ACCNS-AG case studies
ACCNS-AG · Put your knowledge to work in context.
The ACCNS-AG (Adult-Gerontology) credential is an entry-level advanced practice board certification from AACN Certification Corporation for clinical nurse specialists prepared at the graduate level. It is designed for CNSs who provide advanced nursing care across the continuum-wellness through acute care-to meet the specialized needs of the adult-gerontology population, including young adults, older adults, and frail elderly patients. The ACCNS-AG case studies are 5 cases and about 3,222 words.
1Postoperative Delirium or Sepsis? A 74-Year-Old After Hip ORIF
R, 74, is postoperative day 2 after open reduction and internal fixation of a right hip fracture. History: HFpEF (EF 45%), CKD stage 3 (baseline creatinine 1.4 mg/dL), on hydromorphone PCA.
661 words, about 3 min2I Want the Ventilator Off: A Patient With ALS, a Divided Family, and a PEG Order
L, 58, has ALS and is ventilator-dependent through a tracheostomy. He is admitted to the ICU with aspiration pneumonia.
687 words, about 3 min332 Boarders, 9 Hallway Beds, and One Telemetry Patient
You are the CNS leading the 0700 interprofessional huddle in a 400-bed community hospital. The ED has 32 admitted patients boarding, 9 in hallways; ED nurses are at 1:4.
637 words, about 3 min4CAUTI Doubles in a Neuro ICU: Finding the System, Not the Nurse
The neuro ICU in a 4-hospital system has 32 beds. Over 6 months, catheter-associated urinary tract infection (CAUTI) rose from 0.8 to 2.4 per 1,000 catheter-days; 7 cases occurred, 5 on night shift.
590 words, about 3 min5A Vendor-Sponsored Trial Says Every-Other-Day CHG Is Fine: Now What?
A staff nurse brings you a single randomized trial, funded by a manufacturer of chlorhexidine wipes, that compared daily with every-other-day chlorhexidine bathing in 200 ICU patients and found no difference in central line-associated bloodstream infection (CLABSI; 3 versus 4 events). She asks whether the unit should switch to save money: estimated $18,000 per year.
647 words, about 3 min