Download Introduction to Emergency Nursing

Introduction to Emergency Nursing
Agenda
Day 1:
8 a.m. – 5:00 pm Welcome and Introductions
Legal Issues
EMTALA
Restraints
Domestic Violence
Objectives:
At the end of the day participants will be able to:
 Identify the legal responsibilities of the RN in the emergency
department.
 Identify specific patient rights under critical circumstances in the ED.
 Explain EMTALA and how it impacts the emergency setting.
 Discuss the components related to Domestic Violence.
 Discuss elements required for accurate documentation of a patient in
restraints.
 Discuss ED related Documentation and responsibilities of the RN.
 List five indicators of abuse
 Discuss the cycle of violence
 Verbalize your responsibilities to report abuse
Suggested Readings:
Emergency Nursing Principles and Practices
Chapters: 1 & 3
Introduction to Emergency Nursing
Agenda
Day 2
8 am – 5:00 pm
Welcome/Review
Assessment & Priority Setting
Assessment for Triage/ESI Triage
Pain Assessment & Care
Respiratory Emergencies
Sedation
Cardiovascular Emergencies
Objectives:
At the end of the day participants will be able to:
 Define the assessment process
 Describe the components of a Primary & Secondary assessment
 Define a subjective assessment
 Understand the components of completing a pain assessment
 Discuss the differences between pain threshold and pain tolerance.
 Identify five signs/symptoms of Respiratory Distress
 Discuss the difference between acute/chronic Asthma attack
 Define pulse oximetry and why this is important for a patient with
respiratory difficulty.
 Describe the critical thinking process and nursing interventions for the
patient with chest pain.
 List four signs & symptoms of an acute “MI”.
Suggested Readings:
Emergency Nursing Principles and Practices
Chapters: 8, 9, & 32
Introduction to Emergency Nursing
Agenda
Day 3
8 am – 5:00 pm
Welcome/Review
Quiz #1
Dysrhythmia Recognition
Hypertension
Heart Failure
Case review
Objectives:
At the end of the day participants will be able to:
 Describe the basic anatomy and physiology of the heart chambers and
conduction system
 Describe the nursing assessment related to a patient with a cardiac
complaint
 Define “Preload” and “After load” and the importance related to a
patient complaining of pain
 Discuss the difference between pericarditis and endocarditis.
 Identify the components of a cardiac rhythm.
 Name 5 lethal cardiac rhythms that would need immediate
intervention.
 Discuss the difference between acute/chronic Respiratory failure
 Discuss the difference between COPD and CHF and understand
treatment difference.
Suggested Readings:
Emergency Nursing Principles and Practices
Chapters: 33
Introduction to Emergency Nursing
Agenda
Day 4
8 am – 5:00 pm
Welcome/Review
Care of the Elderly patient
Fluid/Electrolyte
Neurological Emergencies
Case review
Objectives:
At the end of the day participants will be able to:
 Identify risk factors for dementia
 Discuss the components associated with the aging patient
 Identify factors that impact the healthcare of the aging patient
 Discuss the components of extra cellular fluid
 List the five signs of hypernatremia
 Define a positive Chevostek’s sign
 Define the difference of a migraine headache and a regular headache.
 Define Bells Palsy
 Define trigeminal neuralgia
Suggested Readings:
Emergency Nursing Principles and Practices
Chapters: 30, 38 & 35
Introduction to Emergency Nursing
Agenda
Day 5
8 am – 5:00 pm
Welcome/Review
Quiz #2
Environmental Emergencies
General Medical
Infectious Diseases
Shock
Case Review
Objectives:
At the end of the day participants will be able to:
 Discuss the four common causes of coma
 List four signs/symptoms of hyperthyroidism
 Identify the immediate interventions for hypoglycemia
 Describe the six signs/symptoms of “DKA”
 State the action of aldosterone
 Discus the physiology of disseminated intravascular clotting (DIC)
 State five interventions for managing anaphylaxis
 List the clinical signs of cardiogenic shock
 Describe three signs/symptoms of a chemical burn
 Differentiate the difference of heat stroke versus heat exhaustion and
define the immediate treatment and interventions.
