1 American Association of Neuroscience Nurses Scope of Practice for Neuroscience Advanced Practice Nurses
2 Background Specialization in nursing arose as a way to enhance quality of care and improve access to care, in the face of increasing knowledge and technological advances. A nursing specialty is characterized by a unique body of knowledge and skill set, with nurses providing care focused on phenomena unique to the practice. Neuroscience nursing is a unique nursing discipline that addresses the needs of individuals with biopsychosocial alterations as a result of nervous system dysfunction (Webb, 2000). Recognition of neuroscience nursing as a practice specialty began in the 1960s and resulted in the formation of the American Association of Neurosurgical Nurses in To reflect the broader practice of its members, the association was renamed the American Association of Neuroscience Nurses in As neuroscience nursing evolved as a specialty, so did opportunities for advanced practice. The nursing shortage, need to improve quality of care, restricted residency hours and promotion of cost effective care have led to increasing use of advanced practice nurses. The number of advanced practice nurses in neuroscience nursing has grown in recent decades, reflecting the complexity and diversity of the field. Through education and certification, the Neuroscience Advanced Practice Nurse demonstrates basic competency in the role. Neuroscience Advanced Practice Nurses include clinical nurse specialists and nurse practitioners. Neuroscience Advanced Practice Nurses work in a variety of settings, demonstrate specific competencies unique to neuroscience nursing, and have a broad scope of responsibilities. This document provides a framework for the Neuroscience Advanced Practice Nurse to practice. While neuroscience advanced practice nursing roles are defined,
3 procedures and activities that may be performed are not defined, as those are subject to individual collaborative practice as guided by state law and institutional or practice policy (Hermann & Zabramski, 2005). There are many diverse statutes (state, federal, community) and institutional guidelines which govern APN practice, and the Scope of Practice for Neuroscience Advanced Practice Nurses does not supersede those statutes or guidelines. For those advanced practice nurses who are required to practice within a contractual agreement, protocols may be collaboratively developed that address specific responsibilities and expectations. The ability to perform specific clinical tasks is a multifaceted process involving advanced practice nurse competency, collaborative agreement with the physician or institution (if required), and state statutes. As practice evolves and statutes change, updates to this document may be necessary in order to reflect developments in the practice environment. Definition and Scope of Practice The American Association of Neuroscience Nurses defines the Neuroscience Advanced Practice Nurse as a registered nurse who has completed a graduate degree nursing and has direct or indirect clinical practice involving clients with biopsychosocial alterations as a result of nervous system dysfunction. Specific Neuroscience Advanced Practice Nurse activities may be influenced by workforce fluctuations, development of related healthcare specialties, geographic and economic disparities, economic incentives, and consumer demand. Expert clinical practice is the hallmark of advanced practice nursing. Clinical practice involves assessment, diagnosis and management of client problems as well as
4 health promotion. Primary generic responsibilities, regardless of specialty, identify the following responsibilities of the advanced practice nurse (ANA, 1996; AACN, 1998): Plans and coordinates interventions from a multidisciplinary perspective Functions across the healthcare system and works with diverse populations Initiates and facilitates quality improvement initiatives Facilitates, conducts and promotes utilization of research activities in practice Develops education strategies and evaluates effectiveness of educational interventions Recommends and influences social and healthcare policies Provides consultation to improve care Applies legal and ethical standards to complex situations Each of these responsibilities may be directly applied into specialty practice by the Neuroscience Advanced Practice Nurse (Villanueva, Blank-Reid, Stewart-Amidei, Cartwright, Haymore, & Jones, 2008). Interventions may occur from a collaborative or independent decision-making position. Advanced Practice Roles in Neuroscience Nursing Although other advanced practice roles exist within nursing, this document focuses on the advanced practice roles found in neuroscience nursing. Clinical Nurse Specialist (CNS) The clinical nurse specialist is defined as a registered nurse who is prepared at the masters or doctoral level and provides an advanced level of care in a specialized area of nursing (ANA, 1976; ANA, 1980). Graduate level education prepares the CNS to think critically and abstractly to assess care situations at an advanced level and to integrate
5 research into clinical practice (NCSBN, 2002). Certification is required for licensure in many states; certification exams are provided by the American Nurses Credentialing Center and the American Association of Critical Care Nurses. The CNS role encompasses seven competencies: direct clinical practice, expert coaching and guidance, consultation, research, clinical and professional leadership, collaboration and ethical decision-making (NACNS, 2003; 2004). The CNS impacts the health care system, team and patient. Educational preparation and expert practice enables the CNS to institute practice changes through a broad range of influence. A CNS who is delegated the responsibility to establish a stroke center exemplifies this influence. The CNS leads and facilitates a team to review the evidenced-based literature and to develop stroke treatment protocols that cross many practice boundaries (emergency room, intensive care unit, operating room and the acute care floor). The CNS uses leadership skills to bring institutional resources together. Educator skills are used to enhance learning for bedside nurses who care for persons with stroke. The CNS uses the research competency to assist the stroke team in identifying best practices for blood pressure control. The CNS collects data to track the stroke complications, and communicates regularly with the stroke team and administration on patient outcomes and program success. Nurse Practitioner (NP) Nurse Practitioners (NPs) are registered nurses who are prepared, through advanced education and clinical training, to provide a wide range of preventative and acute healthcare services to individuals of all ages (ACNP, 2008). Certification is required for licensure following completion of the program of study. National
