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Advanced Management of Complex and Critically Ill PatientsThe Advanced management of Complex and Critically Ill Patients seminar will give you a strong foundation, while integrating tips, timesavers, and stories about real nurses who make a difference in their patient’s lives. This seminar will teach you to master the concepts of critical care and become an expert in your clinical practice. learn advanced critical care concepts and interventions, including:

Understand Hemodynamics TodayCardiac Output = Heart Rate x Stroke Volume Use a simple analogy to learn the components and finally Get ItPreload, Afterload and Contractilitymanipulating the mathematical equation to stabilize

The ICU Trio in Crisis!IV Fluids - picking the right one for the situation5 pressor agents - How they work when to use them Blood products! FFP, Platelets, PRBC’s and Cryoprecipitate

Demystify Hemodynamic Waveforms and Correctly Measuring Each Assessment clues to hemodynamic instability Central Venous Pressures Arterial lines Swan Ganz CathetersMechanical Ventilation for Nurses How to manage patients on ventilators Avoiding Ventilator Acquired Pneumonia (VAP) Using CPAP or BiPAP

Manage Shock Assessment and management of: Cardiogenic Shock Septic Shock Hypovolemic Shock

Manage the Neuro Patient Use a “5-point Neuro Check” to easily identify changes in condition Stroke and Stabilization Ischemic Hemorrhagic delirium How to assess & intervene

Life-threatening EKG Changes: Clues from the 12-Lead Spectrum of coronary artery ischemia 5-step method for finding myocardial ischemia and injury STemI and NSTemI - What’s the difference? location, location, location!

1. Summarize the difference between preload, contractility and afterload as components impacting cardiac output.

2. Identify correct locations for measuring CVP, Arterial line and Wedge waveforms.

3. differentiate between hypotonic, isotonic and hypertonic IV fluids and when each is considered most effective.

4. Recognize the blood product of choice for disseminated Intravascular Coagulopathy.

5. Contrast the difference between hypovolemic shock, septic shock and cardiovascular shock in both assessment and treatment priorities.

6. Identify two ways to increase the ventilator patient’s oxygenation status.

7. Compare and contrast CPAP and BiPAP, as well as their target populations.

8. State 5 common causes of delirium.

9. Identify the difference between a STemI and NSTemI.

Identification & Management of Crisismaster “down and dirty” prompt

assessment skillsend the “Red Flags” Rapid stabilizing interventions for the

unstable patientmanage the decompensating patient Better outcomes through quick

intervention

Easy Steps to ABG Analysis Acid base imbalance 4 abnormal findings when reading your

lab result A simple tool to rapidly and efficiently

interpret ABG’s!

The 5 Steps to Rhythm Strip Interpretation Systematically reviewing the major

components of a rhythm strips Identifying rhythm changes and

management of: Atrial Fibrillation and Atrial Flutter Paroxysmal Supra-Ventricular Tachycardia

(PSVT) V-Tach and V-Fib

Managing Chest Drainage Indications for chest tubes Circumventing re-expansion

pulmonary edema Avoiding common complications of

chest drainage

Master Central Line Care Common issues experienced with

central lines Using which port for what on a triple

lumen PICC Use of a “cell-saver” to reduce lost

hemoglobin during blood draws The challenge of CVP monitoring

Pacemakers & AICDs Indications for pacemakers meaning of pacemaker codes Types of Pacemakers device management Practical solutions to common

pacemaker problems

End-of-Life Care in the ICU The needs of the patient Practical tips to help your patients and families with the end-of-life journey

Critically ill patients are everywhere these days – on the med-Surg floor, in the ICU, the PACU, the ed, the OR, even long-term care! A good working knowledge of the concepts for managing high-acuity patients is indispensable.Join Cyndi Zarbano and learn the lastest in essential critical care skills that you must know to be successful, including:

1. Identify 5 essentials components of a “down and dirty” assessment in your patient when they have a sudden decomposition in health status.

