National Asthma Educator Examination National Asthma Educator Examination

National Asthma Educator National Asthma Educator ExaminationExamination

What is this Exam all About?What is this Exam all About?National Asthma Educator Certification National Asthma Educator Certification Board (NAECB)Board (NAECB)First offered 2002First offered 2002Open to all RTs, pulmonary function Open to all RTs, pulmonary function techs, nurses, physicians, physician techs, nurses, physicians, physician assistants, health educators, assistants, health educators, occupational therapists, pharmacists, occupational therapists, pharmacists, social workers . All who actively have a social workers . All who actively have a role in the education of the asthmatic role in the education of the asthmatic and……………and……………

Who Else Can Sit For the The Who Else Can Sit For the The Exam?Exam?

Persons providing asthma education, Persons providing asthma education, counseling, or coordination of services counseling, or coordination of services (minimum of 1000 hours exp.)(minimum of 1000 hours exp.)

Who is administering the exam?Who is administering the exam?Applied Applied Measurement Measurement Professionals (AMP)Professionals (AMP)

What is an Asthma Educator?What is an Asthma Educator?

Possesses a comprehensive knowledge Possesses a comprehensive knowledge of asthma pathophysiology and of asthma pathophysiology and managementmanagement

Understands how asthma is diagnosedUnderstands how asthma is diagnosed

Teaches best use of medications and Teaches best use of medications and delivery devices in understandable delivery devices in understandable termsterms


Conducts assessments to identify Conducts assessments to identify strengths, resources, psychological strengths, resources, psychological factors, social and economic impact factors, social and economic impact and educational needs in order to and educational needs in order to optimize health care managementoptimize health care management


Works with patients, families and Works with patients, families and healthcare professionals to develop, healthcare professionals to develop, implement, monitor, and revise implement, monitor, and revise action planaction plan

Serves as a resource to the Serves as a resource to the communitycommunity

Monitors education programs Monitors education programs outcomes and recommends changes outcomes and recommends changes

What is the AE-C?What is the AE-C?

This is the certification awarded This is the certification awarded

It is totally voluntaryIt is totally voluntary

Proof that person is qualified Proof that person is qualified

May be a basis for employment, job May be a basis for employment, job promotion, salary increases, or other promotion, salary increases, or other considerationsconsiderations

What are you Tested on?What are you Tested on?

RecallRecall

Application Application

Analysis Analysis

175 questions (150 are scored the 175 questions (150 are scored the other are pretest items)other are pretest items)

3 ½ hours to complete3 ½ hours to complete

Major Categories TestedMajor Categories Tested

The Asthma Condition: 20%The Asthma Condition: 20%

Patient/Family Assessment: 26%Patient/Family Assessment: 26%

Asthma Management: 43%Asthma Management: 43%

Organizational Issues: 11%Organizational Issues: 11%


PathophysiologyPathophysiology– Lung anatomyLung anatomy– Inflammatory processInflammatory process– Differentiate infant, pediatric, and adult Differentiate infant, pediatric, and adult

manifestationsmanifestations


Factors contributing to asthmaFactors contributing to asthma– Triggers/remediationTriggers/remediation– Understand benefits of allergy testingUnderstand benefits of allergy testing– How some physical conditions can How some physical conditions can

exacerbate or even mimic asthmaexacerbate or even mimic asthma– Meds that may interact to exacerbateMeds that may interact to exacerbate


Patient/Family AssessmentPatient/Family Assessment– Signs and symptomsSigns and symptoms– High risk groupsHigh risk groups– Medical record (VS, PE, lab, history)Medical record (VS, PE, lab, history)

– Objective measures (PEF, FEVObjective measures (PEF, FEV11, FVC, , FVC, flow/volume loops)flow/volume loops)

– Patient coping strategiesPatient coping strategies


Asthma ManagementAsthma Management– Pharmacologic managementPharmacologic management– Side effects of medsSide effects of meds– Devices (assembly, application, cleaning, Devices (assembly, application, cleaning,

troubleshooting)troubleshooting)– Education strategiesEducation strategies– Barrier recognition and resolutionBarrier recognition and resolution


Asthma ManagementAsthma Management– ZonesZones– Personal bestPersonal best– Action plansAction plans


Organizational issuesOrganizational issues– Evaluation of outcomes (QOL and patient Evaluation of outcomes (QOL and patient

satisfaction)satisfaction)– Needs assessment Needs assessment – Disease managementDisease management– Professional networkingProfessional networking– Community resourcesCommunity resources


CPRCPR

Airway anatomyAirway anatomy

Social issuesSocial issues

Economic disparitiesEconomic disparities

From what is the test based?From what is the test based?

NAECB exam matrixNAECB exam matrix

1997 National Heart Lung and Blood 1997 National Heart Lung and Blood Institute Guidelines for Management Institute Guidelines for Management of Asthma of Asthma

ALA/American Thoracic Society Task ALA/American Thoracic Society Task Force GuidelinesForce Guidelines

Costs?Costs?

New Candidate: $295.00 New Candidate: $295.00

Repeat Candidate: $195.00 Repeat Candidate: $195.00

Visa, MasterCard, American Express, Visa, MasterCard, American Express, Discover, cashiers check or money Discover, cashiers check or money orderorder

Where Do I Take The Exam?Where Do I Take The Exam?H&R Block Offices (110)H&R Block Offices (110)Go to Go to www.goAMP.comwww.goAMP.comTo apply go to To apply go to www.naecb.orgwww.naecb.org Phone: 888/519-9901Phone: 888/519-9901When scheduling you may be able to When scheduling you may be able to sit for the exam within 2 working sit for the exam within 2 working daysdaysOnce you apply you have a year to Once you apply you have a year to take the examtake the exam

What is the passing rates?What is the passing rates?As of August, 2006:As of August, 2006:– 1,862 have passed1,862 have passed– National Pass Rate: 69.2% (first time)National Pass Rate: 69.2% (first time)– Subsequent pass rate 67%Subsequent pass rate 67%

RT pass rate: 65%RT pass rate: 65%

RN pass rate: 77% RN pass rate: 77%

1000 hours: 57%1000 hours: 57%

Pharmacist: 81%Pharmacist: 81%

Demographics of AE-C’sDemographics of AE-C’s

41% RT/PFT Techs41% RT/PFT Techs

31% Nurses31% Nurses

1/2 work in acute care1/2 work in acute care

1/4 Clinics1/4 Clinics

85% in university or clinic settings85% in university or clinic settings

69% in hospitals69% in hospitals

An AnalysisAn Analysis

No indication that profession shows No indication that profession shows stronger numbers in specific stronger numbers in specific categoriescategoriesHours spend educating no differenceHours spend educating no differenceRural pass rates (67%),urban/ Rural pass rates (67%),urban/ suburban (77%)suburban (77%)Clinical practice settings score higher Clinical practice settings score higher than hospital based settingsthan hospital based settings

The more experience the better The more experience the better – 0-1 year 55% pass0-1 year 55% pass– 2-3 years 77% pass2-3 years 77% pass– 4-5 years 78% pass4-5 years 78% pass– 6-10 years 83% pass6-10 years 83% pass– >11 years 64% pass>11 years 64% pass

An AnalysisAn AnalysisEducational levelEducational level– Diploma level 50% pass Diploma level 50% pass

raterate– A.S. 57% pass rateA.S. 57% pass rate– B.S. 77% pass rateB.S. 77% pass rate– Master 88% pass rateMaster 88% pass rate– MD 93% pass rateMD 93% pass rate

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National Asthma Educator Examination National Asthma Educator Examination