6 certification exams are provided by the American Nurses Credentialing Center, the Academy of Nurse Practitioners (AANP) and the American Association of Critical Care Nurses. At the present time there are no NP programs with a dedicated program of study for neuroscience. NPs practicing in neuroscience have completed a program of study (e.g. adult health or acute care) and then practice with individuals with neuroscience disorders. The role of the NP in the care of neuroscience patients is highly variable. Typical activities for a neuroscience NP may include performing a health history and exam (minor to comprehensive), ordering and interpreting appropriate laboratory tests and diagnostic studies, diagnosing and treating illness, promoting wellness and prevention of disease and injury, providing patient education and counseling, performing procedures, engaging in research, education, patient advocacy and administrative duties, exercising autonomy in clinical decision-making, working collaboratively with other members of the healthcare team and providing these services in a cost-effective manner (ACNP, 2008). It is important to note that the CNS and NP roles may be blended in some settings, without distinct differences in work activities or responsibilities between the two titles. Both CNS and NP advanced practice nurses may perform procedures, bill for services provided and prescribe medications. Further, many nurses with CNS credentialing have undergone training in the NP role as well. Environment for Neuroscience Advanced Practice Nursing The Neuroscience Advanced Practice Nurse may be employed in any area where clients with biopsychosocial alterations as a result of nervous system dysfunction may be encountered. There are multiple practice sites for neuroscience patients such as hospitals,
7 outpatient settings, private practice, academic institutions, research facilities, rehabilitation centers, and community settings. Client care may have a specific disease focus, such as neuro-oncology, specialty focus, such as neurosurgery, or problem focus, such as chronic pain management. Client care may be provided across the lifespan, or within a specific age group (children or older adults). The advanced practice nurse may practice in the neurosurgery intensive care unit, providing direct patient care while mentoring staff nurses and orienting new graduates. Another advanced practice nurse may have pediatric neurosurgery as the specialty, performing preoperative and postoperative assessments of children and/or providing direct and indirect care to children in the ICU with complex neurosurgical needs (e.g., traumatic brain injury, craniotomy for tumor resection, cranial vault remodeling and neonates with myelomeningocele). Another advanced practice nurse may practice in the clinic setting, providing specialized care to elderly patients with movement disorders such as Parkinson s disease or myasthenia gravis, or manage care for both inpatients and outpatients. Another advanced practice nurse may work with a neuro-oncology team, coordinating radiation, chemotherapy and surgical interventions all the while helping the patient navigate hospital bureaucracy. The role of the NP in a neuroscience practice may be specific or include many parts of the various groups and settings described. Education and Certification for Neuroscience Advanced Practice Nurses The Neuroscience Advanced Practice Nurse has a specialized body of knowledge and expanded clinical skills acquired at the graduate level, with the master s degree as the minimum requirement for entry into advanced practice (AACN, 1998). The American Association of Neuroscience Nurses supports the concept of doctoral preparation for
8 advanced practice nursing. Advanced practice certification via examination through the appropriate nationally recognized organization is a requirement for licensure. The American Nurses Credentialing Center offers nine certification examinations for nurse practitioners and nine certification examinations for clinical nurse specialists in addition to four other advanced practice examinations (ANCC, 2008). Specialty nursing certifications exams for advanced practice, such as those offered through the Oncology Nursing Certification Corporation and the American Association of Critical Care Nurses Certification Corporation, may also be acceptable for licensure. Regulation of Advanced Practice The nurse practice act and regulations promulgated by individual state boards of nursing delineate the scope of practice for the Neuroscience Advanced Practice Nurse. Not all states currently recognize the CNS as an advanced practice nurse. In twenty-three states NPs are allowed to practice independently without any physician involvement or supervision. Four states require physician involvement but do not require written documentation of that relationship. Twenty-four states still mandate physician supervision with documentation of this relationship (Pearson, 2008). Advanced practice nurses are required to hold at least two licenses to practice, one to practice as a registered nurse and the second to practice at the advanced level. Institutions or practice groups may also require a collaborative practice agreement. The collaborative practice agreement delegates authority to the Neuroscience Advanced Practice Nurse, and sets forth responsibilities mutually agreed upon by both the collaborating physician and the Neuroscience Advanced Practice Nurse. The agreement consists of: 1) guidelines or protocols, 2) responsibilities, 3) evaluation and 4)
9 periodic reviews of protocols or guidelines. It also outlines direct, indirect or remote levels of supervision required, which may be specific for certain situations, and sets forth the manner in which the Neuroscience Advanced Practice Nurse will communicate with the collaborating physician, especially when the advanced practice nurse encounters a situation outside the scope of practice. Responsibilities might include procedures such as shunt taps, lumbar punctures, insertion of an intracranial monitor, application of spinal traction, or programming of a neurological device such as a shunt valve, deep brain stimulator or intrathecal pump. Although all states provide some aspect of prescriptive authority to advanced practice nurses, there is variability to the independence allowed (O Malley & Mains, 2003). When permitted, prescriptive authority requires advanced pharmacology knowledge as well as compliance with state requirements for a particular specialty area. A collaborative practice agreement also serves to delineate prescriptive authority. Summary The Neuroscience Advanced Practice Nurse is challenged to provide care to patients and families within a complex and constantly changing healthcare environment. The role of the Neuroscience Advanced Practice Nurse is multifaceted and variable. It is crucial for the Neuroscience Advanced Practice Nurse to be aware of the diverse statutes governing their practice and practice within their defined scope of practice. This document serves to assist the Neuroscience Advanced Practice Nurse in developing a framework for practice.
