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Exam Number : PCCN
Exam Name : AACN Progressive Critical Care Nursing
Vendor Name : Medical
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PCCN exam Format | PCCN Course Contents | PCCN Course Outline | PCCN exam Syllabus | PCCN exam Objectives

The PCCN and PCCN-K certification exams focus 80 percent on clinical judgment and 20 percent on professional caring and ethical practice. Our comprehensive course prepares you in the following categories:

Clinical Judgment

- Cardiovascular

- Pulmonary

- Endocrine

- Hematology

- Gastrointestinal

- Renal

- Neurology

- Behavioral/Psychosocial

- Musculoskeletal

- Professional Caring and Ethical Practice

- Advocacy/Moral Agency

- Caring Practices

- Response to Diversity

- Facilitation of Learning

- Collaboration

- Systems Thinking

- Clinical Inquiry

- Learning Outcomes

At the completion of this learning activity, participants should be able to:

Validate their knowledge of progressive care nursing Briefly review the pathophysiology of single and multisystem dysfunction in adult patients and the medical and pharmacologic management of each Identify the progressive care nursing management needs for adult patients with single or multisystem organ abnormalities Successful Completion

Learners must complete 100 percent of the activity and the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.

12.8 contact hours awarded, CERP Category A

Exam Eligibility

Are you eligible to take the PCCN or PCCN-K exam=> Eligibility requirements and links to handbooks with test plans are available on our “Get Certified” pages — click here to get started: PCCN (Adult) or PCCN-K (Adult) .

PCCN and PCCN-K certifications emphasize the knowledge that the progressive nursing specialty requires and the essential acute care nursing practices that you can apply in your role every day in a step-down unit, emergency or telemetry department or another progressive care environment.

PCCN and PCCN-K specialty certifications also demonstrate your knowledge and dedication to hospital administrators, peers and patients, while giving you the satisfaction of your achievement. PCCN and PCCN-K credentials are granted by AACN Certification Corporation.

Validate and enhance your knowledge and Strengthen patient outcomes. Take advantage of this detailed review course and earn your PCCN or PCCN-K certification.

The American Association of Critical-Care Nurses (AACN) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Centers (ANCC's) Commission on Accreditation, ANCC Provider Number 0012. AACN has been approved as a provider of continuing education in nursing by the California Board of Registered Nursing (CBRN), Provider number CEP 1036. This activity is approved for 12.8 contact hours.

AACN programming meets the standards of most states that require mandatory CE contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.

AACN and AACN Certification Corporation consider the American Nurses Association (ANA) Code of Ethics for Nurses foundational for nursing practice, providing a framework for making ethical decisions and fulfilling responsibilities to the public, colleagues and the profession. AACN Certification Corporations mission of public protection supports a standard of excellence where certified nurses have a responsibility to read about, understand and act in a manner congruent with the ANA Code of Ethics for Nurses.


A. Cardiovascular (27%)

1. Acute coronary syndromes

a. non-ST segment elevation myocardial infarction

b. ST segment elevation myocardial infarction

c. unstable angina

2. Acute inflammatory disease (e.g., myocarditis, endocarditis, pericarditis)

3. Aneurysm

a. dissecting

b. repair

4. Cardiac surgery (e.g., post ICU care)

5. Cardiac tamponade

6. Cardiac/vascular catheterization

a. diagnostic

b. interventional

7. Cardiogenic shock

8. Cardiomyopathies

a. dilated (e.g., ischemic/non-ischemic)

b. hypertrophic

c. restrictive

9. Dysrhythmias

10. Heart failure

a. acute exacerbations (e.g., pulmonary edema)

