Seminar Detail

The 2014 Critical Care and Emergency Nursing Conference

Where:
NEW YORK, NY
When:
Monday, October 27, 2014 - Wednesday, October 29, 2014

This event is not currently available for purchase.

For more information: Call (800) 844-8260
SESSION DETAILS

Day one: Monday, October 27, 2014
Speaker: Sean G. Smith, RN, BSN, NREMT-P, C-NPT, CCRN, CMC, CEN, CFRN, FP-C, CPEN
Session 1: Emerging Trends in Toxicology (8 am – 11 am)

Session Description
Much, much, MUCH more than yet another recitation of long lists of toxins and treatments... We'll dig into molecular pharmacology, pharmacokinetics, and more! Get the latest on the WHY and the HOW of the latest toxins, street drugs and their treatments! Besides the latest and greatest on bath salts and deadly pediatric one-pill poisons, we'll talk pills, poisons, bugs, bites, stings, street drugs, anion gaps, antidotes and MORE! Rapid and effective assessment for substance use and abuse is vitally important to get the best outcomes for your patients. This session will maximize your skill and improve your confidence.

Learner Objectives:
  1. Interpret patient presentation to identify possible toxic substance abuse to facilitate rapid and correct treatment.
  2. Identify the pathophysiologic effects of various toxins and how those are each influenced by pharmacological interventions.
  3. Categorize symptoms of common sympathetic and parasympathetic toxidromes and how to intervene quickly.
  4. Recognize life-threatening fluid, glucose and electrolyte abnormalities related to emerging dangerous substances.


Day one: Monday, October 27, 2014
Session 2: Acute Respiratory Distress Syndrome Demystified (12 pm – 2 pm)

Session Description
Get the latest and greatest on ARDS in this up-to-date, comprehensive and interactive session! We'll discuss the underlying physiology, so you understand WHY you're seeing what you're seeing, the patient's projected clinical course and rationales for each intervention... We will review adult, pediatric and neonatal Respiratory anatomy and physiology, pulmonary physical examination, blood gasses, ARDS pathophysiology, Ventilator Management (including advanced modes such as APRV and HFOV), Adjuncts such as proning and Extracorporeal Membrane Oxygenation (ECMO), and MORE!

Learner Objectives:
  1. Analyze how ARDS pathophysiology presents related to atelectasis, compliance, oxygenation, ventilation, perfusion, and other assessment data throughout the clinical course of the disease state.
  2. Demonstrate individual interventions and overall strategies to minimize the impact of ARDS pathophysiology and promote a return to homeostasis.
  3. List common etiologies of ARDS pathology.
  4. Recognize differing ventilator modes for patients with ARDS to get the best patient outcomes.


Day one: Monday, October 27, 2014
Session 3: Stop the Hurt: Physiology and Management of Acute and Chronic Pain (2 pm – 4 pm)

Session Description
Stop it before it starts! Stop it when it starts! Pain in high-acuity areas can be complex and challenging. Get the latest in pain assessment and management techniques for some of your most critical patients. Begin with the end in mind... by understanding the mechanisms by which the body perceives, reacts and adapts to pain, you will gain insight and understanding into holistic proactive management strategies for pain... from reflex arcs to opioid receptors, we will discuss and demystify the mechanisms and modalities of managing acute and chronic pain! Learn strategies for drug seeking patients, proactive pre- and post-procedural medications, holistic interventions, and more in this interactive presentation!

Learner Objectives:
  1. Recognize the role of neuroanatomy and neurotransmitters related to sensation, transmission, and management of pain and how they relate to pharmacological treatment.
  2. Identify signs of adaptive responses to pain in terms of acute and chronic etiologies.
  3. Apply the latest in individual interventions and holistic strategies to treat acute and chronic pain and how to apply to specific patients in the critical care setting.
  4. Predict common triggers for both acute and chronic pain states and gain familiarity with proactive preemptive pain prevention.


