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Exam Number : CMSRN
Exam Name : Certified Medical-Surgical Registered Nurse
Vendor Name : MSNCB
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CMSRN exam Format | CMSRN Course Contents | CMSRN Course Outline | CMSRN exam Syllabus | CMSRN exam Objectives


- Nursing process - assessment, diagnosis, planning, implementation, evaluation
- Patient safety protocols
- skin
- falls
- restraints
- rounding
- suicide
- Risk factors
- pharmacological
- environment
- equipment
- demographics
- Patient safety culture
- near miss reporting
- "just culture"
- "speak up"
- high accountable organizations
- Care bundles
- checklist
- algorithms

- Patient safety assessments and reporting
- abuse
- human trafficking
- social determinants
- Risk assessment methods
- Root Cause Analysis [RCA]
- Failure Mode and Effects Analysis [FMEA]
- safety rounds, safety huddles
- Universal and transmission-based precautions
- Infection control practices and standards

- Current evidence-based practice for infection control and prevention procedures
- Antimicrobial stewardship
- surgical scrub
- antibiotics
- probiotics
- Safe medication administration practices
- interaction
- adverse reaction
- intravenous therapy
- Patient medication education
- Polypharmacy

- Safe drug management and disposal (e.g., stewardship, home medication management)
- Advanced access devices (i.e., ports, central lines, epidurals)
- Financial implications to patients
- Chronic and/or acute pain management (e.g., pharmacological, non-pharmacological, multimodal)

- Patient pain management expectations
- Patient advocacy Non-Pharmacological Interventions
- Non-pharmacological interventions (e.g., repositioning, heat or cold)
- Complementary and alternative therapies (e.g., acupuncture, aromatherapy)
- Pre- and post-procedural unit standards (e.g., consent, timeout, frequent monitoring)

- Pertinent potential complications and management
- Scope of practice related to procedures (e.g., moderate/procedural sedation)
- Supplies, instruments, and equipment
- Individualized nutritional needs (e.g., malnutrition, disease processes, complications, cultural)

- Nutrition administration modalities (e.g., enteral, parenteral)
- Resources for alternate nutrition administration (e.g., speech consultation, dietary consultation)
- Indications for alternate nutrition administration

- Patient-centered care (e.g., active listening, communication preferences, family involvement, health goals.
- Resources for patient-centered care
- Patient advocacy
- Patient satisfaction management (e.g., grievances, concerns regarding practices, second opinion, service recovery)
- Cultural and linguistic needs (e.g., sign, oral, and written languages)
- Cultural and linguistic resources (e.g., translated materials, interpreter services)
- Implicit bias
- Health maintenance and disease prevention
- Health literacy
- Teaching methods

- Health promotion goals
- Resources available for patient/family
- Health information to meet patient needs
- Palliative or end-of-life patient/caregiver resources (e.g., hospice, spiritual, cultural, physical)

- End-of-life preferences (e.g., advance directives, code status)
- Post-mortem care
- Organ donation process
- Regulatory requirements for reporting death (e.g., coroner's case)

- Nursing process - assessment, diagnosis, planning, implementation, evaluation
- Strategies to individualize care
- Role within the interdisciplinary team (e.g., teamwork, communication skills)
- Interprofessional rounding
- Care coordination
- Collaborative problem solving

- Community resources
- Interdisciplinary collaboration integration methods (e.g., discharge planning, mobility, physical therapy)
- Health history assessment from multiple sources
- Discharge procedures (e.g., medication reconciliation)
- Patient/family centered care

- Care coordination and transition
- Interprofessional roles and responsibilities
- Continuum of care
- Patients at risk for readmissions
- Social determinants of health
- Quality patient outcome measures

- Documentation of patient care
- Electronic health records
- Downtime procedures
- Coaching for documentation performance improvement
- Technology, equipment use, and troubleshooting
- Technology trends in health care
- Nursing informatics

- Chain of command
- Communication skills (e.g., active listening, verbal, non-verbal, written, conflict resolution, mediation)
- Information sharing (e.g., Situation, Background, Assessment, Recommendation [SBAR], hand-off, closed-loop, check- back, read-back, huddle, verbal orders, bedside report, interdisciplinary)

- Communication barriers (e.g., need for interpreter/translator, physical and cognitive limitations)
- De-escalation techniques (e.g., verbal intervention, calm communication)
- Time management and prioritization of care
- Crisis situations and resources (e.g., rapid response team, deteriorating patients, early warning systems)
- Crisis management

- Critical thinking
- self-regulation
- problem solving
- analysis
- interpretation
- inference
- Workplace safety
- physical
- emotional
- environmental
- Nurse resiliency and well-being
- Unintended consequences
- moral distress
- moral injury
- compassion fatigue
- burnout

- Resource allocation (e.g., staffing, equipment)
- Peer accountability
- Scope of practice and code of ethics for nurses per local and regional nursing bodies
- Code of Ethics for Nurses with Interpretive Statements
- Standard V of the AMSN Scope and Standards
- local governing Scope of Practice
- Patients rights and responsibilities

- Professional reporting and resources (e.g., ethics, scope of practice, unsafe practice)
- Policies, procedures, regulatory and licensure requirements, standards of practice, and applicable state, federal, and local laws
- Evidence-based guidelines for nursing sensitive indicators
- Quality standards and policies
- Continuous quality and process improvement
- Nursing professional practice model

- Adverse event reporting
- Patient customer experience based on data results (e.g., surveys, value-based purchasing)
- Service recovery
- Project development
- Legislative and licensure requirements
- Evidence-based practice principles
- Research process

- Delegation and/or supervision practices
- Scope of practice (e.g., licensed and unlicensed team members)
- Prioritization skills (e.g., disease process)
- Budgetary considerations (e.g., supplies, staffing, fiscal efficiency)

- Professional engagement
- Mentoring and coaching resources
- Reflective practice
- Roles and responsibilities
- Coaching and learning theories
- Professional empowerment

- Orientation planning and preceptor best practices
- Career development resources (e.g., education, training)
- Professional nursing practice and individual competencies
- Professional behaviors (e.g., network, participate in professional organization)

- Clinical judgement
- Peer review methods
- Educational needs assessment
- Regulatory and compliance standards
- Organizational structure
- Shared decision-making
- Nursing philosophy
- Leadership models
- Nursing care delivery systems
- Change management (e.g., Awareness, Desire, Knowledge, Ability, Reinforcement [ADKAR])
- Recruitment and retention
- Employee engagement
- Staff advocacy
- Conflict management
- Financial stewardship
- Emergency procedures
- Hospital incident command structure



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