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CCTN® Exam Review

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Course Description

This course combines content addressing domains of cognitive ability, critical thinking, clinical practice, research and evidence-based practice. This clinical and certification test review is based on a topical outline from the American Board for Transplant Certification. This course is designed for the experienced transplant nurse to focus his or her review of transplant content in preparation for the professional certification examination. This course also serves as a concise clinical update on care of the transplant patient from initial evaluation for transplant candidacy through transplantation, postoperative care, hospital discharge and follow-up.

Program Learning Outcomes

This program prepares the learner to:

  • Articulate clinical and lab findings consistent with end-stage hepatic failure indicating possible transplant candidacy and make appropriate changes to the patient and family plan of care.
  • Differentiate clinical and lab findings associated with organ rejection vs. acute infection.
  • Identify potentially abnormal blood levels of immune-modulating agents and make appropriate recommendations for titration of therapy.
  • Differentiate between hyperacute, acute and chronic rejection in the solid organ recipient and make appropriate recommendations for clinical management.
  • Apply critical thinking strategies in managing the transplant patient in all phases of care from initial evaluation through transplant surgery, hospital discharge and follow-up.


Sign-in begins at 7:30 am. Each day includes a one-hour lunch (on your own), as well as a morning and afternoon break of 15 minutes each. The order of lectures presented and break times may vary according to speaker preference.

Day 1, 8:00 am to 4:00 pm

  • Pathophysiology of Hepatitis C
    Hepatitis C Pathophysiology | Pathway to Hepatic Failure
  • Multiple Indications for Liver Transplantation
    Fulminant Hepatic Failure | Hepatocellular Carcinoma | Toxin Exposure | MELD Score Factors and Calculation
  • Considerations for the Patient in Hepatic Failure or Preop Liver Transplant Patient
    Multisystem Support | Neurologic Issues | Bleeding Issues
  • Clinical Effects of Organ Failure Consequent to Hepatic Injury
    Brain Failure | Renal Consequences | Pulmonary Consequences | Hemodynamic Consequences
  • Kidney and Pancreas Transplantation
    Kidney Transplant Indications | Pancreas Transplant Indications
  • Management Considerations for Kidney and Pancreas Recipients
    Kidney Transplant Intraoperative Phase | Kidney Transplant Postoperative Phase | Pancreas Transplant Intraoperative Phase | Pancreas Transplant Postoperative Phase | Immediate Postoperative Period: SICU | Bleeding | Oxygenation | Hemodynamic Status | Lab Studies | Complications | Transplant Floor

Day 2, 8:00 am to 4:00 pm

  • Immune System Physiology
    Immune System Anatomy and Physiology | Organ Recipient Issues | Physiology of Organ Rejection
  • Immune Modulating Medications
    Classes of Agents
  • Side Effects, Nursing Considerations and Indications of Immune Modulating Agents
    Calcineurin Inhibitors | Cyclosporine | Immune Globulin | Steroids | Timing of Therapy
  • Assessment and Monitoring Parameters Associated with Post-transplant Complications
    Heart Transplant | Liver Transplant | Kidney Transplant | Pancreas Transplant | Lung Transplant | Infectious Complications | Psychosocial Concerns
  • Clinical Findings of End-Stage Cardiac and Pulmonary Failure as Indications for Transplantation
    Cardiac Failure | Pulmonary Failure
  • Patient and Family Education
    Pre-Transplant Education | Post-Transplant Education | Discharge Planning
  • Ethical Considerations