Adult Critical Care Specialist Prep Course

Welcome and overview of the course. The welcome video is approximately 3 minutes in length. It is recommended that you take the pre-course practice examination (see the document in the “materials” tab) prior to accessing the course materials.

Course faculty conflicts of interest are disclosed below. Brand names of products and pictures of products may be used only as examples of available technology. No endorsement of any one product or device is intended.

Speaker Information

• Bill Galvin: no relationships to disclose
• Carl Hinkson: Hamilton Medical speaker bureau and past consulting activities with Physiocontrol, Inc.
• Keith Lamb: Advisory board member for Sunovion, Masimo, and GE
• Tom Lamphere: Masimo speaker’s bureau
• Kathy Myers Moss: no relationships to disclose
• Brady Scott: Key Opinion Leader for Aerogen; Advisory Board for Sunovion
• Shawna Strickland: no relationships to disclose
• Donna Tanner: no relationships to disclose
• Mark Yoder: no relationships to disclose
  
  

This module uses a case-based approach to gather and interpret clinical information to assist the adult critical care specialist in making appropriate clinical decisions.

Case study #1: This video is approximately 10 minutes in length.

Case study #2: This video is approximately 21 minutes in length.

Case study #3: This video is approximately 21 minutes in length.

Speaker Information

• Kathy Myers Moss PhD, RRT, RRT-ACCS, FAARC
• Carl Hinkson MS, RRT, RRT-ACCS, RRT-NPS, FAARC
• Keith Lamb RRT, RRT-ACCS, FAARC
  
  

This presentation addresses the delivery of non-bronchodilator pharmacologic agents via aerosol or instillation. Optimization of aerosol delivery during mechanical ventilation will also be discussed.

This video is approximately 8 minutes in length.

NBRC ACCS matrix item I-D

Speaker Information

• Donna Tanner MBA, RRT, RRT-ACCS

This presentation identifies common airway clearance issues and the indications and contraindications for the use of various specialty gases in the treatment of the critically ill patient, as well as the use and hazards of various artificial airways.

This video is approximately 32 minutes in length.

NBRC ACCS matrix items I-A, I-B, II-A

Speaker Information

• Keith Lamb RRT, RRT-ACCS, FAARC

This presentation focuses on the cardiopulmonary disease processes that are common to the intensive care unit and are specifically addressed on the NBRC ACCS examination. These processes include ARDS, COPD, CHF, trauma (including burn injuries), pulmonary hypertension, pulmonary embolism, and asthma.

This video is approximately 43 minutes in length.

NBRC ACCS matrix items I-C, II-A

Speaker Information

• Keith Lamb, RRT, RRT-ACCS, FAARC

This presentation focuses on the indications and diagnostic uses of various diagnostic imaging tests, including: radiographs, computerized tomography, magnetic resonance imaging, ultrasonography, and nuclear scans.

This video is approximately 51 minutes in length.

NBRC ACCS matrix items II-A and II-C

Speaker Information

• Mark Yoder, MD

This presentation discusses normal and abnormal values in relation to blood chemistries, cultures, cardiac markers, fluid analysis, and blood gases. These diagnostic laboratory studies are also discussed in context with the condition of the critically ill patient.

This video is approximately 53 minutes in length.

NBRC ACCS matrix item II-B

Speaker Information

• Brady Scott PhD, RRT, RRT-ACCS, AE-C, FAARC, FCCP

This presentation addresses ethical conflicts and concepts common to the adult intensive care unit, including patient autonomy, informed consent, ventilatory support at the end of life, withdrawal of life support, and organ donation. This includes a discussion of working as part of a multidisciplinary team, and essential components of effective disaster management and safety in the adult intensive care unit.

This video is approximately 21 minutes in length.

NBRC ACCS matrix items II-H, II-I, and II-J

Speaker Information

• Shawna Strickland PhD, RRT, RRT-NPS, RRT-ACCS, AE-C, FAARC

This presentation provides an overview of the vital components of an advanced cardiovascular assessment. In addition, the presentation discusses the various components of hemodynamic monitoring, including normal and abnormal values, and relate these to the critically ill patient.

