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

Credits

Handouts

Faculty

Sean G. Smith, C-EFM, C-NPT, FP-C, TP-C, RNC-NIC, CEN, CFRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric) Related seminars and products: 10

Critical-Care Professionals International

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Sean G. Smith, C-EFM, C-NPT, FP-C, TP-C, RNC-NIC, CEN, CFRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric), is a flight nurse-paramedic who has practiced and taught Trauma Care, Tactical Medicine, Emergency/Critical Care and Prehospital Emergency Medical Services, both in the military and the civilian world. He holds degrees in nursing and molecular biology, is a graduate of Duke University’s Legal Nurse Consulting program and is currently pursuing a master’s degree through the University of Florida College of Pharmacy. He holds multiple advanced specialty certifications as well as extensive instructor qualifications in critical care and emergency medicine.

Career highlights include numerous author/co-author credits, including: a best-selling Laboratory Medicine textbook, a chapter on Shock in Trauma Nursing Core Curriculum, and a section in the newly released Resuscitation Crisis Manual. Sean consults on clinical, legal and certification prep for numerous high-profile hospital systems (Yale, Mayo…). He routinely lectures at national/international conferences, has completed 50 + medical missions (Dominican Republic, Honduras, Morocco, Liberia, and Haiti), and medical support to the NASA Space Shuttle Program.

Speaker Disclosures:

Financial: Sean G. Smith receives a speaking honorarium from PESI, Inc.

Non-financial: Sean G. Smith has no relevant non-financial relationships to disclose.

Additional Info

Program Information

Click here to purchase the DVD or CD recording from our product store. CE hours and approvals on products may differ from live CE approvals.

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation within one week. You will have access for 90 days after the program for review.

Please note: Each day there will be a lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.

Objectives

1. Identify current challenges relative to your specific practice environment and patient populations.
2. Develop a proactive plan to respond to your deteriorating patient.
3. Learn 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. Recognize 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: Case-Based Review
• Identify Key Missed Moments, Lessons Learned and Best Practices
  • Assessment
  • Intervention
  • Documentation

Target Audience

• RNs
• RTs
• NPs
• 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!

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