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    Health & Fitness

    Rapid Response RN

    Do you want to go from dreading emergencies to feeling confident and ready to jump into action to rescue your patient?
    Well, this show will let you see emergencies unfold through the eyes of a Rapid Response Nurse. With real life stories from the frontlines of nursing, host Sarah Lorenzini MSN, RN, CCRN, CEN, a Rapid Response Nurse and educator, shares her experiences at rapid response events and breaks down the pathophysiology, pharmacology, and the important role the nurse plays during emergencies.

    If you want to sharpen your assessment skills and learn how to think like a Rapid Response Nurse, then Sarah is here to share stories, tips, tricks, and mindsets that will prepare you to approach any emergency.

    Every episode is packed full of exactly what you need to know to handle whatever crisis that could arise on your shift. It’s one thing to get the right answer on the test, but knowing how to detect when YOUR patient is declining and what to do when YOUR patient is crashing is what will make or break your day… and might just save your patient’s life.

    Advertise

    Copyright: © Copyright 2025 Sarah Lorenzini

    • Apple Podcasts
    • Google Play
    • Spotify

    Latest Episodes:
    49: TACO, TRALI, and All Things Blood Transfusion Reactions Apr 14, 2023
    Show notes

    Would you know how to identify a blood transfusion reaction? This is one of those nightmare cases because we just expect that when we give blood transfusion, the patient will get better… but what about when they get worse?

    Host Sarah Lorenzini has dealt with situations where a blood transfusion reaction took place, but it is so rare. So she wants to share evidence-based research to shed some light and insight into this very rare, but potentially life threatening situation.

    In today’s episode, Sarah goes over a case study of one of a rapid response patient she dealt with where she discovered there was a blood transfusion reaction when it wasn’t readily apparent. You will hear how the patient was reacting, how she assessed the situation, and how the patient was treated.

    You will also hear Sarah’s cliff notes from what she researched detailing what kind of blood transfusion reactions to look out for, their treatment, what TACO and TRALI stand for along with their symptoms and treatment.


    This episode is full of information that you may not learn in nursing school, but is SO useful when treating a patient that is having a blood transfusion reaction.


    Tune in to hear this and more!


    Topics discussed in this episode:


    • Synopsis of a rapid response patient after a blood transfusion reaction
    • First thing to do when you discover a blood transfusion reaction
    • Blood transfusion reactions in order of prevalence
    • What does TACO stand for?
    • Treatment for each blood transfusion reactions
    • What does TRALI stand for?
    • Symptoms TACO vs. TRALI and how they are treated



    If you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com


    To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!


    This episode was produced by Podcast Boutique http://www.podcastboutique.com


    48: Hemorrhagic Stroke with Guest Nurse Alice Apr 07, 2023
    Show notes

    We are so excited to be joined by Nurse Alice Benjamin, cardiac clinical nurse specialist, family nurse practitioner, Chief Nursing Officer of Nurse.org, host of the Ask Nurse Alice podcast, and media health expert known as “America’s favorite nurse.”

    Highlighting the power of nurses’ intuition, Nurse Alice shares an interesting story of a patient found unresponsive and how her initial assessments led her to call a CODE STROKE. In discussing this case, we cover the difference between ischemic and hemorrhagic stroke, what a brain bleed looks like on a CT, and the importance of advocating for our patients.

    During her 23 years as a nurse and community educator, Nurse Alice has picked up a lot of knowledge that helped her treat this patient quickly and notice less common signs of stroke that other medical professionals missed.

    Tune in to hear how Nurse Alice cared for this patient, and take note of her best nursing advice!