2. State 3 rapid interventions that can stabilize a patient who is symptomatic with a low blood pressure.

3. Recognize the most common causes of arterial blood gas abnormalities.

4. Quickly identify the 3 most common dysrhythmias using rhythm strip interpretation.

5. manage the risk to avoid re-expansion pulmonary edema in the patient with a chest tube for pleural effusion.

6. Review the correct technique for opening an occluded central line lumen.

7. Summarize the difference between failure to capture and failure to sense in a pacemaker and how each is resolved.

8. Recognize the three biggest concerns patients recognize at end of life.

• Rapid Assessment

• ABG Analysis

• Central line Care

• easy Strip Interpretation

Outline Outline

ObjectivesObjectives

• Advanced cardiac care/hemodynamics

• Advanced neurological care

• mechanical ventilation management

$50Attend Both

Days and Save

Take home skills that will immediately improve your patients’ treatment outcomes!

Day 1 Essential Assessment, Interpretation and Intervention Strategies

Guarantee Your satisfaction is our goal — and our guarantee! If you are not satisfied with this seminar, we’ll make it right.

san francisco, ca Tuesday & Wednesday December 8 & 9, 2015

porTlanD, or Thursday & friday December 10 & 11, 2015

www.pesihealthcare.com

2-Day

Boot CampCritiCal Care SkillS

$50Attend Both Days and Save

CritiCal Care SkillS2-Day

Boot Camp

A Non-Profit Organization Connecting Knowledge with Need Since 1979

A NoN-Profit orgANizAtioN CoNNeCtiNg KNowledge with Need SiNCe 1979

www.pesihealthcare.com

Earn CE where you work! Bring this training & many others to your facility!

www.pesihealthcare.com/inhouse

Get the Latest Clinical Information On:

Crisis Management ABG Analysis Rhythm Interpretation in 5 Easy Steps

Central Line Care Mechanical Ventilation And Much More!

Day 2 Created by Nurses for Nurses

san francisco, ca Tuesday & Wednesday December 8 & 9, 2015

porTlanD, or Thursday & friday December 10 & 11, 2015

Can’t Miss Topics!

Crisis Management

ABG Analysis

Rhythm Interpretation

Central Line Care

Mechanical Ventilation

And Much More!

www.pesihealthcare.com

800-844-8260Please have credit card available

800-554-9775PeSI HealthCare PO BOX 900 eau Claire, WI 54702-0900

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How to Register:

questions? Call 800-844-8260 or visit www.pesihealthcare.com/faqs

� please complete entire form (to notify you of seminar changes): please print; staple duplicate forms.

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2-DAy CRITICAL CARE SKILLS BooT CAMP

Walk-ins are welcome but admission cannot be guaranteed. Call m-F 7:00-6:00 Central Time for space availabil ity if registering within one week of seminar.

Tuition options:▪ $60 Tuition for both days: If you are interested in being our

registration coordinator for both days, go to: www.pesihealthcare.com/coord for availability and job description, or call 800-844-8260.

▪ discounted Student Rate: As part of its mission to serve educational needs, PeSI, Inc. offers a reduced rate of 50% off standard tuition for students. enclose a current student schedule with registration form. Go to www.pesihealthcare.com/faqs or call 800-844-8260 for details.

▪ Groups of 10 or more Call 800-844-8260 for discounts

ADA needs: We would be happy to accommodate your AdA needs; please call at least two weeks prior to the seminar date. 800-844-8260.

Holiday Inn Golden Gateway 1500 Van Ness Avenue • 94109 (415) 441-4000 Day 1: Essential assessment, interpretation and

intervention strategies■ December 8, 2015 39559SFR

Day 2: advanced Management of complex and critically ill patients

■ December 9, 2015 39559SFR

doubleTree Hotel Portland 1000 Ne multnomah Street • 97232 (503) 281-6111 Day 1: Essential assessment, interpretation and

intervention strategies■ December 10, 2015 39559PRT

Day 2: advanced Management of complex and critically ill patients

■ December 11, 2015 39559PRT

san francisco, ca

porTlanD, or

Fed Id # 26-3896894 © 2015 PeSI, Inc.

