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Exam Number : PCCN
Exam Name : AACN Progressive Critical Care Nursing
Vendor Name : Medical
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PCCN exam Format | PCCN Course Contents | PCCN Course Outline | PCCN exam Syllabus | PCCN exam 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 Boost 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.

I. CLINICAL JUDGMENT (80%)
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
II. PROFESSIONAL CARING AND ETHICAL PRACTICE (20%)
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 BiPAP
o CPAP
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/Hematology/Neurology/Gastrointestinal/Renal
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)
General
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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ideal Practices in medication: Observations from Iceland | PCCN exam Questions and Cheatsheet

In 2020, I authored a publication, a way to Get the right analysis: 16 counsel for Navigating the USA clinical system. It captured key training learned in 2014 following a five-year struggle with an undiagnosed affliction. Little did i do know then that i'd spend the subsequent six years dealing with a second undiagnosed ailment!

lately, whereas on holiday in Iceland, my fitness deteriorated severely. i used to be hospitalized for 18 days plagued by a infrequent type of vasculitis. right through this time, I observed five top-quality practices that may still be emulated with the aid of every clinical gadget:

  • consider and check for diverse hypotheses
  • encourage all group individuals to problem assumptions
  • Incentivize doctors to evade becoming captives of their area of expertise
  • take heed to and partner with the patient
  • Foster a sturdy collaborative crew effort
  • varied Hypotheses. In Iceland, the docs and nurses worked as a group to generate an inventory of candidate choice diagnoses (believe of the tv display house). as an alternative of trying out the hypotheses in a serial vogue, they performed synchronous evaluations. in consequence, the diagnostic manner was a great deal more productive.

    Key Assumptions. With complicated instances, it is essential no longer to discard a speculation upfront. In Iceland, two initial assumptions that made experience turned out to be incorrect, and one which looked unbelievable grew to become out to be correct. The team discovered this only as a result of a way of life had been dependent through which any individual in spite of rank may elevate questions and problem professional judgment.

    Overspecialization. Over the path of my sojourn, i used to be attended by doctors representing nine specialties: rheumatology, hematology, infectious disorder, cardiology, pulmonology, dermatology, oncology, gastroenterology, and inner drugs. In Iceland, i used to be impressed by way of the willingness of the doctors to believe outside their “area of expertise field.” i believe one cause of this behavior is that the follow of medication is much less litigious in Iceland. moreover, my experience changed into that the docs felt greater empowered to focus on the broader context of my condition and greater compelled to get the prognosis appropriate.

    Listening potential. the primary query i used to be asked by using medical doctors and nurses on every talk over with changed into “How are you feeling?” When i discussed a symptom that did not healthy their pattern of what may well be wrong with me, they wanted to discover the discrepancy, no longer ignore it.

    Collaboration. finally, what in reality impressed me was the mighty way of life of collaboration confirmed by way of everyone linked to my case. On at least three events, a panel of docs and nurses convened to brainstorm diagnoses, select the most appropriate treatment, and estimate a discharge date. Over 18 days, i was considered by way of 12 docs, and the switch of capabilities among them turned into easy and finished. while in the ER and the health facility, I engaged in conversations with more than 100 scientific professionals. a good deal to my amazement, they all gave the impression to be working off the equal sheet of track. How they managed to collaborate so without problems become sudden and fantastic.

    In sum, my contemporary health emergency in Iceland taught me an awful lot about what makes a clinical assist equipment work well – and that i am alive today to inform the story!

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