    Topics discussed in this episode:


    • Nurse Alice’s nursing education and professional journey
    • Her journey to become a media health expert
    • How Nurse Alice’s 80-year-old patient presented in the ER
    • Assessment and diagnosis for hemorrhagic stroke
    • What you’ll see for an ischemic versus hemorrhagic stroke
    • How the Monro-Kellie doctrine informs intervention methods
    • Ways to decrease ICP (increased cranial pressure)
    • Why you need to pay attention to trends and Cushing’s triad
    • Nurse Alice’s tips for treating brain bleeds
    • Her best nursing advice


    Learn more about Nurse Alice on her website: https://asknursealice.com/


    Check out her podcast, Ask Nurse Alice: https://nurse.org/articles/ask-nurse-alice-podcast/


    Connect with Nurse Alice:

    https://www.instagram.com/asknursealice/

    https://www.facebook.com/AskNurseAlice/

    https://twitter.com/AskNurseAlice

    https://www.linkedin.com/in/asknursealice/


    If you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com


    To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!


    This episode was produced by Podcast Boutique http://www.podcastboutique.com


    47: Hyperkalemia Cardiac Arrest Part 2: Treatment Mar 28, 2023
    Show notes

    Today we are diving deeper into hyperkalemia cardiac arrest as we present you with part two of last week’s episode where we talked about our hyperkalemia case study Ms. Wanda. If you haven’t already, we highly recommend you check out episode 46!

    Ever heard of the hyperkalemia cocktail? This cocktail, when administered in the correct order and the correct way, can help temporarily shoot the potassium back into the cell and lower the serum potassium. Disclaimer here, this treatment does not fix your patient’s potassium, it only buys you time.

    In today’s episode you will hear what these cocktails of drugs are, when and how to administer them, how they affect potassium excretion, and much more!

    Tune in for some sciency fun and helpful nursing tips!


    Topics discussed in this episode:


    • Treating the source and options for potassium excretion
    • Cocktail of drugs that shift potassium out of the bloodstream
    • The order to administer the cocktail of drugs and what each one does
    • How calcium prevents hyperkalemia induced arrhythmias
    • Nursing considerations for calcium administration
    • Tips for IV insulin administration
    • When to consider re-dosing the patient with the cocktail
    • How much albuterol to administer and its effects
    • Best way to administer bicarb to an acidotic patient
    • They normal saline vs lactated ringers debate for fluid resuscitation



    If you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com


    To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!


    This episode was produced by Podcast Boutique http://www.podcastboutique.com


    46: Hyperkalemia Cardiac Arrest Part 1 Mar 20, 2023
    Show notes

    This isn’t your average hyperkalemia story! Today, host Sarah Lorenzini is sharing the story of Ms. Wanda, a frequent visitor to the ER who came in one day complaining of weakness — and then went into cardiac arrest as she was being examined.

    In this episode, Sarah walks us through her surprising visit and how she reached the diagnosis of hyperkalemia. You’ll learn the signs of hyperkalemia, how to detect it, and what can cause hyperkalemia.

    Listen to part one of Ms. Wanda’s story, and tune in next week to learn the treatment for hyperkalemia!

    Topics discussed in this episode:


    • Background on Sarah’s patient, Ms. Wanda
    • Why her potassium levels were so high
    • How hyperkalemia can evolve towards cardiac arrest
    • Ms. Wanda’s signs of hyperkalemia
    • Progression of an ECG changes with hyperkalemia
    • Symptoms of hyperkalemia
    • Causes of hyperkalemia


    Supplement this episode with educational visuals of hyperkalemia on Instagram: https://www.instagram.com/TheRapidResponseRN/


    If you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com


    To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!


    This episode was produced by Podcast Boutique http://www.podcastboutique.com


    45: Q&A: "How Can I Become a Rapid Response Nurse?" Mar 10, 2023
    Show notes

    In this episode, host Sarah Lorenzini is answering a frequently asked question: How do I prepare for a career as a rapid response nurse?

    Listeners have been coming to her DMs wanting to know, so Sarah’s breaking down the role of a rapid response nurse and what the day-to-day grind might look like. She goes over the skills and work styles that compliment this role, and who should avoid it.

    Sarah also shares the two questions she uses to assess every nurse interviewing to join her rapid response team. These two questions don’t just apply to those interested in Rapid Response Nursing… they are helpful to any nurse trying to figure out what type of Nursing role they want to pursue or if it’s time to make the switch to a different specialty. You want to take the time to answer them for yourself!

