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Day 1

SESSION 1: Emerging Trends in Toxicology

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.

SESSION 2: Acute Respiratory Distress Syndrome Demystified

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.

SESSION 3: Stop the Hurt: Physiology and Management of Acute and Chronic Pain

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 2

SESSION 4: Sepsis…A Ticking Time Bomb

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.

SESSION 5: Demystifying Sodium Disorders in the ED and ICU

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.

SESSION 6: Dissecting Altered Mental Status: Challenges of Care in the ED and ICU

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

Day 3

SESSION 7: Never Events: Cost, Impact, and the Value of Clinical Staff in Prevention

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.

SESSION 8: Reducing Turnover and Increasing Staff Satisfaction in Critical Care and Emergency Departments

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.

SESSION 9: Developing Preceptors for High Acuity Areas

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.

Biography is not currently avaiable.

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.

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.

For U.S. and Canadian customers, CE is available for $29.99 USD per participant. 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.

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

**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.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 10/27/2017
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 19.5 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 19.5 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 23.8 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Pharmacology Nurse Practitioners
This self-study program offers 225 instructional minutes of pharmacology content which is designed to qualify for 3.75 contact hours toward your pharmacology requirement.

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Other Professions
This self-study activity qualifies for 19.75 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses and other Healthcare Professionals