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Objectives Day One:

• Prioritize nursing actions for specific cardiac, respiratory and endocrine disorders.
• Evaluate findings in common cardiac labs, such as CKMB, Troponin, BNP/Pro-BNP levels.
• Recognize 2 tools of recognition and 4 rapid interventions for patients experiencing Acute Coronary Syndrome (ACS).
• Interpret pathophysiology and differential diagnoses for crackles, wheezes, rhonchi and rubs.
• State current guidelines in the management of diabetes.
• Illustrate the nursing process as a standard of care.
• Recognize how improper assessment can affect patient outcomes.
• Discuss physical and laboratory findings that accompany DKA and HHS.

Objectives Day Two:

• List 3 benefits of beta blockers in a patient with coronary artery disease.
• Recognize life-threatening electrolyte imbalances, potential causes and remedies.
• Identify conditions which would require a chest tube.
• Explain acute renal failure and current treatment options
• Discuss possible etiology and significance of common assessment abnormalities of the musculoskeletal system.
• Discuss a variety of fetal heart rate patterns.
• Compare appropriate interventions in response to fetal heart rate changes.
• Analyze potentially serious complications related to fractures.

Objectives Day Three:

• Explore the philosophy of patient- and family-centered care, and how this philosophy can be incorporated into care of the patient.
• Learn a simple monitoring technique to help differentiate if the patient is having an atrial dysrhythmia or not.
• Explain and demonstrate a thorough 6-part neurological exam and document findings
• Define the anatomy and physiology of the neurological system and how this manifests in physical symptoms
• List primary causes of mental status changes and identify which patients are at risk for delirium and how to respond.
• Differentiate neurological assessment findings that are specific to delirium.
• Identify the components and significance of the CBC and Chemistry Profile, with focus upon abnormal lab values.
• Describe the physiological changes seen in postoperative patients.

Day One
NCLEX Success!

• Nursing Theory
• Clinical Judgment
• NCSBN
• Categories of Content
• Test Taking Strategies

Cardiac

• Assessment
• Landmarks
• Erb’s Point
• Auscultation
• Heart Sounds
• Murmurs, Rubs, & Clicks
• 7 Key Points to Know
• Acute Coronary Syndrome
• Understanding Ischemia
• Angina
• Acute Myocardial Infarction
• MONA
• Interpreting the EKG
• Fast Fatal Arrhythmias
• Atrial Dysrhythmias
• Ventricular Dysrhythmias
• Critical Interventions

Delegation

• Know you Role

Documentation

• Protecting your Practice

Room Assignments

• Key Points in Staffing

Endocrine

• Acute Hypoglycemia
• Acute Hyperglycemic State
• Diabetic Ketoacidosis (DKA)
• Hyperosmolar Hyperglycemic Syndrome (HHS)
• Diabetes Insipidus (DI)
• Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
• Thyroid Disorders

Pulmonary

• Key Points in Assessment
• Breath Sounds
• Asthma
• Bronchitis
• Emphysema
• Pulmonary Fibrosis
• Obstructive Sleep Apnea

Medications Part One

• Know GENERIC Name
• Use of Drug
• Drug Dosing
• Nursing Considerations
• Medications for Review
• Allergy & Asthma Meds
• Analgesics
• Anticoagulants
• Anti-Infectives
• Anti-Inflammatory
• Anti-Neoplastics
• Pregnancy Risk Categories

Day Two
Liver & Pancreas

• Diagnostic Labs
• Liver Failure
• Signs and Symptoms
• Hepatic Encephalopathy
• Management
• Nursing Considerations
• Acute Pancreatitis
• Coagulopathies
• Disseminated Intravascular Coagulopathy (DIC)
• Heparin-Induced Thrombocytopenia (HIT)

Labor/Delivery

• Terms to Know
• Fetal Heart Rate
• Monitoring Options
• Accelerations
• Early Deceleration
• Late Deceleration
• Variable Deceleration
• Stages of Labor
• Effacement & Dilation
• Apgar Score
• Normal Newborn Vitals
• Labor Complications

