CEN review series Objectives and Outlines - 2008 ....doc

EMERGENCY NURSES ASSOCIATION

PROGRAM/PRESENTATION MODULE

If there are multiple presentations in the program, a Program/Presentation Module form must be completed for each presentation.

(For assistance in completing this form, see sample form)

Presentation Title: CEN Review Speakers:

Date of Presentation: One session each month – see separate schedule

Objectives

(Describe learner outcomes. State measurable objectives. Describe action or behavior which will occur (refer to Bloom’s Taxonomy – Appendix D) on completion of program. Objectives must be realistic and achievable)

Outline

Each objective must have a corresponding content outline (in outline format). Each item must be specific enough to describe the content.

Time

State total number of minutes for each objective. Total time of presentation must correspond with time listed in brochure.

Speaker

List the speaker’s name. (Attach bio for all speakers)

Method

List teaching method (e.g., lecture, work group, etc) and audio-visual tools.

Cardiovascular Emergencies

1. Describe 3 components of a cardiac assessment

2. List 4 signs and symptoms associated with acute coronary syndrome and other cardiac emergencies

I. Cardiac Assessment

A. Review of anatomy and physiology

B. Review heart sounds and their interpretation

C. Discuss key components of data collection for a cardiac patient

D. Discuss key components of physical assessment for a cardiac patient

II. Acute Coronary Syndrome

A. Signs and Symptoms

B. Common ED presentations

C. Uncommon Ed presentations

10 minutes

15 minutes

Lecture, powerpoint

Discussion, handouts

3. Discuss 2 other common cardiac emergencies

4. Discuss 3 diagnostic tests utilized to assess cardiac function

5. Discuss 4 interventions used in the treatment of a patient with a cardiac emergency

D. Quick review of EKG changes in ACS

E. Complications accompanying ACS

F. Review cardiac risk factors

III. Other Cardiac Emergencies

A. CHF/Pulmonary Edema

B. Cardiac Tamponade

C. Pericarditis

D. Sudden cardiac arrest

E. Hypertension

F. Arrhythmias

IV. Cardiac diagnostics

A. Cardiac monitoring

B. Invasive cardiac procedures

C. Laboratory studies

D. Imaging

E. EKGs, including right sided EKGs

F. Stress testing

V. Interventions for the cardiac patient

A. Invasive procedures

i. Stents

ii. Angiography

iii. Angioplasty

B. Pharmacological

15 minutes

10 minutes

15 minutes

6. Discuss 2 differences in the assessment and treatment of the pediatric and geriatric cardiac patient

7. Practice topic related questions in preparation for the CEN exam

i. Fibrinolytics

ii. Nitrates

iii. Anti-hypertensives

iv. Anti-arrhythmics

C. Surgical interventions

D. Pacing

VI. Pediatric and Geriatric considerations

A. Differences in A&P

B. Neonatal/pediatric abnormalities

C. Polypharmacy

VII. Practice session

A. Review cardiac CEN review questions

10 minutes

15 minutes

Total time:

90 minutes

Respiratory Emergencies

1. Describe 2 components of the respiratory assessment

2. Identify the major etiologies,

I. Components of the respiratory assessment

A. Anatomy and Physiology

B. Review breath sounds

C. Describe the assessment of respiratory effort

D. Discuss key components of data collection for a respiratory patient

E. Discuss key components of physical assessment for a respiratory patient

15 minutes

Lecture, powerpoint


defining characteristics, interventions and expected outcomes for the respiratory compromised patient

3. Identify the relationship of chest trauma, pneumothorax, airway obstruction and ARDS to the pathophysiology of respiratory related problems

4. Describe the pathophysiologic changes as a basis for the signs and symptoms of the patient with neck, thoracic or cardiac trauma

5. Discuss diagnostic testing and subsequent interventions used for the patient with respiratory compromise

II. Common respiratory emergencies seen in the ED

A. Asthma

B. Bronchitis

C. COPD, Emphysema

D. Pneumonia

E. ARDS

F. Pulmonary Edema

G. Pulmonary Embolism

H. Inhalation injury

III. Chest trauma

A. Pneumothorax

B. Airway obstruction

C. Neck trauma

D. Mechanism of injury

E. Presentations

F. Interventions

IV. Diagnostic testing and Interventions for the respiratory patient

A. Laboratory studies (ABGs)

B. Imaging

C. Spirometry

D. Airway maintenance

E. Oxygen therapy

F. BiPAP and CPAP

G. Needle thoracostomy

20 minutes

15 minutes

15 minutes

6. Discuss 2 differences in the assessment and interventions of the pediatric or geriatric respiratory patient


H. Pharmacological intervention

V. Pediatric and Geriatric considerations

A. A&P variations

B. Croup and RSV

C. Polypharmacy

D. Other considerations in therapies

VI. Practice session

A. Review questions pertaining to respiratory emergencies

10 minutes

15 minutes

Total time:

90 minutes

Toxicology/Environmental Emergencies

1. Describe 4 components in the assessment of the patient with a toxicological or environmental emergency

2. List 4 signs and symptoms commonly seen in the patient with a toxicological or environmental emergency

I. Assessing the patient with a toxicological or environmental emergency

A. Data collection related to precipitating event

B. Physical assessment

C. Intentional

D. Unintentional

II. Common toxicological and environmental emergencies seen in the ED

A. Alcohol intoxication and substance abuse

10 minutes

30 minutes

Lecture, powerpoint


3. Identify 4 interventions used for the patient with a toxicological or environmental emergency

4. Identify 3 differences in the assessment and treatment of the pediatric or geriatric patient presenting with a toxicological or environmental emergency


B. Overdose of prescription medication

C. Ingestion of household items

D. Heat injuries

E. Cold injuries

F. Bites, and stings

G. Bioterrorism, chemical warfare, radiation exposure

III. Diagnostics and Interventions

A. Laboratory studies, drug levels, etc

B. Antidotes

C. ABCs and monitoring

D. Pharmacological intervention

E. Skin/wound care

IV. Pediatric and Geriatric considerations

A. A&P differences

B. Pediatric affinity for foreign objects

C. Even small doses can be dangerous

D. Geriatric polypharmacy

V. Practice session

A. Review questions pertaining toxicological and environmental emergencies

15 minutes

15 minutes

20 minutes

Total time:

90 minutes

Neurological Emergencies

1. Describe 3 components of the assessment of the patient with a neurological or spinal cord injury

2. Describe the signs and symptoms associated with common neurological emergencies

3. Identify 3 common interventions commonly used in the treatment of the patient with a neurological emergency

I. Components of the neurological assessment exam


B. Mental status exams

C. Use of the Glascow Coma Score

D. Stroke score

E. Documentation of findings

F. Importance of serial exams

II. Common neurological emergencies

A. Cerebral bleeds

B. Headaches

C. Stroke

D. Seizures

E. Meningitis

F. Chronic neurological disorders

G. Disorientation and dementia

H. Head trauma


A. Laboratory studies

B. Imaging options

C. Lumbar puncture

D. Patient positioning

E. Surgical intervention

15 minutes

30 minutes

15 minutes

Lecture, powerpoint, discussion, handouts

4. Describe the treatment plan for the spinal cord injury patient by analysis, nursing diagnosis, interventions and expected outcomes

5. Identify and describe the physical assessment of the spinal column including the function of the 12 cranial nerves


F. Pharmacological intervention

IV. Spinal Cord Injuries

A. Cranial nerve evaluation

B. Spinal cord evaluation

C. Mechanism of injury

D. Spinal stabilization

E. Imaging

F. Pharmacological interventions

G. Surgical interventions

H. Evaluations and prognosis

V. Practice session

A. Review questions pertaining to neurological emergencies

15 minutes

15 minutes

Total time:

90 minutes

Orthopedic/Wound Management Emergencies

1. Describe 4 components of the orthopedic assessment

2. Describe 4 components of a wound assessment

3. Identify 3 common orthopedic injuries seen in the ED

I. Assessing the orthopedic patient and the patient with a wound injury


B. Mechanism of injury

C. Physical assessment

D. Documentation and mapping

E. Associated internal injuries

II. Common orthopedic injuries and

15 minutes

15 minutes

Lecture, powerpoint, discussion handouts

4. Identify 3 common wound management presentations seen in the ED

5. Discuss 4 interventions used in the treatment of a patient with an orthopedic injury

6. Discuss interventions used in the treatment of the patient with a wound


presentations

A. Fractures

B. Dislocations

C. Compartment Syndrome

D. Sprains/Strains and contusions

E. Fat emboli

III. Wound management emergencies

A. Lacerations

B. Avulsions

C. Abrasions

D. Bites

E. Amputations

F. Infection

IV. Orthopedic and wound management interventions

A. Surgical intervention

B. Wound care management

C. Antibiotic treatment

D. Pain management

E. Tetanus booster

V. Practice session

A. Review questions pertaining to orthopedic and wound care management

10 minutes

10 minutes

10 minutes

Total time:

60 minutes

Maxillofacial, Ocular and ENT Emergencies

February 10 , 2010

1. Identify 4 components of the maxillofacial/ENT/Ocular assessment

2. Discuss 4 common presentations to the ED related to a maxillofacial/ENT/Ocular emergency

3. Discuss 4 interventions commonly used for the patient with a maxillofacial/ocular or ENT emergency

I. Maxillofacial/Ocular/ENT assessment

A. ABCs

B. Mechanism of injury

C. Visual acuity

D. Data collection

E. Documentation

II. Common presentations to the ED

A. LaForte fractures

B. Dental emergencies

C. Nasal Fracture

D. Epistaxis

E. Medical presentations

i. Bell’s palsy

ii. Sinusitis

iii. Parotitis

iv. Epiglottis

v. TMJ

F. Ocular emergencies

III. Interventions for Maxillofacial and ocular emergencies

A. Surgical intervention

B. Pharmacological intervention

C. Imaging

D. Nursing care

E. Reassessment

10 minutes

20 minutes

15 minutes



IV. Practice session

A. Review questions pertaining to maxillofacial/ocular/ENT emergencies

15 minutes

Total time:

60 minutes

Medical/Metabolic Emergencies

1. Describe 4 medical/metabolic emergencies which commonly present to the emergency department

2. List 4 signs and symptoms related to medical/metabolic emergencies

3. Discuss 3 interventions used in the treatment of a patient with a medical/metabolic emergency

I. Common medical/metabolic emergencies

A. Hematological emergencies

i. Sickle Cell anemia

ii. Hemophilia

iii. DIC

B. Endocrine emergencies

i. Diabetes

ii. Thyroid disorders

iii. SIADH

C. Fluid and Electrolyte imbalances

D. Immunocompromise/oncology disorders

II. Evaluation and diagnostics

A. Physical exam and data collection

B. Laboratory studies

C. Imaging

D. Invasive procedures

III. Interventions

A. Pharmacological

20 minutes

20 minutes

20 minutes


4. Describe 2 differences seen in the evaluation of the pediatric or geriatric patient with a medical/metabolic emergency


B. Fluid Resuscitation

C. Electrolyte replacement

D. Isolation

E. Surgical

F. Lifestyle changes

IV. Pediatric and Geriatric considerations

A. Childhood diseases

B. Increased risk

C. Polypharmacy concersn

D. Chronic illness and deterioration

V. Practice session

A. Review questions pertaining to medical/metabolic emergencies

15 minutes

15 minutes

Total time:

90 minutes

GI/GU Emergencies

1. Describe 4 components of the GI/GU assessment

2. Describe 3 common GI/GU emergencies and appropriate nursing interventions

I. Components of the GI/GU assessment

A. Review A & P

B. Inspection, Auscultation, Palpation, Percussion

C. Physical exam

D. Data collection

E. Diagnostics

II. Common GI emergencies

A. Acute abdomen

B. Gall bladder disease

C. Irritable bowel syndrome

10 minutes

10 minutes


3. Discuss 3 interventions used in the treatment of the patient with a GI/GU emergency

4. Identify 2 common abdominal injuries associated with trauma and appropriate interventions


D. Hepatitis

E. GI Bleeding

III. Common GU emergencies

A. Renal disorders

B. Urinary tract disease

C. Sexually transmitted infections

D. Epididymitis

E. Testicular torsion

IV. Diagnostics and interventions


B. Imaging

C. FAST

D. Pharmacological

E. Surgical

V. Trauma

A. Blunt

B. Penetrating

C. Imaging

D. DPL

E. FAST

F. Surgery


A. Review questions pertaining to GI/GU emergencies

10 minutes

10 minutes

10 minutes

10 minutes

Total time:

60 minutes

OB/GYN Emergencies

1. Describe 4 components of the OB/GYN assessment I. Obstetric and gynecological

assessment10 minutes

2. Describe 4 common OB/GYN emergencies which may present to the emergency department

3. List 4 signs and symptoms related to OB/GYN emergencies

4. Discuss 4 interventions used in the treatment of the patient with an OB/GYN emergency


A. Review A & P

B. Data collection

C. Sexual and reproductive history

D. Diagnostics

II. Common OB/GYN emergencies

A. Obstetric

i. Spontaneous abortion

ii. Placenta Previa

iii. Abruptio Placentae

iv. Pre-eclampsia/eclampsia

v. HELLP syndrome

vi. Prolapsed cord

vii. Ectopic pregnancy

B. Gynecological

i. Dysfunctional uterine bleeding

ii. Pelvic disorders

iii. Cysts and torsions



B. Imaging

C. Pharmacological intervention

D. Surgery

E. Fetal monitoring

F. Emergency delivery


A. Review questions pertaining to OB/GYN emergencies

20 minutes

15 minutes

15 minutes

Total time:


60 minutes

Shock/Trauma/Multisystem Emergencies

1. Describe 4 components in the assessment of the trauma patient

2. Define 4 types of shock

3. Discuss 3 interventions used in the treatment of the trauma patient

4. Discuss 4 interventions used in the treatment of the patient in shock

I. Assessing the trauma patient

A. Primary and Secondary assessment

B. A – I

C. MIVT

D. Trauma score

E. Team approach

F. Data collection and documentation

II. Types of shock

A. Hypovolemic

B. Cardiogenic

C. Distributive

D. Anaphylactic

III. Diagnostics and Intervention

A. ABCs

B. Laboratory studies

C. Imaging

D. FAST and DPL

E. Pharmacology

F. Surgery

G. Blood transfusion

H. Fluid resuscitation

I. The importance of re-assessment

15 minutes

15 minutes

15 minutes



A. Review questions pertaining to shock/trauma

15 minutes

Total time:

60 minutes

Professional Issues

1. Discuss 3 professional issues relevant to emergency nursing

2. Describe the nursing documentation necessary while caring for the patient in the emergency department

3. Identify 3 ethical dilemmas which the emergency nurse may encounter

4. List 2 situations for which nurses are mandated reporters in Massachusetts

I. Current professional issues relevant to emergency nursing

A. Patient Rights

B. Crowding

C. Violence in the workplace

D. Healthcare reform

II. Components of nursing documentation

A. SOAP notes

B. Electronic Health Records

C. Confidentiality

III. Ethics in the emergency department

A. Forensics

B. Frequent users

C. Substance abuse

D. Religious considerations

E. Transfers

F. LWBS

IV. Reportable situations

A. Abuse

B. Communicable diseases

10 minutes

5 minutes

10 minutes

5 minutes


5. List 3 characteristics of the nurse leader


C. Gunshot wounds

D. Burns

E. Sexual assaults

F. Medical examiner patients

V. Leadership qualities

A. Critical thinking

B. Communication skills

C. Vision, change agents

D. Mentor


A. Review questions pertaining to professional issues

5 minutes

10 minutes

Total time:

45 minutes

Psychiatric Emergencies

1. Describe 4 components of a psychiatric assessment

2. Identify signs and symptoms related to psychiatric and psychosocial emergencies

I. Assessing the psych patient

A. Identification of patient with psych or social emergency

B. Review A & P

C. Data collection

D. Mental status exam

E. Relevant past history

F. Associated medical concerns

G. Red flags

II. Common Psychiatric and Psychosocial emergencies

A. Depression

B. Suicidal ideation

10 minutes

20 minutes


3. Discuss 4 interventions used in the treatment of the patient with a psychiatric or psychosocial emergency


C. Cutting

D. Anxiety/Panic attacks

E. Eating disorders

F. Anger management

G. Bipolar disorder

H. Homelessness

I. Substance abuse

III. Crisis interventions

A. Safety first

B. Adequate screening

C. Community resources

D. Support systems

E. Pharmacological support


A. Review questions pertaining to psychiatric and psychosocial emergencies

15 minutes

15 minutes

Total time:

60 minutes

Patient Care Management

1. Discuss the unique assessment and management of the emergency department patient

2. Discuss triage and prioritization of the emergency department patient

3. Identify 2 methods of pain assessment and management

I. The emergency department patient

A. Triage and initial assessment

B. Family presence

C. Organ/tissue donation

D. Safety considerations

E. Communicating with EMS

II. Pain management

10 minutes

5 minutes


4. Discuss components of a disaster management plan and bioterrorism response

5. List 2 important considerations in discharge planning


A. Pain scales

B. Pharmacology

C. Protocols

D. Pediatric and geriatric consideration

III. Disaster management

A. Emergency preparedness

B. Drills

C. Bioterrorism

D. Chemical warfare

IV. Patient disposition

A. Discharge planning

B. Transfers and stabilization

C. Cultural and social concerns

D. Regulatory considerations

V. Practice session

A. Review questions pertaining to patient care management

10 minutes

10 minutes

10 minutes

Total time:

45 minutes

Test taking strategies

1. Identify 3 strategies to utilize in preparing for the exam

2. Describe how anxiety can affect performance during the exam

I. Exam preparation

A. Pace yourself

B. Create a study plan

C. Focus on weak areas

D. Practice, practice, practice

II. Minimize test anxiety

A. Preparation is key

10 minutes

10 minutes


3. Identify 2 techniques that are useful in decreasing anxiety

4. Discuss exam application, taking the actual test and recertification

B. Positive thinking

C. Relaxation techniques

D. Adequate rest the night before the exam

E. Plan for emergencies

F. Practice, practice, practice

III. Taking the exam

A. Pace yourself – stay focused

B. Eliminate the obvious wrong answer

C. Don’t make careless mistakes

D. Read each question carefully

IV. Exam specifics

A. Information on www.ena.org

B. Cost of exam

C. Exam locations

D. Recertification options

10 minutes

Total time:

30 minutes

http://www.ena.org/

CEN review series Objectives and Outlines - 2008 ....doc

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