Full Course Description
Endocrine Emergencies
Endocrine emergencies are often potentially life threatening and pose unique challenges for healthcare professionals. The timely assessment, diagnosis and administration of therapeutic interventions for endocrine disorders can improve the outcome of critically ill patients. Careful patient evaluation of assessment findings is upmost important as well as aggressive management of endocrine emergencies. This session will cover SIADH, DI, DKA, HHS, myxedema coma, thyroid storm, and adrenal crisis.
Program Information
Objectives
- Discuss the pathophysiology of specific thyroid, pancreatic and adrenal disorders such as thyroid storm, myxedema coma, diabetes insipidus, syndrome of inappropriate ADH, DKA, HHS and adrenal crisis.
- Describe the assessment findings for thyroid storm, myxedema coma, diabetes insipidus, syndrome of inappropriate ADH, DKA, HHS and adrenal crisis.
- Delineate nursing interventions for patients with thyroid storm, myxedema coma, diabetes insipidus, syndrome of inappropriate ADH, DKA, HHS and adrenal crisis.
- List the treatment modalities for patients with thyroid storm, myxedema coma, diabetes insipidus, syndrome of inappropriate ADH, DKA, HHS and adrenal crisis.
Outline
- Disorders of the Pituitary Gland
- SIADH – Patients at risk; assessment findings; diagnostic lab work; nursing interventions; treatment modalities
- Diabetes Insipidus - Patients at risk; assessment findings; diagnostic lab work; nursing interventions; treatment modalities
- Disorders of the Thyroid Gland
- Myxedema Coma - Patients at risk; assessment findings; diagnostic lab work; nursing interventions; treatment modalities
- Thyroid Storm - Patients at risk; assessment findings; diagnostic lab work; nursing interventions; treatment modalities
- Disorders of the Adrenal Glands
- Adrenal Crisis - Patients at risk; assessment findings; diagnostic lab work; nursing interventions; treatment modalities
- Disorders of the Pancreas
- Diabetic Ketoacidosis (DKA) - Patients at risk; assessment findings; diagnostic lab work; nursing interventions; treatment modalities
- Hyperglycemic Hyperosmolar Non-ketotic Coma (HHNK/HHS) - Patients at risk; assessment findings; diagnostic lab work; nursing interventions; treatment modalities
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
11/09/2022
Emerging and Current Infectious Diseases in the Critical Care Setting: SARs-CoV/COVID-19, Monkey Pox, Hepatitis, Tuberculosis & Influenza
Since the beginning of the 21st century, we have seen novel infectious diseases and infectious diseases not endemic to the US manifest themselves in an explosive way. The daily news programs and the internet are providing sometimes overwhelming information that is often inadequate in scope.
In this session, Paul Langlois, APN, PhD, CCRN, CCNS, will provide the latest guidelines and recommendations from the Centers for Disease Control (CDC) and Infectious Disease Society of America (IDSA) on current infectious diseases affecting our patients: SARS-CoV2/COVID-19; Monkey pox; hepatitis-A, -B and –C; tuberculosis and Influenza. In addition to history and physical assessment findings, Paul will also highlight recognition methods, FDA-approved and investigational medications and, where indicated, vaccines. Case studies will solidify learning objectives.
Program Information
Objectives
- Differentiate the medications which are used to manage the patient with COVID-19.
- Analyze the current methods to detect and treat monkeypox from other viruses of the genus orthopoxvirus.
- Create a medication regimen for a tuberculosis patient, both newly diagnosed and with drug-resistant tuberculosis.
- Distinguish Hepatitis A, B and C based upon their recognition and treatment.
- Formulate a differential diagnosis for a patient with suspected influenza.
Outline
SARS-CoV2/COVID-19 Updates
- Pathophysiology of SARS-CoV2/COVID-19
- Why so many variants?
- Laboratory parameters for SARS-CoV2
- Effectiveness of all the COVID-19 vaccines
- Antiviral medications: FDA approved vs. those in clinical trials
- Long-COVID-19 signs and symptoms
Monkeypox
- Where did it originate?
