Full Course Description

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Emergency Nursing Boot Camp

OUTLINE – DAY ONE

Trauma’s Lethal Triad: Hypothermia, Acidosis & Coagulopathy Hypothermia

• Correct Classification of the Trauma Patient
• Contributing Risk Factors
• Volume Resuscitation
  • Why, When & How to Use IV Fluids

Acidosis

• What is Happening & Why?
• Panic Values & Lethal Levels
• Oxyhemoglobin Dissociation Curve
  • Left & Right Curves
  • Why it Matters

Coagulopathies

• Understanding a Very Complex Process
• Effect on Body Systems
• When it Goes Wrong
• DIC: Disseminated Intravascular Coagulopathy
  • Understanding the Lab Values
    • CBC, Platelets, PT, PTT, D-dimer, Fibrin
  • Hemorrhagic Shock
    • Permissive Hypotension
  • Damage Control Resuscitation

Putting it All Together

• Simple Steps that SAVE Lives
• Management & Treatment Options

Burn Trauma

• Critical Assessments during the Primary Survey
• Key Components of the Secondary Survey
• Fluid Resuscitation Formulas
• American Burn Association Evaluation Criteria
• Treatment Strategies for Chemical, Electrical & Thermal Burns
• ‘Never Miss’ Clues for Identifying Inhalation Injuries

The Septic Patient

• SIRS: Systemic Inflammatory Response Syndrome & SEPSIS
• Inflammatory Response: A Good Thing
• SIRS: Too Much of a Good Thing
• Sepsis & Severe Sepsis: Too Much of a Good Thing Comes to a Bad End
• Patient Presentations along the Continuum
  • Sepsis Surveillance
  • Emergent Interventions: Time is Tissue

OUTLINE – DAY TWO

Penetrating Chest Traumas

• FAST Evaluation & Ultrasound
• Pneumothorax
  • Variations & Identifying Symptoms
  • Emergency Interventions
• Flail Chest
  • Dos & Don’ts of Initial Management
  • Special Populations at Risk
• Cardiac Tamponade
  • Thoracotomy in the ED

Cardiovascular Emergencies

• Advanced Hemodynamics
  • SVR: Systemic Vascular Resistance
  • CVP Monitoring
• The Spectrum of Acute Coronary Syndrome
  • Key Assessments & Interventions for:
  • Unstable Angina
  • STEMI
  • Non-STEMI
• Recognizing Arrhythmias
  • Stable, Unstable and Lethal

Neuro Emergencies: Time is Brain

• Concepts of Volume & Pressure
• Rapid Neuro Assessment
• Critical Interventions for:
  • TBI
  • Spinal Cord Injuries
  • Diffuse Axonal Injury

Toxicology Challenges

• Identifying the Toxin
• Assessment of Intentional & Unintentional Overdose
• ABGs - a Critical Key
• Treatment Options: Removing & Reducing Causative Agent
• Symptom Management Strategies When There is No Curative Agent
• Toxicology Arrhythmias: Expected & Unexpected
• Today’s Street Drugs

Life-Threatening Electrolyte Imbalances

• Critical Clues for Quick Identification
• Panic Values
• Interventions that Improve Outcomes
• Potential Causes & Treatments

OBJECTIVES

1. Interpret patterns of ischemia, injury and infarction on a 12-lead EKG.
2. Discuss cardiac disorders which carry an increased risk for sudden death.
3. Describe the relationship between ventilation and perfusion.
4. Identify conditions which would require a chest tube.
5. Recognize assessment findings in clinical syndromes that may progress rapidly and cause life-threatening conditions.
6. Define the anatomy and physiology of the neurological system and how this manifests in physical symptoms.
7. Recognize life-threatening electrolyte imbalances, potential causes and remedies.
8. Interpret arterial blood gasses using a three-step method.
9. Compare and contrast the oxyhemoglobin dissociation curve to pulse oximetry readings, So2 and pO2 values.
10. Evaluate signs, symptoms and treatment modalities for four different classifications of shock.
11. Describe systemic inflammatory response syndrome and the spectrum of septic shock.
12. Correlate clinical presentations of patients during the continuum of SIRS to septic shock.
13. Discuss the coagulation cascade and laboratory values associated with disruption of normal function.

