Genomic Essentials for Graduate Level Nurses

Designed as both a nursing reference and course text, this book presents genetics and genomic essentials specifically for graduate-level nurses. 


Preliminary chapters cover:

  • basics of genetics, 
  • risk assessment and 
  • genetic testing. 


With chapter contributions by topic experts, the remainder of the book is organized by disease system and covers: 

  • genetics and genomics in prenatal care,
  • neurology, 
  • cancer, 
  • respiratory function, 
  • cardiology, 
  • pharmacogenomics, 
  • hematology and others. 


Key chapters on ethical and legal issues and future technology are also included. 


This volume is well-suited for nursing faculty, nursing students, nurse leaders, and other nursing professionals with a need for further information on genetics and genomics in a nursing role and across a variety of specialties.


For genetic counselors, this resource presents broad introduction to genetics and genomics from nursing perspective.



Type Book
CME Available No
Topic
Cost $89.95 - Paperback; $79.95 - eBook
Note


Date of Resource 2016

Genomic Competencies

Experts from the disciplines listed below have tagged this resource as fulfulling genomic competencies.

Physician Assistant

  • Patient Care
    • 2:   Identify patients who would benefit from referral to genetics professionals
    • 3:   Distinguish between genetic screening and genetic testing
    • 5:   Discuss the range of genetic and genomic-based approaches to the treatment of disease.
  • Medical Knowledge For Practice
    • 1:   Describe the cellular and molecular mechanisms underlying human inheritance.
    • 2:   Define the role of genetic variation in health and disease
  • Interpersonal & Communications Skills
    • 1:   When communicating genetic information to patients, consider personal factors that may influence their understanding and response.
  • PROFESSIONALISM
    • 2:   Discuss financial, ethical, legal, and social issues related to genetic testing and recording of genetic information

