Competency-based education (CBE) provides a framework for nursing programs including those educating nurse practitioners (NPs). Skill to recognize patients with common inflammatory disorders or systemic diseases that may adversely impact cardiovascular disease risk. Renew your Annual Practising Certificate read more. Know the indications for genetic screening of premature atherosclerotic disease. Know advanced therapies for pericardial disease. Skill to assist with or remove vascular access sheaths postintervention. Know the utility of biomarkers in the management of patients with heart failure. Journal of the American College of Cardiology, A Report of the ACC Competency Management Committee, "ACC 2015 core cardiovascular training statement (COCATS 4) (revision of COCATS 3)", "2015 ACC health policy statement on cardiovascular team-based care and the role of advanced practice providers". Know the principles of exercise physiology and guidelines for physical activity in patients with cardiovascular disease. "Cardiovascular nursing: scope and standards for practice" Know the indications, contraindications, and monitoring implications of medications used in management of adults with simple congenital heart disease. Journal of the American Association of Nurse Practitioners: March 2020 - Volume 32 - Issue 3 - p 200-217. doi: 10.1097/JXX.0000000000000384. Skill to utilize noninvasive imaging reports for diagnosis and follow-up care of patients with vascular disease. Capstack T.M., Segujja C., Vollono L.M., Moser J.D., Meisenberg B.R., Michtalik H.J. Certified Nurse Educator (CNE) Review Manual, Third Edition. Know the major cardiovascular risk stratification tools and principles of primary and secondary prevention of cardiovascular disease. Know the epidemiology of cardiovascular disease. Know the epidemiology, pathophysiology, stages, and natural history of heart failure. Know the pathophysiology and clinical findings of heart failure in adults with complex congenital heart disease. Skills to initiate and monitor diagnostic testing indicated for patients with elevated blood pressure and hypertension. Know the differential diagnoses of symptoms commonly associated with heart failure. Know the risks and benefits of exercise in adults with complex congenital heart disease, including those with associated pulmonary hypertension. Know the history and physical examination findings and their limitations in the evaluation of patients with heart failure. Know normal arterial blood gas values and clinical implications of abnormal findings. Knowledge should be maintained and enhanced through regular review of journals and other sources of reliable information and through participation in scholarly scientific meetings, continuing professional education activities, and professional congresses. 2. Cardiovascular NP and PA Competencies 2487, Table 1. Know the indications and recommendations for initial testing for known or suspected simple congenital heart disease in adults. Know the epidemiology of cardiovascular conditions, including incidence, prevalence, age, gender, and ethnicity, and the implications for diagnostics, management, and surveillance recommendations. Know the normal physiological function of the autonomic nervous system. Participate in activities to promote a safe environment for patients, families, and healthcare professionals. Know the indications for selection of pacemaker systems and cardiac resynchronization therapy. Yee T., Boukus E., Cross D., Samuel D.R. Know the New York Heart Association functional classes (I, II, III, and IV) and stages (A, B, C, and D) of heart failure. Know the indications, risks, and benefits for electrophysiology studies and catheter ablations. Recommendations in these statements are based on available evidence and, where evidence is lacking, reflect the consensus of expert opinion. Know the indications, contraindications, and adverse effects of anticoagulants in patients with atrial fibrillation and flutter. Know the indications for, contraindications to, pharmacology, and adverse effects of drugs used to treat patients with heart failure. Skills to develop, implement, and evaluate lifestyle interventions for prevention and treatment of patients with cardiovascular risk and/or comorbidities. Skill to facilitate timely referral to cardiac rehabilitation following acute coronary syndromes. Know the symptoms, physical findings, and evaluation of acute pericarditis, pericardial effusion/tamponade, and constrictive pericarditis. 