- Diagnostics
- Prevalence in the USA
- Infection control measures
- Medications: FDA approved and investigational
- Vaccine priorities
Hepatitis A, B and C
- Prevalence is rising in the USA
- Patient history and presenting signs and symptoms
- Diagnostic tests
- Treatments and vaccines
Tuberculosis (TB): Still prevalent and highly contagious
- What is Mycobacterium tuberculosis and how is it detected?
- Newly diagnosed- and multi-drug resistant-TB in these geographic areas
- First line medications for drug susceptible TB (doses, how often and how long to take)
- Multi-drug resistant TB treatments
Influenza
- Differentiating influenza from other conditions
- Prophylactic medications
- Antiviral treatments
- Why do we need an annual influenza vaccine?
- Combination COVID and influenza vaccine
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
11/08/2022
The ICU Trio in Crisis! Fluids, Pressors/Inotropes, and Blood Products
Fluids, Pressors, Inotropes, First Principle Physiology, Pharmacology, Blood Products, and More, Oh My! Conquer The Crashing Patient by learning what to give when and most importantly, WHY! Join Sean G. Smith in an engaging and clinically relevant case-based discussion of Fluids, Pressors, Inotropes, Blood Products, and tailoring your treatments to not just achieve symptomatic management, but to truly address the Underlying Pathophysiologies, and restore your patients to homeostasis! Don’t Memorize It… MASTER IT!
Program Information
Objectives
- Differentiate clinical indications for various IV fluids, when each is considered most effective, and possible pitfalls relative to presenting pathology and projected clinical course.
- Describe how pressors work and how and when to use them in critical care.
- Describe how inotropes work and how to use them in conjunction with pressors to optimize cardiac output and cerebral perfusion pressure in various shock states.
- Differentiate between blood products in terms of contents, clinical indications and monitoring parameters.
Outline
- IV Fluids - The Right One for the Situation- There are NO “one size fits all” “cookie cutter” solutions! IV fluids are medications and like ALL medications, we need to make sure we are tailoring treatments to the patient’s unique individual needs! Learn HOW to choose WHAT to give, WHEN, and WHY.
- Pressors and Inotropes - Their Action & Use- Master the Molecular Biology behind the pharmacology of optimizing cardiac output and cerebral perfusion. Learn First Principles and let them guide you. Once you have mastered the physiology, treating the PATHO-physiology becomes intuitive!
- Blood Products! FFP, Cryoprecipitate, Clotting Factor Concentrates, Platelets, and PRBCs. Learn the contents of various blood products, clinical indications, pearls, and pitfalls, as well as sequelae such as transfusion reactions, TACO, and TRALI.
Target Audience
- Nurses
- Nurse Practitioners
- Physician Assistants
Copyright :
08/24/2022
Atrial Fibrillation and Cardiovascular Implantable Electronic Devices: Latest Research, Treatments & Conundrums
Atrial fibrillation is the most common type of cardiac arrhythmia and the leading cardiac cause of stroke and often we see these unstable patients in a critical care setting. Various treatments for atrial fibrillation include anticoagulation, rate control medication, rhythm control medication, cardioversion, ablation, and other interventional cardiac procedures. This session describes the evaluation, diagnosis, and management of atrial fibrillation and highlights the new treatment directions. Several devices for stabilizing cardiac rhythms will be discussed as well as an overview of the patient who presents with ICD shock.
Program Information
Objectives
- Summarize arrythmia management options for atrial fibrillation.
- Discuss nursing interventions for atrial fibrillation.
- Review emerging/new device technology.
- Learn about care of the patient who presents with ICD shock.
Outline
- Management of atrial fibrillation
- Rhythm control vs rate control
- Stroke prevention (DOAC, warfarin & left atrial appendage closure device)
- Risk for tachyarrhythmia induced heart failure
- Pharmacological treatment
- Non-pharmacological treatment
- Trials
- Guidelines
- Patient education
- Convergent procedure overview
- CV surgery part
- Electrophysiology part
- Cardiovascular implantable electronic devices
- Implantable cardiac monitors
- Cardiac resynchronization therapy
- Shocks
- Emergency department presentation
- Phantom
- Appropriate vs inappropriate
- MRI conditional vs nonconditional
- Infections
- End of life care/deactivation
- Patient education
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
11/08/2022
Get My Drift? Let’s Talk Stroke!