Program Information

Outline

OUTLINE – DAY ONE

Trauma’s Lethal Triad: Hypothermia, Acidosis & Coagulopathy Hypothermia

• Correct Classification of the Trauma Patient
• Contributing Risk Factors
• Volume Resuscitation
  • Why, When & How to Use IV Fluids

Acidosis

• What is Happening & Why?
• Panic Values & Lethal Levels
• Oxyhemoglobin Dissociation Curve
  • Left & Right Curves
  • Why it Matters

Coagulopathies

• Understanding a Very Complex Process
• Effect on Body Systems
• When it Goes Wrong
• DIC: Disseminated Intravascular Coagulopathy
  • Understanding the Lab Values
    • CBC, Platelets, PT, PTT, D-dimer, Fibrin
  • Hemorrhagic Shock
    • Permissive Hypotension
  • Damage Control Resuscitation

Putting it All Together

• Simple Steps that SAVE Lives
• Management & Treatment Options

Burn Trauma

• Critical Assessments during the Primary Survey
• Key Components of the Secondary Survey
• Fluid Resuscitation Formulas
• American Burn Association Evaluation Criteria
• Treatment Strategies for Chemical, Electrical & Thermal Burns
• ‘Never Miss’ Clues for Identifying Inhalation Injuries

The Septic Patient

• SIRS: Systemic Inflammatory Response Syndrome & SEPSIS
• Inflammatory Response: A Good Thing
• SIRS: Too Much of a Good Thing
• Sepsis & Severe Sepsis: Too Much of a Good Thing Comes to a Bad End
• Patient Presentations along the Continuum
  • Sepsis Surveillance
  • Emergent Interventions: Time is Tissue

OUTLINE – DAY TWO

Penetrating Chest Traumas

• FAST Evaluation & Ultrasound
• Pneumothorax
  • Variations & Identifying Symptoms
  • Emergency Interventions
• Flail Chest
  • Dos & Don’ts of Initial Management
  • Special Populations at Risk
• Cardiac Tamponade
  • Thoracotomy in the ED

Cardiovascular Emergencies

• Advanced Hemodynamics
  • SVR: Systemic Vascular Resistance
  • CVP Monitoring
• The Spectrum of Acute Coronary Syndrome
  • Key Assessments & Interventions for:
  • Unstable Angina
  • STEMI
  • Non-STEMI
• Recognizing Arrhythmias
  • Stable, Unstable and Lethal

Neuro Emergencies: Time is Brain

• Concepts of Volume & Pressure
• Rapid Neuro Assessment
• Critical Interventions for:
  • TBI
  • Spinal Cord Injuries
  • Diffuse Axonal Injury

Toxicology Challenges

• Identifying the Toxin
• Assessment of Intentional & Unintentional Overdose
• ABGs - a Critical Key
• Treatment Options: Removing & Reducing Causative Agent
• Symptom Management Strategies When There is No Curative Agent
• Toxicology Arrhythmias: Expected & Unexpected
• Today’s Street Drugs

Life-Threatening Electrolyte Imbalances

• Critical Clues for Quick Identification
• Panic Values
• Interventions that Improve Outcomes
• Potential Causes & Treatments

 

Objectives

1. Interpret patterns of ischemia, injury and infarction on a 12-lead EKG.
2. Discuss cardiac disorders which carry an increased risk for sudden death.
3. Describe the relationship between ventilation and perfusion.
4. Identify conditions which would require a chest tube.
5. Recognize assessment findings in clinical syndromes that may progress rapidly and cause life-threatening conditions.
6. Define the anatomy and physiology of the neurological system and how this manifests in physical symptoms.
7. Recognize life-threatening electrolyte imbalances, potential causes and remedies.
8. Interpret arterial blood gasses using a three-step method.
9. Compare and contrast the oxyhemoglobin dissociation curve to pulse oximetry readings, So2 and pO2 values.
10. Evaluate signs, symptoms and treatment modalities for four different classifications of shock.
11. Describe systemic inflammatory response syndrome and the spectrum of septic shock.
12. Correlate clinical presentations of patients during the continuum of SIRS to septic shock.
13. Discuss the coagulation cascade and laboratory values associated with disruption of normal function.

