2 Day – Managing Patient Emergencies: Critical Care Skills Every Nurse Must Know – Dr. Paul Langlois

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• Sharpen Your Crisis Management SkillsSharpen Your Crisis Management Skills
• Rapid Assessment Tips that Improve OutcomesRapid Assessment Tips that Improve Outcomes
• Presentation & Action For:Presentation & Action For:
  • "I'm Having Chest Pain""I'm Having Chest Pain"
  • "I Can't Breathe""I Can't Breathe"
  • "I Don't Feel Right""I Don't Feel Right"
  • "Oh, My Aching Belly""Oh, My Aching Belly"
  • "My Head Hurts!""My Head Hurts!"
  • "The Crashing Patient""The Crashing Patient"

Mrs. Kelp is admitted with pneumonia and right-sided heart failure. Twenty minutes after admission, she develops worsening dyspnea and hypotension.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?Are you prepared to manage her unstable condition?
• Do you know what respiratory measures are necessary?Do you know what respiratory measures are necessary?
• Do you know the best way to manage her hypotension?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. Attend this seminar to sharpen your skills and leave prepared to identify and manage your next patient emergency!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. Attend this seminar to sharpen your skills and leave prepared to identify and manage your next patient emergency!

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1. Analyze two types of rapid assessment techniques and how to employ them for the best results during a patient emergency.Analyze 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.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.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.Prioritize nursing actions for specific neurological, cardiac, respiratory and endocrine emergencies.
5. Explore care of the diabetic patient in diabetic ketoacidosis versus HHNK/HHS.Explore care of the diabetic patient in diabetic ketoacidosis versus HHNK/HHS.
6. Breakdown heart failure with regards to left- and right-sided failure.Breakdown heart failure with regards to left- and right-sided failure.
7. Evaluate patient populations who are at high-risk for bedside emergencies.Evaluate patient populations who are at high-risk for bedside emergencies.
8. Communicate how to integrate assessment data and critical lab findings into the plan of care for a patient experiencing a life-threatening emergency.Communicate how to integrate assessment data and critical lab findings into the plan of care for a patient experiencing a life-threatening emergency.
9. Employ a strategic approach in evaluating abdominal pain for the most accurate assessment.Employ a strategic approach in evaluating abdominal pain for the most accurate assessment.
10. Evaluate the difference between ischemic and hemorrhagic stroke in both symptoms and treatment priorities.Evaluate the difference between ischemic and hemorrhagic stroke in both symptoms and treatment priorities.
11. Communicate the most common causes of arterial blood gas abnormalities.Communicate the most common causes of arterial blood gas abnormalities.
12. Analyze pain management and sedation options for the patient experiencing an acute illness.Analyze pain management and sedation options for the patient experiencing an acute illness.

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Identifying the RED FlagsIdentifying the RED Flags

• Critical Thinking During a CrisisCritical Thinking During a Crisis
• Vital Signs & ABCDsVital Signs & ABCDs
• Methods for Establishing and Maintaining AirwayMethods for Establishing and Maintaining Airway
• Breathing: More Than a Rate IssueBreathing: More Than a Rate Issue
• Circulation & PerfusionCirculation & Perfusion
• Differential Diagnosis – 4 Methods of Determining CauseDifferential Diagnosis – 4 Methods of Determining Cause
• Rapid Assessment TechniquesRapid Assessment Techniques
• Critical Questions to Ask Your PatientCritical Questions to Ask Your Patient
• Identifying High-Risk PopulationsIdentifying High-Risk Populations
• Pre-Morbid ConditionsPre-Morbid Conditions
• Age ConsiderationsAge Considerations

Cardiovascular Prevention, Presentation, Action for: "I'm having chest pain"Cardiovascular Prevention, Presentation, Action for: "I'm having chest pain"

• Recognizing Arrhythmias – Stable, Unstable and LethalRecognizing Arrhythmias – Stable, Unstable and Lethal
• 12-Lead EKG: Just the Down and Dirty12-Lead EKG: Just the Down and Dirty
• Utilizing a Systematic ApproachUtilizing a Systematic Approach
• Patterns of Ischemia, Injury & InfarctPatterns of Ischemia, Injury & Infarct
• Acute Myocardial Infarction: STEMI/NSTEMIAcute Myocardial Infarction: STEMI/NSTEMI
• Key Assessments & InterventionsKey Assessments & Interventions
• tPA GuidelinestPA Guidelines
• Cath Lab InterventionCath Lab Intervention
• Laboratory ParametersLaboratory Parameters
• Recognizing Subtle ChangesRecognizing Subtle Changes
• Heart FailureHeart Failure
• Recent Advances in CareRecent Advances in Care
• Medication ManagementMedication Management
• Managing Intake and OutputManaging Intake and Output
• Vascular AbnormalitiesVascular Abnormalities