Stroke remains the second largest cause of death worldwide. In the United States, every 40 seconds, someone will have a stroke. Delayed identification and variability of stroke care have significant impacts on the recovery and survival rate for patients with stroke symptoms. This session will present EBP related to recognition, diagnosis, and treatment to minimize brain injury and maximize the patients’ recovery.
Program Information
Objectives
- Differentiate between the types of stroke.
- Employ neurologic assessment tools.
- Distinguish between aphasia vs dysarthria.
- Integrate major stroke mimics and clues that differentiate them from acute stroke.
- Formulate initial management priorities: Stroke protocols, medications, endovascular therapy.
Outline
- Types of strokes
- Ischemic
- Large artery atherosclerosis
- Small artery occlusion
- Cardioembolism
- Other causes
- Hemorrhagic
- Saving the penumbra
- Neurologic Assessment Tools
- Overview of tools
- NIHSS for the Intubated patient
- Application of stroke screening tools
- Dysarthria vs Aphasia
- Stroke Syndromes & Stroke Mimics
- Syndromes:
- Left vs Right Hemisphere
- Brainstem
- Cerebellar
- Hemorrhagic
- Stroke Mimics:
- Seizures
- Hypoglycemia
- Migraine
- Tumor / Abscess
- Bell’s Palsy
- Head Trauma
- Stroke Management:
- Protocols
- Medications
- Endovascular therapy
- Case presentations
- Is it a stroke syndrome or a mimic? Should you activate RRT-Stroke?
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
11/08/2022
Increased Intracranial Pressure: Diagnosing & Management Tips and Tricks
Neurologic deterioration in a patient can occur rapidly and have devastating consequences. Accordingly, early identification of increased intracranial pressure (ICP) along with swift initiation of lifesaving interventions is critical. The purpose of this session is to provide a framework for identifying the sometimes subtle early signs of increased ICP and understanding the interventions that must follow to prevent herniation and patient death. This will be achieved by providing easy-to-understand intra cranial dynamics, reviewing the patients at highest risk for developing increased ICP and discussing the evidence-based interventions for prevention and treatment of increased ICP.
Program Information
Objectives
- Distinguish the main components of the cranial vault.
- Analyze the Monro-Kellie hypothesis, compliance and compensation.
- Evaluate the neuroscience patient populations at highest risk of increased intracranial pressure.
- Differentiate between early and late physiologic signs of increased ICP.
- Analyze at least 3 interventions to manage increased ICP.
Outline
- Quick Neuro Anatomy and Assessment
- Cerebral cortex, cerebellum and brainstem
- “A Walk Around the Brain” - LOC, motor, speech, cranial nerves, unconscious patient
- Cranial Vault
- Components
- Monro-Kellie hypothesis/Doctrine
- Cerebral blood flow
- Intracranial compliance
- Intra-Cranial Dynamics
- Increased ICP
- Pathophysiology
- High risk patient populations
- Clinical presentation
- Diagnostic tests
- Herniation
- Management of Increased ICP
- Osmotic therapy
- Managing metabolic demand
- Hyperventilation
- Promoting venous outflow
- Extra ventricular drainage
- BP management
- Decompressive hemicraniectomy
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
11/09/2022
Cardiac Output Manipulations for Hemodynamic Stability
A common reason for transfer to intensive care is that a patients’ status has become unstable. In this session, view Cyndi Zarbano as you learn the how’s and why’s of keeping our patients hemodynamically stable. When training CCU/ICU nurses, Cyndi often shares “if you can learn to understand how and why we manipulate the cardiac output mathematical equation, you will improve your critical thinking skills – and patient care outcomes!” Cyndi has been a national seminar speaker for 15 years earning a reputation for being engaging using humor, stories, and nursing experiences to help attendee’s “get it”! Her career has included flight nursing, prior military background leaving service as a Lieutenant Commander, and nearly 30 years in various intensive care roles.
Program Information
Objectives
- Determine cardiac output manipulations for hemodynamic stability.
- Analyze the three components of stroke volume and determine how we can manipulate it.
- Differentiate the six vasopressors and how we select which is the right one for each patient situation.
- Choose pharmacological agents to optimally stabilize patients in crisis.
