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ForwardInvasive Procedure Course - March 7, 2020
Overview
As the medical field continues to change the procedural skills needed by providers is increasing, especially in the emergency department. Patient outcomes are not only a personal driver but a financial driver in healthcare, and patient outcomes are directly tied to provider training. In the essence of providing the highest level of patient care to promote the best patient outcomes, providers need training on performing invasive procedures past their training in medical school and residency.
The Invasive Procedures Course is a one-day course with didactic and simulation education surrounding procedures in the inpatient and acute care setting. The focus of this training is on venous/arterial access, diagnostic procedures, wound care, and resuscitation procedures and is designed for Prisma Health Emergency Department employees, however the skills are applicable to other providers in the community.
This activity will also consist of a minimum of 4.5 hours of pre-course work such as reading and videos for each learner to complete prior to the on-site activities.
Target Audience
Physicians and Advanced Practice Providers
Learning Objectives
- Identify and describe which invasive procedure is appropriate in a series of example scenarios
- Describe the operations of each invasive procedure discussed
- Demonstrate the appropriate operations of specific invasive procedures
- Individual session objectives listed on the Program tab
Additional Information
| Invasive Procedures Course - Saturday, March 07, 2020 | ||
| 8:00 - 8:30 a.m. | Introduction & Overview | |
| 8:30 - 9:30 a.m. | Orthopaedics Injuries Lecture | |
| 9:30 - 10:45 a.m. | Splinting Lab/Arthocentesis | |
| 10:45 - 12:00 p.m. | US Lecture | |
| 12:00 - 1:00 p.m. | US Lab | |
| 1:00 - 1:15 p.m. | Break | |
| 1:15 - 4:30 p.m. | Rotate through Practice Stations Airway Management: BVM, RSI, Endotracheal Intubation Lumbar Puncture, Knee Arthrocentesis Vascular Access: Central Line/IO/Arterial Line Chest Tube/Needle Decompression | |
| 4:30 - 4:45 p.m. | Break | |
| 4:45 - 7:00 p.m. | Testing Airway Management: BVM, RSI, Endotracheal Intubation Lumbar Puncture, Knee Arthrocentesis Vascular Access: Central Line/IO/Arterial Line Chest Tube/Needle Decompression | |
Session Objectives
Session: Extremity Injuries
- Review anatomy and common injuries of the upper and lower extremities
- Describe a complete musculoskeletal exam of the upper and lower extremity
- List indications, contraindications, and possible complications of extremity splint placement
- Given a specific injury, correctly identify the splinting technique • needed to immobilize the extremity
- Demonstrate correct application of a plaster splint to the upper and lower extremities
Session: Arthrocentesis of Knee
- Describe the indications, contraindications, and possible complications of joint arthrocentesis
- List the labs to order and supplies needed for diagnostic arthrocentesis
- Demonstrate correct technique when performing knee arthrocentesis on a task trainer
- Given a clinical scenario with joint fluid lab results, correctly diagnose inflammatory arthritis, septic arthritis, gout, and pseudogout
Session: FAST exam
- List the indications and contraindications for performing a FAST exam
- Describe the four anatomic views needed for a complete FAST exam, and list the signs of a positive fast exam
- Demonstrate correct technique to obtain the four anatomic views of the FAST exam using bedside ultrasound on a standardized patient
Session: US-guided IV Insertion
- List the indications, contraindications, and potential complications for placement of an ultrasound guided peripheral IV
- Using an ultrasound and peripheral IV task trainer, demonstrate correct technique placing an IV under ultrasound guidance
Session: US-guided Abscess evaluation
- Describe indications and contraindications of ultrasound-guided abscess evaluation
- Demonstrate evaluation of a fluid collection using ultrasound with a task trainer
Session: US-guided central Venous catheter insertion
- List indications, contraindications, and potential complications of ultrasound-guided central venous catheter placement
- Describe the selection of catheter insertion site (femoral vs. internal jugular) given different clinical scenarios
- Demonstrate correct sterile technique while placing an ultrasound-guided central line on a task trainer
Session: Airway Management
- List indications, contraindications, and potential complications of airway management with endotracheal intubation
- Describe maneuvers/adjuncts/tools that may help avoid endotracheal intubation
- List common paralytic and sedative medications used in Rapid Sequence Intubation (RSI), and contraindications to using each drug
- Demonstrate correct one-person and two-person bag-valve mask ventilation
- Demonstrate correct technique using endotracheal intubation with direct laryngoscopy and using the Glidescope
Session: Lumbar puncture
- List the indications, contraindications, and potential complications of performing a lumbar puncture
- List the labs to order and supplies needed for diagnostic lumbar puncture
- Demonstrate correct technique when performing a lumbar puncture on a task trainer
- Given a clinical scenario with cerebrospinal fluid results, correctly distinguish between bacterial meningitis, aseptic meningitis, and subarachnoid hemorrhage
Session: Intraosseous Catheter placement
- List the indications, contraindications, and potential Complications for placement of an intraosseous catheter
- List the age/weight ranges used to select each of the three sizes of IO catheter
- Using a task trainer, demonstrate correct technique placing an intraosseous catheter
Session: Arterial puncture/ line placement
- List indications, contraindications, and potential Complications of arterial puncture and arterial line Placement
- Describe the selection of catheter insertion site (Radial vs. femoral arteries) given different clinical Scenarios
- Demonstrate correct technique while placing an Arterial line on a task trainer
Session: Needle decompression of a Pneumothorax, thoracic pigtail catheter placement
- List the signs and symptoms of a traumatic or spontaneous pneumothorax
- Describe appropriate diagnostic strategies approach for a suspected Pneumothorax in the stable and unstable patient
- List the indications, contraindications, and potential complications of Needle decompression of a pneumothorax
- List the indications, contraindications, and potential complications of Pigtail catheter placement in a pneumothorax
- Demonstrate correct technique in needle decompression of a Pneumothorax
- Demonstrate correct technique in placement of a pigtail catheter for Management of a pneumothorax
AVAILABLE CREDIT
15.00 AMA PRA Category 1 Credit(s)™
The University of South Carolina School of Medicine Greenville designates this live activity for a maximum of 15.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The University of South Carolina School of Medicine Greenville is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians
Available Credit
- 15.00 Attendance
Thank you for your interest in the March 7th Invasive Procedures Course. If you have already participated in this activity on a different date, you will not be able to take this course. If you have any questions, please feel free to contact the CME Team at [email protected].