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Test Number : OCN
Test Name : Oncology Certified Nurse
Vendor Name : Medical
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Exam ID : OCN
Exam Title : Oncology Certified Nurse (OCN®)
Questions : 165
Duration : 3 hours
Exam Type : multiple-choice

Test Content Outline (Effective 2020)
I. Care Continuum - 19%
A. Health promotion and disease prevention (e.g., high-risk behaviors; preventive health practices)
B. Screening and early detection
C. Navigation
D. Advance care planning (e.g., advance directives)
E. Epidemiology
1. Modifiable risk factors (e.g., smoking, diet, exercise, occupation)
2. Non-modifiable risk factors (e.g., age, gender, genetics)
F. Survivorship
1. Rehabilitation
2. Recurrence concerns
3. Financial concerns
4. Employment concerns
5. Insurance concerns
6. Family and social support concerns
7. Sexuality concerns
G. Treatment-related considerations
1. Delayed-onset side effects
2. Chronic side effects
3. Secondary malignancies
4. Follow-up care
H. End-of-life care
1. Grief
2. Bereavement
3. Hospice care
4. Caregiver support
5. Interdisciplinary team
6. Pharmacologic comfort measures
7. Non-pharmacologic comfort measures
II. Oncology Nursing Practice - 17 %
A. Scientific basis
1. Carcinogenesis
2. Immunology
3. Clinical trials (e.g., research protocols)
B. Site-specific cancer considerations
1. Pathophysiology
2. Common metastatic locations
3. Diagnostic measures
4. Prognosis
5. Classification
6. Staging
7. Histological grading
C. Scope, standards, and related issues
1. Standards of care (nursing process)
2. Legal (including documentation)
3. Accreditation (e.g., The Joint Commission)
4. Self-care (e.g., managing compassion fatigue)
D. Standards of professional performance
1. Ethics (e.g., patient advocacy)
2. Education
3. Evidence-based practice (e.g., Putting Evidence Into Practice (PEP) guidelines) and research
4. Quality of practice
5. Communication
6. Leadership
7. Collaboration
8. Professional practice evaluation
9. Resource utilization
10. Environmental health (e.g., safety, personal protective equipment, safe handling)
III. Treatment Modalities - 19%
A. Surgery
B. Blood and marrow transplant
C. Radiation therapy
D. Chemotherapy
E. Biotherapy
F. Immunotherapy
G. Vascular Access Devices (VADs) for treatment administration
H. Targeted Therapy
IV. Symptom Management and Palliative Care - 23%
A. Etiology and patterns of symptoms (acute, chronic, late)
B. Anatomical and surgical alterations (e.g., lymphedema, ostomy, site-specific radiation)
C. Pharmacologic interventions
D. Complementary and integrative modalities (e.g., massage, acupuncture, herbal supplements)
E. Palliative care considerations
F. Alterations in functioning
1. Hematologic
2. Immune system
3. Gastrointestinal
4. Genitourinary
5. Integumentary
6. Respiratory
7. Cardiovascular
8. Neurological
9. Musculoskeletal
10. Nutrition
11. Cognition
12. Energy level (i.e., fatigue)
V. Oncologic Emergencies - 12%
A. Disseminated intravascular coagulation (DIC)
B. Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)
C. Sepsis (including septic shock)
D. Tumor lysis syndrome
E. Hypersensitivity
F. Anaphylaxis
G. Hypercalcemia
H. Cardiac tamponade
I. Spinal cord compression
J. Superior vena cava syndrome
K. Increased intracranial pressure
L. Obstructions (bowel and urinary)
M. Pneumonitis
N. Extravasations
VI. Psychosocial Dimensions of Care - 10%
A. Cultural, spiritual, and religious diversity
B. Financial concerns (including available resources)
C. Altered body image
D. Learning styles and barriers to learning
E. Social relationships and family dynamics
F. Coping mechanisms and skills
G. Support
1. Patient (i.e., individual and group)
2. Caregiver (including family)
H. Psychosocial considerations
1. Anxiety
2. Loss and grief
3. Depression
4. Loss of personal control
I. Sexuality
1. Reproductive issues (e.g., contraception, fertility)
2. Sexual dysfunction (e.g., physical and psychological effects)
3. Intimacy



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Medical Oncology Latest Questions

Oncology needs talent | OCN test Cram and braindumps

rapid growth within the container of oncology is creating a expertise shortage within the sector. As fast-growing agencies search for skilled americans, the ability pipeline is struggling to sustain with demand.

The present tempo of innovation in oncology research and therapeutic construction is extraordinary. all over the previous 5 years, 78 oncology medication had been launched globally, overlaying 24 several types of melanoma. through December 2017, there were greater than 2,000 immuno-oncology cures in some stage of development.

trade is thinking there might also no longer be ample patients in a position and willing to take half in these trials. in a similar fashion, a big and growing to be number of separate establishments working in oncology are all trying to find talented management from a pool of individuals that conveniently isn’t transforming into at the equal cost.

