance imaging in patients with stable valvular heart disease. Know the hemodynamic changes and musculoskeletal limitations that may require modifications to exercise intensity during cardiac rehabilitation sessions. They serve as guidelines for educators, Develop, implement, and evaluate individualized, patient-centered educational strategies. Skills to evaluate and manage atrial arrhythmias, including rate control, rhythm control, and anticoagulation. Skills to recognize and medically manage specific supraventricular arrhythmias (e.g., atrioventricular nodal re-entrant tachycardia, atrioventricular re-entrant tachycardia). During most of this writing effort Nurses in British Columbia must meet entry-level. Common venous disorders for monitoring during titration of antihypertensive medications Competencies ( ). 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