b. chronic

11. Hypertension (uncontrolled)

12. Hypertensive crisis

13. Minimally-invasive cardiac surgery (i.e. nonsternal approach)

14. Valvular heart disease

15. Vascular disease

B. Pulmonary (17%)

1. Acute respiratory distress syndrome (ARDS)

2. Asthma (severe)

3. COPD exacerbation

4. Minimally-invasive thoracic surgery (e.g., VATS)

5. Obstructive sleep apnea

6. Pleural space complications (e.g., pneumothorax, hemothorax, pleural effusion, empyema, chylothorax)

7. Pulmonary embolism

8. Pulmonary hypertension

9. Respiratory depression (e.g., medicationinduced, decreased-LOC-induced)

10. Respiratory failure

a. acute

b. chronic

c. failure to wean

11. Respiratory infections (e.g., pneumonia)

12. Thoracic surgery (e.g., lobectomy, pneumonectomy)

C. Endocrine/Hematology/Neurology/Gastrointestinal/Renal (20%)

1. Endocrine

a. diabetes mellitus

b. diabetic ketoacidosis

c. hyperglycemia

d. hypoglycemia

2. Hematology/Immunology/Oncology

a. anemia

b. coagulopathies: medication-induced (e.g., Coumadin, platelet inhibitors, heparin [HIT])

3. Neurology

a. encephalopathy (e.g., hypoxic-ischemic, metabolic, infectious, hepatic)

b. seizure disorders

c. stroke

4. Gastrointestinal

a. functional GI disorders (e.g., obstruction, ileus, diabetic gastroparesis, gastroesophageal reflux, irritable bowel syndrome)

b. GI bleed

i. lower

ii. upper

c. GI infections (e.g., C. difficile)

d. GI surgeries (e.g., resections, esophagogastrectomy, bariatric)

e. hepatic disorders (e.g., cirrhosis, hepatitis, portal hypertension)

f. ischemic bowel

g. malnutrition (e.g., failure to thrive, malabsorption disorders)

h. pancreatitis

5. Renal

a. acute kidney injury (AKI)

b. chronic kidney disease (CKD)

c. electrolyte imbalances

d. end-stage renal disease (ESRD)

D. Musculoskeletal/Multisystem/Psychosocial (16%)

1. Musculoskeletal

a. functional issues (e.g., immobility, falls, gait disorders)

2. Multisystem

a. end of life

b. healthcare-acquired infections

i. catheter-associated urinary tract infections (CAUTI)

ii. central-line-associated bloodstream infections (CLABSI)

iii. surgical site infection (SSI)

c. infectious diseases

i. influenza

ii. multidrug-resistant organisms (e.g., MRSA, VRE, CRE, ESBL)

d. pain

i. acute

ii. chronic

e. palliative care

f. pressure injuries (ulcers)

g. rhabdomyolysis

h. sepsis

i. shock states

i. anaphylactic

ii. hypovolemic

j. toxic ingestion/inhalation/drug overdose

k. wounds (e.g., infectious, surgical, trauma)

3. Behavioral/Psychosocial

a. altered mental status

b. delirium

c. dementia

d. disruptive behaviors, aggression, violence

e. psychological disorders

i. anxiety

ii. depression

f. substance abuse

i. alcohol withdrawal

ii. chronic alcohol abuse

iii. chronic drug abuse

iv. drug-seeking behavior

v. drug withdrawal


A. Advocacy/Moral Agency

B. Caring Practices

C. Response to Diversity

D. Facilitation of Learning

E. Collaboration

F. Systems Thinking

G. Clinical Inquiry Cardiovascular

• Identify, interpret and monitor

o dysrhythmias

o QTc intervals

o ST segments

• Manage patients requiring

o ablation

o arterial closure devices

o arterial/venous sheaths

o cardiac catheterization

o cardioversion

o defibrillation

o pacemakers

o percutaneous coronary intervention (PCI)

o transesophageal echocardiogram (TEE)

• Monitor hemodynamic status and recognize signs and symptoms of hemodynamic instability

