CCRN (Adult) case studies
CCRN (Adult) · Put your knowledge to work in context.
CCRN (Adult) is a specialty certification for nurses who provide direct care to acutely/critically ill adult patients, and the Direct Care Eligibility Pathway is the route for bedside and direct-care clinicians regardless of physical practice location - intensive care units, cardiac care units, trauma units, or critical care transport/flight. The credential is accepted by the Magnet Recognition Program. Eligibility requires a current, unencumbered U.S. RN or APRN license plus one of two clinical-hour options: 1,750 hours of direct care of acutely/critically ill adult patients in the previous two years (with 875 of those in the most recent year), or 2,000 hours over the previous five years (with 144 in the most recent year). The CCRN (Adult) case studies are 5 cases and about 3,939 words.
1Septic Shock With a Tense Abdomen: Fluid or No Fluid?
R, 68, is 48 hours post emergency laparotomy for perforated sigmoid colon. He is intubated and sedated in the SICU.
729 words, about 4 min2ARDS Day 3: When Lung-Protective Ventilation Is Not Enough
K, 42, has ARDS from influenza A and is on day 3 of mechanical ventilation. Settings: volume control at 6 mL/kg predicted body weight, PEEP 14 cmH2O, FiO2 0.70, rate 28.
678 words, about 3 min3A Family Split Down the Middle
L, 78, had a large left MCA territory stroke with hemorrhagic conversion. On day 4 his GCS is 5 (E1 V1 M3).
860 words, about 4 min4Post-Arrest: Reading a Neurologic Exam Too Early
P, 55, collapsed at work in ventricular fibrillation. Bystanders started CPR within 2 minutes; he was defibrillated three times and had return of spontaneous circulation after 25 minutes.
798 words, about 4 min5Charge Nurse at 2300: Assignments That Do Not Fit
You are the charge nurse in an 18-bed MICU with 16 patients. Night shift staffing: four experienced ICU nurses, one nurse with 6 months of ICU experience who just finished orientation, one float RN from a surgical step-down unit who last worked ICU three years ago, and one travel nurse on day 4.
874 words, about 4 min