Rapid Response RN

In today’s episode, our host Sarah Lorenzini will be discussing a very important topic that all nurses need to know about, acute kidney injury, which is a common occurrence in hospital settings. As a rapid response nurse Sarah has seen acute kidney injuries often, but the treatment isn’t always cut and dry. 

Sarah tells us a story about a patient she was called to see in a rapid response situation and the steps she took to assess and take action when the patient went from a pre-renal kidney injury to intrarenal. She goes through each detail of the patient’s history, how the nurses relayed information, her interactions with the resident doctors, and why she made the decisions she made to get this patient well enough to be discharged from the hospital.

Acute kidney injury is very serious, it exponentially increases their mortality rate and decreases their chances of walking out of the hospital. Every step each health care professional takes with the patient is crucial, like the tedious job of charting those I’s and O’s.

Tune in today to dig a little deeper into this case study to learn about signs you should look out for to prevent a full blown acute kidney injury.

Topics discussed in this episode:

• The state Sarah found the patient when she arrived
• Steps Sarah took to assess his current situation
• What the patient’s nurse reported to Sarah
• A common dilemma when faced with hypotension rapid response calls
• Why Sarah wanted to send the patient to the PCU
• What happened to the patient after being sent to the PCU
• What is systemic vascular resistance (SVR)
• What is acute kidney injury characterized by
• Three basic categories for AKI 
• The most common cause of prerenal injury
• Acute tubular necrosis, what to look for, and how it’s developed
• What SIRS, Sepsis, and AKI have to do with each other

If you would like to check out the 1hr, 1 CE course, go to: www.rapidresponseandrescue.com

To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!

It’s a hard conversation, but priapism is a medical emergency!

Sarah Lorenzini is joined by her friend and co-worker, Walker, to discuss the symptoms, causes and treatments of priapism. Walker introduces his priapism patient, and walks us through his initial assessment and treatment. You’ll even learn a little bit of its history, and hear Sarah’s firsthand experiences with priapism.

They explain why priapism is an emergency situation, and why a fast response is needed to avoid complications. 

Walker ends the interview with key advice to all nursing professionals, so this is not an episode to miss!

Topics discussed in this episode:

• Walker’s nursing journey
• Defining priapism
• Priapism’s causes and why it’s an emergency
• Sarah’s first priapism patient experience as a new grad
• Treatments for priapism
• Maintaining patient dignity

If you would like to check out the 1hr, 1 CE course, go to: www.rapidresponseandrescue.com

To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!

Join your host Sarah Lorenzini as she’s interviewed by Keith Carlson, fellow nursing podcaster at The Nurse Keith Show.

With the ability to stay grounded and alert during chaotic situations, Sarah is the epitome of being an anchor in a storm. In this episode, she shares how she found her niche in nursing, why rapid response nursing suits her work style, and how she coaches other nurses through the stress of emergent situations.

Sarah gets fulfillment from helping others, and she does this in so many ways — education through storytelling on her podcast, teaching an online course that’s approved by the American Association of Critical Care Nurses, and as a nursing educator.

Tune in to get a sense of what it’s like to be a rapid response nurse, and learn how you can develop the skills to become a better nurse!

Topics discussed in this episode:

• What drew Sarah to rapid response nursing
• Discovering what type of nursing works best with your work style
• Type of people that do well in rapid response nursing
• Common reactions nurses have in a crisis situation
• How to train yourself to respond differently to stress
• Pursuing advanced certifications
• Why Sarah loves being a nursing educator
• Helping nurses through her podcast and Rapid Response & Rescue course
• What inspired Sarah to lead a rapid response team during the pandemic
• People that have inspired Sarah in her life

Check out this episode of The Nurse Keith Show podcast:

https://nursekeith.com/the-excitement-challenges-and-satisfaction-of-rapid-response-nursing/

Earn CEs by listening to Sarah and Keith’s podcast through RNegade:

https://myportal.pro/view_business_/rapid-response-rn-1668811051095x983153652413497300

If you would like to check out the 1hr, 1 CE course, go to: www.rapidresponseandrescue.com

To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on 

Instagram

 @TheRapidResponseRN and type the word PODCAST!

As health care professionals, it is our job to advocate for our patients, even if our efforts are not well received initially. Especially when we are deeply concerned, or uncomfortable with the situation. This can be tough, but it is essential for the health of the patient. 

What happens when we are expressing real urgent concern and the provider on the other end doesn’t feel your urgency? 

On today’s episode, our host and rapid response nurse Sarah Lorenzini, tells us about an experience she had when providing care for a patient with critical limb ischemia where she knew the patient needed immediate surgery, but the primary care doctor didn’t think it was urgent. Sarah goes through real examples of how she spoke with the doctor, the doctor’s responses, intentional language she used to get her urgency across, and what happened thereafter.

Sarah also explains the classes of critical limb ischemia, symptoms to look out for in varying severity, how to treat patients in each class, and main takeaways for nurses when they are in a situation where they need to be persistent in their advocacy in a situation like this.

Tune in to learn more about critical limb ischemia and what you as a nurse can do to potentially save your patient’s life, or limb.

Topics discussed in this episode:

• An example of expressing concern to a medical provider
• Words and phrases to use that can help express your concern for the patient
• The importance of a doctor being physically present to assess the patient
• Don’t neglect the basics
• Three classes of critical limb ischemia and what to do in each case
• Options for restoring blood flow (revascularization)
• Range of symptoms to expect from claudication to amputation
• Why waiting too long for revascularization is problematic
• Takeaways for nurses who find themselves in this type of situation

If you would like to check out the 1hr, 1 CE course, go to: www.rapidresponseandrescue.com

To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on 

Instagram

 @TheRapidResponseRN and type the word PODCAST!

