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Exam Code: ACA-CCN
Exam Name: ACA Certified Corrections Nurse
Issuing Organization: American Correctional Association (ACA)
Type: Computer-based or paper-based (depending on testing location).
Number of Questions: 200 multiple-choice questions
Time Limit: 240 minutes (4 hours)
Passing Score: Determined by a standard-setting process (exact passing percentage may vary).

- Correctional Nursing Fundamentals
- Role of the Correctional Nurse:
- Scope of practice
- ethical considerations
- professional standards
- Legal and Regulatory Issues:
- Constitutional rights of inmates (8th Amendment, deliberate indifference).
- HIPAA in corrections.
- PREA (Prison Rape Elimination Act).
- State and federal regulations.
- Documentation & Risk Management:
- Proper charting
- incident reporting
- liability prevention

- Patient Assessment & Triage
- Initial Health Screening: Intake assessments, suicide risk evaluation.
- Chronic Disease Management: Diabetes, hypertension, HIV/AIDS, hepatitis in incarcerated populations.
- Emergency Care: Recognizing life-threatening conditions (overdose, withdrawal, trauma).
- Mental Health Assessments: Identifying psychosis, depression, and suicidal ideation.

- Common Medical Conditions in Corrections
- Infectious Diseases:
- TB testing and prevention.
- HIV/AIDS management.
- Hepatitis B/C.
- MRSA and other infections.
- Chronic Illnesses: Managing asthma, COPD, cardiovascular disease.
- Womens Health: Pregnancy, menstruation, and gynecological care.
- Geriatric Care: Age-related conditions in long-term inmates.

- Mental Health & Substance Abuse
- Behavioral Health Interventions:
- Crisis de-escalation techniques.
- Suicide prevention protocols.
- Substance Withdrawal Management:
- Alcohol withdrawal (CIWA protocol).
- Opioid withdrawal (COWS scale).
- Stimulant intoxication/withdrawal.
- Medication-Assisted Treatment (MAT):
- Methadone
- buprenorphine
- naltrexone

- Medication Administration & Pharmacology
- Formulary Restrictions: Limited medication options in corrections.
- Observed Therapy (DOT): Ensuring medication compliance.
- Controlled Substances: Security, diversion prevention.
- Side Effect Monitoring: Antipsychotics, opioids, and other high-risk medications.

- Emergency Preparedness & Crisis Response
- Code Blue/Medical Emergencies: Responding to cardiac arrest, seizures.
- Restraints & Use of Force: Medical monitoring during restraints.
- Environmental Hazards: Heat/cold exposure, cell extractions.

- Ethical & Cultural Considerations
- Patient Advocacy: Balancing security vs. healthcare needs.
- Cultural Competency: Working with diverse inmate populations.
- End-of-Life Care: Hospice in prison settings.

- Correctional Facility Operations
- Security Protocols: Escorts, lockdown procedures.
- Interdisciplinary Collaboration: Working with COs, mental health staff, and providers.
- Quality Improvement: Audits, infection control, and continuous improvement.

- Deliberate Indifference Failure to provide adequate medical care, violating 8th Amendment rights.
- PREA: Prison Rape Elimination Act (mandates reporting/response to sexual assaults).
- DOT: Directly Observed Therapy (e.g., for TB treatment).
- CIWA/COWS: Clinical scales for alcohol/opioid withdrawal.
- Formulary: Approved medication list in corrections (often restrictive).
- Sick Call: Inmate request for medical attention.
- Use of Force Security actions requiring medical assessment post-event.

- GENERAL/OFFENDER MANAGEMENT
- Communicating and working with offenders
- Verbal and nonverbal communication skills/techniques
- Diversity of correctional populations

- SECURITY/ENVIRONMENT
- Controlling offender behavior
- Contraband
- Searches
- Disciplinary actions
- Personal liability
- Security program
- Emergency response procedures
- Counts
- Transport of offenders

- STANDARDS AND ACCREDITATION
- Terminology: outcome measures, expected practices, process indications, protocols
- Elements of performance-based standards

- LEGAL
- Legal terminology
- Landmark Supreme Court decisions that affect correctional health care
- Civil Rights Act of 1964
- American with Disabilities Act (ADA)
- Prison Litigation Reform Act (PLRA)
- Fair Labor Standards Act (FLSA)
- Torts
- Habeas corpus
- Offender lawsuits
- Constitutional amendments affecting corrections
- Issues surrounding suicide

- NURSING PRACTICE
- Security training for nurses
- Health care training for correctional staff
- Roles and responsibilities for correctional nurses and private health care providers
- Offenders rights and level of health care
- Barriers to correctional health care
- Infectious diseases

- MENTAL HEALTH
- Mental health assessments
- Suicide issues
- Crisis intervention
- Mental health standards
- HEALTH CARE
- Health care issues in corrections
- History of correctional health care
- Health screening