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Immunology/Hematology: DIC | HIT | Transfusion reactions

• Bleeding usually stops quickly. How do you know when to be concerned?
• Demystify the complex web of clotting
• Most transfusion reactions are minor.
• What if the reaction is immediate/major?
• Do you know what to do?

Cardiovascular: Pulse pressure | Recognition of valvular heart disease | Recognition of ACS | Complication of PCI | Hypertensive crisis | Acute vascular insufficiency | Cardiac trauma | Aneurysms

• Calculate pulse pressure in a case study
• Recognize audibly and identify anatomic locations for valvular dysfunction (sound examples)
• List key urgent steps to take when you recognize ACS
• My back hurts! My foot is numb! My chest hurts again!
• When is a BP "too" high? Every patient is different...
• Your MVA patient on a M/S floor may look OK on the outside - but inside can be another thing!

Endocrine: SIADH | DI | Ketoacidosis and HHS | Hypoglycemia

• Too much water, too little water. What does it all mean?
• Too much insulin, too little insulin. Can't keep it straight?

Gastrointestinal: GI bleed | Acute pancreatitis | Liver failure and encephalopathy | Abdominal trauma | Bowel infarction, obstruction and perforation

• 5 tips to correctly identify significant nonspecific abdominal pain
• When confusion is not just getting old!
• All backed up and nowhere to go, can kill your patient. Don't miss key findings that can save them

Behavioral / Psychosocial: Delirium | Dementia | Suicide | Substance withdrawal

• Nurses can affect the double "Ds"
• Would you recognize suicide intent in your patient?
• The substance your patient abuses affects the presenting symptoms of withdrawal

Neurology: Encephalopathy | Stroke | TBI | Skull fracture | Seizure | Meningitis

• 5 clues to encephalopathy
• Embolic vs. ischemic stroke
• When the brain swells, the skull leaves no room for guessing. Early s/s of neuro problems
• Seizures may come about suddenly – and sometimes they don't stop

Renal: Acute renal failure | Life-threatening electrolyte imbalance

• What the kidneys do with all those electrolytes. Why it matters

Pulmonary: Perfusion | Acute respiratory failure | Status asthmaticus | Pulmonary embolism | Pneumonia | Aspiration | Pneumothorax | Hemothorax

• Early detection that enough oxygen is not getting to the blood stream
• Toxic substances interfering with oxygen exchange
• Rapid detection of a pneumothorax and hemothorax

Multisystem: Hypovolemic, Hemorrhagic, SIRS, Sepsis, and Septic shock | Anaphylactic shock

• 5 tips to recognizing s/s of early shock and possible etiologies
• Support failing compensatory mechanisms in a deteriorating patient

Rachel Henderson, PhD, MS, RN, HCRM, is an expert speaker on topics focused on legal aspects of healthcare, nursing documentation, and regulatory compliance. Her 22 years as a legal nurse consultant, inpatient clinical nurse specialist and healthcare risk manager (HCRM) bring life to her presentations by sharing real case scenarios. She is a member of the National Speakers Association (NSA) and past president of the Florida Speakers Association (FSA). She is a published author in peer-reviewed journals and textbooks. In addition to owning a medical and legal consulting business, she has her PhD in Public Policy and Administration: Law and Policy. Rachel works with law firms and healthcare organizations, evaluating medical records for compliance with standards of care and applicable regulations. She has been an expert witness for medical negligence cases for both the plaintiff and the defense.
Speaker Disclosures:
Financial: Dr. Rachel Henderson has employment relationships with Medical Legal Concepts, Florida SouthWestern State College, and Palm Beach State College. She receives royalties as a published author. Dr. Henderson receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Rachel Henderson is a member of the American Association of Critical Care Nurses, the American Society of Healthcare Risk Managers, and the American Society of Professionals in Patient Safety.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $19.99 USD per participant. 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.

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.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**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: 12/4/2020
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 12.6 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 and other Healthcare Professionals