Vascular

• Venous Insufficiency vs. Arterial
• Phlebitis
• AV Fistulas & Graphs

Fractures

• Setting Priorities
• Rib
• Pelvic
• Femur
• Treatments
• Complications
• Positioning

Kidneys

• Related Lab Tests
• Acute & Chronic Failure
• Acute Tubular Nephrosis
• Rhabdo
• Radio-Contrast Nephropathy (RCN)
• Dialysis

Electrolytes

• Life-Threatening Changes
• Hypo & Hyperkalemia
• Hypo & Hypernatremia
• Hypo & Hypercalcemia
• Hypomagnesemia
• Hypomagnesemia
• Must KNOW Signs & Symptoms

Medications Part Two

• Cardiac Medications by Class
• Dermatologic Medications
• Diabetic Medications
• Gastrointestinal Meds
• Genitourinary Meds

Day Three
Neurology

• 5 Point Neuro Check
• Areas of the Brain & Function of Each
• Somatic Nervous System
• Autonomic Nervous System
• Mini-Mental Status Exam
• Cranial Nerves
• Stroke
• Diagnosing
• Treatment Options
• Delirium & Dementia
• ETOH Withdrawal

Heart Blocks

• The Nodes
• 1st Degree AV Block
• 2nd Degree AV Block: Wenckebach
• 2nd Degree AV Block: Mobitz Type II
• 3rd Degree: Complete Heart Block

Psychosocial

• Depression
• Abuse & Neglect
• Therapeutic Communication
• Dos & Don'ts

Dietary & Health Promotion

• Kosher Diets
• Renal Diet
• High K+ Foods
• High Sodium Foods
• Diabetic Diet
• Wound Healing Diet

Infection Control

• Nosocomial Infections
• Catheters
• Central Lines
• PICC Sites
• C Diff
• Isolation
• Types & Gear

CBC with Differential

• The Components
• Normal Values
• What Abnormal Values Can Tell Us
• Shift to the Left

IV Fluids

• Hypotonic
• Isotonic
• Hypertonic
• What to Use When?
• Colloids
• Albumin
• Dextrans
• Heta-Starch

Blood Products

• PRBC’s
• FFP
• Platelets
• Cryoprecipitate
• Transfusions

Surgical Interventions

• Cancer - Biopsies & Scope Procedures
• GI Surgeries
• Whipple Procedure
• Esophago-Gastrectomy
• Gastric Bypass
• Abdominal Trauma
• Chest Tubes
• Pneumothorax
• Needle Decompression
• Complications

Medications Part Three

• Controlled Substances I-V
• Hormone Therapy
• Thyroid Medications
• Mental Health Medications
• Musculoskeletal Meds
• Neurological Meds
• Ophthalmics & Otics
• Vitamins & Minerals
• Women’s Health Medications

Cyndi Zarbano, MSN-Ed, CCRN, CMSRN, LNC, has been a nurse for nearly 30 years specializing in intensive care. She earned her legal nurse consultant training through the Vickie Milazzo Institute in 2008 and has worked on nearly 250 cases for various boards of nursing. She has worked with attorneys on pre-corrective action and with nurses to meet consultation requirements to fulfill corrective action guidelines.

Additionally, Cyndi has worked as a legal nurse consultant responsible to analyze medical records, determine merit, assist with client interviews, attend medical appointments, locate testing experts, complete chronologies, review billing for accuracy, provide deposition/jury question development, and assist in court strategy development. Cyndi is a renowned national seminar speaker having spoken for numerous companies since 2008, including her own, Clinical Review Consultants. She works for Mayo Clinic in Minnesota continuing her passion for bedside nursing in critical care. Speaker Disclosures:
Financial: Cynthia Zarbano is the owner of Clinical Review Consultants and has an employment relationship with Mayo Mankato. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Cynthia Zarbano has no relevant non-financial relationships.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $19.99 USD per participant per program. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. This self-study package may include multiple product formats. To receive full credit, please submit the CE test for each format that has self-study materials included. To access these documents, play disc #1 in your computer.

Certificates of Successful Completion will be emailed, faxed or mailed to participants completing the post-test(s)/evaluation(s) and paying the CE fee(s).

**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.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

Nurses, Nurse Practitioners, Clinical Nurse Specialists