Nurse

  • Professional Responsibilities
    • PR-3:   Examine competency of practice
      • PR3-K1:   Scope of nursing practice in relation to genetics/genomics
        • PR3-1:   Identify relevance of genetics/genomics to practice of your discipline.
        • PR3-2:   Demonstrate awareness of the boundaries of one's own professional practice in relation to genetics/genomics.
        • PR3-3:   Perform regular self assessments to identify knowledge and skills deficits that could impact the quality of nursing care one provides to clients in need of genetic/genomic guidance, referral and resources.
        • PR3-4:   Take action to meet identified knowledge and skills deficits related to genetics and genomics.
      • PR3-K2:   Role of specialist genetic/genomic services
        • PR3-1:   Identify relevance of genetics/genomics to practice of your discipline.
        • PR3-2:   Demonstrate awareness of the boundaries of one's own professional practice in relation to genetics/genomics.
        • PR3-3:   Perform regular self assessments to identify knowledge and skills deficits that could impact the quality of nursing care one provides to clients in need of genetic/genomic guidance, referral and resources.
        • PR3-4:   Take action to meet identified knowledge and skills deficits related to genetics and genomics.
      • PR3-K3:   Interprofessional resources
        • PR3-1:   Identify relevance of genetics/genomics to practice of your discipline.
        • PR3-2:   Demonstrate awareness of the boundaries of one's own professional practice in relation to genetics/genomics.
        • PR3-3:   Perform regular self assessments to identify knowledge and skills deficits that could impact the quality of nursing care one provides to clients in need of genetic/genomic guidance, referral and resources.
        • PR3-4:   Take action to meet identified knowledge and skills deficits related to genetics and genomics.
    • PR-4:   Incorporate genetic and genomic technologies and information into practice.
      • PR4-K1:   Technology and information systems
        • PR4-1:   Evaluate genetic and genomic technologies used in client care.
        • PR4-2:   Demonstrate use of genetic and genomic technology and client data for clinical decision-making in providing safe client care.
        • PR4-3:   Identify the credibility, reliability and limitations of genetic and genomic information.
        • PR4-4:   Identify ethical, legal, and social issues associated with genetic/genomic information.
  • Nursing Assessment
    • NA-1:   Demonstrate understanding of relationship of genetics and genomics to health
      • NA1-K1:   Relationship of genetics and genomics to health
        • NA1-1:   Collect a client's personal and three generation family health history to assess for genomic factors that impact the client's health.
        • NA1-2:   Identify potentially significant information from a family history.
        • NA1-3:   Identify clients who might benefit from referral to genetic specialists and/or information resources.
        • NA1-4:   Facilitate appropriate referral to genetic specialists, accurately documenting and communicating relevant history and clinical data.
        • NA1-5:   Describe a typical client journey that might be experienced in the process of genetic counseling.
        • NA1-6:   Describe genetic/genomic factors that contribute to variability of response to pharmacologic agents.
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
        • NA1-8:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
      • NA1-K2:   Relationship of genetics and genomics to normal physiology and pathophysiology
        • NA1-1:   Collect a client's personal and three generation family health history to assess for genomic factors that impact the client's health.
        • NA1-2:   Identify potentially significant information from a family history.
        • NA1-3:   Identify clients who might benefit from referral to genetic specialists and/or information resources.
        • NA1-4:   Facilitate appropriate referral to genetic specialists, accurately documenting and communicating relevant history and clinical data.
        • NA1-5:   Describe a typical client journey that might be experienced in the process of genetic counseling.
        • NA1-6:   Describe genetic/genomic factors that contribute to variability of response to pharmacologic agents.
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
        • NA1-8:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
      • NA1-K3:   Basic principles of pharmacogenetics and pharmacogenomics
        • NA1-1:   Collect a client's personal and three generation family health history to assess for genomic factors that impact the client's health.
        • NA1-2:   Identify potentially significant information from a family history.
        • NA1-3:   Identify clients who might benefit from referral to genetic specialists and/or information resources.
        • NA1-5:   Describe a typical client journey that might be experienced in the process of genetic counseling.
        • NA1-6:   Describe genetic/genomic factors that contribute to variability of response to pharmacologic agents.
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
        • NA1-8:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
      • NA1-K4:   Patterns of disease associated with single gene and multifactorial inheritance
        • NA1-1:   Collect a client's personal and three generation family health history to assess for genomic factors that impact the client's health.
        • NA1-2:   Identify potentially significant information from a family history.
        • NA1-3:   Identify clients who might benefit from referral to genetic specialists and/or information resources.
        • NA1-4:   Facilitate appropriate referral to genetic specialists, accurately documenting and communicating relevant history and clinical data.
        • NA1-5:   Describe a typical client journey that might be experienced in the process of genetic counseling.
        • NA1-6:   Describe genetic/genomic factors that contribute to variability of response to pharmacologic agents.
        • NA1-8:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
    • NA-2:   Demonstrate ability to elicit three-generation family health history information
      • NA2-K1:   Components of family history needed
        • NA2-1:   Demonstrate ability to elicit a complete three-generation family health history.
        • NA2-2:   Identify available family history tools to facilitate collection of family health history information.
    • NA-3:   Construct a pedigree from collected family history
      • NA3-K1:   Components of family history needed to identify disease susceptibility or genetic/genomic condition
