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Exam Number : AACN-CMC
Exam Name : Cardiac Medicine Subspecialty Certification
Vendor Name : Medical
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AACN-CMC test Format | AACN-CMC Course Contents | AACN-CMC Course Outline | AACN-CMC test Syllabus | AACN-CMC test Objectives


CMC® is a subspecialty certification for certified nurses who provide direct care to acutely/critically ill adult cardiac patients. Nurses interested in this certification may work in areas such as cardiac care units, medical ICUs, telemetry, progressive care, heart failure clinics, home care, interventional cardiology, cardiac cath labs and/or electrophysiology units.



A current, unencumbered U.S. RN or APRN license is required.

An unencumbered license is not currently being subjected to formal discipline by any state board of nursing and has no provisions or conditions that limit the nurses practice in any way.



A current nationally accredited clinical nursing specialty certification, to which the CMC credential will be attached, is required.



Candidates must complete one of the following clinical practice hour requirement options:



Two-Year Option



Practice as an RN or APRN for 1,750 hours in direct care of acutely/critically ill adult patients during the previous two years, with 875 of those hours accrued in the most latest year preceding application. Of those 1,750 hours, 875 need to be in the care of acutely/critically ill adult cardiac patients.

OR

Five-Year Option

Practice as an RN or APRN for at least five years with a minimum of 2,000 hours in direct care of acutely/critically ill adult patients, with 144 of those hours accrued in the most latest year preceding application. Of those 2,000 hours, 1,000 need to be in the care of acutely/critically ill adult cardiac patients.



Must be completed in a U.S.-based or Canada-based facility or in a facility determined to be comparable to the U.S. standard of acute/critical care nursing practice.

Are those spent actively providing direct care to acutely/critically ill adult patients or supervising nurses or nursing students at the bedside of acutely/critically ill adult patients, if working as a manager, educator, preceptor or APRN.

Are verifiable by your clinical supervisor or professional colleague (RN or physician). Contact information must be provided for verification of eligibility related to clinical hours, to be used if you are selected for audit.

For complete eligibility requirements.



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Howard Hughes clinical Institute researchers have developed a brand new prenatal blood look at various that precisely detected Down syndrome and two other serious chromosomal defects in a small analyze of 18 pregnant ladies. If validated in larger trials, they are saying, the verify would offer a safer and faster alternative to invasive prenatal exams equivalent to amniocentesis that pose a small chance of miscarriage.

Researchers have lengthy frequent that a pregnant lady’s blood contains small quantities of DNA from the fetus. Howard Hughes medical Institute researcher Stephen R. Quake and colleagues at Stanford university devised an ingenious technique to the scan fetal DNA present within the mother’s blood to verify no matter if the fetus' cells comprise additional chromosomes associated with several styles of extreme birth defects.

The check developed by using Quake’s group changed into greater correct than thoughts utilized in previous efforts to diagnose aneuploidy by means of inspecting fetal DNA. Aneuploidy happens when there are both too many or too few chromosomes in cells. Down syndrome, for example, is caused by using a trisomy—three copies in its place of two—of chromosome 21.

“We trust here's the primary demonstration of a ordinary, noninvasive check for Down and other aneuploidies,” mentioned Quake, senior writer of the analysis article, which become posted on-line in the early edition of the proceedings of the country wide Academy of Sciences (PNAS) on October 6, 2008. “We need a larger scientific analyze to take note a little greater in regards to the premiere strategy to enforce it, however i am totally positive it may be used as a diagnostic test in brief order.”

Amniocentesis and chorionic villus sampling (CVS), which might be currently regarded the “gold standard” in prenatal testing, involve sampling cells in amniotic fluid. these cells are obtained by way of inserting a needle into the mother’s uterus. The method includes up to a one p.c possibility of inducing a miscarriage. For that reason, pursuits use of these invasive diagnostic exams has largely been constrained to ladies age 35 and older, the place the age-connected risk of fetal aneuploidy outweighs the risk of miscarriage. in consequence, more toddlers with chromosomal defects at the moment are being born to more youthful girls. Researchers were working for years to devise noninvasive screening exams that could be safe for that community of women.

additionally, it takes two or three weeks following the amniocentesis or CVS strategies to subculture the cells and study the chromosomes. That period of time can appear to be an eternity for anxious folks watching for the verify outcomes, Quake pointed out.

With the new look at various, scientists handiest should draw a small quantity of blood from the lady. The blood is analyzed and the effects are available inside a few days, spoke of Quake, who's a bioengineer at Stanford.

Quake’s pastime in developing new technology to diagnose aneuploidies changed into sparked when he read a analysis article published within the journal Science in 2005. That article discussed new strategies of noninvasive prenatal trying out that relied on measurements of DNA in fetal cells present in the mother’s blood. The document mentioned that the low incidence of fetal cells—only about one in 1000000 maternal cells—made it problematic to isolate satisfactory of fetal cells to test for chromosomal abnormalities.

on the time, some researchers have been attempting to isolate fetal “mobilephone-free DNA” from the mother’s blood. mobilephone-free DNA is fragmented double-stranded DNA it is within the debris of death fetal cells. setting apart this DNA was a good idea, Quake pointed out, however convalescing the vanishingly small amount of fetal phone-free DNA remained a challenge.

After studying the Science article, Quake thought to himself, `a lot of my work is ready counting molecules; here is one problem i know how to do.' He had a brainstorm: the place different researchers have been setting up quite a lot of approaches of enlarge the fetal DNA signal to differentiate it from maternal DNA, Quake proposed a bold shortcut—skipping that step totally. in any case, he accompanied, the aspect of screening turned into to spot additional chromosomes within the woman’s blood pattern. even if the DNA being scanned was from the fetus or from the mom didn’t count number. The goal, therefore, became conveniently to measure the volume of DNA in fragments mapped to the different chromosomes.

easily, the mobile-free DNA floating within the mom’s blood circulation invariably exists briefly items, averaging 169 nucleotides in size. Quake proposed a “shotgun sequencing” method where he would use the very newest high-throughput gene sequencing technology and equally powerful computer systems to establish thousands and thousands of wonderful sequence “tags” in the fetal DNA. each and every of these tags become a 25 base-pair fragment of DNA. After the tags were identified, Quake’s neighborhood may then map them to certain areas on the 23 pairs of chromosomes. through the use of this method, the researchers believed they may observe better-than regular quantities of DNA belonging to the three chromosomes worried within the most usual aneuploidies—chromosomes 21, 18, and 13.

within the experiments stated in PNAS, Quake and his colleagues, together with first author H. Christina Fan, a graduate pupil in bioengineering at Stanford, used their new technique to analyze DNA in blood samples from 18 pregnant women who had been present process invasive prenatal checking out (and one man, for reference).

When the amounts of DNA comparable to each chromosome have been plotted on a graph, gigantic, above-normal peaks looked when a chromosome changed into present in three copies instead of two. These indicators enabled the scientists to correctly establish the 12 girls who carried aneuploid fetuses and the six whose pregnancies were ordinary. Their outcomes matched these of amniocentesis or CVS test that have been finished on the girls.

Quake referred to the shotgun-sequencing gadget is not only safer than invasive techniques but can additionally make a determination at an earlier gestational age, round 12 weeks.

The past the couple knows the fame of the pregnancy, Quake observed, the more desirable they may be organized for some thing determination they choose to make on the basis of the tips.

Quake’s group is now planning a comply with-up study to evaluate the verify in a bigger neighborhood of sufferers. He estimates that the charge of the examine throughout the subsequent phase can be about $300, with DNA sequencing accounting for the majority of the overall charge.


 



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