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ABPANC-CAPA Exam Format | ABPANC-CAPA Course Contents | ABPANC-CAPA Course Outline | ABPANC-CAPA Exam Syllabus | ABPANC-CAPA Exam Objectives

Type of Exam: Computer-based test (CBT)

Number of Questions: 165 multiple-choice questions

- 150 scored questions

- 15 unscored (pretest) questions (used for future exam development)

Exam Duration: 3 hours (180 minutes)

A scaled score of 75 or higher is required to pass the exam (on a scale of 0–100).



1. Preoperative Assessment and Preparation

- Patient History and Physical Assessment:

- Comprehensive evaluation of the patients medical

- surgical

- anesthesia history

- Diagnostic Tests:

- Interpretation of preoperative lab results

- imaging studies

- other diagnostic tests

- Risk Assessment: Identification of risk factors for anesthesia and surgery, including ASA (American Society of Anesthesiologists) classification.

- Patient Education: Preoperative instructions, informed consent, and patient/family education regarding the procedure and anesthesia.

- Medication Management: Review of current medications, including anticoagulants, and preoperative medication adjustments.



2. Anesthesia Care

- Types of Anesthesia: Understanding of general, regional, local, and monitored anesthesia care (MAC).

- Anesthetic Agents: Knowledge of commonly used anesthetic agents, their mechanisms of action, and side effects.

- Airway Management: Techniques for airway exam, management, and emergency interventions.

- Monitoring: Intraoperative monitoring standards, including hemodynamic, respiratory, and neurological monitoring.

- Complications: Recognition and management of anesthesia-related complications such as malignant hyperthermia, anaphylaxis, and respiratory depression.



3. Intraoperative Care

- Surgical Environment: Understanding the roles and responsibilities within the surgical team.

- Positioning: Proper patient positioning to prevent complications such as pressure ulcers and nerve damage.

- Infection Control: Sterile techniques, surgical site preparation, and prevention of surgical site infections (SSIs).

- Hemostasis: Techniques for controlling bleeding during surgery.

- Documentation: Accurate and timely documentation of intraoperative events and interventions.



4. Postoperative Care

- PACU (Post-Anesthesia Care Unit) Management: Immediate postoperative exam and monitoring, including airway, breathing, circulation, and neurological status.

- Pain Management: Assessment and management of postoperative pain, including pharmacological and non-pharmacological interventions.

- Nausea and Vomiting: Prevention and treatment of postoperative nausea and vomiting (PONV).

- Fluid and Electrolyte Balance: Management of intravenous fluids and recognition of electrolyte imbalances.

- Complications: Identification and management of postoperative complications such as hemorrhage, infection, and respiratory distress.



5. Discharge Criteria and Education

- Discharge Readiness: Criteria for safe discharge from the PACU, including Aldrete Score or Modified Aldrete Score.

- Patient Education: Postoperative instructions, including wound care, activity restrictions, and signs of complications.

- Follow-Up Care: Coordination of follow-up appointments and communication with primary care providers.

- Documentation: Accurate documentation of discharge instructions and patient status at discharge.



6. Professional Practice

- Ethical and Legal Issues: Understanding of ethical principles, legal responsibilities, and patient rights.

- Scope of Practice: Adherence to the scope of practice for perianesthesia nurses.

- Quality Improvement: Participation in quality improvement initiatives and evidence-based practice.

- Patient Advocacy: Advocacy for patient safety, informed consent, and patient-centered care.

- Interdisciplinary Collaboration: Effective communication and collaboration with other healthcare professionals.



7. Special Considerations

- Pediatric Patients: Unique considerations for the care of pediatric patients, including developmental stages and family-centered care.

- Geriatric Patients: Special considerations for elderly patients, including polypharmacy and age-related physiological changes.

- Bariatric Patients: Care considerations for obese patients, including equipment needs and anesthesia risks.

- Patients with Comorbidities: Management of patients with chronic conditions such as diabetes, cardiovascular disease, and respiratory disorders.



8. Emergency Situations

- Cardiac Arrest: Recognition and management of cardiac arrest, including Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) protocols.

- Respiratory Emergencies: Management of acute respiratory distress, including airway obstruction and pulmonary embolism.

- Anaphylaxis: Recognition and treatment of anaphylactic reactions.

- Malignant Hyperthermia: Early recognition and management of malignant hyperthermia, including the use of dantrolene.



9. Pharmacology

- Anesthetic Agents: Knowledge of the pharmacology of anesthetic agents, including induction agents, inhalational agents, and neuromuscular blocking agents.

