Core Competencies of a Pediatric Nurse Practitioner - Primary Care
Core Competencies of a Pediatric Nurse Practitioner - Primary Care
Core Competencies of a Pediatric Nurse Practitioner - Primary Care

Core Competencies of a Pediatric Nurse Practitioner - Primary Care
& Doctorate of Nursing Practice
(PNP-PC)
(DNP)
Screening and Assessment Tools.
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Adverse Childhood Events (ACE) Questionnaire
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Ages & Stages Questionnaire
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Ages & Stages Questionnaire: Social-Emotional
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Ask Suicide-Screening Questions
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CRAFFT Alcohol and Substance Screening Tool
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Edinburgh Postnatal Depression Scale (EPDS)
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Generalized Anxiety Disorder 7-item scale (GAD-7)
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Modified Checklist for Autism in Toddlers, Revised, with Follow-Up (M-CHAT-R/F)™
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NICHQ Vanderbilt Assessment Scales [any version]
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Patient Health Questionnaire (PHQ) [any version]
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Pediatric Symptom Checklist (PSC)
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Screen for Child Anxiety Related Emotional Disorders (SCARED)
(Pediatric Nursing Certification Board, 2023)

Additional PNP-PC Procedure Competencies.
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​Removal of foreign body from eye (with cotton tip applicator)
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Ear foreign body and cerumen removal (curette and irrigation method)
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Nasal foreign body removal
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Nasal packing for epistaxis
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Tooth evulsion- stabilization
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Nasogastric tube insertion
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Urethral catheterization
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Removal of vaginal foreign body
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Skin scraping
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Wound irrigration and drainage
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Wound closure- suture insertion; staple insertion; butterfly/steri-strip, tissue adhesive
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Splinting
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​Reduction of radial head subluxation
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Pelvic exams with collection of cultures
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Diagnostic testing
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Proper strep test
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RSV collection of specimen
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Influenza A/B collection
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(Pediatric Nursing Certification Board, 2013)

DNP Competencies for All Populations.
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Independent Practice:
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Delivers autonomous, accountable care through comprehensive assessment, diagnosis, treatment, and management.
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Scientific Foundation:
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Applies critical thinking and integrates scientific knowledge to inform and advance nursing practice.
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Leadership:
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Leads interprofessional teams, embraces complex roles, and demonstrates reflective decision-making.
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Quality:
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Promotes excellence by using evidence-based practices and evaluating systems-level factors affecting care quality and access.
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Practice Inquiry:
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Translates evidence into practice, evaluates outcomes, and shares findings to improve health at all levels.
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Technology & Information Literacy:
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Utilizes informatics and data systems to support decision-making and communicate health information effectively.
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Policy:
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Analyzes and influences health policy through ethical, legal, and global perspectives.
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Health Delivery Systems:
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Navigates and improves healthcare systems through strategic leadership, risk management, and cultural responsiveness.
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Ethics:
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Applies sound ethical judgment to address complex healthcare issues.
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(National Organization of Nurse Practitioner Faculties, 2013)

Procedures on Certification Exam.
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Cerumen removal
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Collect skin and body fluid specimens
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Fluorescein staining
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Fluoride application
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Incision and drainage
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Reduction of nursemaid’s elbow
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Removal of foreign body
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Removal of sutures and staples
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Umbilical cord cauterization
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Wart removal
(Pediatric Nursing Certification Board, 2023)

Population Focused - Pediatrics.
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Scientific Foundation:
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Applies and translates pediatric-specific evidence to improve child and family outcomes.
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Participates in research, quality improvement, and evidence-based care delivery for pediatric populations.
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Leadership:
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Advocates for children and families, especially in vulnerable populations.
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Leads change and communicates effectively to promote access and quality in pediatric care.
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Quality:
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Collaborates with child health organizations to promote safety and best practices.
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Anticipates variations in care and ensures continuous quality improvement.
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Practice Inquiry:
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Promotes child-centered research and applies findings to pediatric practice.
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Ensures ethical considerations like pediatric assent and parental consent in clinical inquiry.
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Technology & Information Literacy:
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Uses informatics to support pediatric care, tailoring communication to developmental level.
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Contributes to pediatric-focused information systems and coaching caregivers for behavior change.
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Policy:
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Advocates for local, state, and national policies that address pediatric needs.
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Challenges legislative and financial barriers to child and family healthcare access.
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Health Delivery Systems:
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Coordinates transitions across healthcare, educational, and community systems.
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Supports family-centered care and facilitates access to comprehensive services.
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Ethics:
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Applies ethical principles to complex pediatric and family-centered situations.
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Recognizes long-term impacts of ethical decisions on child health.
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Independent Practice:
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Provides full-scope, culturally responsive primary care from birth through young adulthood.
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Performs comprehensive assessments, develops diagnoses, prescribes treatments, and manages care over time.
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Screens for abuse, developmental delays, mental health concerns, and family dynamics.
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Coordinates care with schools, specialists, and community programs; incorporates anticipatory guidance and age-specific education.
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(Pediatric Nursing Certification Board, 2013)

References List and Links to Competencies.
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