Emergency Department / Intensive Care

Cardioversion in the ICU/ED

Course Overview

This course is designed for registered nurses in the ICU/ED on how to safely perform and practice synchronized cardioversion on the unit. The registered nurses will learn how to prepare the patient for the procedure. Understand the responsibilities of providing IV sedation and monitoring and demonstrate the post procedure care and discharge education afterwards.

Learning Outcomes

1. Identify the patient requiring a synchronized cardioversion for a dysrhythmia.
2. Demonstrate the process of preparing and setting up the monitoring required for synchronized cardioversion.
3. Manage the post procedural care of a patient who received a cardioversion.

Communication in the Emergency Department: Patient and Family Centered Approach

Course Overview

This course is for all clinical staff in the emergency department to learn how to practice patient and family centered communication. The participants learn how to try to know the patient and caregiver through asking questions and allowing them to express their needs. The participants can practice empathy, utilize team training, and use effective communication using both a high-fidelity simulator and a standardized actor as the parent.

Targeted Learners: Registered Nurses, Physicians, and Advanced Practice Practitioners.

Objectives

1. Determine the needs of the pediatric patient and the parents.
2. Review patient and family-centered care, including cultural competencies.
3. Demonstrate team training and effective communication.

Difficult Airway in the Emergency Department

Course Overview

This course is designed for staff in the emergency department to recognize what constitutes a difficult airway and how to manage this life-threatening situation.   Furthermore, learners will have the chance to refine their skills, including the safe operation of equipment necessary to manage difficult airway situations.

Objectives

1. Identify a patient with a difficult airway.
2. Manage an obstructed airway in the pediatric patient.
3. Demonstrate management of the severely edematous airway.

ECMO Training

Extracorporeal Membrane Oxygenation (ECMO) Simulation

Course Overview

This course allows all ECMO care team members (critical care physicians, APPs, ICU nurses, and perfusionists) to gain experience managing ECMO cannulation and complications. Participants will practice (assisting with) cannulation techniques in both urgent and emergent situations  Participants will also review and practice how to initiate and manage extracorporeal cardiopulmonary resuscitation (ECPR) in the setting of ACLS emergencies.

Learning Outcomes

1. Prepare for and assist with ECMO cannulation.
2. Recognize and manage a variety of common and rare critical complications of ECMO.
3. Determine the different levels of ECMO consultation and demonstrate how to call an ECMO consultant.
4. Practice advanced cardiac life support skills and integrate ECPR into ACLS management.

Open Chest Resuscitation of the Post Cardiac Surgery Patient

Course Overview

This simulation provides the learner with an opportunity to practice the procedure and process of sternotomy during cardiac arrest of the post cardiac surgery patient. The learners will have an opportunity to practice setting up a re-sternotomy and assisting with the procedure. Learners will identify essential roles of each team member.

Learning Outcomes

1. Identify the rapidly declining post cardiac patient.
2. Perform the appropriate steps in the re-sternotomy procedure.
3. Determine the necessary roles of those involved in the resuscitation.
4. Demonstrate clear and closed loop communication between disciplines.

Pediatric Codes in the Emergency Department for AHN

Course Overview

The purpose of this course is to provide clinicians with the critical skills necessary to respond and manage a pediatric patient in the emergency department. This course will provide an opportunity for participants to activate the code blue process and demonstrate effective Pediatric Advanced Life Support (PALS) skills while using effective communication.

Learning Objectives

1. Recognize signs and symptoms of severe respiratory distress in the pediatric patient.
2. Demonstrate effective basic life support skills i.e.: CPR and AED application.
3. Administer appropriate medical treatment based on PALS protocols.
4. Describe the roles of the interprofessional Code Blue team members.

Precipitous Birth in the Emergency Department

Course Overview

This course provides the participant the opportunity to practice a precipitous delivery of a woman who presents to the Emergency Department in active labor. The learners also can manage a post-partum hemorrhage that can occur after precipitous birth.

Objectives

1. Identify the signs and symptoms of an impending delivery presenting to the ED.
2. Demonstrate the principles of the delivery of a neonate.
3. Review the initial management of a newly born infant.
4. Determine the management of post-partum hemorrhage in the ED

Procedural Sedation for Pediatric Patients in the Emergency Department

Course Description

This course is designed for physicians and nurses that manage pediatric patients in the emergency department requiring procedural sedation. The safe sedation of children for procedures requires a systematic approach. This course  provides a review of the best practices for the effective monitoring and management of pediatric patients before, during and after sedation.

Learning Objectives

1. Review the established process and policy for procedural sedation.
2. Identify appropriate medications for use during procedural sedation.
3. Demonstrate the management of common complications that arise during a procedural sedation, loss of airway, and vomiting.