Full Course Description


Preventing Post-Operative Complications

OUTLINE

Types of Anesthesia and Sedation

  • Minimal sedation, moderate sedation, and deep sedation
  • General anesthesia
  • Regional anesthesia
  • Anesthesia risks and complications, airway management, and malignant hyperthermia

Post-Operative Pain Control

  • Methods of analgesia
  • Continuing airway management
  • Tips for optimal recovery

Systems Assessment: The Effect of Surgical Intervention on Select Body Systems

  • Circulatory system and blood loss
  • Fluid shift and renal function
  • Respiratory recovery
  • GI / GU complications and surgeries
  • Musculoskeletal rehabilitation
  • Integumentary: Wound healing and complications

High-Risk Situations and Complications

  • Emergency and trauma surgery
  • Cardiac surgery
  • Shock and sepsis
  • Substance abuse and surgery
  • Bloodless surgery
  • Elderly and medically frail patients
  • Surgery in the presence of CHF and CRF
  • Recovery with dementia

Regulatory Issues

  • SCIP protocols
  • Staying on schedule with the shortening post-op stay
  • Documentation strategies

Ethical Considerations in Surgery

  • The decision to operate and medical futility
  • Surgery on the DNR patient
  • Consent issues

Patient Education

  • Beginning post-op education in the preoperative setting
  • The hospital stay as the first stage of recovery, preparing patients to rehab at home
  • The patient's perspective: What I wish the nurse had told me…

OBJECTIVES

  1. Analyze the regulatory issues and standards driving changes in perianesthesia practice.
  2. Explain new protocols emerging as evidence-based practice.
  3. Differentiate the pharmacology and physiology of frequently-used induction, inhalation, neuromuscular blocking, and reversal agents used in the perianesthesia setting.
  4. Evaluate the key elements involved in medical malpractice.
  5. Analyze effective perianesthesia documentation.
  6. Demonstrate why certain populations pose challenges in the perianesthesia setting.
  7. Develop appropriate management strategies for acute pain in the postoperative setting.
  8. Determine interventions for postanesthesia complications.
Copyright : 05/18/2016

Advancing Your Telemetry Skills for the Complex Patient: Module 1

Advancing Your Telemetry Skills for the Complex Patient

OUTLINE

Cardiac Rhythms Update

  • Sinus
  • Atrial
  • Junctional
  • Ventricular
  • Blocks
  • HANDS-ON LAB 
    • SKILLS: Video presentation
      • Cardioversion
      • Pacing
      • Defibrillation

Commonly Prescribed Medications

  • Vasodilators
  • Antiarrythmics
  • Vasopressors
  • Inotropics
  • Miscellaneous agents

Chest Pain – “Time is Muscle”

  • Pathophysiology
  • Cardiac enzymes & diagnostic testing
  • Core measures
  • Treatment/interventions
  • HANDS-ON LAB 
    • SKILLS: Telemetry monitoring
      • EKG lead placement
      • Telemetry packs – 3, 5, and 6 leads

Heart Failure

  • Pathophysiology
  • Diagnostic testing
  • Core measures
  • Treatment/interventions
  • HANDS-ON LAB 
    • SKILLS: Oxygen delivery systems
      • Nasal cannula
      • Simple face mask
      • Partial rebreather
      • Non-rebreather
      • Venturi® mask
  • HANDS-ON LAB 
    • SKILLS: Prevention of respiratory depression/failure
      • Pulse oximetry – how effective is it?
      • End-Tidal CO2 monitoring

Monitoring the Post-Cardiac Catheterization Patient

  • Assessment of puncture site
  • Monitoring for complications/Hematoma
  • HANDS-ON LAB 
    • SKILLS: Hemostatic devices
      • Radial access device
      • Femoral access device

Trends in Patient Management

  • Wear-able Defibrillator
  • Left Ventricular Assist Device
  • Chest tube management
  • Left Atrial Appendage Closure Device

OBJECTIVES

  1. Compare and contrast sinus and atrial rhythms.
  2. Distinguish the differences between life-threatening arrhythmias.
  3. Discuss indications for medications commonly prescribed for telemetry patients.
  4. Analyze assessment of the post-cardiac catheterization patient for complications.
  5. Plan appropriate nursing care for the patient experiencing chest pain and/or heart failure.
  6. Evaluate the effectiveness of interventions to treat heart failure.
Copyright : 12/09/2016