Outline
- Cardiac Output (CO) = Heart Rate (HR) x Stroke Volume (SV)
- Normal and abnormal values for multiple cardiac findings
- Breaking down the equation to manipulate each component
- Heart Rate – too fast or too slow
- Stroke Volume
- Preload – “dry or over-tanked up”
- Afterload – manipulating the pressure the heart pushes against to move blood forward
- Contractility – too much or too little squeeze
- How the initiation of drugs and fluid options can manipulate the equation
- Swan Ganz catheters, FloTrak or Vigileo monitors can drive interventions
- The role of Intra-Aortic Balloon Pumps or Impella’s
- Understand the rationale behind medication selection
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
11/09/2022
Nursing Documentation Pitfalls: Legal Risks in the Critical Care Setting
"If you didn’t chart it, you didn’t do it" may sound over-rated, but in a court of law, this can make or break the case! This session will reveal strategies to help make your documentation court ready. You will learn the most common documentation errors that can change the course of a lawsuit, how to accurately reflect the care that you provided, and of course what should not be documented. Regardless of your critical care role, this session will help to ensure that your documentation holds up in court!
Program Information
Objectives
- Analyze common sources of lawsuits for healthcare professionals.
- Evaluate the most significant pitfalls in nursing documentation.
- Implement strategies to perform legally defensible documentation.
- Practice how to document high-risk patient situations.
Outline
- Current Lawsuit Trends
- Specialties at higher risk for litigation
- Top sources of nursing malpractice/negligence
- Common Pitfalls of Documentation
- Vagueness
- Omissions
- Words to use/avoid
- Late entries
- Inconsistency
- How to document high-risk situations and conversations
- Patient refusal
- MD/Provider notification
- Discharge education
- Electronic Documentation: Dos and Don’ts
- Proper use of flowsheets
- When to add narrative notes
- Proper timing of entries
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
11/09/2022
Real World Perspectives: The Current State and Future of Critical Care Medicine
Practicing in the critical care environment is challenging, exciting, and ever changing! We never know what to expect from one day to the next, and there is always something new to learn. In this session, Dr. Eddy Jo will discuss the current state of the future of critical care. He will talk about new threats to the critical care environment, new technology, and future directions. He will provide an overview of what the healthcare team does today and what is upcoming in the field. Let's get excited about this evolving specialty!
Program Information
Objectives
- Analyze the current state of critical care using a broad-based perspective.
- Determine the most recent and exciting developments in critical care.
- Prepare for the most current challenges in the critical care setting.
- Construct a vision of the future of critical care health care.
Outline
- Welcome to the Critical Care Summit
- Overview of the purpose of the summit
- Why staying up to date is so important
- Why we should be excited about the state of critical care
- Current State of Critical Care
- Current Challenges
- New Technology
- Current Statistics
- Infectious Diseases
- Future of our Specialty
- Evolving Roles
- Evolving Patient Care Issues
- Interdisciplinary Care
- What Is Upcoming in our field
- Sicker Patients
- Nursing Shortage
- Financial Challenges
- Potential New Infectious Diseases
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
11/08/2022
Implementation of the ABCDE Bundle in the ICU: Strategies for Success
Management of patients in the ICU requires a multidisciplinary approach to assure continuity of care and reduces overall morbidity and mortality. The use of the ABCDE bundle for care can address gaps that currently exist in many units. Implementation strategies require that all players are open to change the way care is delivered. Coordination and management in a multidisciplinary approach will reduce ICU LOS and equate to a stronger financial trend for the service line.
Program Information
Objectives
- Evaluate the components of the ABCDE Bundle for Critical Care.
- Determine potential barriers to implementation.
- Design strategies for developing a multidisciplinary team that implements the ABCDE process.
- Quantify metrics used to evaluate the ABCDE implementation.
- Integrate components of the delirium reduction plan of care.
