Emergency Procedures Course for Clinical Settings

Emergency Procedures Course Objectives
  • To educate and prepare Health Professionals for complications from intravenous and injection therapy. In the event of an adverse reaction, the course will give you the utmost confidence to properly control the situation.
  • To practice worst case scenarios in an intravenous and injection room setting.
  • Introduction to emergency supplies: what is absolutely necessary, where to find it, and how to use it.
  • The emergency chart (for your crash cart): familiarization and application.
Format

The course is taught with the intention of maximizing learning by incorporating lecture format, audio visual aids, behavior modeling, case studies with discussions, role playing and action learning. We emphasize hands on learning to accelerate skill development. We provide quick reference charts for your IV and injection suite. We do not just want knowledgeable Doctors, we want effective, efficient, safe, and successful Doctors.

Lecture

Includes PowerPoint presentations.

Learning Aids

The Emergency Procedures Chart (double sided and laminated with emergency conditions in red and non-life threatening situations in orange).
Action Learning and Role Playing Practicum: Role Playing (hands on with emergency equipment).

Discussion and questions

NaturoMedic.org’s courses are all designed to effectively give a maximum amount of content and to aid the practitioner in safely using the information with hands on experience as soon as possible.

The Program

Day 1 begins with discussing the emergency crash cart; the contents of the crash cart are placed at each table allowing each attendee to become familiar with the equipment. We then review the Emergency Procedures Chart (11X17” double sided laminated chart), which is to be attached to the Emergency Crash Cart. All attendees get their own copy of the Emergency Procedures Chart. All tables have oxygen tanks with appropriate regulators, IV poles with normal saline bags and tubing. Each attendee also has their own oxygen mask. We start role playing after introduction to the “golden rules”. An IV line with a plastic bag is attached (no IV access) to the patient’s arm, then each attendee takes turns applying the golden rules by maintaining the IV flow, taking vitals, performing Trendelenburg position, applying oxygen and more. Attendees are expected to ask questions while taking vitals. Exposure to defibrillation equipment is also provided. The remainder of Day 1 includes discussion of IV Rules for patients in acute conditions, emphasizing signs and symptoms, immediate actions, rationale and possible prep for long term workup if necessary.

Day 2 finishes the section on acute conditions, followed by education on medications and their contraindications. Role playing is assigned for the rest of the afternoon with one doctor being the patient, another being the Dr and others just watching. We have forty plus worst case scenarios that attendees can work through. Health Canada’s definition of a drug and how that pertains to the Doctor as well as NAPRAs drug regulation standards are also reviewed. Day two’s afternoon is finished with more role playing, followed by a survey.

New additions to the course include: AED instruction,
pulse oximeter useage, injection therapy situations (prolotherapy, neural, trigger point and mesotherapy) also picc and port access troubleshooting.

Day 1 Schedule

9:00-9:30 Introductions and Seminar Purpose

9:30-9:45 Why IV protocols and How We Learn!

9:45-10:00 Golden Rules and some IV rules.

10:00-10:30 Practicum #1: Practice golden rules by taking and recording vitals, questioning patient, placing patient in Trendelenburg position, Administer O2 with mask or nasal cannula (must turn on O2 tank and administer oxygen at designated flow rate), hang piggy back 500ml D5W. Defibrillation equipment explanation and useage.

10:30-10:45 Review IV rules for patients, as the Best Prevention is a good education.

For all disorders we will cover: signs and symptoms, actions immediate, rationale, and actions long term.

10:45-12:00 Hypoglycemia and Insulin shock, Hypocalcemia, Seizures, Allergy, Nephrotoxicity, Renal toxic reaction and Renal Failure.

12:00- 12:30 Practicum #2: Emergency crash carts (contents) familiarization (hands on -open up contents and see how they work) and contraindications.

12:30-1:00 Practicum #3: Role Playing (1 moderator, 1 actor, 1 doctor) with all emergency equipment.

Moderator tells patient (actor) which symptoms to act out from the NaturoMedic master role playing program and tells the doctor what they are finding during investigation. Moderator tells the actor what symptoms to act out to simulate deteriorating scenario. All patients have an IV bag and are taped like they are connected up but really are not.

1:00-2:00 Lunch

2:00-4:00 Hypotension, Congestive Heart Failure, Arrhythmia, Angina, Heart Attack and Asystole, Stroke, Shock, Choking, and CPR reminder.

4:00-5:00 Practicum#4: Role Playing (as above)

5:00-5:30 Discussion #1

Day 2 Schedule

9:00-9:15 Discussion #2 Review and discuss previous day

9:15-9:30 Contraindications to the application of emergency crash cart contents

9:30-11:00 Catheter embolism, air embolism, speed shock, circulatory overload and pulmonary edema, pneumothorax and lung puncture, septicemia, vasovagal. DDX for symptoms of chest pain, tachycardia, shortness of breath, and altered mental status.

11:00-12:30 Practicum#5: Role Playing (as above).

12:30-1:00 Discussion #3 Emergency protocol for dealing with emergencies.

1:00-2:00 Lunch

2:00-3:00 Anticoagulants, Bleeding disorders, Epistaxis, Local Irritation, Infiltration, Extravasation, Thrombophlebitis, Asthma.

3:00-3:30 Practicum #6: RolePlaying (as above)

3:30-4:00 Eczema and Joint pain/ fever, Headaches/ Nausea, Excessive fatigue/ weakness, Haematuria, Dehydration, Over-medicated, Over-dosed.

4:00-5:00 Practicum #7: Role Playing (as above)

5:00-5:30 Discussion #4: Incident report and interactions with 911 personnel
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Course Evaluation

Exam: None at this point