VWfor office use only

Seminar Schedule (both days)

seminar on cD or DVD package: You can purchase this seminar as a homestudy package. You will receive a set of Cds or dVds that include a digital copy of the seminar manual and post-test/evaluation. You and your colleagues can receive Ces for a nominal fee. To determine if homestudy credits are available for your profession go to www.pesihealthcare.com or call 800-844-8260. Check with your licensing board to verify acceptance of self-study credits for license renewal. Order today by using the order form on this brochure or by calling 800-844-8260.

Target audience: nurses • nurse Practitioners • Clinical nurse specialists

Physician assistants • respiratory Care Practitioners

cancellation policy: If you contact us before the event date, you can exchange for a dVd or Cd/digital manual package on the subject (self-study continuing education credit may be available), a certificate to attend another seminar, or receive a tuition refund less a $30 cancel fee per day. Substitutions are permitted at any time.

10 – 15 minute mid-morning and mid-afternoon breaksFor locations and maps, go to www.pesihealthcare.com, find your event, and click on the seminar title.

7:30 Registration/morning Coffee & Tea

8:00 Program begins

11:50-1:00 lunch (on your own)

4:00 Program ends

Cyndi Zarbano, MSN, BSN, CCRN, CMSRN, CLNC, NLCP, is an intensive care nurse with 20 years of nursing experience who is currently practicing in the Twin Cities area of minnesota. She is a nationally-recognized seminar speaker who has opened multiple national symposiums and speaks on several topics for PeSI, as well as a variety of other companies in the US and Canada.

In addition to her speaking engagements, Cyndi was recently published through PHC publishing (Clinical Nursing Assessment Skills Pocket Guide) and has two more books currently in editorial stages. Her products include pocket guides, textbooks, webcasts and webinars. Along with her mS and BSN in nursing, she has 3 other undergraduate degrees. She served as a US Naval Officer for 10 years, leaving service as an lCdR (lieutenant Commander) in 2001. Prior to nursing, she worked as a counselor with the mentally ill and dangerous in a facility in southern minnesota. She returned to that facility as a lead Psychiatric Nurse for two years after leaving the military. Additionally, Cyndi has a legal nurse consulting business and continues to serve as a testifying expert in medical related cases.Speaker disclosures: Financial: Cyndi Zarbano has an employment relationship with Fairview South. She receives a speaking honorarium from PeSI, Inc.Nonfinancial: Cyndi Zarbano has no relevant nonfinancial relationships to disclose.

Patient Crisis and Critical ThinkingBy Carol Whiteside, MSN, PHD

Strategies coming from over 40 years in the healthcare field in the areas on trauma, burn, pediatric, neonatal, medical/surgical, and Cardiac Intensive Care Units. The author’s conversational writing style presents easy to understand examples and scenarios. (2011)

*SAVE By INCLUDING THESE PRoDUCTS WITH SEMINAR REGISTRATIoN*

Clinical Nursing Assessment Skills Pocket GuideBy Cyndi Zarbano, RN, BSN, CCRN, CMSRN, CLNC, NLCP

This full-color pocket guide provides portable, quick access to essential reference information on neurological, cardiac and pulmonary assessments. Filled with descriptive images. (2013)

Questions? Call customer service at

800-844-8260

liVE sEMinar conTinuing EDucaTion crEDiT inforMaTion

Credits listed below are for full attendance at the live event only. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact cepesi@pesi.com or 800-844-8260 before the event. Full attendance is required to receive full credit. Partial credit may be awarded if your board allows. Please check approvals below for full attendance requirements. At the conclusion of the seminar, each qualified attendee will be handed a certificate of attendance.

