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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.

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
• 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)
• 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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PTSD specialist Simplifies Stress Science | PCCN dumps collection and test Questions

Tania Glenn, who has a doctorate in psychology and is a licensed medical social employee, delivered a feelings-free, scientific analysis of the human body's physiological response to high-stress situations all through a briefing Aug. 5, to support Airmen here be aware their organic tactics downrange.

Glenn, who focuses on submit-anxious stress disease in service individuals and first responders, described the chemical reactions that take place within the physique when it experiences stress, as a state of physical or emotional activation. The Airmen realized in regards to the biological cues that trigger phenomena such as the fog of warfare and combat-or-flight syndrome. 

In years previous, battle or flight turned into believed to occur in seven- to 10-minute spurts very sporadically all over the grownup existence. greater these days, researchers and clinicians have discovered that people engaged in combat situations are capable of retain a state of combat or flight for months on end when you consider that it's a naturally engineered survival mechanism.

"The core element of stress, the very groundwork of stress, is battle-or-flight syndrome," Glenn said. "without fight or flight they might now not survive as a species. For members of the defense force, this is the way it works: you gain knowledge of of an upcoming deployment and your energy begins to shift; you beginning to ramp up mentally, you disengage from your family unit bit by bit and you adopt an aggressive frame of mind to put together for the antagonistic environment you might be going to be immersed in. As you adopt that frame of mind and your energy shifts, you begin to produce more adrenaline, glucose and cortisol, that are the very basis of the fight-or-flight response."

Glenn went on to explain that cortisol is the key factor of PTSD. hence, people who're uncovered to excessive-threat cases that require their bodies to enter right into a no-holds-barred state of fight or flight for a long duration of time usually tend to experience disagreeable indicators, akin to withdrawal, upon returning to an environment with nonthreatening circumstances.

"As you birth to come back down from fight or flight, you may additionally suppose a sense of agitation -- an ants for your pants feeling that you just cannot shake," Glenn noted. "you're drained, however you can't sleep; you are looking to sit nonetheless, however you're compelled to arise and flow. Your body is actually detoxing from pleasure. or not it's readjusting to regular conditions after being on an adrenaline rush for weeks, months at a time. And just like any detox, coming off the further adrenaline, glucose and cortisol is disagreeable."

In direct contrast to battle-or-flight syndrome, what Glenn refers to as "the freeze" can additionally take location throughout severe or adverse instances. notwithstanding individuals who locate themselves rooted to the spot in fight instances are sometimes viewed as cowardly, this reaction may also be attributed to chemical techniques that take place in the brain, completely impartial of mindful decision.

"The freeze is in reality the untrained brain and the passive personality," Glenn observed. "as a substitute of dumping adrenaline, glucose and cortisol -- the chemicals that make you quickly and powerful -- the mind dumps useless neurotransmitter fluids and renders you almost frozen, unable to flow or spark off."

Likewise, the mind can also be held accountable for inflicting knee-jerk bodily services equivalent to shaking and vomiting during, or following, disturbing movements.

in accordance with Glenn, there are lots of overt physiological reactions that transpire all over an acute, or incident caused stress reaction.

Physiological reactions take place when a person launches into battle or flight prompting the system to center of attention solely on survival. This transition units off a chain reaction beginning when the brain directs blood circulate faraway from the extremities toward the core, thereby oxygenating the heart, lungs, major muscle groups, lower back and legs. This, Glenn referred to, allows for for maximum running and amazing energy, but markedly diminishes exceptional motor characteristic. as soon as the danger has handed, the diversion of blood flow coupled with exponentially improved degrees of adrenaline raging throughout the equipment occur as uncontrollable shaking.

To provide the body nonetheless extra fight-or-flight skill, the mind directs the digestive track to come to a halt, stopping what it deems an needless expenditure of calories and energy. This survival measure can leave someone feeling nauseous. In some circumstances, the digestive music will also be flooded with fluid to rid itself of food that may well be preventing top-quality speed and performance -- the culmination of which is vomit. 

Acute stress reactions additionally trigger the heart to beat inordinately speedy, reaching speeds between one hundred eighty and 200 beats per minute. This recreation sends off a signal to the mind's concept processing and decision making center, the prefrontal cortex, to close off. In its location, the midbrain, what Glenn refers to as the kill or be killed component of the mind, kicks into excessive equipment. during this time, all functioning is dependent upon instinct and working towards. Many who journey this chemical process can not recount their idea processes or efficiently analyze cases for a duration of time following the adventure. here is the fog of battle, Glenn pointed out. 

all through the 90-minute briefing, Glenn went on to damage down the 4 types of stress, explaining the physiological explanations for each and the physique's herbal reaction to the strain.

although based out of Austin, Texas, Glenn travels cross-nation proposing respite to service guys and ladies who bear the actual and emotional scars that accompany more than a decade of warfare. even though she is an achieved psychologist, Glenn is clear on one point: the "F-notice:" feelings. feelings shall be observed most sparingly and best when completely fundamental, she talked about.

"i'm a boots-on-the-ground kind of grownup and they do not use the F-note," she joked. "I speak about the mind and the body and what happens all the way through trauma and stress. These reactions don't have anything to do with feelings, they may be about survival. I work every day to assist men and women get better from trauma and PTSD as a result of if there's one aspect I can't stand, it be seeing warriors endure."

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