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American Association of Critical Care Nurses

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Standards and Certification of the Clinical Nurse Specialist in Acute and ... direct patient care, such as assessing, diagnosing, planning and intervening, ... – PowerPoint PPT presentation

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Title: American Association of Critical Care Nurses


1
American Association of Critical Care Nurses
AACN Certification Corporation
  • Standards and Certification of the Clinical Nurse
    Specialist in Acute and Critical Care the
    Evolution of a Specialty

2
Regulation
  • Regulation of advanced practice nursing is
    accomplished through statutes, the rules and
    regulations of state nurse practice acts,
    certification, peer review and self-regulation.
    Nurse practice acts are administered under the
    authority of state governments to assure public
    safety.

3
Educational Preparation
  • Education of the CNS is at the graduate level in
    nursing. The education program assists the CNS to
    integrate the collaborative model of care into a
    coordinated patient management plan and develop
    competencies within each of the spheres of
    influence of the CNS. The curriculum requirements
    are delineated in The Essentials of Masters
    Education for Advanced Practice Nursing

4
Educational Preparation
  • The advanced practice nursing student prepared in
    a direct care provider role must receive
    sufficient clinical experience to provide depth
    and breadth in a given specialty or with
    designated populations. The acute and critical
    care CNS program should provide sufficient
    clinical experiences to prepare the graduate to
    provide for public safety.

5
Educational Preparation
  • When preparing a graduate who will provide direct
    client care, make diagnoses, prescribe, and
    assume accountability for clinical care, the
    educational program should provide the student
    with opportunity to master knowledge of
    healthcare problems and to apply these skills in
    extensive clinical practice. They should have a
    minimum of 500 hours in direct clinical practice
    during the educational program.

6
Certification
  • Certification of the CNS is recognition of
    competence made by the profession. One component
    of certification is eligibility, related to
    successful completion of the program of study,
    course content, and specified amount of
    supervised clinical practice. The other
    component of certification is knowledge
    determined by passing a written examination that
    tests the knowledge base for the selected area of
    advanced practice.

7
Certification
  • Through use of a consistent definition for the
    acute and critical care CNS, criteria to review
    and assess competence for CNS practice, and CNS
    educational requirements, certification will
    assure the public that the acute and critical
    care CNS meets consistent standards of quality.

8
Licensure
  • The CNS is licensed to practice as a registered
    nurse in the state in which the nurse practices
    and is subject to the states legal constraints
    and regulations. Many states have additional
    requirements that the CNS must satisfy to
    practice or be recognized.

9
Advanced Practice Licensure
  • State Boards of Nursing which utilize the CCNS
    examination as one criterion for advanced
    practice licensure or designation include
    Alabama, California, Connecticut, Idaho,
    Illinois, Iowa, Kentucky, Louisiana, Minnesota,
    Missouri, Montana, New Jersey, New Mexico, North
    Carolina, North Dakota, Ohio, Oklahoma, South
    Dakota, Texas, Utah, Virginia and Wisconsin.

10
Specialization
  • The acute and critical care CNS practices in any
    setting in which patient care requirements
    include complex monitoring and therapies,
    high-intensity nursing intervention, or
    continuous nursing vigilance within the full
    range of high acuity care.

11
Prescriptive Authority
  • The CNS provides direct patient care, such as
    assessing, diagnosing, planning and intervening,
    which includes prescribing pharmacologic as well
    as non-pharmacologic treatment of health
    problems.

12
Nurse Competency CNS ACNP
  • 22 45
  • 7 5
  • 11 10
  • 14 13
  • 8 6
  • 4 4
  • 13 7
  • 21 10
  • Clinical Judgment
  • Advocacy/Moral Agency
  • Caring Practices
  • Collaboration
  • Systems Thinking
  • Response to Diversity
  • Clinical Inquiry
  • Facilitation of Learning

13
Evolution of a Specialty
  • Early 1960s - cardiac units open, patient
    outcomes improve
  • Mid-1960s nurses take over care of critical
    patients
  • 1969 American Association of Cardiovascular
    Nurses (AACN) formed
  • 1971 name changed to American Association of
    Critical-Care Nurses

14
Evolution of a Specialty
  • 1975 AACN Certification Corporation is
    established
  • 1976 First administration of the CCRN
    certification examination
  • 1984 First role delineation study conducted by
    a nursing certification organization to validate
    CCRN exam
  • 1989 - Competence Statements for Critical Care
    Clinical Nurse Specialists developed by AACN CNS
    special interest group and adopted by AACN Board
    of Directors

15
Evolution of a Specialty
  • 1993 AACN Synergy Model for Patient Care
    introduced
  • 1995 - ACNP Scope and Standards jointly developed
    by AACN and ANA
  • 1996 - Acute Care Nurse Practitioner
    certification examination jointly developed by
    AACN and ANCC

16
Evolution of a Specialty
  • 1997 CCRN job analysis indicates 40 of CCRNs
    are practicing outside of the traditional four
    walls of the ICU
  • 1998 Job analysis conducted to study the role
    of the CNS in acute and critical care.
  • 1999 AACN Certification Corporation launches
    Acute and Critical Care Clinical Nurse Specialist
    certification examination

17
Evolution of a Specialty
  • 2002 AACN publishes Scope of Practice and
    Standards of Professional Performance for the
    Acute and Critical Care Clinical Nurse Specialist
  • 2003 Comprehensive study of critical care
    nursing practice compares CNS and ACNP practice,
    identifies entry-level critical care
    competencies, and defines nursing competencies
    for care of the progressive care patient

18
Evolution of a Specialty
  • 2004 Progressive Care generalist certification
    examination launched
  • 2004 Job analyses begin on Cardiovascular and
    Cardiology subspecialty certification
    examinations
  • 2005 Plan development of Nurse Practitioner
    certification examination and Interventional
    Cardiology subspecialty certification examination
  • 2006 Plan development of Entry-level Critical
    Care certification examination.
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