Information obtained in this course should be used within your scope of practice.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab, MEDS-PDN, Psychotherapy Networker, HealthEd and Ed4Nurses.

nursEs/nursE pracTiTionErs/clinical nursE spEcialisTs: PeSI, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This activity qualifies for 6.3 contact hours per day OR 12.6 contact hours for entire conference. PARTIAL CONTACT HOURS WILL BE AWARDED FOR PARTIAL ATTENDANCE.

california nursEs: PeSI, Inc. is a provider approved by the California Board of Registered Nursing, Provider Number 13305 for 6.0 contact hours. Full attendance is required. No partial contact hours will be issued for partial attendance. This certificate must be retained by the licensee for a period of four years from the course date.

pHysician assisTanTs: “This program is not yet approved for Cme credit. Conference organizers plan to request 6.25 hours of AAPA Category 1 Cme credit from the Physician Assistant Review Panel per day OR 12.5 for entire conference. Total number of approved credits yet to be determined.”

rEspiraTory carE pracTiTionErs: This program has been approved for 6.33 contact hours per day or 12.66 for entire conference Continuing Respiratory Care education (CRCe) credit by the American Association for Respiratory Care, 9425 N. macArthur Blvd. Suite 100 Irving TX 75063. Course # 142864000 and 142865000. Full attendance is required to receive a certificate of successful completion. Please bring your AARC member Number to the program.

oTHEr profEssions: This seminar qualifies for 6.25 continuing education clock hours per day OR 12.5 continuing education clock hours for entire conference as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

Speaker

Empowering nurses to Become Extraordinaryed4Nurses, a division of PeSI HealthCare, has strengthened the healthcare industry for nearly a decade by providing high-quality, relevant continuing education products and services. Known nationally for the exceptional presentations developed by expert clinicians, ed4Nurses has built a stellar reputation for delivering practical continuing education in an engaging manner that immediately impacts patient outcomes and enables professional growth.

Featuring clinically-relevant educational products and programs created JUST FOR NURSES!

Visit us at www.ed4nurses.com

A NoN-Profit orgANizAtioN CoNNeCtiNg KNowledge with Need SiNCe 1979

� check tuition:

■ $349.98 per person for both days

■ $199.99 per person standard tuition for one day

■ $29.99* Laboratory Tests Made Easy: A Plain English Approach, Second Edition book (distributed at seminar—FRee SHIPPING!)

■ $22.99* Clinical Nursing Assessment Skills Pocket Guide (distributed at seminar—FRee SHIPPING!)

■ $24.95* Patient Crisis and Critical Thinking book (distributed at seminar—FRee SHIPPING!)

*Attendees add applicable state and local taxes except in AK, de, mT, NH, OR

� indicate method of payment: all rEgisTraTions MusT BE prEpaiD. purchase orders welcome (attach copy).

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___ Critical Care Essentials (Day one) Seminar on dVd* (video) $169.99 (rnV075305)___ Master Critical Care Skills (Day Two) Seminar on dVd* (video) $169.99 (rnV075310)___ Save by buying both dVds!* $299.99 (RVKIT075307)

___ Laboratory Tests Made Easy: A Plain English Approach, Second Edition* book $29.99 (PUB082860)

___ Clinical Nursing Assessment Skills Pocket Guide* $22.99 (PuB074500)

___ Patient Crisis and Critical Thinking* book $24.95 (PuB073800)

CAN'T ATTeNd THe SemINAR?

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Laboratory Tests Made Easy: A Plain English Approach, Second EditionBy Mikel Rothenberg, MD & Sean G. Smith, BSN, CCRNThis best-selling reference book provides both the “need to know” information, as well as the more in-depth “nice to know” details relevant to your patient’s lab results. In this Second edition you will find plain english summaries, pertinent case studies, and easy to read diagrams and tables. This fully revised and updated book puts the information right at the fingertips of any medical professional at any experience level. laboratory Tests made easy is a must for your professional library. (2014)

DAy oNE: ESSENTIAL ASSESSMENT, INTERPRETATIoN AND INTERVENTIoN STRATEGIESDAy TWo: ADVANCED MANAGEMENT oF CoMPLEx AND CRITICALLy ILL PATIENTS

Have a seminar idea? A manuscript to publish?The nation’s top speakers and authors contact PESI HealthCare first. If you are interested in becoming a

speaker, or have a new topic idea, please contact Val Whitehead at vwhitehead@pesi.com or call (715) 855-8166.

* your Presenter! *