CNEA / Key Choice

2/6/2012

Certification Overview and Professional Principles Related to Certification

Karen Marzlin DNP, RN, CCNS, CCRN- CMC Cynthia Webner DNP, RN, CCNS, CCRN- CMC
2012 1

Goals and Objectives

To demonstrate understanding of certification options for critical care and cardiovascular nurses To demonstrate an understanding of professional and ethical standards related to certification To develop a strategy for learning and applying knowledge in preparation for certification
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Course Mission

Linking Knowledge to Practice and Practice to Outcomes

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WARM UP CLASS

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CNEA / Key Choice

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Introductions
Karen@cardionursing.com Cindy@cardionursing.com

Certification Nationally
AACN White Paper Beacon Award Magnet NDNQI Measure Society of Critical Care Medicine
Certification in Aultman Heart Center: Novice to Expert Preparation

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Scope of Certification Preparation Course

CCRN (Certified Critical Care Nurse) PCCN (Certified Progressive Care Nurse) CMC (Cardiac Medical Subspecialty) CSC (Cardiac Surgery Subspecialty) Board Certified Cardiovascular Nurse RCIS (Registered Cardiac Invasive Specialist) Cardiac-Interventional Radiology
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CCRN- www.aacn.org
Exam Content
Cardiovascular -20% Pulmonary - 18% Endocrine - 5% Hematology / Immunology - 2% Neurology - 12% Gastrointestinal - 6% Renal - 6% Multisystem - 8% Behavioral / Psychosocial 4% Professional Caring and Ethical Practice 20%
Concept of Exam Blue Print
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PCCN www.aacn.org
Exam Content
Cardiovascular -37% New Progressive Care Exam Pulmonary - 13% Endocrine - 4% Hematology / Immunology - 5% Neurology - 4% Gastrointestinal - 5% Renal - 6% Multisystem - 6% Professional Caring and Ethical Practice 20%
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CMC and CSC

CMC
Cardiology Patient Problems 43%
ACS Dysrhythmias Other CV pathophysiology

CSC
Patient Problems 52%
Cardiothoracic surgery Pulmonary Hematology Neurology GI (liver) Renal

Other Patient Problems 16% (pulmonary, endocrine, hematology, neurology, renal) Nursing Interventions 21%
Cardiology and pulmonary

Nursing Interventions 48%

Monitoring 20%
Cardiac and pulmonary

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Cardiovascular Nurse Board Certified

I Pathophysiology and Manifestation of Cardiac and Vascular Disease 17.33% II Communication 10.00% III Provision of Care 42.67% IV Patient and Family/Caregiver Education 10.67% V Psychosocial Aspects 7.33% VI Leadership 5.33% VIILegal and Ethical Issues 6.67%
Preventive and Disease Management Focus

American Nurses Credentialing Center

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Course Goals
Evidence Based Knowledge

Application of Critical Thinking Skills Applied to Physiology

Excitement about Learning

Change in Clinical Practice Linking Knowledge to Practice

Certification Preparation

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Course Design
Pre-class Review of Fundamental Concepts Class Interactive
Make it Stick / Tips to Take Away

Post Class Practice Questions / Apply in Practice / Study

Group

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Course Design
Learn Big Picture Fill in details of knowledge based on big picture Apply detailed knowledge back to big picture
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2/6/2012

Course Design

Understand Dont Memorize!!

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Course Design
Core Cardiovascular and Critical Care Curriculum Also Foundation for Certification Preparation
Study Groups Certification Mentor Accountability Partner Independent Study
Index cards Resource books Practice Questions

Length of Preparation Time Study Time Per Week

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Synergy Model Background

Need for theoretical framework

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Synergy Model

Synergy results when a patients needs and characteristics are matched with a nurses competencies

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Synergy Model
Patient Characteristics
Resiliency Vulnerability Stability Complexity Predictability Resource availability Participation in care Participation in decision making
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Patient Characteristics
Resiliency: Capacity to return to a restorative level of functioning using compensatory mechanisms

Stability: Ability to maintain a stable state

Vulnerability: Susceptibility to stressors that may adversely affect outcomes

Complexity: Intricate entanglement of two or more systems

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Patient Characteristics
Predictability:
Predictable response to evidence based treatment

Participation in Decision Making: Capacity to engage in decision making Resource Availability: Resources that a patient, clinical unit or system brings to a situation.

Participation in Care: Capacity to engage in aspects of care

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Synergy Model
Nurse Characteristics
Clinical Judgment Advocacy / Moral Agency Caring Practices Collaboration Systems Thinking Responses to Diversity Facilitator of Learning Clinical Inquiry (Innovator / Evaluator)
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Nurse Characteristics
Clinical Judgment:
Decision making Critical thinking

Clinical Inquiry:
Questioning and evaluating Providing evidenced practice

Caring Practices:
Creating compassionate and therapeutic environment Promoting comfort and preventing suffering Responding to uniqueness of patients
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Nurse Characteristics
Response to Diversity
Sensitivity to recognize, appreciate and incorporate differences into care

Advocacy and Moral Agency

Working on anothers behalf Identifying ethical concerns in clinical practice

Facilitation of Learning
Using oneself to facilitate patient, staff and system education
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CNEA / Key Choice

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Nurse Characteristics
Collaboration
Promotes and encourages each persons contribution

Systems Thinking
Recognizes holistic interrelationships that exist within and across healthcare systems

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Ethical Concepts Related to Synergy Model

Autonomy Justice Fidelity Beneficence Nonmaleficence Veracity Confidentiality Negligence
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CNEA / Key Choice

2/6/2012

Integration of Synergy Model into Current Practice

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Test Taking Tips

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2/6/2012

Preparation
Sign up for exam! Seek to understand rather than memorize Write to remember (index cards) Do practice questions Teach someone else challenging concepts Look for applications / reinforcement in daily clinical practice Get a study partner / accountability partner
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Preparation
Learn generic names Know multiple terminology Choose a two resources 5 hours / week; approximately 12 weeks Remember: Perfection is not the goal Transfer knowledge across systems Use critical thinking in unknown content areas Learn important areas very well
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CNEA / Key Choice

2/6/2012

Exam Day
Get a good night sleep Cinnamon gum or candy (aroma association) Dress for comfort and success Expect to be nervous (heightened anxiety) Clear your brain on scrap paper before you start Read question with answers covered
Determine the answer Look for your answer

Think positive: The answers are there! Reward yourself

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Open Discussion

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CNEA / Key Choice

2/6/2012

Critical Care Nurses Save Lives

Commitment to Learning

Commitment to Teaching

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Ready, Set, Go!!!

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