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Digital Seminar

Practical Approach to the Physical Assessment: The Clinician&s Roadmap


Speaker:
Rachel Henderson, PhD, MS, RN, HCRM
Duration:
6 Hours 04 Minutes
Format:
Audio and Video
Copyright:
Feb 13, 2015
Product Code:
POS076535
Media Type:
Digital Seminar


Description

  • Documentation elements of a comprehensive review of systems
  • Interviewing techniques to address the most sensitive topics
  • Strategies to detect abnormal cardiac and pulmonary sounds
  • Demonstration of a complete neurological assessment in two minutes
  • Critical thinking techniques to move from assessment to nursing intervention
  • Characterization of signs and symptoms with disease states

You have been assigned your patients for the shift. One of your patients is particularly complex. You have a gut feeling about this patient, which usually means something is not quite right…. Your time is divided amongst all your assigned patients because they require you attention too. How do I perform an accurate, thorough, and timely assessment when I have such little time, and then, how do I chart all the care I performed?

Time is a commodity healthcare providers are not afforded in today’s reality. We must learn to perform our job with excellence, precision and with efficiency. It can be done but we must work at it. One way is to be certain of your assessment skills and what to look for so you can quickly establish your priorities. No Rapid Responses on my shift if I can help it!

Whether you are a novice or expert, have been in practice for a few years or decades, it is possible that you may not have heard or seen enough examples of abnormal symptom and assessment findings. Attend this information-packed seminar and learn the latest research findings, evidence-based practice guidelines and techniques, including assessment tools for evaluation and treatment that you can implement into your practice immediately. Enhance your current interviewing and examination techniques, critical thinking skills, and learn new fun mnemonics to aid in the recall of many clinical conditions. Your speaker, Rachel Cartwright-Vanzant, MS, RN, CNS, LHRM, LNCC, will present topics using a variety of methods, including sample charting, discussion of differential symptom analysis and clinical case studies.

OUTLINE

INTERVIEWING, HISTORY-TAKING AND DOCUMENTATION TECHNIQUES

Communication Skills and Interview Strategies

  • Communications strategies for sensitive topics
    • Mental health issues
    • Drug/alcohol issues
    • Sexuality issues
    • Other sensitive issues
  • General literacy & health literacy

Core Adult History and Physical Exam Skills

  • Accountability for obtaining baseline data
    • Recording the assessment
    • Reporting relevant data
  • Past medical history
  • Chief complaint
    • Analysis of a symptom
    • Remember “OPQRST”
  • Elements of a history
    • Problem focused
    • Detailed
    • Comprehensive

Physical Exam Techniques

  • Inspection
  • Palpation
  • Percussion
  • Auscultation

Critical Thinking Skills

  • Assessment
  • Nursing diagnosis
  • Planning & outcome identification
  • Implementation
  • Evaluation

Documenting the Physical Exam

  • Electronic medical records
  • Strategies to overcome the dangers of
  • Charting by Exception
  • Legal implications & nursing standards

ASSESSMENT STRATEGIES FOR CHALLENGING SYMPTOMS

Integumentary System

  • Legal issues surrounding the skin
  • Assessment and common abnormalities
    • Anatomy of the skin
    • Pressure sore staging/grading
    • National Pressure Ulcer Advisory Panel

Head and Neck

  • Assessment and common abnormalities
  • Abnormal facial features

Thorax and Lungs

  • Assessment and common abnormalities
    • Respiratory landmarks
    • Oxygen transport and delivery
    • Abnormal breath sounds
  • Acute respiratory failure
  • Pulmonary embolism
  • ABG interpretation

Cardiac and Vascular Systems

  • Assessment and common abnormalities
    • Cardiac landmarks
    • Basic EKG analysis
  • Abnormal heart sounds

Abdomen

  • Assessment and common abnormalities
    • Abdominal landmarks

Musculoskeletal System

  • Assessment and common abnormalities
    • Grading muscle tone and strength
  • Osteoarthritis vs autoimmune

Nervous System

  • Assessment and common abnormalities
  • Autonomic nervous system
    • Parasympathetic nervous system
    • Sympathetic nervous system
  • Interactive cranial nerves
    • Normal findings
    • Abnormal significance
  • Head injury
    • “Nature of the injury”
    • Concussion
    • Increasing intracranial pressure

Case Studies

OBJECTIVES

  • List eight system elements included in a review of systems.
  • Identify three strategies to assess patients for low health literacy.
  • Revise documented entries applying the “FACT” rule.
  • Interpret arterial blood gases in a flash.
  • Name three signs and symptoms of inadequate oxygenation.
  • Identify the waveforms of a normal EKG pattern.
  • Discuss possible etiology and significance of common cardiovascular assessment abnormalities.
  • Identify structures in regions of the abdomen.
  • Discuss abdominal assessment findings that warrant emergent intervention intestinal obstructions.
  • Incorporate the cranial nerves assessment, Glasgow coma scale, and reflex grading scale to the neurologic exam.

To order the CD, Heart and Lung Sounds Reference Library, please visit our product store.

To order the book, Clinical Nursing Assessment Skills Pocket Guide, please visit our product store.


 

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

 

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

Credit


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. 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 cepesi@pesi.com or 800-844-8260 before the event.

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


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 7.6 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

Rachel Henderson, PhD, MS, RN, HCRM's Profile

Rachel Henderson, PhD, MS, RN, HCRM Related seminars and products


Rachel Henderson, PhD, MS, RN, HCRM, is an expert speaker on topics focused on legal aspects of healthcare, nursing documentation, and regulatory compliance. Her 22 years as a legal nurse consultant, inpatient clinical nurse specialist and healthcare risk manager (HCRM) bring life to her presentations by sharing real case scenarios. She is a member of the National Speakers Association (NSA) and past president of the Florida Speakers Association (FSA). She is a published author in peer-reviewed journals and textbooks. In addition to owning a medical and legal consulting business, she has her PhD in Public Policy and Administration: Law and Policy. Rachel works with law firms and healthcare organizations, evaluating medical records for compliance with standards of care and applicable regulations. She has been an expert witness for medical negligence cases for both the plaintiff and the defense.

Speaker Disclosures:
Financial: Dr. Rachel Henderson has employment relationships with Medical Legal Concepts, Florida SouthWestern State College, and Palm Beach State College. She receives royalties as a published author. Dr. Henderson receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Rachel Henderson is a member of the American Association of Critical Care Nurses, the American Society of Healthcare Risk Managers, and the American Society of Professionals in Patient Safety.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Target Audience

Nurses, Physician Assistants, Respiratory Care Practitioners, and other Healthcare Professionals

Reviews

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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