• Select leads for cardiac monitoring for the indicated disease process

• Titrate vasoactive medications

o Dobutamine

o Dopamine

o Nitroglycerin Pulmonary

• Interpret ABGs

• Maintain airway

• Monitor patients pre and post

o bronchoscopy

o chest tube insertion

o thoracentesis

• Manage patients requiring mechanical ventilation

• Manage patients requiring non-invasive O2 or ventilation delivery systems



o face masks

o high-flow therapy

o nasal cannula

o non-breather mask

o venti-masks

• Manage patients requiring respiratory monitoring devices:

o continuous SpO2

o end-tidal CO2 (capnography)

Manage patients requiring tracheostomy tubes

• Manage patients with chest tubes (including pleural drains)

• Recognize respiratory complications and initiate interventions


• Endocrine

o manage and titrate insulin infusions

• Hematology/Immunology/Oncology

o administer blood products and monitor patient response

• Neurology

o perform bedside screening for dysphagia

o use NIH Stroke Scale (NIHSS)

• Gastrointestinal

o manage patients pre- and post-procedure (e.g., EGD, colonoscopy)

o manage patients who have fecal containment devices

o manage patients who have tubes and drains

o recognize indications for and complications of enteral and parenteral nutrition

• Renal

o identify medications that can be removed during dialysis

o identify medications that may cause nephrotoxicity

o initiate renal protective measures for nephrotoxic procedures

o manage patients pre- and post-hemodialysis Musculoskeletal/Multisystem/Psychosocial

• Musculoskeletal

o initiate and monitor progressive mobility measures

• Multisystem

o administer medications for procedural sedation and monitor patient response

o differentiate types of wounds, pressure injuries

o manage patients with complex wounds (e.g., fistulas, drains and vacuum-assisted closure devices)

o manage patients with infections

• Psychosocial

o implement suicide prevention measures

o screen patients using a delirium exam tool (e.g., CAM)

o use alcohol withdrawal exam tools (e.g., CIWA)


• Administer medications and monitor patient response

• Anticipate therapeutic regimens

• Monitor diagnostic test results

• Perform an exam pertinent to the system

• Provide health promotion interventions for patients, populations and diseases

• Provide patient and family education unique to the clinical situation

• Recognize procedural and surgical complications

• Recognize urgent situations and initiate interventions

• Use complementary alternative medicine techniques and non-pharmacologic interventions

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top-quality scientific Alert methods Of 2024 | Resources

We reviewed most reliable medical alert programs to assist you find the most beneficial answer to provide yourself with protection or your spouse and children at home and on the go.

scientific alert systems join clients to a dispatcher who can send for assistance in the adventure of a clinical emergency. Some methods are designed for in-home use while others offer security on the go, however all are designed to reassure individuals who're medically prone and commonly residing alone—as well as their family.

what is a scientific Alert equipment?

A scientific alert system, also called a private emergency response system (PERS) or a clinical emergency response system, permits a person to connect to clinical assist promptly in the experience of a fitness emergency. Most programs include a transmitter gadget, an emergency name core and a console that uses landline telephones, mobile networks and/or GPS to connect the transmitter with the monitoring middle.

Transmitter contraptions are often wearable pendants, necklaces, bracelets or smartwatches that feature an without difficulty attainable emergency button and a speaker for quick connection to a knowledgeable operator.

How Do medical Alert systems Work?

in case you have a scientific concern or emergency, press the help button in your medical alert system. The device sends a sign to your scientific alert issuer, connecting you with an emergency response skilled at the name center. frequently, the operator will join you with the loved one or pal listed in your contact advice, notifying them that you want assist. In an emergency, they aid dispatch an ambulance, the police or the local fire department to your home.

who is a medical Alert system for?

Most scientific alert methods are designed for older adults, above all those living by myself.

whereas a scientific alert device can not keep away from a fall or subsequent damage, it can help the adult access emergency functions for a lot quicker advice. besides a guide emergency button, many systems present automated fall detection, sensing when the consumer falls and notifying emergency capabilities almost immediately thereafter.