    Rapid response nursing is more than just responding to emergencies, so tune in to find out what the role entails and if it’s right for you.

    Topics discussed in this episode:

    • The role of a rapid response nurse
    • Aspects of the job you might not expect
    • Differences between the ER, CVICU, and Rapid Response
    • Skills you need as a rapid response nurse
    • How to prepare to be a rapid response nurse
    • The two interview questions Sarah asks every nurse



    If you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com


    To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!


    This episode was produced by Podcast Boutique http://www.podcastboutique.com


    44: "Heart Attack" or Anxiety? Mar 03, 2023
    Show notes

    “As nurses, we care for a lot of patients with anxiety, right? We have to fight not to get jaded and write off our patient's symptoms. It would've been easy for this nurse to just administer some Xanax or Ativan and gone on with her shift. It's not like the patient's vitals were super high or super low, but this nurse tapped into two things: her intuition and critical thinking skills.”

    You may recall this quote from an earlier episode, but we’re revisiting it today because discerning between a heart attack and anxiety can sometimes be tricky. There’s a lot to learn from this story of a patient that was experiencing a huge myocardial infarction but downplayed her symptoms as "just anxiety."

    Listen in for a lesson in intuition, critical thinking skills, and MORE!

    Topics discussed in this episode:

    • Sarah’s patient’s initial complaint and symptoms
    • What concerns the primary Nurse had about the patient’s presentation
    • Pathophysiology and treatment of inferior wall myocardial infarction
    • Revisiting the components of “M.O.N.A.”
    • Applying MONA to inferior wall MI
    • Nursing considerations for managing patients with a STEMI
    • How the nurse saved the patient’s life
    • How you should respond to a patient with chest pain

    If you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com


    To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!


    This episode was produced by Podcast Boutique http://www.podcastboutique.com


    43: Eisenmenger Syndrome With Guest Nick McGowan RN Feb 24, 2023
    Show notes

    Imagine a patient with a SPO2 in the 80’s, not in distress, and acting normal. Their echocardiogram shows an atrial septal defect and a pulmonary artery pressure of 95!!! What can we do for this patient? What could cause such a high PA pressure?

    Today’s guest Nick McGowan MSN, RN, CCRN, had this experience and is sharing his patient’s story with Sarah. Nick revisits how this case evolved, from getting test results to discovering his shockingly high PA pressure and transferring the patient to the ICU.

    Many nurses haven’t heard of this condition before, but you’ll understand the pathophysiology of Eisenmenger syndrome and its prognosis by the end of this episode. We also go over the importance of establishing goals of care with patients, and the role of nurses in the ICU.

    Nick is also a nursing educator, so tune in to learn his helpful tips on treating elevated PA pressures!


    Topics discussed in this episode:


    • Nick finding his passion in intensive care nursing
    • How he became a Nursing Educator
    • Initial assessment of his Eisenmenger syndrome patient
    • The pathophysiology of Eisenmenger syndrome
    • Treatment options
    • What to remember when treating elevated PA pressures


    Learn more from Nick here:


    Website: https://www.ccrnacademy.com

    LinkedIn: https://www.linkedin.com/in/ccrnacademy/

    Instagram: https://www.instagram.com/critical_care_academy/

    Youtube: https://www.youtube.com/@criticalcareacademy8312

    Facebook: https://www.facebook.com/CCRNacademy/


    Use the code "RAPID10" to get 10% off his e-learning course just for being a podcast listener! https://www.ccrnacademy.com


    AND


    If you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com


    To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!


    This episode was produced by Podcast Boutique http://www.podcastboutique.com


    42: Dry As a Bone: Acute Kidney Injury Feb 17, 2023
    Show notes

    In today’s episode, our host Sarah Lorenzini will be discussing a very important topic that all nurses need to know about, acute kidney injury, which is a common occurrence in hospital settings. As a rapid response nurse Sarah has seen acute kidney injuries often, but the treatment isn’t always cut and dry.

    Sarah tells us a story about a patient she was called to see in a rapid response situation and the steps she took to assess and take action when the patient went from a pre-renal kidney injury to intrarenal. She goes through each detail of the patient’s history, how the nurses relayed information, her interactions with the resident doctors, and why she made the decisions she made to get this patient well enough to be discharged from the hospital.