        • NA2-1:   Demonstrate ability to elicit a complete three-generation family health history.
        • NA3-1:   Construct a pedigree from collected family history information using standardized symbols and terminology.
        • NA3-2:   Identify available family history tools to generate and document a pedigree, e.g. Surgeon General's Family Health Portrait.
    • NA-4:   Collect histories that consider genetic, environmental, and genomic influences and risks
      • NA4-K1:   Fundamentals of genetic and genomic focused health assessment
        • NA4-1:   Demonstrate ability to collect personal, medical and family history that includes genetic/genomic as well as environmental risks.
      • NA4-K2:   Basics of risk factors
        • NA4-1:   Demonstrate ability to collect personal, medical and family history that includes genetic/genomic as well as environmental risks.
    • NA-5:   Conducts assessments incorporating genetic, environmental, and genomic influences and risk factors
      • NA5-K1:   Fundamentals of genetic and genomic focused health and physical assessment
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
      • NA5-K2:   Basics of risk factors
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
    • NA-6:   Analyze the history and physical assessment for genetic, environmental, and genomic influences
      • NA6-K1:   Pathophysiological, medical and nursing evaluation of common acute and chronic disease
        • NA6-1:   Identify genetic and genomic factors within collected history and physical assessment data that contribute to disease and/or health risks.
        • NA6-2:   Demonstrate ability to incorporate family history as part of the nursing assessment.
        • NA6-3:   Document family history information on three-generations on both maternal and paternal side, when available.
        • NA6-4:   Document key genetic and genomic assessment information.
        • NA6-5:   Identify components of assessment data that contribute to disease and/or health risks to establish a plan of care.
      • NA6-K2:   Indicators of disease susceptibility or a genetic condition
        • NA6-1:   Identify genetic and genomic factors within collected history and physical assessment data that contribute to disease and/or health risks.
        • NA6-2:   Demonstrate ability to incorporate family history as part of the nursing assessment.
        • NA6-3:   Document family history information on three-generations on both maternal and paternal side, when available.
        • NA6-4:   Document key genetic and genomic assessment information.
        • NA6-5:   Identify components of assessment data that contribute to disease and/or health risks to establish a plan of care.
      • NA6-K3:   Assessment and diagnosis of acute and chronic disease
        • NA6-1:   Identify genetic and genomic factors within collected history and physical assessment data that contribute to disease and/or health risks.
        • NA6-2:   Demonstrate ability to incorporate family history as part of the nursing assessment.
        • NA6-3:   Document family history information on three-generations on both maternal and paternal side, when available.
        • NA6-4:   Document key genetic and genomic assessment information.
        • NA6-5:   Identify components of assessment data that contribute to disease and/or health risks to establish a plan of care.
    • NA-7:   Assess client's knowledge, perceptions, and responses
      • NA7-K1:   Cultural, social, ethnic and religious perspectives
        • NA7-1:   Demonstrate the ability to assess clients cultural, religious and ethnic perspectives with regards to genetics and genomics.
        • NA7-10:   Demonstrate use of language appropriate to the client's level of understanding and developmental age when explaining genetic and genomic information.
        • NA7-12:   Demonstrate assessment of social and psychological responses to genetic/genomic information.
        • NA7-2:   Demonstrate an awareness of the client's background in facilitating communication about genetic and genomic issues.
        • NA7-3:   Demonstrate the ability to use resources to facilitate effective communication and access to genetic services.
        • NA7-4:   Use communication skills to promote and check the client's understanding of genetic and genomic information.
        • NA7-5:   Demonstrate an awareness of client's needs, showing fairness and sensitivity when exploring the rationale for seeking specialist genetic advice/referral.
        • NA7-6:   Identify situations when the nurse's own beliefs and values may have potential to influence the genetic and genomic care given to clients.
        • NA7-7:   Identify situations where clients' own beliefs and/or values influence genetic and genomic care choices.
        • NA7-8:   Use communication skills to enable the client to express his or her own wishes, or to pursue a chosen course of action for genetic and genomic services.
        • NA7-9:   Display a non-judgmental attitude at all times.
      • NA7-K2:   Social and psychological implications of accessing genetic services and information
        • NA7-1:   Demonstrate the ability to assess clients cultural, religious and ethnic perspectives with regards to genetics and genomics.
        • NA7-10:   Demonstrate use of language appropriate to the client's level of understanding and developmental age when explaining genetic and genomic information.
        • NA7-12:   Demonstrate assessment of social and psychological responses to genetic/genomic information.
        • NA7-2:   Demonstrate an awareness of the client's background in facilitating communication about genetic and genomic issues.
        • NA7-3:   Demonstrate the ability to use resources to facilitate effective communication and access to genetic services.
        • NA7-4:   Use communication skills to promote and check the client's understanding of genetic and genomic information.
        • NA7-5:   Demonstrate an awareness of client's needs, showing fairness and sensitivity when exploring the rationale for seeking specialist genetic advice/referral.
        • NA7-6:   Identify situations when the nurse's own beliefs and values may have potential to influence the genetic and genomic care given to clients.
        • NA7-7:   Identify situations where clients' own beliefs and/or values influence genetic and genomic care choices.
        • NA7-8:   Use communication skills to enable the client to express his or her own wishes, or to pursue a chosen course of action for genetic and genomic services.
        • NA7-9:   Display a non-judgmental attitude at all times.
      • NA7-K3:   Ethical and legal issues
        • NA7-1:   Demonstrate the ability to assess clients cultural, religious and ethnic perspectives with regards to genetics and genomics.
