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Medical OCN : Oncology Certified Nurse Exam

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Test Number : OCN
Test Name : Oncology Certified Nurse
Vendor Name : Medical
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Exam ID : OCN
Exam Title : Oncology Certified Nurse (OCN)
Questions : 165
Duration : 3 hours
Exam Type : multiple-choice

Test Content Outline (Effective 2020)
I. Care Continuum - 19%
A. Health promotion and disease prevention (e.g., high-risk behaviors; preventive health practices)
B. Screening and early detection
C. Navigation
D. Advance care planning (e.g., advance directives)
E. Epidemiology
1. Modifiable risk factors (e.g., smoking, diet, exercise, occupation)
2. Non-modifiable risk factors (e.g., age, gender, genetics)
F. Survivorship
1. Rehabilitation
2. Recurrence concerns
3. Financial concerns
4. Employment concerns
5. Insurance concerns
6. Family and social support concerns
7. Sexuality concerns
G. Treatment-related considerations
1. Delayed-onset side effects
2. Chronic side effects
3. Secondary malignancies
4. Follow-up care
H. End-of-life care
1. Grief
2. Bereavement
3. Hospice care
4. Caregiver support
5. Interdisciplinary team
6. Pharmacologic comfort measures
7. Non-pharmacologic comfort measures
II. Oncology Nursing Practice - 17 %
A. Scientific basis
1. Carcinogenesis
2. Immunology
3. Clinical trials (e.g., research protocols)
B. Site-specific cancer considerations
1. Pathophysiology
2. Common metastatic locations
3. Diagnostic measures
4. Prognosis
5. Classification
6. Staging
7. Histological grading
C. Scope, standards, and related issues
1. Standards of care (nursing process)
2. Legal (including documentation)
3. Accreditation (e.g., The Joint Commission)
4. Self-care (e.g., managing compassion fatigue)
D. Standards of professional performance
1. Ethics (e.g., patient advocacy)
2. Education
3. Evidence-based practice (e.g., Putting Evidence Into Practice (PEP) guidelines) and research
4. Quality of practice
5. Communication
6. Leadership
7. Collaboration
8. Professional practice evaluation
9. Resource utilization
10. Environmental health (e.g., safety, personal protective equipment, safe handling)
III. Treatment Modalities - 19%
A. Surgery
B. Blood and marrow transplant
C. Radiation therapy
D. Chemotherapy
E. Biotherapy
F. Immunotherapy
G. Vascular Access Devices (VADs) for treatment administration
H. Targeted Therapy
IV. Symptom Management and Palliative Care - 23%
A. Etiology and patterns of symptoms (acute, chronic, late)
B. Anatomical and surgical alterations (e.g., lymphedema, ostomy, site-specific radiation)
C. Pharmacologic interventions
D. Complementary and integrative modalities (e.g., massage, acupuncture, herbal supplements)
E. Palliative care considerations
F. Alterations in functioning
1. Hematologic
2. Immune system
3. Gastrointestinal
4. Genitourinary
5. Integumentary
6. Respiratory
7. Cardiovascular
8. Neurological
9. Musculoskeletal
10. Nutrition
11. Cognition
12. Energy level (i.e., fatigue)
V. Oncologic Emergencies - 12%
A. Disseminated intravascular coagulation (DIC)
B. Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)
C. Sepsis (including septic shock)
D. Tumor lysis syndrome
E. Hypersensitivity
F. Anaphylaxis
G. Hypercalcemia
H. Cardiac tamponade
I. Spinal cord compression
J. Superior vena cava syndrome
K. Increased intracranial pressure
L. Obstructions (bowel and urinary)
M. Pneumonitis
N. Extravasations
VI. Psychosocial Dimensions of Care - 10%
A. Cultural, spiritual, and religious diversity
B. Financial concerns (including available resources)
C. Altered body image
D. Learning styles and barriers to learning
E. Social relationships and family dynamics
F. Coping mechanisms and skills
G. Support
1. Patient (i.e., individual and group)
2. Caregiver (including family)
H. Psychosocial considerations
1. Anxiety
2. Loss and grief
3. Depression
4. Loss of personal control
I. Sexuality
1. Reproductive issues (e.g., contraception, fertility)
2. Sexual dysfunction (e.g., physical and psychological effects)
3. Intimacy

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Nursing professor recruits WNY patients for examine to increase affected person safeguard with opioids | OCN cheat sheet and test Questions

BUFFALO, N.Y. - a world look at to strengthen a screening device that hospital nurses can use to Strengthen patient safeguard when administering opioid medicinal drugs for acute ache protected a hundred thirty sufferers at Buffalo conventional clinical middle.