    Acute kidney injury is very serious, it exponentially increases their mortality rate and decreases their chances of walking out of the hospital. Every step each health care professional takes with the patient is crucial, like the tedious job of charting those I’s and O’s.


    Tune in today to dig a little deeper into this case study to learn about signs you should look out for to prevent a full blown acute kidney injury.



    Topics discussed in this episode:


    • The state Sarah found the patient when she arrived
    • Steps Sarah took to assess his current situation
    • What the patient’s nurse reported to Sarah
    • A common dilemma when faced with hypotension rapid response calls
    • Why Sarah wanted to send the patient to the PCU
    • What happened to the patient after being sent to the PCU
    • What is systemic vascular resistance (SVR)
    • What is acute kidney injury characterized by
    • Three basic categories for AKI
    • The most common cause of prerenal injury
    • Acute tubular necrosis, what to look for, and how it’s developed
    • What SIRS, Sepsis, and AKI have to do with each other


    If you would like to check out the 1hr, 1 CE course, go to: www.rapidresponseandrescue.com


    To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!


    41: Let's Make Priapism Not So Hard... With Guest Walker, Rapid Response RN Feb 10, 2023
    Show notes

    It’s a hard conversation, but priapism is a medical emergency!

    Sarah Lorenzini is joined by her friend and co-worker, Walker, to discuss the symptoms, causes and treatments of priapism. Walker introduces his priapism patient, and walks us through his initial assessment and treatment. You’ll even learn a little bit of its history, and hear Sarah’s firsthand experiences with priapism.

    They explain why priapism is an emergency situation, and why a fast response is needed to avoid complications.

    Walker ends the interview with key advice to all nursing professionals, so this is not an episode to miss!

    Topics discussed in this episode:


    • Walker’s nursing journey
    • Defining priapism
    • Priapism’s causes and why it’s an emergency
    • Sarah’s first priapism patient experience as a new grad
    • Treatments for priapism
    • Maintaining patient dignity


    If you would like to check out the 1hr, 1 CE course, go to: www.rapidresponseandrescue.com


    To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!


    40:Why Rapid Response Nursing? Interview With The Nurse Keith Show Feb 04, 2023
    Show notes

    Join your host Sarah Lorenzini as she’s interviewed by Keith Carlson, fellow nursing podcaster at The Nurse Keith Show.

    With the ability to stay grounded and alert during chaotic situations, Sarah is the epitome of being an anchor in a storm. In this episode, she shares how she found her niche in nursing, why rapid response nursing suits her work style, and how she coaches other nurses through the stress of emergent situations.

    Sarah gets fulfillment from helping others, and she does this in so many ways — education through storytelling on her podcast, teaching an online course that’s approved by the American Association of Critical Care Nurses, and as a nursing educator.

    Tune in to get a sense of what it’s like to be a rapid response nurse, and learn how you can develop the skills to become a better nurse!

    Topics discussed in this episode:

    • What drew Sarah to rapid response nursing
    • Discovering what type of nursing works best with your work style
    • Type of people that do well in rapid response nursing
    • Common reactions nurses have in a crisis situation
    • How to train yourself to respond differently to stress
    • Pursuing advanced certifications
    • Why Sarah loves being a nursing educator
    • Helping nurses through her podcast and Rapid Response & Rescue course
    • What inspired Sarah to lead a rapid response team during the pandemic
    • People that have inspired Sarah in her life

    Check out this episode of The Nurse Keith Show podcast:

    https://nursekeith.com/the-excitement-challenges-and-satisfaction-of-rapid-response-nursing/

    Earn CEs by listening to Sarah and Keith’s podcast through RNegade:

    https://myportal.pro/view_business_/rapid-response-rn-1668811051095x983153652413497300

    If you would like to check out the 1hr, 1 CE course, go to: www.rapidresponseandrescue.com

    To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on

    Instagram

    @TheRapidResponseRN and type the word PODCAST!


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