10 Neuroscience Advanced Practice Nurse Standards of Practice Standard I. Assessment The Neuroscience Advance Practice Nurse collects comprehensive data in order to make clinical decisions and positively impact patient outcomes for the patient with neurologic dysfunction. 1. Systematically conducts a comprehensive examination, based on health history, age, cultural background, patient complaint, and potential causes of neurologic dysfunction. a. Utilizes all available sources of information, including family members, caregivers, other interdisciplinary health care team members, health care records, and system data as relevant. b. Utilizes appropriate assessment techniques, incorporating technological data and diagnostic information where appropriate. 2. Initiates and interprets diagnostic tests and procedures as permitted by state nurse practice act or credentialing body. 3. Prioritizes data collection based on patient condition, anticipated needs, or environmental situation. 4. Identifies family or caregiver needs that influence patient outcomes. 5. Identifies system and personnel needs in the clinical environment that influence patient outcomes. 6. Synthesizes data to identify patient risks and needs, refocusing data collection and prioritization on an ongoing basis. 7. Documents relevant assessment data in a confidential, accessible and retrievable format. Standard II. Diagnosis The Neuroscience Advance Practice Nurse uses information obtained from assessment data to formulate diagnoses for the patient with neurologic dysfunction.
11 1. Collaboratively develops and prioritizes diagnoses, consulting other members of the interdisciplinary health care team as necessary. a. Systematically compares and contrasts findings to determine differential diagnoses where appropriate. 2. Validates diagnoses with the patient, family, and other interdisciplinary health care team members to improve communication and adherence to the treatment plan, revising diagnoses as necessary. 3. Documents diagnoses in a manner that facilitates communication among the interdisciplinary team as well as determination of expected outcomes and plan of care. Standard III. Outcome Identification The Neuroscience Advance Practice Nurse develops individualized, diagnosis-based expected outcomes for the patient with neurologic dysfunction. 1. Derives outcomes from assessment and diagnostic data that include time frames and provide direction for care. 2. Establishes outcomes to measure effectiveness of interventions, modifying outcomes in response to changing needs or condition. 3. Mutually formulates outcomes with the patient, family, and interdisciplinary health care team members. 4. Formulates developmentally and culturally appropriate, cost-effective and realistic outcomes in relation to capabilities and available resources. 5. Identifies outcomes that are consistent with clinical practice and current scientific evidence and are ethically sound. 6. Analyzes factors that hinder achievement of outcomes for patients, families, nurses or systems. 7. Documents outcomes in a manner that facilitates outcome measurement and communication among the interdisciplinary team.
12 Standard IV. Planning The Neuroscience Advance Practice Nurse develops a comprehensive plan of care to achieve expected outcomes for the patient with neurologic dysfunction. 1. Develops a mutually derived plan of care with the patient, using assessment data, evidence-based practice interventions and theoretical knowledge. a. Includes the patient and family needs, values, beliefs, and resources in developing the plan of care. b. Considers cost, benefits and alternatives in developing the plan of care. c. Addresses disease prevention, health promotion, and health maintenance in the plan of care. 2. Creates, advises, and influences system level policies that affect programs of care. 3. Documents the plan of care outcomes in a manner that facilitates implementation of the plan and communication among the interdisciplinary team. Standard V. Implementation The Neuroscience Advance Practice Nurse implements the plan of care to achieve expected outcomes for the patient with neurologic dysfunction. 1. Reviews the set of all possible interventions and possible consequences associated with each intervention. a. Considers available resources, costs, risks and benefits for each intervention. b. Assures interventions are ethical, developmentally and culturally appropriate, and based on best available evidence. 2. Recommends, selects, and/or orders interventions as permitted by state nurse practice act or credentialing body. a. Establishes algorithms, standing orders, or practice guidelines.
13 b. Prescribes pharmacologic and non-pharmacologic interventions according to patient needs, best available evidence, and physiologic principles. c. Monitors responses to interventions with specific attention to potential adverse effects. d. Adjusts interventions on an ongoing basis as needed. e. Provides the patient with information about interventions, including intended effects, potential risks, possible alternatives, costs, and patient role. 3. Performs interventions in a safe and ethical manner, or delegates interventions where appropriate. 4. Assures coordination of care and patient and family involvement to meet individualized needs. a. Provides consultation based on defined role responsibilities. b. Provides referrals based on cost and benefit considerations. c. Implements recommendations from referral sources as appropriate. 5. Initiates and sustains collaborative relationships among health care teams to facilitate interdisciplinary interventions. 6. Incorporates system and community resources when implementing interventions. 7. Documents responses to interventions implemented in a manner that demonstrates accountability, minimizes error, and facilitates communication among the interdisciplinary team and outcome measurement. Standard VI. Evaluation The Neuroscience Advance Practice Nurse evaluates progress in attainment of expected outcomes for the patient with neurologic dysfunction. 1. Conducts a systematic, ongoing evaluation of expected outcomes. a. Includes the patient, family, other interdisciplinary health care team members, and system in the evaluation process.
