Standards of Plastic Surgery Nursing Practice
Standards of Practice for Plastic Surgery Nursing
Standard 1. Assessment
The plastic surgery registered nurse collects comprehensive data pertinent to the healthcare consumer’s health and/or situation.
COMPETENCIES
The plastic surgery nurse:
Collects comprehensive data, including but not limited to physical, functional, psychosocial, emotional, cognitive, sexual, cultural, age-related, environmental, spiritual/transpersonal, and economic assessments, in a systematic and ongoing process while honoring the uniqueness of the person.
Elicits the healthcare consumer’s values, preferences, expressed needs, expectations, and knowledge of the healthcare situation.
Identifies barriers to effective communication and makes appropriate adaptations.
Includes the healthcare consumer, family, significant others, and appropriate healthcare providers in the holistic data collection process.
Recognizes the impact of personal attitudes, values, and beliefs.
Prioritizes data collection.
Uses appropriate evidence-based assessment techniques, analytical models and instruments, and problem-solving tools in collecting pertinent data according to the plastic surgery healthcare consumer’s immediate health condition, situation, or anticipated needs.
Synthesizes available data, information, and knowledge relevant to the situation to identify patterns and variances.
Documents relevant data in a retrievable format.
Applies ethical, legal, and privacy guidelines and policies to the collection, maintenance, use, and dissemination of data and information.
Recognizes the healthcare consumer as the authority on her or his own health by honoring the consumer’s care preferences.
Assesses family dynamics and impact on healthcare consumer health and wellness.
ADDITIONAL COMPETENCIES FOR THE ADVANCED PRACTICE REGISTERED NURSE IN PLASTIC SURGERY
The advanced practice registered nurse in plastic surgery:
Conducts in-depth and comprehensive assessments based on a synthesis of individual and family health.
Bases assessments on advanced knowledge in the field of plastic surgery.
Initiates and interprets diagnostic tests and procedures relevant to the current status of the plastic surgery healthcare consumer.
Assesses the effect of interactions among individuals, family, community, and social systems on health and illness.
Standard 2. Diagnosis
The plastic surgery registered nurse analyzes the assessment data to determine the diagnoses or issues.
COMPETENCIES
The plastic surgery registered nurse:
Derives the diagnosis and issues from the assessment data obtained during interview, consultation, physical examination, diagnostic test, or diagnostic procedures.
Identifies actual or potential risks to the healthcare consumer’s health and safety, as well as barriers to health, which may include but are not limited to interpersonal, systematic, or environmental circumstances.
Uses standardized classification systems and clinical decision support tools, when available, in identifying diagnoses.
Bases the diagnosis on actual or potential responses to alterations in health.
Validates the diagnoses or issues with the plastic surgery healthcare consumer, significant others, and other appropriate healthcare providers when possible.
Documents diagnoses or issues in a manner that facilitates determination of the expected outcomes and plan.
ADDITIONAL COMPETENCIES FOR THE ADVANCED PRACTICE REGISTERED NURSE IN PLASTIC SURGERY
The advanced practice registered nurse in plastic surgery:
Systematically compares and contrasts clinical findings of the plastic surgery patient with normal and abnormal variations and developmental events when formulating a differential diagnosis.
Utilizes complex data and information obtained during the interview, consultation, examination, and diagnostic procedures, and initiates further appropriate diagnostic tests to complete the identification of diagnoses.
Assists staff in building and sustaining competency in the diagnostic process.
Standard 3. Outcomes Identification
The plastic surgery registered nurse identifies expected outcomes for a plan individualized to the healthcare consumer or the situation.
COMPETENCIES
The plastic surgery registered nurse:
Involves the healthcare consumer, family, healthcare providers, and others in formulating expected outcomes when possible and appropriate.
Derives culturally appropriate expected outcomes from the diagnoses.
Considers associated risks, benefits, costs, current scientific evidence, expected trajectory of the condition, and clinical expertise when formulating expected outcomes.
Defines expected outcomes in terms of the healthcare consumer’s culture, values, and ethical considerations.
Includes a time estimate for the attainment of expected outcomes.
Develops expected outcomes that facilitate continuity of care.
Modifies expected outcomes based on changes in the status of the healthcare consumer or evaluation of the situation.
Documents expected outcomes as measurable goals.
ADDITIONAL COMPETENCIES FOR THE ADVANCED PRACTICE REGISTERED NURSE IN PLASTIC SURGERY
The advanced practice registered nurse in plastic surgery:
Identifies expected outcomes that incorporate scientific evidence and are achievable through implementation of evidence-based practices.
Identifies expected outcomes that incorporate cost and clinical effectiveness, healthcare consumer satisfaction, and continuity and consistency among providers.
Differentiates outcomes that require care process interventions from those that require system-level interventions.
Standard 4. Planning
The plastic surgery registered nurse develops a plan that prescribes strategies and alternatives to attain expected outcomes.