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Target Audience

Nurses.

Copyright : 05/15/2017

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Forensic Nursing

OUTLINE

Clinically Relevant Identification of Intentional vs. Unintentional Injuries

• Purpose of correct injury identification, terminology and charting
• Blunt and sharp force trauma
• Gunshot wounds
• Preserving evidence from trauma patients
• Documentation examples and assessment/ charting tools

Trending Issues in Child Abuse and Neglect

• Abusive head trauma
• The five cardinal rules of bruising
• Unexplained infant deaths, SIDS and infanticide
• Mechanisms of injury
• Ophthalmic, dermatological and skeletal findings
• Intervention and prevention strategies

Advanced Skills to Assess the Sexual Assault Patient

• Dynamics of sexual assault
• Case studies: Evidence collection and charting examples
• Strangulation: Biomechanics, physical signs and symptoms, documentation

Intimate Partner Violence (IPV): Recognition, Evidence-Based Practices and Case File Construction

• Populations affected by IPV: Adults, Elders,
• Teenagers, Pregnant Women
• Direct and indirect indicators of IPV
• One of the biggest issues in healthcare: The generational and societal cycle of violence
• Evidence-based tools for identification
• Developing a case file that is ready for litigation

Trending Risk Management Issues

• Malpractice insurance: Help or hindrance
• Mandated Reporting: Not optional and what you need to understand
• Healthcare serial killers: Everyone’s responsibility and liability
• Stalking: Personal and professional

Vicarious Traumatization (VT)

• Burn out, compassion fatigue, secondary traumatic stress, and post-traumatic stress disorder
• Factors associated with developing VT
• Evidence-based intervention and prevention strategies

OBJECTIVES

1. Differentiate between intentional and unintentional injuries and the best ways to document your findings.
2. Examine child abuse and maltreatment issues including abusive head trauma, unexplained infant death, SIDS and infanticide.
3. Recognize that the healthcare profession has produced more serial killers than any other profession and ways to protect patients, yourself and your institution.
4. Evaluate the correct (and incorrect) process of evidence collection.
5. Analyze factors associated with vicarious trauma and strategies to combat this in your own practice setting.
6. Apply important new ideas and concepts through unforgettable case studies.
7. Select an evidence-based intimate partner abuse screening tool that has application for your area of practice.

Program Information

Outline

Clinically Relevant Identification of Intentional vs. Unintentional Injuries

• Purpose of correct injury identification, terminology and charting
• Blunt and sharp force trauma
• Gunshot wounds
• Preserving evidence from trauma patients
• Documentation examples and assessment/ charting tools

Trending Issues in Child Abuse and Neglect

• Abusive head trauma
• The five cardinal rules of bruising
• Unexplained infant deaths, SIDS and infanticide
• Mechanisms of injury
• Ophthalmic, dermatological and skeletal findings
• Intervention and prevention strategies

Advanced Skills to Assess the Sexual Assault Patient

• Dynamics of sexual assault
• Case studies: Evidence collection and charting examples
• Strangulation: Biomechanics, physical signs and symptoms, documentation

Intimate Partner Violence (IPV): Recognition, Evidence-Based Practices and Case File Construction

• Populations affected by IPV: Adults, Elders,
• Teenagers, Pregnant Women
• Direct and indirect indicators of IPV
• One of the biggest issues in healthcare: The generational and societal cycle of violence
• Evidence-based tools for identification
• Developing a case file that is ready for litigation

