Passing the Certified Bariatric Nurses Exam

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.

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. Throughoutmedical 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

Preface.- Chapter 1. Introduction: 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.- b. Are you a candidate for weight loss surgery: criteria and contraindications.- c. Basic Anatomy and physiology of gastrointestinal system- simplified.- d. Pre-op Eval and commorbidities related to obesity -General considerations.- e. Restrictive vs malabsorptive options for weight loss surgery.- f. Historical Weight loss procedures and common complications from them.- g. The Lap Band.- h. The Lap Sleeve.- i. The RNYGB.- j. The Biliopancreatic Diversion.- k. Medical Strategies for weight loss including weight loss drugs.- l. Anesthesia in the bariatric patient.- m.Special Equipment for the bariatric patient.- n. General post-op issues.- o. Skin integrity and skin care.- p. Complications: Leak.- q. Complications: DVT.- r. Complications: PE.- s. Complications: Obstruction/Internal hernia/Efferent and Afferent limb syndrome.- t. Complications: Dehydration.- u. NGT placement in the post-op patient.- v. Pharmacologic considerations in obese patients.- w. Nutrition - Dr. Neff's RDs are interested in this section.- x. Considerations for Adolescent and Geriatric patients.- Chapter 3. Domain 2-  Multidisciplinary Team Collaboration 16%: a. Team building.- 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