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At the completion of this program, you should be able to:

1. Describe two types of rapid assessment techniques and how to employ them for the best results during a patient emergency.
2. Discuss techniques for getting critical information during a rapid patient assessment.
3. Review components of a quick but thorough patient assessment with emphasis on evaluation of neurological, cardiac, pulmonary and psychosocial systems.
4. Recognize EARLY assessment findings in clinical syndromes that may progress rapidly and cause lifethreatening conditions.
5. Review volume and pressure concepts as they relate to intracranial pressure, linking these concepts to clinical correlates in patients with neurological emergencies.
6. Discuss hemodynamic concepts related to shock states.
7. Discuss presentations, assessment findings and nursing actions for specific neurological, cardiac, respiratory, endocrine and fluid imbalance emergencies.
8. Explore the philosophy of patient- and family-centered care, and how this philosophy can be incorporated into care of the critically ill patient.

1. Identify the Red Flags
1. Triage: Every Nurse Needs It
1. Identify red flags in patient presentation
1. Critical thinking
2. Advanced identification skills
3. Prioritizing patient acuity
2. Rapid Assessment and Medical History Techniques
1. Triangle Triage
2. ABCD Assessment in Less than 10 Seconds
3. The importance of asking the right questions to get the most important info
4. Quick and Thorough Rapid Assessments
1. General
2. Neurological
3. Cardiovascular
4. Pulmonary
5. Psychosocial
2. Neurological Emergencies
1. Prevention, Presentation, Action for:
2. Intracranial pressure: Concepts of volume and pressure
3. Malignant headache
4. Cerebrovascular accident (CVA)
5. Delirium
6. Autonomic dysreflexia
3. Cardiac Emergencies
1. Prevention, Presentation, Action for:
2. “I’m having chest pain…”
3. Acute coronary syndromes
1. Ischemia: Stable vs. unstable
2. Non-STEMI
3. STEMI
4. Heart failure
5. Pulmonary embolism
4. Pulmonary Emergencies
1. Prevention, Presentation, Action for:
2. Respiratory failure
3. COPD: Emphysema and chronic bronchitis
4. Acute Respiratory Distress Syndrome (ARDS)
5. Endocrine Emergencies
1. Prevention, Presentation, Action for:
2. Diabetic Ketoacidosis (DKA)
3. Hypoglycemia
6. Fluid Imbalance/Circulatory Emergencies
1. Prevention, Presentation, Action for:
2. Sepsis
1. SIRS to Septic Shock
3. Hemorrhage and Delayed Hemorrhage
1. Shock
2. Delayed Hemorrhage in Trauma
3. GI Bleeds
4. Abdominal Aortic Aneurysm
4. Compartment Syndromes
1. Extremity
2. Abdominal

Tracy Shaw is a registered nurse with 34 years of experience in acute care. Most of her clinical experience has been in the settings of the Emergency Department and the Intensive Care Unit. She has worked as a staff nurse, charge nurse and clinical educator in a Level 1 Trauma center.

Tracy holds certifications in emergency nursing (CEN), critical care nursing of adults (CCRN) and neuroscience nursing (CNRN). Additionally, she holds a Master's Degree in Adult Learning. Tracy is the owner of Working Noodle Enterprises, LLC, a nursing educational consulting company. Disclosures:

Financial: Tracy Shaw is receiving a fee for speaking at today's educational activity.

Nonfinancial: Tracy Shaw has no relevant nonfinancial relationships to disclose.

For U.S. and Canadian customers, CE is available for $20 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: 11/19/2021
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 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 6.0 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 6.3 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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Other Professions
This self-study activity qualifies for 6.25 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, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, Respiratory Care Practitioners