14 b. Incorporates advanced nursing knowledge, quality scientific indicators and best available evidence into evaluative measures. 2. Analyzes findings from evaluative measures to assess effectiveness of the plan in attaining outcomes. 3. Revises the diagnoses, expected outcomes, plan of care and interventions to address outcomes that have not been met or have been only partially met. 4. Disseminates evaluation findings to the patient family, other interdisciplinary health care team members, and system to improve overall quality, satisfaction and safety of care. 5. Documents the evaluation performed and any necessary revisions to the diagnoses, expected outcomes, plan of care or interventions.
15 Neuroscience Advanced Practice Nurse Standards of Professional Performance Standard I. Quality of Care The Neuroscience Advanced Practice Nurse systematically evaluates the quality and effectiveness of nursing practice 1. Uses current, evidenced-based treatment interventions to promote optimal patient outcomes while maintaining patient safety and considering cost. 2. Participates in quality of care activities as appropriate to the individual s education, experience and position. a. Systematically develops criteria for evaluating the quality and effectiveness of nursing practice as well as organizational systems in order assess quality of care. b. Collects and analyzes data to monitor quality care and uses this data to formulate recommendations to improve nursing practice and patient outcomes. 3. Assumes a leadership role in the development of policies, procedures and practice guidelines to improve quality of care and patient outcomes as a clinical expert. 4. Utilizes an interdisciplinary approach to assure quality, evidence-based, costeffective holistic care for the neuroscience patient. Standard II. Performance Appraisal The Neuroscience Advanced Practice Nurse continuously evaluates one s own practice in relation to professional practice standards and relevant statutes and regulations and is accountable to the public and profession for providing competent clinical care. 1. Demonstrates knowledge of current professional practice standards, laws and regulations through practice. 2. Engages in performance appraisal on a regular basis, seeking constructive feedback regarding one s own practice according to professional standards and identifying areas of strength as well as areas where professional development would be beneficial. 3. Incorporates role performance reviews from peers, professional colleagues, clients and others as appropriate into practice.
16 Standard III. Education The Neuroscience Advanced Practice Nurse acquires and maintains current knowledge and competency in advanced nursing practice. 1. Participates in ongoing educational activities related to clinical and theoretical knowledge and professional issues. 2. Seeks experiences to acquire and maintain clinical skills and competence appropriate to area of practice. 3. Maintains professional certification and obtains continuing education as required for licensure. Standard IV. Collegiality The Neuroscience Advanced Practice Nurse contributes to the professional development of nursing and other health care colleagues. 1. Shares knowledge and skills with colleagues and members of the multidisciplinary team and models expert practice. 2. Promotes a healthy work environment that is conducive to safe and effective patient care. 3. Partners with others to promote an environment conducive to the clinical education of students, nurses and health care team members. 4. Interacts with colleagues on both a local and national level to enhance one s own professional nursing practice. 5. Participates in professional organizations to improve the quality of nursing care and optimize patient outcomes. Standard V. Ethics The Neuroscience Advanced Practice Nurse formulates decisions on patient care and acts on behalf of the patient with neurologic dysfunction by using ethical principles and systematic criteria.
17 1. Utilizes the Code of Ethics for Nurses with Interpretive Statements to guide practice. 2. Provides nondiscriminatory care to diverse populations while maintaining patient confidentiality within legal and regulatory parameters. 3. Acts as a patient advocate while maintaining a therapeutic and professional relationship with the patient. 4. Informs the patient of expected health care outcomes including anticipated risks, potential benefits and possible alternatives while supporting care that preserves patient autonomy, dignity and rights. 5. Contributes to the resolution of ethical dilemmas of both systems and individuals through an interdisciplinary approach. Standard VI. Collaboration The Neuroscience Advanced Practice Nurse collaborates with patients, families, nurses, physicians, other health care providers, and relevant system parties when assessing, planning, delivering, and evaluating the care of a patient or group of patients with neurologic dysfunction. 1. Collaborates with the patient, family, nurse, and other healthcare providers in the formulation of overall goals and the plan of care, and in decisions related to care and the delivery of services. 2. Facilitates the formation of an interdisciplinary team to work collaboratively to optimize patient outcomes. 3. Serves as a mentor to nurses and other health care team members. 4. Consults with and makes referrals to appropriate providers to ensure that the full spectrum of the patient needs is met across the continuum of care. Standard VII. Research The Neuroscience Advance Practice Nurse integrates research into practice. The Neuroscience Advance Practice Nurse: 1. Utilizes the best available evidence to guide practice interventions and advance patient care. a. Critically appraises research for practice application. b. Critically appraises practice in the context of best available evidence. 2. Utilizes research to enhance the environment of care and improve patient outcomes.
