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Certification-Board CSLE : National-Interstate Council Cosmetology Licensing test Exam

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Test Number : CSLE
Test Name : National-Interstate Council Cosmetology Licensing Exam
Vendor Name : Certification-Board
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NIC Practical Cosmetology test Core Content
A practical examination is an important component for assessing your competence in cosmetology. The NIC cosmetology practical examination covers the following core content:

- Hair-shaping
- Chemical waving
- Chemical relaxing
- Hair lightening and hair coloring
- Thermal curling

Further, depending on your state, you may also be tested in the following areas:
- Blow-drying styling
- Shaping and pin curl placement
- Roller placement
- Facials
- Manicuring
- Sculptured nails

Although you should always refer to your state guidelines for a list of required supplies, the required general supplies for the NIC cosmetology practical examination include:

- Dry storage kit/container
- Hand sanitizer
- Mannequin head and a table clamp
- A towel placed between the clamp and the table
- EPA registered disinfectant
- Container/bag for soiled/trash items
- Container/bag for items to be disinfected
- Cloth and paper towels
- Neck strips
- Shampoo cape
- Hair clamps
- Combs/hair brushes
- Spray bottle
- Protective cream
- Spatula
- Protective cotton
- Protective gloves
- First aid supply kit
- Tape

When taking the NIC cosmetology practical examination, you will want to ensure you follow all test rules and instructions, including:

Do not leave the test area without permission.
- You must bring your own test kit in sanitary condition.
- You must bring a container of water if needed for any section of the exam. You may also bring a thermos of hot water, if desired.
- You will be given 10 minutes for client protection and for setting up your supplies.
- You will be given 2 minutes in between each section of the test for setting up the required supplies.
- You will receive verbal instructions twice before beginning each section of the exam.
- Once you have completed the tasks of a specific section, step back from your work station to indicate that you have finished.
- Always ensure you are following all appropriate public protection and infection control procedures during all phases of the exam.
- You may not bring your cell phone or any other electronic device, handwritten notes, or any other printed materials into the test room.
- You may not talk with any other candidates during the testing period.
- Depending on your state, you will use either a live model or a mannequin head/hand for the exam.

If you are allowed to use a model, you must adhere to the following guidelines:
- Your model must be at least 15 years old and cannot be a licensed cosmetologist or cosmetology student.
- Your model must present ID to gain admittance into the exam.
- Your model must agree to submit to all services during the test and may not participate in any way during the exam.
- Your model cannot talk to you at any time during the exam.



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Advances in Anticoagulation administration: The position of Pharmacy | CSLE Real test Questions and cheat sheet

content

during the last 40 years, essential adjustments have happened within the area of anticoagulation administration. New concepts were developed for older anticoagulants, older beliefs were challenged, new anticoagulants were introduced, and new signals had been identified for existing anticoagulants. The position of the pharmacist in managing anticoagulant remedy has been based, and clinicians have learned more concerning the vital importance of medicine security. Advances have spanned from the outpatient atmosphere to the essential care setting.

until the mid-Eighties, the primary anticoagulants in use have been unfractionated heparin and the coumarins or diet okay antagonists. Heparin become first discovered to have antithrombotic homes in 1916. within the late 1960s, it changed into found out that heparin acted with the aid of improving the undertaking of antithrombin. despite decades of adventure with heparin, controversies surrounding its use continue to be. barriers within the use of the activated partial thromboplastin time (aPTT) verify for heparin monitoring had been well diagnosed for a few years.[1] at the moment, there's broad edition amongst hospitals in their strategy to heparin monitoring.[2,3] Some investigators/clinicians have recommended moving from use of the aPTT for heparin monitoring to make use of of a heparin anti-Xa level.[4] consequences statistics to help this sort of flow are lacking. apart from uncertainty in regards to the top-rated approach to monitor heparin, the facts to assist a well-centered therapeutic latitude for heparin (whatever thing they realized in pharmacy faculty) have also been scrutinized.[5] youngsters a contemporary trial discovered that unmonitored administration of subcutaneous heparin plus warfarin was comparable to low-molecular-weight heparin (LMWH) plus warfarin, additional reports are crucial to establish the safety and efficacy of unmonitored heparin therapy.[6]

the first record of the medical use of warfarin as an anticoagulant become in 1941. more than forty years later, they discovered the magnitude of differences in the sensitivity of commercial thromboplastin reagents used within the dimension of the prothrombin time (PT). within the 1980s, most US laboratories used thromboplastin reagents with a global sensitivity index (ISI) of 1.8-2.4, whereas laboratories in European hospitals used more responsive reagents with an ISI of 1.0-1.four. These modifications in reagent sensitivity led to colossal ameliorations in dose requirements when warfarin was monitored using the PT ratio. The international normalized ratio (INR) was introduced in the late 1980s as a method to relevant for various thromboplastin reagent sensitivity. The INR is now the normal look at various for warfarin monitoring. one more strengthen in oral anticoagulant remedy changed into the attention of genetic polymorphisms, including a mutation in the gene coding for CYP2C9. This mutation greatly reduces the metabolism of the stronger S-warfarin, which reduces warfarin dose requirements.

