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1. Identify 5 essential components of a "down and dirty" assessment in your patient when they have a sudden decomposition in health status.
2. State 3 rapid interventions that can stabilize a patient who is symptomatic with a low blood pressure.
3. Recognize the most common causes of arterial blood gas abnormalities.
4. Assess the 3 most common dysrhythmias using rhythm strip interpretation.
5. Evaluate the risk of re-expansion pulmonary edema in the patient with a chest tube for pleural effusion.
6. Review the correct technique for opening an occluded central line lumen.
7. Summarize the difference between failure to capture and failure to sense in a pacemaker and how each is resolved.
8. Recognize the three biggest concerns patients recognize at end of life.
9. Discuss the difference between preload, contractility and afterload as components impacting cardiac output.
10. Identify correct locations for measuring CVP, Arterial Line and Wedge waveforms.
11. Differentiate between hypotonic, isotonic and hypertonic IV fluids and when each is considered most effective.
12. Recognize the blood product of choice for Disseminated Intravascular Coagulopathy.
13. Contrast the difference between hypovolemic shock, septic shock and cardiovascular shock in both assessment and treatment priorities.
14. Prioritize ways to increase the ventilator patient's oxygenation status.
15. Compare and contrast CPAP and BiPAP, as well as their target populations.
16. Compare the differences between a STEMI and NSTEMI.

DAY 1

• Identification & Management of Crisis
  • Master "Down & Dirty" Assessment Skills
  • Impending Doom: Recognizing the "Red Flags"
  • Rapid Stabilizing Interventions
  • Managing the Decompensating Patient
• Easy Steps to ABG Analysis
  • Understanding Acid-Base Imbalance
  • Lab Results: Identify the 4 Abnormal Findings
  • A Simple Tool to Change Your Practice
• The 5 Steps to Rhythm Strip Interpretation
  • Systematically Review Rhythm
  • Identifying Critical Changes
  • Effective Management of:
    • Atrial Fibrillation
    • Atrial Flutter
    • PSVT
    • V-Tach
    • V-Fib
• Managing Chest Drainage
  • Indications for Chest Tubes
  • Circumventing Re-expansion Pulmonary Edema
  • Avoiding Common Complications
• Master Central Line Care
  • Common Complications & Solutions
  • When to Use Which Port & Why
  • Is a "Cell-Saver" an Option for your Patient?
  • The Challenges of CVP Monitoring
• Pacemakers & AICDs
  • Indications for Pacemakers
  • Understanding Pacemaker Codes
  • Types of Pacemakers
  • Device Management
  • Practical Solutions to Common Problems
• End-of-Life Care in the ICU
  • Practical Tips to Help Your Patients & Families
  • Your Role as the Patient Advocate
  • Tips for Addressing Difficult Conversations

DAY 2

• Respiratory Emergencies: Understanding Hemodynamics Today
  • Cardiac Output = Heart Rate x Stroke Volume
  • A Simple Analogy Guaranteed to Help You “Get It”
  • Preload, Afterload and Contractility
  • Manipulating the Math Equation to Stabilize
• The ICU Trio in Crisis!
  • IV Fluids - The Right One for the Situation
  • 5 pressor Agents - Their Action & Use
  • Blood Products! FFP, Platelets, PRBCs & Cryoprecipitate
• Demystify Hemodynamic Waveforms
  • Correct Measurement
  • Assessment Clues to Instability
  • Central Venous Pressures
  • Arterial Lines
  • Swan Ganz Catheters
• Mechanical Ventilation for Nurses
  • Managing the Patient on a Ventilator
  • Avoiding Ventilator Acquired Pneumonia
  • Using CPAP or BiPAP
• Manage Shock
  • Assessment and Management of:
    • Cardiogenic Shock
    • Septic Shock
    • Hypovolemic Shock
• Manage the Neuro Patient
  • Using an Easy "5-point Neuro Check"
  • Stroke and Stabilization
  • Ischemic
  • Hemorrhagic
  • Delirium
  • How to Assess & When to Intervene
• Life-threatening EKG Changes
  • Clues from the 12-Lead
  • Spectrum of Coronary Artery Ischemia
  • 5-step Method for Identifying Ischemia & Injury
  • STEMI and NSTEMI - What's the difference?
  • Location, Location, Location

Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric), is a humanitarian/flight nurse-paramedic who is triple board-certified in neonatal, pediatric, and adult critical care and emergency medicine. He brings 30+ years of education and team/leadership experience to his presentations from a career that includes global health, tropical medicine, research molecular neuroendocrinology, nuclear engineering technology, US Navy aviation/NASA manned space flight support, and high-performance teams/high yield pedagogy, dozens of national/international conference presentations and various awards and honors. Author/co-author/review credits include a best-selling laboratory medicine textbook, a chapter on shock in Nursing Core Curriculum a section in the newly released Resuscitation Crisis Manual, numerous other industry standard textbooks, and several professional association critical care/emergency medicine curriculums and board certification review courses (AACN, ANN, ENA, SCCM, etc.). Additionally, Sean routinely consults on clinical, legal, and certification matters for numerous high-profile hospital systems (Yale, Mayo, etc.). He holds a MSc in Pharmacy/Forensic Science, bachelor’s degrees in business administration, nursing, and molecular biology, and post graduate certificates in Forensic Death Investigation, Legal Consulting, and Tropical Medicine. In addition to being active in a number of professional associations (SCCM, AACN, WADEM, etc.), Sean is a life member of Mensa, The Emergency Nurses Association, and the Air Surface Transport Nurses Association. He has served on the executive committees and in various leadership roles of numerous charities and professional associations and has led/participated in 50+ medical missions (Dominican Republic, Honduras, Morocco, Liberia, Nepal, Iraq, Democratic Republic of Congo, and Haiti). Sean served as a clinician and educator during the largest Ebola and Cholera outbreaks in recent history and is currently active building sustainable neonatal-pediatric cardiac critical care capacity in Iraq, as well as serving as part of a national level multidisciplinary child sexual assault forensics team in Guyana, South America. Hobbies include Scuba diving and vintage science kits, tube amplifiers and motorcycles. Speaker Disclosures:
Financial: Sean Smith is an independent contractor. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Sean Smith is a member of the American Association of Critical Care Nurses.

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: 12/4/2021
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, Nurse Practitioners, Clinical Nurse Specialists