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Digital Seminar

Managing Patient Emergencies: Critical Care Skills Every Nurse Must Know


Speaker:
Robin Gilbert, MSN, RN, CEN, CPEN
Duration:
6 Hours 19 Minutes
Format:
Audio and Video
Copyright:
Sep 19, 2019
Product Code:
POS076005
Media Type:
Digital Seminar - Also available: DVD


Description

Mrs. Kelp is admitted with pneumonia and right-sided heart failure.Twenty minutes after admission, she develops worsening dyspnea and hypotension.

  • Are you prepared to manage her unstable condition?
  • Do you know what respiratory measures are necessary?
  • Do you know the best way to manage her hypotension?

The patients in our hospitals are sicker than ever before. It is not uncommon to find patients on regular medical floors with central lines, chest tubes, pacemakers and AICDs.

Some nursing homes are accepting patients on ventilators, and patients are now being sent home on vasoactive drips such as dobutamine. Even though acuity levels are higher you are still caring for many patients and don’t have the luxury of frequent, comprehensive assessments.

Therefore, it is important to be able to rapidly assess and implement appropriate interventions.

Watch this recording to sharpen your skills and leave prepared to identify and manage your next patient emergency.

Credits

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.



* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

CE Broker


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.25 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Robin Gilbert, MSN, RN, CEN, CPEN's Profile

Robin Gilbert, MSN, RN, CEN, CPEN Related seminars and products


Robin Gilbert, MSN, RN, CEN, CPEN, has over 25 years’ experience in emergency nursing. She is both a certified emergency nurse and certified pediatric emergency nurse. Robin has experience as an emergency department manager, manager of cardiac & pulmonary rehabilitation and currently as the regional manager for staff development at Central Main Medical Center. She instructs the NCLEX review class for Kaplan and tutors nursing students online for a local college of nursing. Her experience also includes having been an item writer for the Board Certification of Emergency Nursing and a former chairperson. In her current role, Robin is able to remain up to date in the trends and best practice standards for care in emergency nursing. Robin received her BSN from Curry College, Massachusetts and her MSN from Saint Joseph’s College, Maine. Robin is an active member of the Emergency Nurses Association, the American Nurses Association, Society of Critical Care Medicine, and is a reviewer for the ANCC’s Pathway to Excellence.

 

Speaker Disclosures:
Financial: Robin Gilbert has employment relationships with EBSCO, Central Maine Medical Center, Rumford Hospital, Pathway to Excellence, and Kaplan University. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Robin Gilbert is a member of the Society of Critical Care Medicine, the American Association of Cardiovascular and Pulmonary Rehabilitation, and the Emergency Nurses Association.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

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


Objectives

  1. Distinguish two types of rapid assessment techniques and how to employ them for the best results during a patient emergency.
  2. Evaluate techniques for getting critical information during a rapid patient assessment.
  3. Investigate EARLY assessment findings in clinical syndromes that may progress rapidly and cause life-threatening conditions.
  4. Prioritize nursing actions for specific neurological, cardiac, respiratory and endocrine emergencies.
  5. Assess care of the diabetic patient in diabetic ketoacidosis.
  6. Determine patient populations who are at high-risk for bedside emergencies.
  7. Propose how to integrate assessment data and critical lab findings into the plan of care for a patient experiencing a life-threatening emergency.

Outline

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?

Cardiovascular 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

Respiratory Prevention, Presentation, Action for: “I can’t breathe”

  • Capnography Basics
  • Assessment & Critical Interventions for:
    • Pulmonary Embolism
    • Respiratory Failure
    • COPD
    • ARDS
    • The Patient Who Needs Assistance
    • O2, CPAP, BiPAP
    • Indications for Intubation
    • Positive Pressure Ventilation
    • Chest Tube Management
    • Easy ABG Analysis…Really!

Endocrine 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

Neurological 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
  • Delirium
  • Autonomic Dysreflexia
  • Simulation Lab Review
    • Interpreting the Patient’s Presentation

Fluid Imbalance/Circulatory Emergencies

  • Sepsis
  • Shock
  • 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

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists

Reviews

5
4
3
2
1

Overall:      5

Total Reviews: 3

Comments

COLLEEN S

"Good program, good length, equals CEU amount"

Katherine M

"I really liked the presentation and it was a great review of ESI and an overall review of that first look and how to quickly address sick patients "

Patricia C

"loved the presenter"

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