` Clinical Skills Online

Clinical Management of Acute Deterioration

Target Audience

Nursing Staff


Goal

Staff will gain a strong understanding of identification and management of deterioration in a patients and minimise complications


Objectives

At the end of the session the participant should be able to

 

  • Develop a structured approach to health assessment to inform clinical decision making;
  • Apply clinical reasoning to promote quality Resident/Patient outcomes;
  • Use clinical judgment to tailor care response to contextual circumstances experienced by the Resident such as ethical and legal factors;
  • Demonstrate a high level of confidence, accountability and clinical proficiency in carrying out a range of procedures, treatments and interventions that are evidence based and informed by knowledge in clinical decision making;
  • Extend clinical domain and practice according to ANMC competency standards for the registered nurse

References

Recognising and Responding to Clinical Deterioration (2017). Australian Commission on Safety And Quality in Health Care. https://www.safetyandquality.gov.au/our-work/recognising-and-responding-to-clinical-deterioration/

Recognition and Management of Patients who are Clinically Deteriorating. (2013). NSW Health. http://www0.health.nsw.gov.au/policies/pd/2013/pdf/PD2013_049.pdf

Lighthall, G. Markar, S & Hsuing, R (2009). ‘Abnormal vital signs are associated with increased risk for critical events in US veteran inpatients’. Resuscitation, vol 80. no. 11, pp 1264-1269.

Ashworth, S (2002) ‘A prelude to outreach prevalence and mortality of ward patients with abnormal vital signs’. European Society of Intensive Care Medicine.

Goldhill, D & McNarry, A (2004). ‘Physiological abnormalities in early warning scores are related to mortality in adult inpatients’. British Journal of Anaesthesia, vol. 92, no. 6, pp 822-824.

Berlot, G, Pangher, A, Pettrucci, L, Bussani, R, Lucangelo, U (2004). ‘Anticipating events of hospital cardiac arrests’. European Journal of Emergency Medicine, vol. 11, pp 24-28.

Coronado, B (2004) ‘Clinical features, triage and outcome of patients presenting to ED with suspected acute coronary syndrome but without pain: A multicentre study’. American Journal of Emergency Medicine, vol. 22, no. 7, pp 568-574.

Patel, H (2004) ‘Symptoms in acute coronary syndromes: Does sex make a difference?’.  American Heart Journal, vol. 48, no. 1, pp 27-33.

Flasar, M (2006) ‘Acute abdominal pain’. Medical Clinical North American Journal, vol. 90, no. 3, pp 481-503.

Curtis, K, Murphy, M, Hoy, S & Lewis, M (2009) ‘The emergency nursing assessment process – A structured framework for a systemic approach’. Australasian Emergency Nursing Journal, vol. 12, pp – 130-136.

Support and Feedback

If you have any queries, questions, you want to report a technical matter or you want to provide feedback, feel free to send us an email at feedback@clinicalskillsonline.com.au