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Test Number : PCCN
Test Name : AACN Progressive Critical Care Nursing
Vendor Name : Medical
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PCCN test Format | PCCN Course Contents | PCCN Course Outline | PCCN test Syllabus | PCCN test Objectives


The PCCN and PCCN-K certification exams focus 80 percent on clinical judgment and 20 percent on professional caring and ethical practice. Their comprehensive course prepares you in the following categories:

Clinical Judgment

- Cardiovascular
- Pulmonary
- Endocrine
- Hematology
- Gastrointestinal
- Renal
- Neurology
- Behavioral/Psychosocial
- Musculoskeletal
- Professional Caring and Ethical Practice
- Advocacy/Moral Agency
- Caring Practices
- Response to Diversity
- Facilitation of Learning
- Collaboration
- Systems Thinking
- Clinical Inquiry
- Learning Outcomes

At the completion of this learning activity, participants should be able to:

Validate their knowledge of progressive care nursing Briefly review the pathophysiology of single and multisystem dysfunction in adult patients and the medical and pharmacologic management of each Identify the progressive care nursing management needs for adult patients with single or multisystem organ abnormalities Successful Completion

Learners must complete 100 percent of the activity and the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.
12.8 contact hours awarded, CERP Category A
Exam Eligibility

Are you eligible to take the PCCN or PCCN-K exam=> Eligibility requirements and links to handbooks with test plans are available on their “Get Certified” pages — click here to get started: PCCN (Adult) or PCCN-K (Adult) .

PCCN and PCCN-K certifications emphasize the knowledge that the progressive nursing specialty requires and the essential acute care nursing practices that you can apply in your role every day in a step-down unit, emergency or telemetry department or another progressive care environment.

PCCN and PCCN-K specialty certifications also demonstrate your knowledge and dedication to hospital administrators, peers and patients, while giving you the satisfaction of your achievement. PCCN and PCCN-K credentials are granted by AACN Certification Corporation.

Validate and enhance your knowledge and Strengthen patient outcomes. Take advantage of this detailed review course and earn your PCCN or PCCN-K certification.

The American Association of Critical-Care Nurses (AACN) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Centers (ANCC's) Commission on Accreditation, ANCC Provider Number 0012. AACN has been approved as a provider of continuing education in nursing by the California Board of Registered Nursing (CBRN), Provider number CEP 1036. This activity is approved for 12.8 contact hours.

AACN programming meets the standards of most states that require mandatory CE contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.

AACN and AACN Certification Corporation consider the American Nurses Association (ANA) Code of Ethics for Nurses foundational for nursing practice, providing a framework for making ethical decisions and fulfilling responsibilities to the public, colleagues and the profession. AACN Certification Corporations mission of public protection supports a standard of excellence where certified nurses have a responsibility to read about, understand and act in a manner congruent with the ANA Code of Ethics for Nurses.

