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You are caring for a child who presents with severe dyspnea, stridor, retractions, and cyanosis following a snack at daycare. On the monitor, the child’s heartrate is decreasing and oxygen saturations are dropping. His mental status is quickly deteriorating. The physician chooses to intubate. What size ET tube do you anticipate for this child? IV access is not obtainable and the decision is made to start an Intraosseous (IO). You are not sure if you have an IO on your code cart - and you have never used one. The physician orders epinephrine 0.01mg/kg IO. Epinephrine is given, the child develops ventricular tachycardia. Now what…?
This high-anxiety situation just became your worst nightmare. Nothing increases YOUR heartrate more than the pediatric patient who suddenly decompensates. What are your biggest concerns: Calculating the medication dose in a code situation? Managing the airway? Missing the subtle signs that lead to the need for a rapid response? Children have unique differences that require additional assessment skills and interventions. Become confident in your assessment skills and be prepared to handle emergent situations. You will have time to practice mock rapid response scenarios, use Broselow tape, calculate/draw up medications, and review airway management tools. Robin Gilbert, MSN, RN, CEN, CPEN, will teach you strategies to recognize and stabilize life-threatening emergencies that take place in the pediatric population.
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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.
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.
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