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Test Number : CFRN
Test Name : Certified Flight Registered Nurse
Vendor Name : Medical
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CFRN test Format | CFRN Course Contents | CFRN Course Outline | CFRN test Syllabus | CFRN test Objectives


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, Impella®)
Fracture/dislocation reduction
ICP monitoring
Pericardiocentesis
Neck radiographs
Ventriculostomy monitoring



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Medical information search

three issues to grasp a few medical health insurance advice Tamer | CFRN Latest courses and test Questions

Mark Nathan (Credit: Zipari) Mark Nathan (credit: Zipari)

Zipari Inc. tries to cut back fitness insurers’, and different fitness care device avid gamers’, deserve to believe about their computer systems.

The Brooklyn, ny-based mostly company has its computer systems pull information and guidelines from a company client’s computers, or from other computers, then shampoos the guidance, combs it, conditions it, places a bow on it, and uses automated recommendation equipment to push it out onto the right computing device or cellular gadget monitor, at just the appropriate time.

Mark Nathan, the founder and chief executive officer of the Brooklyn, big apple-primarily based insurtech business would rather not talk about how a great deal statistics his business has on its computers, or what kind of artificial intelligence algorithms it’s the usage of to inhale and channel assistance, however about how neatly the system dashboards look and work.

a standard fitness insurer, for example, could have a customer carrier representative who has to go surfing to twenty to 30 distinctive computers to aid the valued clientele.

“There’s a lot of issues that are going on,” Nathan pointed out closing week in interview. “We get all the records from the entire other tactics.”

Zipari has different methods that purpose to operate similar acts of statistics taming for health care suppliers, issuer search directories, employers, health plan direct-to-customer promoting programs, and health plan broking service portals.

Nathan himself earned a bachelor’s diploma in electrical and desktop engineering from the tuition of Colorado Boulder.

He started out working as a robotics engineer at NASA, from 1989 to 1993. He later moved out into deepest-sector know-how jobs, with stints as director of expert functions at Apple desktop Inc.; a know-how government on the Guardian life insurance company of the us; and chief know-how officer at Freelancers insurance company.

In 2014, Nathan begun Zipari, to enrich fitness insurers’ data portals.

The business has raised about $40 million from investors via 4 rounds of financing, in response to kinds filed with the U.S. Securities and change fee.

(connected: Buoy fitness, RecoveryOne and Zipari entice Funding: fitness Tech offers)

The closing circular of funding covered investments from the funding palms of CareFirst and Horizon Blue pass  Blue look after of latest Jersey,

1. Most health insurers are nevertheless getting used to the thought of working directly with consumers.

For years, big fitness insurers offered insurance peculiarly to enterprise groups.

“They in fact didn’t have a cause to talk with the buyers,” Nathan pointed out.

starting in 2014, the reasonably priced Care Act gave health insurers an opportunity to promote big quantities of coverage directly to individual buyers, via giving insurers an opportunity to sell coverage with no sluggish, painful medical underwriting method.

At that aspect, “they truly did have a rationale to communicate with patrons,” Nathan said.

2. The COVID-19 has highlighted the weaknesses in lots of fitness insurers’ buyer-facing computing device programs.

this is a time when fitness insurers would like to get messages about merits changes, and care options, out to enrollees right now, however “their current techniques are historic,” Nathan stated.

besides the fact that children the insurers may also have enrollee portals, “they don’t have an outstanding relationship with the purchaser,” Nathan talked about. “they could’t get the new messages out,”

Sending new message tailor-made to meet the wants of specific agencies of enrollees is specially complicated, he referred to.

3. fixing the COVID-19 enrollee conversation difficulty will support fitness insurers enrich efforts to maintain enrollees healthy and support patients with health problems manage their conditions.

entry to improved suggestion equipment might aid plans tell enrollees about new COVID-19 checking out merits and telehealth benefits — and it might assist health insurers use their giant stores of fitness care statistics to run general health coaching programs, Nathan spoke of.

Plans might use the messaging tools to send enrollees individually tailored signals about what styles of preventive assessments to get, to enrich the enrollees’ fitness, and additionally to enrich plan quality scores, Nathan noted.

“health plans are starting to see the price of that,” Nathan stated.

Nathan mentioned one key to getting the correct suggestions to the correct individuals at the correct time is to be mindful what different businesses of users could want.

buyers, as an instance, could want time-honored counsel concerning the plans, and they may additionally also desire great particulars, similar to exact lists of the drugs and suppliers a plan covers, Nathan referred to.

group brokers may additionally have many of the key plan particulars memorized, and their tips priorities may additionally brief access to fees and organization employee census upload tools, Nathan talked about.

He said agents who work with particular person purchasers may need short entry to the sorts of particulars that pastime particular person consumers, Nathan mentioned.

— read COVID-19 Will pace Up Insurer Tech improvements: Majesco CEO, on ThinkAdvisor.

— connect with ThinkAdvisor existence/fitness on fb, LinkedIn and Twitter.


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