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Our affiliated professional association, the Academy of Medical-Surgical Nurses, offers the Medical-Surgical Nursing Certification Review Course. It is a 2-day course designed for nurses preparing to take the Certified Medical-Surgical Registered Nurse (CMSRNģ) Certification Exam.
In order to meet the varied needs of nurses and facilities, AMSN offers the course in a number of live and independent study formats, including bringing it to your facility or accessing it through the AMSN Online Library.
An alternative to nurses preparing for the CMSRN exam is the Focused CE Series, a collaboration between AMSN and nurse.com. The Focused CE Series is a blended learning model that combines weekly online CE course readings, weekly live webinar presentations, and an online forum for information exchange and networking with peers.
1. Helping Role
- Maintain an environment in which patient confidentiality is assured.
- Assess patient's level of comfort/pain.
- Act as an advocate to help patient meet needs/goals.
- Acknowledge, respect, and support emotional state of patient and/or family as they experience and/or express their emotions.
- Assist patients to achieve optimal level of comfort, using an interdisciplinary approach.
- Modify plan of care to achieve patient's optimal level of comfort, i.e., pharmacological interventions, heat, cold, massage, positioning, touch, etc.
- Provide a therapeutic environment, considering privacy, noise, light, visitors'/providers' interaction with patients.
- Provide culturally competent patient care, including education.
- Support family involvement in accordance with patient's wishes regarding caregiving and decision making.
- Assess for potential for self-harm.
- Identify need of patient/family for support systems/resources and make appropriate referrals.
- Work on behalf of patient/family to help resolve ethical and clinical concerns.
- Coordinate care across multiple settings.
- Identify, acknowledge, support, and facilitate patient/family decisions regarding end-of-life care.
- Identify signs of domestic or intimate partner violence.
- Assess and provide for spiritual needs of patients and families.
- Identify ethical issues in clinical practice and facilitate a resolution with patient, family, and staff.
2. Teaching/Coaching Function
- Assess the patient's and family's readiness and ability to learn.
- Identify barriers to learning.
- Prepare/educate patient for transition in care, e.g., discharge to home or other facility.
- Provide information and rationales related to diagnosis, procedures, self-care, prognosis, wellness, and modifiable risk factors.
- Utilize opportunities for spontaneous education.
- Encourage patient's and family's participation in establishing educational goals.
- Develop and implement an individualized teaching plan for patient and/or family.
- Evaluate and modify teaching plan based on achievement of pre-established and ongoing learning needs.
- Assist staff in identifying educational needs of patients and their families.
- Assist staff in selecting/developing educational materials appropriate for intended learner(s).
- Teach patient and family about available community resources.
3. Diagnostic and Patient Monitoring
- Conduct and document a comprehensive baseline assessment.
- Anticipate patient's response to treatment and monitor for potential problems.
- Reassess patient based on established standards of care at appropriate intervals.
- Interpret results of laboratory and diagnostic studies and take appropriate action.
- Use invasive and non-invasive methods to collect data.
- Analyze all patient data in formulating a plan of care.
- Participate in medication reconciliation at transitions of care.
- Anticipate the patient's response and needs related to physiological, psychosocial sexual, spiritual, and cultural aspects of his/her illness.
- Prioritize identified problems and modify the plan of care to achieve the best possible outcomes.
- Develop an individualized plan of care congruent with patient goals.
- Identify purpose and appropriateness of diagnostic studies.
4. Administering and Monitoring Nursing Interventions
- Administer medications accurately and safely.
- Identify subtle changes in patient's assessment to prevent deterioration of patient status.
- Assess patient's level of consciousness.
- Monitor patients for therapeutic responses, reactions, untoward effects, toxicity, and incompatibilities of administered medications.
- Implement measures to ensure adequate oxygenation and gas exchange.
- Monitor and implement measures to prevent alterations in skin integrity.
- Initiate, maintain, and monitor intravenous therapy.
- Identify, document, and report deviations from expected findings.
- Monitor for signs and symptoms of complications of disease processes.
- Implement measures to address threats to patient safety, e.g., falls, seizures.
- Maintain patent airway.
- Maintain integrity and prevent infection of invasive drainage systems, e.g., catheters, percutaneous drains.
