Full Course Description
Rapid Response Certificate Course: Conquer the Crashing Patient
- Differentiate current challenges relative to your specific practice environment and patient populations.
- Develop a proactive plan to respond to your deteriorating patient.
- Utilize the mental strategies necessary for success, self-care, and process improvement when dealing with critically ill patients.
- Integrate a comprehensive review of systems, with subtle but key red flag clinical assessment findings.
- Incorporate a graduate level understanding of pharmacology into your current clinical practice with respect to the pre-, peri-, and post-arrest management of the medically fragile patient.
- Apply advanced laboratory medicine concepts into your current clinical practice with respect to the “at risk” patient.
- Distinguish the subtle signs from the “perfect storm” patient.
- Choose the best interventions for stabilization of the deteriorating patient.
- Determine the key interventions to stabilize the successfully resuscitated patient prior to or post transfer.
- Analyze the latest clinical practice guidelines for common pathologies and comorbidities.
- Evaluate landmark case studies to identify key failures in recognition and rescue of the crashing patient.
- Assess legal documentation strategies to protect yourself and your practice.
Proactive Planning: Begin with the End in Mind
- Pre-Planning for the worst at every patient encounter
- Mental strategies for success
- Failure to rescue and how to avoid it
- Proactive risk assessment of practice environment/patient populations
- Clear coherent communication of high-risk information
- Concise comprehensive management of the crashing patient: Before, during and after the code
Advanced Assessment: Next Level Connection of Form and Function
- Review of Major Systems (Neurologic, Cardiovascular, Pulmonary, Multisystem)
- Integrated advanced laboratory medicine/Clinical implications
- Differential diagnosis/ Consults/Follow up studies
Pathology: Priority Problems, Rapid Recognition and Rescue
- For each of the 25+ pathologies below, the following will be discussed:
- Presentation: Rapid review of form and function
- Pathophysiology: Complications/Comorbidities
- Projected clinical course: Where are we going with this?
- Palliation and pharmacology: Cutting-edge practice guidelines
- Neuromuscular Disorders, Meningitis, Toxicology (Overdose), Traumatic Brain Injury/Concussion, Stroke/TIA, Dementia/Delirium, Agitated/Combative Patients
- Dysrhythmias, Acute Coronary Syndrome, CHF, Heart Failure, Cardiomyopathies
- Endocarditis, Pericarditis, Peripheral Vascular Disease
- Asthma/Upper Respiratory, Anaphylaxis, Aspiration/Dysphagia, COPD, Pneumonia
Metabolic/Endocrine Complex Comorbidities and Emergencies
- Chronic/Acute Kidney Disease, Renal Calculi, Hypertension, Diabetes
- Cholecystitis, Pancreatitis, Cirrhosis, Hepatitis, Infection (UTI, STI, etc.)
- Screening for: Abuse, Neglect, Depression/Suicidal Ideation
Shock States, Sepsis, and Trauma
- Hypovolemic, Distributive, Obstructive
- Multisystem Management of the Poly-trauma Patient
Legal Lessons: Protect Your Practice… Tips, Tricks, Pearls, and Pitfalls
- Professional issues/Potential pitfalls (Delegation, Scope, EMTALA, etc)
- Rapid risk assessment and analysis
- Limit liability
- Defensible documentation
Putting It All Together: CaseBased Review
Identify Key Missed Moments, Lessons Learned and Best Practices
Managing Patient Emergencies: Critical Care Skills Every Nurse Must Know
- 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.
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
- 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
- Autonomic Dysreflexia
- Simulation Lab Review
- Interpreting the Patient’s Presentation
Fluid Imbalance/Circulatory Emergencies
- 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