Essential Assessment, Interpretation and Intervention Strategies

Credits

Handouts/Brochure

Faculty

Cyndi Zarbano, MSN, BSN, CCRN, CEN, PCCN, CLNC Related seminars and products

Clinical Review

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Cyndi Zarbano, MSN, BSN, CCRN, CEN, PCCN, CLNC, has been a nurse for more than 25 years and a legal nurse consultant (LNC) for 12. Many of her cases in the last decade have been consulting and educating nurses who have gotten into trouble with the board of nursing and helping them complete their corrective action stipulations. Medication errors and patient injury are a common cause of corrective action, license suspension and loss of license.

Cyndi’s clinical area of expertise has been in various intensive care/critical care roles, currently working for Mayo in Minnesota. She has been a national seminar speaker for over ten years speaking to diverse healthcare audiences throughout the country. During her presentations, she has earned the reputation of keeping attendees engaged with the use of current clinical knowledge, fascinating legal stories, and the interjection of nursing humor to keep it fun.

Speaker Disclosures:

Financial: Cyndi Zarbano is the owner of Clinical Review Consultants. She receives a speaking honorarium from PESI, Inc.

Non-financial: Cyndi Zarbano has no relevant non-financial relationship to disclose.

 

Additional Info

Program Information

Click here to purchase the DVD or CD recording from our product store.

To order the book, Laboratory Tests Made Easy: A Plain English Approach, please visit our product store.

To order the book, Clinical Nursing Assessment Skills – Pocket Guide: Neurological, Cardiac & Pulmonary Assessment, please visit our product store.

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Outline

Identification & Management of Crisis

• • Master “down and dirty” prompt assessment skills
• End the “Red Flags”
  • Rapid stabilizing interventions for the unstable patient
• Manage the decompensating patient
  • Better outcomes through quick intervention

Easy Steps to ABG Analysis

• Acid base imbalance
• 4 abnormal findings when reading your lab result
• A simple tool to rapidly and efficiently interpret ABG’s!

The 5 Steps to Rhythm Strip Interpretation

• Systematically reviewing the major components of a rhythm strips
• Identifying rhythm changes and management of:
• Atrial Fibrillation and Atrial Flutter
• Paroxysmal Supra-Ventricular Tachycardia (PSVT)
• V-Tach and V-Fib

Managing Chest Drainage

• Indications for chest tubes
• Circumventing re-expansion pulmonary edema
• Avoiding common complications of chest drainage

Master Central Line Care

• • Common issues experienced with central lines
  • Using which port for what on a triple lumen PICC
  • Use of a “cell-saver” to reduce lost hemoglobin during blood draws
• The challenge of CVP monitoring

Pacemakers & AICDs

• Indications for pacemakers
• Meaning of pacemaker codes
• Types of Pacemakers
• Device management
• Practical solutions to common pacemaker problems

Objectives

• Identify 5 essentials components of a “down and dirty” assessment in your patient when they have a sudden decomposition in health status.
• State 3 rapid interventions that can stabilize a patient who is symptomatic with a low blood pressure.
• Recognize the most common causes of arterial blood gas abnormalities.
• Quickly identify the 3 most common dysrhythmias using rhythm strip interpretation.
• Manage the risk to avoid re-expansion pulmonary edema in the patient with a chest tube for pleural effusion.
• Review the correct technique for opening an occluded central line lumen.
• Summarize the difference between failure to capture and failure to sense in a pacemaker and how each is resolved.

Target Audience

Reviews