        • NA7-10:   Demonstrate use of language appropriate to the client's level of understanding and developmental age when explaining genetic and genomic information.
        • NA7-12:   Demonstrate assessment of social and psychological responses to genetic/genomic information.
        • NA7-2:   Demonstrate an awareness of the client's background in facilitating communication about genetic and genomic issues.
        • NA7-3:   Demonstrate the ability to use resources to facilitate effective communication and access to genetic services.
        • NA7-4:   Use communication skills to promote and check the client's understanding of genetic and genomic information.
        • NA7-5:   Demonstrate an awareness of client's needs, showing fairness and sensitivity when exploring the rationale for seeking specialist genetic advice/referral.
        • NA7-6:   Identify situations when the nurse's own beliefs and values may have potential to influence the genetic and genomic care given to clients.
        • NA7-7:   Identify situations where clients' own beliefs and/or values influence genetic and genomic care choices.
        • NA7-8:   Use communication skills to enable the client to express his or her own wishes, or to pursue a chosen course of action for genetic and genomic services.
        • NA7-9:   Display a non-judgmental attitude at all times.
      • NA7-K4:   Principles of autonomous decisionmaking in genetic counseling
        • NA7-1:   Demonstrate the ability to assess clients cultural, religious and ethnic perspectives with regards to genetics and genomics.
        • NA7-10:   Demonstrate use of language appropriate to the client's level of understanding and developmental age when explaining genetic and genomic information.
        • NA7-12:   Demonstrate assessment of social and psychological responses to genetic/genomic information.
        • NA7-2:   Demonstrate an awareness of the client's background in facilitating communication about genetic and genomic issues.
        • NA7-3:   Demonstrate the ability to use resources to facilitate effective communication and access to genetic services.
        • NA7-4:   Use communication skills to promote and check the client's understanding of genetic and genomic information.
        • NA7-5:   Demonstrate an awareness of client's needs, showing fairness and sensitivity when exploring the rationale for seeking specialist genetic advice/referral.
        • NA7-6:   Identify situations when the nurse's own beliefs and values may have potential to influence the genetic and genomic care given to clients.
        • NA7-7:   Identify situations where clients' own beliefs and/or values influence genetic and genomic care choices.
        • NA7-8:   Use communication skills to enable the client to express his or her own wishes, or to pursue a chosen course of action for genetic and genomic services.
        • NA7-9:   Display a non-judgmental attitude at all times.
      • NA7-K5:   Principles of client genetic/genomic education and counseling
        • NA7-1:   Demonstrate the ability to assess clients cultural, religious and ethnic perspectives with regards to genetics and genomics.
        • NA7-12:   Demonstrate assessment of social and psychological responses to genetic/genomic information.
        • NA7-2:   Demonstrate an awareness of the client's background in facilitating communication about genetic and genomic issues.
        • NA7-3:   Demonstrate the ability to use resources to facilitate effective communication and access to genetic services.
        • NA7-4:   Use communication skills to promote and check the client's understanding of genetic and genomic information.
        • NA7-5:   Demonstrate an awareness of client's needs, showing fairness and sensitivity when exploring the rationale for seeking specialist genetic advice/referral.
        • NA7-6:   Identify situations when the nurse's own beliefs and values may have potential to influence the genetic and genomic care given to clients.
        • NA7-7:   Identify situations where clients' own beliefs and/or values influence genetic and genomic care choices.
        • NA7-8:   Use communication skills to enable the client to express his or her own wishes, or to pursue a chosen course of action for genetic and genomic services.
        • NA7-9:   Display a non-judgmental attitude at all times.
    • NA-8:   Develop a plan of care that incorporates genetic and genomic assessment information.
      • NA8-K1:   Interprofessional plan of care
        • NA8-1:   Develop, in partnership with the client, a health care plan that takes into account genetic and genomic determinants of health, available resources, and range of activities that contribute to health and prevention of illness, injury, disability and premat
        • NA8-2:   Integrate best evidence, clinical judgment, client preferences, and family implications in planning genetic and genomic focused individualized care.
  • Identification
    • ID-1:   Identify clients who may benefit from genetic and genomic information and services
      • ID1-K1:   Components of family history needed to identify disease susceptibility or genetic/genomic condition
        • ID1-1:   Identify factors in a family and health history that contribute to: disease susceptibility; disease characteristics, treatment, prognosis; or genetic/genomic condition.
        • ID1-2:   Identify clients who may benefit from further evaluation of the identified disease susceptibility or genetic/genomic condition.
        • ID1-3:   Demonstrate assessment of client concerns or understanding about information received from specialty genetic services (i.e., on-line genetic testing results).
        • ID1-4:   Uses genetic and genomic indicators as rationale for clients who may benefit from further evaluation or other risk management interventions.
        • ID1-5:   Incorporate into the interprofessional plan of care the need for further genetic/genomic evaluation or other risk management interventions in collaboration with the client.
      • ID1-K2:   Inheritance patterns
        • ID1-1:   Identify factors in a family and health history that contribute to: disease susceptibility; disease characteristics, treatment, prognosis; or genetic/genomic condition.
        • ID1-2:   Identify clients who may benefit from further evaluation of the identified disease susceptibility or genetic/genomic condition.
        • ID1-3:   Demonstrate assessment of client concerns or understanding about information received from specialty genetic services (i.e., on-line genetic testing results).
        • ID1-4:   Uses genetic and genomic indicators as rationale for clients who may benefit from further evaluation or other risk management interventions.
