Sean Smith – PESI – Rapid Response Certificate Course: Conquer the Crashing Patient

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Sean Smith – PESI – Rapid Response Certificate Course: Conquer the Crashing Patient

Imagine you are taking care of your patient – anywhere – any department/floor in the hospital, a nursing home, surgical site or clinic setting and suddenly grasp that an emergency situation is unfolding. Do you know what to do? Are you confident in your response? 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. In that time, what can YOU do to help save lives? There are times in the past you wish you had done more….

This intense recording will provide new clinical insights and critical thinking skills so you won’t need to feel uncertain, scared or at risk anymore. 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!

• Dramatically increase your confidence with advanced assessment and proactive rapid response skills
• Master medication updates with 4 CE hours of pharmacology
• 6+ hours of the BEST resuscitation and stabilization strategies
• Protect yourself! 2 hours of legal/malpractice risk strategies
• Don’t overlook the early signs of the clinically deteriorating patient

Speaker

Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric)

Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric), is a humanitarian/flight nurse-paramedic who is triple board-certified in neonatal, pediatric, and adult critical care and emergency medicine. He brings 30+ years of education and team/leadership experience to his presentations from a career that includes global health, tropical medicine, research molecular neuroendocrinology, nuclear engineering technology, US Navy aviation/NASA manned space flight support, and high-performance teams/high-yield pedagogy, dozens of national/international conference presentations and various awards and honors. Author/co-author/review credits include a best-selling laboratory medicine textbook, a chapter on shock in Nursing Core Curriculum a section in the newly released Resuscitation Crisis Manual, numerous other industry-standard textbooks, and several professional association critical care/emergency medicine curriculums and board certification review courses (AACN, ANN, ENA, SCCM, etc.). Additionally, Sean routinely consults on clinical, legal, and certification matters for numerous high-profile hospital systems (Yale, Mayo, etc.). He holds an MSc in Pharmacy/Forensic Science, bachelor’s degrees in business administration, nursing, and molecular biology, and post graduate certificates in Forensic Death Investigation, Legal Consulting, and Tropical Medicine. In addition to being active in a number of professional associations (SCCM, AACN, WADEM, etc.), Sean is a life member of Mensa, The Emergency Nurses Association, and the Air Surface Transport Nurses Association. He has served on the executive committees and in various leadership roles of numerous charities and professional associations and has led/participated in 50+ medical missions (Dominican Republic, Honduras, Morocco, Liberia, Nepal, Iraq, Democratic Republic of Congo, and Haiti). Sean served as a clinician and educator during the largest Ebola and Cholera outbreaks in recent history and is currently active in building sustainable neonatal-pediatric cardiac critical care capacity in Iraq, as well as serving as part of a national-level multidisciplinary child sexual assault forensics team in Guyana, South America. Hobbies include Scuba diving and vintage science kits, tube amplifiers, and motorcycles.

Speaker Disclosures:
Financial: Sean Smith is an independent contractor. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Sean Smith is a member of the American Association of Critical Care Nurses, the Emergency Nurses Association, and the Society for Critical Care Medicine.

Objectives

1. Differentiate current challenges relative to your specific practice environment and patient populations.
2. Develop a proactive plan to respond to your deteriorating patient.
3. Utilize the mental strategies necessary for success, self-care, and process improvement when dealing with critically ill patients.
4. Integrate a comprehensive review of systems, with subtle but key red flag clinical assessment findings.
5. Incorporate a graduate level understanding of pharmacology into your current clinical practice with respect to the pre-, peri-, and post-arrest management of the medically fragile patient.
6. Apply advanced laboratory medicine concepts into your current clinical practice with respect to the “at risk” patient.
7. Distinguish the subtle signs from the “perfect storm” patient.
8. Choose the best interventions for stabilization of the deteriorating patient.
9. Determine the key interventions to stabilize the successfully resuscitated patient prior to or post transfer.
10. Analyze the latest clinical practice guidelines for common pathologies and comorbidities.
11. Evaluate landmark case studies to identify key failures in recognition and rescue of the crashing patient.
12. Assess legal documentation strategies to protect yourself and your practice.

Outline

Proactive Planning: Begin with the End in Mind

• Pre-Planning for the worst at every patient encounter

• Mental strategies for success
• Failure to rescue and how to avoid it
• Proactive risk assessment of practice environment/patient populations
• Clear coherent communication of high-risk information
• Concise comprehensive management of the crashing patient: Before, during and after the code

Advanced Assessment: Next Level Connection of Form and Function

• Review of Major Systems (Neurologic, Cardiovascular, Pulmonary, Multisystem)

• Integrated advanced laboratory medicine/Clinical implications
• Differential diagnosis/ Consults/Follow up studies

Pathology: Priority Problems, Rapid Recognition and Rescue

• For each of the 25+ pathologies below, the following will be discussed:

• Presentation: Rapid review of form and function
• Pathophysiology: Complications/Comorbidities
• Projected clinical course: Where are we going with this?
• Palliation and pharmacology: Cutting-edge practice guidelines

Neurology

• Neuromuscular Disorders, Meningitis, Toxicology (Overdose), Traumatic Brain Injury/Concussion, Stroke/TIA, Dementia/Delirium, Agitated/Combative Patients

Cardiovascular

• Dysrhythmias, Acute Coronary Syndrome, CHF, Heart Failure, Cardiomyopathies
• Endocarditis, Pericarditis, Peripheral Vascular Disease

Pulmonary

• Asthma/Upper Respiratory, Anaphylaxis, Aspiration/Dysphagia, COPD, Pneumonia

Metabolic/Endocrine Complex Comorbidities and Emergencies

• Chronic/Acute Kidney Disease, Renal Calculi, Hypertension, Diabetes

Gastrointestinal/Genitourinary

• Cholecystitis, Pancreatitis, Cirrhosis, Hepatitis, Infection (UTI, STI, etc.)

Psychosocial

• Screening for: Abuse, Neglect, Depression/Suicidal Ideation

Shock States, Sepsis, and Trauma

• Hypovolemic, Distributive, Obstructive
• Multisystem Management of the Poly-trauma Patient

Legal Lessons: Protect Your Practice… Tips, Tricks, Pearls, and Pitfalls

• Professional issues/Potential pitfalls (Delegation, Scope, EMTALA, etc)
• Rapid risk assessment and analysis
• Limit liability
• Defensible documentation

Putting It All Together: CaseBased Review

Identify Key Missed Moments, Lessons Learned and Best Practices

• Assessment
• Intervention
• Documentation

Target Audience

• RNs, RTs, NPs, and PAs from Medical-Surgical floors
• Cardiology
• Neurology
• Critical Care
• Emergency
• Urgent Care
• Skilled Nursing Facilities
• Anyone desiring next-level skills to proactively assess and intervene in the crashing critically ill patient!Commonly Asked Questions:
  1. Business Model Innovation: Acknowledge the reality of a legitimate enterprise! Our approach involves the coordination of a collective purchase, in which the costs are shared among the participants. We utilize this cash to acquire renowned courses from sale pages and make them accessible to individuals with restricted financial resources. Our clients appreciate the affordability and accessibility we provide, despite the authors’ concerns.
  2. Rapid Response Certificate Course: Conquer the Crashing Patient Course
  • There are no scheduled coaching calls or sessions with the author.
  • Access to the author’s private Facebook group or web portal is not permitted.
  • No access to the author’s private membership forum.
  • There is no direct email support available from the author or their team.