Outline
- Components of the ABCDE Bundle
- Awakening and Breathing Coordination
- Delirium monitoring/management
- Early exercise/mobility with family engagement
- Where do we start? GAP analysis process
- Evaluate institutional readiness for change
- Determine who the stakeholders are for a process change
- Perform a GAP analysis
- Strategies for Implementation in the ICU
- Standardized Tools
- Education – Pain Assessment, Delirium Assessment
- Structured Sleep Protocols
- How to develop a Multidisciplinary Rounding Process
- Developing the Team
- Standardized Rounding Tool
- Rounding Schedule
- Metrics used in evaluation of the ABCDE Process
- ICU Length of Stay
- Ventilator Days
- Bundle Compliance
- Other Measures
Target Audience
- Nurses
- Nurse Practitioners
- Physicians Assistants
Copyright :
10/07/2022
Navigating Pain Management and Sedation Levels in the Critical Care Environment
Balancing analgesia and sedation for critically ill patients is challenging and we still see a discrepancy in the approach to sedation of critically ill patients. How do we avoid negative acute and long-term consequences of untreated pain and agitation? In this session, Dr. Dunwoody will help you understand how provide safe care to when patients are provided analgesia and sedation to prevent pain and anxiety, permit invasive procedures, reduce stress and oxygen consumption, and improve synchrony with mechanical ventilation. Regional preferences, patient assessment and history, unique critical care challenges and individual patient needs will be discussed. A review of how pain and sedation translate to practice will help you provide safe and quality care to your ill patients.
Program Information
Objectives
- Apply the components of pain management within the critical care setting.
- Analyze Sedation, opioid induced sedation and the overall patient impact.
- Integrate assessment tools for sedation into patient management.
- Determine the goal of maximizing analgesia while minimizing sedation.
Outline
Pain Overview
- Definition
- Neurotransmitters/-Pain Transmission
- Acute vs. Chronic Pain
- Components of the Patient’s Pain Experience
Pain Management
- What Happens if We Don’t Manage Pain?
- Assessment
- Considerations
- Management
- Nonpharmacologic
- Pharmacologic
Sedation
- How Pain and Sedation Translate to Practice
- Sedation as a Concept
- Sedation Tools
- Sedation Risks
- Sedation Agents
Nurses Role
- Finding Balance
- Iterative Knowing
- FAQs
Target Audience
- Nurses
- Nurse Practitioners
- Physicians Assistants
Copyright :
10/19/2022
Sepsis and Septic Shock: What do you need to know in 2022?
Sepsis is a life-threatening condition and continues to have a high morbidity and mortality. Developing an understanding of early sepsis recognition, applying the appropriate treatment in a timely manner can help save lives. Nurses are essential in early recognition and early treatment. The most current 2021 Surviving Sepsis Campaign (SSC) Guidelines are useful in providing recommendations and rationale for treatment. Also new to the 2021 guidelines is a section on long-term outcomes and goals of care. As more and more individuals survive sepsis, resources to aid in their recovery are needed to improve long-term outcomes. This talk is relevant for individuals who care for patients with sepsis and septic shock and is a core measure for the Centers of Medicare and Medicaid. Nurses can make a difference in the lives of patients with sepsis and in the process improve compliance with the performance measure as well.
Program Information
Objectives
- Describe the signs and symptoms of septic shock.
- Discuss the appropriate treatment for sepsis and septic shock including the 3-hour and 6-hour sepsis bundle elements.
- Integrate the 2021 SSC Guidelines to current patients with sepsis or septic shock.
- Evaluate sepsis survivors for resources needs during recovery across the continuum of care.
Outline
Sepsis Background Physiology
- Why Sepsis, Why Now?
- Sepsis Facts
- Stakeholders
Sepsis Definitions
- Systemic Inflammatory Response Syndrome (SIRS)
- Sepsis
- Severe Sepsis
- Septic Shock
Assessment Criteria
- Sequential [Sepsis-related] Organ Failure Assessment Score (Sofa)
- Most recent SSC guidelines -Sepsis Bundle Project (SEP)
- National Hospital Inpatient Quality Measures
- SEP-1 Early Management Bundle, Severe Sepsis/Septic Shock
Implications for nursing practice
- Mortality based on organ failures
- Sepsis Bundles
- Early Patient Identification
- Screening Tools
- Early Treatment in ICU
Long-term outcomes for survivors of sepsis
- Educate and Empower Patients & Family
- Goals of Care
- SCC Recommendations
- Shared Decision- Making Sepsis Survivors
- Return to Normal
- Psychological Support
- Physical Support
- Family Support
- Cognitive Impairment
- Self-Perception
Target Audience
- Nurses
- Nurse Practitioners
- Physicians Assistants
Copyright :
10/07/2022
Advanced Assessment Skills: Master Cardiac, Neuro, & Respiratory Patients
Each shift, the pressure of time feels constant. We want to give our best to patients but have to prioritize, with the time that is available. We know how instrumental our physical assessments are. They constantly contribute to the patient’s picture – the plan of care, evaluating if the patient is improving….or declining.
