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Exam Number : CGRN
Exam Name : ABCGN Certified Gastroenterology Registered Nurse
Vendor Name : Medical
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The Examination: There is one ABCGN certification examination for RNs. The examination is based on role delineations -- surveys of practitioners, which define the scope of practice and the knowledge and skills required to function in the field. All examination items are written by certified individuals with expertise in the field of gastroenterology and/or gastroenterology endoscopy nursing practice.

Test Items (Questions): Test items are reviewed, referenced and validated by the ABCGN Item Writers Committee and, finally, edited by the testing company for construction, grammatical correctness and clarity. Examination Content The CGRN examination each consist of 175 multiple-choice questions. Each question has four choices and one correct answer. Candidates have three hours to complete their examination.

The CGRN examination contains questions from four major content areas: general nursing care, gastroenterological procedures, patient care interventions and environmental safety, infection prevention and control. All questions are directly related to the GI specialty. More specific information regarding the content of the examinations is included in the Appendix of the Certification Handbook.

Preparation for the Examination: ABCGN does not sponsor or endorse test preparation or review courses for the certification examinations. SGNA, ABCGN's sister organization, offers both courses and materials for the test and recertification. Visit the SGNA website for more details.

1. General Nursing Care 24%
2. Gastroenterological Procedures 33%
3. Patient Care Interventions 27%
4. Environmental Safety, Infection Prevention and Control 16%

Domain I: General Nursing Care
Task A: Assess and analyze the patients health status through data collection.
Knowledge of:
1. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
2. Physiological, psychological, social, cultural, and spiritual aspects of their wellness
3. Pharmacology (e.g. Prescription medication, OTC, supplements-herbal)
Task B: Monitor and assess the patients health status to determine necessary nursing interventions.
Knowledge of:
Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
2. Physiological, psychological, social, cultural, and spiritual aspects of their wellness
3. Pharmacology (e.g. compliance/noncompliance issues, education, drug interaction)
4. Advocating and protecting patients rights and privacy (e.g. HIPAA, ethics)
Task C: Educate the patient through effective communication to develop a plan of care directed to the patients level of understanding.
Knowledge of:
1. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
2. Physiological, psychological, social, cultural, and spiritual aspects of their wellness
3. Pharmacology (e.g. Prescription medication, OTC, supplements-herbal)

Domain II: Gastroenterological Procedures
Task A: Collaborate with the health care team during endoscopic procedures to provide safe and effective care.
Knowledge of:
1. Endoscopic procedures ( e.g. diagnostic, interventional)
2. Equipment and accessories
3. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
4. Environment of care (e.g. thermal burns, chemical spills, radiation, time out)
5. Pharmacology(e.g. sedation medication, reversal agents, procedure medications, resuscitative medication)
6. Physiological, psychological, social, spiritual, and cultural aspects of wellness
7. Potential complications and anticipated interventions (e.g. hemorrhage, perforation, compromised airway, medication reaction)
8. Specimen processing and handling (e.g. labeling, storage, transportation)
Task B: Collaboration with the health care teamduring non-endoscopic procedures to provide safe and effective care.
Knowledge of:
1. Non-endoscopic procedures (e.g. diagnostic, interventional)
2. Equipment and accessories (e.g. needles, probes, capsules, ligature, PEG exchange)
3. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
4. Environment of care (e.g. spills, time out)
5. Pharmacology(e.g. learning needs, sedation medication, reversal agents, procedure medications, resuscitative medication)
6. Physiological, psychological, social, spiritual, and cultural aspects of wellness
7. Potential risks, complications, and interventions
8. Specimen processing and handling (e.g. labeling, storage, transportation)
Task C: Perform non-endoscopic procedures to promote optimal patient outcomes.
Knowledge of:
1. Non-endoscopic procedures (e.g. diagnostic, interventional)
2. Equipment and accessories (e.g. probes, capsules, PEG exchange)
3. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
4. Environment of care (e.g. time out, spills)
5. Pharmacology (e.g. biologics)
6. Physiological, psychological, social, spiritual, and cultural aspects of wellness
7. Potential risks, complications, and interventions
8. Specimen processing and handling (e.g. labeling, storage, transportation)

Domain III: Patient Care Interventions
Task A: Recognize and respond to emergent changes in the patients status to prevent complications and maximize positive outcomes.
Knowledge of:
1. Potential risks, complications, and anticipated interventions (e.g. underlines conditions)
2. Resuscitation procedures and equipment
3. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
4. Emergency medications (e.g. Romazicon, Atropine, Narcan, Epinephrine)
5. Sedation guidelines and principles (e.g. ASA, airway status)
Task 2: Promoting wellness by managing GI health care needs.
Knowledge of:
1. Diet and Nutrition (e.g. supplements, high fiber diet, other specialized diets, diet modifications)
2. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
3. Therapeutic interventions in pain management (e.g. ambulation, medication, positioning)
4. Patients rights and responsibilities (e.g. advanced directives)
5. Pharmacology (e.g. PPI, laxative, pro-biotics, biologics, timing of medication)
6. Potential complications (e.g. flare ups, drug reactions/interactions)
7. Physiological, psychological, social, sexual, spiritual, and cultural aspects of wellness
8. Resources (e.g. palliative, support group, financial and social assistance)
Task C: Administer medications and fluids consistent to provide safe and effective care.
Knowledge of:
1. Established standards for administering medications and fluids (e.g. safe injection practices)
2. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
3. Pharmacology (e.g. biologics infusions/injections, antibiotic, timing of medication)
4. Physiological, psychological, social, cultural, and spiritual aspects of wellness
5. Potential adverse reactions, complications, and anticipated interventions

