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EMERGENCY NURSES ASSOCIATION
PROGRAM/PRESENTATION MODULE
If there are multiple presentations in the program, a Program/Presentation Module form must be completed for each presentation.
(For assistance in completing this form, see sample form)
Presentation Title: CEN Review Speakers:
Date of Presentation: One session each month – see separate schedule
Objectives
(Describe learner outcomes. State measurable objectives. Describe action or behavior which will occur (refer to Bloom’s Taxonomy – Appendix D) on completion of program. Objectives must be realistic and achievable)
Outline
Each objective must have a corresponding content outline (in outline format). Each item must be specific enough to describe the content.
Time
State total number of minutes for each objective. Total time of presentation must correspond with time listed in brochure.
Speaker
List the speaker’s name. (Attach bio for all speakers)
Method
List teaching method (e.g., lecture, work group, etc) and audio-visual tools.
Cardiovascular Emergencies
1. Describe 3 components of a cardiac assessment
2. List 4 signs and symptoms associated with acute coronary syndrome and other cardiac emergencies
I. Cardiac Assessment
A. Review of anatomy and physiology
B. Review heart sounds and their interpretation
C. Discuss key components of data collection for a cardiac patient
D. Discuss key components of physical assessment for a cardiac patient
II. Acute Coronary Syndrome
A. Signs and Symptoms
B. Common ED presentations
C. Uncommon Ed presentations
10 minutes
15 minutes
Lecture, powerpoint
Discussion, handouts
3. Discuss 2 other common cardiac emergencies
4. Discuss 3 diagnostic tests utilized to assess cardiac function
5. Discuss 4 interventions used in the treatment of a patient with a cardiac emergency
D. Quick review of EKG changes in ACS
E. Complications accompanying ACS
F. Review cardiac risk factors
III. Other Cardiac Emergencies
A. CHF/Pulmonary Edema
B. Cardiac Tamponade
C. Pericarditis
D. Sudden cardiac arrest
E. Hypertension
F. Arrhythmias
IV. Cardiac diagnostics
A. Cardiac monitoring
B. Invasive cardiac procedures
C. Laboratory studies
D. Imaging
E. EKGs, including right sided EKGs
F. Stress testing
V. Interventions for the cardiac patient
A. Invasive procedures
i. Stents
ii. Angiography
iii. Angioplasty
B. Pharmacological
15 minutes
10 minutes
15 minutes
6. Discuss 2 differences in the assessment and treatment of the pediatric and geriatric cardiac patient
7. Practice topic related questions in preparation for the CEN exam
i. Fibrinolytics
ii. Nitrates
iii. Anti-hypertensives
iv. Anti-arrhythmics
C. Surgical interventions
D. Pacing
VI. Pediatric and Geriatric considerations
A. Differences in A&P
B. Neonatal/pediatric abnormalities
C. Polypharmacy
VII. Practice session
A. Review cardiac CEN review questions
10 minutes
15 minutes
Total time:
90 minutes
Respiratory Emergencies
1. Describe 2 components of the respiratory assessment
2. Identify the major etiologies,
I. Components of the respiratory assessment
A. Anatomy and Physiology
B. Review breath sounds
C. Describe the assessment of respiratory effort
D. Discuss key components of data collection for a respiratory patient
E. Discuss key components of physical assessment for a respiratory patient
15 minutes
Lecture, powerpoint
Discussion, handouts
defining characteristics, interventions and expected outcomes for the respiratory compromised patient
3. Identify the relationship of chest trauma, pneumothorax, airway obstruction and ARDS to the pathophysiology of respiratory related problems
4. Describe the pathophysiologic changes as a basis for the signs and symptoms of the patient with neck, thoracic or cardiac trauma
5. Discuss diagnostic testing and subsequent interventions used for the patient with respiratory compromise
II. Common respiratory emergencies seen in the ED
A. Asthma
