Full Course Description

Rapid Response Certificate Course: Conquer the Crashing Patient — Day 1

Imagine you are taking care of your patient – anywhere – any department/floor in the hospital, a nursing home, surgical site or clinic setting and suddenly grasp that an emergency situation is unfolding. Do you know what to do? Are you confident in your response? Even if you call an ambulance or have a rapid response team coming, YOU may still be taking care of that patient for up to 8 minutes or more. In that time, what can YOU do to help save lives? There are times in the past you wish you had done more….

This intense recording will provide new clinical insights and critical thinking skills so you won’t need to feel uncertain, scared or at risk anymore. The ability to assess, intervene and advocate will be reinforced through exciting clinical cases. You will experience the dramatic changes in your own practice when you work your next shift! PLUS, you will earn a Certificate in Patient Crisis Prevention and up to 12 CE Hours!

  • Dramatically increase your confidence with advanced assessment and proactive rapid response skills
  • Master medication updates with 4 CE hours of pharmacology
  • 6+ hours of the BEST resuscitation and stabilization strategies
  • Protect yourself! 2 hours of legal/malpractice risk strategies
  • Don’t overlook the early signs of the clinically deteriorating patient

Program Information

Objectives

  1. Differentiate current challenges relative to your specific practice environment and patient populations.
  2. Develop a proactive plan to respond to your deteriorating patient.
  3. Utilize the mental strategies necessary for success, self-care, and process improvement when dealing with critically ill patients.
  4. Integrate a comprehensive review of systems, with subtle but key red flag clinical assessment findings.
  5. 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.
  6. Apply advanced laboratory medicine concepts into your current clinical practice with respect to the “at risk” patient.
  7. Distinguish the subtle signs from the “perfect storm” patient.
  8. Choose the best interventions for stabilization of the deteriorating patient.
  9. Determine the key interventions to stabilize the successfully resuscitated patient prior to or post transfer.
  10. Analyze the latest clinical practice guidelines for common pathologies and comorbidities.
  11. Evaluate landmark case studies to identify key failures in recognition and rescue of the crashing patient.
  12. Assess legal documentation strategies to protect yourself and your practice.

Outline

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

Neurology

  • Neuromuscular Disorders, Meningitis, Toxicology (Overdose), Traumatic Brain Injury/Concussion, Stroke/TIA, Dementia/Delirium, Agitated/Combative Patients

Cardiovascular

  • Dysrhythmias, Acute Coronary Syndrome, CHF, Heart Failure, Cardiomyopathies
  • Endocarditis, Pericarditis, Peripheral Vascular Disease

Pulmonary

  • Asthma/Upper Respiratory, Anaphylaxis, Aspiration/Dysphagia, COPD, Pneumonia

Metabolic/Endocrine Complex Comorbidities and Emergencies

  • Chronic/Acute Kidney Disease, Renal Calculi, Hypertension, Diabetes

Gastrointestinal/Genitourinary

  • Cholecystitis, Pancreatitis, Cirrhosis, Hepatitis, Infection (UTI, STI, etc.)

Psychosocial

  • 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

  • Assessment
  • Intervention
  • Documentation

Target Audience

  • RNs, RTs, NPs, and PAs from Medical-Surgical floors
  • Cardiology
  • Neurology
  • Critical Care
  • Emergency
  • Urgent Care
  • Skilled Nursing Facilities
  • Anyone desiring next-level skills to proactively assess and intervene in the crashing critically ill patient! 

Copyright : 04/03/2019

Rapid Response Certificate Course: Conquer the Crashing Patient — Day 2

Copyright : 04/03/2019

Managing Patient Emergencies: Critical Care Skills Every Nurse Must Know

Mrs. Kelp is admitted with pneumonia and right-sided heart failure.Twenty minutes after admission, she develops worsening dyspnea and hypotension.

  • Are you prepared to manage her unstable condition?
  • Do you know what respiratory measures are necessary?
  • Do you know the best way to manage her hypotension?

The patients in our hospitals are sicker than ever before. It is not uncommon to find patients on regular medical floors with central lines, chest tubes, pacemakers and AICDs.

Some nursing homes are accepting patients on ventilators, and patients are now being sent home on vasoactive drips such as dobutamine. Even though acuity levels are higher you are still caring for many patients and don’t have the luxury of frequent, comprehensive assessments.

Therefore, it is important to be able to rapidly assess and implement appropriate interventions.

Watch this recording to sharpen your skills and leave prepared to identify and manage your next patient emergency.

Program Information

Objectives

  1. Distinguish 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.
  6. Determine patient populations who are at high-risk for bedside emergencies.
  7. Propose how to integrate assessment data and critical lab findings into the plan of care for a patient experiencing a life-threatening emergency.

Outline

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
    • COPD
    • ARDS
    • 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
  • Delirium
  • Autonomic Dysreflexia
  • Simulation Lab Review
    • Interpreting the Patient’s Presentation

Fluid Imbalance/Circulatory Emergencies

  • Sepsis
  • Shock
  • 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

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists

Copyright : 09/19/2019