PAGE 1 ~HOW TO APPLY ADVANCED PRACTICE NURSING COMPETENCIES TO CLINICAL SETTINGS
TOTAL PAGES 68
With the growth in Advanced Practice Roles such as the Clinical Nurse Specialist and Nurse Practitioner
titles there is m
...
PAGE 1 ~HOW TO APPLY ADVANCED PRACTICE NURSING COMPETENCIES TO CLINICAL SETTINGS
TOTAL PAGES 68
With the growth in Advanced Practice Roles such as the Clinical Nurse Specialist and Nurse Practitioner
titles there is more recognition and interest in the potential benefits that APNs may bring to the care of
patients. Numerous studies have shown the value of using advanced practice nurses in the clinical setting
yielding significant contributions and examples of outcome measures for APNs. APNs are effective in
improving the outcomes such as patient satisfaction, readmissions, cost, health status, and complications.
The interprofessional educational efforts should instill the core competencies by following guiding
principles of being patient centered; having a community or population focus; emphasizing relationships
and processes; containing developmentally appropriate activities and assessments; and being outcome
driven.
The American Nurses Association (ANA) 20 issued a competency document outlining essential genomic
competencies for graduate nurses. The document was established by an expert consensus panel in
genetics and genomics. The document contains 38 competencies under seven major categories that
include risk assessment and interpretation; genetic education, counseling, testing, and results
interpretation; clinical management; ethical, legal, and social implications; professional role; leadership;
and research. In professional practice, the essential competencies of the ANA document require nurses
with graduate level education to be competent in risk assessment and interpretation; genetic education,
counseling, testing, and results interpretation; clinical management; and ethical, legal, and social
implications as they relate to genetics and genomics.
Theories in nursing practice (See the last page-split among many members-most have not submitted)
SOAP NOTE –
S – Looking for Subjective Evidence
Interview the patient and/or family member about the history of the present illness.
Ask about the presentation of the illness (timing, signs and symptoms, etc.)
Ask whether the patient is on any medication, inquire about past medical history, diet, etc.
Be alert for the historical findings because they provide important clues that help point to the correct
diagnosis (or differential diagnosis).
O - Looking for Objective Evidence
Perform physical exam (general or targeted to the present complaints).
If applicable, perform a physical maneuver (Tinel’s, Kernig’s, drawer, etc.)
Order laboratory/other tests to “rule in” (or “rule out”) the differential diagnosis
If the laboratory test result is abnormal, you may be asked about the next step (such as a follow up lab
test that is more sensitive or specific).
A-Assessment
The medical diagnoses for the medical visit on the given date of a note written. An assessment is the
diagnosis or condition the patient has. In some instances, there may be one clear diagnosis. In other
cases, a patient may have several things wrong. There may also be other times where a definitive
diagnosis is not yet made, and more than one possible diagnosis is included in the assessment.
P-Plan
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