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Certification-Board TCRN : Trauma Certified Registered Nurse test Exam

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Exam Number : TCRN
Exam Name : Trauma Certified Registered Nurse Exam
Vendor Name : Certification-Board
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TCRN test Format | TCRN Course Contents | TCRN Course Outline | TCRN test Syllabus | TCRN test Objectives


About the TCRN Exam
Clinical Practice: Head and Neck
A. Neurologic trauma
1. Traumatic brain injuries
2. Spinal injuries
B. Maxillofacial and neck traum
1. Facial fractures
2. Ocular trauma
3. Neck trauma
Clinical Practice: Trunk
A. Thoracic trauma
1. Chest wall injuries
2. Pulmonary injuries
B. Cardiac injuries
1. Great vessel injuries
C. Abdominal trauma
1. Hollow organ injuries
2. Solid organ injuries
3. Diaphragmatic injuries
4. Retroperitoneal injuries
D. Genitourinary trauma
E. Obstetrical trauma (pregnant patients)
Clinical Practice: Extremity and Wound
25 A. Musculoskeletal trauma
1. Vertebral injuries
2. Pelvic injuries
3. Compartment syndrome
4. Amputations
5. Extremity fractures
6. Soft- tissue injuries
B. Surface and burn trauma
1. Chemical burns
2. Electrical burns
3. Thermal burns
4. Inhalation injuries
Clinical Practice: Special Considerations
A. Psychosocial issues related to trauma
B. Shock
1. Hypovolemic
2. Obstructive (e.g.- tamponade- tension- pneumothorax)
3. Distributive (e.g.- neurogenic- septic)
4. Cardiogenic
C. SIRS and MODS
Continuum of Care
A. Injury prevention
B. Prehospital care
C. Patient safety (e.g.- fall prevention)
D. Patient transfer
1. Intrafacility (within a facility- across departments)
2. Interfacility (from one facility to another
E. Forensic issues
1. Evidence collection
2. Chain of custody
F. End- of- life issues
1. Organ/ tissue donation
2. Advance directives
3. Family presence
4. Palliative care
G. Rehabilitation (discharge planning)
Professional Issues 17 A. Trauma quality management
1. Performance improvement
2. Outcomes follow- up and feedback (e.g.- referring facilities- EMS)
3. Evidence- based practice
4. Research
5. Mortality/ morbidity reviews
B. Staff safety (e.g.- standard precautions- workplace violence)
C. Disaster management (i.e.- preparedness- mitigation- response- and recovery)
D. Critical incident stress management
E. Regulations and standards
1. HIPAA
2. EMTALA
3. Designation/ verifi cation (e.g.- trauma center/ trauma systems)
F. Education and outreach for interprofessional trauma teams and the public
G. Trauma registry (e.g.- data collection)
H. Ethical issues
D. Critical incident stress management
E. Regulations and standards
1. HIPAA
2. EMTALA
3. Designation/ verifi cation (e.g.- trauma center/ trauma systems)
F. Education and outreach for interprofessional trauma teams and the public
G. Trauma registry (e.g.- data collection)
H. Ethical issues

