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1. Describe 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.
3. Recognize 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.
5. Review care of the diabetic patient in diabetic ketoacidosis versus HHNK/HHS.
6. Differentiate key differences in presentation, lab results and plan of care.
7. Define heat failure with regards to left- and right-sided failure; discuss treatment options, acute and follow-up care.
8. Discuss critical interventions and review treatment options for Sepsis and Shock.

IDENTIFYING THE RED FLAGS

• Critical Thinking During a Crisis
• Rapid Assessment Techniques
• ABCD in Less Than 10 Seconds
• Critical Questions to Ask Your Patient

CARDIOVASCULAR

Prevention, Presentation, Action for: “I’m Having Chest Pain”

• Recognizing Arrhythmias
  • Stable, Unstable and Lethal
• 12-Lead EKG: Just the Down and Dirty
  • Utilizing a Systematic Approach
  • Patterns of Ischemia, Injury & Infarct
• Acute Myocardial Infarction: STEMI/NSTEMI
  • Key Assessments & Interventions
  • tPA Guidelines
  • Cath Lab Intervention
• Heart Failure
  • Recent Advances in Care
  • Medication Management
  • Fluid Restriction

RESPIRATORY

Prevention, Presentation, Action for: “I Can’t Breathe”

• Assessment & Intervention
  • Anxiety vs. Respiratory Symptoms
  • The Patient Who Needs Assistance
    • O2, CPAP, BiPAP
  • Indications for Intubation
  • Positive Pressure Ventilation
• Respiratory Syndromes
  • Spontaneous Pneumothorax
    • Chest Tube Management
  • COPD
    • Presentation: Why the Pursed Lips & Barrel Chest
    • PROACTIVE not Reactive Interventions
  • Respiratory Failure
    • Ventilator Settings Every Nurse Must Know

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
  • Essential Assessments post-tPA

MANAGING THE DECOMPENSATING PATIENT

Prevention, Presentation and Action for: “The Crashing Patient”

• Anaphylaxis
• Sepsis
• Shock
• Considerations for Transport
• Activating the Rapid Response Team

Sandy A. Salicco is a clinical specialist for surgical services (including OR, Pre-op, PACU and Endoscopy), and interventional radiology at a tertiary care facility. She has been a nurse for over 35 years, and has been an educator for many of these years, both formally and informally. She has maintained her CCRN for over 25 years, and stays current as a Licensed Healthcare Risk Manager. She has had experience in critical care, including ICU, CCU, PACU, ED, PICU, and high-risk OB, and has a special passion for cardiac arrhythmias. She has taught many cardiac rhythm and EKG classes. Having completed the Clinical Ethics for Practitioners Program many years ago, she tries to stay involved in both nursing ethics and bioethics. Sandy has spoken nationally at many conferences on such topics as rapid response, subtle changes in the patient's condition, aggressive management of the unstable med-surg patient, documentation, expanding in-service education, advanced directives, and multi-cultural awareness in end-of-life decisions, just to name a few. She thoroughly enjoys teaching and likes to instill a little humor in her presentations, but she mostly enjoys the healthcare professionals she gets to meet along the way! Disclosures:

Financial: Sandy A. Salicco is receiving a fee for speaking at today's educational activity.

Non-financial: Sandy A. Salicco has no relevant non-financial relationships to disclose.

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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.

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**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. 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 professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 12/16/2019
No CE available for this board.

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.

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 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. 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.

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Other Professions
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**It is your ethical responsibility to report accurate hours to your licensing board.
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Nurses, and other Healthcare Professionals