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Medical CGRN : ABCGN Certified Gastroenterology Registered Nurse Exam

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Test Number : CGRN
Test Name : ABCGN Certified Gastroenterology Registered Nurse
Vendor Name : Medical
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CGRN test Format | CGRN Course Contents | CGRN Course Outline | CGRN test Syllabus | CGRN test Objectives


The Examination: There is one ABCGN certification examination for RNs. The examination is based on role delineations -- surveys of practitioners, which define the scope of practice and the knowledge and skills required to function in the field. All examination items are written by certified individuals with expertise in the field of gastroenterology and/or gastroenterology endoscopy nursing practice.

Test Items (Questions): Test items are reviewed, referenced and validated by the ABCGN Item Writers Committee and, finally, edited by the testing company for construction, grammatical correctness and clarity. Examination Content The CGRN examination each consist of 175 multiple-choice questions. Each question has four choices and one correct answer. Candidates have three hours to complete their examination.

The CGRN examination contains questions from four major content areas: general nursing care, gastroenterological procedures, patient care interventions and environmental safety, infection prevention and control. All questions are directly related to the GI specialty. More specific information regarding the content of the examinations is included in the Appendix of the Certification Handbook.

Preparation for the Examination: ABCGN does not sponsor or endorse test preparation or review courses for the certification examinations. SGNA, ABCGN's sister organization, offers both courses and materials for the test and recertification. Visit the SGNA website for more details.

1. General Nursing Care 24%
2. Gastroenterological Procedures 33%
3. Patient Care Interventions 27%
4. Environmental Safety, Infection Prevention and Control 16%

Domain I: General Nursing Care
Task A: Assess and analyze the patients health status through data collection.
Knowledge of:
1. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
2. Physiological, psychological, social, cultural, and spiritual aspects of their wellness
3. Pharmacology (e.g. Prescription medication, OTC, supplements-herbal)
Task B: Monitor and assess the patients health status to determine necessary nursing interventions.
Knowledge of:
Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
2. Physiological, psychological, social, cultural, and spiritual aspects of their wellness
3. Pharmacology (e.g. compliance/noncompliance issues, education, drug interaction)
4. Advocating and protecting patients rights and privacy (e.g. HIPAA, ethics)
Task C: Educate the patient through effective communication to develop a plan of care directed to the patients level of understanding.
Knowledge of:
1. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
2. Physiological, psychological, social, cultural, and spiritual aspects of their wellness
3. Pharmacology (e.g. Prescription medication, OTC, supplements-herbal)

Domain II: Gastroenterological Procedures
Task A: Collaborate with the health care team during endoscopic procedures to provide safe and effective care.
Knowledge of:
1. Endoscopic procedures ( e.g. diagnostic, interventional)
2. Equipment and accessories
3. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
4. Environment of care (e.g. thermal burns, chemical spills, radiation, time out)
5. Pharmacology(e.g. sedation medication, reversal agents, procedure medications, resuscitative medication)
6. Physiological, psychological, social, spiritual, and cultural aspects of wellness
7. Potential complications and anticipated interventions (e.g. hemorrhage, perforation, compromised airway, medication reaction)
8. Specimen processing and handling (e.g. labeling, storage, transportation)
Task B: Collaboration with the health care teamduring non-endoscopic procedures to provide safe and effective care.
Knowledge of:
1. Non-endoscopic procedures (e.g. diagnostic, interventional)
2. Equipment and accessories (e.g. needles, probes, capsules, ligature, PEG exchange)
3. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
4. Environment of care (e.g. spills, time out)
5. Pharmacology(e.g. learning needs, sedation medication, reversal agents, procedure medications, resuscitative medication)
6. Physiological, psychological, social, spiritual, and cultural aspects of wellness
7. Potential risks, complications, and interventions
8. Specimen processing and handling (e.g. labeling, storage, transportation)
Task C: Perform non-endoscopic procedures to promote optimal patient outcomes.
Knowledge of:
1. Non-endoscopic procedures (e.g. diagnostic, interventional)
2. Equipment and accessories (e.g. probes, capsules, PEG exchange)
3. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
4. Environment of care (e.g. time out, spills)
5. Pharmacology (e.g. biologics)
6. Physiological, psychological, social, spiritual, and cultural aspects of wellness
7. Potential risks, complications, and interventions
8. Specimen processing and handling (e.g. labeling, storage, transportation)

Domain III: Patient Care Interventions
Task A: Recognize and respond to emergent changes in the patients status to prevent complications and maximize positive outcomes.
Knowledge of:
1. Potential risks, complications, and anticipated interventions (e.g. underlines conditions)
2. Resuscitation procedures and equipment
3. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
4. Emergency medications (e.g. Romazicon, Atropine, Narcan, Epinephrine)
5. Sedation guidelines and principles (e.g. ASA, airway status)
Task 2: Promoting wellness by managing GI health care needs.
Knowledge of:
1. Diet and Nutrition (e.g. supplements, high fiber diet, other specialized diets, diet modifications)
2. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
3. Therapeutic interventions in pain management (e.g. ambulation, medication, positioning)
4. Patients rights and responsibilities (e.g. advanced directives)
5. Pharmacology (e.g. PPI, laxative, pro-biotics, biologics, timing of medication)
6. Potential complications (e.g. flare ups, drug reactions/interactions)
7. Physiological, psychological, social, sexual, spiritual, and cultural aspects of wellness
8. Resources (e.g. palliative, support group, financial and social assistance)
Task C: Administer medications and fluids consistent to provide safe and effective care.
Knowledge of:
1. Established standards for administering medications and fluids (e.g. safe injection practices)
2. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
3. Pharmacology (e.g. biologics infusions/injections, antibiotic, timing of medication)
4. Physiological, psychological, social, cultural, and spiritual aspects of wellness
5. Potential adverse reactions, complications, and anticipated interventions