Day two: Tuesday, October 28, 2014
Speaker: Joyce Campbell, MSN, CCRN, FNP-BC
Session 4: Sepsis... A Ticking Time Bomb (8 am – 11 am)

Session Description
Hospitalizations for sepsis more than doubled between 2000 and 2010. Patients with sepsis are more likely to have extended hospital stays and many patients experience major organ damage or death. You, as a critical care or emergency department nurse, are on the front line in patient care and you will leave with tools that will assist you to identify subtle symptoms of sepsis and prepare you to assist in implementing the "surviving sepsis guidelines 2013".

Learner Objectives:
  1. Identify evidence-based practices which prevent sepsis.
  2. Differentiate between systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis and septic shock.
  3. Describe the nurse's role in assessment of the patient experiencing SIRS, sepsis or septic shock.
  4. Outline evidence-based practices for treatment of the patient with sepsis.


Day two: Tuesday, October 28, 2014
Session 5: Demystifying Sodium Disorders in the ED and ICU (12 pm – 2 pm)

Session Description
Sharpen your skills in identification and management for hypernatremia and hyponatremia. Many patients seek help in the emergency department for symptoms of sodium imbalance and others are admitted with or develop sodium imbalance while in the hospital. These imbalances can present in a variety of complex and confusing ways and you, as the front-line responder, need to be aware to recognize and react quickly and effectively to protect patients. This presentation will help you to sharpen your assessment skills regarding sodium imbalance, how to read and interpret lab tests related to sodium levels and become the most up to date in interventions to increase your patient's outcomes.

Learner Objectives:
  1. Describe the clinical manifestations of hypernatremia and hyponatremia.
  2. Identify the etiology of sodium imbalance.
  3. Summarize the treatment of the patient with a sodium imbalance.


Day two: Tuesday, October 28, 2014
Session 6: Dissecting Altered Mental Status: Challenges of Care in the ED and ICU (2 pm – 4 pm)

Session Description
Whether in the ED or ICU, nurses have a daunting challenge of recognizing behavior which can essentially be due to a life-threatening condition. This seminar will assist you to identify this behavioral marker and explore the causative complexities of life-threatening conditions which present as altered mental status. You will leave better prepared to provide interventions to alleviate causative problems; thereby, in many situations, be able to prevent worsening of the patient's condition and potentially save a life.

Learner Objectives:
  1. Identify the ABCs of the initial assessment and stabilization of life-threatening problems.
  2. Describe the clinical manifestations of the most common and serious causes of altered mental status.
  3. Differentiate between delirium, dementia and psychosis.
  4. Describe pertinent aspects of the history and physical exam.
  5. Outline immediate interventions for rapidly reversible causes of AMS.
  6. Discuss clinical practice guidelines for managing pain, agitation and delirium in the ICU.


Day three: Wednesday, October 29, 2014
Speaker: Robin Gilbert, RN, MSN, CEN, CPEN
Session 7: "Never Events": Cost, Impact and the Value of Clinical Staff in Prevention (8 am – 11 am)

Session Description
"Never events" is a term coined by Ken Keizer, MD, former CEO of National Quality Forum, in 2001, in reference to shocking medical errors that should never occur. Never events are devastating and costly for organizations. There are currently 29 events that are recognized as "never events". Clinical nurses are highly competent, with skills and knowledge that can reduce these events.

Quality starts at the bedside. Do you know the meaning and identification of never events? Have you participated in a root cause analysis? Do you understand what disclosure of the error means, or are these terms foreign to you?

This presentation will cover current requirements from National Quality Forum. You will learn the impact of "Never Events", and how to become engaged in preventing events and making quality a goal of every team member on your staff.

Learner Objectives:
  1. Define and discuss the difference between "never events" and "sentinel events".
  2. Discuss how to plan a root cause analysis and how to do a proper disclosure of the error.
  3. Discuss measures being used by clinical staff that assist in preventing "never events".
  4. Identify potential causes of "never events" and develop a plan to prevent these causes.


Day three: Wednesday, October 29, 2014
Session 8: Reducing Turnover and Increasing Staff Satisfaction in Critical Care and Emergency Departments (12 pm – 2 pm)

Session Description
Approximately 29 percent of new hires left the facility within 1 year of hire, and 52 percent in less than 2 years. In the current environment of decreasing hospital margins, the cost of turnover has a significant impact. At the bedside, turnover is seen in staff workloads, overtime, and morale.