I. Assessment
A. Establish mechanism of injury
B. Assess- intervene- and stabilize patients with immediate life- threatening conditions
C. Assess pain
D. Assess for adverse drug and blood reactions
E. Obtain complete patient history
F. Obtain a complete physical evaluation
G. Use Glasgow Coma Scale (GCS) to evaluate patient status
H. Assist with focused abdominal sonography for trauma (FAST) examination
I. Calculate burn surface area
J. Assessment not otherwise specified
II. Analysis
A. Provide appropriate response to diagnostic test results
B. Prepare equipment that might be needed by the team
C. Identify the need for diagnostic tests
D. Determine the plan of care
E. Identify desired patient outcomes
F. Determine the need to transfer to a higher level of care
G. Determine the need for emotional or psychosocial support
H. Analysis not otherwise specified
III. Implementation
A. Incorporate age- specific needs for the patient population served
B. Respond with decisiveness and clarity to unexpected events
C. Demonstrate knowledge of pharmacology
D. Assist with or perform the following procedures:
1. Chest tube insertion
2. Arterial line insertion
3. Central line insertion
4. Compartment syndrome monitoring devices:
a. Abdominal
b. Extremity
5. Doppler
6. End- tidal CO 2
7. Temperature- control devices (e.g.- warming and cooling)
8. Pelvic stabilizer
9. Immobilization devices
10. Tourniquets
11. Surgical airway insertion
12. Intraosseous needles
13. Intracranial pressure (ICP) monitoring devices
14. Infusers:
a. Autotransfusion
b. Fluid
c. Blood and blood products
15. Needle decompression
16. Fluid resuscitation:
a. Burn fluid resuscitation
b. Hypertonic solution
c. Permissive hypotension
d. Massive transfusion protocol (MTP)
17. Pericardiocentesis
18. Bedside open thoracotomy
E. Manage patients who have had the following procedures:
1. Chest tube insertion
2. Arterial line insertion
3. Central line insertion
4. Compartment syndrome monitoring devices:
a. Abdominal
b. Extremity
5. End- tidal CO 2
6. Temperature control devices (e.g.- warming and cooling)
7. Pelvic stabilizer
8. Immobilization devices
9. Tourniquets
10. Surgical airway
11. Intraosseous needles
12. ICP monitoring devices
13. Infusers:
a. Fluid
b. Blood and blood products
14. Needle decompression
15. Fluid resuscitation:
a. Burn fluid resuscitation
b. Hypertonic solution
c. Permissive hypotension
d. MTP
16. Pericardiocentesis
F. Manage patients pain relief by providing:
1. Pharmacologic interventions
2. Non pharmacologic interventions
G. Manage patient sedation and analgesia
H. Manage tension pneumothorax
I. Manage burn resuscitation
J. Manage increased abdominal pressure
K. Provide complex wound management (e.g.- ostomies- drains- wound vacuumassisted closure [VAC]- open abdomen)
L. Implementation not otherwise specified
IV. Evaluation
A. Evaluate patients response to interventions
B. Monitor patient status and report findings to the team
C. Adapt the plan of care as indicated
D. Evaluation not otherwise specified
V. Continuum of care
A. Monitor or evaluate for opportunities for program or system improvement
B. Ensure proper placement of patients
C. Restore patient to optimal health
D. Collect- analyze- and use data:
1. To Strengthen patient outcomes
2. For benchmarking
3. To decrease incidence of trauma
E. Coordinate the multidisciplinary plan of care
F. Continuum of care not otherwise specified
VI. Professional issues
A. Adhere to regulatory requirements related to:
1. Infectious diseases
2. Hazardous materials
3. Verification/ designation
4. Confidentiality
B. Follow standards of practice
C. Involve family in:
1. Patient care
2. Teaching/ discharging planning
D. Recognize need for social/ protective service consults
E. Provide information to patient and family regarding community resources
F. Address language and cultural barriers
G. Participate in and promote lifelong learning related to new developments and clinical advances
H. Act as an advocate (e.g.- for patients- families- and colleagues) related to ethical- legal- and psychosocial issues
I. Provide trauma patients and their families with psychosocial support
J. Assess methods continuously to Strengthen patient outcomes
K. Assist in maintaining the performance improvement programs
L. Participate in multidisciplinary rounds
M. Professional issues not otherwise specified

The TCRN test is for nurses practicing across the continuum of trauma care who want to demonstrate their expertise and knowledge in trauma nursing. BCEN is the only source for trauma care nurses and their employers to gain recognized certification for greater knowledge and performance. Advance your trauma nursing care and career at every critical point in the continuum.

BCENs certification exams are developed by an test committee of nurses who practice in the specific exams specialty area and represent diverse geography. BCEN partners with a test development company to ensure the test is psychometrically sound and questions are written in best practice format. Earning a BCEN certification is a national recognition and allows the holder to display the credential as part of their signature.

BCEN exams are based on specialty nursing role delineation studies (RDS). These research studies also known as a practice analysis or job analysis are conducted by test committees of subject matter experts.

As part of the RDS- survey instruments are distributed to nurses practicing in each specialty area throughout the United States. The survey responses guide the test committee in determining knowledge relevant to practice. The integrated concepts- cognitive level distribution- and the number of items (questions) specified within each content area are developed by an iterative process resulting in unanimous agreement from the test committee.