        • ID1-5:   Incorporate into the interprofessional plan of care the need for further genetic/genomic evaluation or other risk management interventions in collaboration with the client.
      • ID1-K3:   Indicators of disease susceptibility or a genetic condition
        • ID1-1:   Identify factors in a family and health history that contribute to: disease susceptibility; disease characteristics, treatment, prognosis; or genetic/genomic condition.
        • ID1-2:   Identify clients who may benefit from further evaluation of the identified disease susceptibility or genetic/genomic condition.
        • ID1-3:   Demonstrate assessment of client concerns or understanding about information received from specialty genetic services (i.e., on-line genetic testing results).
        • ID1-4:   Uses genetic and genomic indicators as rationale for clients who may benefit from further evaluation or other risk management interventions.
        • ID1-5:   Incorporate into the interprofessional plan of care the need for further genetic/genomic evaluation or other risk management interventions in collaboration with the client.
      • ID1-K4:   Common health conditions with a genetic/genomic component
        • ID1-1:   Identify factors in a family and health history that contribute to: disease susceptibility; disease characteristics, treatment, prognosis; or genetic/genomic condition.
        • ID1-2:   Identify clients who may benefit from further evaluation of the identified disease susceptibility or genetic/genomic condition.
        • ID1-3:   Demonstrate assessment of client concerns or understanding about information received from specialty genetic services (i.e., on-line genetic testing results).
        • ID1-4:   Uses genetic and genomic indicators as rationale for clients who may benefit from further evaluation or other risk management interventions.
        • ID1-5:   Incorporate into the interprofessional plan of care the need for further genetic/genomic evaluation or other risk management interventions in collaboration with the client.
      • ID1-K5:   Indicators of need for targeted treatment selection
        • ID1-1:   Identify factors in a family and health history that contribute to: disease susceptibility; disease characteristics, treatment, prognosis; or genetic/genomic condition.
        • ID1-2:   Identify clients who may benefit from further evaluation of the identified disease susceptibility or genetic/genomic condition.
        • ID1-4:   Uses genetic and genomic indicators as rationale for clients who may benefit from further evaluation or other risk management interventions.
        • ID1-5:   Incorporate into the interprofessional plan of care the need for further genetic/genomic evaluation or other risk management interventions in collaboration with the client.
    • ID-2:   Identify credible, accurate, appropriate, and current genetic and genomic information
      • ID2-K1:   Resources for health care professionals and lay public
        • ID2-1:   Evaluate strengths, limitations, and best use of genetic and/or genomic resource for a client or group of clients.
        • ID2-2:   Discuss the ways in which nurses can meet the educational, psychosocial and resource needs of clients and families affected by a genetic or genomic condition.
        • ID2-3:   Discuss the ways in which nurses can meet the knowledge, psychosocial and resource needs of clients and families affected by genetic/genomic technology.
        • ID2-4:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • ID2-6:   Evaluate sources of evidence and clinical practice guidelines for a client whose care involves genetic and/or genomic health care. Use continuous quality improvement initiatives to update practice guidelines as necessary.
      • ID2-K2:   Resources for referral within one's community
        • ID2-1:   Evaluate strengths, limitations, and best use of genetic and/or genomic resource for a client or group of clients.
        • ID2-2:   Discuss the ways in which nurses can meet the educational, psychosocial and resource needs of clients and families affected by a genetic or genomic condition.
        • ID2-3:   Discuss the ways in which nurses can meet the knowledge, psychosocial and resource needs of clients and families affected by genetic/genomic technology.
        • ID2-4:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • ID2-6:   Evaluate sources of evidence and clinical practice guidelines for a client whose care involves genetic and/or genomic health care. Use continuous quality improvement initiatives to update practice guidelines as necessary.
      • ID2-K3:   Roles of genetic/genomic health care professionals
        • ID2-1:   Evaluate strengths, limitations, and best use of genetic and/or genomic resource for a client or group of clients.
        • ID2-2:   Discuss the ways in which nurses can meet the educational, psychosocial and resource needs of clients and families affected by a genetic or genomic condition.
        • ID2-3:   Discuss the ways in which nurses can meet the knowledge, psychosocial and resource needs of clients and families affected by genetic/genomic technology.
        • ID2-4:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • ID2-6:   Evaluate sources of evidence and clinical practice guidelines for a client whose care involves genetic and/or genomic health care. Use continuous quality improvement initiatives to update practice guidelines as necessary.
      • ID2-K4:   Interprofessional resources
        • ID2-1:   Evaluate strengths, limitations, and best use of genetic and/or genomic resource for a client or group of clients.
        • ID2-2:   Discuss the ways in which nurses can meet the educational, psychosocial and resource needs of clients and families affected by a genetic or genomic condition.
        • ID2-3:   Discuss the ways in which nurses can meet the knowledge, psychosocial and resource needs of clients and families affected by genetic/genomic technology.
        • ID2-4:   Identify resources available to assist clients seeking genetic and genomic information or services including the types of services available.
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • ID2-6:   Evaluate sources of evidence and clinical practice guidelines for a client whose care involves genetic and/or genomic health care. Use continuous quality improvement initiatives to update practice guidelines as necessary.
    • ID-3:   Identify ethical, ethnic/ancestral, cultural, religious, legal, fiscal and societal issues
      • ID3-K1:   Cultural, ethnic, family values, traditions, health beliefs and religious perspectives
        • ID3-1:   Demonstrate the ability to assess cultural, language, family values, traditions, health beliefs and religious perspectives that influence access to and use of genetic/genomic information, technology, and services.