Domain IV: Environmental Safety, Infection Prevention and Control
Task A: Procedure related infection prevention and control.
Knowledge of:
1. Standard for infection control in an endoscopy setting (e.g. validation of competencies, manufactures guidelines, PPE, spills)
2. Equipment reprocessing (e.g. Scopes and accessories, bioburden)
3. Sterilization and high level disinfection (e.g. Spaulding classification, single use devices vs. reusable devices, minimal effective concentration of disinfection solutions
4. Safe Injection practices (e.g. multi-dose vial)
5. Body mechanics (e.g. ergonomics, patient pressure, repetitive injuries)
6. Electrical, Laser, Radiation, Chemical (e.g. grounding pad placement, piercings, return electrode)
Task B: Environmental Safety, Infection Prevention and Control in Gastroenterology
Knowledge of:
1. Patient education related to disease (e.g. Crohns, C-DIFF, VRE, CRE)
2. Bloodborne pathogen (e.g. Hepatitis C, transmission)
3. Multidrug resistance organisms (e.g. MDRO, VRE, CRE)
4. Personal Protective Equipment (e.g. standard precautions, communication devices, attire)



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No cramming as new COVID rules take dangle in South Korean capital | CGRN test dumps and Questions and Answers

SEOUL (Reuters) - inner most tuition centres shut for the first time in South Korea’s capital on Monday and traffic was light on the first working day of tighter social-distancing rules geared toward halting a 2nd wave of novel coronavirus infections.

FILE image: a lady undergoes a coronavirus ailment (COVID-19) check at a makeshift medical institution in Seoul, South Korea, August 26, 2020. REUTERS/Kim Hong-Ji

South Korea took the remarkable step on Friday of proscribing the operation of eating places, espresso retail outlets and so-known as cram colleges within the more advantageous Seoul area, with churches, nightclubs and most public colleges having already closed.

The resolution came after previous restrictions on circulate did not steer clear of a wave of coronavirus clusters erupting at churches, workplaces, nursing buildings and clinical facilities.

The Korea facilities for disease control and Prevention (KCDC) stated 238 new circumstances as of nighttime on Sunday, basically in Seoul and surrounding areas, the 18th day of triple-digit rises in every day infections.

“How absolutely they implement social distancing this week can be extraordinarily essential in their efforts to sever the hyperlinks of infections and manage the unfold,” KCDC director Jeong Eun-kyeong instructed a briefing.

South Korea has mentioned a complete of 19,947 infections and 324 deaths from COVID-19, the respiratory disorder caused by means of the coronavirus.

Fewer vehicles and people were on Seoul’s streets all the way through the morning rush hours as organizations inspired employees to earn a living from home.

The government has reduce staffing at workplaces, whereas many businesses, including tech giants Samsung Electronics 005930.KS, LG 066570.KS and SK Hynix 000660.KS, have elevated or reinstated work-from-domestic guidelines.

“The enterprise allowed it for the primary time because the variety of circumstances continued to surge,” pointed out manufacturing business staffer Oh Yun-mi, 36, who became working from domestic for the primary time.

private after-faculty training academies, which operated as standard in March all over South Korea’s first wave of coronavirus infections, had been shuttered.

There are 25,000 cram schools in Seoul and nationally three out of four toddlers - from grades 1 to 12 - attend such courses in the hope of improving their possibilities in a notoriously competitive training system.

Onsite eating at restaurants, pubs and bakeries within the Seoul enviornment is banned after 9 p.m. unless Sunday, whereas coffee stores, including Starbucks SBUX.O, are constrained to takeout and beginning.

more than 60 coronavirus instances were tracked lower back to a Starbucks outlet in Paju, just north of Seoul.

fitness ministry reputable Yoon Tae-ho said it changed into hoped the latest restrictions would deliver a decline in new day by day an infection numbers, situations of unknown starting place and clusters of infections by using the conclusion of the week.

The infections have fuelled challenge about a shortage of health facility beds and that they come as well-nigh 16,000 intern and resident doctors are on strike over govt plans to raise the number of docs to better handle fitness crises just like the coronavirus.

The fitness ministry on Monday postponed a scientific license test set for Tuesday to subsequent week after greater than 90% of clinical students because of take the test withdrew and joined the walkout.

President Moon Jae-in has entreated the doctors to return to work.

The student and trainee doctors noted the executive’s plans would flood an already competitive market and trainees’ salaries should still be greater to alleviate a shortage of docs in rural areas.

Reporting through Hyonhee Shin; further reporting with the aid of Soohyun Mah and Daewoung Kim; editing via Stephen Coates, Robert Birsel


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