Next- item writers create test questions and the items are reviewed- revised- and approved by the test construction and review committee. The items are also repeatedly reviewed throughout the test development process.

Finally- examinations are delivered by computer at Pearson VUE testing centers. The examinations are administered daily Monday through Friday at the test takers convenience.

Only their practice exams are created by the same organization designing the real exams (thats us). We have a committee of nurses and emergency professionals who build their practice exams with the goal of helping you succeed. A BCEN practice test will help you familiarize yourself with the computer-based format of the real exam. You will be able to answer questions- then have immediate access to the correct answers- backed up with rationale and references.



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Certification-Board test certification

View: New proposals on cinema censorship pointless; film board and courts are satisfactory | TCRN cheat sheet and test Questions

what is the context?protected in proposed amendments of the Cinematograph Act, 1952, is the supply that on the complaint of any member of the public, the govt can recollect an already certified film to re-examine it and if it, alas, has the same opinion with the member of the general public, a brand new manner of certification shall delivery.

Why is that this not essential?a few months back, the tribunal court within the film certification method become abolished. The purpose given turned into that if a filmmaker is not convinced with the certification board or a revision committee’s choice, they could problem the verdict in courts. Why can’t the same intent be applied to the supposedly aggrieved member of the general public who has issues with a film? Why is the autonomy of the board of film certification being diluted? What’s the purpose or purpose behind?

Why is the certification board ample?Let’s understand the formation of the film certification board. The board’s members are eminent people from a lot of sections of society. These contributors are selected by way of the I&B ministry together with the chairperson of the board, who's additionally chosen through the ministry. continually, each movie is viewed and licensed by way of a committee of those participants along with an authority from the board. It’s very tough to keep in mind that when everybody is chosen by the government and that they characterize numerous social corporations, starting from a professor to a homemaker, why may still a film be recalled for examination, simply as a result of a member of the general public feels unhappy about any element of the film.

Why is it futile to expect no disagreement?In a match democracy, distinct opinions on the equal discipline will always exist. americans will question, contradict, agree or doubt and there must be a fair approach to take care of their objections. every grownup has the alternative and liberty to like and dislike a film, and if offended, take it to court. Authorities should honour and appreciate the resolution taken by means of board individuals chosen with the aid of them. The autonomy of associations like these is a must for the fitness of the democracy of their nation.

what's respectable in regards to the proposed modification?There are additionally some long late decent amendments, which should now not be left unacknowledged, like a rating gadget based on the age of the viewer, stringent punishment for piracy of movies, and a lot of other innovations made through a panel of experts headed with the aid of the legendary filmmaker, Shyam Benegal. I’m bound this recalling of the certification process was no longer proposed by Benegal’s brigade.

What unusual guidelines had been proposed via other governments?Let’s go lower back in time and evaluate a farcical modification made by way of the fitness ministry of the old executive which enforced a rule that a ticker of a statutory warning should still run on the display whenever a personality uses tobacco products. This rule made us the best nation on the earth that imposes such an extreme measure that disrespects the paintings of cinema. In overseas movie fairs, americans giggle while watching their films. i wished that authorities treated the basis of the sickness as opposed to clipping branches.

in its place of forcing an unaesthetic and impractical ticker on the alluring frame of a movie, make tobacco items so high priced that they go past the reach of the bulk. however, it looks that the tobacco lobby is lots more desirable than the film guilds of their industry.

How can new censor rules really complicate matters?The proposed modification will supply the appropriate to recall any film from the previous. What if someone has an issue with creations of Satyajit Ray or Adoor Gopalakrishnan or Ritwik Ghatak and their movies are recalled for recertification? what's going to turn up if someone has a problem with Dadasaheb Phalke’s Raja Harishchandra?

How should they approach censorship?with the aid of accepting cinema as a form of first-rate paintings. in reality it is an amalgamation of the entire quality arts put together – painting, track, dance, drama and poetry. Let’s hope that the I&B ministry and bureaucrats work in opposition t growing a space where cinema can flourish as opposed to chaining and caging it.

In a democracy they need to learn to coexist with their nemesis. They have to study to comply with disagree.

(The writer is a film director and tune composer.)




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