- Analgesics: Understanding of opioid and non-opioid analgesics, including their indications, dosages, and side effects.

- Sedatives and Hypnotics: Use of sedatives and hypnotics in the perianesthesia setting.

- Reversal Agents: Knowledge of reversal agents such as naloxone and flumazenil.

- Antiemetics: Use of antiemetic medications to prevent and treat PONV.



10. Infection Control and Safety

- Standard Precautions: Adherence to standard precautions to prevent the transmission of infections.

- Surgical Asepsis: Techniques for maintaining a sterile field and preventing surgical site infections.

- Environmental Safety: Ensuring a safe environment for patients and staff, including proper handling of hazardous materials.

- Emergency Preparedness: Knowledge of emergency preparedness protocols, including fire safety and disaster response.



11. Patient and Family Education

- Preoperative Education: Providing information about the surgical procedure, anesthesia, and preoperative preparations.

- Postoperative Instructions: Educating patients and families about postoperative care, including pain management, activity restrictions, and signs of complications.

- Emotional Support: Providing emotional support and addressing the psychological needs of patients and families.



12. Documentation and Communication

- Medical Records: Accurate and timely documentation of patient care, including exams, interventions, and outcomes.

- Handoff Communication: Effective communication during handoff reports, including SBAR (Situation, Background, Assessment, Recommendation) technique.

- Interdisciplinary Communication: Collaboration and communication with other healthcare team members to ensure continuity of care.



13. Research and Evidence-Based Practice

- Evidence-Based Practice: Application of current research and evidence-based guidelines in perianesthesia nursing practice.

- Quality Improvement: Participation in quality improvement projects to enhance patient outcomes and safety.

- Professional Development: Commitment to ongoing education and professional development in perianesthesia nursing.



14. Cultural Competence

- Cultural Sensitivity: Providing culturally competent care that respects the beliefs, values, and practices of diverse patient populations.

- Health Disparities: Understanding and addressing health disparities in perianesthesia care.

- Patient-Centered Care: Tailoring care to meet the individual needs and preferences of patients and families.



15. Legal and Ethical Issues

- Informed Consent: Ensuring that patients have a clear understanding of the risks, benefits, and alternatives to the procedure and anesthesia.

- Confidentiality: Protecting patient privacy and confidentiality in accordance with HIPAA regulations.

- Ethical Dilemmas: Navigating ethical dilemmas in perianesthesia practice, including end-of-life care and patient autonomy.



16. Technology and Equipment

- Monitoring Equipment: Familiarity with the use and interpretation of monitoring equipment, including ECG, pulse oximetry, and capnography.

- Anesthesia Machines: Understanding the components and function of anesthesia delivery systems.

- Emergency Equipment: Knowledge of the location and use of emergency equipment, including defibrillators and airway management tools.



17. Patient Safety

- Error Prevention: Strategies to prevent medical errors, including medication errors and wrong-site surgery.

- Patient Identification: Ensuring accurate patient identification using at least two patient identifiers.

- Time-Out Procedures: Participation in time-out procedures to verify the correct patient, procedure, and site.



18. Pain Management

- Pain Assessment: Use of pain exam tools and scales to evaluate patient pain levels.

- Pharmacological Interventions: Administration of analgesics, including opioids, non-opioids, and adjuvant medications.

- Non-Pharmacological Interventions: Use of non-pharmacological pain management techniques, such as relaxation, distraction, and positioning.



19. Complications and Emergencies

- Recognition and Response: Early recognition and response to complications such as bleeding, infection, and respiratory distress.

- Emergency Protocols: Familiarity with emergency protocols for cardiac arrest, anaphylaxis, and malignant hyperthermia.

- Crisis Management: Effective management of crisis situations, including communication and teamwork.



20. Professional Role and Responsibilities

- Scope of Practice: Understanding the scope of practice for perianesthesia nurses and adhering to professional standards.

- Continuing Education: Commitment to ongoing education and professional development.

- Leadership and Advocacy: Leadership in promoting patient safety, quality care, and advocacy for patients and families.



- Aldrete Score

- ASA Classification

- MAC (Monitored Anesthesia Care)

- PONV (Postoperative Nausea and Vomiting)

- Malignant Hyperthermia

- SBAR (Situation, Background, Assessment, Recommendation)

- HIPAA (Health Insurance Portability and Accountability Act)

- BLS (Basic Life Support)

- ACLS (Advanced Cardiac Life Support)

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