        • ID3-2:   Identify cultural, language, family values, traditions, health beliefs and religious perspectives that impact access and use of genetic/genomic information, technology and services.
        • ID3-3:   Identify psychosocial issues and impact of genetic/genomic information, technology and services on individual and the family.
        • ID3-4:   Use ethical principles when deliberating genetic/genomic issues of decision-making, privacy, confidentiality, informed consent, disclosure, access, and personal impact.
        • ID3-5:   List action steps to address genetic/genomic ethical issues in practice, e.g. discuss with nursing team or supervisor, present to ethics committee.
        • ID3-6:   Describe the influence of insurance or other methods of reimbursement for services on access to genetic and genomic information and technologies.
      • ID3-K2:   The components of informed decision-making
        • ID3-1:   Demonstrate the ability to assess cultural, language, family values, traditions, health beliefs and religious perspectives that influence access to and use of genetic/genomic information, technology, and services.
        • ID3-2:   Identify cultural, language, family values, traditions, health beliefs and religious perspectives that impact access and use of genetic/genomic information, technology and services.
        • ID3-3:   Identify psychosocial issues and impact of genetic/genomic information, technology and services on individual and the family.
        • ID3-4:   Use ethical principles when deliberating genetic/genomic issues of decision-making, privacy, confidentiality, informed consent, disclosure, access, and personal impact.
        • ID3-5:   List action steps to address genetic/genomic ethical issues in practice, e.g. discuss with nursing team or supervisor, present to ethics committee.
        • ID3-6:   Describe the influence of insurance or other methods of reimbursement for services on access to genetic and genomic information and technologies.
      • ID3-K3:   Sources of genetic information
        • ID3-1:   Demonstrate the ability to assess cultural, language, family values, traditions, health beliefs and religious perspectives that influence access to and use of genetic/genomic information, technology, and services.
        • ID3-2:   Identify cultural, language, family values, traditions, health beliefs and religious perspectives that impact access and use of genetic/genomic information, technology and services.
        • ID3-3:   Identify psychosocial issues and impact of genetic/genomic information, technology and services on individual and the family.
        • ID3-4:   Use ethical principles when deliberating genetic/genomic issues of decision-making, privacy, confidentiality, informed consent, disclosure, access, and personal impact.
        • ID3-5:   List action steps to address genetic/genomic ethical issues in practice, e.g. discuss with nursing team or supervisor, present to ethics committee.
        • ID3-6:   Describe the influence of insurance or other methods of reimbursement for services on access to genetic and genomic information and technologies.
      • ID3-K4:   Capabilities and limitations of current genetic/genomic technologies
        • ID3-1:   Demonstrate the ability to assess cultural, language, family values, traditions, health beliefs and religious perspectives that influence access to and use of genetic/genomic information, technology, and services.
        • ID3-2:   Identify cultural, language, family values, traditions, health beliefs and religious perspectives that impact access and use of genetic/genomic information, technology and services.
        • ID3-3:   Identify psychosocial issues and impact of genetic/genomic information, technology and services on individual and the family.
        • ID3-4:   Use ethical principles when deliberating genetic/genomic issues of decision-making, privacy, confidentiality, informed consent, disclosure, access, and personal impact.
        • ID3-5:   List action steps to address genetic/genomic ethical issues in practice, e.g. discuss with nursing team or supervisor, present to ethics committee.
        • ID3-6:   Describe the influence of insurance or other methods of reimbursement for services on access to genetic and genomic information and technologies.
      • ID3-K5:   Ethical issues related to genetic/genomic information and technology
        • ID3-1:   Demonstrate the ability to assess cultural, language, family values, traditions, health beliefs and religious perspectives that influence access to and use of genetic/genomic information, technology, and services.
        • ID3-2:   Identify cultural, language, family values, traditions, health beliefs and religious perspectives that impact access and use of genetic/genomic information, technology and services.
        • ID3-3:   Identify psychosocial issues and impact of genetic/genomic information, technology and services on individual and the family.
        • ID3-4:   Use ethical principles when deliberating genetic/genomic issues of decision-making, privacy, confidentiality, informed consent, disclosure, access, and personal impact.
        • ID3-5:   List action steps to address genetic/genomic ethical issues in practice, e.g. discuss with nursing team or supervisor, present to ethics committee.
        • ID3-6:   Describe the influence of insurance or other methods of reimbursement for services on access to genetic and genomic information and technologies.
      • ID3-K6:   Psychosocial issues and impact of genetic/genomic information
        • ID3-1:   Demonstrate the ability to assess cultural, language, family values, traditions, health beliefs and religious perspectives that influence access to and use of genetic/genomic information, technology, and services.
        • ID3-2:   Identify cultural, language, family values, traditions, health beliefs and religious perspectives that impact access and use of genetic/genomic information, technology and services.
        • ID3-3:   Identify psychosocial issues and impact of genetic/genomic information, technology and services on individual and the family.
        • ID3-4:   Use ethical principles when deliberating genetic/genomic issues of decision-making, privacy, confidentiality, informed consent, disclosure, access, and personal impact.
        • ID3-5:   List action steps to address genetic/genomic ethical issues in practice, e.g. discuss with nursing team or supervisor, present to ethics committee.
        • ID3-6:   Describe the influence of insurance or other methods of reimbursement for services on access to genetic and genomic information and technologies.
      • ID3-K7:   Current state, federal, and military policies