The Buffalo web page simple investigator was Carla Jungquist, PhD, associate professor and adult/gerontology application coordinator in UB’s school of Nursing.

Conclusions from the examine data enabled the building of the PRODIGY risk prediction device, a simple-to-use chance prediction scoring tool to determine sufferers at high possibility of opioid-prompted respiratory depression (OIRD) who may benefit from continuous monitoring with capnography and early intervention.

The screening device developed with the aid of the examine can be used to check hazards of respiratory depression when patients are given opioid ache medicine. Opioids are helpful medicinal drugs for pain management, however can cause extreme sedation and respiratory melancholy resulting in affected person hurt, including loss of life, in response to Jungquist.

in the U.S., 50% of patients hospitalized will receive opioid medications to handle acute ache, she says, and six out of every 1,000 postoperative patients receiving opioids will adventure a serious antagonistic experience.

The foreign study, sponsored by using Medtronic clinical know-how company, advised events preoperative screening for widespread possibility factors of postoperative OIRD with all surgical sufferers.

The study, which analyzed 1,335 patients across sixteen sites in the U.S., Europe and Asia, stated that respiratory depression, as described by way of alterations in pulse oximetry and capnography-monitoring parameters, took place in forty six% of clinical and surgical sufferers evaluated who were receiving intravenous opioids for ache. This incidence fee is significantly better than up to now mentioned in clinical literature.

The comprehensive examine results are posted online in Anesthesia and Analgesia, the journal of the foreign Anesthesia research Society.

Jungquist become fundamental investigator for the Buffalo typical web page, overseeing the analysis and answerable for recruitment and strategies.

Jungquist referred to she would like to say “thanks” to all of the patients that participated during this study. here is an important analyze in order to increase affected person safeguard, according to Jungquist.

“The intent I led the Buffalo website is as a result of i do know there's a major difficulty,” referred to Jungquist. “I don’t want one other death or critical patient damage led to by opioid-prompted respiratory melancholy.

“no person may still see a friend go right into a medical institution and die or be injured as a result of they were given an opioid medicine and the nurses did not admire that they have been vulnerable to an opposed adventure from respiratory depression.”

patients need to comprehend they have been a part of a examine that has overseas magnitude for making improvements to patient protection, said Jungquist, who has written a monograph for affected person security with opioid medicinal drugs.

“This instrument will Strengthen patient safeguard since it makes it possible for nurses to determine sufferers who were at greater risk from opioid remedy,” she mentioned.

Jungquist changed into the lead author of the affiliation Society for pain administration Nursing monitoring instructions.

despite thoughts from several skilled and safeguard companies as well because the lately published instructions from the American Society for ache administration Nursing, currently, there are not any universally authorised practices for positive and safe evaluation and monitoring practices for patients receiving in-health center intravenous opioid analgesia.

Most patients in hospitals around the world continue to be monitored on an intermittent spot-verify basis as adverse to continual electronic respiratory monitoring, thereby probably lacking tremendous intervals of dangerous respiratory melancholy.

“PRODIGY information confirms that respiratory melancholy in sufferers receiving parenteral opioids occur commonly and are doubtlessly unknown to health facility fitness care suppliers,” pointed out Ashish okay. Khanna, fundamental examine investigator and an affiliate professor of anesthesiology, area head for analysis and intensivist on the Wake forest faculty of medicine.

“along with chance evaluation the usage of the PRODIGY chance rating, using capnography and oximetry for continuous monitoring of sufferers identified as high possibility for respiratory depression may also increase security when parenteral opioid analgesia can't be avoided,” Khanna noted.

The PRODIGY risk rating makes use of five easy-to-access patient chance elements together with: age, gender, opioid naïvety, sleep problems and persistent heart disorder for respiratory depression movements chance prediction.

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