Cyndi Zarbano – 2-Day Critical Care Skills Boot Camp

Outline

DAY ONE – ESSENTIAL ASSESSMENT, INTERPRETATION & INTERVENTION STRATEGIES

Critically ill patients are everywhere these days – on the Med-Surg floor in the ICU and PACU, the ED and the OR.-term care! Good working knowledge of the concepts involved in managing high-risk situations.-Acuity patients are essential.

Join Cyndi Zarbano You can learn the most current in critical care skills to ensure your success, such as:

• Rapid Assessment
• ABG Analysis
• Central Line Care
• Easy Strip Interpretation

OUTLINE

Management & Identification of Crisis

• Master “down and dirty” Rapid assessment skills
• Stop the “Red Flags”
• For unstable patients, rapid stabilizing interventions are necessary
• Take care of the patient who is decompensating
• Fast intervention leads to better outcomes

Steps for ABG Analysis

• Acid base imbalance
• 4 unexpected results when you read your lab test result
• A simple tool to rapidly and efficiently interpret ABG’s!

The 5 Steps to Rhythm Strip Interpretation

• Analyzing the main components of rhythm strips systematically
• Management of rhythm changes and identification
• Atrial Fibrillation, Atrial Flutter
• Paroxysmal Supra-Ventricular Tachycardia or (PSVT)
• V-Tach and V-Fib

Management of chest drainage

• Chest tubes: Indications
• Avoiding re-Expanding pulmonary edema
• Avoiding the common complications of chest drainage

Master Central Line Care

• Common problems with central lines
• What port is used for which purpose on a triple-lumen PICC?
• Use of a “cell-saver” To reduce hemoglobin lost during blood draws
• Monitoring CVP is a difficult task

Pacemakers and AICDs

• Signs that pacemakers are in action
• Meaning of the pacemaker codes
• Different types of pacemakers
• Device management
• Practical solutions for common pacemaker issues

End-Of-Life Care In the ICU

• The patient’s needs
• Practical tips for your patients and their families dealing with the end-Of-life journey

OBJECTIVES

1. Identify five essential components of a “down and dirty” Assessment of your patient for sudden changes in their health.
2. Three quick interventions can be made to stabilize patients suffering from low blood pressure symptoms.
3. Recognize the most common causes for abnormal arterial blood gas.
4. Use rhythm strip interpretation to quickly identify the most common dysrhythmias.
5. Reduce the risk of reoccurrence-Expansion of pulmonary edema after a chest tube is placed for pleural effusion.
6. Learn how to open an occluded central lumen.
7. Summarize what the differences are between failing to capture and failing to sense in a pacemaker, and how you can resolve them.
8. Recognize three major concerns that end-of-life patients should be aware of

DAY TWO: ADVANCED CONTROL OF CRITICALLY ILL AND COMPLEX PATIENTS

The Advanced Management of Complex and Critically Ill Patients seminar will give you a strong foundation, while integrating tips, timesavers, and stories about real nurses who make a difference in their patient’s lives. This seminar will help you master critical care concepts and be an expert in your clinical practice. You will learn advanced concepts and procedures in critical care, such as:

• Advanced cardiac care/hemodynamics
• Advanced neurology care
• Mechanical ventilation management

OUTLINE

Learn Hemodynamics Today

• Cardiac Output = Stroke Volume x Heart Rate
  • You can learn the components by using a simple analogy.
• Preload, afterload and contractility
• Stabilizing the mathematical equation can be done by manipulating it

Crisis: The ICU Trio

• IV Fluids – choosing the right one
• 5 pressor agents: How they work and when to use them
  • Blood products FFP, Platelets, PRBC’s and Cryoprecipitate

Demystify Hemodynamic Waveforms & Correctly Measure Each

• Hemodynamic instability: Assessment clues
• Central Venous Pressures
• Arterial Lines
• Swan Ganz Catheters

For nurses, mechanical ventilation

• How to manage patients with ventilators
• Avoiding Ventilator Acquired Pneumonia
• CPAP/BiPAP

Take Control of Shock

• Assessment and management
  • Cardiogenic shock
  • Septic Shock
  • Hypovolemic Shock

Take care of the neuropatient

• Use the following “5-point Neuro Check” To quickly identify any changes in your condition
• Stabilization and Stroke
  • Ischemic
  • Hemorrhagic
• Delirium
• How to evaluate & intervene

Life-EKG changes that are potentially dangerous: Clues starting at the 12-Lead

• Coronary artery ischemia: Spectrum
• 5-Step-by-step method to determine myocardial damage and ischemia
• STEMI and NSTEMI – What’s the difference?
• Location, location, location!