CRITICAL CARE NURSING: CH 1
CERTIFICATION, STANDARDS, AND
PRACTICE STRATEGIES
Which;of;the;following;professional;organizations;best;supports;Critical;Care;nursing;practi
ce?
American;Association;of;critical;care;nurses
American;Heart;Association
American;Nurses;Association
Society;of;critical;care;medicine;-;ans-✔✔American;Association;of;critical;care;nurses
a;nurse;has;been;working;as;a;staff;nurse;in;the;Surgical;Intensive;Care;Unit;for;2;years;an
d;is;interested;in;certification.;Which;credential;would;be;most;applicable;for;her;to;seek?
ACNPC
CCNS
CCRN
PCCN;-;ans-✔✔CCRN
the;main;purpose;of;certification;is;to:
assure;the;consumer;that;you;will;not;make;a;mistake.
prepare;for;graduate;school.
promote;magnet;status;for;your;facility.
validate;knowledge;of;Critical;Care;Nursing.;-;ans-
✔✔validate;knowledge;of;Critical;Care;Nursing.
the;Synergy;model;of;practice;focuses;on:
allowing;unrestricted;visiting;for;the;patient;24;hours;each;day.
holistic;and;alternative;Therapies.
needs;of;patients;and;their;families;which;drives;nursing;competency.
patient;needs;for;energy;and;support.;-;ans-
✔✔needs;of;patients;and;their;families;which;drives;nursing;competency.
the;family;of;your;critical;ill;patient;tells;you;that;they;have;not;spoken;with;the;physician;in;
over;24;hours;and;they;have;some;questions;that;they;want;clarified.;during;morning;round
s,;you;convey;this;concern;to;the;attending;intensivist;and;arrange;for;her;to;meet;the;famil
y;at;4:00;p.m.;in;the;conference;room.;which;competency;of;Critical;Care;Nursing;does;this
;patient;represent?
advocacy;and;moral;agency;in;solving;ethical;issues
, clinical;judgment;and;clinical;reasoning;skills
collaboration;with;patients,;families,;and;team;members
facilitation;of;learning;for;patients,;families,;and;team;members.;-;ans-
✔✔collaboration;with;patients,;families,;and;team;members
the;AACN;and;standards;for;acute;and;Critical;Care;nursing;practice;use;what;framework;t
o;guide;Critical;Care;Nursing;practice?
evidence-based;practice
healthy;work;environment
National;patient;safety;goals
nursing;process;-;ans-✔✔nursing;process
the;charge;nurse;is;responsible;for;making;the;patient;assignments;on;the;critical;care;unit.
;she;assigns;the;experienced,;certified;nurse;to;take;care;for;the;acutely;ill;patient;with;sep
sis;who;also;requires;continuous;renal;replacement;therapy;and;mechanical;ventilation.;s
he;assigns;the;nurse;with;less;than;one;year;of;experience;to;two;patients;who;are;more;st
able.;this;assignment;reflects;implementation;of;the:
Crew;resource;management;model
National;patient;safety;goals
QSEN;model
Synergy;model;of;practice;-;ans-✔✔Synergy;model;of;practice
division;of;American;Association;of;critical;care;nurses;is;a;Healthcare;System;driven;by:
a;healthy;work;environment
care;from;a;multi-professional;team;under;the;direction;of;critical;care;physicians
the;needs;of;critically;ill;patients;and;Families
respectful,;healing,;and;Humane;environments.;-;ans-
✔✔the;needs;of;critically;ill;patients;and;Families
the;most;important;outcome;of;effective;communication;is;to:
demonstrate;caring;practices;to;family;members
ensure;that;patient;teaching;is;done
meet;the;diversity;needs;of;patients
reduce;patient;errors;-;ans-✔✔Reduce;patient;errors
You;are;caring;for;a;critically;ill;patient;whose;UO;has;been;low;for;2;consecutive;hours.;Aft
er;an;assessment,;you;call;Dr.;Smith,;"Im;calling;about;Mrs.;P.,;your;65-year-
old;patient;in;CCU;10.;Her;urine;output;for;the;past;2;hours;totaled;only;40;mL.;She;arrived;
from;surgery;to;repair;an;aortic;aneurysm;4;hours;ago;on;mechanical;ventilation.;In;the;pa
st;2;hours,;her;HR;has;increased;from;80;to;100;beats;per;minute;and;her;BP;from;128/82;t
o;100/70;mm;Hg.;She;is;being;given;an;infusion;of;normal;saline;at;100;mL;per;hour.;Her;B
UN;and;creatinine;levels;have;been;stable;and;in;normal;range.;Her;abdominal;dressing;is;
dry;with;no;indication;of;bleeding.;My;assessment;suggests;that;Mrs.;P.;is;hypovolemic;an
d;I;would;like;you;to;consider;increasing;her;fluids;or;giving;her;a;fluid;challenge.";The;infor
mation;the;nurse;gives;about;the;patients;history;and;vital;signs;is:
Situation
CERTIFICATION, STANDARDS, AND
PRACTICE STRATEGIES
Which;of;the;following;professional;organizations;best;supports;Critical;Care;nursing;practi
ce?
