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Monitoring for Changes in the Acutely Ill Patient

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Course Description

This two-day seminar is designed to help both novice and expert critical care nurses incorporate a variety of monitoring data, such as hemodynamics and tissue oxygenation, into their patient assessments. The course employs an easy-to-use methodology for determining if the data obtained is accurate and practical ways to troubleshoot inaccuracies. It also discusses relevant nursing and medical treatment strategies for each patient population.

Program Learning Outcomes

This program prepares the learner to:

  • Discuss basic, advanced and new monitoring techniques.
  • Understand standard oxygenation measurements vs. less invasive monitoring.
  • Discuss reversal of standard anticoagulation medications.
  • Discuss the rationale for THAC.


Sign-in begins at 7:30 am. Each day includes a one-hour lunch (on your own), as well as a morning and afternoon break of 15 minutes each. The order of lectures presented and break times may vary according to speaker preference.

Day 1, 8:00 am to 4:00 pm

  • Hemodynamic Monitoring
    Patient Selection Criteria | Basic Monitoring Techniques | Advanced Monitoring Techniques | RV Volume PA Catheters | Non-Invasive and Less-Invasive Cardiac Output Monitoring
  • Monitoring Tissue Oxygenation
    Why It’s Important | SvO2 vs. ScvO2 | Non-Invasive Oxygenation Monitoring | Tissue Hemoglobin Index (THI)
  • Monitoring Anticoagulation
    Managing Heparin and Direct Thrombin Inhibitor Drips | Oral Antiplatelet Agents | Heparin-Induced Thrombocytopenia and HITT | Reversal of Anticoagulants
  • Monitoring Transfusions
    Indications for PRBC, FFP, Platelets | Managing Transfusion Reactions (Hemolytic, Hypersensitivity, Bacterial, Febrile)
  • Monitoring the Chest X-Ray (CXR)
    CXR Basics: Exposure, Techniques (Portable vs. PA) | Benefit of Lateral X-Rays | Normal Anatomy and Normal Findings on CXR

Day 2, 8:00 am to 4:00 pm

  • Monitoring the Heartbeat
    Choosing the Best Leads | Introduction to the 12-Lead | Monitoring for Acute Coronary Syndromes
  • Monitoring the Patient Undergoing Therapeutic Hypothermia Following Cardiac Arrest
    Rationale for THAC | Surface vs. Intravascular Temperature Modulation | Paralytic Monitoring | Vitals and Electrolytes during Induction | Maintenance and Rewarming | Preventing Shivering
  • Neuro Monitoring
    Standard ICP Monitoring | Ventriculostomy Catheters | Licox Brain Tissue Oxygenation Monitoring
  • Sedation Monitoring
    Best Practices and Sedation Scales | Which Drugs Work Best with the Least Side Effects?
  • Putting It All Together with Case Studies