        • ID3-1:   Demonstrate the ability to assess cultural, language, family values, traditions, health beliefs and religious perspectives that influence access to and use of genetic/genomic information, technology, and services.
        • ID3-2:   Identify cultural, language, family values, traditions, health beliefs and religious perspectives that impact access and use of genetic/genomic information, technology and services.
        • ID3-3:   Identify psychosocial issues and impact of genetic/genomic information, technology and services on individual and the family.
        • ID3-4:   Use ethical principles when deliberating genetic/genomic issues of decision-making, privacy, confidentiality, informed consent, disclosure, access, and personal impact.
        • ID3-5:   List action steps to address genetic/genomic ethical issues in practice, e.g. discuss with nursing team or supervisor, present to ethics committee.
        • ID3-6:   Describe the influence of insurance or other methods of reimbursement for services on access to genetic and genomic information and technologies.
    • ID-4:   Define issues that undermine the rights of all clients for autonomous, informed decision-making
      • ID4-K1:   Current state, federal, and military policies
        • ID4-1:   Identify respective genetic state legislation.
        • ID4-2:   Identify examples of misuse of genetic/genomic information and technology.
        • ID4-3:   Describe legal and social issues related to access and use of genetic information and technology.
        • ID4-4:   Access interprofessional ethical resources when trying to resolve ethical dilemmas.
      • ID4-K2:   The components of informed decision-making
        • ID4-1:   Identify respective genetic state legislation.
        • ID4-2:   Identify examples of misuse of genetic/genomic information and technology.
        • ID4-3:   Describe legal and social issues related to access and use of genetic information and technology.
        • ID4-4:   Access interprofessional ethical resources when trying to resolve ethical dilemmas.
      • ID4-K3:   Past and potential for misuse of genetic/genomic information and technology
        • ID4-1:   Identify respective genetic state legislation.
        • ID4-2:   Identify examples of misuse of genetic/genomic information and technology.
        • ID4-3:   Describe legal and social issues related to access and use of genetic information and technology.
        • ID4-4:   Access interprofessional ethical resources when trying to resolve ethical dilemmas.
      • ID4-K4:   Guidelines or policies regarding access
        • ID4-1:   Identify respective genetic state legislation.
        • ID4-2:   Identify examples of misuse of genetic/genomic information and technology.
        • ID4-3:   Describe legal and social issues related to access and use of genetic information and technology.
        • ID4-4:   Access interprofessional ethical resources when trying to resolve ethical dilemmas.
  • Referral activities
    • RA-1:   Facilitate referrals for specialized genetic and genomic services
      • RA1-K1:   Professional roles of providers delivering genetic and genomic services
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • RA1-1:   Develop an interprofessional plan of care in collaboration with the client that incorporates genetics and genomics.
        • RA1-3:   Develop a plan for follow-up of a client post genetics/genomic referral.
      • RA1-K2:   Resources for health care professionals and lay public
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • RA1-1:   Develop an interprofessional plan of care in collaboration with the client that incorporates genetics and genomics.
        • RA1-3:   Develop a plan for follow-up of a client post genetics/genomic referral.
      • RA1-K3:   Resources for genetic and genomic referrals within the community
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
        • RA1-1:   Develop an interprofessional plan of care in collaboration with the client that incorporates genetics and genomics.
        • RA1-3:   Develop a plan for follow-up of a client post genetics/genomic referral.
  • Provision of education, care and support
    • PECS-2:   Provide clients with genetic and genomic information and resources for informed decision making
      • PECS2-K1:   Resources for healthcare professionals and lay public
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
      • PECS2-K2:   Referral resources for genetic and genomic services within one's community
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
      • PECS2-K3:   Roles of genetic/genomic health care professionals
        • ID2-5:   Develop a list of contacts and resources for genetic/genomic referrals.
    • PECS-3a:   Use health promotion/disease prevention practices that consider genetic and genomic influences
      • PECS3-K1:   Role of environmental and psychosocial factors
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
      • PECS3-K2:   Fundamentals of epidemiology and biostatistics
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
      • PECS3-K3:   Ongoing research contributing to improved understanding of the genetic/genomic influences on health
        • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
    • PECS-3b:   Use health promotion/disease prevention practices incorporating knowledge of genetic and/or genomic risk factors
      • NA1-7:   Incorporate genetic and genomic health assessment data into routinely collected biopsychosocial and environmental assessments of health and illness parameters in client, using culturally sensitive approaches.
    • PECS-4:   Use genetic- and genomic-based interventions and information to improve clients' outcomes
      • PECS4-K1:   Pharmacogenetics, pharmacogenomics
        • PECS4-1:   Demonstrate ability to incorporate family history as part of the nursing assessment.
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS4-3:   Intervene when client has an unintended response to genetic/genomic based interventions to ensure client safety.
      • PECS4-K2:   Gene or gene product targeted therapy
        • PECS4-1:   Demonstrate ability to incorporate family history as part of the nursing assessment.
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS4-3:   Intervene when client has an unintended response to genetic/genomic based interventions to ensure client safety.
      • PECS4-K3:   Protein replacement therapy
        • PECS4-1:   Demonstrate ability to incorporate family history as part of the nursing assessment.
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS4-3:   Intervene when client has an unintended response to genetic/genomic based interventions to ensure client safety.
      • PECS4-K4:   Chaperone therapy
        • PECS4-1:   Demonstrate ability to incorporate family history as part of the nursing assessment.