As they look to the future, key questions consist of: where is the subsequent era of skill going to return from? And what abilities will future leaders of oncology want?

Collaboration is essential

RSA’s existing skill equity file shows that the common R&D course within the pharma industry is a company model below power. The ever-expanding demand for talented management in oncology is riding a need for collaboration.

big pharma is picking to collaborate increasingly with universities, clinical analysis centres, research charities, CROs, diagnostic companies and biotech, frequently with powerful results. Collaboration is being pushed through distinct factors, including the increase of combination healing procedures and changing company fashions, with large pharma now much more inclined to usher in external innovation.

academics are the using drive in Oncology R&D

Academia is quickly fitting a key participant within the collaborative model. step forward academic analysis is fuelling drug discovery and scientific development and the should innovate and move instantly has encouraged lecturers to play a much bigger function in biotech than up to now.

Academia is an important source of skill in biotech’s quickly-moving oncology sector, with practically half of the scientific leadership within the sector coming from tutorial analysis. while some lecturers will naturally proceed to work in academia and forge collaborations with business, many others are seeking for capital and spinning out their personal groups. a 3rd community is joining trade and facilitating the interpretation of science to clinical programmes, often in senior management positions in bigger pharma and biotech groups.

Transitions from academia/the no longer-for-earnings sector to industry are a sign of the intense competition for ability in this house. These transitions and the growth in collaborations are performing as a catalyst and are assisting to resolve the problem of talent shortages. academic leaders who make the move from scientific and scientific academia to trade frequently deliver connections to a major and prolonged community, adding to a corporation’s attain and acting as a magnet for future skill.

Academia is certainly a robust supply of ability for oncology. however, this transition creates new challenges as academics have strong research advantage however could be unfamiliar with the regulatory and business paths for drug discovery and construction. Clinician scientists are above all incredibly favourite as they could play a key function in early stage scientific work where trade adventure isn't an absolute priority. For other roles, a hit employers are adopting extra flexible techniques to discovering new people, often attempting to find transferable expertise and a willingness to take a palms-on strategy.

Charities are a key source of funding and potential

Charities are another advantageous supply of skill. they are entertaining in that they regularly work in areas the place no person else is working. cancer research charities often invest with a protracted-time period vision and may take larger dangers in areas that haven’t been in the past explored. As their funding comes from donations, they aren’t under difficult business pressures and that they have the flexibility to perform more blue-sky analysis. These charities are greater dedicated than ever to becoming the capabilities pipeline to deliver future generations of researchers fitted to work in oncology innovation.

clinical research charities also play a key half within the uniquely distinct funding base for oncology analysis. This base, comprising funding from public sector, industry, charity, philanthropic and undertaking sources is a magnificent driver of development in the field.

fundamental knowledge for future leaders in oncology

Given the shortage of skill, it is elementary to be inventive and verify how individuals with a diverse latitude of backgrounds can practice their capabilities on particular expertise structures to new diseases. in preference to searching for adventure in selected strategies, it's more suitable to ask: how agile is he/she? Can they are available and utilise the competencies they have won from different fields to make a beneficial contribution to oncology?

while there are lots of americans with product construction adventure, there are a ways fewer people who can translate ideas from analysis to early stage clinical building. as a result of this, trade is beginning to ought to consider greater laterally and bring in americans who've adventure in remedy areas which are intently aligned to oncology when it comes to complexity or other key criteria. HIV is a great instance of this – a sickness that become at the start very advanced however the place patients can now are living an almost normal lifestyles.

The complexity of the brand new oncology ecosystem wants people who are an awful lot extra collaborative and inventive, in a position to value the contribution of both sides, see the massive picture and be a credible, recognized chief of their box. A key exceptional for future oncology leaders is a willingness to roll up their sleeves, relocating far from the historical delegation behaviours of big pharma. Leaders will should be open-minded and willing to truly problem the manner things are performed. those people relocating to commercial roles will also need first rate conversation potential in an effort to be capable of work with regulators and healthcare suppliers to deliver ingenious however at present expensive remedies.

The transition from academia to business isn’t for everyone. business careers present little of the security of educational roles and to a point a lack of popularity. Then there is the circulate from significant, structured companies to the multitasking essential in an SME or birth-up. despite the fact, for those excited by the scientific chance, there is no superior region than a well-funded and particularly concentrated biotech business, as long as you accept the knowledge chance, are in a position to adapt and have the power and keenness to movement at tempo.

large pharma agencies had been developing therapeutics for over one hundred years. but as expanding competitors and skill shortages are putting the enterprise model below force, corporations are having to be creative when it comes to accessing and hiring skill. We’re already seeing go-pollination and collaboration between business, academia, charities and government, and here's likely to enhance over time.

Nick Stephens is executive chairman and Dr Andy Theodorou senior consultant on the RSA neighborhood (www.thersagroup.com)


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