18 a. Utilizes research skills in problem evaluation. 3. Participates in research activities appropriate to education, experience and environment. Activities may include: a. Identifies and prioritizes research problems of concern to neuroscience nursing. b. Participates in data collection. c. Participates in a research program at the organizational level. d. Disseminates research findings through all available avenues. e. Conducts research to advance patient care. f. Encourages and facilitates the neuroscience nursing research agenda. g. Utilizes research findings to develop clinical guidelines, policies, and procedures. Standard VIII. Resource Utilization The Neuroscience Advance Practice Nurse considers factors related to safety, efficacy, and fiscal responsibility when delivering care for the patient with neurologic dysfunction. The Neuroscience Advance Practice Nurse: 1. Integrates safety, efficacy, and cost considerations into practice decisions as part of an interdisciplinary approach to care. 2. Facilitates patient and family access to appropriate care resources. 3. Delegates tasks based upon patient condition, skills of the designated caregiver, potential for harm, complexity of the task, and predictability of the outcome. 4. Serves as a resource to influence health care policy. 5. Advocates for patient rights, an optimal care environment, access to care and improved quality of care. 6. Develops innovations to maximize safety, efficacy, and cost effectiveness of care.
19 References American Association of Colleges of Nursing [AACN]. (1998). Certification and regulation of advanced practice nurse (AACN Position Statement). Retrieved December 15, 2008 from American College of Nurse Practitioners [ACNP]. (2008). What is a nurse practitioner? Retrieved December 15, 2008 from American College of Nurse Practitioners [ACNP]. (2008). Numbers of nurse practitioners. Retrieved December 15, 2008 from American Nurses Association [ANA]. (1976). Description of practice: Clinical nurse specialist in the scope of nursing practice. Kansas City, MO: Author. American Nurses Association [ANA]. (1980). Nursing: A social policy statement. Kansas City, MO: Author. American Nurses Association [ANA]. (1996). Scope and standards of advanced practice registered nursing. Washington, D.C.: ANA. American Nurses Credentialing Center [ANCC]. (2008). Certification. Retrieved December 15, 2008 from:
20 Herrmann, L., & Zabramski, J.M. (2005). Tandem practice model: A model for physician-nurse practitioner collaboration in a specialty practice, neurosurgery. Journal of the Academy of Nurse Practitioners, 17(6), Klein, T.A. (2007). Scope of practice and the nurse practitioner: Regulation, competency, expansion, and evolution. Topics in Advanced Practice Nursing e-journal, 7(3). Retrieved December 15, 2008 from National Association of Clinical Nurse Specialists [NACNS]. (2003). Regulatory credentialing of clinical nurse specialists. Clinical Nurse Specialist, 17(3), National Association of Clinical Nurse Specialists [NACNS]. (2004). Statement on clinical nurse specialist practice and education. Harrisburg, PA: Author. National Council of State Boards of Nursing [NCSBN]. (2002). Position Paper: Regulation of advanced practice nursing. Retrieved December 15, 2008 from O Malley, P., & Mains, J. (2003). Update on prescriptive authority for the clinical nurse specialist. Clinical Nurse Specialist, 17(4), Pearson, L. (2008). The Pearson Report. The American Journal for Nurse Practitioners, 12(2), Villanueva, N., Blank-Reid, C., Stewart-Amidei, C., Cartwright, C., Haymore, J., & Jones, R. (2008). The role of the advanced practice nurse in neuroscience nursing:
21 Results of the 2006 AANN membership survey. Journal of Neuroscience Nursing, 40(2), Webb, D. (2000). Scope of neuroscience nursing. In C. Stewart-Amidei and J.A. Kunkel (Eds), AANN s Neuroscience nursing: Human responses to neurologic dysfunction, 2 nd edition, (pp. 3-11). Philadelphia: Saunders.