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS4-3:   Intervene when client has an unintended response to genetic/genomic based interventions to ensure client safety.
    • PECS-5:   Collaborate with health care providers to provide genetic and genomic health care in health promotion/disease prevention
      • PECS5-K1:   Roles of genetic/genomic health care professionals
        • PECS5-1:   Use interprofessional communication and collaboration skills to deliver safe, evidence-based, client-centered care.
        • PECS5-2:   Demonstrate team building and collaborative strategies when working with interprofessional teams.
        • PECS5-3:   Adopt a range of interpersonal skills whilst communicating with clients and colleagues about genetic/genomic issues.
      • PECS5-K2:   Roles of other genetic/genomic specialists
        • PECS5-1:   Use interprofessional communication and collaboration skills to deliver safe, evidence-based, client-centered care.
        • PECS5-2:   Demonstrate team building and collaborative strategies when working with interprofessional teams.
        • PECS5-3:   Adopt a range of interpersonal skills whilst communicating with clients and colleagues about genetic/genomic issues.
    • PECS-6:   Collaborate with insurance providers/payers to facilitate reimbursement for genetic and genomic health care
      • PECS6-K1:   Determinants of clinical utility of genetic/genomic tests
        • PECS6-1:   Identify strategies to facilitate reimbursement for genetic/genomic services and/or tests.
        • PECS6-2:   Describe other methods of payment for genetic/genomic health care services (i.e., laboratory indigent assistance programs).
      • PECS6-K2:   Economic impact of new genetic / genomic based therapies
        • PECS6-1:   Identify strategies to facilitate reimbursement for genetic/genomic services and/or tests.
        • PECS6-2:   Describe other methods of payment for genetic/genomic health care services (i.e., laboratory indigent assistance programs).
      • PECS6-K3:   Influence of predisposition gene variants, genetic disease/disorder on access to health
        • PECS6-1:   Identify strategies to facilitate reimbursement for genetic/genomic services and/or tests.
        • PECS6-2:   Describe other methods of payment for genetic/genomic health care services (i.e., laboratory indigent assistance programs).
    • PECS-7:   Performs interventions/treatments appropriate to clients' genetic and genomic healthcare needs.
      • PECS7-K1:   Pharmacogenetics, pharmacogenomics
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS4-3:   Intervene when client has an unintended response to genetic/genomic based interventions to ensure client safety.
        • PECS7-1:   Administer medications safely with consideration of pharmacogenetic test results if available.
        • PECS7-2:   Administer prescribed genetic / genomic based therapies safely as allowed per State Practice Act.
        • PECS7-3:   Teach client about purpose, expected benefits, limitations and potential risks of genetic/genomic based interventions.
      • PECS7-K2:   Gene or gene product targeted therapy
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS4-3:   Intervene when client has an unintended response to genetic/genomic based interventions to ensure client safety.
        • PECS7-1:   Administer medications safely with consideration of pharmacogenetic test results if available.
        • PECS7-2:   Administer prescribed genetic / genomic based therapies safely as allowed per State Practice Act.
        • PECS7-3:   Teach client about purpose, expected benefits, limitations and potential risks of genetic/genomic based interventions.
      • PECS7-K3:   Protein replacement therapy
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS4-3:   Intervene when client has an unintended response to genetic/genomic based interventions to ensure client safety.
        • PECS7-1:   Administer medications safely with consideration of pharmacogenetic test results if available.
        • PECS7-2:   Administer prescribed genetic / genomic based therapies safely as allowed per State Practice Act.
        • PECS7-3:   Teach client about purpose, expected benefits, limitations and potential risks of genetic/genomic based interventions.
      • PECS7-K4:   Chaperone therapy
        • PECS4-2:   Monitor client response to genetic/genomic based interventions.
        • PECS7-1:   Administer medications safely with consideration of pharmacogenetic test results if available.
        • PECS7-2:   Administer prescribed genetic / genomic based therapies safely as allowed per State Practice Act.
        • PECS7-3:   Teach client about purpose, expected benefits, limitations and potential risks of genetic/genomic based interventions.
    • PECS-8:   Evaluate impact and effectiveness of technology, information, interventions, and treatments
      • PECS8-K1:   Range of psychosocial responses
        • PECS8-1:   Assess client response to genetic/genomic information.
        • PECS8-2:   Assess client response to genetic/genomic based interventions.
        • PECS8-3:   Assess client response to genetic/genomic services.
        • PECS8-4:   Use evaluation of genetic/genomic technology, information and interventions to modify client's plan of care.
      • PECS8-K2:   Expected outcomes of various genetic/genomic based interventions
        • PECS8-1:   Assess client response to genetic/genomic information.
        • PECS8-2:   Assess client response to genetic/genomic based interventions.
        • PECS8-3:   Assess client response to genetic/genomic services.
        • PECS8-4:   Use evaluation of genetic/genomic technology, information and interventions to modify client's plan of care.

Genetic Counselor

  • Genetics Expertise and Analysis
    • 1:   Demonstrate and utilize a depth and breadth of understanding and knowledge of genetics and genomics core concepts and principles.
      • 1a:   Demonstrate knowledge of principles of human, medical, and public health genetics and genomics and their related sciences.
  • Education
    • 16:   Effectively give a presentation on genetics, genomics and genetic counseling issues.
      • 16a:   Assess and determine the educational goals and learning objectives based on the needs and characteristics of the audience.
      • 16b:   Develop an educational method or approach that best facilitates the educational goals of the presentation and considers the characteristics of the audience.
      • 16c:   Present using a delivery style that results in effective communication to the intended audience that is clear and unambiguous.
      • 16d:   Assess one's own teaching style and use feedback and other outcome data to refine future educational encounters.