Perianesthesia Challenges

Target Audience

Nurses, Nursing Home Administrators, and other Healthcare Professionals.

Objectives

Exploit the “whys” and “hows” of specialty certification.
Investigate the pharmacology and physiology of frequently-used induction, inhalation, neuromuscular blocking and reversal agents used in the perianesthesia setting.
Communicate appropriate management strategies for acute pain in the postoperative setting.
Determine interventions for postop complications, Local Anesthetic Systemic Toxicity (LAST), and Malignant Hyperthermia (MH)
Analyze malpractice concerns, ASPAN standards, and effective documentation as driving forces in appropriate patient care.
Explore the effectiveness of a team-centered approach on perianesthesia practice and values.

Outline

ANESTHESIA AGENTS & ADJUNCTSUNDERSTANDING THE PLAN!

Ever wondered why one anesthetic is chosen over another? What about that COPD patient or that patient with liver problems? Answers to these and other challenging anesthesia situations will be discussed
- Anesthetics: General, regional, moderate sedation, benzodiazepines, opioids
- Waste gas concerns
- Specific patient challenges

COMPLICATIONS

Have you witnessed or taken care of MH? Do you think it no longer exists or isn’t a medical emergency? Think again!
- Malignant Hyperthermia (MH) pathophysiology
- Signs and symptoms – Immediate recognition!
Do you have lipid infusions immediately available when performing local anesthesia? Why?
- LAST (Local Anesthetic Systemic Toxicity) pathophysiology
- Signs and symptoms – Know the earliest!
- Learn “why” lipids and hear relevant real life case scenarios!
Other pertinent post-op complications
- Hemodynamic, cardiac, pulmonary, respiratory

NURSING MALPRACTICE

You are being named in a medical malpractice case! What now?
- How do you prevent this from happening? What you should and shouldn’t do!
- Legalities, negligence, and torts
- Documentation – Hear from an expert witness/legal reviewer how your documentation will be viewed and how to improve it!
- ASPAN standards

PAIN ADMINISTRATION

TEAMWORK

Why do some departments sail through the changes in health care without problems?
- Why do some nurses tell you they LOVE to go to work and others are struggling daily?
- Learn through hands-on applications and role playing from a leader in the field of “building teams”
- Put your hospital at the TOP of the HCAHPS!
- CASE STUDIES AND SCENARIOS!

Copyright : 04/04/2017

Post-Op Emergencies

Target Audience

Nurses, Physical Therapists, Physician Assistants, and other Healthcare Professionals

Objectives

Develop response plans for the most likely respiratory and cardiovascular emergencies to occur post-operatively.
Communicate the regulatory issues and standards driving changes in post-anesthesia practice today.
Assess strategies to identify concerns early on in the patient following surgery.
Evaluate the key elements involved in related malpractice cases.
Appraise how the medications used during surgical cases can present challenges afterwards when the patients admit to the floor.
Formulate effective documentation samples for emergent post-op patient cases.
Analyze why certain populations pose unique challenges post-operatively to be able to anticipate needs.
Plan for emergent interventions for patients with known or unknown sleep apnea.

Outline

Critical Elements in Perianesthesia Care

Co-existing disease process and anesthesia
Levels of sedation and advantages/ disadvantages (conscious sedation, MAC, general)
Intubation techniques and equipment (standard versus emergency)
Differentiating spinal and epidural blocks
- Safe management of catheters
- Emergency identification and management of complications
- Regional nerve blocks (Neck, upper and lower extremity, eyes)
Identifying potential emergencies and complications resulting from regional blocks
- Horners syndrome
- Pneumothorax, vertebral artery injection
- Hematoma and intravascular injection

Anesthetic Medication Complications

Post-operative Complications with Clinical Application (Real Life Case Studies)

Modulation of pain
- Pharmacologic and non-pharmacologic methods to employ
- Physiologic complications from pain
Local Anesthetic Systemic Toxicity (LAST)
- Signs and symptoms (early and late)
- Treatment algorithm
- Post-op Nausea and Vomiting (PONV):
- Risk factors, medication management, prophylaxis, rescue therapy
- Hypothermia: Heat loss physics, delayed awakening, warming interventions
- Perform a focused yet thorough physical assessment (systems review)

Respiratory Emergent Complications (Real Life Case Studies)

Obstructive Sleep Apnea Airway Emergent Complications (Real Life Case Studies)

Cardiovascular Emergent Complications (Real Life Case Studies)

Neuropsychiatric Emergent Complications (Real Life Case Studies)

Post-operative Urinary Retention Concerns

High Risk Populations: Tips to Reduce Potential Complications