 Certification-Board TCRN : Trauma Certified Registered Nurse test
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Exam Number : TCRN
Exam Name : Trauma Certified Registered Nurse Exam
Vendor Name : Certification-Board
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TCRN test
Format | TCRN Course Contents | TCRN Course Outline | TCRN test
Syllabus | TCRN test
Objectives
About the TCRN Exam
Clinical Practice: Head and Neck
A. Neurologic trauma
1. Traumatic brain injuries
2. Spinal injuries
B. Maxillofacial and neck traum
1. Facial fractures
2. Ocular trauma
3. Neck trauma
Clinical Practice: Trunk
A. Thoracic trauma
1. Chest wall injuries
2. Pulmonary injuries
B. Cardiac injuries
1. Great vessel injuries
C. Abdominal trauma
1. Hollow organ injuries
2. Solid organ injuries
3. Diaphragmatic injuries
4. Retroperitoneal injuries
D. Genitourinary trauma
E. Obstetrical trauma (pregnant patients)
Clinical Practice: Extremity and Wound
25 A. Musculoskeletal trauma
1. Vertebral injuries
2. Pelvic injuries
3. Compartment syndrome
4. Amputations
5. Extremity fractures
6. Soft- tissue injuries
B. Surface and burn trauma
1. Chemical burns
2. Electrical burns
3. Thermal burns
4. Inhalation injuries
Clinical Practice: Special Considerations
A. Psychosocial issues related to trauma
B. Shock
1. Hypovolemic
2. Obstructive (e.g., tamponade, tension, pneumothorax)
3. Distributive (e.g., neurogenic, septic)
4. Cardiogenic
C. SIRS and MODS
Continuum of Care
A. Injury prevention
B. Prehospital care
C. Patient safety (e.g., fall prevention)
D. Patient transfer
1. Intrafacility (within a facility, across departments)
2. Interfacility (from one facility to another
E. Forensic issues
1. Evidence collection
2. Chain of custody
F. End- of- life issues
1. Organ/ tissue donation
2. Advance directives
3. Family presence
4. Palliative care
G. Rehabilitation (discharge planning)
Professional Issues 17 A. Trauma quality management
1. Performance improvement
2. Outcomes follow- up and feedback (e.g., referring facilities, EMS)
3. Evidence- based practice
4. Research
5. Mortality/ morbidity reviews
B. Staff safety (e.g., standard precautions, workplace violence)
C. Disaster management (i.e., preparedness, mitigation, response, and recovery)
D. Critical incident stress management
E. Regulations and standards
1. HIPAA
2. EMTALA
3. Designation/ verifi cation (e.g., trauma center/ trauma systems)
F. Education and outreach for interprofessional trauma teams and the public
G. Trauma registry (e.g., data collection)
H. Ethical issues
D. Critical incident stress management
E. Regulations and standards
1. HIPAA
2. EMTALA
3. Designation/ verifi cation (e.g., trauma center/ trauma systems)
F. Education and outreach for interprofessional trauma teams and the public
G. Trauma registry (e.g., data collection)
H. Ethical issues
I. Assessment
A. Establish mechanism of injury
B. Assess, intervene, and stabilize patients with immediate life- threatening conditions
C. Assess pain
D. Assess for adverse drug and blood reactions
E. Obtain complete patient history
F. Obtain a complete physical evaluation
G. Use Glasgow Coma Scale (GCS) to evaluate patient status
H. Assist with focused abdominal sonography for trauma (FAST) examination
I. Calculate burn surface area
J. Assessment not otherwise specified
II. Analysis
A. Provide appropriate response to diagnostic test results
B. Prepare equipment that might be needed by the team
C. Identify the need for diagnostic tests
D. Determine the plan of care
E. Identify desired patient outcomes
F. Determine the need to transfer to a higher level of care
G. Determine the need for emotional or psychosocial support
H. Analysis not otherwise specified
III. Implementation
A. Incorporate age- specific needs for the patient population served
B. Respond with decisiveness and clarity to unexpected events
C. Demonstrate knowledge of pharmacology
D. Assist with or perform the following procedures:
1. Chest tube insertion
2. Arterial line insertion
3. Central line insertion
4. Compartment syndrome monitoring devices:
a. Abdominal
b. Extremity
5. Doppler
6. End- tidal CO 2
7. Temperature- control devices (e.g., warming and cooling)
8. Pelvic stabilizer
9. Immobilization devices
10. Tourniquets
11. Surgical airway insertion
12. Intraosseous needles
13. Intracranial pressure (ICP) monitoring devices
14. Infusers:
a. Autotransfusion
b. Fluid
c. Blood and blood products
15. Needle decompression
16. Fluid resuscitation:
a. Burn fluid resuscitation
b. Hypertonic solution
c. Permissive hypotension
d. Massive transfusion protocol (MTP)
17. Pericardiocentesis
18. Bedside open thoracotomy
E. Manage patients who have had the following procedures:
1. Chest tube insertion
2. Arterial line insertion
3. Central line insertion
4. Compartment syndrome monitoring devices:
a. Abdominal
b. Extremity
5. End- tidal CO 2