Scope and Standards of Practice for The Acute Care Nurse Practitioner American Association of Critical-Care Nurses Editor: Linda Bell, RN MSN Copy Editor: Anne Bernard Designer: Derek Bennett An AACN Critical
AACN SCOPE AND STANDARDS FOR ACUTE AND CRITICAL CARE NURSING PRACTICE AMERICAN ASSOCIATION of CRITICAL-CARE NURSES AACN SCOPE AND STANDARDS FOR ACUTE AND CRITICAL CARE NURSING PRACTICE Editor: Linda Bell,
Scope of Practice for the Acute Care CNS Introduction The historical conceptualization of nursing delineates clinical practice dimensions according to the practitioner s role, the practice environment,
Nurse Practitioners: A Role in Evolution Past, Present and Future Jasmiry Bennett, RN, MS, ACNP-BC Acute Care Nurse Practitioner Department of Vascular Surgery Objectives Describe and discuss the evolution
Page 1 of 12 SCHOOL NURSE COMPETENCIES SELF-EVALUATION TOOL School Nurse School Date Completed School Nurse Supervisor Date Reviewed The school nurse competencies presume that some core knowledge has been
Standards for the School Nurse [23.120] STANDARD 1 Content Knowledge The certificated school nurse understands and practices within a framework of professional nursing and education to provide a coordinated
Central Indiana Organization of Clinical Nurse Specialists Statutory and Regulatory Credentialing of Clinical Nurse Specialists in Indiana April, 2015 EXECUTIVE SUMMARY OF WHITE PAPER The Clinical Nurse
BS, MS, DNP and PhD in Nursing Competencies The competencies arise from the understanding of nursing as a theory-guided, evidenced -based discipline. Graduates from the curriculum are expected to possess
OKLAHOMA BOARD OF NURSING 2915 North Classen Blvd., Suite 524 Oklahoma City, OK 73106 (405) 962-1800 NURSING COMPETENCIES BY EDUCATIONAL LEVEL: GUIDELINES FOR NURSING PRACTICE AND EDUCATION IN OKLAHOMA
Expected Competencies of graduates of the nursing program at Philadelphia University Background Educational programs are prepared within the context of the countries they serve. They are expected to respond
Master of Science in Academic Programs of Study 2015 2016 MSN Contents ACCREDITATION AND EDUCATIONAL OUTCOMES... 3 OVERVIEW OF SPECIALTY TRACKS... 4 TRACKS... 6 MSN ADULT/GERONTOLOGICAL ACUTE CARE NURSE
Orientating statements Nurse practitioners have the capability to provide high levels of clinically focused nursing care in a variety of contexts in Australia. Nurse practitioners care for people and communities
Standards of Practice for Primary Health Care Nurse Practitioners June 2010 (1/14) MANDATE The Nurses Association of New Brunswick is a professional organization that exists to protect the public and to
Academy of Medical-Surgical Nurses Scope and Standards of Medical-Surgical Clinical Nurse Specialist Practice 2nd Edition Acknowledgments The Scope and Standards of Medical-Surgical Clinical Nurse Specialist
AACN Statement of Support for Clinical Nurse Specialists The American Association of Colleges of Nursing (AACN) is committed to advancing professional nursing roles and highlighting the connection between
Personal Assessment Form for RN(NP) Practice for the SRNA Continuing Competence Program (CCP) Completing a personal assessment is a mandatory component of the SRNA CCP. It allows a RN and RN(NP) to strategically
Illinois Licensure Testing System FIELD 182: SCHOOL NURSE February 2004 Subarea Range of Objectives I. Foundations of Knowledge 01 04 II. The Coordinated School Health Program 05 09 III. Professional Roles
Learning Assurance Report for the WellStar Primary Care Nurse Practitioner Program in the Wellstar College of Health and Human Services Spring 2004 Prepared by WellStar School of Nursing Curriculum Committee
Running head: ACNP JOB DESCRIPTION 1 Acute Care Nurse Practitioner Job Description Roshini Mathew, RN, BSN Wright State University-Miami Valley College of Nursing and Health NUR 7203 March 17, 2013 2 Acute
ADULT-GERONTOLOGY PRIMARY CARE NURSE PRACTITIONER Nurse Practitioner Student Learning Outcomes Students in the Nurse Practitioner Program at Wilkes University will: 1. Synthesize theoretical, scientific,
Cornerstone Visiting Nurse Association JOB TITLE: Hospice RN/LPN The purpose of this position is to enhance and support our mission statement by providing high quality, compassionate, costeffective hospice
POST-GRADUATE CERTIFICATE Post Graduate/APRN Certificate Programs Purpose This distance education program is designed for the experienced registered nurse who has earned a master s or doctoral degree in
Appendix Health Service Psychology: Preparing Competent Practitioners This document is copyrighted by the American Psychological Association or one of its allied publishers. Advances in psychological science
Nurse Practitioner Mentor Guideline NPAC-NZ Purpose To provide a framework for the mentorship of registered nurses to prepare for Nurse Practitioner (NP) registration from the Nursing Council of New Zealand.
Master of Science in Academic Programs of Study 2015 2016 MSN TABLE OF CONTENTS 1) ACCREDITATION AND EDUCATIONAL OUTCOMES 3 2) REGISTRATION AND ADVISING 3) COURSE LOAD See Policies 4) CLINICAL EXPERIENCES
EMERGENCY NURSES ASSOCIATION WHITE PAPER The Essentials of Doctoral Education for Advanced Nursing Practice in Emergency Care The Emergency Nurses Association (ENA) Board of Directors in consultation with
NURSING EDUCATION Purpose This program is designed for professional nurses who have earned a Master s or Doctoral Degree in Nursing and seek further education in advanced nursing practice. Concentrations
RN-MS PROGRAM RN-MS Program Purpose This accelerated program is designed for the experienced, practicing registered nurse who plans to continue nursing studies through the master's level and does not hold
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 GUIDELINES FOR PSYCHOLOGICAL PRACTICE IN HEALTH CARE DELIVERY SYSTEMS INTRODUCTION Psychologists practice in an increasingly diverse range
Effective from 1 January 2014 November 2013 Orientating statements Nurse practitioners have the capability to provide high levels of clinically focused nursing care in a variety of contexts in Australia.
CHAPTER 1 Nursing s Social Policy Statement Catherine E. Neuman, MSN, RN, NEA-BC Overview Nursing is a part of the society from which it grew and continues to evolve. As a profession, nursing is valued
Master s Entry into Nursing Academic Manual 2015-2016 TABLE OF CONTENTS Overview of the Master s Entry into Nursing (MEN) Program 2 Outcomes 2 Plan of Study 3-4 Course Descriptions 5-11 Overview of the
Canadian Nurse Practitioner Core Competency Framework January 2005 Table of Contents Preface... 1 Acknowledgments... 2 Introduction... 3 Assumptions... 4 Competencies... 5 I. Health Assessment and Diagnosis...