B. Bronchitis
C. COPD, Emphysema
D. Pneumonia
E. ARDS
F. Pulmonary Edema
G. Pulmonary Embolism
H. Inhalation injury
III. Chest trauma
A. Pneumothorax
B. Airway obstruction
C. Neck trauma
D. Mechanism of injury
E. Presentations
F. Interventions
IV. Diagnostic testing and Interventions for the respiratory patient
A. Laboratory studies (ABGs)
B. Imaging
C. Spirometry
D. Airway maintenance
E. Oxygen therapy
F. BiPAP and CPAP
G. Needle thoracostomy
20 minutes
15 minutes
15 minutes
6. Discuss 2 differences in the assessment and interventions of the pediatric or geriatric respiratory patient
7. Practice topic related questions in preparation for the CEN exam
H. Pharmacological intervention
V. Pediatric and Geriatric considerations
A. A&P variations
B. Croup and RSV
C. Polypharmacy
D. Other considerations in therapies
VI. Practice session
A. Review questions pertaining to respiratory emergencies
10 minutes
15 minutes
Total time:
90 minutes
Toxicology/Environmental Emergencies
1. Describe 4 components in the assessment of the patient with a toxicological or environmental emergency
2. List 4 signs and symptoms commonly seen in the patient with a toxicological or environmental emergency
I. Assessing the patient with a toxicological or environmental emergency
A. Data collection related to precipitating event
B. Physical assessment
C. Intentional
D. Unintentional
II. Common toxicological and environmental emergencies seen in the ED
A. Alcohol intoxication and substance abuse
10 minutes
30 minutes
Lecture, powerpoint
Discussion, handouts
3. Identify 4 interventions used for the patient with a toxicological or environmental emergency
4. Identify 3 differences in the assessment and treatment of the pediatric or geriatric patient presenting with a toxicological or environmental emergency
5. Practice topic related questions in preparation for the CEN exam
B. Overdose of prescription medication
C. Ingestion of household items
D. Heat injuries
E. Cold injuries
F. Bites, and stings
G. Bioterrorism, chemical warfare, radiation exposure
III. Diagnostics and Interventions
A. Laboratory studies, drug levels, etc
B. Antidotes
C. ABCs and monitoring
D. Pharmacological intervention
E. Skin/wound care
IV. Pediatric and Geriatric considerations
A. A&P differences
B. Pediatric affinity for foreign objects
C. Even small doses can be dangerous
D. Geriatric polypharmacy
V. Practice session
A. Review questions pertaining toxicological and environmental emergencies
15 minutes
15 minutes
20 minutes
Total time:
90 minutes
Neurological Emergencies
1. Describe 3 components of the assessment of the patient with a neurological or spinal cord injury
2. Describe the signs and symptoms associated with common neurological emergencies
3. Identify 3 common interventions commonly used in the treatment of the patient with a neurological emergency
I. Components of the neurological assessment exam
A. Anatomy and Physiology
B. Mental status exams
C. Use of the Glascow Coma Score
D. Stroke score
E. Documentation of findings
F. Importance of serial exams
II. Common neurological emergencies
A. Cerebral bleeds
B. Headaches
C. Stroke
D. Seizures
E. Meningitis
F. Chronic neurological disorders
G. Disorientation and dementia
H. Head trauma
III. Diagnostics and Interventions
A. Laboratory studies
B. Imaging options
C. Lumbar puncture
D. Patient positioning
E. Surgical intervention
15 minutes
30 minutes
15 minutes
Lecture, powerpoint, discussion, handouts
4. Describe the treatment plan for the spinal cord injury patient by analysis, nursing diagnosis, interventions and expected outcomes
5. Identify and describe the physical assessment of the spinal column including the function of the 12 cranial nerves
6. Practice topic related questions in preparation for the CEN exam
F. Pharmacological intervention
IV. Spinal Cord Injuries
A. Cranial nerve evaluation
B. Spinal cord evaluation
C. Mechanism of injury