6. Temperature control devices (e.g., warming and cooling)
7. Pelvic stabilizer
8. Immobilization devices
9. Tourniquets
10. Surgical airway
11. Intraosseous needles
12. ICP monitoring devices
13. Infusers:
a. Fluid
b. Blood and blood products
14. Needle decompression
15. Fluid resuscitation:
a. Burn fluid resuscitation
b. Hypertonic solution
c. Permissive hypotension
d. MTP
16. Pericardiocentesis
F. Manage patients pain relief by providing:
1. Pharmacologic interventions
2. Non pharmacologic interventions
G. Manage patient sedation and analgesia
H. Manage tension pneumothorax
I. Manage burn resuscitation
J. Manage increased abdominal pressure
K. Provide complex wound management (e.g., ostomies, drains, wound vacuumassisted closure [VAC], open abdomen)
L. Implementation not otherwise specified
IV. Evaluation
A. Evaluate patients response to interventions
B. Monitor patient status and report findings to the team
C. Adapt the plan of care as indicated
D. Evaluation not otherwise specified
V. Continuum of care
A. Monitor or evaluate for opportunities for program or system improvement
B. Ensure proper placement of patients
C. Restore patient to optimal health
D. Collect, analyze, and use data:
1. To Excellerate patient outcomes
2. For benchmarking
3. To decrease incidence of trauma
E. Coordinate the multidisciplinary plan of care
F. Continuum of care not otherwise specified
VI. Professional issues
A. Adhere to regulatory requirements related to:
1. Infectious diseases
2. Hazardous materials
3. Verification/ designation
4. Confidentiality
B. Follow standards of practice
C. Involve family in:
1. Patient care
2. Teaching/ discharging planning
D. Recognize need for social/ protective service consults
E. Provide information to patient and family regarding community resources
F. Address language and cultural barriers
G. Participate in and promote lifelong learning related to new developments and clinical advances
H. Act as an advocate (e.g., for patients, families, and colleagues) related to ethical, legal, and psychosocial issues
I. Provide trauma patients and their families with psychosocial support
J. Assess methods continuously to Excellerate patient outcomes
K. Assist in maintaining the performance improvement programs
L. Participate in multidisciplinary rounds
M. Professional issues not otherwise specified
The TCRN test
is for nurses practicing across the continuum of trauma care who want to demonstrate their expertise and knowledge in trauma nursing. BCEN is the only source for trauma care nurses and their employers to gain recognized certification for greater knowledge and performance. Advance your trauma nursing care and career at every critical point in the continuum.
BCENs certification exams are developed by an test
committee of nurses who practice in the specific exams specialty area and represent diverse geography. BCEN partners with a test development company to ensure the test
is psychometrically sound and questions are written in best practice format. Earning a BCEN certification is a national recognition and allows the holder to display the credential as part of their signature.
BCEN exams are based on specialty nursing role delineation studies (RDS). These research studies also known as a practice analysis or job analysis are conducted by test
committees of subject matter experts.
As part of the RDS, survey instruments are distributed to nurses practicing in each specialty area throughout the United States. The survey responses guide the test
committee in determining knowledge relevant to practice. The integrated concepts, cognitive level distribution, and the number of items (questions) specified within each content area are developed by an iterative process resulting in unanimous agreement from the test
committee.
Next, item writers create test
questions and the items are reviewed, revised, and approved by the test
construction and review committee. The items are also repeatedly reviewed throughout the test
development process.
Finally, examinations are delivered by computer at Pearson VUE testing centers. The examinations are administered daily Monday through Friday at the test takers convenience.
Only our practice exams are created by the same organization designing the actual exams (thats us).
We have a committee of nurses and emergency professionals who build our practice exams with the goal of helping you succeed.
A BCEN practice test
will help you familiarize yourself with the computer-based format of the real exam.
You will be able to answer questions, then have immediate access to the correct answers, backed up with rationale and references.
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Certification-Board Certified test
beginning next March, the examination for the licensed fiscal Planner (CFP) Board of requisites designation will include questions about the psychology of economic planning.