We can not afford to miss important clues that are available to us, through a top-notch assessment. The American Medical Association shared this staggering statistic….8 in 10 misdiagnoses were due, in part, to problems in the patient encounter, such as errors during the physical exam or medical history taking.” How many times in the past might you have missed identifying a concern with a patient? Do you want to be sure that does not happen again?
Angelica F. Dizon, MD, MSN, MBA-HCM, BSN, RN, NP-C, will share from her extensive years in practice, working as a physician and advance practice nurse. She has collected pearls of insight that will help you, too, to finally grasp assessment strategies at an advanced level.
Whether you need to perform a rapid, focused patient assessment or a more comprehensive evaluation of the patient, Angelica will elevate your own clinical skill set. Often patient care becomes very complex with multiple conditions and diagnoses overlapping. At the end of this comprehensive training, you will be able to target your clinical assessments, challenge your critical thinking and gain confidence in the interventions that you initiate — on your very next shift!
Program Information
Objectives
- Assess where and why vesicular, bronchovesicular and bronchial sounds can be normal or abnormal and the significance of the abnormalities.
- Appraise pathophysiology and differential diagnoses for crackles, wheezes, rhonchi and rubs.
- Develop management of obstructive vs. restrictive lung disease.
- Practice a thorough 6-part neurological exam and document findings.
- Evaluate primary causes of mental status changes and patients most at risk for delirium for quick intervention.
- Distinguish whether abnormal S1 and S2 heart sounds are pathological or benign.
- Determine whether systolic and diastolic murmurs indicate cardiac disease.
Outline
Head-to-Toe Approach - Learn tips, tricks, and tools to conduct a quick and precise head-to-toe assessment
- Assess the patient using the most comprehensive approach
- Evaluate baseline and identify patient status changes
- Devise tips and tools to perform a more efficient exam without missing key clues
- Conduct proper assessment skills - inspect, auscultate, palpate, percuss
Neurological Exam - Mastering the 6-Part components of a Neuro exam in less time
- Unraveling the 6-Part components of a thorough Neurological Examination
- ABCT Components of Mental Status
- Key points and clues of using Confusion Assessment Method (CAM) Instrument and what can be diagnosed as a result
- Evaluate an efficient and accurate assessment of normal vs. abnormal findings for: altered mental status, cranial nerves, motor, sensory, cerebellar functions, reflexes
- Danger Signs for abnormal findings and how to identify diseases by physical examination
Respiratory Exam - Identifying the different breath sounds and their locations to narrow down diagnosis
- Physical assessment of the respiratory system - key points of normal anatomy to remember
- Identification of normal, abnormal, decreased or absent breath and lung sounds
- Assessment and techniques of Tactile Fremitus, percussion, lung auscultation
- Interpreting what you are hearing and what you should expect to hear:
- Bronchial, Broncho-vesicular, Vesicular Breath Sounds
- Bronchophony, Egophony, Whispered Petroliloquy
- Death Rattle, Absent Breath Sounds
- Learning the adventitious sounds like Crackles, Rhonchi, Stridor, Wheezes and what to do with them
- What Lung Sounds to expect in different disease states
Cardiac Exam - Knowing the different murmurs, their presentation, sounds and location to accurately pinpoint the disease process
- Examination of mitral, tricuspid, pulmonary, and aortic
- Auscultation sites, sequencing and skills
- Characteristics of a functional murmur
- How to identify?
- 7-point classification
- When does a murmur become pathologic?
- Strategies for detection of abnormal cardiac sounds
Target Audience
- Nurses
- Nurse Practitioners
- Physician Assistants
- Occupational Therapists
- Occupational Therapy Assistants
- Physical Therapists
- Physical Therapist Assistants
Copyright :
01/22/2021
Managing the Emergency and Trauma Patient: Secrets to Improving Your Practice in the Emergency Department
- Improve management of medical emergencies in the ED bay
- Latest updates in AMI management in the ED
- What EVERY nurse should know about sexual assault victims
- Facts about antiplatelets and anticoagulants
- Demonstration of emergency nursing skills
- Everything you need to know about obstetrical emergencies
- Sepsis management in five simple steps
You can achieve these professional goals…
- You are ten hours into your 12-hour shift. You have had challenging cases all day, and get a report that you will be receiving a Level 1 trauma patient in 6 minutes. Imagine approaching this patient with improved confidence in your ability to accurately assess the patient, anticipate their care needs, and manage complications when they arise.
