2-Day Progressive Care Conference-Conquer the High Acuity Patient – Robin Gilbert

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Progressive care patients often require extensive pulmonary and cardiac interventions, management of arterial lines, ventilators, wound care…and much more.

The complexities can leave you feeling intimidated; uncertain you can handle the responsibility of providing the best possible care for higher acuity patients. Have there been times in the past that you wished you had done more…?

Whether you are on a unit that is transitioning to progressive care, or currently work on a PCU, this essential 2-day course will build these skills you need to confidently and effectively work with progressive care patients!

Purchase this recording and increase your competency and clinical sophistication with tips, tools and tactics to:

• Strengthen your assessment skills and spot problems before they get worse
• Dramatically increase your confidence in caring for acutely ill patients
• Interpret ABG results with ease and confidence
• Correctly choose the best interventions for the situation

During this intense training, Robin Gilbert, MSN, RN, CEN, CPEN, will provide you with new clinical insights and critical thinking skills so you won’t need to feel uncertain, scared or at risk any more. Complete the program with a new peace of mind working with progressive care patients!

1. Anticipate changing assessment priorities of progressive care patients and their families.
2. Evaluate ECG characteristics and initial management strategies of common dysrhythmias.
3. Interpret ABG results with greater ease and confidence.
4. Analyze ventilator modes, challenges and nursing management.
5. Spot early signs of clinical deterioration before things get worse.
6. Choose the best interventions for care of patients with acute coronary syndromes.
7. Explain the indications for electrophysiology studies.
8. Summarize current sepsis recommendations.
9. Differentiate acute ischemic stroke and hemorrhagic stroke between clinical presentation and nursing management.
10. Plan your response to life-threatening electrolyte imbalances.
11. Determine nursing interventions to endocrine disorders: DKA, HNK, SIADH, DI.
12. Examine the special needs of trauma patients in progressive care units.
13. Evaluate the current trends being seen in the treatment of progressive care patients (ECMO, REBOA, assistive devices).

Neurology: Starting at the Top

• ICP
• Traumatic Brain Injury
• Stroke
• Seizures

Cardiovascular: Keeping in Rhythm

• Acute Coronary Syndrome (STEMI, NON-STEMI, Angina)
• EKG interpretation (The down and dirty)
• Diagnostics
• Heart failure
• Pericarditis, Myocarditis, Endocarditis
• Valve disease

Pulmonary

• Acute respiratory failure
• Acute respiratory distress syndrome
• COPD, Asthma, Asthma COPD
• Overlap Syndrome
• Pulmonary embolism
• BiPAP, CPAP, mechanical ventilation

Acid Base in a Nutshell: ABG’s

• Buffer to Blame: Who’s Guilty? (Respiratory or Metabolic)
• Is there an accomplice involved? (Compensating/Not compensating)

Renal System

• Assessment
• Acute Kidney Injury
• Potassium, Sodium, Calcium, Magnesium Imbalance

Gastrointestinal System

• Bowel obstructions
• Abdominal Compartment Syndrome
• Acute abdomen
• GI Bleed
• Pancreatitis

Hematologic & Immune System

• DIC
• Thrombocytopenia
• Anaphylactic reactions

Endocrine

• Hyperglycemic states
• SIADH
• Diabetes
• Thyroid storm

Hemodynamic Basics

• Parameters
• Monitoring systems

Pharmacology

• Vasopressors & Inotropes
• Insulin drips
• Antiarrhythmics
• Pulmonary medications
• Sedation
• Sink or swim: IV fluids in critically ill
• TXA

Multisystems

• Sepsis
• Multisystem trauma

Critical Care Patients with Special Needs

• Bariatric patient
• High risk obstetric
• Assistive devices

Preparations for the Future

• CardioMEMS HF system
• Watchman
• Impella
• Extracorporeal cardiopulmonary resuscitation (ECPR)
• Resuscitative endovascular balloon occlusion of the aorta (REBOA)
• Tandem heart

Pulling it all Together

• Case based presentations & discussion