Principles of Practice
29%of exam
Access Devices
33%of exam
EquipmentPeripheral AccessCentral AccessMaintenanceComplications
Infusion Therapies
38%of exam
Fluid BalanceParenteral NutritionBlood ProductsDrug TherapiesAdverse Reactions
Quick Facts
- Credential
- Certified Registered Nurse Infusion
- Owner
- INCC
- Format
- Four-option multiple choice
- Administered
- 140 items
- Scored
- 120 items
- Pretest
- 20 unscored items
- Testing time
- 2.5 hours
- Result
- Pass/fail + category raws
- Passing score
- Scaled score 70
- Eligibility
- RN plus 1,600 hours
Three Domains
Practice, devices, therapies: all three matter
29 percent33 percent38 percent
Pretest vs Scored Items
Pretest
- 20 items
- Future use
Scored
- 120 items
- Pass/fail result
Unscored practice vs score
Blueprint Picker
- Need assessment review→Principles(Patient and history)
- Need infection review→Principles(Prevention and control)
- Need phlebotomy review→Principles(Sampling and therapeutic)
- Need equipment review→Access Devices(Sets and technology)
- Need device types→Access Devices(Peripheral and central)
- Need device complications→Access Devices(Infiltration and occlusion)
- Need fluid review→Infusion Therapies(Balance and electrolytes)
- Need nutrition review→Infusion Therapies(PN complications)
- Need drug review→Infusion Therapies(Therapy categories)
Practice Foundations
- Assessment
- Evaluate clinical condition
- History review
- Identify therapy factors
- Body positioning
- Insertion and removal
- Standard precautions
- Reduce exposure risk
- Chain of infection
- Break transmission links
- Bloodstream infection
- Recognize prevention factors
- Phlebotomy
- Sampling and therapeutic
Professional Practice
- Informed consent
- Support informed decision
- Patient education
- Teach safe participation
- Documentation
- Record care accurately
- Scope of practice
- Follow authorized role
- Evidence-based practice
- Apply current evidence
- Performance improvement
- Improve care systems
- Collaboration
- Coordinate care team
Care Cycle
Assess, select, protect, monitor, document
Patient firstDevice safetyClear record
Peripheral vs Central Access
Peripheral
- Short, long, midline
- Peripheral device category
Central
- PICC, CVC, port
- Central device category
Peripheral route vs central route
Infusion Technology
- Solution container
- Holds infusion solution
- Administration set
- Delivers prescribed therapy
- Filter
- Specified therapy component
- Add-on device
- Extends infusion system
- Administration device
- Electronic or non-electronic
- Vein locator
- Aid vessel assessment
- Tip locator
- Navigation support tool
PICC vs Implanted Port
PICC
- Peripherally inserted
- Central catheter
Implanted port
- Under-skin reservoir
- Central device
External catheter vs implanted system
Access Types
- Short peripheral
- Peripheral access device
- Long peripheral
- Peripheral access device
- Midline
- Peripheral access device
- PICC
- Peripherally inserted central catheter
- Non-tunneled CVC
- Central access device
- Tunneled CVC
- Central access device
- Implanted port
- Implanted central device
Infiltration vs Extravasation
Infiltration
- Nonvesicant leakage
- Tissue involvement
Extravasation
- Vesicant leakage
- Tissue injury risk
Nonvesicant vs vesicant
Device Care
- Subcutaneous access
- Nonvascular infusion route
- Intraosseous access
- Osseous infusion route
- Securement
- Stabilize access device
- Maintenance
- Perform ongoing device care
- Site assessment
- Monitor access condition
- Infiltration
- Nonvesicant tissue leakage
- Extravasation
- Vesicant tissue leakage
Device Risk + Populations
- Catheter occlusion
- Impaired device flow
- Older adult
- Special population
- Renal condition
- Special population
- Pediatrics
- Special population
- Immunocompromised
- Special population
- Oncology
- Special population
- Bariatrics
- Special population
Therapy Scan
Fluids, drugs, blood, nutrition, safety
Monitor responseKnow complicationsEscalate promptly
Occlusion vs Adverse Reaction
Occlusion
- Device-flow problem
- Access complication
Adverse reaction
- Therapy response
- Infusion complication
Device issue vs therapy issue
Clinical Safety Scan
- Before therapy→Assess patient(Condition and history)
- Selecting access→Review therapy needs(Follow local policy)
- Device is present→Assess site(Maintenance and securement)
- Infection concern→Use prevention protocol(Escalate findings)
- Flow concern→Assess occlusion(Do not force)
- Tissue leakage concern→Identify complication(Follow agent protocol)
- Reaction concern→Monitor and escalate(Follow emergency protocol)
- Care completed→Document accurately(Support continuity)
- Practice question uncertain→Return to outline(Check primary domain)
Drug Therapy Areas
- Pain management
- Infusion therapy area
- Cardiovascular
- Infusion therapy area
- Antineoplastic
- Infusion therapy area
- Biologics
- Immunologic therapy area
- Anti-infectives
- Infusion therapy area
- Blood products
- Infusion therapy area
- Hazardous drugs
- Exposure and waste
Maintenance vs Replacement Fluid
Maintenance
- Ongoing support
- Routine needs
Replacement
- Correct loss
- Deficit needs
Sustain vs replace
Fluids + Nutrition
- Body composition
- Fluid-balance foundation
- Fluid deficit
- Volume imbalance
- Fluid excess
- Volume imbalance
- Electrolyte disorder
- Balance complication
- Maintenance fluid
- Ongoing fluid support
- Replacement fluid
- Correct fluid loss
- Parenteral nutrition
- Nutritional infusion therapy
Therapy Safety
- Rate-related event
- Infusion-rate complication
- Adverse reaction
- Undesired therapy response
- PN infection
- Parenteral nutrition complication
- PN metabolic event
- Parenteral nutrition complication
- PN mechanical event
- Parenteral nutrition complication
- Monitoring
- Detect change promptly
- Escalation
- Follow clinical protocol
Common Traps
120 scored ≠ 140 administered
120 determine result ≠ 20 are pretest
Pretest ≠ optional
Appear in exam ≠ Cannot identify them
Practice ≠ access devices
Assessment and safety ≠ Equipment and devices
Device issue ≠ therapy reaction
Assess access problem ≠ Assess infusion response
Exam outline ≠ local protocol
Study tested topics ≠ Follow workplace procedures
Reference list ≠ guarantee
INCC validates items ≠ Preparation still individualized
Last Minute
- 1.Prioritize Infusion Therapies: 38 percent
- 2.Review Access Devices: 33 percent
- 3.Review Principles: 29 percent
- 4.Know 140 versus 120 items
- 5.Expect 20 unscored pretest items
- 6.Practice four-option question decisions
- 7.Map weak topics to outline
- 8.Separate device and therapy complications
- 9.Use local protocols clinically
- 10.Allow 2.5 hours testing time
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