D. Spinal stabilization
E. Imaging
F. Pharmacological interventions
G. Surgical interventions
H. Evaluations and prognosis
V. Practice session
A. Review questions pertaining to neurological emergencies
15 minutes
15 minutes
Total time:
90 minutes
Orthopedic/Wound Management Emergencies
1. Describe 4 components of the orthopedic assessment
2. Describe 4 components of a wound assessment
3. Identify 3 common orthopedic injuries seen in the ED
I. Assessing the orthopedic patient and the patient with a wound injury
A. Anatomy and Physiology
B. Mechanism of injury
C. Physical assessment
D. Documentation and mapping
E. Associated internal injuries
II. Common orthopedic injuries and
15 minutes
15 minutes
Lecture, powerpoint, discussion handouts
4. Identify 3 common wound management presentations seen in the ED
5. Discuss 4 interventions used in the treatment of a patient with an orthopedic injury
6. Discuss interventions used in the treatment of the patient with a wound
7. Practice topic related questions in preparation for the CEN exam
presentations
A. Fractures
B. Dislocations
C. Compartment Syndrome
D. Sprains/Strains and contusions
E. Fat emboli
III. Wound management emergencies
A. Lacerations
B. Avulsions
C. Abrasions
D. Bites
E. Amputations
F. Infection
IV. Orthopedic and wound management interventions
A. Surgical intervention
B. Wound care management
C. Antibiotic treatment
D. Pain management
E. Tetanus booster
V. Practice session
A. Review questions pertaining to orthopedic and wound care management
10 minutes
10 minutes
10 minutes
Total time:
60 minutes
Maxillofacial, Ocular and ENT Emergencies
February 10 , 2010
1. Identify 4 components of the maxillofacial/ENT/Ocular assessment
2. Discuss 4 common presentations to the ED related to a maxillofacial/ENT/Ocular emergency
3. Discuss 4 interventions commonly used for the patient with a maxillofacial/ocular or ENT emergency
I. Maxillofacial/Ocular/ENT assessment
A. ABCs
B. Mechanism of injury
C. Visual acuity
D. Data collection
E. Documentation
II. Common presentations to the ED
A. LaForte fractures
B. Dental emergencies
C. Nasal Fracture
D. Epistaxis
E. Medical presentations
i. Bell’s palsy
ii. Sinusitis
iii. Parotitis
iv. Epiglottis
v. TMJ
F. Ocular emergencies
III. Interventions for Maxillofacial and ocular emergencies
A. Surgical intervention
B. Pharmacological intervention
C. Imaging
D. Nursing care
E. Reassessment
10 minutes
20 minutes
15 minutes
Lecture, powerpoint, discussion, handouts
4. Practice topic related questions in preparation for the CEN exam
IV. Practice session
A. Review questions pertaining to maxillofacial/ocular/ENT emergencies
15 minutes
Total time:
60 minutes
Medical/Metabolic Emergencies
1. Describe 4 medical/metabolic emergencies which commonly present to the emergency department
2. List 4 signs and symptoms related to medical/metabolic emergencies
3. Discuss 3 interventions used in the treatment of a patient with a medical/metabolic emergency
I. Common medical/metabolic emergencies
A. Hematological emergencies
i. Sickle Cell anemia
ii. Hemophilia
iii. DIC
B. Endocrine emergencies
i. Diabetes
ii. Thyroid disorders
iii. SIADH
C. Fluid and Electrolyte imbalances
D. Immunocompromise/oncology disorders
II. Evaluation and diagnostics
A. Physical exam and data collection
B. Laboratory studies
C. Imaging
D. Invasive procedures
III. Interventions
A. Pharmacological
20 minutes
20 minutes
20 minutes
Lecture, powerpoint, discussion, handouts
4. Describe 2 differences seen in the evaluation of the pediatric or geriatric patient with a medical/metabolic emergency
5. Practice topic related questions in preparation for the CEN exam
B. Fluid Resuscitation
C. Electrolyte replacement
D. Isolation
E. Surgical
F. Lifestyle changes
IV. Pediatric and Geriatric considerations
A. Childhood diseases
B. Increased risk
C. Polypharmacy concersn
D. Chronic illness and deterioration
V. Practice session
