MSNCB Medical-Surgical Nursing Certification Exam Dumps

MSNCB Exam Format | Course Contents | Course Outline | Exam Syllabus | Exam Objectives

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 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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MSNCB Medical-Surgical study tips

MSNCB Medical-Surgical study tips

MSNCB Medical-Surgical study tips :: Article Creator

Managing insomnia

A boss who changed into very lots concerned about her team of workers noticed her lack of awareness, tiredness and lassitude at work. He was worried about her effectiveness and despatched her for medical exams. The results demonstrate no abnormalities as her parameters had been inside standard limits. The boss out of his concern informed the team of workers to examine her being pregnant fame, this came out she become now not pregnant. Upon thorough session with a physician, she changed into diagnosed with insomnia. She bought counselling and medication and she has since been advantageous at work.

Insomnia is a nap disorder linked to difficulty falling asleep at first of the night; waking up often overnight; waking up in a single day and being unable to go to sleep once more; or early morning awakening. it is continually associated with daylight hours tiredness and distress. continual insomnia happens when the symptoms are present for a couple of month for as a minimum three nights per week. Many people with sleep difficulties have insomnia. They may continuously awaken too early.

explanations

there are lots of viable motives or contributors to insomnia, symptoms associated with insomnia can also suggest an underlying scientific, surgical, psychological or environmental problem.

Psychiatric elements

Psychiatric disorders are customarily associated with insomnia. anxiousness issues can cause insomnia associated with rumination over certain issues or issues. depression additionally factors it.

Insomnia is average with alcohol abuse. The patient goes to sleep in the evening when intoxicated simplest to wake a few hours later when their blood alcohol concentration drops.

Environmental components

If a patient’s bedroom is just too hot, too cold, too noisy, or their bed cramped or uncomfortable, addressing those elements may unravel the issue. A crying child, or a unwell or stressed child or other friend can also disturb sleep. The guidance of a partner, other relative, or brief length of respite might also address the sleeplessness.

actual components

Many ailments together with hypertension, metabolic problems, pain syndromes, cardiac and respiratory failure might also make a contribution to insomnia.

Substance-related motives …caffeine, nicotine and alcohol may additionally also make a contribution to insomnia

growing old ….As one a while, there may be a decrease construction of Melatonin making the adult to wake up extra commonly at evening.

Jet lag

Flying across a number of time zones can also additionally outcomes in insomnia. The therapeutic key is to settle into the new time zone as rapidly as feasible.a similar disturbance may happen when shift people start and end work cycles. every so often, the quick use of a hypnotic may also aid adaptation to a new sleep pattern.

medicine

In most individuals, insomnia goes away naturally with none want for treatment.

the 1st step in overcoming insomnia is to learn match sleep habits and alter any tradition elements that can be contributors- here's known as sleep hygiene. Sleep hygiene comprises a few social and behavioural interventions to aid patients enrich their sleep, It contains setting up an everyday sample of going to bed at in regards to the equal time each night, and getting up at about the same time every morning, medicine adjustments.

Treating any underlying issue can support to alleviate the insomnia -medication of actual sleep disturbances, equivalent to sleep apnoea or stressed legs symptoms, additional administration of mental fitness or pain situations.

rest thoughts

learning to chill out earlier than mattress can aid you let go of worries and prepare your physique for sleep. respiration exercises, innovative muscle relaxation and meditation can be positive suggestions before sleep

Cognitive behaviour therapy

Cognitive behaviour therapy (CBT) is always the primary line of remedy if sleep techniques and leisure don't seem to be helpful. CBT, a treatment based on the concept that the way you consider and act affects how you believe, is usually provided with the aid of apsychologist and can be finished individually or in a bunch. CBT is valuable for insomnia, anxiousness and melancholy.

remedy for insomnia

in the case of chronic insomnia where other strategies haven't helped, doctors may additionally prescribe medicine. This can be advantageous for a brief period of time. although, lengthy-term medication use may cause addiction and might have aspect outcomes.

If all the above failed, the patient could be said a snooze professional or health facility, who may imply a nap examine to take into account what may well be inflicting your bad sleep.

general information

Have a daily sleep pursuits: are trying to go to bed and awaken on the same time everyday.

cut out caffeine, nicotine and alcohol  in the night

Get average activity, but now not in the evening.

avoid sunlight hours naps.

be sure the bedroom is quiet, darkish and not overheated.

prevent tv or desktop displays in the bed room or for an hour before bed.

if you can’t sleep, go to a further room and do a quiet pastime until you believe tired and then are attempting once again.

Do something enjoyable earlier than mattress.

In conclusion, Insomnia is linked with weight problems, diabetes, melancholy, stress-connected diseases and melancholy.

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