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ACA-CCN exam Format | ACA-CCN Course Contents | ACA-CCN Course Outline | ACA-CCN exam Syllabus | ACA-CCN exam Objectives

Exam Code: ACA-CCN

Exam Name: ACA Certified Corrections Nurse

Issuing Organization: American Correctional Association (ACA)

Type: Computer-based or paper-based (depending on testing location).

Number of Questions: 200 multiple-choice questions

Time Limit: 240 minutes (4 hours)

Passing Score: Determined by a standard-setting process (exact passing percentage may vary).



- Correctional Nursing Fundamentals

- Role of the Correctional Nurse:

- Scope of practice

- ethical considerations

- professional standards

- Legal and Regulatory Issues:

- Constitutional rights of inmates (8th Amendment, deliberate indifference).

- HIPAA in corrections.

- PREA (Prison Rape Elimination Act).

- State and federal regulations.

- Documentation & Risk Management:

- Proper charting

- incident reporting

- liability prevention



- Patient Assessment & Triage

- Initial Health Screening: Intake exams, suicide risk evaluation.

- Chronic Disease Management: Diabetes, hypertension, HIV/AIDS, hepatitis in incarcerated populations.

- Emergency Care: Recognizing life-threatening conditions (overdose, withdrawal, trauma).

- Mental Health Assessments: Identifying psychosis, depression, and suicidal ideation.



- Common Medical Conditions in Corrections

- Infectious Diseases:

- TB testing and prevention.

- HIV/AIDS management.

- Hepatitis B/C.

- MRSA and other infections.

- Chronic Illnesses: Managing asthma, COPD, cardiovascular disease.

- Womens Health: Pregnancy, menstruation, and gynecological care.

- Geriatric Care: Age-related conditions in long-term inmates.



- Mental Health & Substance Abuse

- Behavioral Health Interventions:

- Crisis de-escalation techniques.

- Suicide prevention protocols.

- Substance Withdrawal Management:

- Alcohol withdrawal (CIWA protocol).

- Opioid withdrawal (COWS scale).

- Stimulant intoxication/withdrawal.

- Medication-Assisted Treatment (MAT):

- Methadone

- buprenorphine

- naltrexone



- Medication Administration & Pharmacology

- Formulary Restrictions: Limited medication options in corrections.

- Observed Therapy (DOT): Ensuring medication compliance.

- Controlled Substances: Security, diversion prevention.

- Side Effect Monitoring: Antipsychotics, opioids, and other high-risk medications.



- Emergency Preparedness & Crisis Response

- Code Blue/Medical Emergencies: Responding to cardiac arrest, seizures.

- Restraints & Use of Force: Medical monitoring during restraints.

- Environmental Hazards: Heat/cold exposure, cell extractions.



- Ethical & Cultural Considerations

- Patient Advocacy: Balancing security vs. healthcare needs.

- Cultural Competency: Working with diverse inmate populations.

- End-of-Life Care: Hospice in prison settings.



- Correctional Facility Operations

- Security Protocols: Escorts, lockdown procedures.

- Interdisciplinary Collaboration: Working with COs, mental health staff, and providers.

- Quality Improvement: Audits, infection control, and continuous improvement.



- Deliberate Indifference Failure to provide adequate medical care, violating 8th Amendment rights.

- PREA: Prison Rape Elimination Act (mandates reporting/response to sexual assaults).

- DOT: Directly Observed Therapy (e.g., for TB treatment).

- CIWA/COWS: Clinical scales for alcohol/opioid withdrawal.

- Formulary: Approved medication list in corrections (often restrictive).

- Sick Call: Inmate request for medical attention.

- Use of Force Security actions requiring medical exam post-event.



- GENERAL/OFFENDER MANAGEMENT

- Communicating and working with offenders

- Verbal and nonverbal communication skills/techniques

- Diversity of correctional populations



- SECURITY/ENVIRONMENT

- Controlling offender behavior

- Contraband

- Searches

- Disciplinary actions

- Personal liability

- Security program

- Emergency response procedures

- Counts

- Transport of offenders



- STANDARDS AND ACCREDITATION

- Terminology: outcome measures, expected practices, process indications, protocols

- Elements of performance-based standards



- LEGAL

- Legal terminology

- Landmark Supreme Court decisions that affect correctional health care

- Civil Rights Act of 1964

- American with Disabilities Act (ADA)

- Prison Litigation Reform Act (PLRA)

- Fair Labor Standards Act (FLSA)

- Torts

- Habeas corpus

- Offender lawsuits

- Constitutional amendments affecting corrections

- Issues surrounding suicide



- NURSING PRACTICE

- Security training for nurses

- Health care training for correctional staff

- Roles and responsibilities for correctional nurses and private health care providers

- Offenders rights and level of health care

- Barriers to correctional health care

- Infectious diseases



- MENTAL HEALTH

- Mental health exams

- Suicide issues

- Crisis intervention

- Mental health standards

- HEALTH CARE

- Health care issues in corrections

- History of correctional health care

- Health screening

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