I. CLINICAL JUDGMENT (80%)
A. Cardiovascular (27%)
1. Acute coronary syndromes
a. non-ST segment elevation myocardial infarction
b. ST segment elevation myocardial infarction
c. unstable angina
2. Acute inflammatory disease (e.g., myocarditis, endocarditis, pericarditis)
3. Aneurysm
a. dissecting
b. repair
4. Cardiac surgery (e.g., post ICU care)
5. Cardiac tamponade
6. Cardiac/vascular catheterization
a. diagnostic
b. interventional
7. Cardiogenic shock
8. Cardiomyopathies
a. dilated (e.g., ischemic/non-ischemic)
b. hypertrophic
c. restrictive
9. Dysrhythmias
10. Heart failure
a. acute exacerbations (e.g., pulmonary edema)
b. chronic
11. Hypertension (uncontrolled)
12. Hypertensive crisis
13. Minimally-invasive cardiac surgery (i.e. nonsternal approach)
14. Valvular heart disease
15. Vascular disease
B. Pulmonary (17%)
1. Acute respiratory distress syndrome (ARDS)
2. Asthma (severe)
3. COPD exacerbation
4. Minimally-invasive thoracic surgery (e.g., VATS)
5. Obstructive sleep apnea
6. Pleural space complications (e.g., pneumothorax, hemothorax, pleural effusion, empyema, chylothorax)
7. Pulmonary embolism
8. Pulmonary hypertension
9. Respiratory depression (e.g., medicationinduced, decreased-LOC-induced)
10. Respiratory failure
a. acute
b. chronic
c. failure to wean
11. Respiratory infections (e.g., pneumonia)
12. Thoracic surgery (e.g., lobectomy, pneumonectomy)
C. Endocrine/Hematology/Neurology/Gastrointestinal/Renal (20%)
1. Endocrine
a. diabetes mellitus
b. diabetic ketoacidosis
c. hyperglycemia
d. hypoglycemia
2. Hematology/Immunology/Oncology
a. anemia
b. coagulopathies: medication-induced (e.g., Coumadin, platelet inhibitors, heparin [HIT])
3. Neurology
a. encephalopathy (e.g., hypoxic-ischemic, metabolic, infectious, hepatic)
b. seizure disorders
c. stroke
4. Gastrointestinal
a. functional GI disorders (e.g., obstruction, ileus, diabetic gastroparesis, gastroesophageal reflux, irritable bowel syndrome)
b. GI bleed
i. lower
ii. upper
c. GI infections (e.g., C. difficile)
d. GI surgeries (e.g., resections, esophagogastrectomy, bariatric)
e. hepatic disorders (e.g., cirrhosis, hepatitis, portal hypertension)
f. ischemic bowel
g. malnutrition (e.g., failure to thrive, malabsorption disorders)
h. pancreatitis
5. Renal
a. acute kidney injury (AKI)
b. chronic kidney disease (CKD)
c. electrolyte imbalances
d. end-stage renal disease (ESRD)
D. Musculoskeletal/Multisystem/Psychosocial (16%)
1. Musculoskeletal
a. functional issues (e.g., immobility, falls, gait disorders)
2. Multisystem
a. end of life
b. healthcare-acquired infections
i. catheter-associated urinary tract infections (CAUTI)
ii. central-line-associated bloodstream infections (CLABSI)
iii. surgical site infection (SSI)
c. infectious diseases
i. influenza
ii. multidrug-resistant organisms (e.g., MRSA, VRE, CRE, ESBL)
d. pain
i. acute
ii. chronic
e. palliative care
f. pressure injuries (ulcers)
g. rhabdomyolysis
h. sepsis
i. shock states
i. anaphylactic
ii. hypovolemic
j. toxic ingestion/inhalation/drug overdose
k. wounds (e.g., infectious, surgical, trauma)
3. Behavioral/Psychosocial
a. altered mental status
b. delirium
c. dementia
d. disruptive behaviors, aggression, violence
e. psychological disorders
i. anxiety
ii. depression
f. substance abuse
i. alcohol withdrawal
ii. chronic alcohol abuse
iii. chronic drug abuse
iv. drug-seeking behavior
v. drug withdrawal
II. PROFESSIONAL CARING AND ETHICAL PRACTICE (20%)
A. Advocacy/Moral Agency
B. Caring Practices
C. Response to Diversity
D. Facilitation of Learning
E. Collaboration
F. Systems Thinking
G. Clinical Inquiry Cardiovascular
• Identify, interpret and monitor
o dysrhythmias
o QTc intervals
o ST segments
• Manage patients requiring
o ablation
o arterial closure devices
o arterial/venous sheaths
o cardiac catheterization
o cardioversion
o defibrillation
o pacemakers
o percutaneous coronary intervention (PCI)
o transesophageal echocardiogram (TEE)
• Monitor hemodynamic status and recognize signs and symptoms of hemodynamic instability
• Select leads for cardiac monitoring for the indicated disease process
• Titrate vasoactive medications
o Dobutamine
o Dopamine
o Nitroglycerin Pulmonary
• Interpret ABGs
• Maintain airway
• Monitor patients pre and post
o bronchoscopy
o chest tube insertion
o thoracentesis
• Manage patients requiring mechanical ventilation
• Manage patients requiring non-invasive O2 or ventilation delivery systems
o BiPAP
o CPAP
o face masks
o high-flow therapy
o nasal cannula
o non-breather mask
o venti-masks
• Manage patients requiring respiratory monitoring devices:
o continuous SpO2
o end-tidal CO2 (capnography)
Manage patients requiring tracheostomy tubes
• Manage patients with chest tubes (including pleural drains)
• Recognize respiratory complications and initiate interventions
Endocrine/Hematology/Neurology/Gastrointestinal/Renal
• Endocrine
o manage and titrate insulin infusions
• Hematology/Immunology/Oncology
o administer blood products and monitor patient response
• Neurology
o perform bedside screening for dysphagia
o use NIH Stroke Scale (NIHSS)
• Gastrointestinal
o manage patients pre- and post-procedure (e.g., EGD, colonoscopy)
o manage patients who have fecal containment devices
o manage patients who have tubes and drains
o recognize indications for and complications of enteral and parenteral nutrition
• Renal
o identify medications that can be removed during dialysis
o identify medications that may cause nephrotoxicity
o initiate renal protective measures for nephrotoxic procedures
o manage patients pre- and post-hemodialysis Musculoskeletal/Multisystem/Psychosocial
• Musculoskeletal
o initiate and monitor progressive mobility measures
• Multisystem
o administer medications for procedural sedation and monitor patient response
o differentiate types of wounds, pressure injuries
o manage patients with complex wounds (e.g., fistulas, drains and vacuum-assisted closure devices)
o manage patients with infections
• Psychosocial
o implement suicide prevention measures
o screen patients using a delirium assessment tool (e.g., CAM)
o use alcohol withdrawal assessment tools (e.g., CIWA)
General
• Administer medications and monitor patient response
• Anticipate therapeutic regimens
• Monitor diagnostic test results
• Perform an assessment pertinent to the system
• Provide health promotion interventions for patients, populations and diseases
• Provide patient and family education unique to the clinical situation
• Recognize procedural and surgical complications
• Recognize urgent situations and initiate interventions
• Use complementary alternative medicine techniques and non-pharmacologic interventions