An knowing of the particular method wherein heparin binds to antithrombin led to the development of more exact courses of antithrombotic brokers. delivered in the Nineteen Eighties, the LMWHs (which can be basically "little" heparins, about 1/3 the molecular weight of heparin) have decreased binding to proteins, resulting in a extra predictable pharmacokinetic response. besides the fact that children one of the most common advantages of LMWHs turned into that monitoring turned into not required, we're hearing further and further concerning the deserve to display screen LMWHs in particular patient populations. Fondaparinux, permitted in 2001, become the first agent in a brand new type of antithrombotics called oblique inhibitors of factor Xa.

The direct thrombin inhibitors (DTIs) are a further new type of anticoagulants introduced in the Nineteen Nineties after years of investigation into the anticoagulant properties of the saliva of the Hirudo medicinalis leech. The preliminary use of a medicinal leech for bloodletting dates again to early Egyptian times. In 1833, when leech use became at its height, the annual use of leeches in France approached 100 million. youngsters use declined via the end of the nineteenth century, leeches are once more coming into choose within the area of reconstructive microsurgery. although there are over seven hundred species of leeches, H. medicinalis is favorite as a result of its ability to chew deeply and cause extended bleeding. Hirudin is without doubt one of the salivary items secreted with the aid of the H. medicinalis. Lepirudin (recombinant hirudin) become the first DTI launched in the US, adopted by way of argatroban and bivalirudin. As these brokers are costly, their use is essentially in the administration of heparin-triggered thrombocytopenia and as an anticoagulant in sufferers undergoing percutaneous coronary intervention.

Ximelagatran, the first oral DTI, changed into rejected by using the meals and Drug Administration because of considerations regarding hepatotoxicity; it become because of this withdrawn from the worldwide market. Dabigatran, an extra oral DTI, is currently in phase III trials. If this agent is approved, the variety of outpatients taking warfarin may be impacted, as monitoring isn't required with dabigatran.

despite the fact more moderen anticoagulants (LMWHs, fondaparinux, DTIs) offer benefits, their lack of finished reversibility can pose challenges within the face of overanticoagulation. other anticoagulant agents in building include a once-weekly, oblique-acting pentasaccharide inhibitor (idraparinux), directacting pentasaccharide inhibitors (apixaban, rivaroxaban), soluble thrombomodulin, and tissue pathway component inhibitor.

Over the closing 2 many years, the benefit of pharmacist-managed anticoagulant remedy has been smartly centered. In 1985, Drug Intelligence & medical Pharmacy posted an editorial on cost justification of a pharmacist-managed anticoagulation health center.[7] remedy management by means of pharmacists resulted in an development in the percent of prothrombin instances and INRs within the therapeutic range and a reduction in hospitalizations for thromboembolic or bleeding routine. The anticoagulation hospital become discovered to have a favorable charge:advantage ratio. a lot of publications due to the fact that that point have additionally confirmed these merits.

The pharmacist's role in managing anticoagulation remedy in the inpatient atmosphere has additionally been established. An assessment of over seven-hundred 000 Medicare sufferers from practically one thousand hospitals discovered that these devoid of pharmacy-directed heparin and warfarin administration had better mortality costs, length of stay, Medicare prices, bleeding costs, and transfusion necessities.[8] Pharmacy-managed anticoagulant therapy improves the nice and safety of such remedy in the inpatient and outpatient setting.

a few other major tendencies within the enviornment of anticoagulation have befell. Hypercoagulable states have been recognized, along with an figuring out of their position in causing thromboembolism. The top of the line use of antiplatelet brokers (with or with out combination anticoagulant therapy) in arterial disease has been extra defined. Efforts aimed toward public awareness of the indications of stroke have prepared the ground for the timely use of thrombolytic therapy for acute ischemic stroke. The introduction of newer, longer-appearing anticoagulants administered subcutaneously shifted the treatment of venous thromboembolism (VTE) to the outpatient atmosphere. The introduction of warfarin self-monitoring for select sufferers has allowed for even extra empowerment of sufferers. The introduction of recombinant factor VIIa for hemophilia sufferers with inhibitors of aspect VIII or IX become a huge breakthrough. regardless of the cost and thrombotic risk linked to this agent, its off-label use continues to increase in many clinical settings, together with irritating bleeding and uncontrollable hemorrhage. realizing the hyperlink between activation of irritation and coagulation ended in the construction and approval of drotrecogin alfa, activated for acute extreme sepsis.

