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• Define the Synergy Model as it pertains to patients and their families, as well as patient care plans in Progressive Care.
• Review cardiac, pulmonary, neurologic, renal, hematologic, immunologic, endocrine, multi-system and gastrointestinal assessment, physiology and pathophysiology.
• Discuss drug dosage calculation, continuous medication infusion administration and patient monitoring for medication effects.
• Discuss and review patient monitoring using standardized procedures.
• Recognize signs and symptoms of cardiopulmonary emergencies and initiation of standardized interventions to stabilize the patient awaiting transfer to critical care.
• Understand and assess the needs of the long-term mechanical ventilated patient as well as weaning techniques and procedures.
• Evaluate the family's need for enhanced involvement in care to facilitate the transition from hospital to home.
• Learn educational components necessary to help patient succeed related to diet, exercise, and medications.
• Identify signs and symptoms of life threatening electrolyte abnormalities and rapid interventions.
• Analyze the interpretation of commonly ordered labs.
• Identify legal and ethical implications of professional nursing issues and concerns.
• Apply treatment modalities and nursing interventions to include outcomes and evaluation criteria of common disorders of each body system.

Outline: Day One

Professional Caring & Ethical Practices

• Overview of the Synergy Model of Care
• Family-Centered Care
• Informatics for the Bed-side Nurse

Cardiovascular

• Cardiovascular assessment
• Hemodynamics
• Pharmacology to enhance cardiac output
• Acute Coronary Syndrome
• Acute and chronic heart failure
• Aortic aneurysm

Hematology & Immunology

• Anaphylactic shock
• DIC
• Blood products for the coagulopathic patient
• Caring for the immune-comprised patient

Endocrine

• Diabetes Insipidus
• Diabetic Ketoacidosis
• Metabolic Syndrome
• SIADH
• Hyperosmolar Hyperglycemic Syndrome

Gastrointestinal

• GI Bleeds
• Pancreatitis
• Intestinal ischemia and infarction
• C. Diff
• Nutrition planning for the acute and chronically ill adult patient

Outline: Day Two

Neurology

• Assessment and care of the brain-injured patient
• Stroke
• Intracranial hemorrhage
• Subarachnoid hemorrhage
• Seizures
• Bed-side assessment of dysphagia

Renal

• Acute and chronic renal failure
• Electrolyte disorders
• Dialysis strategies

Pulmonary

• Pulmonary medication implications
• Acute respiratory failure
• Mechanical ventilation strategies
• Pneumonia
• ARDS
• Care strategies for the thoracic surgery patient

Multisystem

• Sepsis
• Shock: cardiogenic, hypovolemic, septic
• Hospital-acquired infections
• Wound care

Behavioral & Psychosocial

• Delirium, Depression & Dementia
• Suicidal patients & precautions
• Sleep & the hospitalized patient

Test-taking Strategies

• Application process
• Test blueprint review
• Tips & Tools

Cyndi Zarbano, MSN-Ed, CCRN, CMSRN, LNC, has been a nurse for nearly 30 years specializing in intensive care. She earned her legal nurse consultant training through the Vickie Milazzo Institute in 2008 and has worked on nearly 250 cases for various boards of nursing. She has worked with attorneys on pre-corrective action and with nurses to meet consultation requirements to fulfill corrective action guidelines.

Additionally, Cyndi has worked as a legal nurse consultant responsible to analyze medical records, determine merit, assist with client interviews, attend medical appointments, locate testing experts, complete chronologies, review billing for accuracy, provide deposition/jury question development, and assist in court strategy development. Cyndi is a renowned national seminar speaker having spoken for numerous companies since 2008, including her own, Clinical Review Consultants. She works for Mayo Clinic in Minnesota continuing her passion for bedside nursing in critical care. Speaker Disclosures:
Financial: Cynthia Zarbano is the owner of Clinical Review Consultants and has an employment relationship with Mayo Mankato. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Cynthia Zarbano has no relevant non-financial relationships.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $19.99 USD per participant per program. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. This self-study package may include multiple product formats. To receive full credit, please submit the CE test for each format that has self-study materials included. To access these documents, play disc #1 in your computer.

Certificates of Successful Completion will be emailed, faxed or mailed to participants completing the post-test(s)/evaluation(s) and paying the CE fee(s).

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 5/27/2019
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 12.5 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 12.5 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 15.2 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Other Professions
This self-study activity qualifies for 12.5 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses - Nurse Practitioners - Clinical Nurse Specialists