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Test Name : Cardiac Medicine Subspecialty Certification
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AACN-CMC exam Format | AACN-CMC Course Contents | AACN-CMC Course Outline | AACN-CMC exam Syllabus | AACN-CMC exam Objectives

CMC® is a subspecialty certification for certified nurses who provide direct care to acutely/critically ill adult cardiac patients. Nurses interested in this certification may work in areas such as cardiac care units, medical ICUs, telemetry, progressive care, heart failure clinics, home care, interventional cardiology, cardiac cath labs and/or electrophysiology units.

A current, unencumbered U.S. RN or APRN license is required.
An unencumbered license is not currently being subjected to formal discipline by any state board of nursing and has no provisions or conditions that limit the nurses practice in any way.

A current nationally accredited clinical nursing specialty certification, to which the CMC credential will be attached, is required.

Candidates must complete one of the following clinical practice hour requirement options:

Two-Year Option

Practice as an RN or APRN for 1,750 hours in direct care of acutely/critically ill adult patients during the previous two years, with 875 of those hours accrued in the most latest year preceding application. Of those 1,750 hours, 875 need to be in the care of acutely/critically ill adult cardiac patients.
Five-Year Option
Practice as an RN or APRN for at least five years with a minimum of 2,000 hours in direct care of acutely/critically ill adult patients, with 144 of those hours accrued in the most latest year preceding application. Of those 2,000 hours, 1,000 need to be in the care of acutely/critically ill adult cardiac patients.

Must be completed in a U.S.-based or Canada-based facility or in a facility determined to be comparable to the U.S. standard of acute/critical care nursing practice.
Are those spent actively providing direct care to acutely/critically ill adult patients or supervising nurses or nursing students at the bedside of acutely/critically ill adult patients, if working as a manager, educator, preceptor or APRN.
Are verifiable by your clinical supervisor or professional colleague (RN or physician). Contact information must be provided for verification of eligibility related to clinical hours, to be used if you are selected for audit.
For complete eligibility requirements.

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Medical Medicine questions

consultants answer the biggest COVID Vaccine Questions | AACN-CMC exam Cram and PDF Braindumps

As a part of President Biden’s push to get as a minimum one hundred million COVID-19 vaccine doses into the hands of americans within the U.S. by the end of April, the White residence introduced February 9 it'll begin delivery doses to 1,300 federally certified group fitness centers. These businesses primarily serve sufferers from Black and brown communities who fall below the poverty line. On Tuesday the administration announced plans to double the number of vaccines it is sending to retail pharmacies to 2 million doses. The efforts add to latest distribution to hospitals, state and municipal agencies. but the lack of counseled messaging from the Trump administration, mixed with the latitude of diverse COVID vaccines, the emergence of new coronavirus editions, and inconsistent state and municipal rollout plans, have brought about confusion and driven vaccine hesitancy. Scientific American asked Namandjé Bumpus, a pharmacologist at Johns Hopkins medicine in Baltimore, and Ashley Lauren St. John, an immunologist at Duke-NUS medical faculty in Singapore to reply one of the most biggest questions about the at the moment obtainable COVID vaccines.

[Their answers have been combined and edited for clarity and length.]

for those who get an authorized COVID vaccine now if you are eligible?

sure! if you are presently eligible to get a vaccine, go forward and get it. They really want extra americans to get vaccinated to construct herd immunity and sluggish the unfold of disorder. Vaccines are a vital a part of their toolkit for relocating us out of the pandemic. if in case you have individual causes for hesitation, seek advice from your health care professional.

for those who get vaccinated when you have already had COVID?

The U.S. facilities for disorder handle and Prevention has now not suggested a minimum interval between recuperating from COVID and getting vaccinated. Your signs may still be long past, and you should be released from quarantine before you go get a vaccine so as no longer to provide COVID to any person else. It may well be real that you should wait longer because you have some immune response constructed up—consult with your health care professional in case you consider that applies to you. [Editor’s Note: In contrast with most public health guidance, White House chief medical adviser Anthony Fauci said he believes people who have been infected should wait 90 days before getting vaccinated.]

How in the event you interpret vaccine efficacy—what does “95 percent efficacy” or “sixty six % efficacy” even suggest?

Vaccine efficacy refers to how well it performs in a carefully controlled trial, whereas effectiveness describes its performance in the true world. a common mistake is to interpret a 95 % efficacy to suggest you have a 5 p.c chance of getting ailing besides the fact that you get vaccinated. That is not proper in any respect. Efficacy is calculated in accordance with trials which have an unvaccinated placebo control neighborhood, and on the conclusion of the trial, they seem at the quantity within the handle community that ended up with symptomatic COVID to get the baseline an infection cost. The Pfizer-BioNTech vaccine, for instance, had ninety five percent efficacy in its medical trial. That quantity got here from the fact that 162 americans in the placebo community acquired symptomatic COVID, and eight individuals in the vaccinated neighborhood did; that is one hundred seventy situations total. Eight is about five % of a hundred and seventy. it really is well-nigh how efficacy is calculated. Most COVID vaccine scientific trials have pronounced efficacy in fighting any symptomatic sickness, not always extreme disorder; early facts for the latter are promising, despite the fact.

if you get the vaccine and nonetheless get infected, does the vaccine still make a difference? Will it evade severe disorder or dying?

sure, what we’ve seen with many of the existing vaccines is less extreme signs and just about no hospitalizations and deaths in vaccinated people who become infected. several vaccine trials have observed a discount in severe ailment in the vaccinated topics. With a number of exceptions—corresponding to, possibly, the AstraZeneca vaccine in South Africa—the vaccines appear to cut back your possibility of getting symptomatic COVID, but when you do get it, it’s very more likely to be a much less severe case.   

