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Test Number : CFRN
Test Name : Certified Flight Registered Nurse
Vendor Name : Medical
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CFRN test Format | CFRN Course Contents | CFRN Course Outline | CFRN test Syllabus | CFRN test Objectives


1. General principles of transport nursing practice
A. Transport physiology
1. Physiologic stressors of transport
2. Effects of altitude on patients
B. Scene operations
1. Secure landing zone
2. Incident Command System
C. Communications
1. Radio operations
2. Patient handoff (e.g., history from referring provider, updates for receiving provider, SBAR)
3. Crew resource management
D. Safety and survival
1. ELT
2. Navigation (e.g., maps, GPS, night-vision goggles)
3. Transponder codes
4. Survival principles (post-crash)
5. Transport vehicle emergencies
6. Pre-mission preparation (e.g., shift preparedness, risk assessment, crew briefings, weather limitations,AMRM)
E. Management of man-made disasters (e.g., terrorism, industrial accident, transportation accident, mass casualties)
F. Professional issues
1. Evidence-based practice and research
2. Legal issues
a. HIPAA
b. EMTALA
c. Consent
d. Mandatory reporting (e.g., abuse, neglect, diversion, non-accidental trauma)
e. Legal concepts in patient care (e.g., negligence, assault, battery, abandonment)
3. Ethical issues
4. Psychosocial issues in transport, including families
G. Management
1. Quality management and fair work environment
2. Outreach and community education
3. Stress management (e.g., self-care, post-traumatic critical incident)
2. Resuscitation principles 27 31
A. Principles of assessment and patient preparation
1. Physical assessment
2. Pain and comfort assessment
3. Preparing the patient for transport (i.e., packaging)
B. Airway management
1. Airway assessment
2. Airway management
3. Difficulties encountered with airway
4. Rapid Sequence Induction for Intubation (RSI), including pharmacology
C. Mechanical ventilation
1. Invasive ventilation
2. Non-invasive ventilation
D. Perfusion
1. Components of oxygen delivery
2. Shock pathophysiology
3. Trauma triad (hypothermia, acidosis, coagulopathies)
4. Acid base imbalances
3. Trauma 26 31
A. Principles of management
1. Mechanism of injury
2. Shock
a. Hypovolemic
b. Obstructive
c. Distributive (including neurogenic)
d. Cardiogenic
3. Immobilization
B. Neurologic
1. Traumatic brain injuries
2. Spinal cord injuries
3. Post-traumatic seizures
C. Thoracic
1. Chest wall injuries
2. Pulmonary injuries
3. Cardiac injuries
4. Great vessel injuries
D. Abdominal
1. Hollow organ injuries
2. Solid organ injuries
3. Diaphragmatic injuries
4. Retroperitoneal injuries
5. Abdominal compartment syndrome
E. Orthopedic
1. Vertebral injuries
2. Pelvic injuries
3. Compartment syndrome
4. Amputations
5. Extremity fractures
6. Soft-tissue injuries
F. Burn
1. Chemical burns
2. Electrical burns
3. Thermal burns
4. Radiological burns
5. Inhalation injuries
G. Maxillofacial and neck
1. Facial injuries, including fractures
2. Ocular injuries
3. Blunt and penetrating neck injuries
4. Medical emergencies 44 44
A. Neurologic
1. Seizure disorders
2. Stroke
3. Neuromuscular disorders
4. Space occupying lesions
a. Blood
b. Tumors
c. Abscesses
d. Hydrocephalus
e. Encephalopathies
B. Cardiovascular
1. Acute coronary syndrome
2. Congestive heart failure
3. Pulmonary edema
4. Dysrhythmias
5. Aortic abnormalities
6. Hypertension
7. Mechanical/circulatory support (e.g., IABP, VAD, pacing)
C. Pulmonary
1. COPD
2. Acute lung injury/ARDS
3. Pulmonary infections
4. Asthma
5. Pulmonary embolism
D. Abdominal
1. Abdominal compartment syndrome
2. GI bleed
3. Conditions of the hollow organs (e.g., obstruction,rupture)
4. Conditions of the solid organs (e.g., pancreatitis, hepatitis)
E. Electrolyte disturbances
F. Metabolic and endocrine
1. Diabetic emergencies
2. Neuroendocrine disorders (e.g., diabetes insipidus, SIADH, HHNK)
3. Thyroid conditions
4. Adrenal disorders
G. Hematology
1. Coagulopathies (including platelet disorders)
2. Anemias
H. Renal
1. Acute kidney injury (i.e., acute renal failure)
2. Chronic renal failure
I. Infectious and communicable diseases
1. SIRS and sepsis
2. Isolation precautions (e.g., MRSA, influenza-like illness, highly-infectious diseases)
J. Shock
1. Hypovolemic
2. Obstructive
3. Distributive (including neurogenic and anaphylaxis)
4. Cardiogenic
K. Environmental and toxicological emergencies
1. Environment
a. Allergic reactions
b. Cold related (e.g., hypothermia, frostbite)
c. Heat related (e.g., heatstroke, heat exhaustion)
d. Submersion injuries (i.e., diving injuries, drowning, near drowning)
e. Bites and envenomation
2. Toxicology
A. Obstetrical patients
1. Complications of pregnancy
2. Delivery and post-partum care of mother and infant
3. Trauma
B. Pediatric
1. Trauma
2. Medical (e.g., respiratory, cardiac, and neurological emergencies, metabolic disturbances)
C. Geriatric
1. Trauma (e.g., falls, immobilization)
2. Medical (e.g., drug interactions and comorbidities, dementia)
D. Bariatric (e.g., logistical issues, drug dosage, skin issues,airway management)