Respiratory Prevention, Presentation, Action for: "I can't breathe"Respiratory Prevention, Presentation, Action for: "I can't breathe"

• Assessment & Critical Interventions for:Assessment & Critical Interventions for:
• Pulmonary EmbolismPulmonary Embolism
• Pulmonary EdemaPulmonary Edema
• Acute Asthma AttackAcute Asthma Attack
• Spontaneous PneumothoraxSpontaneous Pneumothorax
• Allergic ReactionsAllergic Reactions
• The Patient Who Needs AssistanceThe Patient Who Needs Assistance
• O2, CPAP, BiPAPO2, CPAP, BiPAP
• Indications for IntubationIndications for Intubation
• Positive Pressure VentilationPositive Pressure Ventilation
• Chest Tube ManagementChest Tube Management
• Ventilator Settings Every Nurse Must KnowVentilator Settings Every Nurse Must Know
• Easy ABG Analysis…Really!Easy ABG Analysis…Really!

Endocrine Prevention, Presentation, Action for: "I don't feel right"Endocrine Prevention, Presentation, Action for: "I don't feel right"

• The Differences of DKA and HHNKThe Differences of DKA and HHNK
• Early Recognition of HypoglycemiaEarly Recognition of Hypoglycemia
• Thyroid Storm: Physical and Psychiatric SymptomsThyroid Storm: Physical and Psychiatric Symptoms
• Managing Adrenal CrisisManaging Adrenal Crisis
• Critical Lab FindingsCritical Lab Findings

Gastrointestinal Prevention, Presentation, Action for: "My aching belly"Gastrointestinal Prevention, Presentation, Action for: "My aching belly"

• Warning Signs of Acute PancreatitisWarning Signs of Acute Pancreatitis
• Upper vs. Lower GI BleedingUpper vs. Lower GI Bleeding
• Perforated BowelPerforated Bowel
• Early Signs of Small Bowel Obstruction – IlleusEarly Signs of Small Bowel Obstruction – Illeus
• Interpreting the Lab TestsInterpreting the Lab Tests

Neurological Prevention, Presentation and Action for: "My head hurts!"Neurological Prevention, Presentation and Action for: "My head hurts!"

• Elevated Intracranial PressureElevated Intracranial Pressure
• Clues When you Don't have a MonitorClues When you Don't have a Monitor
• Ischemic vs. Hemorrhagic StrokeIschemic vs. Hemorrhagic Stroke
• Inclusion/Exclusion for tPAInclusion/Exclusion for tPA
• Essential Assessments post-tPAEssential Assessments post-tPA
• Management Strategies for SeizuresManagement Strategies for Seizures
• The Patient in WithdrawalThe Patient in Withdrawal
• Known vs. Suspected ETOH/Drug AbuseKnown vs. Suspected ETOH/Drug Abuse
• Interventions for Delirium TremorsInterventions for Delirium Tremors
• Critical LabsCritical Labs

Renal Prevention, Presentation and Action for: "I can't make urine"Renal Prevention, Presentation and Action for: "I can't make urine"

• Acute vs. Chronic Kidney DiseaseAcute vs. Chronic Kidney Disease
• Recognizing Acute Kidney InjuryRecognizing Acute Kidney Injury
• Key AssessmentsKey Assessments
• Interpreting the Lab DataInterpreting the Lab Data

Pain, Agitation & DeliriumPain, Agitation & Delirium

• Analgesics: Too Much or Too LittleAnalgesics: Too Much or Too Little
• Managing the Bedside ProcedureManaging the Bedside Procedure
• Type of Sedating MedicationsType of Sedating Medications
• Ensuring Appropriate MonitoringEnsuring Appropriate Monitoring
• Delirium: So Many Causes, So Many Options…Delirium: So Many Causes, So Many Options…
• Key Assessments & InterventionsKey Assessments & Interventions

Managing the Decompensating PatientManaging the Decompensating Patient

No Pulse, No Blood Pressure, No Respirations…Now What?No Pulse, No Blood Pressure, No Respirations…Now What?

• Identifying Cardiac CausesIdentifying Cardiac Causes
• Street Drugs & PoisoningStreet Drugs & Poisoning
• Critical Assessments & InterventionsCritical Assessments & Interventions
• MUST KNOW Reversal AgentsMUST KNOW Reversal Agents

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