Nurses, for the most part, spend significantly more time with patients compared to physicians. Regardless, it can be difficult for nurses to have their voice heard. For instance, how many times have YOU found yourself apologizing to a physician for just doing your job?

The education from nursing school teaches a lot of vital skills, but one that’s ignored is the need to effectively communicate with other members of an interdisciplinary team. How do you make a physician take into account your concerns for your patient? And, what if you’re dealing with a rude physician?

During this episode of Rapid Response RN, Sarah Lorenzini shares multiple communication strategies she uses when trying to advocate for patients. She also discusses the nurse/physician relationship, and the patience required to work with medical residents and interns.

Tune in to gain a better understanding of how to deal with this issue through her real-life examples!

Topics discussed in this episode:

• Power dynamics between nurses and doctors
• The SBAR technique
• Examples of non-urgent and urgent communication
• How to deal with an professional or rude physician
• Using the CUS communication method
• How to ask “Why” without putting others on the defensive

If you would like to check out the 1hr, 1 CE course, go to: www.rapidresponseandrescue.com

To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!

This episode was produced by Podcast Boutique http://podcastboutique.com

One Sunday during football season, after being pressured by his wife, a reluctant patient gave in and decided to finally come into the ER. His calcium levels were high, but his EKG came back normal, he was experiencing no pain, and seemed healthy and responsive — until he wasn’t.

Telling her story of treating this patient is host Sarah Lorenzini’s friend and fellow nurse, Kisha RN, CEN. She details her experience with this patient, starting from convincing him to stay for further tests, to shocking him 19 times after he coded, and reuniting months later.

Tune in to learn why it wasn’t obvious this patient was about to experience cardiac arrest, and how medical professionals should address similar cases. 

You’ll also hear from Kisha and Sarah about the emotional impact of working on a patient who has coded as they fight for their life that is in your hands.

Kisha has helpful takeaways and advice from this case to share, so don’t miss this episode!

Topics discussed in this episode:

• What drew Kisha to ER nursing
• Kisha tells an ER story of a seemingly healthy patient
• The moment Kisha’s patient coded
• How Kisha was affected by this patient
• Skills that nursing school can’t teach
• Explaining hypercalcemia and what causes it
• “Stones, bones, groans, moans, and psychiatric overtones”
• Routine treatments for hypercalcemia
• Why this patient was so memorable
• Kisha’s biggest lessons from this case

If you would like to check out the 1hr, 1 CE course, go to: www.rapidresponseandrescue.com

To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on 

Instagram

 @TheRapidResponseRN and type the word PODCAST!

We are all praying for Buffalo Bills’ safety, Damar Hamlin, after he was hit, causing a cardiac event, sending him to the ICU. This is a nightmare for any athlete, and disheartening for family, friends and fans.

As nurses, medical students, even parents, when viewing these types of tragic events, it is natural to think about what you would do in an emergency situation like this. Especially a parent attending a child’s sporting event, having the knowledge and ability to help out in an emergency can start to feel more important than ever.

On today’s episode, rapid response nurse and our host, Sarah Lorenzini, has invited guest Dr. Jeremy Alland, the official physician for the Chicago Bulls basketball team, to help us unravel what happened to Damar Hamlin on the football field, and how we can better prepare ourselves for cardiac events as medical professionals in non-medical settings.

We go over sports medicine doctor’s roles, common cardiac events that occur in sporting events, how to treat them, and how to stay vigilant (not paranoid) in situations where there is a possibility of a cardiac event.

This episode isn’t only for medical professionals or students, this is also for anyone who wants to be prepared and helpful in emergency situations.

Tune in today to hear practical information and advice that could potentially help save someone’s life. 

Topics discussed in this episode:

• Dr. Alland’s role as the Chicago Bulls team physician
• What happened to Damar Hamlin?
• What is commotio cordis?
• Explanation of the how sports related cardiac events occur for non-nurses
• A possibility of what happened to Damar Hamlin
• What happens when a player collapses on the field? 
• What is an emergency action plan in sports medicine?
• Why AEDs are important in an emergency
• How was Damar Hamlin able to stand up and collapse again after he was hit?
• Advice for lay people and medical professionals witnessing a sports emergency
• A free app to download to locate AEDs in your area: Pulse Point AED

https://apps.apple.com/app/id867150971

• Who is the best person to do CPR in an emergency?

To connect with Dr. Jeremy Alland, head to his instagram page 

@JeremyAllandMD

 or check out his podcast by visiting 

www.yourdoctorfriendspodcast.com

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The most concerning type of syncope!  When a patient suddenly passes out from either an arrhythmia or a structural abnormality of the heart... this needs to be investigated and treated... next time they might not wake up from it!

If you love learning from other people's mistakes, you will love this episode of when I didn't realize my patient was in V-tach and walked him back to his room!

We discuss all of the reasons the heart might cause you to pass out and a little about the challenges of being an ER Triage Nurse in this final episode of the year and the last episode in a 4 part series on syncope.  So make sure you also check out episode #32, #33, and #34 to learn seizure vs syncope, reflex syncope, and orthostatic syncope.

If you would like to check out the 1hr, 1 CE course, go to:

www.rapidresponseandrescue.com

you can use coupon code: PODCAST22

To get $22 off the cost of the course now until the end of 2022