2-Day: Critical Care Skills Boot Camp

Credit

Handouts/Brochure

Speaker

Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric) Related seminars and products

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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 an 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 in 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, the Emergency Nurses Association, and the Society for Critical Care Medicine.

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Objectives

1. Identify 5 essential components of a "down and dirty" assessment in your patient when they have a sudden decomposition in health status.
2. State 3 rapid interventions that can stabilize a patient who is symptomatic with a low blood pressure.
3. Recognize the most common causes of arterial blood gas abnormalities.
4. Assess the 3 most common dysrhythmias using rhythm strip interpretation.
5. Evaluate the risk of re-expansion pulmonary edema in the patient with a chest tube for pleural effusion.
6. Review the correct technique for opening an occluded central line lumen.
7. Summarize the difference between failure to capture and failure to sense in a pacemaker and how each is resolved.
8. Recognize the three biggest concerns patients recognize at end of life.
9. Discuss the difference between preload, contractility and afterload as components impacting cardiac output.
10. Identify correct locations for measuring CVP, Arterial Line and Wedge waveforms.
11. Differentiate between hypotonic, isotonic and hypertonic IV fluids and when each is considered most effective.
12. Recognize the blood product of choice for Disseminated Intravascular Coagulopathy.
13. Contrast the difference between hypovolemic shock, septic shock and cardiovascular shock in both assessment and treatment priorities.
14. Prioritize ways to increase the ventilator patient's oxygenation status.
15. Compare and contrast CPAP and BiPAP, as well as their target populations.
16. Compare the differences between a STEMI and NSTEMI.

Outline

• Identification & Management of Crisis
  • Master "Down & Dirty" Assessment Skills
  • Impending Doom: Recognizing the "Red Flags"
  • Rapid Stabilizing Interventions
  • Managing the Decompensating Patient
• Easy Steps to ABG Analysis
  • Understanding Acid-Base Imbalance
  • Lab Results: Identify the 4 Abnormal Findings
  • A Simple Tool to Change Your Practice
• The 5 Steps to Rhythm Strip Interpretation
  • Systematically Review Rhythm
  • Identifying Critical Changes
  • Effective Management of:
    • Atrial Fibrillation
    • Atrial Flutter
    • PSVT
    • V-Tach
    • V-Fib
• Managing Chest Drainage
  • Indications for Chest Tubes
  • Circumventing Re-expansion Pulmonary Edema
  • Avoiding Common Complications
• Master Central Line Care
  • Common Complications & Solutions
  • When to Use Which Port & Why
  • Is a "Cell-Saver" an Option for your Patient?
  • The Challenges of CVP Monitoring
• Pacemakers & AICDs
  • Indications for Pacemakers
  • Understanding Pacemaker Codes
  • Types of Pacemakers
  • Device Management
  • Practical Solutions to Common Problems
• End-of-Life Care in the ICU
  • Practical Tips to Help Your Patients & Families
  • Your Role as the Patient Advocate
  • Tips for Addressing Difficult Conversations

• Respiratory Emergencies: Understanding Hemodynamics Today
  • Cardiac Output = Heart Rate x Stroke Volume
  • A Simple Analogy Guaranteed to Help You “Get It”
  • Preload, Afterload and Contractility
  • Manipulating the Math Equation to Stabilize
• The ICU Trio in Crisis!
  • IV Fluids - The Right One for the Situation
  • 5 pressor Agents - Their Action & Use
  • Blood Products! FFP, Platelets, PRBCs & Cryoprecipitate
• Demystify Hemodynamic Waveforms
  • Correct Measurement
  • Assessment Clues to Instability
  • Central Venous Pressures
  • Arterial Lines
  • Swan Ganz Catheters
• Mechanical Ventilation for Nurses
  • Managing the Patient on a Ventilator
  • Avoiding Ventilator Acquired Pneumonia
  • Using CPAP or BiPAP
• Manage Shock
  • Assessment and Management of:
    • Cardiogenic Shock
    • Septic Shock
    • Hypovolemic Shock
• Manage the Neuro Patient
  • Using an Easy "5-point Neuro Check"
  • Stroke and Stabilization
  • Ischemic
  • Hemorrhagic
  • Delirium
  • How to Assess & When to Intervene
• Life-threatening EKG Changes
  • Clues from the 12-Lead
  • Spectrum of Coronary Artery Ischemia
  • 5-step Method for Identifying Ischemia & Injury
  • STEMI and NSTEMI - What's the difference?
  • Location, Location, Location

Target Audience

• Nurses
• Nurse Practitioners
• Clinical Nurse Specialists