Do the vaccines protect against the new virus versions, together with these first recognized in the U.okay., South Africa and Brazil?

The information so far imply that lots of the vaccines do provide at least some coverage towards the new editions. they can see from one of the vital medical trial information and antibody neutralization stories, youngsters, that vaccines designed towards the fashioned strains of the virus may now not be reasonably as useful towards certain new variations—specially against mutations found in the B.1.351 variant that's now common in South Africa. most of the new editions have changes in the spike protein, which the virus uses to contaminate cells, so it’s a bit bit distinctive than what a vaccinated person’s body has seen before in the vaccine. nonetheless, standard, the vaccines approved within the U.S. are assembly efficacy objectives and appear to provide some insurance policy towards the new variations. The top-rated technique to stay away from new variations from rising is via getting loads of people vaccinated. Moderna is constructing a booster shot to offer further protection if vital, and Pfizer-BioNTech is exploring this probability as smartly.

what's the difference between mRNA and viral vector vaccines?

An mRNA vaccine—such because the ones made by using Pfizer-BioNTech or Moderna—provides genetic instructions for making viral proteins within the type of single-stranded RNA, in a lipid coat, to your cells, with out injecting any virus itself. This has some enjoyable benefits because it most effective includes these virus accessories that you just desire the immune equipment to recognize, and it causes your personal cells to imitate the way viral proteins are made when a cellphone is naturally contaminated with the virus. it is remarkably good at inducing the same classification of immune response that might turn up in a herbal an infection. A downside is that the mRNA has to be saved very cold for it to be solid.

Viral vector vaccines—such as these made via AstraZeneca or Johnson & Johnson—use double-stranded DNA as a substitute of RNA, however are nevertheless offering genetic instructions to your cells. They use a modified, secure virus (now not SARS-CoV-2) to convey the guidance for making viral proteins.

Is there a “choicest” vaccine?

different vaccine designs are chosen as a result of they have unique merits, so there is not a “most efficient” vaccine, however there may be a vaccine that is stronger for a undeniable group of americans to take. each mRNA and viral vector vaccines instruct your cells to make items of the coronavirus spike protein so that the next time your physique encounters those proteins it may mount an immune response. Efficacy numbers are derived from diverse scientific reviews that have been completed in distinct settings, so as an alternative of comparing these numbers, the aspect to remove is that the licensed vaccines often work. they have efficacy.

Will the vaccine protect you from giving the virus to others?

We hope so, however they don’t wholly know yet. There are two key desires of vaccines: to offer protection to the individual and to cease the unfold of disease. They do have purpose to be hopeful in keeping with what they learn about viruses and a few rising records, however they still don’t comprehend for certain if vaccinations will reduce disorder transmission. that's why it’s important to continue social distancing, donning masks and following different instructions to evade the spread of sickness, however you have been vaccinated.

Will the vaccine’s effectiveness “put on off” over time?

This could happen. Vaccines regularly want booster doses to confer the most useful levels of coverage. Some vaccines can provide protection to a person for a lifetime whereas others require a lift every few years. It might be critical to video display immune responses over time in folks that are vaccinated so they will comprehend if and when boosters are necessary. lots of the currently accessible COVID vaccines require two doses to be wholly positive. The CDC these days accelerated the suggested allowable interval between doses on account of restrained availability, youngsters some certified have criticized the decision.  

in the event you be involved about allergies to the vaccine?

allergy symptoms can take place in line with any injected vaccines or medicine, but they are extremely rare. The vaccines should still all the time be administered in a surroundings the place fitness care suppliers can treat any allergies that boost all of sudden. people don’t should be troubled concerning the vaccines in the event that they have meals allergies or latex allergy symptoms. Most americans don’t deserve to be concerned about an allergy. For these with a historical past of extreme allergy symptoms or allergies to the vaccine constituents, it might be most excellent to focus on it with a physician earlier than getting the COVID vaccine.

What side effects might you journey, and are those typical?

The regular side results are what we'd predict for other vaccines: fatigue, headache, fever—primarily after the second dose—and acute ache on the injection site, that can believe heat to the contact and swollen; all of these signs are indications of immune response. These reactions are very commonplace and infrequently indicate that the immune system is working complicated to appreciate the vaccine and bear in mind the new virus for next time.

How are you able to be certain you’re getting a valid, authorized vaccine?

it is all the time critical to take vaccines beneath the supervision of a certified clinical issuer. Make an appointment with a designated hospital or retail pharmacy the place vaccines are available. consult with your doctor about any considerations as a result of there are clear distribution plans for vaccines in most areas.

examine more in regards to the coronavirus outbreak from Scientific American right here. and skim coverage from their foreign community of magazines here.

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