Robin Gilbert – PESI – Progressive Care Certificate Course: Conquer the High Acuity Patient

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Robin Gilbert – PESI – Progressive Care Certificate Course: Conquer the High Acuity Patient

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 training will build these skills you need to confidently and effectively work with progressive care patients!

Watch 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 course, 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. Purchase today and leave the program with a new peace of mind working with progressive care patients!

Speaker

Robin Gilbert, MSN, RN, CEN, CPEN

Robin Gilbert, MSN, RN, CEN, CPEN, has over 25 years of experience in emergency nursing. She is both a certified emergency nurse and a certified pediatric emergency nurse. Robin has extensive experience working in the emergency department, progressive care, intermediate care, transitional care, step-down and, currently, as the regional manager for staff development at Central Maine Medical Center. Robin draws on her expertise to teach her own hospital staff and experienced healthcare audiences throughout the country on a variety of critical care and emergency nursing topics.

She has been an item writer for the Board Certification of Emergency Nursing (BCEN), a former Chairperson of BCEN, and most recently a contributing writer for the current CEN Review Manual. Robin is an active member of the Emergency Nurses Association, the American Nurses Association, Society of Critical Care Medicine, Association for Nursing Professional Development, and is a reviewer for the ANCC’s Pathway to Excellence.

Speaker Disclosures:
Financial: Robin Gilbert has employment relationships with EBSCO, Central Maine Medical Center, Rumford Hospital, Pathway to Excellence, and Kaplan University. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Robin Gilbert is a member of the Society of Critical Care Medicine, the American Association of Cardiovascular and Pulmonary Rehabilitation, and the Emergency Nurses Association.

Objectives

1. Anticipate changing assessment priorities of progressive care patients and their families.
2. Evaluate ECG characteristics and initial management strategies of common dysrhythmias.
3. Analyze ABG results with greater ease and confidence.
4. Analyze ventilator modes, challenges and nursing management.
5. Determine early signs of clinical deterioration before things get worse.
6. Choose the best interventions for care of patients with acute coronary syndromes.
7. Appraise the indications for electrophysiology studies.
8. Categorize 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).

Outline

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

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 for the high acuity 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. Progressive Care Certificate Course: Conquer the High Acuity 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.