This video is approximately 23 minutes in length.

NBRC ACCS matrix item II A

Speaker Information

• Kathy Myers Moss PhD, RRT, RRT-ACCS, FAARC

This presentation reviews general infections common to patients in the intensive care unit and the various transmission routes of these infections. Other aspects of infectious processes such as VAP/VAE and preventive measures in the intensive care unit are also discussed.

This video is approximately 36 minutes in length.

NBRC ACCS matrix items II-F and II-G

Speaker Information

• Carl Hinkson, MS, RRT, RRT-ACCS, RRT-NPS, FAARC

This presentation provides a review of the basics of volume versus pressure ventilation as well as a discussion of appropriate initial mechanical ventilation settings, ventilator graphics interpretation, and weaning techniques.

This video is approximately 60 minutes in length.

NBRC ACCS matrix item I-C

Speaker Information

• Thomas Lamphere BS, RRT, RRT-ACCS, RPFT, FAARC

This presentation discusses lung injury and mechanical ventilation and provides instruction on using advanced modes such as PRVC, IRV, APRV, and HFOV.

This video is approximately 56 minutes in length.

NBRC ACCS matrix item I-C

Speaker Information

• Thomas Lamphere BS, RRT, RRT-ACCS, RPFT, FAARC

This presentation provides an exploration of the indications, contraindications, hazards, side effects, and beneficial effects of non-invasive ventilation.

This video is approximately 47 minutes in length.

NBRC ACCS matrix item I-C

Speaker Information

• Thomas Lamphere BS, RRT, RRT-ACCS, RPFT, FAARC

This presentation addresses the nutritional needs of the critically ill patient and the components of the nutritional assessment placed in context with the nutritional needs of the critically ill patient.

This video is approximately 18 minutes in length.

Access to a supplemental document, the 2013 AARC Guide to the Nutritional Assessment and Treatment of the Critically Ill Patient, is provided in the “materials” tab for more information about the nutritional needs of the critically ill patient.

NBRC ACCS matrix item II-E

Speaker Information

• Shawna Strickland PhD, RRT, RRT-ACCS, RRT-NPS, AE-C, FAARC

This presentation discusses components of neurologic, basic cardiovascular, renal, gastrointestinal, metabolic, and musculoskeletal assessments as well as reinforces the recognition of respiratory failure in the critically ill patient. The presenter reviews normal and abnormal findings of these assessments in the context of the critically ill patient.

This video is approximately 28 minutes in length.

NBRC ACCS matrix items II-A, II-H

Speaker Information

• Carl Hinkson, MS, RRT, RRT-ACCS, RRT-NPS, FAARC

This presentation reviews the common medications (pulmonary and non-pulmonary) used in the treatment of critically ill patients. In addition, information on the effects/side effects and the role of the respiratory therapist in the administration of these medications is provided.

This video is approximately 53 minutes in length.

NBRC ACCS matrix item II-D

Speaker Information

• Brady Scott PhD, RRT, RRT-ACCS, AE-C, FAARC, FCCP

This presentation focuses on a variety of procedures classified as “special procedures” by the NBRC and the respiratory therapist’s role in performing or assisting in these procedures, as well as troubleshooting various situations. These procedures include: arterial line monitoring, mini-bronchial alveolar lavage, chest tube drainage systems, and inhaled vasodilator delivery.

This video is approximately 29 minutes in length.

NBRC ACCS matrix items II-K and II-L

Speaker Information

• Kathy Myers Moss PhD, RRT, RRT-ACCS, FAARC

This module identifies keys to successful performance on examinations by addressing major concepts associated with proper preparation and study: issues of memory, the forgetting process, and the principles and stages of learning.

This video is approximately 1 hour and 23 minutes in length.

Speaker Information

• Bill Galvin MEd, RRT, CPFT, AE-C, FAARC

This presentation identifies alternative methods to improve oxygenation including independent lung ventilation.

This video is approximately 21 minutes in length.

NBRC ACCS matrix item I-C

Speaker Information

• Thomas Lamphere BS, RRT, RRT-ACCS, RPFT, FAARC