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1. Incorporate the Synergy Model as it pertains to patients and their families, as well as patient care plans in Progressive Care. 
2. Integrate cardiac, pulmonary, neurologic, renal, hematologic, immunologic, endocrine, multi-system and gastrointestinal assessments including an understanding of the correlating physiology and pathophysiology.
3. Choose the correct drug dosage calculation, continuous medication infusion administration and patient monitoring for medication effects.
4. Select appropriate patient monitoring equipment using standardized procedures.
5. Assess signs and symptoms of cardiopulmonary emergencies and initiation of standardized
6. Categorize the necessary interventions to stabilize a patient awaiting transfer to critical care.
7. Anticipate the needs of the long-term mechanical ventilated patient as well as weaning techniques and procedures.
8. Evaluate the family's need for enhanced involvement in care to facilitate the transition from hospital to home.
9. Utilize the educational components necessary to help patient succeed related to diet, exercise, and medications.
10. Determine the signs and symptoms of life threatening electrolyte abnormalities and rapid interventions.
11. Analyze the interpretation of commonly ordered labs.
12. Specify legal and ethical implications of professional nursing issues and concerns.
13. Apply treatment modalities and nursing interventions to include outcomes and evaluation criteria of common disorders of each body system.

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

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

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

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

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

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

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

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

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

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

• Application process
• Test blueprint review

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.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 12/5/2021
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 14.5 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 14.5 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 14.8 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 14.75 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