Full Course Description

2-Day Managing Patient Emergencies: Critical Care Skills Every Nurse Must Know

Program Information

Objectives

  1. Develop two types of rapid assessment techniques and how to employ them for the best results during a patient emergency.
  2. Evaluate techniques for getting critical information during a rapid patient assessment.
  3. Investigate EARLY assessment findings in clinical syndromes that may progress rapidly and cause life-threatening conditions.
  4. Prioritize nursing actions for specific neurological, cardiac, respiratory and endocrine emergencies.
  5. Assess care of the diabetic patient in diabetic ketoacidosis versus HHNK/HHS.
  6. Analyze heart failure with regards to left- and right-sided failure.
  7. Determine patient populations who are at high-risk for bedside emergencies.
  8. Devise how to integrate assessment data and critical lab findings into the plan of care for a patient experiencing a life-threatening emergency.
  9. Design a strategic approach in evaluating abdominal pain for the most accurate assessment.
  10. Contrast the difference between ischemic and hemorrhagic stroke in both symptoms and treatment priorities.
  11. Determine the most common causes of arterial blood gas abnormalities.
  12. Analyze pain management and sedation options for the patient experiencing an acute illness. 

Outline

Day One

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
  • Differential Diagnosis – 4 Methods of Determining Cause
  • Rapid Assessment Techniques
  • Critical Questions to Ask Your Patient
  • Identifying High-Risk Populations
  • Pre-Morbid Conditions
  • Age Considerations

Cardiovascular Prevention, Presentation, Action for: “I’m having chest pain”

  • Recognizing Arrhythmias - Stable, Unstable and Lethal
  • 12-Lead EKG: Just the Down and Dirty
  • Utilizing a Systematic Approach
  • Patterns of Ischemia, Injury & Infarct
  • Acute Myocardial Infarction: STEMI/NSTEMI
  • Key Assessments & Interventions tPA Guidelines
  • Cath Lab Intervention
  • Laboratory Parameters
  • Recognizing Subtle Changes
  • Heart Failure
  • Recent Advances in Care
  • Medication Management
  • Managing Intake and Output Vascular Abnormalities

Respiratory Prevention, Presentation, Action for: “I can’t breathe”

  • Assessment & Critical Interventions for:
    • Pulmonary Embolism
    • Pulmonary Edema
    • Acute Asthma Attack
    • Spontaneous Pneumothorax
    • Allergic Reactions
    • The Patient Who Needs Assistance O2, CPAP, BiPAP
    • Indications for Intubation
    • Positive Pressure Ventilation
    • Chest Tube Management
    • Ventilator Settings Every Nurse Must Know
    • Easy ABG Analysis… Really!

Endocrine Prevention, Presentation, Action for: “I don’t feel right”

  • The Differences of DKA and HHNK
  • Early Recognition of Hypoglycemia
  • Thyroid Storm: Physical and Psychiatric Symptoms
  • Managing Adrenal Crisis
  • Critical Lab Findings

Day Two

Gastrointestinal Prevention, Presentation, Action for: “My aching belly”

  • Warning Signs of Acute Pancreatitis
  • Upper vs. Lower GI Bleeding
  • Perforated Bowel
  • Early Signs of Small Bowel Obstruction – Illeus
  • Interpreting the Lab Tests

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
  • Essential Assessments post-tPA
  • Management Strategies for Seizures
  • The Patient in Withdrawal
  • Known vs. Suspected ETOH/Drug Abuse
  • Interventions for Delirium Tremors
  • Critical Labs

Renal Prevention, Presentation and Action for: “I can’t make urine”

  • Acute vs. Chronic Kidney Disease
  • Recognizing Acute Kidney Injury
  • Key Assessments
  • Interpreting the Lab Data

Pain, Agitation & Delirium

  • Analgesics: Too Much or Too Little
  • Managing the Bedside Procedure
  • Type of Sedating Medications
  • Ensuring Appropriate Monitoring
  • Delirium: So Many Causes, So Many Options…
  • Key Assessments & Interventions

Managing the Decompensating Patient No Pulse, No Blood Pressure, No Respirations... Now What?

  • Identifying Cardiac Causes
  • Street Drugs & Poisoning
  • Critical Assessments & Interventions
  • MUST KNOW Reversal Agents

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists

Copyright : 09/18/2019

Drug Use and Abuse: Management of the Patient Taking Street Drugs

Dangerous drugs have flooded the streets - someone's first use may be their last. The life destroying consequences of drug use and abuse do not discriminate and you MUST be prepared to recognize the symptoms and react appropriately to save your patient's life. In this program you will learn the current, most common drugs of abuse, the immediate interventions and be prepared to effectively manage the next patient emergency.

Program Information

Objectives

  1. Assess ABCDE for the patient presenting after taking street drugs.
  2. Prioritize interventions for the patient with tachycardia related to ingestion of methamphetamine.
  3. Choose the appropriate toxicology screening method based on the suspected drug of abuse.

Outline

Poisoning and Street Drugs

  • Assessment
  • Initial Treatment
  • Patient Presentation Clues
  • Toxicology Screens
Current Drug Concerns & Manifestations
  • Bath Salts
  • CNS Depressants
  • Cocaine
  • GHB
  • Marijuana
  • Methamphetamine
  • Heroin
  • Opioids
  • MDMA
  • PCP
  • Rohypnol

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists

Copyright : 03/21/2018