Full Course Description


Critical Skills for Managing a Patient in Crisis

Program Information

Objectives

  1. Evaluate common bedside emergencies.
  2. Analyze which patient populations are at risk for bedside emergencies.
  3. Organize how to integrate assessment data, labs and other diagnostic findings into the plan of care with a life-threatening emergency.
  4. Prioritize interventions for prevention and management for selected complications/ emergencies.
  5. Breakdown presentation and assessment findings for specific cardiac, gastrointestinal and neurological emergencies.
  6. Evaluate volume and pressure concepts as they relate to intracranial pressure.
  7. Explore a strategic approach in evaluating abdominal pain for the most accurate assessment.
  8. Assess the difference between hypovolemic shock, septic shock and cardiogenic shock in both assessment and treatment priorities.

 

Outline

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

Neurological Emergencies

  • Neuro Assessment: Critical Indicators
  • Stroke Emergencies: TIA vs. Ischemic vs. Hemorrhagic
  • Symptoms & Recognition
  • Management: Emergent vs. Non-emergent
  • Early Signs of Increased Intracranial Pressure

Gastrointestinal Emergencies

  • Abdominal Assessment: Critical Clues
  • Abdominal Pain: What does it really mean?
  • Acute Abdomen
  • Ileus/Small Bowel Obstruction
  • Gastrointestinal Bleed
  • Acute Pancreatitis

Cardiac Emergencies

  • 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
    • Hypovolemic
    • Cardiogenic
    • Septic
  • Systemic Inflammatory Response Syndrome
    • SIRS Criteria
    • Presentation & Management

 

Copyright : 10/06/2016

Key Interventions & Documentation Strategies During a Patient Emergency

Program Information

Objectives

  1. Dissect the most common causes of arterial blood gas abnormalities.
  2. Implement critical interventions for the patient in respiratory distress.
  3. Evaluate chest tube management.
  4. Breakdown common causes of delirium in the post-operative patient.
  5. Explore legal implications of bedside emergencies.
  6. Investigate appropriate documentation for high-risk situations.
  7. Communicate how documentation is used to determine guilt or innocence in a lawsuit.

 

Outline

Respiratory Emergencies

  • ABG Interpretation in 3 Easy Steps
  • Atelectasis
  • Pneumonia
  • Pulmonary Embolism
  • Respiratory Failure
  • Chest Tube Management

Post-Op Complications & Emergencies

  • Uncontrolled Pain
  • Compartment Syndrome
  • Confusion/Delirium
  • 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

Copyright : 10/07/2016

Simulation Lab Scenarios to Prevent a Real Patient Crisis

Program Information

Objectives

  1. Explore signs and symptoms of Pulmonary embolism
  2. Exploit differential diagnoses that present with respiratory distress
  3. Communicate use of anticoagulants and other treatment options
  4. Breakdown signs and symptoms of shock
  5. Separate obstructive shock from hypovolemic shock
  6. Determine appropriate interventions for obstructive shock
  7. Determine potential causes for changes in LOC
  8. Communicate DKA and treatment
  • Dissect risk factors for sepsis

Outline

  1. Scenario 1
    1. Skills
      1. Cardiac monitoring
      2. O2
      3. IV access
      4. ACLS algorithm
  2. Scenario 2
    1. Skills
      1. IV access
      2. Needle decompression
      3. Chest tube set-up
  3. Scenario 3
    1. Skills
      1. Cardiac monitor
      2. IV
      3. Intubation
      4. Insulin drip
  4. Debriefings
    1. Team approach
    2. Closed loop communication
    3. Risk for errors

Copyright : 01/03/2017