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Medical CFRN : Certified Flight Registered Nurse Exam

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Exam Number : CFRN
Exam Name : Certified Flight Registered Nurse
Vendor Name : Medical
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1. General principles of transport nursing practice
A. Transport physiology
1. Physiologic stressors of transport
2. Effects of altitude on patients
B. Scene operations
1. Secure landing zone
2. Incident Command System
C. Communications
1. Radio operations
2. Patient handoff (e.g., history from referring provider, updates for receiving provider, SBAR)
3. Crew resource management
D. Safety and survival
1. ELT
2. Navigation (e.g., maps, GPS, night-vision goggles)
3. Transponder codes
4. Survival principles (post-crash)
5. Transport vehicle emergencies
6. Pre-mission preparation (e.g., shift preparedness, risk assessment, crew briefings, weather limitations,AMRM)
E. Management of man-made disasters (e.g., terrorism, industrial accident, transportation accident, mass casualties)
F. Professional issues
1. Evidence-based practice and research
2. Legal issues
a. HIPAA
b. EMTALA
c. Consent
d. Mandatory reporting (e.g., abuse, neglect, diversion, non-accidental trauma)
e. Legal concepts in patient care (e.g., negligence, assault, battery, abandonment)
3. Ethical issues
4. Psychosocial issues in transport, including families
G. Management
1. Quality management and fair work environment
2. Outreach and community education
3. Stress management (e.g., self-care, post-traumatic critical incident)
2. Resuscitation principles 27 31
A. Principles of assessment and patient preparation
1. Physical assessment
2. Pain and comfort assessment
3. Preparing the patient for transport (i.e., packaging)
B. Airway management
1. Airway assessment
2. Airway management
3. Difficulties encountered with airway
4. Rapid Sequence Induction for Intubation (RSI), including pharmacology
C. Mechanical ventilation
1. Invasive ventilation
2. Non-invasive ventilation
D. Perfusion
1. Components of oxygen delivery
2. Shock pathophysiology
3. Trauma triad (hypothermia, acidosis, coagulopathies)
4. Acid base imbalances
3. Trauma 26 31
A. Principles of management
1. Mechanism of injury
2. Shock
a. Hypovolemic
b. Obstructive
c. Distributive (including neurogenic)
d. Cardiogenic
3. Immobilization
B. Neurologic
1. Traumatic brain injuries
2. Spinal cord injuries
3. Post-traumatic seizures
C. Thoracic
1. Chest wall injuries
2. Pulmonary injuries
3. Cardiac injuries
4. Great vessel injuries
D. Abdominal
1. Hollow organ injuries
2. Solid organ injuries
3. Diaphragmatic injuries
4. Retroperitoneal injuries
5. Abdominal compartment syndrome
E. Orthopedic
1. Vertebral injuries
2. Pelvic injuries
3. Compartment syndrome
4. Amputations
5. Extremity fractures
6. Soft-tissue injuries
F. Burn
1. Chemical burns
2. Electrical burns
3. Thermal burns
4. Radiological burns
5. Inhalation injuries
G. Maxillofacial and neck
1. Facial injuries, including fractures
2. Ocular injuries
3. Blunt and penetrating neck injuries
4. Medical emergencies 44 44
A. Neurologic
1. Seizure disorders
2. Stroke
3. Neuromuscular disorders
4. Space occupying lesions
a. Blood
b. Tumors
c. Abscesses
d. Hydrocephalus
e. Encephalopathies
B. Cardiovascular
1. Acute coronary syndrome
2. Congestive heart failure
3. Pulmonary edema
4. Dysrhythmias
5. Aortic abnormalities
6. Hypertension
7. Mechanical/circulatory support (e.g., IABP, VAD, pacing)
C. Pulmonary
1. COPD
2. Acute lung injury/ARDS
3. Pulmonary infections
4. Asthma
5. Pulmonary embolism
D. Abdominal
1. Abdominal compartment syndrome
2. GI bleed
3. Conditions of the hollow organs (e.g., obstruction,rupture)
4. Conditions of the solid organs (e.g., pancreatitis, hepatitis)
E. Electrolyte disturbances
F. Metabolic and endocrine
1. Diabetic emergencies
2. Neuroendocrine disorders (e.g., diabetes insipidus, SIADH, HHNK)
3. Thyroid conditions
4. Adrenal disorders
G. Hematology
1. Coagulopathies (including platelet disorders)
2. Anemias
H. Renal
1. Acute kidney injury (i.e., acute renal failure)
2. Chronic renal failure
I. Infectious and communicable diseases
1. SIRS and sepsis
2. Isolation precautions (e.g., MRSA, influenza-like illness, highly-infectious diseases)
J. Shock
1. Hypovolemic
2. Obstructive
3. Distributive (including neurogenic and anaphylaxis)
4. Cardiogenic
K. Environmental and toxicological emergencies
1. Environment
a. Allergic reactions
b. Cold related (e.g., hypothermia, frostbite)
c. Heat related (e.g., heatstroke, heat exhaustion)
d. Submersion injuries (i.e., diving injuries, drowning, near drowning)
e. Bites and envenomation
2. Toxicology
A. Obstetrical patients
1. Complications of pregnancy
2. Delivery and post-partum care of mother and infant
3. Trauma
B. Pediatric
1. Trauma
2. Medical (e.g., respiratory, cardiac, and neurological emergencies, metabolic disturbances)
C. Geriatric
1. Trauma (e.g., falls, immobilization)
2. Medical (e.g., drug interactions and comorbidities, dementia)
D. Bariatric (e.g., logistical issues, drug dosage, skin issues,airway management)

