Paul Langlois – PESI – 2-Day: Advanced Assessment Skills: Respond to the Patient’s Clues with Skill and Confidence

Description

Paul Langlois – PESI – 2-Day: Advanced Assessment Skills: Respond to the Patient’s Clues with Skill and Confidence download, Paul Langlois – PESI – 2-Day: Advanced Assessment Skills: Respond to the Patient’s Clues with Skill and Confidence review, Paul Langlois – PESI – 2-Day: Advanced Assessment Skills: Respond to the Patient’s Clues with Skill and Confidence free

Paul Langlois – PESI – 2-Day: Advanced Assessment Skills: Respond to the Patient’s Clues with Skill and Confidence

Maybe your instinct kicked in with a patient you cared for in the past. You knew something was ‘off’. But what was it? Have you always felt confident that you had done enough…

Have you ever been perplexed with symptom findings in your patient’s history or physical exam? If a laboratory test, 12-lead ECG, or arterial blood gas were ordered, would you be able to interpret the findings – without missing something important? Whether you have been in practice for decades or just a few years, picking up on the subtle clues from the patient can be a challenge to master. Without the skills to quickly identify concerns and initiate appropriate interventions, you could be putting your patient, and your license, at risk.

Watch nationally-recognized speaker, Dr. Paul Langlois, APN, PhD, CCRN, CCNS, CNRN, in this recording to gain powerful new clinical insights and critical thinking skills so you won’t need to feel uncertain or scared anymore. You will learn through exciting patient case studies, reinforced with helpful new clinical mnemonics. Finish this intense course with increased confidence in your ability to conduct differential symptom analysis, interpret the laboratory implications, skillfully read 12-lead ECGs, document your findings, and, ultimately, select the interventions to ensure the best outcomes for your patient. You will experience the dramatic changes in your own practice when you work your next shift!

Speaker

Paul Langlois, APN, PhD, CCRN, CCNS

Dr. Paul Langlois, APN, PhD, CCRN, CCNS, is a critical care clinical specialist in the Surgical, Medical, Neurologic, Burn, CCU and Trauma ICUs of Cook County Hospital, Chicago. Drawing on over 40 years of experience assessing and managing patients with life-threatening diseases, Dr. Langlois provides advanced-level training to nurses, physician assistants, nurse practitioners, respiratory therapists and physicians.

Dr. Langlois is committed to providing the highest quality of care to patients through advanced education. His presentations are evidence-based, timely and provide participants with numerous case studies to facilitate critical thinking. As a bedside clinical nurse specialist, he has developed several institution-wide protocols for the multidisciplinary assessment and management of the infectious disease and multi-system organ failure patient.

His presentations are enthusiastically delivered and offer highly practical tips that help make the most challenging concepts easy to understand. Linking knowledge to clinical practice is the goal of every education program.

Speaker Disclosures:
Financial: Paul Langlois has employment relationships with Cook County Hospital and Emergency Care Consultants. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Paul Langlois is a member of the American Nurses Association and the American Association of Critical Care Nurses.

Objectives

1. Integrate sound critical thinking and clinical decision-making.
2. Demonstrate advanced heath assessment knowledge and skills including therapeutic communication.
3. Manage a comprehensive database including functional assessment, psychological assessment, health and pharmacological history, and physical examination.
4. Formulate appropriate laboratory and diagnostic testing.
5. Evaluate findings of laboratory and diagnostic testing along with suggestions for treatment.
6. Determine a differential diagnosis based on assessment data.
7. Diagnose the area of the heart where ischemia, injury, or infarction are occurring based on 12-lead ECG.
8. Choose the best interventions for stabilization of the deteriorating patient.
9. Determine the key interventions to stabilize the successfully resuscitated patient.
10. Analyze the latest clinical practice guidelines for common pathologies and comorbidities.
11. Formulate documentation strategies to protect yourself and your practice in the case of lawsuit.
12. Evaluate early signs of clinical deterioration to identify key interventions to initiate.

