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Medical CGRN : ABCGN Certified Gastroenterology Registered Nurse Exam

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Test Number : CGRN
Test Name : ABCGN Certified Gastroenterology Registered Nurse
Vendor Name : Medical
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CGRN test Format | CGRN Course Contents | CGRN Course Outline | CGRN test Syllabus | CGRN test Objectives


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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Medical Certified book

a way to prepare for a Telemedicine Appointment; American Academy of Dermatology | CGRN test Cram and cheat sheet

tips from board-certified dermatologists

ROSEMONT, unwell., April 06, 2021 (GLOBE NEWSWIRE) -- buyer demand for digital fitness care has exploded all over the COVID-19 pandemic. due to telemedicine, sufferers with new considerations and those with persistent situations can have an appointment with a board-certified health professional from the consolation and safeguard of their homes. based on dermatologists from the American Academy of Dermatology — a uniqueness with more than two a long time of experience in telemedicine — even after the pandemic subsides, the comfort and effectivity of digital health care visits capability telemedicine is here to stay.

“Telemedicine is a ravishing way to connect with your general practitioner, certainly for busy households, these with worrying work schedules, and those who live in remote areas,” says board-licensed dermatologist Jennifer David, DO, MBA, FAAD, who based her own digital dermatology follow. “despite the fact, simply as you may put together for an in-person doctor’s seek advice from, it’s essential to spend a couple of minutes making ready for a virtual consult with with a purpose to make your appointment as advantageous and effective because it can be.”

To aid sufferers get probably the most out of their telemedicine appointments, Dr. David recommends right here suggestions:

1. before your appointment, contact your coverage company to find out if your plan covers telemedicine appointments. Many insurance providers have updated their plans to cover telemedicine visits all over the COVID-19 pandemic. however, it’s crucial to find out what class of telemedicine visits are covered and who can deliver them — comparable to your dermatologist or a person specified through your insurance provider.

2. acquire primary medical counsel. here's specifically important when you have a telemedicine appointment with a physician you haven’t viewed earlier than. figuring out your scientific historical past will aid your doctor make a analysis, decide treatment options and prescribe medication, if quintessential. Ask your medical professional’s workplace in the event that they have any varieties you deserve to fill out earlier than your appointment.

Story continues

furthermore, make an inventory of the following earlier than your appointment:

  • drugs you are taking

  • predominant diseases or surgeries you've got had

  • old fitness complications

  • When your latest signs started

  • Your allergy symptoms

  • outdated fitness problems or diseases that your family members have had, reminiscent of cancer, coronary heart disorder, or diabetes

  • you're going to also are looking to ask your doctor’s office what class of telemedicine seek advice from may be performed and how:

  • For video visits, you might be despatched a website hyperlink to connect at the time of your discuss with.

  • For mobilephone visits, you could be given instructions on when to expect a call from your doctor.

  • For visits through pictures best, contact your medical professional’s office to find out when and how to send your photographs. You may also also be asked to send pictures for video and cell visits.

  • three. Write down any questions you can also have. Doing this earlier than your appointment helps you bear in mind every little thing you plan to consult with your medical professional about and make the most of your appointment.

    4. Take photographs. if your subject is something that will also be seen on the dermis, hair or nails, take clear images of the enviornment(s) you need examined. just like an in-grownup doctor’s appointment, if you should have your face or nails examined, bear in mind to remove all make-up or nail polish before taking any photographs. even with how your digital appointment is carried out (video, cellphone, and so on.), it can also be very effective to ship photographs of your epidermis to your medical professional. Your doctor may provide you with guidelines to send pictures.

    To take photos in the highest-feasible fine, observe these advice:

  • be sure your pictures are smartly lit. on every occasion viable, take your pictures in herbal mild. If natural gentle isn’t feasible, use an additional gentle source, similar to a ebook easy or flashlight. be mindful of shadows or glare on the enviornment(s) of interest.

  • Take assorted photographs, including certainly one of each side of the enviornment(s) you want examined. be sure to display the whole body part the place the affected enviornment is latest.

  • Take images to compare. for example, if you have a spot in your hand, take photographs of each fingers so your doctor can see how that area constantly appears. make certain you also take a close-up and far-away photograph of all areas panic so your medical professional can examine.

  • Get aid. if you reside with someone, ask them to take images of complicated-to-reach areas, like the again. in case you are living by myself, use a mirror to make sure you take pictures of the appropriate spot.

  • if your image turns out blurry, delete and retake it, as a transparent image is vital for an accurate examination.

  • 5. stay away from hectic your skin before your appointment. are attempting to stay away from doing things that may trade the appearance of your dermis earlier than your telemedicine appointment. Some examples of issues to evade before your appointment encompass taking a sizzling shower, rubbing or choosing at your skin, or applying skin care products.

    6. discover a quiet and personal space to have your appointment. make certain you could connect to the web in that space and lower any distractions, corresponding to history noise. if your subject is some thing visible, make certain the area has the top-rated lighting possible.

    “whereas telemedicine can’t at all times replace an in-person talk over with together with your dermatologist, it can aid in times if you can’t get to their workplace,” says Dr. David. “After your appointment, reckoning on your condition, your dermatologist might also schedule a further appointment with you — both in-adult or one other telemedicine appointment — to see in case your situation is improving. make sure to hold any follow-up appointments that your dermatologist recommends in an effort to stay match.”

    These guidance are validated in “a way to prepare for a Telemedicine talk over with,” a video posted to the AAD web site and YouTube channel. This video is a part of the AAD’s “Video of the Month” collection, which presents tips americans can use to safely care for their dermis, hair and nails.

    To find a board-certified dermatologist for your enviornment who offers telemedicine appointments, consult with aad.org/findaderm and do an advanced seek “teledermatology” as the observe focal point.

    ContactNicole Dobkin, (847) 240-1746, ndobkin@aad.orgJulie Landmesser, (847) 240-1714, jlandmesser@aad.org

    extra InformationWhat is telemedicine?What to are expecting after a telemedicine appointmentCoronavirus useful resource middle

    about the AADHeadquartered in Rosemont, ill., the American Academy of Dermatology, headquartered in 1938, is the biggest, most influential, and most representative of all dermatologic associations. With a membership of greater than 20,000 physicians worldwide, the AAD is committed to: advancing the analysis and clinical, surgical and beauty remedy of the dermis, hair and nails; advocating high requisites in scientific practice, training, and analysis in dermatology; and assisting and embellishing patient look after a lifetime of healthier skin, hair and nails. For greater suggestions, contact the AAD at (888) 462-DERM (3376) or aad.org. follow the AAD on facebook (American Academy of Dermatology), Twitter (@AADskin), Instagram (@AADskin1), or YouTube (AcademyofDermatology).

    Editor’s observe: The AAD doesn't promote or advocate any products or services. This content is supposed as editorial content and will now not be embedded with any paid, sponsored or advertorial content because it may well be perceived as an AAD endorsement.

    To view this liberate in a media-rich format, go to: https://aad.new-media-liberate.com/2021/telemedicine/


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