Passing the Certified Bariatric Nurses Exam (eBook)

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

ForewordTracy Martinez, ASMBS Multidiciplinary Committee chairChapter 1. Introduction -  Andrew Loveitt a. Obesity stats, Declared disease by AMA in 2013, Comment on American Society of Baraiatric Surgeons, Bariatric Surgeons associationb. Why the Certified Bariatric Nurse is necessaryc. Nuts and Bolts of ExamChapter 2. Domain 1 - Clinical Management 64% of test materiala. Why we treat obesity - Obesity stats, risks and contribution to of chronic illnesses, cost to society – Eve Bruneaub. Are you a candidate for weight loss surgery: criteria and contraindications - Eve Bruneauc. Basic Anatomy and physiology of gastrointestinal system- simplified - Eve Bruneaud. 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 Stembridgef. Historical Weight loss procedures and common complications from them - William Stembridgeg. 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 requiredi. 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 requiredk. Medical Strategies for weight loss including weight loss drugs – Roshin Thomasl. Anesthesia in the bariatric patient – Elton Taylor i. Positioning  ii. Airway iii. IV Accessm. 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 UOPo. Skin integrity and skin carep. Complications: Leak – Tatyana Faynbergq. Complications: DVT - Tatyana Faynbergr. Complications: PE - Tatyana Faynbergs. Complications: Obstruction/Internal hernia/Efferent and Afferent limb syndrome - Tatyana Faynbergt. Complications: Dehydration- Tatyana Faynbergu. NGT placement in the post-op patientv. Pharmacologic considerations in obese patientsw. 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 treatmentx. Considerations for Adolescent and Geriatric patientsChapter 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 surgeryc. Modalities to improve patient complianced. Role of support groupsChapter 4. Domain 3-  Outreach 6%ChapterChapter 6. Preparing for the test/test strategy/night before the test