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BCEN-CTRN exam Format | BCEN-CTRN Course Contents | BCEN-CTRN Course Outline | BCEN-CTRN exam Syllabus | BCEN-CTRN exam Objectives

Exam Code: BCEN-CTRN

Exam Name: BCEN Certified Transport Registered Nurse

Number of Questions: 180 multiple-choice questions with 150 scored and 30 unscored pretest questions

Time Allotted: 3 hours (180 minutes)

Passing Marks: 92 of the 150 scored questions (approximately 61.3%).



- Transport physiology

- Physiologic stressors of transport (e.g.- vibration- altitude changes-noise)

- Crew

- Patients

- Scene Operations Management

- Scene safety (e.g.- hazmat- exposures)

- Response mode

- Emergency vehicle operations

- Communications

- Radio operations (e.g.- equipment- medical control- pagingoperations)

- Patient handoff (e.g.- history from referring provider- updates forreceiving provider- SBAR)

- Crew resource management

- Safety and Survival

- Navigation (e.g.- maps- GPS)

- Survival principles (post-crash)

- Transport vehicle emergencies

- Pre-mission preparation (e.g.- shift preparedness- risk exam-crew briefings- weather)

- Disaster Management (e.g.- natural- terrorism- industrial accident-transportation accident- mass casualties- Incident Command System)

- Professional Issues

- Legal Issues

- HIPAA

- EMTALA

- Consent

- Mandatory reporting (e.g.- abuse- neglect- medicationdiversion- non-accidental trauma)

- Legal concepts in patient care (e.g.- advanced directives-negligence- assault- battery- abandonment)

- Ethical Issues

- Psychosocial issues in transport- including families

- Systems Management

- Quality management

- Just Culture

- Healthy work environment (e.g.- wellness program- stressmanagement)

- Outreach and community education



- Principles of Assessment and Patient Preparation

- Physical exam

- Pain and comfort exam

- Preparing the patient for transport (i.e.- packaging)

- Airway

- Airway exam

- Airway management

- Difficulties encountered with airway

- Rapid Sequence Induction for Intubation (RSI)- includingpharmacology

- Post-intubation management- including pharmacology

- Mechanical Ventilation

- Invasive ventilation

- Non-invasive ventilation

- Perfusion

- Components of oxygen delivery

- fluid resuscitation

- blood products

- vasopressors

- Shock and resuscitation management- including trauma andmedical

- Hypovolemic

- Obstructive

- Distributive

- Cardiogenic

- Acid base imbalances



- Principles of Management

- Mechanism of injury

- Hemostasis (e.g.- TXA- tourniquets- hemostatic agents)

- Trauma triad (i.e.- hypothermia- acidosis- coagulopathies)

- Immobilization

- Neurologic

- Traumatic brain injuries

- Spinal cord injuries

- Secondary brain injury

- Thoracic

- Chest wall injuries

- Pulmonary injuries

- Cardiac injuries

- Great vessel injuries

- Abdominal

- Hollow organ injuries

- Solid organ injuries

- Diaphragmatic injuries

- Retroperitoneal injuries

- Abdominal compartment syndrome

- Musculoskeletal

- Vertebral injuries

- Pelvic injuries

- Compartment syndrome

- Rhabdomyolysis

- Amputations

- Extremity injuries

- Burn

- Chemical burns

- Electrical burns

- Thermal burns

- Radiological burns

- Inhalation injuries

- Maxillofacial and Neck

- Facial injuries- including fractures

- Ocular injuries

- Blunt and penetrating neck injuries



- Neurologic

- Seizure disorders

- Ischemic stroke (e.g.- blood pressure management)

- Neuromuscular disorders

- Space occupying lesions (e.g.- bleeding- tumors- abscesses-hydrocephalus)

- Cardiovascular

- Acute coronary syndrome

- Heart failure

- pulmonary edema

- structural defects

- infectious or inflammatory processes

- Dysrhythmias

- Aortic abnormalities (e.g.- hypertension- blood pressuremanagement)

- Mechanical/circulatory support (e.g.- ECMO- IABP- VAD- pacing)

- Pulmonary

- Restrictive airway disease (i.e.- COPD- Asthma)

- Obstructive airway disease (e.g.- acute lung injury/ARDS- pulmonaryinfections)

- Pulmonary embolism

- Pulmonary hypertension

- Abdominal

- Abdominal compartment syndrome

- GI bleed

- Conditions of the hollow organs (e.g.- obstruction- rupture)

- Conditions of the solid organs (e.g.- pancreatitis- hepatitis)

- Electrolyte Disturbances



- Metabolic and Endocrine

- Diabetic emergencies

- Neuroendocrine disorders (e.g.- diabetes insipidus- SIADH- HHNK)

- Thyroid conditions

- Adrenal disorders

- Hematology

- Coagulopathies (including platelet disorders)

- Anemias

- Renal

- Acute kidney injury

- Chronic renal failure

- Infectious and Communicable Diseases

- Sepsis

- Infection control (e.g.- MRSA- influenza-like illness- highly-infectiousdiseases)

- Environmental and Toxicological Emergencies

- Environment

- Allergic reactions

- Cold related (e.g.- hypothermia- frostbite)

- Heat related (e.g.- heatstroke- heat exhaustion)

- Submersion injuries (i.e.- drowning- near drowning)

- Bites and envenomation

- Toxicology

- Mental Health Considerations



- Obstetrical Patients

- Trauma

- Medical (e.g.- complications of pregnancy)

- Pharmacological considerations

- Delivery and post-partum care

- Neonatal/Pediatric

- Trauma

- Medical

- Pharmacological considerations

- Geriatric

- Trauma

- Medical

- Pharmacological considerations

- Bariatric

- Trauma

- Medical

- Pharmacological considerations

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