What are the factors that enter into the nurse's decision to stay at your organization or to leave? Factors such as the organization's reputation, salary, their orientation experience, and nursing shared governance can influence a nurse's decision. The values hospitals place on their employees will have a direct correlation to their commitment to stay. This presentation will give you a toolbox full of strategies to assess the satisfaction of your staff in these high-stress departments, strategies in increase satisfaction and how to reduce turnover for your department!

Learner Objectives:
  1. Review current data regarding reasons nurses leave an organization.
  2. Discuss trends and strategies for retaining nurses.
  3. Identify opportunities to make a great first impression.
  4. Recognize how reducing turnover has an impact on patient care.


Day three: Wednesday, October 29, 2014
Session 9: Developing Preceptors for High Acuity Areas (2 pm – 4 pm)

Session Description
Critical care areas create a complex challenge for new nurses. How can we better prepare and support those who are precepting? Who is a good preceptor? What are current best practices for orientation in critical care areas? How does the orientation process impact retention? This session will help you evaluate your current program and offer suggestions for building a solid preceptor program.

Learner Objectives:
  1. Discuss education programs for training preceptors.
  2. Examine how organizations choose preceptors.
  3. Give examples of barriers that preceptors encounter.
  4. Identify ways to support preceptors in their role.
Please refer to the course brochure for continuing education information.

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 a 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 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.

JOYCE CAMPBELL, MSN, CCRN, SCRN, FNP-BC

Joyce Campbell, MSN, CCRN, SCRN, FNP-BC, has been involved in the nursing field for 35 years. For over 25 years, she taught in an associate degree nursing program where her primary focus was the theory and clinical instruction of neuroscience nursing. In addition to teaching, she has been employed by Comprehensive Health System in Chattanooga, Tennessee for the past 30 years. At Erlanger, she has adopted many roles, including neurosurgical and trauma critical care staff nurse, educator and nurse practitioner. Currently, she serves on the neuroservice line committee and provides stroke education to staff and patients. Erlanger Southeast Regional Stroke Center, an accredited Primary Stroke Center, houses a leading-edge stroke care facility serving over 2000 stroke patients annually.

Through her work at Erlanger, Joyce is able to experience, first hand, the latest innovative strategies for extending the window of treatment for stroke patients. She holds a BSN from East Tennessee State University, an MSN from the University of Tennessee at Knoxville, and completed post-graduate studies at the University of Alabama at Birmingham. Joyce is an active member of the American Association of Critical Care Nurses, the American Association of Neuroscience Nurses, American Association of Nurse Practitioners, and the Chattanooga Association of Nurses in Advanced Practice, where she has served as president and is a member of the educational committee.



Speaker Disclosures:

Financial: Joyce Campbell has an employment relationship with Erlanger Southeast Regional Stroke Center. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.

Non-financial: Joyce Campbell is a member of the educational committee for the Chattanooga Association of Nurses in Advanced Practice.

ROBIN GILBERT, MSN, RN, CEN, CPEN

ROBIN GILBERT, MSN, RN, CEN, CPEN Robin Gilbert, MSN, RN, CEN, CPEN, has over 25 years’ experience in emergency nursing. She is both a certified emergency nurse and certified pediatric emergency nurse. Robin has experience as an emergency department manager, manager of cardiac & pulmonary rehabilitation and currently as the regional manager for staff development at Central Main Medical Center. She instructs the NCLEX review class for Kaplan and tutors nursing students online for a local college of nursing. Her experience also includes having been an item writer for the Board Certification of Emergency Nursing and a former chairperson. In her current role, Robin is able to remain up to date in the trends and best practice standards for care in emergency nursing. Robin received her BSN from Curry College, Massachusetts and her MSN from Saint Joseph’s College, Maine. Robin is an active member of the Emergency Nurses Association, the American Nurses Association, Society of Critical Care Medicine, 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.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

The planning committee and staff who controlled the content of this activity have no relevant financial relationships to disclose. For speaker disclosures, please see speaker bios.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Kids, PESI Rehab and Psychotherapy Networker.



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