The trade turned into made since the CFP Board updates its primary expertise subject matters each five years to “make sure the CFP certification necessities replicate present practices—i.e., what CFP gurus really do,” says John Loper, the board’s managing director, professional follow (schooling, examination and event). The update, the ultimate one being in 2015, become the outcomes of “a big research challenge,” Loper tells PLANADVISER. “We survey CFP gurus with diverse experience throughout the nation to learn how essential each and every of the foremost advantage issues are. these results showed us that we needed to replace our certification to supply the psychology of fiscal planning—which was already part of predominant competencies issues under widespread ideas—more advantageous value. If we had been static, we might not be reflecting present CFP practices.”
To put together those monetary advisers who are presently learning for the CFP designation, Loper says, this past March, the CFP Board “introduced the complete fundamental issues throughout the domain to every person,” including this trade. “Registered courses deserve to comprehend as a result of they supply the schooling to CFP candidates,” Loper says.
The CFP designation may also be acquired via a four-yr Bachelor of Arts (BA) degree, which is the route most CFPs take, or as a certificates, which usually takes 18 months to 2 years of examine, Loper says.
The price of the ‘Psychology of financial Planning’
As many retirement plan advisers and prevalent economic planning practitioners might also already comprehend, the work that a monetary adviser does with a shopper is awfully own and wishes to address the adult’s economic desires.
The CFP’s psychology of economic planning curriculum addresses “client and planner attitudes, as well as behavioral finance,” Loper says. as an instance, “shoppers who're socially aware may additionally not desire their investments to be in tobacco or businesses that don't seem to be environmentally aware,” Loper says. knowing these types of customers’ monetary priorities and desires is essential to a economic planner, he says. “There may well be sources of money conflict bobbing up from a divorce or crisis pursuits with severe consequences.” extra, it’s important for CFPs to understand a way to “work with consumers when there is a severe correction available in the market,” Loper continues.
Advisers should recognize how to handle customer concerns all over such movements, he says. “one of the crucial evident advantage an adviser wants is helpful communication. if you’re a terrible communicator, you will have situation giving information to your consumers. many of our volunteers have shared with us that it’s enjoyable” to have the CFP designation up-to-date to consist of extra modules on the psychology of monetary planning, Loper says. “These are essential knowledge, now not ‘first-rate-to-have’ potential,” he says, adding that the CFP Board expects response to the brand new CFP necessities to be “very nice.”
“This should still particularly help new planners talk superior with their valued clientele,” Loper says. for those that have already got the CFP designation, they’ll have the choice to take the psychology of economic planning courses within the 30 hours of carrying on with training (CE) they must bear each two years, he says. “they can make a choice from any essential potential topic—however two credit have to be associated with ethics.”
EY very own Finance has lengthy addressed the want for financial planners to take into account the cost of the psychology of monetary planning, says Dan Eck, managing director of the firm.
“here's part of the conversations we now have day by day in our fiscal planning existence,” Eck says.
In training for that work, EY own Finance places its economic planners through a “softer-working towards boot camp,” Eck says. The update to the CFP Board of common’s certification “is exactly what we’re talking about—assisting our planners build trust [and] empathy and getting to know the reasons in the back of someone’s brought up desires and philosophy towards money. there is plenty behind saying you need to retire. You should trust the significant other, or the large other, and the inducement in the back of any goal. That’s a key part of the monetary manner. gaining knowledge of about some of those motivations is handy and obtrusive, but some thing the motivation might possibly be, gaining knowledge of about and understanding them is a vital part of fiscal planning.”
Examples of Psychology of financial Planning in Use
When Eck first studied for the CFP in the late 1990s, one among his instructors asked the category what a economic planner may still suggest a shopper to do if coming near retirement with a mortgage. The teacher requested if it would be superior for the client to pay off the personal loan earlier than retiring.
“None of us got here up with the correct reply, which is [another] question: ‘What does the customer want to do? Is their lifestyles intention to be debt free in retirement?’”
yet another illustration of the psychology of fiscal planning in play is assisting retirees opt for a finances, as many have problem spending and having fun with the money they labored so complicated to retailer for three or four decades, Eck says.
Then there's the vital question of what to claim to shoppers when the market fluctuates dramatically,. it is essential for planners to be put together to “speak panicked buyers off the ledge via assisting them take into account and focus on the lengthy-time period,” he says.
Eck even encountered americans on the cusp of suicide all through COVID-19 because of unexpected fiscal difficulties the pandemic wrought.
EY personal Finance planners train people who call “each and every day with the concerns that come with the stress of funds.”
as an example, when an EY own Finance planner first encounters a new caller asking about retirement, the planner “devotes the primary hour to asking them about their graphic of retirement. It has nothing to do with budget—but how they and their household are planning to are living. It goes smartly beyond the numbers,” Eck says.
He notes that retirement planning advisers may smartly employ the psychology of monetary planning of their one-on-one encounters with retirement plan individuals. As he places it, “The psychology of monetary planning drives how and why we crunch the numbers.”
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