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Exploring the Essential Features of “Cyndi Zarbano – Essential Assessment, Interpretation and Intervention Strategies – PESI”
Essential Assessment, Interpretation and Intervention Strategies
Speaker: Cyndi Zarbano, MSN-Ed, CCRN, CMSRN, LNC
Duration: 6 Hours 02 Minutes
Format: Audio and Video
Description
Critically ill patients are everywhere these days – on the Med-Surg floor, in the ICU, the PACU, the ED, the OR, even long-term care! A good working knowledge of the concepts for managing high-acuity patients is indispensable.
Join Cyndi Zarbano and learn the latest in essential critical care skills that you must know to be successful, including:
- Rapid Assessment
- ABG Analysis
- Central Line Care
- Easy Strip Interpretation
Speaker
Cyndi Zarbano, MSN-Ed, CCRN, CMSRN, LNC
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 over 200 cases for both plaintiff and defense. Her role has included analyzing medical records, determining merit, assisting with client interviews, attending medical appointments, locating testing experts, completing chronologies, reviewing billing for accuracy, deposition/jury question development, and assisting in court strategy development. She has served as a testifying expert for 16 cases. 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.
Outline
Identification & Management of Crisis
-
- Master “down and dirty” prompt assessment skills
- End the “Red Flags”
- Rapid stabilizing interventions for the unstable patient
- Manage the decompensating patient
- Better outcomes through quick intervention
Easy Steps to ABG Analysis
- Acid base imbalance
- 4 abnormal findings when reading your lab result
- A simple tool to rapidly and efficiently interpret ABG’s!
The 5 Steps to Rhythm Strip Interpretation
- Systematically reviewing the major components of a rhythm strips
- Identifying rhythm changes and management of:
- Atrial Fibrillation and Atrial Flutter
- Paroxysmal Supra-Ventricular Tachycardia (PSVT)
- V-Tach and V-Fib
Managing Chest Drainage
- Indications for chest tubes
- Circumventing re-expansion pulmonary edema
- Avoiding common complications of chest drainage
Master Central Line Care
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- Common issues experienced with central lines
- Using which port for what on a triple lumen PICC
- Use of a “cell-saver” to reduce lost hemoglobin during blood draws
- The challenge of CVP monitoring
Pacemakers & AICDs
- Indications for pacemakers
- Meaning of pacemaker codes
- Types of Pacemakers
- Device management
- Practical solutions to common pacemaker problems
Objectives
- Identify 5 essentials components of a “down and dirty” assessment in your patient when they have a sudden decomposition in health status.
- State 3 rapid interventions that can stabilize a patient who is symptomatic with a low blood pressure.
- Recognize the most common causes of arterial blood gas abnormalities.
- Quickly identify the 3 most common dysrhythmias using rhythm strip interpretation.
- Manage the risk to avoid re-expansion pulmonary edema in the patient with a chest tube for pleural effusion.
- Review the correct technique for opening an occluded central line lumen.
- Summarize the difference between failure to capture and failure to sense in a pacemaker and how each is resolved.
Target Audience
Nurses, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, Respiratory Care Practitioners
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