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. Know the role of local and systemic inflammation on the development and progression of atherosclerotic disease. Many hospital systems also now use the 6-domain structure as part of medical staff privileging and peer-review professional competence assessments. Skill to integrate assessment of left ventricular function into the management of patients with acute coronary syndromes. Skill to assist with or remove central venous or arterial catheters and hemodynamic monitoring systems. View Article Google Scholar; 2. Skill to supervise exercise and pharmacological stress tests with or without imaging, including cardiopulmonary exercise tests. 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. Skills to assess and manage patients with pulmonary arterial hypertension. 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. 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. 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. Skill to participate in the insertion of implantable loop recorders. Skills to assess and manage patients with a heart transplant. Know the clinical manifestations, differential diagnosis, evaluation, and treatment for common venous disorders. Skill to participate in diagnostic and interventional procedures. The general cardiovascular competencies for NPs and PAs provide a foundation for practice, given individual learning needs, practice setting, and baseline knowledge. "ACC 2015 core cardiovascular training statement (COCATS 4) (revision of COCATS 3) " . Skill to integrate history and physical findings to develop a differential diagnosis in adults with congenital heart disease. Know the indications for hemodynamic catheterization in adults with complex congenital heart disease. Skills to manage appropriate pain and/or sedating agents and monitor therapeutic effects for patients receiving mechanical ventilatory support. Skill to interpret results of an ankle-brachial index test report. Use information technology and informatics literacy to enhance professional practice. Skill to integrate clinical information and test results to assess risk, establish diagnosis, formulate treatment, and manage follow-up for patients with cardiovascular disease. Skill to participate in the insertion of temporary transvenous pacemakers, measure pacing and sensing device thresholds, and monitor pacemaker function. Skill to counsel adults with congenital heart disease on exercise modalities. Nurse Practitioner Core Competencies Scientific Foundation Competencies 1. 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 effects of fever, pain, electrolyte disturbances, hypoxia, and hypotension on hemodynamics, cardiac rhythm, and perfusion in patients with or at risk of cardiovascular disease. 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. <>/Metadata 4077 0 R/ViewerPreferences 4078 0 R>> Skills to evaluate and manage patients with supraventricular tachyarrhythmias. You may retrieve this document by clicking the following link: Know the nutritional needs of patients on mechanical ventilation and appropriate nutritional supplementation in conjunction with the nutritional support team. 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 pharmacological and lifestyle interventions for the treatment of lipid disorders for primary and secondary prevention. 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). All documents are subject to rigorous peer review and public comment. Entry-to-Practice. Know the indications for and contraindications to pharmacological agents for treatment of acute and relapsing pericarditis. Know the common medications that may cause QT prolongation. Skills to initiate management of patients with suspected acute aortic syndromes and coordinate care to ensure medical stability. Know the diagnostic testing and clinical evaluation indicated prior to surgical or transcatheter intervention for valvular heart disease. Skill to initiate reperfusion therapy in collaboration with the interventional team. Skills to interpret cardiovascular imaging reports and apply results to clinical decision making. Know the indications for right and left heart catheterization in patients with heart failure. Know the clinical implications of ventricular systolic and diastolic function in the management of patients with stable ischemic heart disease. Know the risks, benefits, indications, and timing for diagnostic coronary angiography. Participate in clinical conferences and team-based meetings to enhance communication and care of patients with cardiovascular disease. Practice within the scope of personal expertise, training, and technical skills. Also noted was the lack of formal postgraduate training programs for NPs and PAs such that most cardiovascular knowledge and skills are learned through practice experience from more experienced and tenured clinicians on the team. Skills to evaluate and manage patients with venous thromboembolism. Know secondary prevention strategies for patients with acute coronary syndromes. Demonstrate mutual respect, consideration, and empathy for patients, families, and the healthcare team. 