Suggested Readings:
Emergency Nursing Principles and Practices
Chapters: 41, 40, & 34
Introduction to Emergency Nursing
Agenda
Day 6
8 am – 5:00 pm
Welcome/Review
Midterm Exam
Pediatric Growth & Development
PALS overview
Pediatric Triage
Pediatric Respiratory Emergencies
Case Review
Objectives:
At the end of the day participants will be able to:
 Describe the changes that occur to the pediatric patient as they
mature from infant through adolescent.
 Identify the components of primary and secondary assessment
 Discuss the “Red Flags” in the pediatric patient and the
appropriate nursing interventions.
 Describe the five elements of the pediatric assessment triangle
 Describe how the pediatric patient’s airway is different than the
adult.
 Describe the components of a respiratory assessment and list
appropriate interventions
 Define “Effective Airway” in a pediatric patient.
Suggested Readings:
Emergency Nursing Principles and Practices
Chapters 29 & 48
Introduction to Emergency Nursing
Agenda
Day 7
8 am – 5:00 pm
Welcome/Review
Quiz #3
Pediatric Fluid & Medications
Pediatric Fever
Pediatric Trauma
Pediatric Seizure
Pediatric Child Abuse
Case review
Objectives:
At the end of the day participants will be able to:
 Describe the elements involved in fluid resuscitation of the
compromised pediatric patient
 Describe the difference between febrile illness and sepsis
 Describe the components of the primary/secondary assessment of the
traumatic injured pediatric patient.
 Define the difference between a febrile seizure and complex seizure
 Define postictal.
 Define the initial nursing management of the acute ill/injured pediatric
patient.
 State the responsibility of the RN in reporting suspected neglect/abuse
of the pediatric patient.
Suggested Readings:
Emergency Nursing Principles and Practices
Chapters 29 & 48
Introduction to Emergency Nursing
Agenda
Day 8
8 am – 5:00 pm
Welcome/Review
Abdominal Emergencies
Genito-Urinary Emergencies
OB/Perinatal Emergencies
Psychological & Toxicology
Case Review
Objectives:
At the end of the day participants will be able to:
 Describe the elements of completing a complete abdominal
assessment.
 Discuss the signs/symptoms of pelvic inflammatory disease
 Describe the risk factors for placental abruption
 Discuss the most common alteration in lab values related t kidney
disease.
 List the nursing interventions for obstructive disorders
 List two contraindications for gastric lavage.
 Describe the nursing interventions for an acute overdose of Tylenol
Suggested Readings:
Emergency Nursing Principles and Practices:
Chapters: 36, 37, 44, & 52
Introduction to Emergency Nursing
Agenda
Day 9
8 am – 5:00 pm
Welcome/Review
Quiz #4
ENT/Facial Emergencies
Multiple Trauma
Muscular-skeletal Emergencies
Surface Trauma
Case review
Objectives:
At the end of the day participants will be able to:
 Identify the major cause of death with facial injuries
 Define trigeminal neuralgia
 Describe the most common cause of a blowout orbital fracture
 List three nursing interventions for a patient with cardiothoracic
trauma.
 List three nursing interventions for cellulites.
 Describe a degloving injury and the nursing interventions/assessment.
 Discuss the care involved for treating a patient with an animal bite.
 Describe the two energies associated with a crash or fall that affects
the body.
 Describe the types of soft tissue trauma and the nursing interventions
associated with it.
Suggested Readings:
Emergency Nursing Principles and Practices:
Chapters: 45, 21, 22, 23, 24, 25, & 26
Introduction to Emergency Nursing
Agenda
Day 10
8 am – 5:00 pm
Welcome/Review
Consistent Messaging
Final Exam
Organ Procurement
Disaster Preparedness
Homeless Policy
Course Evaluation/Certificates
Objectives:
At the end of the day participants will be able to:
 Discuss the application of Consistent Messaging in the emergency
setting.
 Identify the criteria for organ and tissue donor selection
 List four signs of imminent brain death
 List two reasons early referral to One Legacy is critical and required
 Stat the physicians role in declaration of brain death
 State three nursing interventions utilized when working with the
family with the organ donation process.
 Discuss the five crucial management components of the brain dead
patients prior to donation.
 Identify procedure for managing and discharging the Homeless
patient.
Suggested Readings:
Emergency Nursing Principles and Practices:
Chapters: 16 & 17