ANCC AGCNS-BC case studies
ANCC AGCNS-BC · Put your knowledge to work in context.
The Adult-Gerontology Acute Care Clinical Nurse Specialist credential (AGCNS-BC) is an ANCC certification for graduate-prepared advanced practice nurses who care for acutely and critically ill adults and older adults. The CNS role blends expert clinical decision-making with accountability for nursing practice, education, quality, and systems within acute care settings - a different emphasis from the acute care nurse practitioner credential, which centers on direct diagnostic and prescriptive management of individual patients. The ANCC AGCNS-BC case studies are 5 cases and about 4,051 words.
1Urosepsis in an 82-Year-Old with HFpEF: When the Sepsis Bundle Meets the Heart
R, age 82, arrived 6 hours ago from a memory-care facility with urosepsis. Vitals: T 38.9 C, HR 118, BP 86/50 (MAP 62), RR 26, SpO2 93% on 2 L.
770 words, about 4 min2Universal Decolonization Request: Appraising a Pre-Post Study Before Adoption
You are the CNS in a 28-bed MICU with 4 CLABSIs in 12 months against 1.2 predicted (SIR 3.3). At a staff meeting, two nurses who attended a national conference propose "daily chlorhexidine bathing plus nasal mupirocin for every patient" to reduce bloodstream infections.
764 words, about 4 min3Discharge Teaching for a 78-Year-Old on a New Anticoagulant with Low Health Literacy
L, age 78, is discharged tomorrow after admission for a fall without injury. New this stay: apixaban 5 mg BID for atrial fibrillation.
799 words, about 4 min4Reading Your Own Run Chart: A CAUTI Project with an Uncomfortable Balancing Measure
You lead a CAUTI reduction project on a 32-bed surgical unit. Baseline SIR was 1.4 with three CAUTIs in six months.
836 words, about 4 min5Postoperative Delirium After Hip Fracture Repair: "Just Sundowning" or Something Else?
K, age 74, is postoperative day 1 after cemented hemiarthroplasty for a femoral neck fracture. Baseline: independent, mild hypertension.
882 words, about 4 min