Delores “Dolly” Ireland – Perianesthesia Challenges

Outline

ANESTHESIA AGENTS & ADJUNCTSUNDERSTANDING THE PLAN!

• Ever wondered why one anesthetic is chosen over another? What about that COPD patient or that patient with liver problems? Answers to these and other challenging anesthesia situations will be discussed
  • Anesthetics: General, regional, moderate sedation, benzodiazepines, opioids
  • Waste gas concerns
  • Specific patient challenges

COMPLICATIONS

• Have you witnessed or taken care of MH? Do you think it no longer exists or isn’t a medical emergency? Think again!
  • Malignant Hyperthermia (MH) pathophysiology
  • Signs and symptoms – Immediate recognition!
• Do you have lipid infusions immediately available when performing local anesthesia? Why?
  • LAST (Local Anesthetic Systemic Toxicity) pathophysiology
  • Signs and symptoms – Know the earliest!
  • Learn “why” lipids and hear relevant real life case scenarios!
• Other pertinent post-op complications
  • Hemodynamic, cardiac, pulmonary, respiratory

NURSING MALPRACTICE

• You are being named in a medical malpractice case! What now?
  • How do you prevent this from happening? What you should and shouldn’t do!
  • Legalities, negligence, and torts
  • Documentation – Hear from an expert witness/legal reviewer how your documentation will be viewed and how to improve it!
  • ASPAN standards

PAIN ADMINISTRATION

• What’s new on the horizon for pain control?
  • What is EBP research showing?
  • New medications
  • Old medications still being used
  • Thinking outside the box
  • Economic strategies

TEAMWORK

• Why do some departments sail through the changes in health care without problems?
  • Why do some nurses tell you they LOVE to go to work and others are struggling daily?
  • Learn through hands-on applications and role playing from a leader in the field of “building teams”
  • Put your hospital at the TOP of the HCAHPS!
  • CASE STUDIES AND SCENARIOS!