Procedures
PA catheter
Point-of-care testing
Video laryngoscopy
Chest radiographs
Transvenous pacing
Capnography for non-intubated patients
Surgical cricothyrotomy
Therapeutic hypothermia
Central venous pressure measurement
Arterial line
Needle cricothyrotomy
Needle thoracostomy
Tourniquet application
Central line
Chest tube
Pelvic stabilization
Non-invasive mechanical ventilation
Traction splint
12-lead ECG
Invasive mechanical ventilation
Transcutaneous pacing
Blood product administration
Capnography for intubated patients
Endotrachael intubation
Initiate/titrate medications
Intraosseous catheter
IABP operation
Escharotomy
CT scans
Medical circulatory devices (VAD, ImpellaŽ)
Fracture/dislocation reduction
ICP monitoring
Pericardiocentesis
Neck radiographs
Ventriculostomy monitoring



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Medical Registered Practice Questions

HB 495: Dividing some within the medical group | CFRN PDF Braindumps and Real test Questions

Matthew Hargrave talked about that with out the assist of Mark deClouet he doesn't understand the place he would be these days.

"it's meant everything to me," Hargrave mentioned. "i am doing plenty better now. i'm 60 days clean."

DeClouet is a Psychiatric Nurse Practitioner. He has worked with Hargrave for a little over two months.

"i used to be hooked on heroin," Hargrave referred to. "i used to be just sitting on my sofa generic now not doing anything for the past three or four years. I found Mark and he helped me out a great deal."

but Hargrave isn't the most effective grownup deClouet has helped. He commutes from side to side from Lafayette to Alexandria to offer those functions. His Lafayette sanatorium opened all the way through the pandemic.

throughout that point, the state eased suggestions that required nurses to collaborate with physicians.

"in this area we are the simplest health facility that offers a lifesaving drug, assurance accredited, in a 60-mile radius, and sixty seven americans got entry to that degree of care like that," deClouet spoke of.

Mark mentioned what he does isn't any different from what other nurse practitioners across the state have carried out.

He said he's offering care that his sufferers can also have a hard time getting in different places.

"the majority of all of Louisiana is an access to care problem," deClouet talked about. "are attempting discovering a primary care issuer in Lafayette, presently, that accepts Medicaid and who's inclined to do an preliminary contrast for entry into the follow--you're speaking weeks, perhaps months. you would be difficult pressed to find one who would see you in 30 days."

presently, deClouet is taking part with a doctor; somebody he can name on if he has questions about medicine.

He said he does not intellect doing that as a result of fitness care is a crew effort.

however brought, the collaboration rule every now and then holds him again from doing his job.

"There are more than one method to resolve complications and here is considered one of them," deClouet pointed out. "it be working in a number of states throughout the country, and we may still jump on board."

If passed, condominium invoice 495 would supply full working towards authority for superior practice registered nurses. This capacity they might now not need to collaborate with a physician to practice.

"We're in rural Louisiana," Kathy Baldridge, president of the Louisiana association of Nurse Practitioners, noted. "i'm in Alexandria and work in an indigent care health facility. here is a spot where citizens without a assurance, Medicaid, or Medicare come. we've people that drive more than two hours to be seen; that isn't entry to care. entry to care potential timely, convenient for your neighborhood, and first-rate care."

Baldridge said she has heard from colleagues in regards to the challenges they face when attempting to increase collaborative relationships.

among the many problems is high expenses and docs being obtainable best by using phone, she noted.

Many physicians in Louisiana believe that apartment invoice 495 should still now not flow.

KATC has reached out to docs and health care provider organizations to hear from those in the medical box who say that the bill might put the lives of sufferers at risk, primarily in rural areas.

"A Hippocratic oath is to do no damage. My impetus is to make sure that the public has the equal stage of insurance policy throughout my profession as a health care provider. I think this bill challenges that. The physicians go through some extreme training to apply drugs," noted Dr. Robert J Aertker III. "it really is concerning since the invoice allows a nurse practitioner, who's essential to our care, to follow medication and diagnose specifically within the rural context, I do not consider it's a good idea."

Aertker is the president of the Acadia Parish clinical Society and a board certified inner drugs expert with a small fundamental care clinic in Crowley.

He says that while some nurse practitioners are out in rural communities, many are focused in city areas. The invoice, he thinks, doesn't deliver incentives to get these nurse practitioners out into these extra rural communities to help.

"There are creative nurse practitioners who work in rural areas however most are in city, metropolitan areas. The concentration of nurse practitioners are all metropolitan and that i don't believe that this invoice will change that. I believe boards deserve to take a seat down and supply incentive, get them out in the geographical region...supply them incentives."

For doctors, the stage of education and practising nurse practitioners get hold of is troubling when considering the fact that the scope of work these individuals will take on when seeing patients with out the collaborative aid of a doctor.

An modification introduced to condo bill 495 would require superior observe registered nurses to collaborate for as a minimum 6,000 hours with an authorized surgeon or be employed in a hospital that has a scientific director who's a licensed general practitioner earlier than they can transition to unbiased apply.

Any nurse practitioner, certified nurse midwife, or clinical nurse professional who practices in any strong point and transitions to unbiased observe would even be required to achieve this in collaboration with a health care provider who practices in that equal distinctiveness, in line with the change.

And while a brand new board would be installation to deliver oversight to nurse practitioners operating independently, many doctors say this might now not be satisfactory given that nurses and doctors are governed with the aid of distinct boards with differing standards.

"This bill has been rushed via. I feel they should be aware about the proven fact that we need to take a seat down as a gaggle, a board of nursing and clinical examiners and work on a collaboration from a correct-down method," Aertker spoke of.

To read more on condominium invoice 495, click right here.

Copyright 2021 Scripps Media, Inc. All rights reserved. This material may additionally not be published, broadcast, rewritten, or redistributed.




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