Procedures
PA catheter
Point-of-care testing
Video laryngoscopy
Chest radiographs
Transvenous pacing
Capnography for non-intubated patients
Surgical cricothyrotomy
Therapeutic hypothermia
Central venous pressure measurement
Arterial line
Needle cricothyrotomy
Needle thoracostomy
Tourniquet application
Central line
Chest tube
Pelvic stabilization
Non-invasive mechanical ventilation
Traction splint
12-lead ECG
Invasive mechanical ventilation
Transcutaneous pacing
Blood product administration
Capnography for intubated patients
Endotrachael intubation
Initiate/titrate medications
Intraosseous catheter
IABP operation
Escharotomy
CT scans
Medical circulatory devices (VAD, Impella®)
Fracture/dislocation reduction
ICP monitoring
Pericardiocentesis
Neck radiographs
Ventriculostomy monitoring



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Medical Nurse certification

correct certified Emergency Nurse Shares Insights on Pandemic, skilled building | CFRN test Questions and test dumps

The COVID-19 pandemic has challenged healthcare laborers these past months like no different time in contemporary history but certified emergency nurses (CENs) rose to the event, according to Jude Lark, BSN, RN, CEN, CCRN, emergency features clinical nurse educator at Atlantic fitness gadget’s miss out on medical core in Summit, New Jersey.

"I accept as true with their certified nurses came through robust. They utilized their talents of highest quality practices and talents to help us facilitate and drive new, innovative easy methods to care for their COVID sufferers and each different," says Lark, who become recently named the Board of Certification for Emergency Nursing's (BCEN) 2020 exceptional CEN Award winner.

due to their nature, CENs have a higher stage of competency and skills, Lark says, and that they were providing the emergency branch with the potential and the means to adapt and drive indispensable changes for the patients, group of workers, and the community to carry fine and safe care all over a challenging time.

CENs as Innovators

A problem faced by means of emergency departments throughout the pandemic is safely triaging a excessive extent of sufferers who may well be contaminated. "appropriate from the get-go, they had heard that they obligatory to turn into prepared. and then the patients came in a single through one and then one by means of 100, so they had to gain knowledge of as they went and teach as they went," Lark says.

In responses, fail to spot clinical core modified its triaging method, with a screener and a nurse stationed outdoor to display patients for COVID-19 signs then correctly region them in the branch, she says. subsequent came determining a way to address the excessive extent and acuity of the COVID-19 sufferers, which necessitated setting up tents.

personnel would additionally need to be trained on the usage of powered air purifying respirators (PAPRs), which no person within the department had used before, Lark says. "So, they created a video. I used physicians that came in on a Saturday and filmed the manner of donning and doffing the PAPRs so that you could correctly protect yourself in case you're intubating or doing any aerosolization-type of process. You deserve to protect yourself and the leisure of the neighborhood by using wearing the PAPRs."

How nurses spoke back to codes also needed to be redesigned to evade probably contaminating crash carts, Lark says. To steer clear of bringing the crash cart into a patient's room, grab-and-go bags had been made so a group of workers member may remain outdoor the room and at once hand them to somebody interior. To talk with colleagues backyard the patient's room, team of workers members interior the room used dry erase markers to put in writing on the home windows to lower opening and closing the door.

aid CENs prevail

Even earlier than the pandemic, Lark says CENs have been stepping up and taking an energetic role as leaders due to a strong focus on shared governance at fail to spot medical center and Atlantic health equipment. CENs serve on system governance committees in addition to site-selected committees that handle nice, observe, skilled construction, and analysis.

Leveraging the advantage and expertise of CENs, the health system, including the emergency department educators, developed its first emergency residency program for nurses during the last 12 months. according to Lark, the primary community of 10 emergency department nurses are set to graduate next month. "We're very excited about this class of a program in an effort to cause enhanced discovering, training, important thinking, retention, and certification."

Lark credits fail to spot clinical middle with growing an atmosphere by which CENs are inspired to be triumphant and thrive through merchandising of skilled building and certification. "even if you're a sanatorium leader or a nurse chief, promotion of [professional development] goes a long method," Lark says. as an example, overlook has supplied annual certification evaluation classes for the workforce. Nurses from different health methods in the tri-state enviornment are invited to join the overview lessons.  

In June, fail to notice held a two-day certification course with Jeff Solheim. considering that then, five nurses have turn into licensed and 7 extra are scheduled to sit for the examination before the end of the year, Lark says.

"It takes a leadership community to dwell not off course, to force and hold effective encouragement towards certification. The clinic need to say it stands behind you and should reimburse you for everything that you just're going via to develop into licensed," she provides.

The future of CENs

Lark predicts more youthful nurses and new graduates from residency nursing courses will are searching for out certification prior in their careers and, in consequence, their scientific knowledge on the bedside will enrich as the years go via.

whereas the pandemic has been a making an attempt time for all healthcare laborers, Lark says now's the time to regroup and reenergize nurses' ardour and power toward certification.

"I feel [certification] does excite the group. It excites the newer nurses and i see more advancement in certified nurses—an improved percentage, certainly—across the nation," Lark says. "I see extra residency programs throughout the nation because we're finding that this is a far better technique to teach that new graduate popping out of college. I consider it truly is part of their future."


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