Full Course Description
Critical Skills for Managing a Patient in Crisis
- Evaluate common bedside emergencies.
- Analyze which patient populations are at risk for bedside emergencies.
- Organize how to integrate assessment data, labs and other diagnostic findings into the plan of care with a life-threatening emergency.
- Prioritize interventions for prevention and management for selected complications/ emergencies.
- Breakdown presentation and assessment findings for specific cardiac, gastrointestinal and neurological emergencies.
- Evaluate volume and pressure concepts as they relate to intracranial pressure.
- Explore a strategic approach in evaluating abdominal pain for the most accurate assessment.
- Assess the difference between hypovolemic shock, septic shock and cardiogenic shock in both assessment and treatment priorities.
Identification & Management of Crisis
- High-Risk Populations
- Impending Doom: Recognizing the Red Flags
- Critical Thinking During a Crisis
- Accurate Interpretation of Vital Signs & Oxygenation
- Fluid & Electrolyte Disturbances
- Neuro Assessment: Critical Indicators
- Stroke Emergencies: TIA vs. Ischemic vs. Hemorrhagic
- Symptoms & Recognition
- Management: Emergent vs. Non-emergent
- Early Signs of Increased Intracranial Pressure
- Abdominal Assessment: Critical Clues
- Abdominal Pain: What does it really mean?
- Acute Abdomen
- Ileus/Small Bowel Obstruction
- Gastrointestinal Bleed
- Acute Pancreatitis
- Action for, “I’m having chest pain”
- Acute Coronary Syndromes
- Angina vs. Myocardial Infarction
- Recognition & Management
- 6 Fail-Proof Steps to Rhythm Interpretation
- The Dynamics of Shock
- Systemic Inflammatory Response Syndrome
- SIRS Criteria
- Presentation & Management
Key Interventions & Documentation Strategies During a Patient Emergency
- Dissect the most common causes of arterial blood gas abnormalities.
- Implement critical interventions for the patient in respiratory distress.
- Evaluate chest tube management.
- Breakdown common causes of delirium in the post-operative patient.
- Explore legal implications of bedside emergencies.
- Investigate appropriate documentation for high-risk situations.
- Communicate how documentation is used to determine guilt or innocence in a lawsuit.
- ABG Interpretation in 3 Easy Steps
- Pulmonary Embolism
- Respiratory Failure
- Chest Tube Management
Post-Op Complications & Emergencies
- Uncontrolled Pain
- Compartment Syndrome
- Recognizing Infection
- Acute Kidney Injury
Now on to Documenting the Emergency…
How Well Would Your Documentation Hold up in Court?
- Common Pitfalls in Documentation
- What your Words Really Mean in Court
- Strategies for Writing Legally Defensible Notes
- Case Studies: The Good, The Bad, The Ugly
How to Document High Risk Situations
- Patient Refusals
- Nurse-MD Notification
- Chain of Command
- Changes in Patient Condition
- Assessment Findings
- Discharge Instructions
- Documentation Methods
- Electronic vs. Traditional (paper)
- Clarifying the Myths of Charting by Exception
Simulation Lab Scenarios to Prevent a Real Patient Crisis
- Explore signs and symptoms of Pulmonary embolism
- Exploit differential diagnoses that present with respiratory distress
- Communicate use of anticoagulants and other treatment options
- Breakdown signs and symptoms of shock
- Separate obstructive shock from hypovolemic shock
- Determine appropriate interventions for obstructive shock
- Determine potential causes for changes in LOC
- Communicate DKA and treatment
- Dissect risk factors for sepsis
- Scenario 1
- Cardiac monitoring
- IV access
- ACLS algorithm
- Scenario 2
- IV access
- Needle decompression
- Chest tube set-up
- Scenario 3
- Cardiac monitor
- Insulin drip
- Team approach
- Closed loop communication
- Risk for errors