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Think Like an Emergency Nurse -Deliver Critical Care in Any Department – Sean G. Smith

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Faculty:
Sean G. Smith
Duration:
6 Hours 14 Minutes
Format:
Audio and Video
Copyright:
Oct 19, 2017

Description

  • Respond to a crashing patient – in any setting
  • Understand the “8-minute hour”
  • Mental strategies necessary for success in emergency situations
  • Increase your confidence when handling deteriorating patients

Your coworker calls for help – you go in to see her patient, sitting up and talking just a few minutes ago, now turning blue and gasping for air. You have a real chance to intervene and make a difference – that’s why you became a nurse! What will you do?

Imagine you are taking care of your patient – anywhere – the office, clinic, Nursing Home, OR, in the community and suddenly grasp that an emergency situation is unfolding. Do you know what to do? How to respond? Even if you call an ambulance or have a rapid response team coming, YOU may still be taking care of that patient for up to 8 minutes or more. What can YOU do in that time to improve the chances of a positive outcome?

How will you help save lives?

Your patient down the hall calls for help. As you enter the room, you see him begin to vomit blood. He becomes pale, and less responsive – but still awake. You call a Rapid Response, and stay with him until the team arrives. They assume care of the patient.

You’re left wishing you had done more – he was your patient, after all.

This intense course will provide you with the clinical insights and critical thinking skills that ED nurses excel at. You will no longer need to feel uncertain and scared.

The ability to assess, intervene and advocate will be reinforced through exciting clinical cases. You will experience the dramatic changes in your own practice when you work your next shift!

 

Handouts

Outline

How will you improve patient outcomes?

  • Failure to rescue and how to avoid it
  • Increasing your confidence in emergent situations
  • Planning for the worst at every patient encounter
  • Advocating for your patient
  • Communicating high-risk information clearly
  • Mental strategies for success
  • Cognitive pre-planning
  • How the fire service relates to preparation for success

Risk Reduction

  • Recognizing risk for clinical decline
  • How to intervene before an event
  • Why respiratory rate matters
  • Know your strengths and have a plan to handle your weaknesses
  • Assemble your team

Common Emergency Conditions

  • The steps you can take to save lives
  • The 3 highest priority interventions for each
  • Common Emergency Conditions
    • Cardiac Arrest
    • Choking/Dislodged tracheostomy
    • Major Trauma
    • Control of hemorrhage
    • Sepsis
    • GI Bleed
    • Neurology
      • CVA/TIA: Acute Ischemic & Hemorrhagic
      • Seizure
      • Subarachnoid bleed
      • Intracranial hypertension
      • Is that blood pressure of 170/90 truly dangerous?
    • Cardiology
      • Dysrhythmias
      • Ventricular fibrillation
      • Ventricular tachycardia vs. Asystole
      • SVT
      • Rapid atrial fibrillation/flutter
      • Why is my patient tachycardic?

Prioritization & Practice

  • What matters most when the patient crashes
  • How to practice every day in 2 minutes or less
  • Why sick is sick until proven otherwise

Team Preparation

  • Who is coming to help you?
  • Team dynamics
  • What if you’re alone?

Cognitive Error

  • Which came first, the MI or the MVA?
  • Don’t put the cart before the horse

Putting it Together: Skills Lab & Clinical Scenarios

  • Group review of patient cases
  • Practice with instructor feedback
  • Use of “preparation sheet”

Faculty

Sean G. Smith, C-EFM, C-NPT, FP-C, TP-C, RNC-NIC, CEN, CFRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric)'s Profile

Sean G. Smith, C-EFM, C-NPT, FP-C, TP-C, RNC-NIC, CEN, CFRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric) Related seminars and products: 11

Critical-Care Professionals International


Sean G. Smith, C-EFM, C-NPT, FP-C, TP-C, RNC-NIC, CEN, CFRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric), is a flight nurse-paramedic who has practiced and taught Trauma Care, Tactical Medicine, Emergency/Critical Care and Prehospital Emergency Medical Services, both in the military and the civilian world. He holds degrees in nursing and molecular biology, is a graduate of Duke University’s Legal Nurse Consulting program and is currently pursuing a master’s degree through the University of Florida College of Pharmacy. He holds multiple advanced specialty certifications as well as extensive instructor qualifications in critical care and emergency medicine.

Career highlights include numerous author/co-author credits, including: a best-selling Laboratory Medicine textbook, a chapter on Shock in Trauma Nursing Core Curriculum, and a section in the newly released Resuscitation Crisis Manual. Sean consults on clinical, legal and certification prep for numerous high-profile hospital systems (Yale, Mayo…). He routinely lectures at national/international conferences, has completed 50 + medical missions (Dominican Republic, Honduras, Morocco, Liberia, and Haiti), and medical support to the NASA Space Shuttle Program.

Speaker Disclosures:

Financial: Sean G. Smith receives a speaking honorarium from PESI, Inc.

Non-financial: Sean G. Smith has no relevant non-financial relationships to disclose.


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