Managing Patient Emergencies -Critical Care Skills Every Nurse Must Know – Robin Gilbert

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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's Profile

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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