In this episode of the Lippincott Clinical Leaders podcast, Dr. Elizabeth Tomaszewski talks about rapid response teams (RRT), including reasons for calling, the members of the RRT team and their roles, and what the nurse at the bedside needs to know. 

Transcript

In this podcast Anne Dabrow Woods, DNP, RN, CRNP, ANP-BC, AGACNP-BC, FAAN, Chief Nurse of Wolters Kluwer, Health Learning, Research & Practice, adjunct faculty for Drexel University, and a critical care nurse practitioner for Penn Medicine, Chester County Hospital summarizes available outpatient and inpatient treatments for COVID-19, and answers questions from attendees of our May 12^th, 2022 webinar, “Navigating the Wake of COVID.” This podcast was recorded on June 15^th, 2022.

*Note: For the most up to date information, please visit our Coronavirus (COVID-19) Resource page.

TRANSCRIPT
 

In this podcast, Anne Dabrow Woods, DNP, RN, CRNP, ANP-BC, AGACNP-BC, FAAN, Chief Nurse of Wolters Kluwer Health Learning, Research & Practice, adjunct faculty for Drexel University, and a critical care nurse practitioner for Penn Medicine, Chester County Hospital, provides updates on managing COVID-19 in the ICU, including new recommendations on dexamethasone and convalescent plasma. Anne also discusses management of COVID-19 patients who develop sepsis and how their care differs from standard sepsis management.

*Note: this podcast was recorded on September 2, 2020. For the most up to date information, please visit our Coronavirus (COVID-19) Resource page.
 

Anne Dabrow Woods, DNP, RN, CRNP, ANP-BC, AGACNP-BC, FAAN, Chief Nurse of Wolters Kluwer Health Learning, Research & Practice, adjunct faculty for Drexel University, and a critical care nurse practitioner for Penn Medicine, Chester County Hospital, and Collette Hendler, RN, MS, MA, CIC, Editor-in-Chief for Lippincott Solutions and certified by the Certification Board of Infection Control and Epidemiology, Inc. as an Infection Preventionist, answer questions related to managing multiorgan dysfunction in COVID-19 patients. These questions were submitted by attendees of the webcast, Calming the COVID-19 Storm: Delivering Effective Clinical and Nursing Care, which took place on May 7, 2020. This podcast was recorded on May 19, 2020. For the most up to date information, please visit our Coronavirus (COVID-19) Resource page, where you’ll find links to the on-demand webcast (earn 1 free contact hour!), CDC and WHO, plus free access to our point-of-care tools and more.

Anne Dabrow Woods, DNP, RN, CRNP, ANP-BC, AGACNP-BC, FAAN, Chief Nurse of Wolters Kluwer Health Learning, Research & Practice, adjunct faculty for Drexel University, and a critical care nurse practitioner for Penn Medicine, Chester County Hospital, and Collette Hendler, RN, MS, MA, CIC, Editor-in-Chief for Lippincott Solutions and certified by the Certification Board of Infection Control and Epidemiology, Inc. as an Infection Preventionist, answer questions related to oxygenation and prone positioning of COVID-19 patients. These questions were submitted by attendees of the webcast, Calming the COVID-19 Storm: Delivering Effective Clinical and Nursing Care, which took place on May 7, 2020. This podcast was recorded on May 19, 2020. For the most up to date information, please visit our Coronavirus (COVID-19) Resource page, where you’ll find links to the on-demand webcast (earn 1 free contact hour!), CDC and WHO, plus free access to our point-of-care tools and more.

Betsy Todd, MPH, RN, Nurse Epidemiologist and Clinical Editor for American Journal of Nursing answers questions related to COVID-19 testing. These questions were submitted by attendees of the webcast, Calming the COVID-19 Storm: Delivering Effective Clinical and Nursing Care, which took place on May 7, 2020. This podcast was recorded on May 18, 2020. For the most up to date information, please visit our Coronavirus (COVID-19) Resource page, where you’ll find links to the on-demand webcast (earn 1 free contact hour!), CDC and WHO, plus free access to our point-of-care tools and more.

Betsy Todd, MPH, RN, Nurse Epidemiologist and Clinical Editor for American Journal of Nursing answers questions related to COVID-19 transmission. These questions were submitted by attendees of the webcast, Calming the COVID-19 Storm: Delivering Effective Clinical and Nursing Care, which took place on May 7, 2020. This podcast was recorded on May 18, 2020. For the most up to date information, please visit our Coronavirus (COVID-19) Resource page, where you’ll find links to the on-demand webcast (earn 1 free contact hour!), CDC and WHO, plus free access to our point-of-care tools and more.

This podcast is an interview with Dr. Anne Dabrow Woods, Chief Nurse of Wolters Kluwer Health Learning, Research & Practice, adjunct faculty for Drexel University, and a critical care nurse practitioner for Penn Medicine, Chester County Hospital, and Collette Hendler, RN, MS, MA, CIC, Editor-in-Chief for Lippincott Solutions and Certified Infection Preventionist. Anne and Collette share their expertise on acute respiratory distress syndrome, or ARDS, and how what we are seeing with COVID-19 patients differs from the ARDS clinicians are used to seeing and managing. We also discuss prone positioning – what it means, how it works, and managing patients.