American;Association;of;critical;care;nurses
American;Heart;Association
American;Nurses;Association
Society;of;critical;care;medicine;-;ans-✔✔American;Association;of;critical;care;nurses
a;nurse;has;been;working;as;a;staff;nurse;in;the;Surgical;Intensive;Care;Unit;for;2;years;an
d;is;interested;in;certification.;Which;credential;would;be;most;applicable;for;her;to;seek?
ACNPC
CCNS
CCRN
PCCN;-;ans-✔✔CCRN
the;main;purpose;of;certification;is;to:
assure;the;consumer;that;you;will;not;make;a;mistake.
prepare;for;graduate;school.
promote;magnet;status;for;your;facility.
validate;knowledge;of;Critical;Care;Nursing.;-;ans-
✔✔validate;knowledge;of;Critical;Care;Nursing.
the;Synergy;model;of;practice;focuses;on:
allowing;unrestricted;visiting;for;the;patient;24;hours;each;day.
holistic;and;alternative;Therapies.
needs;of;patients;and;their;families;which;drives;nursing;competency.
patient;needs;for;energy;and;support.;-;ans-
✔✔needs;of;patients;and;their;families;which;drives;nursing;competency.
the;family;of;your;critical;ill;patient;tells;you;that;they;have;not;spoken;with;the;physician;in;
over;24;hours;and;they;have;some;questions;that;they;want;clarified.;during;morning;round
s,;you;convey;this;concern;to;the;attending;intensivist;and;arrange;for;her;to;meet;the;famil
y;at;4:00;p.m.;in;the;conference;room.;which;competency;of;Critical;Care;Nursing;does;this
;patient;represent?
advocacy;and;moral;agency;in;solving;ethical;issues
, clinical;judgment;and;clinical;reasoning;skills
collaboration;with;patients,;families,;and;team;members
facilitation;of;learning;for;patients,;families,;and;team;members.;-;ans-
✔✔collaboration;with;patients,;families,;and;team;members
the;AACN;and;standards;for;acute;and;Critical;Care;nursing;practice;use;what;framework;t
o;guide;Critical;Care;Nursing;practice?
evidence-based;practice
healthy;work;environment
National;patient;safety;goals
nursing;process;-;ans-✔✔nursing;process
the;charge;nurse;is;responsible;for;making;the;patient;assignments;on;the;critical;care;unit.
;she;assigns;the;experienced,;certified;nurse;to;take;care;for;the;acutely;ill;patient;with;sep
sis;who;also;requires;continuous;renal;replacement;therapy;and;mechanical;ventilation.;s
he;assigns;the;nurse;with;less;than;one;year;of;experience;to;two;patients;who;are;more;st
able.;this;assignment;reflects;implementation;of;the:
Crew;resource;management;model
National;patient;safety;goals
QSEN;model
Synergy;model;of;practice;-;ans-✔✔Synergy;model;of;practice
division;of;American;Association;of;critical;care;nurses;is;a;Healthcare;System;driven;by:
a;healthy;work;environment
care;from;a;multi-professional;team;under;the;direction;of;critical;care;physicians
the;needs;of;critically;ill;patients;and;Families
respectful,;healing,;and;Humane;environments.;-;ans-
✔✔the;needs;of;critically;ill;patients;and;Families
the;most;important;outcome;of;effective;communication;is;to:
demonstrate;caring;practices;to;family;members
ensure;that;patient;teaching;is;done
meet;the;diversity;needs;of;patients
reduce;patient;errors;-;ans-✔✔Reduce;patient;errors
You;are;caring;for;a;critically;ill;patient;whose;UO;has;been;low;for;2;consecutive;hours.;Aft
er;an;assessment,;you;call;Dr.;Smith,;"Im;calling;about;Mrs.;P.,;your;65-year-
old;patient;in;CCU;10.;Her;urine;output;for;the;past;2;hours;totaled;only;40;mL.;She;arrived;
from;surgery;to;repair;an;aortic;aneurysm;4;hours;ago;on;mechanical;ventilation.;In;the;pa
st;2;hours,;her;HR;has;increased;from;80;to;100;beats;per;minute;and;her;BP;from;128/82;t
o;100/70;mm;Hg.;She;is;being;given;an;infusion;of;normal;saline;at;100;mL;per;hour.;Her;B
UN;and;creatinine;levels;have;been;stable;and;in;normal;range.;Her;abdominal;dressing;is;
dry;with;no;indication;of;bleeding.;My;assessment;suggests;that;Mrs.;P.;is;hypovolemic;an
d;I;would;like;you;to;consider;increasing;her;fluids;or;giving;her;a;fluid;challenge.";The;infor
mation;the;nurse;gives;about;the;patients;history;and;vital;signs;is:
Situation
