Standards of Practice
STANDARD 1. ASSESSMENT
The transplant nurse collects comprehensive data pertinent to the patient’s health status or situation.
Measurement Criteria:
The transplant nurse:
Collects clinical data in a systematic and ongoing process.
Includes the patient, family, and interprofessional healthcare team members in holistic data collection.
Involves assessment of patients of all ages across the continuum of care from acute to community care.
Prioritizes data collection based on the patient’s immediate condition or anticipated needs.
Uses developmentally appropriate evidence-based assessment techniques and instruments in data collection.
Uses analytical models and problem-solving tools.
Synthesizes data, information, and knowledge relevant to the situation to identify patterns and variances.
Documents relevant data in a comprehensive and retrievable format.
Additional Measurement Criteria for the Transplant Nurse Coordinator:
The transplant nurse coordinator:
Initiates diagnostic tests and procedures relative to the transplant patient’s current status based on established protocols and procedures.
Additional Measurement Criteria for the Advanced Practice Registered Nurse:
The advanced practice registered nurse:
Initiates and interprets diagnostic tests and procedures relative to the transplant patient’s current status.
STANDARD 2. DIAGNOSIS
The transplant nurse analyzes the assessment data to determine the nursing diagnoses or health-related problems or needs.
Measurement Criteria:
The transplant nurse and transplant nurse coordinator:
Derives the diagnoses, problems, or needs based on assessment data that reflect the patient’s current clinical condition.
Systematically compares clinical findings with normal and abnormal variations.
Derives diagnoses encompassing:
The patient’s identified or potential physical, psychological, social, or developmental problems depending upon the age of the patient.
The needs of the child or adolescent to attend school.
The needs of the elderly patient regarding integration into posthospital or long-term care management.
The support and educational needs of the family or designated care provider.
Any present or potential environmental problem.
Refines and revises diagnoses regularly based on data subsequently collected.
Discusses diagnoses, problem, or needs with the patient, family, caregivers, members of the interprofessional team, and other healthcare providers when possible and appropriate.
Documents diagnoses or issues in a manner that facilitates the determination of the expected outcomes and plan.
Additional Measurement Criteria for the Advanced Practice Registered Nurse:
The advanced practice registered nurse:
Systematically compares clinical findings with normal and abnormal variations and developmental events in formulating a differential diagnosis.
Utilizes complex data and information obtained during interview, examination, and diagnostic procedures in identifying diagnoses.
Assists staff and the interprofessional team in developing and maintaining competency in transplant diagnosis.
STANDARD 3. OUTCOMES IDENTIFICATION
The transplant nurse identifies expected outcomes for a plan individualized to the patient or the situation.
Measurement Criteria:
The transplant nurse:
Identifies expected outcomes mutually with the patient, family, and other healthcare providers. Expected outcomes are patientoriented, developmentally appropriate, evidence-based, attainable, and realistic in relation to the patient’s, caregiver’s, and family’s present and potential abilities.
Derives culturally and age-appropriate expected outcomes from the diagnoses.
Considers associated risks, benefits, costs, current scientific evidence, and clinical expertise when formulating expected outcomes.
Defines expected outcomes in terms of the patient, patient values, ethical considerations, environment or situation with consideration of associated risks, benefits and costs, and current scientific evidence.
Includes a time estimate for attainment of expected outcomes.
Develops expected outcomes that provide direction for continuity of care.
Modifies expected outcomes based on patient changes and evaluation of the situation.
Documents expected outcomes as measurable goals.
Implements consensus-driven clinical guidelines.
Additional Measurement Criteria for the Transplant Nurse Coordinator or Advanced Practice Registered Nurse:
The transplant nurse coordinator or advanced practice registered nurse:
Identifies expected outcomes that incorporate scientific evidence and are achievable through evidence-based practices.
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