Cardiac Nursing Diploma Program. Promotion Examination 2018

Transcription

1 Cardiac Nursing Diploma Program Promotion Examination 2018 Objectives: The general objective of the annual promotion assessment is to evaluate that the trainee has satisfactorily acquired the theoretical knowledge and clinical competences that he/she should have acquired during the relevant year(s). The annual promotion assessment consists of the following components: a. Written examination b. Continuous Assessment Eligibility for Written Examination: Valid registration with the SCFHS. Completion of at least nine months of training in the concerned year of postgraduate program. Written Examination Format: A written examination shall consist of one paper with 120 MCQs with a single best answer (one correct answer out of four options). The examination shall contain type K2 questions (interpretation, analysis, reasoning and decision making) and type K1 questions (recall and comprehension). The examination shall include basic concepts and clinical topics relevant to the specialty and its relation to different cardiac specialties. Clinical presentation questions include history, clinical finding and patient approach. Diagnosis and investigation questions; includes the possible diagnosis and diagnostic methods. Management questions; including treatment and clinical management, either therapeutic or nontherapeutic, and complications of management. Health maintenance questions; includes health promotion, disease prevention, risk factors assessment, and prognosis, see examples below. Page 1

2 Continuous Assessment Formats: Evaluation criteria formats (for year 1 diploma) consist of: a. Continuous assessment reports: 40% I. Attendance: 2.5% II. Performance assessment: 10% - At least three assessment forms per each clinical rotation should be completed - A minimum of 24 assessment should be done per year III. Case-based discussion (CBD): 5% - At least four CBD should be completed per year IV. Quizzes: 10% - Exams will include all oral or written tests which will include final exam conducted by the center. - A minimum of one exam should be done per module V. Competency check-off: 10% - Competency check-off will be associated with direct observation procedure (DOP) VI. Assignment: 2.5% Page 2 b. Specific academic assignments: 15% I. Case studies: 5% - Two case studies per year should be presented - The case studies should be related to cardiac cases encountered by trainees during clinical rotation. They need to present theoretical part related to identify case (i.e, pathophysiology, signs and symptoms, EBP medical and nursing management). Then, compare the findings with the current practice. II. Educational activities: 4% - Two education activities per year should be attended - The trainee should attend academic days or Journal clubs or conferences, or any other extra-curriculum educational activities related to the cardiac diploma III. Identifying and/ or developing relevant evidence-based practice (EBP) resources: 4% - The trainee will carried out activity once per year - The trainee should identify major issue/gabs in cardiac clinical practice, select and examine EBP guideline or article to support practice change. Then, present to trainees and Cardiac Care Unit staff. OR, - The participants will participate with the cardiac care unit clinical instructor in developing educational schedule/ plan for the unit IV. Participating in educational activities with other multidisciplinary team members: 2% - The trainee will carried out activity once per year - Participate under supervision with patient education or health care information units, or diabetic center/society in preparing educational materials for

3 cardiac/hypertensive/diabetic/obese patients or in or presenting topics for these patients. OR - Participate in health promotion and cardiac disease awareness campaign and present certificate of attendance c. Log book: 15% - At least 20 logbooks should be submitted per year - Daily evaluation of trainees clinical exposure. Passing Score for Promotion: An average of 60% score in the annual promotion assessment with a minimum of 50% in each component (written and continuous assessment) is required for passing. Score Report: All written examination score reports shall go through a post-hoc item analysis before being approved by both the Assistant of General Secretary for Postgraduate studies of SCFHS and Scientifics Examination Committee (SEC), and then reported to the scientific council for the specialty for promotion decisions for all trainees, within two weeks of the examination. SEC is encouraged to provide the scientific council for the specialty with results feedback represent the performance of all trainees based on each section of the exam according to the test blueprint, and based on their training center if possible. General Rules: The written examination shall be held once a year within 4-6 weeks of completion of nine months of training in that particular year. There shall be no re-sit examination. There shall be no promotion written examination at the end of final year. Promotion written examination and continuous assessment results are valid for the specific year in which they were conducted. Examination Conduct and Duration: The exam duration is 2 and 1/2 hours and will be delivered as a computer based test when available, otherwise paper and pencil. Page 3

4 Blueprint outlines No. R1 Section Total Foundational Human Anatomy and Physiology of the 1 Cardiac System 12 2 Health Promotion, Prevention, and Rehabilitation 12 3 Fundamentals of Cardiac Pathophysiology 30 4 Cardiac Nursing: Assessment, Planning, and Managing Care 5 Cardiovascular Pharmacology 18 6 Ethics in Nursing & Dimensions of Care 6 7 Epidemiology 6 8 Biostatistics 6 30 Total 120 Note: Blueprint distributions of the examination may differ up to +/-3% in each category. Suggested References: Jacobson, C., Marzlin, K., & Webner, C., Cardiovascular nursing practice: A comprehensive resource manual and study guide for clinical nurses (2nd ed.). Burien: CNEA. Urden. L. D., Stacy, K. M., & Lough, M. E., Thelan s critical care nursing: Diagnosis and management (7th ed.). St. Louis: Elsevier. Gordis, L. (2014). Epidemiology. New York: W.B. Saunders Co. Polit, D. (2010). Statistics and Data Analysis for nursing Research. New York: Prentice Hall. The Saudi Commission for Health Specialties. (2014). Department of Medical Education & Postgraduate Studies. Code of Ethics for Healthcare Practitioners Al-Shahri, Z. (2002). Culturally Sensitive Caring for Saudi Patients. Journal of Transcultural Nursing Page 4 Moon, J. & Kim, J. (2015). Ethics in the Intensive Care Unit. Journal of Tuberc Respir Dis

5 Glanz et al., (2008). Health behavior and health education: Theory, research and Practice. John Wiley & Sons, Inc Crash Courses: Outline of each course including suggested reading references given by the provider. Note: This list is intended for use as a study aid only. SCFHS does not intend the list to imply endorsement of these specific references, nor are the exam questions necessarily taken solely from these sources. Example Questions EXAMPLE OF K1 QUESTIONS Question 1 What are the ECG changes for lateral wall myocardial infarction? A. Q waves in leads V1-2 B. T-wave inversion in V4-6, I, and avl C. ST-segment elevation in leads II, III, and avf D. ST-segment elevation in leads I, avl, and V5-V6 Page 5

6 EXAMPLE OF K2 QUESTIONS Question 2 A 70-year-old patient is brought by family to Emergency Department due to decrease level of consciousness. The family informed the physician that he had seizure and he was complaining of muscle weakness, dry mouth and skin, and nausea (see lab results). Na + = 155 meq/l (Normal value: meq/l) K + = 4 meq/l (Normal value: meq/l) Creatinine= 0.8 mg/dl (Normal value: mg/dl) Urea=10 mg/dl (Normal value: 7-20 mg/dl) What is the most appropriate treatment for the patient? A. Administer 0.45 NS B. Do renal replacement therapy C. Administering D 5 W or 0.45 NS D. Do conventional hemodialysis Question 3 What does the rhythm show in the ECG (see image)? A. Atrial flutter B. Atrial fibrillation C. Sinus tachycardia D. Ventricular tachycardia Page 6