AACN Certification and Ethical Principles in Critical Care Nursing, Exams of Cardiology

Download AACN Certification and Ethical Principles in Critical Care Nursing and more Exams Cardiology in PDF only on Docsity! Crit Care Exam 1 AACN Certification is what certifications - oversees: CCRN (adult, neonatal, pedi) CCRN-E CNML (critical care managers and leaders) PCCN (step-down) ACCNS (acute + critical care nurse specialist) AACNPC-AG (acute care np) CMC (Cardiac) CSC (cardiac surgery) purpose of an AACN certification - -promote professional excellenece -help nurses maintain up-to-date knowledge -validate knowledge AACN certification is based on the AACN synergy model for patient care which is - that the needs of patients and families drive practice situation in SBAR - what is happening at present time backgroung in SBAR - circumstances leading up to situation Assessment in SBAR - what u think the problem is 1 | P a g e recommendation in SBAR - recommendation to correct problem AACN standards - outline nursinf process: collect data determine diagnoses identify expected outcomes develop plan of care implement interventions eval progress autonomy - right to make own decisions abotu medical care beneficence - duty to prevent/remove harm + promote good Nonmaleficence - not intentionally inflict harm justice - fair distribution of healthcare resources veracity - truthfulness fidelity - faithfulness to commitment 2 | P a g e religion ethnicity NOT MEDICAL PROGNOSIS palliative care def - to relieve symptoms that negatively impact pt or family can be implemented w all pts not just dying pts RN interventions for palliative care - repositioning hygiene skin care peaceful environment pain relief elements of palliateive care - early identification of end-of -life pts pain management anxiety control glasgow coma scale and its significance for organ donation - GCS <5 may trigger for organ pocurment referral (brain death) 5 | P a g e opo (organ procurement organization) - -offers donation services and bereavement to families -multidisciplinary -manage the donor -list portential recipients and notify of organs what is the criteria for brain death - absent cerebral + brain stem functions associated w a nonsurvivable head injury PCA pumps are not helpful for critically ill why - because often they are unable to manage the pumps independently might be better for step down units richmond agitiation-sedation scale - 10pt scale to measure level of sedation 4=combative 0=calm/alert -5=unarousable assess pts for 30-60sec in 3 steps critical care pain opservation tool (CPOT) - facial expression body movements muscle tension/upper extreities 6 | P a g e vent compliance train of four (TOF) - measures neuromuscular blockade to ensure that pt is appropriatley paralyzed gives 4 low-energy impulses through a muscle and then the number of muscle twitches are evaluated goal is 2-4 twitches 7 | P a g e