Falls apart, medical alert programs can aid safe ageing in vicinity with elements like medicine reminders, recreation monitoring that tests in on the person every 12 hours or so and are living suggestions for when the consumer experiences some other urgent scientific issues.

clinical alert techniques are additionally an appropriate solution for anybody—despite their age—who's susceptible to experiencing a clinical emergency and desires reassurance that they could without difficulty entry support.

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The several types of scientific Alert programs In-domestic scientific Alert programs

In-domestic scientific alert systems usually function two add-ons:

  • A stationary base machine that includes a speaker and microphone that connects the person to the business’s name middle. These gadgets use either a landline connection or a mobile connection.
  • A wearable point, similar to a pendant or bracelet, with a button the user can press to activate the bottom device within the experience of an emergency. The button’s latitude of use, that means the highest distance it may also be from the base gadget to nonetheless set off a call when pressed, varies drastically from product to product.
  • cell clinical Alert methods

    mobile medical alert programs use cellular carrier and GPS know-how to help the person join with the call center each inside and outside. almost all these instruments are all-in-one gadgets of varying sizes and effectivity. typically, the extra compact the equipment or the greater aspects it offers, the shorter its battery existence, making customary charging vital.

    essential facets of scientific Alert programs live 24/7 Monitoring

    To get the most protecting value from a scientific alert system, decide upon one which presents reside 24/7 monitoring. That manner, no remember in case you have a clinical subject and press your emergency button for support, you’ll at all times be linked with a are living emergency response agent.

    automatic Fall Detection

    typically for an extra month-to-month charge, medical alert device makers present automatic fall detection. As its identify suggests, this characteristic immediately notifies the call middle when your wearable device senses—the use of technology like accelerometers and processors—that you simply had a fall and don’t circulate for a duration of time after the autumn. It’s designed to assist within the experience of a serious fall that renders the consumer unconscious, unable to press their help button manually or unable to talk verbally with the emergency response skilled on the name monitoring middle.

    Wall Buttons

    Many scientific alert systems assist you to purchase extra wall buttons for the larger-chance areas of your home, such because the bathing room, kitchen and stairwells. identical to a wearable pendant, when pressed they ship a sign to the bottom station, which communicates with the call center. Wall buttons are positive for americans who neglect to put on or dislike wearing their gadgets.


    Some scientific alert device makers motivate you so as to add a lockbox to your machine purchase. It’s intended to cling a further key for emergency responders so that they don’t should break down a locked door to come back support in an emergency adventure. The location and access of your lockbox is frequently cited in your profile with the scientific alert system, so the name core worker can share these particulars with emergency responders when vital.

    water resistant Wearables

    if you wish to be capable of keep the wearable component of your clinical alert gadget to your adult or regional while bathing or showering, it’s critical for the gadget to hold up well to water and humidity.

    GPS tracking

    scientific alert programs that offer are living region monitoring by the use of GPS could be valuable for lively seniors and those with reminiscence loss. These techniques are supposed to alert members of the family without delay and promptly of their family member’s places.

    endeavor Monitoring

    comparable to automatic fall detection, this function tracks the consumer’s circulation. It notifies family members and chums if their friend hasn’t proven signals of move for a protracted period.

    medicine Reminders

    Some clinical alert systems offer treatment reminders. These scheduled notifications can aid hold growing older adults compliant with the care plan prescribed by using their fitness care specialists.

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    what is essentially the most critical clinical Alert system characteristic?

    according to a recent Forbes health survey of two,000 U.S. adults carried out with the aid of OnePoll, respondents price lots of the points provided by modern-day medical alert system suppliers. although, three in certain stand out among the relaxation: features like endeavor monitoring and medicine reminders (forty nine%), GPS or cellular connectivity for 24/7 suggestions (44%), and extras like voice-activated wall buttons and lock boxes (43%).

    How plenty Do medical Alert techniques charge?

