Full Course Description
Managing Patient Emergencies
- Describe two types of rapid assessment techniques and how to employ them for the best results during a patient emergency.
- Evaluate techniques for getting critical information during a rapid patient assessment.
- Investigate EARLY assessment findings in clinical syndromes that may progress rapidly and cause life-threatening conditions.
- Prioritize nursing actions for specific neurological, cardiac, respiratory and endocrine emergencies.
- Review care of the diabetic patient in diabetic ketoacidosis.
- Identify patient populations who are at high-risk for bedside emergencies.
- Discuss how to integrate assessment data and critical lab findings into the plan of care for a patient experiencing a life-threatening emergency.
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?
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
Prevention, Presentation, Action for: “I can’t breathe”
- Capnography Basics
- Assessment & Critical Interventions for:
- Pulmonary Embolism
- Respiratory Failure
- The Patient Who Needs Assistance
- O2, CPAP, BiPAP
- Indications for Intubation
- Positive Pressure Ventilation
- Chest Tube Management
- Easy ABG Analysis…Really!
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
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
- Autonomic Dysreflexia
- Simulation Lab Review
- Interpreting the Patient’s Presentation
Fluid Imbalance/Circulatory Emergencies
- 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
Impending Doom: Crisis Prevention and Management in the Deteriorating Patient
- What are the 3 most likely causes of a sepsis crisis
- Three cardinal signs of sepsis
- Understanding diagnostic tests to differentiate sepsis from other possibilities
- Summary of the current evidence-based findings
- Complications of illness
(Acute MI, Cardiogenic Shock, Pulmonary edema, TIA/CVA)
- What are the common causes of all cardiovascular diseases
- Symptomology differences between genders in cardiovascular disease
- Examination clues that help you recognize a cardiovascular crisis
- What diagnostic tests, labs, x-ray, imaging can help with diagnosis of a CV emergency
- Nurse’s role managing a cardiovascular crisis
- Do you know the typical causes of anaphalaxis?
- Signs/symptoms to look for in patients experiencing anaphalaxis
- What quick nursing actions can save your patient’s life in anaphalaxis?
- Medications that can avert an anaphalaxis crisis
(Ketoacidosis, Hyperosmolar Syndrome)
- Key differences between ketoacidosis and hyperosmolar syndrome
- What subtle signs do patients display when heading towards a diabetic crisis?
- Important labs that give clues in diabetic crisis and its resolution
- What nursing skills are important to help reduce diabetic crisis complications?
(Status Asthmaticus, Acute Respiratory Failure)
- Identify causes that can lead to a pulmonary crisis
- Are all breath sounds alike?
- When asthma is no longer simple
- Which patients are likely to develop acute respiratory failure - and what can you do about it?
(GI bleed, Trauma, Internal Bleeding)
- Causes of hypovolemic shock that you will encounter
- When anxiety, restlessness, agitation and confusion are not a mental health problem
- Are there earlier signs than hypotension that signal a hypovolemic crisis?
- Fluids, Fluids, Fluids. Fluid resuscitation can save a life.
Rapid Response Teams
- Effective use of the RRT in a clinical crisis
- When to utilize the RRT
- What team members are needed on RRT
- Recognize and distinguish the early clinical signs and symptoms of impending doom.
- Assess the deteriorating patient using rapid and focused strategies.
- Explain the unique and time-sensitive needs for patients experiencing cardiac, pulmonary, infectious, diabetic and shock clinical crisis.
- Evaluate optimal use of rapid response teams.
- Differentiate between the diagnostic tests used in the deteriorating patient.
- Apply current treatments for patients in clinical crisis using case studies.