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1. Recognize and distinguish the early clinical signs and symptoms of impending doom.
2. Assess the deteriorating patient using rapid and focused strategies.
3. Explain the unique and time-sensitive needs for patients experiencing cardiac, pulmonary, infectious, diabetic and shock clinical crisis.
4. Evaluate optimal use of rapid response teams.
5. Differentiate between the diagnostic tests used in the deteriorating patient.
6. Apply current treatments for patients in clinical crisis using case studies.

Sepsis Crisis

• What are the 3 most likely causes of a sepsis crisis
• Three cardinal signs of sepsis
• Understanding diagnostic tests to differentiate sepsis from other possibilities
• Summary of the current evidence-based findings
• Complications of illness

Cardiovascular Crisis

(Acute MI, Cardiogenic Shock, Pulmonary edema, TIA/CVA)

• What are the common causes of all cardiovascular diseases
• Symptomology differences between genders in cardiovascular disease
• Examination clues that help you recognize a cardiovascular crisis
• What diagnostic tests, labs, x-ray, imaging can help with diagnosis of a CV emergency
• Nurse's role managing a cardiovascular crisis

Anaphalaxis Crisis

• Do you know the typical causes of anaphalaxis?
• Signs/symptoms to look for in patients experiencing anaphalaxis
• What quick nursing actions can save your patient's life in anaphalaxis?
• Medications that can avert an anaphalaxis crisis

Diabetic Crisis

(Ketoacidosis, Hyperosmolar Syndrome)

• Key differences between ketoacidosis and hyperosmolar syndrome
• What subtle signs do patients display when heading towards a diabetic crisis?
• Important labs that give clues in diabetic crisis and its resolution
• What nursing skills are important to help reduce diabetic crisis complications?

Pulmonary Crisis

(Status Asthmaticus, Acute Respiratory Failure)

• Identify causes that can lead to a pulmonary crisis
• Are all breath sounds alike?
• When asthma is no longer simple
• Which patients are likely to develop acute respiratory failure - and what can you do about it?

Hypovolemic Crisis

(GI bleed, Trauma, Internal Bleeding)

• Causes of hypovolemic shock that you will encounter
• When anxiety, restlessness, agitation and confusion are not a mental health problem
• Are there earlier signs than hypotension that signal a hypovolemic crisis?
• Fluids, Fluids, Fluids. Fluid resuscitation can save a life.

Rapid Response Teams

• Effective use of the RRT in a clinical crisis
• When to utilize the RRT
• What team members are needed on RRT

Rachel Henderson, PhD, MS, RN, HCRM, is an expert speaker on topics focused on legal aspects of healthcare, nursing documentation, and regulatory compliance. Her 22 years as a legal nurse consultant, inpatient clinical nurse specialist and healthcare risk manager (HCRM) bring life to her presentations by sharing real case scenarios. She is a member of the National Speakers Association (NSA) and past president of the Florida Speakers Association (FSA). She is a published author in peer-reviewed journals and textbooks. In addition to owning a medical and legal consulting business, she has her PhD in Public Policy and Administration: Law and Policy. Rachel works with law firms and healthcare organizations, evaluating medical records for compliance with standards of care and applicable regulations. She has been an expert witness for medical negligence cases for both the plaintiff and the defense.
Speaker Disclosures:
Financial: Dr. Rachel Henderson has employment relationships with Medical Legal Concepts, Florida SouthWestern State College, and Palm Beach State College. She receives royalties as a published author. Dr. Henderson receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Rachel Henderson is a member of the American Association of Critical Care Nurses, the American Society of Healthcare Risk Managers, and the American Society of Professionals in Patient Safety.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

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.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**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: 11/14/2020
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
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Physician Assistants, and other Mental Health Professionals