Passing the Certified Bariatric Nurses Exam

by Andrew Loveitt (Editor), Margaret M. Martin (Editor), Marc A. Neff (Editor)

Overview

The Certified Bariatric Nurse (CBN) designation was created by the American Society for Metabolic and Bariatric Surgery to fill the rapidly growing need for nurses specialized in the care of patients undergoing weight loss surgery. This book approaches this subject area to assist nurses interested in passing the CBN exam. It can also be used as a general resource for those interested in a comprehensive but concise review of the rapidly growing field of Bariatric Surgery. This would include medical students, residents, dietitians, and other allied health professionals.

Dr. Marc Neff is a recognized expert in the field of Bariatric Surgery. In his current position, his hospital is fortunate to have several CBNs caring for the Bariatric patients. With his guidance, along with several nurses who successfully completed the CBN designation, the authors have created a concise, "quick hit" review of the material required to successfully pass the exam. The format is short chapters followed by 5-10 review questions with in-depth explanations. Where appropriate, graphics are provided to highlight the essential anatomy and surgical procedures. Questions are in multiple choice format to simulate the actual CBN exam.

Product Details

ISBN-13:	9783319417035
Publisher:	Springer-Verlag New York, LLC
Publication date:	01/03/2017
Sold by:	Barnes & Noble
Format:	eBook
Pages:	169
Sales rank:	907,698
File size:	550 KB

About the Author

Marc A. Neff, MD, FACS, is Medical Director of the Center for Surgical Weight Loss at Kennedy, where he has performed hundreds of bariatric surgical procedures since the program's establishment in 2007. He is a 1996 graduate of the University of Pennsylvania School of Medicine, completed his residency in surgery at York Hospital in York, PA, followed by fellowship training in minimally invasive surgery at St. Peter's University Hospital in New Brunswick, NJ. Fellow of the American College of Surgeons, Dr. Neff has been repeatedly named a "Top Doc" by South Jersey Magazine. Dr. Neff's areas of interest include: weight-loss surgery (bariatric surgery), hernia, colon and complex minimally invasive (MIS) procedures.
Andrew Loveitt, DO,  earned a B.S. in Molecular Biology from Juniata College in Huntingdon, PA. He went on to complete medical school at University of New England College of Osteopathic Medicine in Biddeford, ME. Throughout medical school he developed a keen interest in surgery and is currently completing his surgical residency at Rowan University in Stratford, NJ. After residency he plans to pursue a fellowship in minimally invasive and bariatric surgery. 
Margaret “Peg” Martin, BSN, RN, CBN, has been Kennedy’s Bariatric Program Coordinator since 2014. As a nurse for more than 30 years, Peg has worked in the field of Bariatric Surgery for 12 years, beginning as a clinical consultant for the device industry. In that role, Peg traveled throughout the world, consulting on bariatric program development. Her industry work exposed her to many Key Opinion Leaders (KOLs) in the field of weight loss surgery, where she learned a great deal about both its clinical and business aspects. As a member of ASMBS (American Society of Metabolic and Bariatric Surgery) and a CBN (Certified Bariatric Nurse), Peg successfully underwent bariatric surgery herself in 2003, along with six other family members: an experience that she says provides her with an greater understanding of the personal challenges – and many triumphs – experienced by surgical weight loss patients

Table of Contents

Foreword
Tracy Martinez, ASMBS Multidiciplinary Committee chair


Chapter 1. Introduction - Andrew Loveitt
a. Obesity stats, Declared disease by AMA in 2013, Comment on American Society of Baraiatric Surgeons, Bariatric Surgeons association
b. Why the Certified Bariatric Nurse is necessary
c. Nuts and Bolts of Exam


