American Association Of Critical-Care Nurses – Q&A
What is the purpose of certification for critical care nursing? ✔️Ans - To
validate nurses' knowledge of critical-care nursing.
Promotes professional excellence
Helps nurses maintain up-to-date knowledge
Know the importance of the American Association of Critical-Care Nurses.
✔️Ans - To support critical care nurses and practice.
What certification is available for critical-care nurses. ✔️Ans - CCRN,
PCCN, CNML, CCRN-E
What is the synergy model and what is its focus? ✔️Ans - To consider the
needs of patients and their families which drives nursing competency.
What is the purpose of effective communication? ✔️Ans - Safe care;
reduce pt errors.
Know SBAR as it pertains to communication and know how to identify the
different aspects of it. ✔️Ans - Situation: What is happening at the
present time
Background: Circumstances leading up to this situation
Assessment: State what you think is the problem
Recommendation: State your recommendation to correct the problem
What are clinical practice guidelines and why are they significant? ✔️Ans
- Clinical practice guidelines assist the critical care nurse in ensuring that
care is appropriate and
based on research.
What are bundles of care and what is an example of one? ✔️Ans - Bundles
are often used to reduce harm
Ex: VAP bundle: Keep HOB 30 degrees, awake the patient from sedation
every morning to assess
for readiness to wean, implement oral care protocols every 4 hours.
, What were the first critical care units? ✔️Ans - Began with Polio Units in
the 1950s, then Recovery and Coronary Care Units in the 1960s.
Intensive Care Units started in the 1970s.
How can an ICU nurse foster good communication with family? ✔️Ans -
Provide daily updates of the patient's progress and facilitate
communication with care team.
Give condition update each morning and whenever changes occur.
Ways to communicate with patients to alleviate anxiety. ✔️Ans - Make
sure to explain all procedures in an easy-to-understand way to patients
Ways to mitigate sleep interruption pertaining to patient care. ✔️Ans -
cluster care
Be able to identify moral and ethical dilemmas. ✔️Ans - Ethical dilemma
is when more than one solution exists and there is no clear "right" or
"wrong".
Know family assessment, i.e. Calgary model. ✔️Ans - Three components:
Structural, Developmental, Functional
Structural: Who comprises the family, who are the decision makers and
who is the
spokesperson? What is the family's race, ethnicity, and culture?
Developmental: Stages, tasks, and attachments
Functional: How family members interact with each other.
What is important about patient visitation as it pertains to families and
patients? ✔️Ans - Evidence-based intervention shows the Family Bundle
has either positive or no effects on the
patient's health.
Be able to identify patients who are at risk for compromised quality of life
upon discharge. ✔️Ans - Geriatrics have diminished ability to adapt to, or
cope with, stressors of critical illness.
Prolonged length of stay, increased mortality, function decline, decreased
health-related quality
of life.