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Medical Nursing study tips

Fall prevention: 12 skilled information to in the reduction of hazards for older adults | PCCN question bank and boot camp

As a person a while, falling — even tripping — becomes a lot more bad. based on the existing analysis from centers for ailment manage (CDC),  about one in 4 adults (28%) age 65 and older, record falling every year. This outcomes in about 36 million falls each and every year. Falls can result in critical accidents, reminiscent of hip fractures and head traumas, inflicting more drastic senior care wants. really, amongst this age community, falls are the leading explanation for harm-linked demise.

Fall prevention is most fundamental when an older adult is the usage of bathrooms or stairs — the two biggest culprits of spills — based on Helen Lach, associate professor of gerentological nursing at St. Louis college faculty of Nursing. however that does not rule out generic family dangers, neurological adjustments or stability deficits.

What's more, if an older adult has already fallen, they're in danger for an additional fall, says Alice Bell, a genuine therapist focusing on Geriatrics and an American genuine Therapist association spokesperson. nevertheless, many seniors do not tell their caregivers if they fell as a result of they may be afraid to be able to suggest they ought to depart their domestic or go to an assisted-residing facility. "Older adults should know that in the event that they fall — or notwithstanding they may be scared of falling — they need to ask for support earlier than the situation becomes a disaster," says Bell.

tradition and residential adjustments can then be made safely and properly. "Have a heart-to-coronary heart along with your senior when each person is suit and in a superb temper and you each suppose relaxed addressing rising considerations," suggests Bell.

in case your older family member's goal is to age in place, listed here are 12 should-know fall prevention counsel.

1. Get a verify-up

fortunately, falls are preventable. in case your family member has recently develop into a bit of unsteady, be sure their medical professional gives them a full physical contrast to rule out any medical concerns. for instance, low blood pressure may cause falls, as can diabetes, that can decrease sensation in reduce extremities. 

2. maintain song of medication

Go over all prescription and over-the-counter medicine. Some drugs' facet consequences and interactions may cause dizziness, weak point and drowsiness. and never taking medicines thoroughly or as prescribed can even be hazardous. if you are panic your family member wants aid taking suitable dosages (or remembering to), ask a neighbor to assist, install a FaceTime chat or a cellphone name to remind them or hire a senior caregiver. 

3. computer screen alcohol intake

be certain your loved one's doctor discusses alcohol consumption and how that might interact with latest drugs.

