CPAN / CAPA Examination Study Plan

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CPAN / CAPA Examination Study PlanCandidates should prepare thoroughly prior to taking the CPANand/or CAPA examinations. This Study Plan is based on the CPANand CAPA Test Blueprints and a weekly learning experience ofapproximately four hours per week.All of the tasks and knowledge areas listed should be coveredthoroughly. A typical review period of time for study isapproximately 3 months. This study plan is built around a 12week schedule, and should be modified based on individualneeds.This time frame gives the candidate enough time to reviewstudy materials, focus on weak areas from the study plan, andbuild confidence needed to be successful on the CPAN and/orCAPA examination.Additional Study Guide Resources are available atwww.cpancapa.org

DomainWeekAllottedTimeTasks Addressing PerianesthesiaPatient NeedsWeek 14 hours Pre-test using ABPANC practice exam. Review knowledge statements in CPAN/CAPA Test Blueprint Purchase/rent/borrow references from Identify knowledge gaps to better focus study areasKnowledge Required to Meet Perianesthesia Patient NeedsABPANC’s Study References List Review results of Practice Exam andidentify study focus areas.(Weeks 2-7)Physiological NeedsWeek 24 hours Respiratory system Cardiovascular and peripheral vascularsystems Musculoskeletal systemWeek 34 hours Neurological system Gastrointestinal system Renal systemWeek 44 hours Integumentary system4 hours3.Anatomy and physiology of body systems4. Growth and development across the lifespan5.Pathophysiology6. Normal and abnormal diagnostic values7. Acceptable deviations from normal physiologic statesComorbidities/potential complications Genito-urological and reproductive9.Airway management Hematologic and immune systemsotorhinolaryngology Fluids and electrolytes4 hours2. Evidence-based practice8. Ophthalmological system/Week 61. Nursing process Endocrine systemsystemsWeek 5KNOWLEDGE REQUIRED TO MEET PHYSIOLOGICAL NEEDS OFPERIANESTHESIA PATIENTS: Medications Maintenance of Normothermia10. Vital signs/hemodynamic monitoring11. Fluid and electrolyte management12. Thermoregulation13. Acute and chronic pain assessment and management14. Post-operative nausea and vomiting (PONV) and post-dischargenausea and vomiting (PDNV) assessment and management15. Physical assessment16. Positioning17. Pharmacological interventions

Physiological comfort (including but notlimited to relief of pain, shiveringnausea/vomiting, temperature controland positioning)Week 74 hours Therapeutic environment (including butnot limited to minimal interruption ofnormal regimen, preemptiveinterventions) Anesthesia Malignant Hyperthermia18. Anesthesia techniques (general, regional, moderate sedation,monitored anesthesia care (MAC), total intravenous anesthesia(TIVA))19. Anesthetic and reversal agents20. Stages of anesthesia21. Perianesthesia Continuum of Care (preadmission, day ofsurgery/procedure, Phase I, Phase 2, extended observation)22. Surgical and procedural interventions23. American Society Anesthesiologists (ASA) physical statusclassification system24. Normal and abnormal physical response tosurgery/procedure/anesthesia25. Environmental factors affecting patient care (including, but notlimited to, noise, temperature, air flow, latex, and equipmentfailure)26. Alternative and adjunctive treatment modalities27. Behavioral health considerations (including, but not limited to,addiction, autism spectrum disorders, depression, anxiety, bipolardisorder, and PTSD)28. Multidisciplinary collaboration and referral29. ACLS and PALS30. MHAUS guidelines/protocol31. ASPAN Standards32. Regulatory, legal, and ethical guidelines (for example, Patient Billof Rights, advance directives, informed consent, HIPAA, and theAmericans with Disabilities Act)33. Injury prevention34. Infection prevention and control

TAKE ABPANC PRACTICE EXAM TO ASSESS PROGRESS(weeks 8-9)Behavioral Health and Cognitive NeedsWeek 84 hours Patient/family/significant other diversity(including, but not limited to, age, sex,race, religion, national origin, ethnicity,disability, marital status, sexualorientation, and gender identity) Provide and maintain patient privacy andconfidentiality Provide psychosocial support topatient/family/significant other(including, but not limited to, copingmechanisms, spiritual and emotionalsupport, and facilitating visitation)Week 94 hours Assess patient’s/family’s/significantothers’ ability to learn, learning style(including, but not limited to, kinetic,auditory, and visual), readiness to learn,and barriers to learning Provide patient/family/significant othereducation and evaluate understandingrelated to the perianesthesia/proceduralexperienceKNOWLEDGE REQUIRED TO MEET BEHAVIORAL HEALTH AND COGNITIVENEEDS OF PERIANESTHESIA PATIENTS:1. Nursing process2. Evidence-based practice3.Growth and development across the lifespan4.Comorbidities/potential complications5.Acute and chronic pain assessment and management6.Pharmacological interventions7.Perianesthesia Continuum of Care (preadmission, day ofsurgery/procedure, Phase I, Phase 2, extended observation)8. Surgical and procedural interventions9.American Society Anesthesiologists (ASA) physical statusclassification system10. Normal and abnormal physical response tosurgery/procedure/anesthesia11. Environmental factors affecting patient care (including, but notlimited to, noise, temperature, air flow, latex, and equipmentfailure)12. Alternative and adjunctive treatment modalities13. Diversity (including but not limited to age, sex, race, religion,national origin, disability, marital status, sexual orientation, andgender identity)14. Psychosocial factors (including but not limited to coping styles, lifesituations, religious/spiritual, and culture)15. Teaching and learning theories16. Communication principles and techniques