A. Review questions pertaining to medical/metabolic emergencies
15 minutes
15 minutes
Total time:
90 minutes
GI/GU Emergencies
1. Describe 4 components of the GI/GU assessment
2. Describe 3 common GI/GU emergencies and appropriate nursing interventions
I. Components of the GI/GU assessment
A. Review A & P
B. Inspection, Auscultation, Palpation, Percussion
C. Physical exam
D. Data collection
E. Diagnostics
II. Common GI emergencies
A. Acute abdomen
B. Gall bladder disease
C. Irritable bowel syndrome
10 minutes
10 minutes
Lecture, powerpoint, discussion, handouts
3. Discuss 3 interventions used in the treatment of the patient with a GI/GU emergency
4. Identify 2 common abdominal injuries associated with trauma and appropriate interventions
5. Practice topic related questions in preparation for the CEN exam
D. Hepatitis
E. GI Bleeding
III. Common GU emergencies
A. Renal disorders
B. Urinary tract disease
C. Sexually transmitted infections
D. Epididymitis
E. Testicular torsion
IV. Diagnostics and interventions
A. Laboratory studies
B. Imaging
C. FAST
D. Pharmacological
E. Surgical
V. Trauma
A. Blunt
B. Penetrating
C. Imaging
D. DPL
E. FAST
F. Surgery
VI. Practice session
A. Review questions pertaining to GI/GU emergencies
10 minutes
10 minutes
10 minutes
10 minutes
Total time:
60 minutes
OB/GYN Emergencies
1. Describe 4 components of the OB/GYN assessment I. Obstetric and gynecological
assessment10 minutes
2. Describe 4 common OB/GYN emergencies which may present to the emergency department
3. List 4 signs and symptoms related to OB/GYN emergencies
4. Discuss 4 interventions used in the treatment of the patient with an OB/GYN emergency
5. Practice topic related questions in preparation for the CEN exam
A. Review A & P
B. Data collection
C. Sexual and reproductive history
D. Diagnostics
II. Common OB/GYN emergencies
A. Obstetric
i. Spontaneous abortion
ii. Placenta Previa
iii. Abruptio Placentae
iv. Pre-eclampsia/eclampsia
v. HELLP syndrome
vi. Prolapsed cord
vii. Ectopic pregnancy
B. Gynecological
i. Dysfunctional uterine bleeding
ii. Pelvic disorders
iii. Cysts and torsions
III. Diagnostics and Interventions
A. Laboratory studies
B. Imaging
C. Pharmacological intervention
D. Surgery
E. Fetal monitoring
F. Emergency delivery
IV. Practice session
A. Review questions pertaining to OB/GYN emergencies
20 minutes
15 minutes
15 minutes
Total time:
Lecture, powerpoint, discussion, handouts
60 minutes
Shock/Trauma/Multisystem Emergencies
1. Describe 4 components in the assessment of the trauma patient
2. Define 4 types of shock
3. Discuss 3 interventions used in the treatment of the trauma patient
4. Discuss 4 interventions used in the treatment of the patient in shock
I. Assessing the trauma patient
A. Primary and Secondary assessment
B. A – I
C. MIVT
D. Trauma score
E. Team approach
F. Data collection and documentation
II. Types of shock
A. Hypovolemic
B. Cardiogenic
C. Distributive
D. Anaphylactic
III. Diagnostics and Intervention
A. ABCs
B. Laboratory studies
C. Imaging
D. FAST and DPL
E. Pharmacology
F. Surgery
G. Blood transfusion
H. Fluid resuscitation
I. The importance of re-assessment
15 minutes
15 minutes
15 minutes
5. Practice topic related questions in preparation for the CEN exam
IV. Practice session
A. Review questions pertaining to shock/trauma
15 minutes
Total time:
60 minutes
Professional Issues
1. Discuss 3 professional issues relevant to emergency nursing
2. Describe the nursing documentation necessary while caring for the patient in the emergency department
3. Identify 3 ethical dilemmas which the emergency nurse may encounter
4. List 2 situations for which nurses are mandated reporters in Massachusetts
I. Current professional issues relevant to emergency nursing
A. Patient Rights
B. Crowding
C. Violence in the workplace
D. Healthcare reform
II. Components of nursing documentation
A. SOAP notes
B. Electronic Health Records
