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Managing Patient Emergencies -Critical Care Skills Every Nurse Must Know by Robin Gilbert,
Salepage link: At HERE. Archive:

Faculty:: Robin Gilbert
Duration:: Full Day
Format:: Audio and Video
Copyright:: Sep 19, 2019

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.

Handouts

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

Faculty

Robin Gilbert, MSN, RN, CEN, CPEN Related seminars and products: 18

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 extensive experience working in the emergency department, progressive care, intermediate care, transitional care, step-down and, currently, as the regional manager for staff development at Central Maine Medical Center. Robin draws on her expertise to teach her own hospital staff and experienced healthcare audiences throughout the country on a variety of critical care and emergency nursing topics.

She has been an item writer for the Board Certification of Emergency Nursing (BCEN), a former Chairperson of BCEN, and most recently a contributing writer for the current CEN Review Manual. Robin is an active member of the Emergency Nurses Association, the American Nurses Association, Society of Critical Care Medicine, Association for Nursing Professional Development, and is a reviewer for the ANCC’s Pathway to Excellence.

Speaker Disclosures:

Financial: Robin Gilbert has an employment relationship with Central Maine Medical Center and Rumford Hospital. She receives a speaking honorarium from PESI, Inc.

Non-financial: Robin Gilbert has no relevant non-financial relationship to disclose.

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