First off I want to apologize if im posting this in the wrong section
But I recently started (my first) nursing job and they told us there would be the opportunity for several of us to get placed into a (new grad) critical care fellowship. Those interested would have to perform a scenario and we were each assigned a topic to study up on, as that is what our scenario would be centered around.
My topic was a patient with GI bleed.
Any suggestions on things I should know/study up to best prepare myself?
I presume that assessment, interventions, and pathophysiology are going to be the main points of emphasis.
Thanks so much !
(oh and im under the impression that this scenario will be performed on one of those training manikins)
Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
They will be looking for your critical thinking skills. When you get stuck check the vitals. Blood Consents. Surgical consent of they do an endoscopic scenario. What is the universal donor if you don't have time to crossmatch.
ABC's....IV access...large bore...at least 2. 02. What meds are they on...NSAIDS, ASA, Steroids? Coags/PT, PTT, INR. Liver panel. Blood products...PRNC, Cryporecipitate, platlets. Sandostantin/Vit K. Know signs of transfusion reaction/complications. What are the signs of shock? What are the signs of fluid overload? How do different bleeds present? What procedures and testing would be considered
Esme12, ASN, BSN, RN
20,908 Posts
They will be looking for your critical thinking skills. When you get stuck check the vitals. Blood Consents. Surgical consent of they do an endoscopic scenario. What is the universal donor if you don't have time to crossmatch.
ABC's....IV access...large bore...at least 2. 02. What meds are they on...NSAIDS, ASA, Steroids? Coags/PT, PTT, INR. Liver panel. Blood products...PRNC, Cryporecipitate, platlets. Sandostantin/Vit K. Know signs of transfusion reaction/complications. What are the signs of shock? What are the signs of fluid overload? How do different bleeds present? What procedures and testing would be considered
http://www.modernmedicine.com/modern-medicine/news/how-manage-acute-upper-gi-bleed
http://www.drugs.com/cg/gastrointestinal-bleeding-inpatient-care.html
http://umm.edu/health/medical/ency/articles/gastrointestinal-bleeding
Upper Gastrointestinal Bleeding Treatment & Management great medscape article...you have to register but it is free!!!
http://www.ccmtutorials.com/cvs/index.htm
chart of commonly transfused blood products.doc
Good Luck!