CGRN study plan
CGRN · Give each week a clear focus.
8 weeks · About 7 hours per week
Gastroenterology Nursing Clinical Practice & Patient Assessment and Monitoring
Diagram the GI tract and label each segment's role in digestion, absorption, and secretion
Compare the pathophysiology, assessment findings, and nursing priorities for upper GI bleeding, bowel obstruction, and inflammatory bowel disease
Outline pre-, intra-, and post-procedure nursing care for EGD and colonoscopy, including patient preparation, monitoring during the case, and discharge criteria
Interpret normal versus abnormal liver function tests, pancreatic enzymes, and stool studies, and state the nursing action for each abnormal value
Your checkpoint
A one-page comparison table of five GI conditions (risk factors, findings, interventions, complications) plus a score of at least 75% on a 30-question Domain 1 practice set
Gastroenterology Nursing Clinical Practice & Sedation and Anesthesia Management
Sequence the nursing management of cirrhosis complications, including ascites, varices, hepatic encephalopathy, and coagulopathy
Explain the indication, patient preparation, and post-procedure monitoring for ERCP, variceal banding, and PEG tube placement
Describe the sedation continuum and match each level to expected patient responsiveness, airway, and ventilation findings
Compare the pharmacokinetics of the agents commonly used for endoscopic sedation and state the reversal agents and their triggers
Your checkpoint
A two-page sedation medication card set (agent, onset, duration, key adverse effects, reversal) plus at least 80% on a 25-question mixed Domain 1 and 3 quiz
Sedation and Anesthesia Management & Patient Assessment and Monitoring
Perform a pre-sedation risk assessment using ASA classification, airway evaluation, and screening for obstructive sleep apnea and aspiration risk
Identify the monitoring parameters, alarm settings, and escalation thresholds used during and after sedation
Distinguish causes of hypotension, hypoxemia, and arrhythmia during a procedure and select the first-line nursing response for each
Explain the documentation and discharge requirements for moderate sedation, including readiness-for-discharge criteria
Your checkpoint
A completed mock pre-sedation assessment and monitoring plan for three written patient scenarios, checked against a self-made checklist with zero missed critical items
Patient Assessment and Monitoring & Infection Prevention, Safety, and Equipment
Correlate focused abdominal assessment findings (inspection, auscultation, percussion, palpation) with likely underlying pathology
Calculate and interpret mean arterial pressure, corrected QT interval, and fluid-deficit estimates from provided numeric data
Demonstrate the infection prevention steps for reprocessing a flexible endoscope, from pre-cleaning through storage
Differentiate sterile, clean, and non-critical equipment and state the disinfection standard required for each
Your checkpoint
A written endoscope reprocessing workflow with each step and its rationale, plus at least 80% on a 30-question mixed Domain 2 and 4 quiz
Infection Prevention, Safety, and Equipment & Patient Assessment and Monitoring
Apply standard and transmission-based precautions to scenarios involving C. difficile, hepatitis B and C, and multidrug-resistant organisms
Conduct a hazard review of the procedure room covering electrical safety, fire risk, and positioning injuries
Verify the safety checks required before, during, and after use of electrosurgical and ablation equipment
Outline the response to a sharps injury or body-fluid exposure, including reporting and post-exposure steps
Your checkpoint
A one-page safety and infection-prevention pre-procedure checklist built from memory, validated against course references with discrepancies noted
Professional Role, Education, and Patient Advocacy & Infection Prevention, Safety, and Equipment
Explain informed consent and the nurse's role in verifying voluntariness, capacity, and disclosure of risks
Draft a teach-back script for patient education before and after colonoscopy preparation
Describe advocacy actions for an uninsured patient, a patient with limited English proficiency, and a patient declining recommended care
Identify the professional standards and scope-of-practice limits that govern delegated tasks in the endoscopy setting
Your checkpoint
A two-page patient education handout with a teach-back checklist, plus at least 85% on a 20-question Domain 5 quiz
Gastroenterology Nursing Clinical Practice & Patient Assessment and Monitoring & Sedation and Anesthesia Management & Infection Prevention, Safety, and Equipment & Professional Role, Education, and Patient Advocacy
Rank your five domains by practice-test accuracy and allocate this week's hours to the two lowest-scoring areas
Rework every missed question from weeks 1 through 6 and write the underlying rule or rationale for each miss
Complete timed 25-question blocks across all domains under exam pacing
Recite from memory a rapid-review sheet of high-risk facts (reversal agents, reprocessing steps, isolation categories, consent elements)
Your checkpoint
A personal error log of at least 40 reworked misses, grouped by domain, with each entry showing the correct rationale and the reason for your original error
Gastroenterology Nursing Clinical Practice & Patient Assessment and Monitoring & Sedation and Anesthesia Management & Infection Prevention, Safety, and Equipment & Professional Role, Education, and Patient Advocacy
Complete two full-length timed practice exams under exam-day conditions
Review every missed item on both exams and re-read only the source material tied to those misses
Rehearse a 48-hour pre-exam plan covering logistics, rest, and a final one-page review sheet
Confirm weak-area performance has improved by retesting the two lowest domains from week 7
Your checkpoint
Two completed full-length practice exams scoring at least 80% overall and no single domain below 75%
Milestones
Week 2: Score at least 80% on a 25-question mixed Domain 1 and 3 quiz, and recite a sedation agent card set from memory without prompts
Week 4: Produce a from-memory pre-sedation assessment and monitoring plan with no missed critical safety items, and score at least 80% on the Domain 2 and 4 quiz
Week 6: Score at least 85% on the Domain 4 and 5 question set and demonstrate the consent-verification steps aloud in the correct order
Week 8: Achieve at least 80% on two full-length timed practice exams with no domain score below 75%