3-Day: Rapid Response Certification Conference: Critical Next Steps for the Deteriorating Patient

Credit

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Handouts/Brochure

Speaker

Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric) Related seminars and products

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Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric), is a humanitarian/flight nurse-paramedic who is triple board-certified in neonatal, pediatric, and adult critical care and emergency medicine. He brings 30+ years of education and team/leadership experience to his presentations from a career that includes global health, tropical medicine, research molecular neuroendocrinology, nuclear engineering technology, US Navy aviation/NASA manned space flight support, and high-performance teams/high-yield pedagogy, dozens of national/international conference presentations and various awards and honors. Author/co-author/review credits include a best-selling laboratory medicine textbook, a chapter on shock in Nursing Core Curriculum a section in the newly released Resuscitation Crisis Manual, numerous other industry-standard textbooks, and several professional association critical care/emergency medicine curriculums and board certification review courses (AACN, ANN, ENA, SCCM, etc.). Additionally, Sean routinely consults on clinical, legal, and certification matters for numerous high-profile hospital systems (Yale, Mayo, etc.). He holds an MSc in Pharmacy/Forensic Science, bachelor’s degrees in business administration, nursing, and molecular biology, and post graduate certificates in Forensic Death Investigation, Legal Consulting, and Tropical Medicine. In addition to being active in a number of professional associations (SCCM, AACN, WADEM, etc.), Sean is a life member of Mensa, The Emergency Nurses Association, and the Air Surface Transport Nurses Association. He has served on the executive committees and in various leadership roles of numerous charities and professional associations and has led/participated in 50+ medical missions (Dominican Republic, Honduras, Morocco, Liberia, Nepal, Iraq, Democratic Republic of Congo, and Haiti). Sean served as a clinician and educator during the largest Ebola and Cholera outbreaks in recent history and is currently active in building sustainable neonatal-pediatric cardiac critical care capacity in Iraq, as well as serving as part of a national-level multidisciplinary child sexual assault forensics team in Guyana, South America. Hobbies include Scuba diving and vintage science kits, tube amplifiers, and motorcycles.

 

Speaker Disclosures:
Financial: Sean Smith is an independent contractor. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Sean Smith is a member of the American Association of Critical Care Nurses, the Emergency Nurses Association, and the Society for Critical Care Medicine.

Additional Info

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.

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info

Objectives

1. Develop a proactive high performance rapid response team approach to respond to deteriorating patients.
2. Apply psychological safety during rapid response situations.
3. Evaluate rapid advanced assessment concepts with respect to the patient experiencing a life-threatening emergency.
4. Identify determinants of cerebral and end organ perfusion.
5. Analyze the essential determinants of cardiac output.
6. Understand how reversible causes impact cardiac output and can exacerbate patient deterioration.
7. Choose the best interventions for rapid stabilization of the generalized deteriorating patient.
8. Apply best practice assessment and interventional approaches for a variety of emergent cardiac scenarios.
9. Select the best practice rapid assessment and interventional approaches for critical respiratory patients.
10. Identify current challenges relative to your specific practice environment and patient populations.
11. Learn mental strategies necessary for success, self-care, and process improvement when treating critically ill patients.
12. Incorporate pharmacological interventions into your current clinical practice with respect to the pre, peri, and post arrest management of the medically fragile patient.
13. Determine documentation strategies for high risk, rapid response patient scenarios.
14. Apply advanced laboratory medicine concepts with respect to the at risk patients you care for.
15. Recognize subtle synergistic warning signs of the ‘perfect storm’ patient.
16. Identify evidence-based practices to reduce sepsis risk. 
17. Outline evidence-based practices for treatment of the patient with sepsis. 
18. Apply up-to-date guidelines for assessment and intervention of the patient in shock (hypovolemic, distributive, obstructive, and cardiogenic).

Outline

High Performance Resuscitation Teams During a Rapid Response

• Physical and psychological components
• Skills maintenance strategies
• Real world application
• 2023 AHA Guidelines for CPR and Emergency Cardiovascular Care

Worst Case Scenarios & Proactive Planning

• Mental strategies for success
• Failure to rescue and how to avoid it 
• Proactive risk assessments
• Lab test clues that a crisis is looming
• Clear, coherent communication of high-risk information
• Comprehensive management of the crashing patient: Before, during & after the code 

Crucial Patient Assessments & Interventions

• Anticipate needs of high-risk populations (neuro, cardiac, respiratory, endocrine, oncologic)
• Incorporate rapid assessment techniques and ask the critical questions
• Identify subtle changes and time sensitive issues of the rapid response patient
• Explore altered mental status causes 
• Prioritize critical lifesaving Interventions

Pharmacological Guidelines for Emergent Patient Scenarios

• Current medication management guidelines for emergency situations
• Pharmacokinetic and pharmacodynamic considerations in the rapid response patient
• Pharmacologic pearls and pitfalls in medically fragile patients

Rapid Cardiac Assessment and Stabilization During Cardiac Emergencies

• Identify determinants of cardiac output and end organ perfusion
• Current interventions for reversible causes of cardiac emergencies
• Rapidly assess and treat concomitant reversible causes contributing to decreased cardiac output
• Rate control vs. rhythm control
• Detect first signs of life-threatening EKG changes

Optimize Response in Respiratory Distress and Cardio-Pulmonary Resuscitation

• Apply best practice methods to assess oxygenation and ventilation (Sao2, ETCO2, ABGs…)
• Critical thinking strategies for ABG analysis 
• Identify oxygen delivery devices and their relative rates of delivering oxygen
• Must have components of high-quality CPR 
• Resuscitation does not end with return of spontaneous circulation (ROSC)

High-Performance Resuscitation Teams for Patients in Shock States

• Hypovolemic 
• Distributive
• Obstructive
• Cardiogenic 
• Pathology > differential diagnosis > treatment

High Performance Resuscitation Teams in Sepsis

• Evidence-based practices to prevent sepsis
• Rapid assessment and stabilization of the septic patient
• Quick treatment strategies for septic distributive shock

Protect Yourself & Your License

• Potential pitfalls: Delegation, scope of practice, EMTALA, etc.
• Rapid risk assessment and analysis
• Limit liability with defensible documentation 
• Ethical considerations

Target Audience

• Nurses
• NPs/APRNs
• Physicians
• Physician Assistants
• Pharmacists
• Paramedics
• Respiratory Therapists
• Anyone desiring next level skills to proactively assess and intervene for the crashing critically ill patient!