Chapter 2. Domain 1 - Clinical Management 64% of test material
a. Why we treat obesity - Obesity stats, risks and contribution to of chronic illnesses, cost to society – Eve Bruneau
b. Are you a candidate for weight loss surgery: criteria and contraindications - Eve Bruneau
c. Basic Anatomy and physiology of gastrointestinal system- simplified - Eve Bruneau
d. Pre-op Eval and commorbidities related to obesity -General considerations - William Stembridge
i. Pulmonary evaluation including OSA, OHS
ii. Cardiac
iii. Diabetic
e. Restrictive vs malabsorptive options for weight loss surgery - William Stembridge
f. Historical Weight loss procedures and common complications from them - William Stembridge
g. The Lap Band – Nidhi Khanna
i. General overview of procedure and technique
ii. Pros and cons of the procedure
iii. Early and late complications
iv. Surgical follow-up required
v. Nutritional follow-up required
h. The Lap Sleeve - Andrew Loveitt
i. General overview of procedure and technique
ii. Pros and cons of the procedure
iii. Early and late complications
iv. Surgical follow-up required
v. Nutritional follow-up required
i. The RNYGB – Roshin Thomas
i. General overview of procedure and technique
ii. Pros and cons of the procedure
iii. Early and late complications
iv. Surgical follow-up required
v. Nutritional follow-up required
j. The Biliopancreatic Diversion - Marc A. Neff
i. General overview of procedure and technique
ii. Pros and cons of the procedure
iii. Early and late complications
iv. Surgical follow-up required
v. Nutritional follow-up required
k. Medical Strategies for weight loss including weight loss drugs – Roshin Thomas
l. Anesthesia in the bariatric patient – Elton Taylor i. Positioning
ii. Airway
iii. IV Access
m. Special Equipment for the bariatric patient – Lisa Harasymczuk
i. OR Beds/Padding
ii. Inpatient beds
iii. Wheelchairs/transport
n. General post-op issues
i. urinary retention, SOB, pain control, low UOP
o. Skin integrity and skin care
p. Complications: Leak – Tatyana Faynberg
q. Complications: DVT - Tatyana Faynberg
r. Complications: PE - Tatyana Faynberg
s. Complications: Obstruction/Internal hernia/Efferent and Afferent limb syndrome - Tatyana Faynberg
t. Complications: Dehydration- Tatyana Faynberg
u. NGT placement in the post-op patient
v. Pharmacologic considerations in obese patients
w. Nutrition - Dr. Neff's RDs
i. Basics of nutrition
ii. Pre-op considerations
iii. Nutritional follow-up iv. Phases of dietary progression
v. Specific vitamin deficiencies- presentation, diagnosis and treatment
x. Considerations for Adolescent and Geriatric patients


Chapter 3. Domain 2- Multidisciplinary Team Collaboration 16%
a. Team building - AIDET, ECHO - Judy Ketterman Strat
b. Psychological disorders and psychosocial implications in relation to morbid obesity and bariatric surgery
c. Modalities to improve patient compliance
d. Role of support groups


Chapter 4. Domain 3- Outreach 6%


Chapter 5. Domain 4- Program Administration 14%


Chapter 6. Preparing for the test/test strategy/night before the test

Editorial Reviews

Reviewer: Linda Connelly, PhD, DNP, MSH, CNS, APRN, CNOR (University of Houston)
Description: This is a review of the information necessary to master in order to pass the Certified Bariatric Nurse (CBN) examination. Over 170 questions prepare nurses to be successful on the exam and validate the breadth of knowledge and skill necessary to care for bariatric surgical patients.
Purpose: The purpose is to provide a resource for registered nurses who desire to become certified bariatric nurses. The objectives are worthy, as certification assures that professionals have met certain standards of practice, while it also demonstrates nurses' commitment to a bariatric patient population and lifelong learning. The book meets the objectives by gathering this information in one place and providing practice questions in every chapter as well as at the end of the book.
Audience: The intended audience is registered nurses caring for bariatric surgical patients, but the book could be used across all healthcare specialties caring for this particular patient population, even student nurses and nurse practitioners. The editors have experience from caring for this patient population in different roles. Because this book is about registered nurse certification, there should have been more registered nurses as editors and authors.
Features: The book not only covers the care of bariatric patient from the very beginning, it also discusses the epidemic of obesity. All three phases of patient care are covered: preoperative, intraoperative and postoperative. Additional concerns of the bariatric patient are also included, such as nutrition and equipment. The questions at the end of each chapter and at the end of the book make for a great practice test bank. The illustrations of the actual surgery could be more prominent.
Assessment: Overall, this book is outstanding. The three phases of perioperative care are discussed in an organized fashion, leading readers through the surgical process, including complications, and discussing dietary information post surgery.

Doody's Review Service

The purpose is to provide a resource for registered nurses who desire to become certified bariatric nurses. … The intended audience is registered nurses caring for bariatric surgical patients, but the book could be used across all healthcare specialties caring for this particular patient population, even student nurses and nurse practitioners. … Overall, this book is outstanding.” (Linda K. Connelly, Doody's Book Reviews, July, 2017)

From the Publisher