MAY 2014 ACHA Guidelines Scope of Practice for the Registered Nurse in College Health Introduction and Guiding Principles The American College Health Association (ACHA) supports and recognizes the need
Specialty Practice Master of Nursing Science (MSN) Programs 2015-2016 Updated July 9, 2015 1 P a g e Table of Contents General Information... 3 Characteristics of Graduates...3 Specialty MSN Curriculum
School Nurse Section - Introduction The Role of the Credentialed School Nurse Role of the Credentialed School Nurse The California School Nurses Organization (CSNO) position statement: The California School
DOCTOR OF NURSING PRACTICE (DNP) Doctor of Nursing Practice (DNP) Purpose The distance education program leading to the Doctor of Nursing Practice degree at Wilkes University is linked to the mission statements
American Association of Colleges of Nursing Working Statement Comparing the Clinical Nurse Leader sm and Clinical Nurse Specialist Roles: Similarities, Differences and Complementarities December 2004 Joan
MN-NP GRADUATE COURSES Course Descriptions & Objectives NURS 504 RESEARCH AND EVIDENCE-INFORMED PRACTICE (3) The purpose of this course is to build foundational knowledge and skills in searching the literature,
Medical College of Georgia Augusta, Georgia School of Medicine Competency based Objectives Medical Knowledge Goal Statement: Medical students are expected to master a foundation of clinical knowledge with
1 UTHealth School of Nursing Doctor of Nursing Practice (DNP) Preceptor Guidelines Introduction A clinical preceptorship/fellowship is a supervised clinical experience that allows students to apply knowledge
NURSE PRACTITIONER STANDARDS FOR PRACTICE February 2012 Acknowledgement The Association of Registered Nurses of Prince Edward Island gratefully acknowledges permission granted by the Nurses Association
Program of Study: Master of Science in Nursing: Family Nurse Practitioner Program Description The Master of Science in Nursing: Family Nurse Practitioner program prepares experienced professional nurses
Wegmans School of Nursing Master of Science in: Advanced Practice Nursing Program Overview The mission of the program at St. John Fisher College is to provide a stimulating milieu of academic and clinical
American Association of Colleges of Nursing Working Statement Comparing the Clinical Nurse Leader sm and Nurse Manager Roles: Similarities, Differences and Complementarities March 2006 Karen M. Ott, RN,
Running Head: ROLES OF THE NURSE PRACTITIONER Roles of the Nurse Practitioner Abby Smith Auburn University/Auburn Montgomery 2 Abstract Advanced practice nursing has many roles in health care today, with
1 Graduate Program Objective #1: Integrate nursing science and theory, biophysical, psychosocial, ethical, analytical, and organizational science as the foundation for the highest level of nursing practice.
Collaborative Practice Agreement for Nurse Practitioner Management of Patients in the Specialty of Pediatric Critical Care Purpose Section I Introduction/Overview This document authorizes the nurse practitioner
Primary Care Pediatric Nurse Practitioner The following are entry-level competencies for the primary care pediatric nurse practitioner. These pediatric population-focused competencies expand upon the core
ARN Competency Model For Professional Rehabilitation Nursing Copyright @ 2014, Association of Rehabilitation Nurses 8735 W. Higgins Rd, Suite 300 Chicago, IL 60631 Introduction The specialty of rehabilitation
Common Outcomes/Competencies for the CCN Nursing Web Page NURS 120: Foundations of Nursing This course introduces concepts related to the practical nurse s roles and responsibilities in today s society.
