Hemodynamic Monitoring:
Are We Keeping Our Patients Safe?
Angela Craig, MS, APN, CCNS, CCRN-K
Healthcare workers are patient advocates, and we all need to be aware of the potential complications and errors of Hemodynamic Monitoring. It is essential that we make sure training occurs to ensure proper leveling and zeroing of pressurized lines. Many clinical errors can occur with hemodynamic monitoring like inappropriate or delayed interventions. This presentation will discuss how to identify potential errors and prevent these. It is essential that the healthcare team know how to prevent infections of these lines as well.
Improving Enteral Safety with ENFit Connectivity
Gail Gewirtz, MS RDN
Kim Pollard, BSN, RN, NE-BC, CNSC, FASPEN
A global patient safety initiative, started by the International Organization for Standardization (ISO) and spearheaded by the Global Enteral Device Supplier Association (GEDSA), has been underway to change enteral product connectors to a new design called ENFit®.
From 2014 to 2022: Update for the Prevention of Ventilator-Associated Pneumonia and Events
Linda Greene, RN, MPS, CIC
Ventilator-associated pneumonia (VAP) and ventilator-associated events (VAE) cause significant inpatient morbidity and mortality. About 10% of patients put on mechanical ventilation develop VAP, and the mortality rate in VAP has been estimated at 13%.
Medical Device Pressure Injury:
Recommendations from the SECURE Prevention Consensus
Joyce Black, PhD, RN, FAAN
Many of the most used medical devices are frequently associated with device-related pressure ulcers which can cause life-threatening infections. The global scale of the problem is considerable and in 2019 an international group of medical professionals developed an international consensus statement on device related pressure ulcers: SECURE Prevention. Based on this ground-breaking consensus statement, this webinar, presented by one of the authors, will provide detailed advice on how to prevent debilitating device related pressure ulcers.
Sepsis: Are we doing enough for our patients?
Angela Craig, MS, APN, CCNS, CCRN-K
One in three deaths in hospitals are due to sepsis. The complexity of the disease, variability in presentation of the patient and skill and knowledge level of the provider and nurse, makes sepsis management distinctly different and challenging to implement. Providing the right care to the right patient at the right time requires well-defined systems and processes. This session provides evidence-based care strategies, in particular the critical importance of proper monitoring to detect deterioration, and content to assist in a transformation of care and processes to impact patient outcomes.
Mitigating Unplanned Extubation:
Best Practices, Assessments, and ICU Surveillance
Justin Phillips, BSc., RRT-ACCS
Standard care of mechanically ventilated patients often emphasizes mitigating risks associated with unplanned extubations (UE). UE are potentially life-threatening events that may negatively impact patient-centered outcomes across the spectrum of invasively ventilated patients in intensive care units (ICU). Identifying UE root-cause factors and implementation of standardized best practices are key to providing high-quality patient care for intubated patients undergoing mechanical ventilation. This learning activity will focus on relevant quality assurance monitoring metrics, the importance of maximizing timely transition to unassisted breathing, and multidisciplinary considerations pertaining to UE.
The Challenges of Caring for the Obese Patient:
“What are those things we don’t think about?”
Susan Gallagher, PhD, RN
Rhonda Turner, MSN-LD, CSPHA Description
The prevalence of obesity in the US, trends in care, and in particular, the challenges faced with caring for the hospitalized obese Covid-19 patient are addressed in this webinar. The care of the obese patient is multi-faceted. Often size-appropriate equipment and devices are overlooked which can lead to poor outcomes and complications including falls and pressure ulcers. Key strategies such as mobilization, require special planning and equipment that are critical to reducing complications and shortening the length of stay. A focus on planning, understanding, and utilizing size-appropriate devices and equipment will improve the patient experience and care.
Let’s get moving! Early mobility in the ICU
Nicole Kupchik , MN, RN, CCNS, CCRN-K, PCCN-K
Valentina Obreja, DPN(c), RN, MSN, AG/AC, NP-BC, CCRN, CSC, CMC, PHN
Immobilization of critically ill patients leads to long term complications including muscle atrophy, delirium, and post-ICU syndrome. Numerous studies evaluating early mobilization demonstrate decreased rates of delirium, decreased length of ICU and hospital stay and cost avoidance. Included in this presentation will be evidence-based recommendations for readiness for early mobility and minimization of complications through proper staffing, equipment and securement of all lines and tubes. This educational webinar will outline the benefits and strategies of early mobilization and the multi-disciplinary approach it takes to create a successful program.