The significance of evaluating hospitalized sufferers for the risk of VTE has acquired appreciable consideration and will proceed to be an important area of focus for the healthcare gadget in the coming decades. VTE is probably the most typical form of preventable health facility dying, causing more deaths yearly in the US than breast melanoma, AIDS, or motor car accidents. The dying of NBC news correspondent David Bloom helped boost public focus of the hazards for VTE. The Coalition to steer clear of DVT, a gaggle of national scientific societies, affected person advocacy organizations, and public health organizations, changed into formed to assist make deep vein thrombosis a huge public health priority.

The Joint commission on Accreditation of Healthcare corporations (JCAHO) and the national nice discussion board have described 8 efficiency measures at the moment in checking out on VTE chance assessment, prevention, and remedy[9]:

possibility assessment/Prophylaxis

medicine

  • Documentation of inferior vena cava filter indication;

  • VTE sufferers with overlap remedy;

  • VTE sufferers receiving unfractionated heparin with platelet count number monitoring;

  • VTE sufferers receiving unfractionated heparin management through nomogram/protocol;

  • VTE discharge guidelines;

  • effect

    These measures should be finalized and launched through early 2008. health center efficiency on these nice measures will seem on client web websites. assurance providers have already begun to require participants to put up best indications in the enviornment of VTE as a pay-for-performance measure.

    over the past 2 a long time, the value of treatment safeguard with anticoagulants became a essential difficulty for health systems. within the Nineteen Eighties, the elevated incidence of spinal hematomas in patients receiving LMWH and neuraxial anesthesia heightened cognizance of the expertise colossal hazards with anticoagulant therapy. The circulation toward computerized doctor order entry will help in the carrying on with reduction of drug error and interactions with anticoagulants. JCAHO has blanketed anticoagulants in its proposed 2008 country wide patient protection dreams, while the Institute for Healthcare improvement has referred to as for development in the use of anticoagulant drugs in its 5 Million Lives campaign.

    as the role of the pharmacist in anticoagulation management continues to adapt, pharmacists need to maintain existing with therapeutic advances. For pharmacists working essentially within the area of anticoagulation, a country wide certification examination is attainable from the country wide Certification Board for Anticoagulation suppliers. individuals finishing this certification are recognized through the initials CACP (certified Anticoagulation Care issuer). obtainable supplies to aid pharmacists stay current in the area of anticoagulation encompass:

  • The American faculty of Chest Physicians conference on Antithrombotic and Thrombolytic remedy: proof-based guidelines. the primary convention complaints were published as a complement in Chest in 1986.[10] The guidelines are up-to-date about every three-4 years.

  • The American Society of health-equipment Pharmacists Antithrombotic Pharmacotherapy Traineeship became launched in 1985 and comprises an extreme self-examine, didactic element in addition to a 5 day experiential application.

  • The Anticoagulation discussion board is a multidisciplinary network of clinicians thinking in managing anticoagulant therapy. situated in 1991, the discussion board now has greater than 3000 participants from over 1300 anticoagulation clinics international.

  • ClotCare on-line useful resource, founded by Henry Bussey PharmD and his daughter, Marie Bussey Walker. The website (www.clotcare.com) offers information for patients and healthcare practitioners about thrombotic problems and therapeutic concerns involving anticoagulant and antiplatelet remedy, amongst others.

  • American faculty of clinical Pharmacy Anticoagulation practising program, which is obtainable at the side of the school of Texas and the Anticoagulation Clinics of North the us. This software contains a minimum of four weeks of intensive training.

  • numerous online anticoagulation lessons and certificate programs can be found.

  • The last 2 decades have brought numerous advances in the container of anticoagulation. the future will see an improved focal point on patient safety and disorder prevention. exceptional care as it relates to anticoagulation therapy could be tied to health center accreditation and reimbursement. New classes of anticoagulants may be delivered, so that they can heighten the need for reversal agents. Pharmacists will proceed to play a important function in managing and assessing the results of anticoagulant remedy in the future. The eventual impact of oral DTIs on pharmacist-managed anticoagulation clinics continues to be to be seen.


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