Trending Risk Management Issues

• Malpractice insurance: Help or hindrance
• Mandated Reporting: Not optional and what you need to understand
• Healthcare serial killers: Everyone’s responsibility and liability
• Stalking: Personal and professional

Vicarious Traumatization (VT)

• Burn out, compassion fatigue, secondary traumatic stress, and post-traumatic stress disorder
• Factors associated with developing VT
• Evidence-based intervention and prevention strategies

 

 

Objectives

1. Differentiate between intentional and unintentional injuries and the best ways to document your findings.
2. Examine child abuse and maltreatment issues including abusive head trauma, unexplained infant death, SIDS and infanticide.
3. Recognize that the healthcare profession has produced more serial killers than any other profession and ways to protect patients, yourself and your institution.
4. Evaluate the correct (and incorrect) process of evidence collection.
5. Analyze factors associated with vicarious trauma and strategies to combat this in your own practice setting.
6. Apply important new ideas and concepts through unforgettable case studies.
7. Select an evidence-based intimate partner abuse screening tool that has application for your area of practice.

​

Target Audience

Nurses and other Healthcare Professionals

Copyright : 12/06/2016

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Substance Abuse Among Medical Patients

OUTLINE

Case Studies of Hidden Substance Use Disorders in Medical Patients: What Does it Look Like?

• In pregnant patients
• In general medical patients
• In surgical patients

Why is This Topic so Important? And so Challenging?

• Biostatistics
• Actual relevance in practice
• Morbidity and mortality - complications of substance use disorders

What Do These Substances Actually Do Within the Body?

• Pharmacokinetics and pharmacodynamics principles
• Reinforcement
• Tolerance and cross-tolerance
• Physical dependence
• Conditioning
• Sensitization
• Pregnancy-related complications

What Substances Are We Talking About?

• Alcohol
• Sedative/Hypnotics
• Opioids
• Stimulants
• Dissociatives
• Inhalants
• Cannabinoids
• Anabolic steroids
• Club drugs
• Nicotine

Street Drugs and Terminology

• Interpreting patient language
• What drugs are they talking about?

Neurobiology of Substance Abuse: You Mean it’s Not a Choice?

• Neurobiology and anatomy of the normal brain
• Substance abuse as a brain disease
• Genetic and environmental influences

Mental Illness and Substance Abuse “Dual Diagnosis”

• Co-occurring illnesses
• Traits and theories surrounding the two

Screening and Assessment Techniques

• Effective questionnaires to screen for substance use
• Techniques to promote open and honest communication from the patient
• Working with the pregnant patient who uses substances
• Assessing your own biases – and how to not let them interfere with your work

The Patient with an Underlying Substance Use Disorder: Withdrawal Symptoms & Emergency Treatments

• Anticipation/prevention of withdrawal symptoms
• Withdrawal protocols
• Medications to treat withdrawal symptoms
• Emergency treatments
• Treatment of the newborn following exposure to substances
• Safety for patients/family/staff
• Effective pain management
• Motivational interviewing - Assessing how to refer the patient following discharge from the hospital

OBJECTIVES

1. Evaluate the epidemiological trends of substance use disorders and how these disorders affect our medical patients.
2. Differentiate between the substances of abuse seen presently in practice to understand the pharmacology of these substances.
3. Recognize the terminology used to refer to street drugs today.
4. Explain the neurobiology of substance abuse.
5. Assess and screen for substance use disorders.
6. Formulate an appropriate treatment plan for patients with a history of substance use disorder, including managing pain effectively.
7. Analyze the relationship between various medical complications associated with substance use.
8. Manage your own identified biases when working with patients who have substance use disorders.

Program Information

Outline

Case Studies of Hidden Substance Use Disorders in Medical Patients: What Does it Look Like?

• In pregnant patients
• In general medical patients
• In surgical patients

Why is This Topic so Important? And so Challenging?

• Biostatistics
• Actual relevance in practice
• Morbidity and mortality - complications of substance use disorders

What Do These Substances Actually Do Within the Body?