Lesson Learned: Respiratory Management of Patients
with COVID-19
Ruben D Restrepo, M.D., RRT, FAARC, FCCP
Omar Enriquez, MD
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues to challenge every healthcare resource. As Omicron is claiming more lives than previous variants, respiratory critical care management of patients with COVID-19 in the ICU has evolved from its initial approaches. This webinar has been designed to provide an overview of the most significant clinical findings for the respiratory management of COVID-19 patients in the hospital setting and after discharge.
The New 2021 IV Stabilization StandardsPoor practices with application and assessment of catheter stabilization and dressings often lead to premature failure of devices. Up to 69% of catheters are removed before therapy is complete. Standards of Practice identify the elements of good securement that can contribute to policy and procedure development that establish the most effective catheter stabilization. This webinar will review the new 2021 Infusion Nurses Society Standards of Practice which provides detailed descriptions of types of securement and combinations for vascular access devices, risk reduction methods, evaluation, and guidance for assessment documentation practices.
Post- Operative Mastectomy: Complications and Care
Doreen A. Gendreau, EdD, MSN, MS, RN-BC, CNS, CHLC, RYT-Y-CBT
Breast Cancer is the most common cancer diagnosis in the US and is the second leading cause of cancer-related death after lung cancer. Treatment strategies include, either alone or in combination, surgery, chemotherapy, radiation, hormone therapy as well as newer, innovative approaches. Surgery, however, is often the first-line treatment modality. This presentation will focus on the complications associated with surgery and adjunctive therapies that can include post-surgical pain, wound infection, hematoma, lymphedema, and the seroma. Several strategies will be discussed on how the caregiver and patient can help to mitigate these complications.
Current Strategies for Vascular Access Stabilization: Infusion
Nursing Standards of Practice
Lisa Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Stabilization of movement at the vascular access device (VAD) exit site is recognized as an important intervention in preventing complications and increasing catheter dwell time. The risk for unintentional catheter dislodgement is reduced, and when pistoning movement of the catheter at the site is minimized, the risk for phlebitis, infection, and catheter migration may also be reduced. While many HCPs may equate stabilization with application of a dressing and tape, the Infusion Nurses Society recommends use of an “engineered,” meaning specially designed, stabilization device or system. In this presentation, stabilization methods, new and novel devices, and current supporting evidence are explored.
Being Prepared and Adopting New Enteral Connectors:
What You Need to Know
Peggi Guenter, PhD, RN, FAAN
Enteral nutrition or tube feeding delivery systems have been misconnected to other types of medical device systems and have resulted in serious patient injury and even death. Unintended misconnections occur due to the universal design of Luer connectors and others that are used for a variety of medical delivery systems. This educational activity is designed to inform clinicians about the new ISO standards applied to medical devices for all patients receiving enteral nutrition. This webinar will explain the use of these new connectors in terms of enteral nutrition delivery, flushing, and medication delivery. Up to date Information on the challenges with pediatric medication dosing and low-volume accuracy along with innovative solutions will be presented.
Sounds of Silence: Reducing Nuisance Alarms in IV Pumps
Katherine Major, RN, MSN
The Joint Commission’s National Patient Safety Goal (NPSG) focuses on managing clinical alarm systems that have the most direct relationship to patient safety. By 2016, hospitals will be required to improve practice standards to reduce false and nuisance alarms to meet the NPSG goal to “improve the safety of clinical alarms.” Infusion pumps accounts for significant number of these false or nuisance alarms. This can be a frustrating disruption to nurses as well as disturbing for their patients. Quite often it is the IV line that is causing these sensitive devices to signal that something is wrong when no intervention is necessary. IV line occlusion and dislodgement are significant contributors to alarm fatigue, interrupted medication delivery, and unnecessary IV line restarts. In this free CE session, we will be discussing how to troubleshoot IV alarms, techniques to prevent false or nuisance alarms, and minimize IV restarts with proper securement of the IV site.