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Exam Number : MSNCB
Exam Name : MSNCB Medical-Surgical Nursing Certification
Vendor Name : Medical
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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 (CMSRN) 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 test 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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Medical Medical-Surgical teaching

The future of clinical training | MSNCB test Questions and Study Guide

With the volume of expertise accessible nowadays, it’s no ask yourself scientific college lecture rooms are looking further and further futuristic. apart from the now-ordinary use of laptops and high-definition displays, scientific faculties are incorporating simulation getting to know into their curriculums.

UT Southwestern scientific core, as an instance, has a 49,000-square-foot Simulation core that was funded partly by way of Southwestern medical basis. It opponents a small hospital, comprehensive with a full operating room, an Intensive Care Unit, 6 inpatient rooms, and 20 outpatient rooms. Opened in 2018, learners of all stages instruct there, practicing on high-tech manikins — anatomically sensible fashions used to simulate scientific methods — that carefully replicate diseases and prerequisites that physicians come across within the true world.

“What they do at the Simulation center is recreate the medical event, so trainees get to definitely practice their clinical work in an genuine setting. Their students have the option to learn after which apply until they reach a stage of skillability earlier than they go into the scientific ambiance.”

Krystle Campbell, Director of Simulation center Operations

college students use the Simulation core to enhance practical scientific and behavioral skills, including:

  • medical reasoning and decision-making
  • effective interprofessional teamwork
  • medical crisis decision
  • relevant conversation
  • safe and constructive procedures
  • “subsequently, observe makes excellent, and so being capable of actually work with these superior applied sciences on mannikins—that alleviates any affected person discomfort from your first time—is a major asset,” says clinical scholar Sarah Yuen.

    This Simulation center enables trainees to apply devoid of fear of failure.

    college students coach in a digital working room installation as a real OR atmosphere. [Photo: UT Southwestern]

    “We get an opportunity to get things wrong with out harming an exact patient,” says Cassandra Mackey, M.D., medical education fellow. “Having failed or taken a risk and never performed whatever thing as it should be will enable that person to do more desirable the next time.”

    students of all tiers advantage from simulation discovering.

    “The splendid factor is that the Simulation center offers a secure atmosphere for all beginners, from scientific and PA students the entire solution to senior faculty individuals learning a brand new system. It makes it possible for those individuals to make blunders, proper their errors, and present a better level of care to their patients. It has been an important paradigm shift in scientific education and carrying on with schooling.”

    Daniel Scott, M.D., clinical director of the Simulation center

    and since most of the simulations are self-guided, trainees have the flexibility to apply the skills they need to most.

    “The space permits newbies to take some route of their training,” Campbell says. “we've loads of truly neat environments that offer digital truth where learners can proceed to follow, or, if they’re already expert, focal point their time on discovering a brand new ability.”

    Augmented truth Teaches patient Care

    Simulations are perfect for gaining technical skills, training surgical strategies, and performing tactics, similar to providing a child. however a large part of medicine takes area even earlier than the gloves go on.

    gaining knowledge of the way to comfortably speak with sufferers, ask the correct questions, reference an individual’s health background, and make sense of indicators is just as important as getting to know anatomy and disorder. in the past, medical college students relied entirely on roleplaying situations or rotations with genuine sufferers to observe these interpersonal knowledge. UT Southwestern college engaged the assist of The university of Texas at Dallas college students and group of workers to create an augmented truth software that may be used to supplement roleplaying workout routines.

    The Emotive virtual fact affected person application at UTD became funded in part through Southwestern medical groundwork. with the aid of emulating a patient as a digital persona, the brand new technology helps bridge the hole between education and observe for scientific college students.

    “We’ve had a sequence of projects to help medical school college students and linked kinds of college students learn the way to communicate with patients. Their colleagues on this at UT Southwestern wanted a more simple kind of environment that become not simply sort of ‘opt for the appropriate reply’ however become more of a herbal language system.”

    UTD assistant professor Marjorie Zielke on the core for Modeling and Simulation, while talking to The Mercury

    What’s to return

    Ms. Campbell says she sees know-how taking part in an more and more important function in clinical schooling sooner or later.

    “Simulation and digital reality are actually the top-quality patient safeguard equipment,” Ms. Campbell says. “I believe within the energy of simulation to transform not best health care education, but fitness care as they know it. As simulation evolves, we’ll proceed discovering new ways to undertake it for the purposes of education.”

    gain knowledge of extra about the Simulation center

    [Image: UT Southwestern]

    UT Southwestern’s Simulation center — one of the vital largest and most advanced in the nation — spans two flooring of the West Campus building.

    With 20 full-time crew members, together with some who hold superior degrees in simulation, the Simulation core personnel are consultants within the box. The middle comprises highest quality observe academic theories, excessive constancy environments, and inventive teaching modalities in a formal partnership manner. The partnership lets the center team with a diverse neighborhood of discipline remember experts to increase, put into effect, and facilitate simulation actions.

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