• Pharmacokinetics and pharmacodynamics principles
• Reinforcement
• Tolerance and cross-tolerance
• Physical dependence
• Conditioning
• Sensitization
• Pregnancy-related complications

What Substances Are We Talking About?

• Alcohol
• Sedative/Hypnotics
• Opioids
• Stimulants
• Dissociatives
• Inhalants
• Cannabinoids
• Anabolic steroids
• Club drugs
• Nicotine

Street Drugs and Terminology

• Interpreting patient language
• What drugs are they talking about?

Neurobiology of Substance Abuse: You Mean it’s Not a Choice?

• Neurobiology and anatomy of the normal brain
• Substance abuse as a brain disease
• Genetic and environmental influences

Mental Illness and Substance Abuse “Dual Diagnosis”

• Co-occurring illnesses
• Traits and theories surrounding the two

Screening and Assessment Techniques

• Effective questionnaires to screen for substance use
• Techniques to promote open and honest communication from the patient
• Working with the pregnant patient who uses substances
• Assessing your own biases – and how to not let them interfere with your work

The Patient with an Underlying Substance Use Disorder: Withdrawal Symptoms & Emergency Treatments

• Anticipation/prevention of withdrawal symptoms
• Withdrawal protocols
• Medications to treat withdrawal symptoms
• Emergency treatments
• Treatment of the newborn following exposure to substances
• Safety for patients/family/staff
• Effective pain management
• Motivational interviewing - Assessing how to refer the patient following discharge from the hospital

 

 

Objectives

1. Evaluate the epidemiological trends of substance use disorders and how these disorders affect our medical patients.
2. Differentiate between the substances of abuse seen presently in practice to understand the pharmacology of these substances.
3. Distinguish the terminology used to refer to street drugs today.
4. Argue the neurobiology of substance abuse.
5. Assess and screen for substance use disorders.
6. Formulate an appropriate treatment plan for patients with a history of substance use disorder, including managing pain effectively.
7. Analyze the relationship between various medical complications associated with substance use.
8. Manage your own identified biases when working with patients who have substance use disorders.

Target Audience

Addiction Counselors, Case Managers, Counselors, Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Psychologists, Social Workers and other Healthcare Professionals

Copyright : 04/20/2016

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Program Information

Objectives

1. Evaluate the epidemiological trends of substance use disorders and how these disorders affect our medical patients.
2. Differentiate between the substances of abuse seen presently in practice to understand the pharmacology of these substances.
3. Distinguish the terminology used to refer to street drugs today.
4. Argue the neurobiology of substance abuse.
5. Assess and screen for substance use disorders.
6. Formulate an appropriate treatment plan for patients with a history of substance use disorder, including managing pain effectively.
7. Analyze the relationship between various medical complications associated with substance use.
8. Manage your own identified biases when working with patients who have substance use disorders.

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Program Information

Objectives

1. Evaluate the epidemiological trends of substance use disorders and how these disorders affect our medical patients.
2. Differentiate between the substances of abuse seen presently in practice to understand the pharmacology of these substances.
3. Distinguish the terminology used to refer to street drugs today.
4. Argue the neurobiology of substance abuse.
5. Assess and screen for substance use disorders.
6. Formulate an appropriate treatment plan for patients with a history of substance use disorder, including managing pain effectively.
7. Analyze the relationship between various medical complications associated with substance use.
8. Manage your own identified biases when working with patients who have substance use disorders.

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Program Information

Objectives

1. Evaluate the epidemiological trends of substance use disorders and how these disorders affect our medical patients.
2. Differentiate between the substances of abuse seen presently in practice to understand the pharmacology of these substances.
3. Distinguish the terminology used to refer to street drugs today.
4. Argue the neurobiology of substance abuse.
5. Assess and screen for substance use disorders.
6. Formulate an appropriate treatment plan for patients with a history of substance use disorder, including managing pain effectively.
7. Analyze the relationship between various medical complications associated with substance use.
8. Manage your own identified biases when working with patients who have substance use disorders.

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