COMPETENCIES
The plastic surgery registered nurse:
Develops an individualized plan in partnership with the healthcare consumer, family, and others while considering the healthcare consumer’s characteristics or situation, including but not limited to values, beliefs, spiritual and health practices, preferences, choices, developmental level, coping style, culture and environment, and available technology.
Establishes the plan priorities with the healthcare consumer, family, and others as appropriate.
Includes strategies in the plan that address each of the identified diagnoses or issues. These may include, but are not limited to, strategies for:
Promotion and restoration of health
Prevention of illness, injury, and disease
Alleviation of suffering
Supportive care for those who are dying
Includes strategies for health and wholeness across the lifespan.
Provides for continuity in the plan.
Incorporates an implementation pathway or timeline in the plan.
Utilizes the plan to provide direction to other members of the healthcare team.
Explores practice settings and safe space and time for the plastic surgery registered nurse and the healthcare consumer to explore suggested, potential, and alternative options.
Defines a plan that reflects current statutes, rules, regulations, standards, and policies.
Modifies the plan according to ongoing assessment of the healthcare consumer’s response and other outcome indicators.
Integrates current scientific evidence, trends, and research in the planning process.
Considers the economic impact of the plan on the plastic surgery patient, family, caregivers, and other affected parties.
Documents the plan in a manner that uses standardized language or recognized terminology.
ADDITIONAL COMPETENCIES FOR THE ADVANCED PRACTICE REGISTERED NURSE IN PLASTIC SURGERY
The advanced practice registered nurse in plastic surgery:
Identifies assessment and diagnostic strategies and therapeutic interventions in the plan that reflect current evidence, including data, research, literature, and expert clinical knowledge.
Selects or designs strategies to meet the multifaceted needs of complex plastic surgery healthcare consumers.
Includes a synthesis of the healthcare consumer’s values and beliefs regarding nursing and medical therapies within the plan.
Actively participates in the development and continuous improvement of systems that support the planning process.
Leads the design and development of interprofessional processes to address the identified diagnosis or issue.
Standard 5. Implementation
The plastic surgery registered nurse implements the identified plan.
COMPETENCIES
The plastic surgery registered nurse:
Partners with the person, family, significant others, and caregivers as appropriate to implement the plan in a safe, realistic, and timely manner.
Demonstrates caring behaviors toward healthcare consumers, significant others, and groups of people receiving care.
Utilizes technology to measure, record, and retrieve healthcare consumer data, implement the nursing process, and enhance plastic surgery nursing practice.
Utilizes evidence-based interventions and treatments specific to the diagnosis or problem of the plastic surgery healthcare consumer.
Provides holistic care that addresses the needs of diverse populations across the lifespan.
Advocates for health care that is sensitive to the needs of healthcare consumers, with particular emphasis on the needs of diverse populations.
Applies appropriate knowledge of major health problems and cultural diversity in implementing the plan of care.
Applies available healthcare technologies to maximize access and optimize outcomes for healthcare consumers.
Utilizes community resources and systems to implement the plan.
Collaborates with healthcare providers from diverse backgrounds to implement and integrate the plan.
Accommodates different styles of communication used by healthcare consumers, families, and healthcare providers.
Integrates traditional and complementary healthcare practices as appropriate.
Implements the plan in a timely manner in accordance with healthcare consumer safety goals.
Promotes the healthcare consumer’s capacity for the optimal level of participation and problem-solving.
Documents implementation and any modifications, including changes or omissions, of the identified plan.
ADDITIONAL COMPETENCIES FOR THE ADVANCED PRACTICE REGISTERED NURSE IN PLASTIC SURGERY
The advanced practice registered nurse in plastic surgery:
Facilitates utilization of systems, organizations, and community resources to implement the plan for the plastic surgery healthcare consumer.
Supports collaboration with nursing and other colleagues to implement the plan.
Incorporates new knowledge and strategies to initiate change in plastic surgery nursing care practices if desired outcomes are not achieved.
Assumes responsibility for safe and efficient implementation of the plan.
Uses advanced communication skills to promote relationships between plastic surgery nurses and healthcare consumers, to provide a context for open discussion of the healthcare consumer’s experiences, and to improve healthcare consumer outcomes.
Actively participates in the development and continuous improvement of systems that support implementation of the plan.
Standard 5A. Coordination of Care
The plastic surgery registered nurse coordinates care delivery.
COMPETENCIES
The plastic surgery registered nurse:
Organizes the components of the plan.
Manages a healthcare consumer’s care so as to maximize independence and quality of life.
Assists the healthcare consumer in identifying options for alternative care.
Communicates with the healthcare consumer, family, and system during transitions in care.
Advocates for the delivery of dignified and humane care by the interprofessional team.
Documents the coordination of the care.
ADDITIONAL COMPETENCIES FOR THE ADVANCED PRACTICE REGISTERED NURSE IN PLASTIC SURGERY