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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 test 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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Medical MSNCB test success

After Passing one of the most nation's Most demanding tests, André Tapia Created An App to aid Others be triumphant | MSNCB PDF get and test Questions

November 10, 2020 6 min examine

this article changed into translated from their Spanish version the use of AI applied sciences. mistakes might also exist because of this process.

Opinions expressed through Entrepreneur contributors are their personal.

Dr. André Tapia, when he changed into an aspiring ophthalmologist , searched for Carlos Roca, proprietor of Mellow Consulting; and pointed out, 'I did very smartly on the countrywide test for clinical Residency candidates (Enarm)! It is among the most demanding checks for doctors who want to enter a area of expertise. i used to be the eighth nationally. I prepared myself in alternative ways and i believe there is a extremely top notch opportunity to enhance an utility to look at and move this test ”.

Of the 45,000 docs who function the Enarm every year in Mexico, handiest 18% are accepted; and most are left devoid of the opportunity to be consultants. here's how the startup Reto training turned into born, which created the Reto Enarm app to study and flow the country wide test for Aspirants to medical Residencies (Enarm ) through clinical instances, questionnaires, challenges and simulators.

André Tapia asked Mellow Consulting for a quote; and after a long time, Carlos Roca told him: “we now have already achieved a lot of research and they believe that this task has a great future. Why don't they do the enterprise together? They function it and you focus on the entire scientific part?

André depended on Carlos and that's the reason how Reto Educación begun in August 2015. Then they invited two extra companions: Uri Torruco, infectologist with a master's degree in health Sciences training; and Alma Jurado, a surgeon with a master's diploma in eHealth, who merges expertise with fitness.

In August of this year, they launched the school challenge to examine for the admission tests of the country wide self sustaining school of Mexico (UNAM), the Metropolitan independent college (UAM) and the national Polytechnic Institute (IPN). Of 560,000 college students, below 10% enter these universities.

they are additionally engaged on the content of MIR problem, a tool to put together and pass the MIR (inner Resident doctor), an test in Spain to be a professional in some department of medicine. And however these entrepreneurs wish to concentrate on the medical market, in April 2020 they introduced the inventory Market problem for professionals within the banking and financial sector that require certifications from the Mexican association of Banking institutions (AMIB).

“Our leading tool is Reto Enarm. they now have greater than a hundred,000 registered physicians. forty% of doctors in Mexico use this utility. because it is enhanced to pay 800 pesos for the app than to purchase a ebook of 1,000 pesos or more, "explains Carlos Roca, founding father of Reto schooling in an interview for Entrepreneur in Spanish .

The content of Reto Enarm is made in line with the structure of the country wide Examination for Aspiring scientific Residences (Enarm); which is 30% pediatrics, 30% gynecology, 30% inner medicine and 10% all different specialties. it's also based on the experience of students with the most fulfilling rankings over the years.

“We promote Reto Enarm without delay to medical doctors and medical faculties for them to supply to their college students. within the case of Reto Bursatil their clients are banks and monetary associations ”, he says.

moves to combat COVID-19

Reto education entrepreneurs have been selected via five accelerators from right here places: tuition of Southern California, big apple tuition, Tecnológico de Monterrey, facebook and xEDU, discovered in Finland the place the govt gave them a certification called training Finland that validates the Reto training software for meeting the technological and pedagogical instructions to be used as a analyze tool.

"due to the COVID-19 condition, they launched the viive.com.mx platform to assist the health device notice situations and stop distressed sufferers from going to hospitals," says the co-founding father of Reto schooling.

If someone feels indicators of the coronavirus, the first step is to write down on Viive's facebook or WhatsApp messenger; and some chatbots guide you asking inquiries to diagnose. If there are signs of the disorder, a free video consultation is made with the Reto schooling scientific group; And if quintessential, a doctor will come to your domestic for free of charge in Mexico metropolis.

picture: Courtesy Reto education

Your strongest asset? best content material

For them, the gold standard lesson of success is definitely the miraculous content material with which clients study. here is the strongest asset. one more issue that has worked for them is being very energetic hunting for clients, alternatives, accelerators, new contacts, and so on.

The Reto schooling companions allocated round 300,000 pesos to their preliminary undertaking. In January 2018 they received really good information and an investment from Orion Startups for $ 30,000 in exchange for 3% of the business.

problem schooling is in the sector of on-line schooling, peculiarly, self-examine. The co-founders estimate that the market for their 4 functions: Reto Enarm, Reto MIR, Reto Bursátil and Reto Universidad is value 250 million pesos a yr. His aim this 12 months is to attain 10 or 15% of that market.

“We are looking to be the largest medical education platform in Latin the us. Their intention for 2020 is to close with 30 consumers between medical colleges and banks, ”says Carlos.

The Reto training crew is made from 12 individuals. they are all fervent believers that training is the most reliable device for future generations. “The founders are very clear about this and they now have been capable of talk it very well to all collaborators. they are by no means going to sacrifice educational fine to wish to sell greater ”.

His optimum tips is to pay close attention to the partners, personnel or suppliers that you will invite to take part within the company. “every now and then they trust that if someone gives us 1,000,000 pesos, they are able to solve things. however receiving cash without caring so a lot in regards to the person is the worst mistake they can make ”.

in the face of adversity these entrepreneurs are confident. They all the time hope for the highest quality being realistic. "it is decent for the group that they are tremendous and transmit calm in any advanced situation," concludes Carlos Roca, co-founder of Reto schooling.


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