Uncategorized, Up My Nursing Game!

#39 Stroke

Time is brain. Rapid response nurse, Sarah Lorenzini MSN, RN, is frequently working against the clock to get patients with stroke symptoms to CT and ultimately receiving definitive care. We will discuss what nurses can do to help facilitate fast interventions including tPA, thrombectomy, ventriculostomies, stroke center designation and post-CVA complications.

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#38 Ketamine

Ketamine seems to be the new “it” drug. Pharmacist Victoria Arsenault returns to the podcast to discuss how Ketamine’s dissociative properties can be used as an analgesic, anesthetic, and antidepressant.

#37 Rural Emergency Medicine

Emergency departments in rural areas work in austere conditions that often require critically ill patients to transfer to larger hospitals that can provide a higher level of care. Kent Herbert, emergency physician, discusses what resources are available at rural hospitals and the process for transferring patients to higher levels of care.

#36 Nutrition

A patient’s nutrition status is often an afterthought for nurses. Clinical nurse specialist, Janice Powers, PhD, RN explains how nutrition improves patient outcomes and reviews evidence based enteral feeding practices in hopes that nurses will play a more central role in facilitating adequate nutrition for our patients.

#35 Marijuana

Healthcare has a complex and convoluted relationship with marijuana. Marijuana is a “schedule 1” substance, meaning it has a high potential for abuse and no accepted medical use, yet a synthetic version of it is FDA approved as an appetite stimulant. Dr. Thomas, hospitalist, discusses the relevant historical and political context of the drug, as well as its pharmacology, cannabinoid hyperemesis syndrome, and some communication techniques for discussing drug use with patients.

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#34 Acute Respiratory Distress Syndrome (ARDS)

Acute respiratory distress syndrome (ARDS) has a stubbornly high mortality rate with current estimates at about 40%. Critical care veteran Kathleen Vollman, MSN, RN, CCNS lays the foundation of ARDS starting with pathophysiology followed by the “8 Ps” of evidence-based supportive care and summary of long-term prognosis.

#33 Seizures

Status epilepticus (SE) is a neurologic emergency much like an MI is a cardiac emergency and should be treated as such.⁠ From EEGs to medications, Mary Kay Bader, RN CCNS, talks us through both convulsive and non-convulsive SE.⁠

#32 Early Detection of Clinical Deterioration

Signs of clinical deterioration often start appearing hours before an adverse event or arrest. As nurses, we are in the unique position to be able to identify and act on early warning signs. Nurse Alice, from the Ask Nurse Alice podcast, talks about early signs and symptoms of clinical deterioration and how the Modified Early Warning Score (MEWS) can be implemented.

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#31 The Opioid Crisis

Oxycontin, drug-seeking behavior, co-addiction. Who better to talk us through the current opioid crisis with two former law enforcement officers and emergency nurses turned nurse practitioners? Join us for this memorable discussion with Ben and Tom from Just Some Podcast for Advanced Practitioners.

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#30 A Glimpse Inside the Emergency Department

So what is it *really* like in the ED and why do emergency nurses often feel like they are at odds with the rest of the hospital? Kevin McFarlane from The Art of Emergency Nursing paints a picture of the ED while addressing important topics like frequent flyers, hand-off reports, and admit holds.