Stay ConnectedThis show accompanies the ‘Critical Care Global Classroom’ – fortnightly lectures delivered by leading global experts in Critical Care Nursing.
Take a dive into the latest evidence-based best-practice, with leading researchers and speakers.
The audio from each lecture will be released here shortly after the live lecture.
Visit www.continulus.com/lectures for more information.
Copyright: Copyright © 2021 Continulus, All rights reserved.
This presentation aims to broaden understanding of the evidence base around staffing in ICU and what it means in practice. It touches on the broader safe staffing evidence base, the literature specific to ICU, including recent research. It looks at how evidence is measured, and some of the key tools and methods and briefly looks at surge planning, consequences for ICU nursing staff. Some important considerations and areas of focus for improvement are outlined for individual nurses and managers in charge of ICUs.
To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com
Gastrointestinal dysfunction occurs in up to 60% of intensive care patients and almost 20% suffer from three or more gastrointestinal symptoms. Persistent GDF in this setting results in the enteral feed delivery of less than half of the estimated caloric requirement in these patients putting them at risk of hospital-acquired acute malnutrition and adverse complications including organ failure. The role of the gut in the genesis of organ failure has been recognised for decades. Gut injury occurs in many intensive care patients, where splanchnic vasoconstriction is present to maintain perfusion of heart, lungs, kidney, liver and brain. The intestine is extremely sensitive to ischaemia, and this results in hyperinflammatory response secondary to gut hypoperfusion leading to mucosal atrophy, increase in intestinal permeability, bacterial overgrowth and translocation. This prioritisation of blood flow away from the gut has consequences.
To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com
It has been widely reported that research takes on average 17 years to be incorporated into routine clinical practice. Sadly, only about half of that research reaches widespread clinical usage. Shortening the interval would increase the translation rate of scientific advancements into health care improvements. This presentation will review the pipeline for research translation to improve health, differentiate implementation science from other implementation activities, identify different approaches for implementation in critical care, and lastly, to identify competencies and strategies to enhance knowledge translation.
To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com
This podcast will explain the serious problem of intraabdominal hypertension (IAH) and abdominal compartment syndrome (ACS) in the critically ill patient. At least 50% of critically ill patients have it. It has been identified as a cause of morbidity and mortality for our patients. Much has been written as to the medical and surgical treatment of this issue. This presentation will identify specific independent nursing interventions that can be done to diminish the effects of IAH and ACS. This talk is based on the international guidelines of the Abdominal Compartment Society (WSACS.org).
To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com
This podcast will provide the participant with an overview of clinical ethics principles, how to apply those principles and information important in caring for a patient at end of life. We will discuss a clinical ethics model that assists in gathering information so that clinicians can help patients and their family to make fully informed decisions regarding treatment.
To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com
Vasoactive medications, including inotropes and vasopressors, are used in the treatment of various shock states. Understanding the hemodynamic impact of shock on cardiac output, preload and afterload is important to identify the role of vasoactive medications. Through adrenergic and non-adrenergic mechanisms, inotropes increase myocardial contractility while vasopressors cause vasoconstriction of vascular smooth muscle. Studies evaluating vasopressors in shock have identified norepinephrine as a first-line therapy, especially in patients with septic shock. Vasoactive medication selection should be driven by the patient's presentation to achieve the desired hemodynamic effects while minimizing adverse effects.
To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com
The presentation focuses on critical care nurse competence. Competence as a concept is defined in general and in critical care nursing specifically. The importance of examining competence from both patients’ and nurses’ perspectives is highlighted. Some examples of competency standards and frameworks, and their utilisation in clinical practice are presented. The role of experiential learning and future trends in competence development are discussed.
To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com
Sepsis impacts over 1.7 million Americans each year resulting in over 270,000 deaths (a death every 2 minutes). According to a Centers for Disease Control and Prevention (CDC) study, as many as 87% of sepsis cases begin outside of the hospital, so early identification and treatment in the post-acute setting is key to reducing morbidity and mortality in this population. Healthcare personnel in skilled nursing facilities play a significant role in early identification and treatment of sepsis. This presentation will overview sepsis, its pathophysiology, signs and symptoms and treatment within the context of skilled nursing and long term care (LTC). It will outline an early identification and treatment process for sepsis and how to incorporate it into usual work processes including communication strategies to providers that focus on action. Strategies for patient and family education will also be reviewed.
To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com
Critically ill patients experience poor quality sleep including frequent awakenings and little restorative sleep. This talk outlines the specific characteristics of sleep during critical illness. Practical strategies and interventions to ameliorate the effect of the environment and ICU treatments are suggested.
As preceptors integrate neuroleadership principles of Dr. David Rock’s SCARF framework, intentional storytelling, and crisis resource management concepts into communication with students and fellow co-workers, learning culture is enhanced. As preceptors engage in this style of communication and support, they can improve retention and recruitment, promote psychological safety with students and fellow staff, and create an environment people want to work in. Practical examples for how to do this are provided to guide preceptor development. This ultimately translates into better working environments for staff and patients and families benefit in their outcomes and experience.
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