- Don’t fear calls from risk management or the patient safety officer! Develop confidence in the care you provide and document on each and every patient.
- Improve patient outcomes and your ability to provide care by learning essential skills EVERY emergency nurse needs to know!
- Immediately apply content learned using real-life critical thinking scenarios that are easily remembered!
Program Information
Target Audience
Nurses, and other Healthcare Professionals
Objectives
- Compare and contrast spinal cord syndromes.
- Plan care for the patient experiencing chest pain.
- Distinguish differences between life-threatening maxillofacial and neck traumas.
- Recommend management strategies for the patient presenting with acute stroke symptoms.
- Determine the hemorrhagic risk of patients receiving anticoagulants.
- Evaluate the effectiveness of interventions to treat acute and chronic pain.
- Formulate appropriate nursing care for the transgender victim of sexual assault.
- Choose appropriate patient-specific interventions for the bariatric patient.
Outline
Trends in Emergency and Trauma Nursing
- Current trends
- Core measures
- Hospital scorecards
Head and Neck Trauma
- Neurological trauma
- ESSENTIAL SKILL:
- ED management of the stroke patient
- Maxillofacial and neck trauma
- HANDS-ON SKILL VIDEO:
- Proper application and management of cervical collar
- ESSENTIAL SKILL:
Thoracic/Abdominal/Genitourinary Trauma
- Thoracic trauma
- ESSENTIAL SKILL:
- Assessment of the patient with a chest tube
- Abdominal trauma
- HANDS-ON SKILL VIDEO:
- Intra-abdominal pressure assessment and management
- Genitourinary trauma
- HANDS-ON SKILL VIDEO:
- Chest tube insertion and chest tube management
- HANDS-ON SKILL VIDEO:
- Chest auto-transfusion
- ESSENTIAL SKILL:
- Pelvic fractures
Extremity Trauma
- Musculoskeletal trauma
- HANDS-ON SKILL VIDEO:
- HANDS-ON SKILL VIDEO:
- Conversion of Hare traction to Bucks traction
- ESSENTIAL SKILL:
Special Considerations
- Psychosocial issues
- Obstetrical emergencies
- The bariatric patient
- Pediatric emergencies
- Shock
- HANDS-ON SKILL VIDEO:
- Defibrillation, cardioversion and pacing
- HANDS-ON SKILL VIDEO:
- HANDS-ON SKILL VIDEO:
- Essential dysrhythmia recognition & treatment
Trends in Care
- Chest pain
- Antiplatelets versus anticoagulants
- Pre-hospital care
- Sexual assault
- Sexual assault of the transgender patient
- Forensic issues
- Ultrasound guided peripheral IV placement
- Pressure injuries
- Insulin pumps
Skills Demonstration
Copyright :
10/27/2017
Advanced Hemodynamic Monitoring
Examine the critical clues used to determine hemodynamic instability along with management strategies for:
- CVP Monitoring
- Swan Ganz Catheters
- Vigileo/Flotrak
- Arterial Lines
Objectives
- Identify the importance of listening over all four heart valves.
- Recognize the significance of S3 and S4 heart sounds.
- Distinguish between systolic and diastolic murmurs.
Outline
- Waveform Analysis
- Transducer Leveling and Zeroing
- Central Venous Pressure
- Measuring the CVP
- EBP Related to CVP
- Direct Arterial Monitoring
- Arterial Line
- Arterial Wave Form
- Swan Ganz Numbers
- PAP Documentation
- Case Study
ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.
Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.