- Implement measures to maintain adequate hydration and electrolyte balance.
- Provide care to patients on continuous cardiac monitoring.
- Use adaptive/assistive devices for mobility, immobility, positioning, and comfort.
- Interpret cardiac rhythm strips.
- Monitor for complications of musculoskeletal trauma and surgical procedures.
- Perform a neurovascular assessment, e.g., extremities, flaps, grafts.
- Provide optimum nutrition during hospitalization, allowing for cultural and individual preferences.
- Identify and implement transmission-based precautions based on patient's history and symptoms.
- Monitor effectiveness of nutritional interventions.
- Develop and implement a wound management strategy.
- Care for patient receiving IV patient-controlled analgesia
- Perform central line dressing change.
- Administer heparin drip
- Apply and/or monitor devices used to immobilize affected area, e.g., cast, splint, collar, etc.
- Care for patient receiving epidural analgesia
- Provide care for patients who have chest drainage systems.
5. Effective Management of Rapidly Changing Situations
- Recognize signs that a patients condition is deteriorating and take appropriate action.
- Obtain appropriate orders to address a change in the patients condition,
- Determine priorities in rapidly changing situations.
- Use existing guidelines/protocols/policies to respond to changing patient situations, e.g., hypoglycemia, wound dehiscence.
- Use existing guidelines/protocols/policies to respond to urgent and emergent situations, e.g., acute chest pain, stroke.
- Initiate basic life support.
6. Monitoring/Ensuring Quality Health Care Practices
- Communicate effectively to the healthcare team.
- Question/clarify orders as appropriate.
- Incorporate evidence-based practice into the patient's plan of care.
- Coordinate and/or participate in interdisciplinary activities to ensure consistent patient outcomes, e.g., core measures.
- Report system failures, e.g., chain of command, equipment, safety, medication administration, computer systems.
- Assist nursing staff in incorporating evidence-based practice and quality improvement into practice.
- Participate in quality improvement activities.
- Identify clinical problems for further investigation.
7. Organizational and Work-Role Competencies
- Practice in accordance with the rules and regulations of the state board of nursing in state(s) of licensure.
- Adhere to the Scope and Standards of Medical-Surgical Nursing Practice.
- Utilize electronic/computer resources to optimize patient care.
- Set priorities based on assignment, unit, and institutional needs.
- Act as a professional role model.
- Participate as an active member of the interdisciplinary healthcare team.
- Delegate patient care assignments based on competency levels and scope of practice of healthcare team members.
- Act as a resource for other nurses on the unit.
- Provide collaborative, interdisciplinary, coordinated care.
- Incorporate strategies that support effective team dynamics in a caring and nurturing environment.
- Evaluate own practice based on established standards of care.
- Evaluate nursing care based on outcome criteria.
- Recognize unsafe work practices (nurse/patient ratio, ergonomics, standard precautions, etc.) and intervene appropriately.
- Identify, develop, and implement strategies to reduce readmissions.
- Use the chain of command appropriately.
- Serve as consultant to nursing staff and other disciplines.
- Coordinate and/or participate in interdisciplinary activities to ensure consistent patient outcomes, e.g., core measures.
- Identify, develop, and implement strategies to decrease length of stay while improving patient/family/staff satisfaction and patient care.
- Provide expert support to unit educators, preceptors, and nurse managers.
- Follow institutional policies and procedures in response to an internal or external crisis or event.
- Serve as preceptor/mentor for students and staff.
- Assist with data collection (e.g., patient outcomes, nurse-sensitive indicators).
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The Playbook courses the protected and constructive use of digital medical measures throughout clinical analysis, patient care and public fitness
BOSTON, Sept. 17, 2020
This open science effort is unveiled with the aid of stakeholders at Digital medication Society, Elektra Labs, Genentech, Koneksa, Myokardia, Sage Bionetworks, and Scripps research.
