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:
- Interpret patient presentation to identify possible toxic substance abuse to facilitate rapid and correct treatment.
- Identify the pathophysiologic effects of various toxins and how those are each influenced by pharmacological interventions.
- Categorize symptoms of common sympathetic and parasympathetic toxidromes and how to intervene quickly.
- 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:
- Analyze how ARDS pathophysiology presents related to atelectasis, compliance, oxygenation, ventilation, perfusion, and other assessment data throughout the clinical course of the disease state.
- Demonstrate individual interventions and overall strategies to minimize the impact of ARDS pathophysiology and promote a return to homeostasis.
- List common etiologies of ARDS pathology.
- 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:
- Recognize the role of neuroanatomy and neurotransmitters related to sensation, transmission, and management of pain and how they relate to pharmacological treatment.
- Identify signs of adaptive responses to pain in terms of acute and chronic etiologies.
- 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.
- 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:
- Identify evidence-based practices which prevent sepsis.
- Differentiate between systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis and septic shock.
- Describe the nurse's role in assessment of the patient experiencing SIRS, sepsis or septic shock.
- 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:
- Describe the clinical manifestations of hypernatremia and hyponatremia.
- Identify the etiology of sodium imbalance.
- 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:
- Identify the ABCs of the initial assessment and stabilization of life-threatening problems.
- Describe the clinical manifestations of the most common and serious causes of altered mental status.
- Differentiate between delirium, dementia and psychosis.
- Describe pertinent aspects of the history and physical exam.
- Outline immediate interventions for rapidly reversible causes of AMS.
- 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:
- Define and discuss the difference between "never events" and "sentinel events".
- Discuss how to plan a root cause analysis and how to do a proper disclosure of the error.
- Discuss measures being used by clinical staff that assist in preventing "never events".
- 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:
- Review current data regarding reasons nurses leave an organization.
- Discuss trends and strategies for retaining nurses.
- Identify opportunities to make a great first impression.
- 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:
- Discuss education programs for training preceptors.
- Examine how organizations choose preceptors.
- Give examples of barriers that preceptors encounter.
- Identify ways to support preceptors in their role.