Domain IV: Environmental Safety, Infection Prevention and Control
Task A: Procedure related infection prevention and control.
Knowledge of:
1. Standard for infection control in an endoscopy setting (e.g. validation of competencies, manufactures guidelines, PPE, spills)
2. Equipment reprocessing (e.g. Scopes and accessories, bioburden)
3. Sterilization and high level disinfection (e.g. Spaulding classification, single use devices vs. reusable devices, minimal effective concentration of disinfection solutions
4. Safe Injection practices (e.g. multi-dose vial)
5. Body mechanics (e.g. ergonomics, patient pressure, repetitive injuries)
6. Electrical, Laser, Radiation, Chemical (e.g. grounding pad placement, piercings, return electrode)
Task B: Environmental Safety, Infection Prevention and Control in Gastroenterology
Knowledge of:
1. Patient education related to disease (e.g. Crohns, C-DIFF, VRE, CRE)
2. Bloodborne pathogen (e.g. Hepatitis C, transmission)
3. Multidrug resistance organisms (e.g. MDRO, VRE, CRE)
4. Personal Protective Equipment (e.g. standard precautions, communication devices, attire)



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Column: touring is coming back. So is the trouble. | CGRN PDF obtain and Latest Topics

go back and forth, exceptionally international go back and forth has been in the dumps for occurring two years on account of the Covid-19 pandemic. Some issues are slowly starting to return to a modicum of normalcy… some.

For years a trip to Israel with stops on the accurate of Masada and the memorial at Yad Vashem were high on the bucket list. We’ve taken every step to make the shuttle jumble more tolerable. they now have TSA-PreCheck that is supposed to ease the circulation through security, a worldwide Entry Card issued by means of the Federal govt.

The latter makes use of biometrics of your handprint should you return from distant places to move you round immigration strains and velocity you through. each charge $100 for fie years. Burt confer with your credit card business as some will reimburse that charge is charged on their card.

The most accurate system, and arguably the fastest during the lengthy traces, is the Clear. For the mere sum of $179 which you could be part of. That’s an annual fee reimbursed by only a handful of credit playing cards.

however becoming a member of Clear will also be greater of a ache in the “seating ability” than anything else. They paid their charge and received a receipt welcoming us. And that turned into it. Is there a need for an identification card? Do you ought to seem before an agent as is crucial with international Entry? Do you simply go to the airport and pray?

It took more than two days of navigating the Clear internet website before attaining a true reside grownup. It took her less than a minute to explain a very standard technique. Go to a designated airport (that you would be able to investigate which of them settle for enrollments), enroll in precisely a couple of minutes after which that you could proceed.

That became only one of the hassles. The go back and forth to Israel essentially grew to become a bureaucratic nightmare. The go back and forth changed into made via a go back and forth company or some thing of the type. For the mere sum of greater than $5,000, which they gladly permitted, it was unimaginable to get a solution from them. The packager stored responding that it become not a shuttle agent. Yet their web web page listed them together with the tour operator.

there have been serious questions on entry to Israel within the age of Covid. You ought to give, amongst other issues, a scientific coverage that covers you within the adventure you contract the virus whereas in Israel. That regardless of that their arms suffered the soreness of two primary shot and a booster. (How about that Dr. Fauci?) The form is got on line and filed the equal method.

unfortunately, they unintentionally uploaded the incorrect scientific insurance and have been refused entry. What to do? They attempted to re-access the form, however would now not allow that for 14 days. The Israeli consulate didn't return a couple of calls and they at last despatched a licensed, return receipt letter to the consulate with the assistance. nevertheless anticipating a response. They had assignments to behavior several interviews whereas in the nation. No response to these requests both.

We’ve been assured that it will all work out in the conclusion. now not so certain, but it does prove the worth of the trip insurance policy they bought. dwell tuned and the conclusion of the story will seem if and when the travel is both completed or a visit to Lake George is undertaken instead.

The base line here is earlier than any travel, primarily on out of the nation, check out all of the requirements and follow them to the “T.” China is notorious for being a stickler for aspect. That being said, a visit to China a long time again changed into achieved with out a difficulty because they read and reread ever element of every requirement and took each crucial step.

but in equity to the visitor these entities who want your company can be a little bit more forthcoming and valuable. as an alternative of throwing roadblocks to your course, that might return a phone name or have the entire necessary information online or with an easy telephone name. funds for reservations are immediately authorized. That should still be step one to an unforgettable commute.




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