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Medical PCCN : AACN Progressive Critical Care Nursing Exam

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Exam Number : PCCN
Exam 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 Excellerate 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.

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
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 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
o manage and titrate insulin infusions
o administer blood products and monitor patient response
o perform bedside screening for dysphagia
o use NIH Stroke Scale (NIHSS)
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
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
o initiate and monitor progressive mobility measures
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
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)
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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application Entry options Direct Entry medical professional of Nursing follow (DNP)

The Direct Entry doctor of Nursing practice software is an accelerated software designed for individuals who have a baccalaureate degree or better in fields apart from nursing who wish to pursue instruction as an advanced practice nurse. The Direct Entry DNP offers a seamless, integrated curriculum to put together college students for license as registered nurses and for certification as superior follow nurses. in this software, college students complete huge prerequisite lessons earlier than enrollment. They study and complete superior generalist nursing necessities on an intensive full-time basis throughout the first 18-months of the program.

students will meet each the AACN essentials of Baccalaureate training for expert Nursing follow and the AACN necessities of grasp’s education in Nursing all over the 18-month pre-licensure component of the software. A grasp of Science in Nursing as an superior Generalist is conferred upon successful completion of the pre-licensure coursework, whereupon students are eligible to take a seat for the national Council Licensure Examination (NCLEX-RN). The pre-licensure element of the program carries 56 tutorial credit.

After passing the NCLEX-RN test and receiving a license as a registered nurse, students then proceed into the doctoral stage coursework in a single of here nurse practitioner forte areas of practice: grownup-Gerontology fundamental Care Nurse Practitioner, household Nurse Practitioner, Pediatric basic Care Nurse Practitioner, Psychiatric-mental fitness Nurse Practitioner, and women’s health Nurse Practitioner. with the intention to progress to nurse practitioner analyze (doctoral degree), college students need to be in respectable academic standing and be licensed as registered nurses. The software includes a clinical task associated practicum, 1,000 scientific apply hours, and an extra 48 credits following conferral of the pre-licensure master’s diploma.

applicants are reviewed and authorized into the clinical distinctiveness application to which they follow and are assigned a scientific placement yr at that time. students are approved to decelerate and attend part-time all the way through the nurse practitioner component. To do so, they should still contact the graduate office to find out when a scientific seat could be attainable. students who want to exchange forte courses should contact the graduate workplace and the two application administrators, follow and be approved into the favored specialty software. Acceptance is not guaranteed and might sluggish completion of the diploma because the scientific 12 months is assigned on an area obtainable basis.

Direct Entry program college students don't seem to be eligible to observe to the nurse anesthesia program as a result of admission to this software requires not less than one-year of journey as a registered nurse in an intensive care (ICU) setting.

put up-Baccalaureate medical professional of Nursing follow (DNP)

The submit-Baccalaureate DNP gives a seamless, integrated curriculum to put together registered nurses for certification as superior follow nurses. This application, designed for individuals who hang baccalaureate diploma in nursing and want to specialise in one among here strong point follow areas: adult-Gerontology simple Care Nurse Practitioner, household Nurse Practitioner, Pediatric simple Care Nurse Practitioner, Psychiatric-mental fitness Nurse Practitioner, and girls’s fitness Nurse Practitioner, can be accomplished on a full or half-time basis. The software comprises a clinical venture associated practicum, 1,000 clinical practice hours, and seventy one–74 educational credits.

publish-master’s doctor of Nursing apply (DNP)

The post-grasp’s DNP program is designed for at present practising master’s prepared superior apply nurse practitioners who wish to finished a terminal practice degree application. Following a complete portfolio evaluation and building on prior medical capabilities and journey, students will focal point on imaginitive core type work in healthcare pleasant, security, informatics, and coverage. building on a groundwork of proof-primarily based follow capabilities, students will increase and lead an ingenious observe improvement or exchange undertaking. The software includes a assignment associated practicum and no less than 30 tutorial credits.

RN (ASN) to medical professional to Nursing apply (DNP)

The RN to DNP application is designed for the associate diploma organized registered nurse who desires to develop into an superior observe nurse and focus on one of the following distinctiveness observe areas: adult-Gerontology basic Care Nurse Practitioner, family Nurse Practitioner, Pediatric fundamental Care Nurse Practitioner, Psychiatric-mental health Nurse Practitioner, and girls’s fitness Nurse Practitioner. Following an entire portfolio evaluation, an individualized curriculum of lecture room and scientific content material could be developed. students getting into via this route should be required to complete bridge route work prior to beginning the DNP curriculum. This software can also be achieved on a full or half-time groundwork. 1000 (1,000) advanced apply scientific hours and a medical mission associated practicum are required. credit score hours are dependent on consequences of the individual portfolio assessment.

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