And take into account that over-imbibing on alcoholic drinks can surely throw any person off steadiness. if you feel ingesting too a whole lot is part of the motive your family member is losing balance, be certain to talk about your concerns with them and their medical professional.

four. delivery an recreation and stretch pursuits

"under 40% of all older american citizens activity," says Lach. And devoid of undertaking, you lose your muscle tone and electricity — certainly in your legs — which is critical in conserving balance.

present CDC guidelines for americans over sixty five are one hundred fifty minutes of moderately full of life activity per week. (reasonably vigorous is defined as recreation that factors you to smash a sweat, however you are nonetheless be in a position to have a conversation.) They additionally propose older adults to include twice weekly energy practising periods. Bell recommends walking at a quick adequate tempo to wreck a sweat, bicycling or dancing (think taking a streaming cardio dance category).

The CDC incredibly recommends Tai Chi as a good aerobic undertaking in addition to a way to raise steadiness.

if your older loved one has led a basically sedentary subculture, suffers from a persistent disease or has recently suffered a fall, ask their medical professional for a physical therapist referral. besides teaching them the way to pastime correctly, a genuine therapist can additionally analyze their circulate to discover if they're running adequately or in a position to get out of a chair with out straining.

5. Get a watch exam

See that your loved one has their eyes checked by means of an ophthalmologist at least annually and replace their eyeglasses. moreover deteriorating vision, which may cause journeys and stumbles, cataracts can inhibit vision which may lead to falls.

6. Get a cane or walker fitting

or not it's tempting to purchase a cane or walker from a home health aide store or even your native pharmacy, however a too tall or too short walker or cane can regularly trigger extra hurt than decent. according to Bell, many seniors basically fall as a result of they shuttle on their canes.

check with a genuine therapist to assess if a cane or walker is indispensable. whether it is, work with the therapist to get safely geared up and learn how to make use of it as it should be.

7. focal point on calcium and vitamin D

make certain that your loved one is getting adequate calcium and diet D in their weight loss program. A study posted within the clinical journal Osteoporosis international found that nutrition D supplementation can aid enhance steadiness and energy. women aged sixty five-ninety seven decreased their cost of falls with the aid of 60% when given vitamin D besides calcium over a 3 month length.

apart from including calcium-wealthy dairy and dark-green, leafy vegetables to her food regimen, ask your household medical professional to monitor your senior for diet D deficiency and osteoporosis. Ask for supplementation instructions.

8. respect dangers

Take a glance round your friend's home and spot what could provide them an issue. just a few standard variations could make your guardian's home a lot safer and help them age in region even longer.

check for:

  • proper lights: in addition to having ample lamps, be certain to install bigger watt light bulbs. additionally, be sure there are adequate nightlights.
  • muddle: Stacks of newspapers, magazines, and other objects may also be hazardous if they are near walkways. get rid of litter through the use of baskets and boxes to prepare objects.
  • Cords: Lamp and appliance cords can be go back and forth hazards. flow objects to reduce cords stretching throughout rooms and walkways.
  • Throw rugs: dispose of throw rugs, that can effectively travel a senior up, and go for naked floors or wall-to-wall carpeting.
  • accept as true with rearranging the condominium in order that your senior can are living on one flooring (relocating the bedroom downstairs, as an instance). given that stairs are a desirable place for individuals to fall, it's better to eliminate or evade them earlier than a mobility issue arises.

    aid your family member avoid attaining for gadgets with the aid of moving microwaves and other appliances to waist-degree. additionally, enforce lazy susans or baskets to avoid reaching into high or deep kitchen cupboards. And keep widespread items in arm-degree drawers to avoid bending.

    9. update the bathroom

    If there's a full tub on the reduce level, otherwise you're considering the fact that including one, make sure it has anti-slip tile, a bathe stall with no tub or lip and durable hand bars across the shower and loo. Your medical professional can also order an occupational therapist to do a house safeguard contrast, which may be coated by Medicare.

    10. get a hold of new condo suggestions

    simple rules, equivalent to now not bathing alone and getting help  across the house, can assist prevent future falls. Lach suggests having a frank conversation together with your dad and inform him you are concerned about him. Ask him to call you or make a list of the family chores he needs achieved, like altering a lightbulb. if you will not have the time to assist as a great deal as is needed, trust hiring a senior caregiver who can help.

    11. Design an emergency plan

    Lach suggests conserving a log for at-domestic caregivers, detailing what is prescribed and discussed with medical doctors. Share this senior emergency guidelines with members of the family and caregivers.

    You might additionally believe getting your friend a pre-paid cellular telephone together with your quantity and 911 programmed into it, in the event that they don't already have one. Or hook them up with a scientific alert device that contains a wearable device that may simply put them involved with an emergency dispatcher.


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