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1. Evaluate the unprecedented organizational responses to COVID-19 challenges.
2. Appraise clinical staff preparedness after working in a respiratory pandemic environment.
3. Propose why prone positioning benefits respiratory complications associated with COVID-19.
4. Plan to use appropriate modes of ventilator support, invasive and non-invasive, for patients with respiratory failure secondary to COVID-19 infection.
5. Distinguish the cardiopulmonary interactions underlying the risks, benefits, and applications of ventilator support for respiratory failure secondary to COVID-19 infection.
6. Construct policy changes for cardiac arrest response.
7. Evaluate the factors of intravascular coagulation contributing to mortality in COVID-19 patients.
8. Determine best practices in providing quality and safe nursing care for critically ill patients.
9. Assess how diagnoses may mimic COVID-19.
10. Distinguish clinical manifestations of COVID-19 disease in multiple organ systems.
11. Assess long-term effects of COVID-19 which occur after the acute phase
12. Appraise how the lessons learned from the first phase of COVID-19 influenced current assessment & treatment.
13. Differentiate medication uses specifically for COVID-19 patients.
14. Determine myths vs. medications which have been proven effective in COVID-19 treatment.

Day 1
Session 1: COVID-19 & The Practice Impact

• Responding to a rapid response or code blue: Then & now
• PPE changes: Surgical masks, N95, PAPR, goggles, face shields
• Surge in demand for critical care nurses: Education needed for deploying nurses
• Hidden challenges

Session 2: Hypoxia, ARDS, and other Respiratory Complications

• Respiratory strategies
  • High flow nasal cannula
  • NPPV
  • Mechanical ventilation
  • ECMO
• Acute respiratory failure
• Asthma
• Pneumothorax, pneumomediastinum, pneumopericardium
• COPD
• ARDS
• Pulmonary embolism
• Prone positioning
• Pharmacological challenges

Session 3: Cardiovascular Considerations

• Hemodynamics
• Rhythm recognition
• Arrhythmia and conduction disease with COVID-19
• Pericarditis
• Endocarditis
• Myocarditis
• Atrial fibrillation
• Heart failure
• Cardiac tamponade
• Cardiogenic shock and ventricular septal rupture

Day 2
Session 1: Neurological: Cerebrovascular Complications & Coagulopathies

• ICP
• Stroke
• Seizures
• Pathophysiology of arterial & venous thrombosis in COVID-19
• Coagulopathies & guidelines on anticoagulation
• Monitoring the brain from the bedside

Session 2: COVID-19 & the Collision with other Diagnoses

• Diabetes
• End stage kidney disease
• GI disease
• Labor, delivery, post-partem

Session 3: Post COVID Syndrome Concerns

• Fever, anorexia, myalgia, headache
• Rash, sore throat, face pain
• Loss of smell and taste
• Peritonsillar abscess
• Risk of rehospitalization
• Long term sequalae of severe COVID-19 infection

Session 4: Pharmacologic Therapy in Critical Care

• Vasopressors & inotropes
• Proton pump inhibitors
• Anticoagulants
• Sedation & intubation medications
• Nebulized medications in COVID-19
• COVID-19 medications/vaccines

Robin Gilbert, MSN, RN, CEN, CPEN, 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 Main 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 employment relationships with EBSCO, Central Maine Medical Center, Rumford Hospital, Pathway to Excellence, and Kaplan University. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Robin Gilbert is a member of the Society of Critical Care Medicine, the American Association of Cardiovascular and Pulmonary Rehabilitation, and the Emergency Nurses Association.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $29.99 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, and Clinical Nurse Specialists - Credit Available Until: 8/25/2024
PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 14.5 contact hours. Expires: 8/25/2024.

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 14.6 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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Pharmacology Nurse Practitioners
This self-study program offers 150 instructional minutes of pharmacology content which is designed to qualify for 2.5 contact hours toward your pharmacology requirement.

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Physician Assistants - Credit Available Until: 8/25/2024
AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 14.5 hours for completing this self-study program.

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 14.5 AMA PRA Category 1 Credit(s)™.

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Physicians
PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

PESI, Inc. designates this enduring material for a maximum of 14.5 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 08/25/2021. It was last reviewed on 05/31/2021 and is valid until 05/31/2024. Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.

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Other Professions
This self-study activity qualifies for 14.5 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
• Physician Assistants
• Respiratory Therapists
• Physicians