    Monitoring capabilities for a scientific alert gadget can can charge as low as $14.ninety five per 30 days and as much as $61.95 per thirty days. These fees don’t necessarily include the initial cost of the machine itself—some scientific alert companies charge a one-time upfront fee for the system devices.

    moreover upfront equipment costs, some clinical alert system suppliers can charge a one-time connection or installing price required on the time of setup, and these charges can vary greatly.

    Add-on aspects usually come with extra prices, too. automatic fall detection frequently raises a monthly bill by using $10, and further wall buttons and lockboxes can come with small add-on fees as neatly. If a caregiver app is accessible as a part of the system, it may be free, although some charge a small amount to download to your smartphone.

    The lower end of the fee spectrum customarily includes the most primary clinical alert gadget gadget and connectivity. in the meantime, the more you spend, the extra elements and functionality you get, akin to automatic fall detection, are living place monitoring, caregiver app entry and more.

    regrettably, some medical alert system suppliers have much less-than-transparent pricing constructions. for instance, they can also no longer lock in a subscription expense in case you register, ultimately raising charges devoid of notice after a year of provider. Others could not clearly expose connection or activation charges until you attain the remaining steps of procuring a device and enrolling in a monitoring subscription carrier.

    the way to Get a scientific Alert system for free

    Your potential to get a free medical alert gadget largely depends on your economic cases and insurance coverage. those that are eligible for Medicaid, for example, are often eligible for other waiver courses that may assist cowl the prices linked to medical alert programs. Veterans often have access to advantages that make medical alert programs more most economical as neatly.

    Annual vs. monthly Subscriptions

    if you’re concerned concerning the complete cost of a scientific alert gadget, accept as true with how plenty you’d spend on a system when you pay yearly for the monitoring provider versus paying monthly.

    reckoning on the scientific alert gadget you choose, the business might also offer an annual subscription with a value that averages much less monthly than a standard month-to-month subscription can charge. You ought to be at ease paying the complete amount up entrance, but the discount will also be big within the future.

    What coverage Covers scientific Alert programs?

    only a opt for few private assurance suppliers pay for clinical alert systems. however in some situations, the contraptions may also be regarded tax deductible in the event that they’re deemed “medically vital device” and prescribed by way of a doctor.

    Does Medicare cowl scientific Alert systems?

    customarily, usual Medicare (Medicare half B) doesn’t cowl the paying for or monthly subscription expenses of clinical alert systems as a result of they are not usually deemed “medically integral” durable scientific gadget (DME).

    meanwhile, some Medicare knowledge plans (Medicare half C), which are offered through private insurance agencies, may additionally deliver partial or full coverage of medical alert techniques. in case you’re insured through a Medicare skills plan, ask your company about their insurance policies regarding clinical alert systems.

    choosing the right scientific Alert equipment

    The appropriate scientific alert equipment depends on you or your loved one’s pastime tiers and preferences. as an instance, somebody who spends a significant period of time away from home or is prone to wander will probably improvement from a cellular medical alert system. however a person who hardly leaves their apartment could be smartly served by way of an in-domestic gadget that covers the square footage of their residing area.

    feel about how you or the adult you’re looking for customarily spends time and focal point on clinical alert systems specially designed for these culture components.

    the place to purchase a clinical Alert device

    Most medical alert techniques will also be purchased without delay from manufacturers by means of their web sites. that you would be able to also name their customer provider lines to talk with business representatives at once and region your order over the cellphone. if you choose shopping in adult, dealers like Walmart and most beneficial buy sell medical alert techniques, as well as pharmacies like CVS and Walgreens.

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  • Appeadu M, Bordoni B. Falls and Fall Prevention in the elderly. StatPearls Publishing. 2021.
  • long lasting medical machine (DME) coverage. Accessed 6/eight/2021.
  • medical Alert devices. patrons’ Checkbook. Accessed 6/8/2021.
  • existence Alert cost comparison and review. Senior protection reviews. Accessed 6/eight/2021.


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