The Type of Organization
The type of organization is the Pediatric and Fetal Cardiology Office. The facility cares for all types of fetal heart conditions, such as abnormal heart rhythms, congenital heart disease, heart failure. The organization also handles issues emerging from other prenatal processes, including complicated identical twin pregnancies or other fetal anomalies. Besides, the facility offers professional care to mothers and babies from prenatal diagnosis through birth and postnatal period. According to Słodki et al. (2016), infants born with congenital heart disease often benefit from prenatal diagnosis that allows for optimal prenatal planning. Hence, the facility plays an integral role in caring for various fetal heart-related illnesses and conditions.
Type and Number of Clients Served
As already indicated, the organization’s primary clients are mothers and babies from their infancy. The Centers for Disease Control and Prevention [CDC] (2020) indicate that congenital heart disease affects about one percent, representing nearly 40,000 births in the United States annually. CDC’s findings show that Pediatric and Fetal Cardiology Facilities in the United States handle about 40,000 cases per year. Nonetheless, the selected organization conducts approximately 1,500 fetal echocardiograms and cares for nearly 1,000 children with congenital heart conditions, from minor defects to the most multifaceted lesions annually.
Professional Fit for Advanced Nursing Role
Family Nurse Practitioners (FNP) have an essential role in fetal cardiology. They work as part of an interdisciplinary team caring for children with congenital heart conditions. However, an FNP must be fit professionally for this advanced nursing role. For example, to become an AP provider at the Pediatric and Fetal Cardiology Office, an FNP must have an extensive educational background and clinical experience needed to diagnose patients, develop treatment plans, and prescribe medications. Additionally, a nurse practitioner must gain at least 2,000 hours of clinical practice in fetal cardiac care and complete 30 hours of ongoing education over three years for the American Nurses Credentialing Center (ANCC) certification. Besides, to be fit for an advanced nursing role in the Pediatric and Fetal Cardiology Office, an FNP must receive certification from the American Board of Cardiovascular Medicine.
The core competencies needed to practice as an FNP at a Pediatric and Fetal Cardiology Office include being able to obtain comprehensive medical histories, perform complete physical examinations, interpret laboratory test results and radiology images, prescribe medications, assess interventions’ impacts, and collaborate with the interdisciplinary team to coordinate fetal cardiology care. The FNP should also demonstrate mutual respect, consideration, and empathy for patients and their families (Rodgers et al., 2020). An FNP working at the organization should also be able to integrate advanced training evaluations, diagnosis, and treatment of common pediatric health complications with expert nursing proficiency in health promotion to satisfy the specific needs of children with congenital heart defects.
Job Description and Scope of Practice
The job description of an FNP working in a Pediatric and Fetal Cardiology Office includes providing care to pediatric patients in the cardiovascular department, requesting laboratory tests, reading and interpreting the laboratory results, and collaborating with the interdisciplinary team of healthcare professionals. Additionally, they offer comprehensive care and management to patients suffering from congenital heart diseases and cardiac arrhythmias. They also act as a healthcare resource person, patient advocates, and interdisciplinary consultants. The scope of practice of nurse practitioners in Georgia indicates that the nurse practitioners’ capacity to prescribe medication must be indicated in the nurse protocol agreement between the nurse practitioner and the medical doctor. The scope of practice also prohibits nurse practitioners from prescribing Schedule II controlled substances to patients.
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Centers for Disease Control and Prevention. (2020, December 9). Data and statistics on congenital heart defects. https://www.cdc.gov/ncbddd/heartdefects/data.html
Rodgers, G. P., Linderbaum, J. A., Pearson, D. D., Fernandes, S. M., Housholder-Hughes, S. D., Mendes, L. A., … & Zado, E. S. (2020). 2020 ACC clinical competencies for nurse practitioners and physician assistants in adult cardiovascular medicine: A report of the ACC competency management committee. Journal of the American College of Cardiology, 75(19), 2483-2517. https://doi.org/10.1016/j.jacc.2020.01.005
Słodki, M., Respondek-Liberska, M., Pruetz, J. D., & Donofrio, M. T. (2016). Fetal cardiology: Changing the definition of critical heart disease in the newborn. Journal of Perinatology, 36(8), 575-580. https://www.nature.com/articles/jp201620