Education Standards, Curriculum Guidelines, and Competencies for the Neonatal Clinical Nurse Specialist Introduction The clinical nurse specialist (CNS) is one of four advanced practice registered nurse*
The Role of the Nurse Practitioner in the Gastroenterology Team Objectives Upon completion of this activity, the participant will be able to: 1 Summarize how Gastroenterology Nurse Practitioners are utilized
St. Luke s Hospital and Health Network Philosophy of Nursing: Nursing, a healing profession, is an essential component of St. Luke's Hospital & Health Network's commitment to providing safe, compassionate,
University of Washington School of Pharmacy Care Definition, Practice Foundations, and Ability-Based Outcomes The pharmacist graduating from the University of Washington School of Pharmacy promotes the
Clinical Nurse Specialist in Child/Adolescent Psychiatric and Mental Health Nursing Board Certification There are 175 questions on this examination. Of these, 150 are scored questions and 25 are pretest
1. POSITION TITLE: CERTIFIED DIABETES EDUCATOR CLINICAL DIETITIAN Coordinator, Diabetes Self-Management Education Program 2. General Description: The Diabetes Self-Management Education (DSME) Program Coordinator/Dietitian,
Defining Scope of Practice for Nurse Practitioners: A Regulatory Perspective Tracy Klein, MS, WHCNP,FNP Advanced Practice Consultant Oregon State Board of Nursing September 2006 Who determines your scope
Masters of Science in Nursing Curriculum Guide Course Descriptions Core Courses (26 credits total) N502 Theoretical Foundations of Nursing Practice (3 credits) Theoretical Foundations of Nursing Practice
Scope and Standards of Home Health Nursing Practice Marilyn D. Harris, MSN, RN, NEA BC, FAAN Lisa Gorski, MS, RN, HHCNS BC, CRNI, FAAN Mary Curry Narayan, MSN, RN, HHCNS BC, CTN Why should you care? ANA
1 National Organization of Nurse Practitioner Faculties SAMPLE CURRICULUM TEMPLATES FOR DOCTORATE of NURSING PRACTICE (DNP) NP EDUCATION Introduction NONPF presents these templates as exemplars of Doctor
MARIAN UNIVERSITY SCHOOL OF NURSING AND HEALTH PROFESSIONS Master of Science in Nursing Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) PROGRAM LEARNING OUTCOMES: 1. Demonstrate strong critical
Professional Standards for Psychiatric Nursing November 2012 College of Registered Psychiatric Nurses of B.C. Suite 307 2502 St. Johns Street Port Moody, British Columbia V3H 2B4 Phone 604 931 5200 Fax
Version Date May 15, 2015 Provincial Oncology Nursing Program PURPOSE: The oncology nurse practices at a high level of autonomy and accountability in collaboration with oncologists and the inter-professional
Department/Academic Unit: School of Nursing, MN Degree Level Expectations, Learning Outcomes, Indicators of Achievement and the Program Requirements that Support the Learning Outcomes Expectations (general
November, 2008 Comparison of Tuning Competencies to U.S. National Accepted Competencies How Tuning might benefit higher education in the U.S. We in the United States might learn a great deal from the Tuning
H. FAMILY NURSE PRACTITIONER ADVANCED PRACTICE ROLE OVERVIEW The Family Nurse Practitioner role emphasizes health promotion, health maintenance, prevention and detection of alterations in health through
Specialty Practice Master of Nursing Science (MSN) Programs 2014-2015 Updated June 6, 2014 1 P a g e Table of Contents General Information... 3 Program Objectives...3 MSN Curriculum Overview...3 Clinical
ORGANIZATIONAL FRAMEWORK The organizing framework of the associate degree in nursing program is derived from the Philosophy of the Division of Nursing. It supports the Values of the College, which include
Rubric for Evaluating North Carolina s School Nurses (Required) Standard 1. School nurses demonstrate leadership. School nurses demonstrate leadership by promoting and enhancing the overall academic mission
Educational Preparation for Nursing Practice Roles Position Statement #3048 NANN Board of Directors November 2009 The increasing acuity of patients and their more complex needs for care in community and
Guidelines towards establishing Standard of Critical Care Nursing in Palestine Jamileh Hamdan, BSN, High Diploma, Makassed Hospital What do Standards of care? Standard of care: is a professionally agreed
Sample Position Description Nurse Practitioner GS-12 Introduction The Nurse Practitioner Position is located within the National Institutes of Health, (Institute, Branch). The nurse practitioner is a Masters
No one was ever able to teach who was not able to learn. Florence Nightingale 1 The Preceptor Role Beth Tamplet Ulrich, EdD, RN, FACHE, FAAN 1 Precepting is an organized, evidence-based, outcome-driven
Mango Tree Family Health Team Bilingual (French/English) Nurse Practitioner Job Description JOB SUMMARY: The Nurse Practitioner [NP/RN(EC)] will function as a member of the Mango Tree Family Health Team,
Rubric for Evaluating Colorado s Specialized Service Professionals: School Nurses Definition of an Effective School Nurse Effective school nurses are vital members of the education team. They are properly
UTHealth School of Nursing MSN Preceptor Handbook Introduction A clinical preceptorship is a supervised clinical experience that allows students to apply knowledge and skills in a practice setting. Each
American Psychological Association D esignation Criteria for Education and Training Programs in Preparation for Prescriptive Authority Approved by APA Council of Representatives, 2009 Criterion P: Program
Yes Module on Clinical Prevention in Long-Term Care that students complete Assessment of Health Status: Obtains a relevant health history, which may be comprehensive or focused. Post test on Clinical prevention
Objectives The Scope and Standards of School Nursing Practice Kathy Karsting, RN, MPH School Nursing 101: Session 1 August 31, 2011 1. Describe the legal framework for school nursing practice by the Registered
DOMAIN: Clinical Skills and Knowledge NURSING PROCESS Assessment Performs assessment and identifies appropriate nursing diagnosis and/or patient care standard with assistance. Recognizes data and identifies
The new Stroke Nurse Practitioner candidate position at Austin Health The new Stroke Nurse Practitioner (NP) candidate position offered by Austin Health provides an exciting opportunity for a senior nurse
Indiana University-Purdue University Fort Wayne College of Health and Human Services Department of Nursing Clinical Evaluation Form: Nurse Practitioner Graduate Program Student Name: Preceptor Name: Semester
University of Maine School of Nursing Program Outcome # 1, Key Concepts and Level Outcomes Program Outcome: The graduate will provide patient-centered which represents the patients preferences, values,
2015-16 Rubric for Evaluating Colorado s Specialized Service Professionals: School Nurses Definition of an Effective School Nurse Effective school nurses are vital members of the education team. They are