C. Confidentiality
III. Ethics in the emergency department
A. Forensics
B. Frequent users
C. Substance abuse
D. Religious considerations
E. Transfers
F. LWBS
IV. Reportable situations
A. Abuse
B. Communicable diseases
10 minutes
5 minutes
10 minutes
5 minutes
Lecture, powerpoint, discussion, handouts
5. List 3 characteristics of the nurse leader
6. Practice topic related questions in preparation for the CEN exam
C. Gunshot wounds
D. Burns
E. Sexual assaults
F. Medical examiner patients
V. Leadership qualities
A. Critical thinking
B. Communication skills
C. Vision, change agents
D. Mentor
VI. Practice session
A. Review questions pertaining to professional issues
5 minutes
10 minutes
Total time:
45 minutes
Psychiatric Emergencies
1. Describe 4 components of a psychiatric assessment
2. Identify signs and symptoms related to psychiatric and psychosocial emergencies
I. Assessing the psych patient
A. Identification of patient with psych or social emergency
B. Review A & P
C. Data collection
D. Mental status exam
E. Relevant past history
F. Associated medical concerns
G. Red flags
II. Common Psychiatric and Psychosocial emergencies
A. Depression
B. Suicidal ideation
10 minutes
20 minutes
Lecture, powerpoint, discussion, handouts
3. Discuss 4 interventions used in the treatment of the patient with a psychiatric or psychosocial emergency
4. Practice topic related questions in preparation for the CEN exam
C. Cutting
D. Anxiety/Panic attacks
E. Eating disorders
F. Anger management
G. Bipolar disorder
H. Homelessness
I. Substance abuse
III. Crisis interventions
A. Safety first
B. Adequate screening
C. Community resources
D. Support systems
E. Pharmacological support
IV. Practice session
A. Review questions pertaining to psychiatric and psychosocial emergencies
15 minutes
15 minutes
Total time:
60 minutes
Patient Care Management
1. Discuss the unique assessment and management of the emergency department patient
2. Discuss triage and prioritization of the emergency department patient
3. Identify 2 methods of pain assessment and management
I. The emergency department patient
A. Triage and initial assessment
B. Family presence
C. Organ/tissue donation
D. Safety considerations
E. Communicating with EMS
II. Pain management
10 minutes
5 minutes
Lecture, powerpoint, discussion, handouts
4. Discuss components of a disaster management plan and bioterrorism response
5. List 2 important considerations in discharge planning
6. Practice topic related questions in preparation for the CEN exam
A. Pain scales
B. Pharmacology
C. Protocols
D. Pediatric and geriatric consideration
III. Disaster management
A. Emergency preparedness
B. Drills
C. Bioterrorism
D. Chemical warfare
IV. Patient disposition
A. Discharge planning
B. Transfers and stabilization
C. Cultural and social concerns
D. Regulatory considerations
V. Practice session
A. Review questions pertaining to patient care management
10 minutes
10 minutes
10 minutes
Total time:
45 minutes
Test taking strategies
1. Identify 3 strategies to utilize in preparing for the exam
2. Describe how anxiety can affect performance during the exam
I. Exam preparation
A. Pace yourself
B. Create a study plan
C. Focus on weak areas
D. Practice, practice, practice
II. Minimize test anxiety
A. Preparation is key
10 minutes
10 minutes
Lecture, powerpoint, discussion, handouts
3. Identify 2 techniques that are useful in decreasing anxiety
4. Discuss exam application, taking the actual test and recertification
B. Positive thinking
C. Relaxation techniques
D. Adequate rest the night before the exam
E. Plan for emergencies
F. Practice, practice, practice
III. Taking the exam
A. Pace yourself – stay focused
B. Eliminate the obvious wrong answer
C. Don’t make careless mistakes
D. Read each question carefully
IV. Exam specifics
A. Information on www.ena.org
B. Cost of exam
C. Exam locations
D. Recertification options
10 minutes
Total time:
30 minutes