Product Detail

Crisis Prevention
Online Course
$399.98 USD
$149.99 USD
Product Details
Format:
Online Course
Authors:
ROBIN GILBERT, MSN, RN, CEN, CPEN
RACHEL CARTWRIGHT-VANZANT, PHD, MS, RN, LHRM, LNCC, CCRN-K
Publisher:
PESI HealthCare
Copyright:
8/9/2018
CE Available:
Yes, See CE credit tab for complete continuing education details
Product Code:
CRS001271
Objectives
[+] [-] 076005 - Managing Patient Emergencies: Critical Care Skills Every Nurse Must Know
  1. Describe two types of rapid assessment techniques and how to employ them for the best results during a patient emergency.
  2. Evaluate techniques for getting critical information during a rapid patient assessment.
  3. Investigate EARLY assessment findings in clinical syndromes that may progress rapidly and cause life-threatening conditions.
  4. Prioritize nursing actions for specific neurological, cardiac, respiratory and endocrine emergencies.
  5. Review care of the diabetic patient in diabetic ketoacidosis.
  6. Identify patient populations who are at high-risk for bedside emergencies.
  7. Discuss how to integrate assessment data and critical lab findings into the plan of care for a patient experiencing a life-threatening emergency.

[+] [-] 077490 - Impending Doom:
  1. Recognize and distinguish the early clinical signs and symptoms of impending doom.
  2. Assess the deteriorating patient using rapid and focused strategies.
  3. Explain the unique and time-sensitive needs for patients experiencing cardiac, pulmonary, infectious, diabetic and shock clinical crisis.
  4. Evaluate optimal use of rapid response teams.
  5. Differentiate between the diagnostic tests used in the deteriorating patient.
  6. Apply current treatments for patients in clinical crisis using case studies.

Outline
[+] [-] 076005 - Managing Patient Emergencies: Critical Care Skills Every Nurse Must Know

Identifying the RED Flags

  • Critical Thinking During a Crisis
  • Vital Signs & ABCDs
  • Methods for Establishing and Maintaining Airway
    • Breathing: More Than a Rate Issue
    • Circulation & Perfusion
    • Rapid Assessment Techniques
    • Critical Questions to Ask Your Patient
    • Identifying High-Risk Populations
    • Sick or Not Sick…Who would you see first?

Cardiovascular
Prevention, Presentation, Action for:
“I’m having chest pain”

  • Recognizing Arrhythmias - Stable, Unstable and Lethal
  • Rhythm Recognition & Treatment for: VT, VF, SVT, and Heart Blocks
  • Acute Myocardial Infarction: STEMI/NSTEMI
  • Key Assessments & Interventions
  • tPA Guidelines
  • Laboratory Parameters
  • Recognizing Subtle Changes
  • Hemodynamic Monitoring:
    • MAP, CO, SV, CI
    • Preload, Afterload, Contractility
  • Skills Practice: EKG Interpretation

Respiratory
Prevention, Presentation, Action for:
“I can’t breathe”

  • Capnography Basics
  • Assessment & Critical Interventions for:
    • Pulmonary Embolism
    • Respiratory Failure
    • COPD
    • ARDS
    • The Patient Who Needs Assistance
    • O2, CPAP, BiPAP
    • Indications for Intubation
    • Positive Pressure Ventilation
    • Chest Tube Management
    • Easy ABG Analysis…Really!

Endocrine
Prevention, Presentation, Action for:
“I don’t feel right”

  • The Differences of DKA and HHNK
  • Early Recognition of Hypoglycemia
  • Critical Lab Findings
  • Differentiating the Diagnosis – Case Studies
    • Which Intervention Should you do FIRST
    • What is the Likely Problem
    • Anticipating the Solutions

Neurological
Prevention, Presentation and Action for:
“My head hurts!”

  • Elevated Intracranial Pressure
  • Clues When you Don’t have a Monitor
  • Ischemic vs. Hemorrhagic Stroke
  • Inclusion/Exclusion for tPA
  • Critical Labs
  • Malignant Headache
  • Delirium
  • Autonomic Dysreflexia
  • Simulation Lab Review
    • Interpreting the Patient’s Presentation

Fluid Imbalance/Circulatory Emergencies

  • Sepsis
  • Shock
  • GI Bleed
  • Abdominal Aortic Aneurysm
  • Compartment Syndrome

Managing the Decompensating Patient

  • No Pulse, No Blood Pressure, No Respirations...Now What?
    • Common Medications
    • Monitor/Defibrillator Review
    • Roles & Responsibilities During a Code

What’s New & Trending

  • Ethical Considerations
  • Documentation Pitfalls
  • Staffing Considerations & High Acuity Patients


[+] [-] 077490 - Impending Doom:

Sepsis Crisis

  • What are the 3 most likely causes of a sepsis crisis
  • Three cardinal signs of sepsis
  • Understanding diagnostic tests to differentiate sepsis from other possibilities
  • Summary of the current evidence-based findings
  • Complications of illness

Cardiovascular Crisis

(Acute MI, Cardiogenic Shock, Pulmonary edema, TIA/CVA)

  • What are the common causes of all cardiovascular diseases
  • Symptomology differences between genders in cardiovascular disease
  • Examination clues that help you recognize a cardiovascular crisis
  • What diagnostic tests, labs, x-ray, imaging can help with diagnosis of a CV emergency
  • Nurse's role managing a cardiovascular crisis

Anaphalaxis Crisis

  • Do you know the typical causes of anaphalaxis?
  • Signs/symptoms to look for in patients experiencing anaphalaxis
  • What quick nursing actions can save your patient's life in anaphalaxis?
  • Medications that can avert an anaphalaxis crisis

Diabetic Crisis

(Ketoacidosis, Hyperosmolar Syndrome)

  • Key differences between ketoacidosis and hyperosmolar syndrome
  • What subtle signs do patients display when heading towards a diabetic crisis?
  • Important labs that give clues in diabetic crisis and its resolution
  • What nursing skills are important to help reduce diabetic crisis complications?

Pulmonary Crisis

(Status Asthmaticus, Acute Respiratory Failure)

  • Identify causes that can lead to a pulmonary crisis
  • Are all breath sounds alike?
  • When asthma is no longer simple
  • Which patients are likely to develop acute respiratory failure - and what can you do about it?

Hypovolemic Crisis

(GI bleed, Trauma, Internal Bleeding)

  • Causes of hypovolemic shock that you will encounter
  • When anxiety, restlessness, agitation and confusion are not a mental health problem
  • Are there earlier signs than hypotension that signal a hypovolemic crisis?
  • Fluids, Fluids, Fluids. Fluid resuscitation can save a life.

Rapid Response Teams

  • Effective use of the RRT in a clinical crisis
  • When to utilize the RRT
  • What team members are needed on RRT

Author

ROBIN GILBERT, MSN, RN, CEN, CPEN

Robin Gilbert has over 25 years' experience in emergency nursing. She is both a certified emergency nurse and certified pediatric emergency nurse. Robin has experience as an emergency department manager, manager of cardiac & pulmonary rehabilitation and, currently, as the regional manager for staff development at Central Maine Medical Center. She instructs the NCLEX review class for Kaplan and tutors nursing students online for a local college of nursing. Her experience also includes having been an item writer for the Board Certification of Emergency Nursing and a former Chairperson. In her current role, Robin is able to remain up to date in the trends and best practice standards for care in emergency nursing. Robin received her BSN from Curry College, Massachusetts and her MSN from Saint Joseph's College, Maine. Robin is an active member of the Emergency Nurses Association, the American Nurses Association, Society of Critical Care Medicine, and is a reviewer for the ANCC's Pathway to Excellence.

Speaker Disclosures

Financial: Robin Gilbert has an employment relationship with Central Maine Medical Center and Rumford Hospital. She receives a speaking honorarium from PESI, Inc.

Non-financial: Robin Gilbert has no relevant nonfinancial relationship to disclose.

RACHEL CARTWRIGHT-VANZANT, PHD, MS, RN, LHRM, LNCC, CCRN-K

Rachel Cartwright-Vanzant has worked as an inpatient clinical nurse specialist. As such, she has been integral to the most at-risk patients. She draws from over thirty years of clinical, educator and consulting roles for the assurance of quality of patient care and safety.

Rachel is licensed as a health care risk manager and provides expert witness testimony in civil court cases regarding patient care issues that come under legal scrutiny when standards of care are challenged. Rachel's seminars incorporate not only the best clinical practice standards but include real litigation examples.

Viewed by her colleagues as an extremely skilled speaker, she possesses the unique ability to transform challenging topics into engaging and practice-changing events. This expertise has been sought to educate healthcare professionals all across the country. Speaker Disclosures:

Financial: Rachel Cartwright-Vanzant is the Owner of Medical Legal Concepts, LLC. She is an Adjunct Instructor for the School of Nursing at Palm Beach State College. Ms. Cartwright-Vanzant receives a speaking honorarium from PESI, Inc.

Nonfinancial: Rachel Cartwright-Vanzant has no relevant nonfinancial relationship to disclose.
Continuing Education Credits Awarded for Completion of Entire Package
[+] [-] Combined Continuing Education Credit From All Components
Breakdown of Continuing Education Credits by Components
[+] [-] 076005 - Managing Patient Emergencies: Critical Care Skills Every Nurse Must Know
[+] [-] 077490 - Impending Doom:
Audience
Nurses, Physician Assistants, and other Mental Health Professionals