Outline

Psychosocial Assessment

• CALM acronym: How to set the person at ease during your assessment
• Three key elements in determining the psychosocial assessment
• Proven ways to assess stress in the patient
• Two ways to quickly identify suicidal ideation
• Is this an accident or abuse or neglect?

General Survey of the Patient: What You See is What You Get…Well Not Always

• Symptom analysis…use the COLDSPA acronym
• What the blood pressure and pulse tell you about the patient…even before the stethoscope
• Four proven ways to differentiate neuropathic and non-neuropathic pain
• Key steps when a patient says that they have a condition you have never heard of
• Are the patient’s medications causing the problem…check the Beers criteria

Look Into My Eyes

• Red-flags you must be aware of regarding the eyes
• How medications affect the eye exam
• Differentiating visual acuity and visual fields…impact of the cranial nerves

Respiratory System…Much More than Breath Sounds

• Three age-related changes in the lungs you must know
• The stethoscope is vital, but so are your hands
• How to differentiate asthma, emphysema, pneumonia, and pleural effusion
• Keys to indicate the patient needs a chest radiograph
• The ABCs of ABGs: Four proven ways to contrast respiratory vs. metabolic acidosis and alkalosis
• Four other laboratory tests to assess lung function
• Medications for pulmonary conditions

Cardiovascular System…Beyond the Heart

• Determine if that adventitious sound is during systole or diastole
• Murmurs, rubs, opening snaps…what do they all mean?
• What does the ECHO cardiogram tell you?
• Identify the location of the ischemia, injury, or infarction based on the 12-lead ECG
• Laboratory tests for heart conditions…Heart failure, myocardial infarction, pericarditis
• Pearls for a thorough peripheral vascular assessment…arteries, veins, and lymph nodes
• Must-know categories of medications that deteriorate the heart

Gastro-intestinal System…Beyond the Large and Small Intestine

• Don’t worry about this prevalent finding…it is age related
  GI laboratory tests that are vital for patient assessment
• Could this be cancer or a normal finding?
• Four most-ordered GI procedures and differential diagnosis
• The effect of medications on the GI tract

Genitourinary System

• Differentiate cystitis, UTI, and pyelonephritis…should medications be prescribed?
• ”There is blood in my urine”; what you need to do right now for your patient
• GU laboratory test and procedures; how to interpret the results
• How contrast dyes affect the kidney…watch out for these signs

Musculoskeletal System

• ”I have this back pain”; what you need to do now before the pain progresses
• Differentiating muscular pain and nerve damage
• Five time-honored tests for the musculoskeletal system
• Medications that facilitate fluidity in the MS system

Neurologic System

• Differentiating two- and three-reflex arcs
• Four pearls when conducting cranial nerve assessment
• Is this a motor or sensory problem?
• Two tests for meningitis which do not require cerebral spinal fluid
• Types of seizures and the latest medication options
• Four deadly infections of the neurologic system
• Does your patient need an MRI, Positron emission tomography, or CT scan?
• Neurologic monitoring: Intraventricular, intraparenchymal, brain oxygen tension

Assessment of the Elderly Patient

• Head to toe differences in the assessment of the elderly patient
• ”I can’t seem to remember…is this normal?” Cognitive alterations occurring as we age
• These laboratory parameters differ in the elderly
• The effect of medications on the elderly

Rapid Assessment of the Decompensating Patient

• AMPLE acronym: A must-know to quickly and accurately gather patient information
• ”I have pain”…the PQRST acronym is vital to help the patient
• Get these labs immediately for a crashing patient

Target Audience

• RNs, RTs, NPs, and PAs from:

• Medical-Surgical floors
• Cardiology
• Neurology
• Critical Care
• Urgent Care
• Skilled Nursing Facilities

• Anyone desiring next level skills to proactively assess and intervene for their patients!

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