17. Behavioral health considerations (including, but not limited to,addiction, autism spectrum disorders, depression, anxiety, bipolardisorder, and PTSD)18. Multidisciplinary collaboration and referral19. ASPAN Standards20. Regulatory, legal, and ethical guidelines (for example, Patient Billof Rights, advance directives, informed consent, HIPAA, and theAmericans with Disabilities Act)21. Measures to maintain privacy and confidentialityTAKE ABPANC PRACTICE EXAM TO ASSESS PROGRESSWeek 104 hours Accepted national standards of(weeks 10-12)Safety Needsperianesthesia nursing practice andapplicable laws, guidelines, andregulationsKNOWLEDGE REQUIRED TO MEET SAFETY NEEDS OF PERIANESTHESIAPATIENTS1. Nursing process2. Evidence-based practice ASPAN Standards3. Immobility and/or positioning4. Growth and development across the lifespan Adverse environmental influences5.(including, but not limited to, latex and/orequipment failure)Anatomy and physiology of body systemsPathophysiology6. Normal and abnormal diagnostic values7. Acceptable deviations from normal physiologic states Exposure to infectious diseases8.Comorbidities/potential complications Protective safety devices and equipment9.Airway management10. Vital signs/hemodynamic monitoring11. Fluid and electrolyte managementWeek 114 hours Appropriate resources and referrals(including, but not limited to, medicalequipment, pharmaceutical care, spiritualservices, nutritional education,12. Thermoregulation13. Acute and chronic pain assessment and management14. Post-operative nausea and vomiting (PONV) and post-dischargenausea and vomiting (PDNV) assessment and management

physical/occupational therapy, casemanagement/social services, andlanguage services) Verbal and written instructions (including,but not limited to, preparations forprocedures/surgery, potentialcomplications, activity, diet, wound care,and post-discharge care) Pain management Medication reconciliation (including butnot limited to, when to discontinue orresume; and interactions withprescriptions, over the countermedications, herbal supplements,alcohol, illicit drugs)Week 124 hours Existing medical conditions (including, butnot limited to, diabetes, COPD,hypertension, and OSA) on the currentsurgery/procedure Optimization of the healing process(including, but not limited to, nutrition,hydration, smoking cessation, andalternative therapies)15. Physical assessment16. Positioning17. Pharmacodynamics/pharmacokinetics18. Pharmacological interventions19. Anesthesia techniques (general, regional, moderate sedation,monitored anesthesia care (MAC), total intravenous anesthesia(TIVA))20. Anesthetic and reversal agents21. Stages of anesthesia22. Perianesthesia Continuum of Care (preadmission, day ofsurgery/procedure, Phase I, Phase 2, extended observation)23. Surgical and procedural interventions24. American Society Anesthesiologists (ASA) physical statusclassification system25. Normal and abnormal physical response tosurgery/procedure/anesthesia26. Environmental factors affecting patient care (including, but notlimited to, noise, temperature, air flow, latex, and equipmentfailure)27. Alternative and adjunctive treatment modalities28. Discharge planning and criteria Prevention of infection29. Diversity (including but not limited to age, sex, race, religion,national origin, disability, marital status, sexual orientation, andgender identity) Measures to prevent complications30. Communication principles and techniques The availability of resources for care in31. Behavioral health considerations (including, but not limited to,addiction, autism spectrum disorders, depression, anxiety, bipolardisorder, and PTSD)the home, including the presence of aresponsible adult caregiver A safe home environment32. Multidisciplinary collaboration and referral

Post-discharge assessment (follow-upcontact)33. ASPAN Standards34. Regulatory, legal, and ethical guidelines (for example, Patient Billof Rights, advance directives, informed consent, HIPAA, and theAmericans with Disabilities Act)35. Injury prevention36. Infection prevention and control37. Quality and risk management principles and guidelinesTAKE ABPANC PRACTICE EXAM TO ASSESS PROGRESS

This study plan is built around a 12-week schedule, and should be modified based on individual needs. This time frame gives the candidate enough time to review study materials, focus on weak areas from the study plan, and build confidence needed to be successful on the CPAN and/or CAPA examination. CPAN / CAPA Examination Study Plan

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