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. 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 recognize mechanical complications in patients with acute coronary syndromes. Skills to obtain and interpret a problem-focused history and physical examination for patients entering cardiac rehabilitation. Know the epidemiology and pathophysiology of coronary artery disease. Skills to evaluate and manage patients with bradyarrhythmias and heart block. ). Know the role of neurohormonal activation and left ventricular remodeling in heart failure progression. Know the causes, pathophysiology, and natural history of aortic, carotid, renal, mesenteric, and extremity peripheral artery diseases. Know the indications for comanagement and referral of adults with congenital heart disease to a congenital heart disease center. Select two Massachusetts Nurse of the Future Nursing Core Competencies that you believe will have the most impact on your future professional nursing practice. The document was simultaneously posted for public comment from September 9, 2019, to September 30, 2019, resulting in 185 additional comments. Know the differential diagnoses of chest pain, palpitations, fatigue, lightheadedness, syncope, dyspnea, and peripheral edema. Skill to perform a physical assessment and examination for patients with lipid disorders. Subsequent updates have incorporated major advances and revisions—both in content and structure—including a further move toward competency-based training, and the use of the 6-domain competency structure promulgated by the Accreditation Council for Graduate Medical Education and the American Board of Medical Specialties, and endorsed by the American Board of Internal Medicine. J Am Coll Cardiol 2015; 65:1721-1723. Heart Failure Competencies for Cardiovascular Nurse Practitioners and Physician Assistants 2503, Table 11. Know the functional classification of angina pectoris. Silver Spring, MD: Nursesbooks, 2015. Know the findings associated with pulmonary embolism, aortic dissection, pericardial tamponade, acute decompensated heart failure, and myocardial infarction. Know the indications, risks, and expected outcomes of surgical and endovascular interventions for patients with thoracic and/or abdominal aortic aneurysm. J Am Coll Cardiol 2020;75:2483–2517. Know the recommendations for antithrombotic therapy for patients with valvular heart disease or prosthetic heart valves. Skills to evaluate and manage hospitalized survivors of cardiac arrest. Skill to recognize symptoms and ECG changes suggestive of ischemic heart disease and variant angina. Skills to evaluate and manage atrial arrhythmias, including rate control, rhythm control, and anticoagulation. 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). "2015 ACC health policy statement on cardiovascular team-based care and the role of advanced practice providers" 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. The basic assumption of CBE is that the student will demonstrate acquisition of the identified essential knowledge, skills, and attitudes expected for the designated educational process before leaving the learning environment. Criteria for Evaluation of Nurse Practitioner Programs (2016) View 2002, 2008, 2012 Versions. Seton Heart Institute—Associate Chief of Cardiology for Education; Dell Medical School—Associate Professor of Medicine, Mayo Clinic, Department of Cardiovascular Medicine—Associate Professor of Medicine, Boston Children’s Hospital BACH Cardiology—Physician Assistant, United Heart and Vascular Clinic, AllinaHealth—Nurse Practitioner-Electrophysiology, Baylor Scott & White Health—Nurse Practitioner in Advanced Heart Failure Clinic, Penn Medicine, Heart and Vascular Intensive Care Unit—Nurse Practitioner, Bozeman Deaconess Cardiology Consultants—Cardiologist, Mayo Clinic, Department of Cardiovascular Diseases—Nurse Practitioner, Lucile S Packard Children’s Hospital Stanford—Program Director, ACHD Service; Stanford Hospital and Clinics—Clinical Associate Professor, University of Michigan—Nurse Practitioner, Adjunct Clinical Faculty, School of Nursing, Emory Healthcare—Director of Strategic and Programmatic Initiatives, Heart and Vascular, Einstein Health Network, Greater Philadelphia Region; Bryn Mawr Medical Specialists—Physician Assistant, Stanford University—Associate Program Director, Clinical Assistant Professor, Cardiology, Intermountain Heart Institute, Intermountain Healthcare and Rocky Mountain University of Health Professions Physician Assistant Program—Cardiology Research Physician Assistant, Vanderbilt Heart and Vascular Institute—Professor of Medicine, Director, CV Medicine Fellowship Program. 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