*Note: this podcast was recorded on April 14, 2020. For the most up to date information, please visit our Coronavirus (COVID-19) Resource page, where you’ll find links to the CDC and WHO, plus free access to our point-of-care tools and more.

This podcast is an interview with Robin Haskell, an acute care nurse practitioner for Penn Medicine, Chester County Hospital. Robin reviews the background of the new Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19),  and discusses each element of the recommendations and suggestions, including infection control, laboratory diagnosis and specimens, hemodynamic support, ventilatory support, and COVID-19 therapy. Highlights of how these guidelines differ from the guidelines for sepsis management and acute respiratory distress syndrome (ARDS) are also presented.

*Note: this podcast was recorded on March 27, 2020. For the most up to date information, please visit our Coronavirus (COVID-19) Resource page, where you’ll find links to the CDC and WHO, plus free access to our point-of-care tools and more.

This podcast is an interview with Dr. Anne Dabrow Woods, Chief Nurse of Wolters Kluwer Health Learning, Research & Practice, adjunct faculty for Drexel University, and a critical care nurse practitioner for Penn Medicine, Chester County Hospital. Our discussion covers topics such as personal protective equipment (PPE) – both availability of resources and the time necessary to put on full gear to protect ourselves, decisions on supportive care when faced with ventilator shortages, and the lack of social support for patients when visitors are restricted. Dr. Woods closes with inspirational words on resiliency and recovery when this crisis is over.

*Note: this podcast was recorded on March 26, 2020. For the most up to date information, please visit our Coronavirus (COVID-19) Resource page, where you’ll find links to the CDC and WHO, plus free access to our point-of-care tools and more.

Nurses are on the frontlines caring for patients with possible and confirmed cases of coronavirus, or COVID-19. Listen to this interview with Betsy Todd, MPH, RN, Nurse Epidemiologist and Clinical Editor for American Journal of Nursing, and Lisa Bonsall, Clinical Editor for Lippincott NursingCenter, to learn important facts that nurses need to know, specifically when it comes to infection control and prevention. They review the basics about categories of isolation precautions, discuss current recommendations, and review teaching points for the public. Details of the virus and its transmission are changing quickly, so please remember to stay up to date on recommendations and rely on reputable sources – identified during this podcast – for information.

*Note: this podcast was recorded on March 6, 2020. For the most up to date information, please visit our Coronavirus (COVID-19) Resource page, where you’ll find links to the CDC and WHO, plus free access to our point-of-care tools and more.

Listen in as Megan Doble, DNP, FNP-C, AGACNP-C, reviews the basics of sepsis and the latest recommendations on managing patients with sepsis. 

By remaining up to date on the latest research and recommendations, nurses can recognize subtle clinical changes that are the precursors to sepsis and best advocate for patients. 

Dr. Doble discusses:
*Current definitions related to sepsis
*Sepsis pathophysiology
*Patient care recommendations

The take home message is recognizing sepsis as a medical emergency, as early recognition and treatment can prevent death. 

References:
Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., Machado, F. R., Mcintyre, L., Ostermann, M., Prescott, H. C., Schorr, C., Simpson, S., Wiersinga, W. J., Alshamsi, F., Angus, D. C., Arabi, Y., Azevedo, L., Beale, R., Beilman, G., Belley-Cote, E., … Levy, M. (2021). Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Intensive care medicine, 47(11), 1181–1247. https://doi.org/10.1007/s00134-021-06506-yv

Levy, M. M., Evans, L. E., & Rhodes, A. (2018). The Surviving Sepsis Campaign Bundle: 2018 update. Intensive care medicine, 44(6), 925–928. https://doi.org/10.1007/s00134-018-5085-0   

Rhodes, A., Evans, L. E., Alhazzani, W., Levy, M. M., Antonelli, M., Ferrer, R., Kumar, A., Sevransky, J. E., Sprung, C. L., Nunnally, M. E., Rochwerg, B., Rubenfeld, G. D., Angus, D. C., Annane, D., Beale, R. J., Bellinghan, G. J., Bernard, G. R., Chiche, J. D., Coopersmith, C., De Backer, D. P., … Dellinger, R. P. (2017). Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016. Intensive care medicine, 43(3), 304–377. https://doi.org/10.1007/s00134-017-4683-6

Singer, M., Deutschman, C. S., Seymour, C. W., Shankar-Hari, M., Annane, D., Bauer, M., Bellomo, R., Bernard, G. R., Chiche, J. D., Coopersmith, C. M., Hotchkiss, R. S., Levy, M. M., Marshall, J. C., Martin, G. S., Opal, S. M., Rubenfeld, G. D., van der Poll, T., Vincent, J. L., & Angus, D. C. (2016). The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA, 315(8), 801–810. https://doi.org/10.1001/jama.2016.0287

Transcript

For more sepsis resources, visit Focus On: Sepsis. 

In healthy patients, most fluids are confined in three spaces of the body: the intravascular space (in the blood vessels), the intracellular space (in the cells), or the interstitial spaces. The interstitial spaces are the small spaces between cells that are not contained within blood vessels. In normal situations, fluid moves between all three spaces to maintain fluid balance. Third-spacing occurs when too much fluid moves from the intravascular space into the interstitial or “third” space.

Reference:
Holcomb, S. (2009). Topics in Progressive Care: Third-Spacing: When Body Fluids Shifts. Nursing in Critical Care, 4(2). doi: 10.1097/01.NURSE.0000325345.22694.44