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Test Number : CGRN
Test Name : ABCGN Certified Gastroenterology Registered Nurse
Vendor Name : Medical
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CGRN exam Format | CGRN Course Contents | CGRN Course Outline | CGRN exam Syllabus | CGRN exam 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 exam 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 Free PDF

PromoCell's New GMP Certification - EXCiPACT | CGRN exam Questions and Free PDF

in this interview, news-scientific talks to Dr. Irma Börcsöok (CEO of PromoCell) and Dörte Keimer (Head of nice Assurance) about PromoCell, the work they do, and the latest GMP certification the enterprise has performed - EXCiPACT.

could you supply a quick overview of PromoCell and the work you do?

PromoCell has supported scientists worldwide in the field of biomedical research and industry analysis functions for over 30 years.

today, PromoCell is greatly considered for its excessive stage of competence, in addition to its work with a big range of primary human cells, stem cells, blood cells, and technically superior phone subculture media. Their licensed mobile tradition media and reagents are available to their purchasers as pharmaceutical excipients on request.

What exactly is the EXCiPACT GMP certification and the way is it complementary with the ISO 9001:2015?

Pharmaceutical excipient production should still be conducted in keeping with the concepts described in the decent Manufacturing Practices (GMP). With that in mind, a group of business consultants together with EFCG, IPEC and PQG worked collectively to develop the EXCiPACT certification scheme for pharmaceutical excipient suppliers.

ISO 9001 types the basis for the EXCiPACT GMP ordinary, which is an annex to ISO 9001:2015. the U.S. national general “respectable Manufacturing Practices (GMP) for Pharmaceutical Excipients NSF/IPEC/ANSI 363-2016” additionally offers suggestions and additional necessities,

PromoCell is certified to fulfill all of these necessities.

Following on from the previous question, may you please explain the value of this certification to PromoCell?

Regulatory authorities require that pharmaceutical groups’ suppliers are certified the use of ordinary GMP audits. This audit may also be achieved in-condo, or via a 3rd birthday celebration equivalent to an independent certification body.

EXCiPACT is a non-earnings organization that oversees and operates one such unbiased, top notch third-birthday celebration certification system. This certification system is available to pharmaceutical manufacturers and distributors all over.

PromoCell can share each the certificates and the audit file with valued clientele, presenting them with documentation that each the customer and their native authority can use to possibility determine their items. This reduces the burden of audits on each side.

What did PromoCell need to exhibit with a view to be authorized for the EXCiPACT GMP certification?

To obtain EXCiPACT GMP certification, PromoCell become required to reveal that its pharmaceutical excipients are manufactured in response to the GMP instructions, as well as ensuring compliance in their raw material supply chain, creation atmosphere, creation tactics and storage circumstances.

The enterprise needed to supply a range of documents, together with batch records and corresponding certificates confirming identification and traceability.

How will the certification have an effect on how PromoCell operates?

PromoCell had already implemented the ISO 9001 first-class management equipment in 2012, retaining an ISO 9001:2015 certification, maintaining high first-rate standards and centralizing continuous improvement in their work.

As part of their work to achieve EXCiPACT GMP certification, they now have brought a brand new customer requirement document method (CRD). valued clientele working in regulated environments can use the CRD to identify, check and speak their regulatory requirements to us. This method is totally beneficial for their shoppers, because it allows us to personalize products and documentation in accordance with their needs.

Are there any products in specific that the EXCIPACT GMP certification will be critical for?

EXCiPACT GMP certification covers the creation of their complete mobilephone tradition media and reagents portfolio, meaning that each one of those items can be applied as part of their CRD method.

we are experiencing a growing to be demand for products designed for stem cell and melanoma cellphone analysis applications; so in contemporary years PromoCell has developed a variety of superior mobile culture media that will also be provided as both xeno-free or chemically defined.

What does the longer term dangle for PromoCell?

EXCiPACT GMP certification allows for us to superior accommodate the transforming into demand for products proper to be used in a regulated environment. thanks to this certification, PromoCell will make essential contributions in the transition from analysis to software.

about the interviewees

Dr. Irma Börcsök bought her PhD degree in Biology from the university of Heidelberg (Germany), focusing on learning osteonecrotic bone metabolism in a primary human phone subculture mannequin. Irma was initially construction Director at PromoCell before shifting into the position of COO the place she become responsible for the construction of PromoCell’s cell tradition and media portfolio as well main R&D together with her mighty scientific background. Now she brings her 20 years’ journey into the CEO role.

Dörte Keimer has a powerful history in GMP telephone subculture. She received her master diploma at the college of Krems (Austria) in medical analysis and labored for eleven years in lots of ranges - but last as Head of creation in keeping with ecu GMP instructions manufacturing advanced therapy Medicinal products (ATMPs). Dörte joined PromoCell in 2013 in the beginning as Head of first-rate manage. As Head of pleasant Assurance she now leads additionally the Regulatory Affairs unit focusing on the customized documentation for PromoCell’s mobile lifestyle media and reagents used as pharmaceutical excipients.

About PromoCell

Advances in science and medication are powered with the aid of human activity. PromoCell empowers your biomedical research. they are your partners for basic cells and mobilephone tradition media, as well as for cell biology research. Their portfolio contains greater than 7,000 items that follow the strictest ethical and great standards.

With greater than 30 years of experience in human simple mobile way of life, they carry analysis tools for scientists global. as a result of sharing knowledge is vital to scientific discovery, they additionally present skilled working towards at their PromoCell Academy. Their crew of consultants is via your side to your quest for brand new treatment plans.


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