Transitioning from NP Student to Practicing NP in Emergency
Faculty: Tina Paulk, DNP, FNP-BC, ENP-C
Transitioning from NP Student to Practicing NP in Emergency is designed to serve as a guide for nurse practitioners (NPs) in the shift from student to emergency NP. Covering critical aspects that range from résumé and interview tips to contract negotiations and malpractice insurance, this presentation provides a step-by-step approach that will assist the new NP to seamlessly move into their new career.
Additional topics covered in this presentation include:
- ENP areas of employment
- DEA and NPI requirements
- Choosing your new job!
- Malpractice insurance
Knowledge builds the confidence that leads to success!
Sodium Imbalances in the Hospitalized Patient: What to Do?
Lawrence Carey, PharmD
Imbalances in sodium are common and precarious findings in the acute care setting, but just trying to restore equilibrium between sodium and water may not manage the underlying cause. This CE offering provides information on the “natremias,” as well as the various subtypes and common causes of these conditions. This discussion also covers diagnostic findings and treatment for conditions commonly associated with fluid imbalance, such as SIADH and diabetes insipidus.
This presentation will give you direct, clear means of diagnosing the various subtypes of hyponatremia and hypernatremia, as well as strategies to safely get sodium abnormalities under control in the acute care setting. After completing this discussion, you will have a better understanding of how to determine the nature of the patient’s sodium imbalance, how to manage it, and how to start addressing the reason for the imbalance.
Fluid Responsiveness and the Six Pillars of Fluid Resuscitation
Daria Ruffolo, DNP, ACNP-BC, CCRN
Successful fluid resuscitation in the acute or critical setting is a crucial step in patient stabilization. The nurse practitioner (NP) who is well-versed in the most current principles governing fluid resuscitation can therefore move confidently during critical situations. By the end of this session, the NP will be able to identify the pathophysiological complications associated with ineffective volume resuscitation in the acutely ill or injured, describe the relevant physiological endpoints for determining euvolemia in various patient populations, and confidently use multiple strategies to optimize resuscitation.
This offering is structured around six pillars of fluid resuscitation, which are defined as follows:
- Fluid responsiveness is foundational to resuscitation.
- Central venous pressure (CVP) and vena cava measurement are not the sole indicators for determining fluid responsiveness.
- An accurate reading of fluid responsiveness can be gained by using the passive leg raising maneuver in tandem with the stroke volume index.
- A fluid challenge ordinarily produces a small and brief hemodynamic response.
- Fluid responsiveness does not always necessitate a fluid bolus.
- An elevated CVP should be strongly considered in relation to compromised organ perfusion.