Full Course Description

Managing Patient Emergencies

Program Information

Target Audience

Nurses, and other Healthcare Professionals

Objectives

Distinguish two types of rapid assessment techniques and how to employ them for the best results during a patient emergency.
Evaluate techniques for getting critical information during a rapid patient assessment.
Investigate EARLY assessment findings in clinical syndromes that may progress rapidly and cause life-threatening conditions.
Prioritize nursing actions for specific neurological, cardiac, respiratory and endocrine emergencies.
Assess care of the diabetic patient in diabetic ketoacidosis.
Determine patient populations who are at high-risk for bedside emergencies.
Propose how to integrate assessment data and critical lab findings into the plan of care for a patient experiencing a life-threatening emergency.

Outline

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

Copyright : 10/19/2017

Impending Doom: Crisis Prevention and Management in the Deteriorating Patient

Program Information

Outline

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

Objectives

Recognize and distinguish the early clinical signs and symptoms of impending doom.
Assess the deteriorating patient using rapid and focused strategies.
Explain the unique and time-sensitive needs for patients experiencing cardiac, pulmonary, infectious, diabetic and shock clinical crisis.
Evaluate optimal use of rapid response teams.
Differentiate between the diagnostic tests used in the deteriorating patient.
Apply current treatments for patients in clinical crisis using case studies.

Target Audience

Nurses, Physician Assistants, and other Mental Health Professionals