Program Information
Target Audience
Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other
Copyright :
04/14/2016
Neurocritical Care Medication Update
Neurocritical care patient management is highly complicated, especially when trying to optimize therapy during the acute injury. Pharmacologic management must be carefully considered in order to minimize cognitive dysfunction and avoid confounding patient neurologic evaluations. During the care of a neuro critical care patient, pharmacotherapy must be individualized for each patient, considering their age, comorbidities, and chronic medications. Pharmacokinetic and pharmacodynamic characteristics must be considered as they may change in acute illness and with neurocritical care interventions. Pharmacokinetic changes may include alterations in medication absorption, distribution, metabolism, and elimination, while pharmacodynamic changes could result in loss of drug effect or an increase in toxicity. This talk will focus on pharmacotherapy and clinical pearls that will help the care of a neurocritical care patient.
Program Information
Objectives
- Evaluate common medications used in the critical care setting, involved in the care of neuro patients.
- Assess appropriate use of medications for neuro diagnosis in the critical care setting.
- Choose the appropriate neuro agent, with consideration to patient’s organ function, medication allergies, potential adverse drug effects, drug interactions, critical illness, and age-related pathophysiologic changes.
- Appraise the key pharmacokinetic and pharmacodynamic characteristics, advantages and disadvantages, and clinical pearls of the medication therapies.
Outline
- Hyperosmolar therapy
- Antiseizure medications
- Antithrombotic agents
- Anticoagulant reversal and hemostatic agents
- Antishivering agents
- Neuromuscular blocking agents
- Antihypertensive agents
- Sedation and Analgesia
- Vasopressors and inotropes
- Antimicrobials
Target Audience
- Nurses
- Nurse Practitioners
- Physician Assistants
Copyright :
09/28/2022
Healthcare Serial Killers: Detect Clinical Perpetrators & Intervene for Patients
Healthcare has more serial killers than all other professions combined. Through analysis of case studies develop an understanding of victimology, and perpetrators methods and motive. Develop educational guidelines and interventions to detect and intervene in cases of Healthcare Serial Killers.
Program Information
Objectives
- Apply new knowledge and understanding of healthcare serial killers.
- Appraise actual cases involving healthcare serial killers.
- Analyze the perpetrators and victims involved in healthcare serial killer cases.
- Appraise the methodology and motivations of healthcare serial killers.
Outline
- Learn how to recognize behaviors of healthcare serial killers
- Dissect case studies of actual healthcare serial killers
- Methods utilized by healthcare serial killers - and their motivations
- Victimology commonalities
- Educational and interventional strategies
Target Audience
Copyright :
09/07/2022
Legal Risk Aversion Tools for Critical Care Nurses
It’s unbelievable how often “things’ happen in healthcare.
Alarms, pumps, drains, changing vent settings, tubes, equipment, technology, orders, consults, intake, output, donning, doffing, and stressed loved ones.... There are countless things to keep up with during your non-stop busy shifts.
You love the pace and intensity of the ICU. But what happens when you thought everything was done correctly, only to later find out that something important was missed? Can reportable events like pressure injuries, central line infections, and urinary infections lead to litigation? What about unanticipated events with immediate bad patient outcomes?
Join Rosale Lobo, PhD, RN, MSN, LNC, to learn what you can do today to decrease your legal risks tomorrow. Discover the secrets to keep your license and profession safe from scrutiny and litigation.
Program Information
Objectives
- Analyze legal risks specific to high stress, high intensity situations in the critical care setting.
- Manage your clinical actions that could trigger a legal risk.
- Integrate common potential missteps into strategic resolutions for confident practice habits.
- Appraise your own practice to incorporate new knowledge, power, and resources.
Outline
Legal Risks in Critical Care Nursing
- Straight talk on medical malpractice
- Personal injury and equipment failures
- Information technology: Path of an unfortunate outcome
- The trail of information – Evidence speaks for itself
- The dark cloud on your license
Conflicting Practice Habits
- Actions and inactions – Both are important
- Communication – Multiple minds to consider
- Short cuts – Do they benefit the critically ill?
- Simulating – Honesty is the best policy
- Trusting – Yourself and others
What Really Happened?
- The critical dissection of a story
- What could we have done differently?
- Multiple players, multiple steps
License Defense Tactics
- Resources – Specificity is key in critical care
- Innovation – The iteration of critical care nursing
- Reporting – Share experiences for education
- Time management – Caring for a few, at one time
Target Audience
- Nurses
- Nurse Practitioners
- Physicians Assistants
Copyright :
09/26/2022