BOSTON, Sept. 17, 2020 /PRNewswire/ --¬†today, multidisciplinary stakeholders invite partners across scientific, know-how, nonprofit, and educational analysis to form the industry-large primary ebook for establishing and deploying digital scientific measures to enhance patient care, clinical analysis, and public health. The Digital Measures Playbook¬†(The Playbook)¬†will synthesize most fulfilling practices from the digital health container into one complete "how-to" doc. a first draft, constructed via collaborators from the Digital medication Society, Elektra Labs, Genentech, a member of the Roche neighborhood, Koneksa, Myokardia, Sage Bionetworks, and Scripps research.
offering clinical best supplies on a tech timeline to strengthen the secure, effective, ethical, and equitable use of digital medicine to optimize human health. (PRNewsfoto/Digital medication Society (DiMe))
Unveiling of The Playbook marks the a hit conclusion of a "Tour of responsibility" through the multi-stakeholder community, which was convened to create a primary draft for review, synthesizing work that has up to now existed in silos. As a part of The Playbook's unveiling, stakeholders are searching for extra companions to advance this open science effort, becoming a part of the inaugural cohort so that you can extra increase this public good and power broad scale business adoption for the betterment of sufferers worldwide.
"faraway monitoring technologies are actually advanced of their capabilities to become aware of signs of health and disorder," explains Tour of duty member and executive director of the Digital medication Society, Jennifer Goldsack, "Yet below the power of a worldwide public fitness crisis, they have been unable to install them at scale in scientific analysis, movements care, or in public fitness initiatives. The Playbook will address the shortcoming of experience enforcing these applied sciences, taking educational frameworks, stitching them together, and proposing a 'a way to' e-book to get it performed."
"expertise has at all times moved faster than their ability to guard it," said Tour of obligation member and CEO of Elektra Labs, Andy Coravos. "The Playbook will supply the foundational elements of setting up and deploying high exceptional digital scientific measures that reduce across use circumstances and positioning their field for a shared digital fitness facts ecosystem."
The draft of The Playbook is obtainable for public remark at playbook.dimesociety.org, along with links to register for future tours of responsibility. The launch of The Playbook can be followed by using an educational series, "The Playbook Masterclass" series, with interdisciplinary experts leading educational classes on core issues through the fall.
The Digital medication Society
The Digital drugs Society (DiMe) is the skilled society serving the digital medicine community. collectively, they power scientific development and huge acceptance of digital medicine to raise public health.
Media Contact: Michelle Sechser firstname.lastname@example.org
here fees are from the corporations that co-created The Playbook for additional construction via industry:
Mark Lee, MD PhD, international Head of customized Healthcare, Product development,¬† Genentech
"remote monitoring technology gives us crucial, actual-time data and insights for every affected person's pleasing disorder path, bettering their skill to strengthen drugs -- and the way and when to most beneficial convey them -- to truly Boost patient effects in more personalized and significant methods - Mark Lee MD PhD, world Head of personalized Healthcare, Product building, Roche/Genentech"
Chris Benko, CEO, Koneksa fitness
"Digital measures permit a trifecta of drug-building goals: stronger scientific realizing, extra affected person centric assessments and greater access to clinical trials. leap forward treatment options are essential greater than ever and these technologies provide us now not handiest the opportunity to enrich outcomes, however to Boost the affected person event at the same time."
Priyanka Agarwal, Director of Digital fitness, Myokardia
"faraway monitoring has the opportunity to in fact revolutionize how decentralized scientific trials are operationalized. This work is vitally essential nowadays, particularly in the context of COVID-19 and the unheard of instances they find ourselves in."¬†
Lara Mangravite, President, Sage Bionetworks
"attending to authentic results from digital fitness equipment may not be convenient, however's no longer magic. The Playbook breaks down the approaches and practices that they need as a career to make decent science take place from new equipment, exceptionally validation, benchmarking, and robust ethics."
Steve Steinhubl, Director of Digital drugs, Scripps analysis
"the use of digital applied sciences to allow direct-to-participant research offers superb alternatives to beat many of the latest obstacles of traditional research, however also many challenges. Sharing their learnings will assist accelerate its adoption and with it, development in health outcomes."
View normal content to down load multimedia:http://www.prnewswire.com/information-releases/the-playbook-courses-the-secure-and-constructive-use-of-digital-scientific-measures-across-clinical-analysis-patient-care-and-public-health-301133554.html
supply Digital drugs Society (DiMe)
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