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Maybe it’s because truly understanding all that’s happening in the brain feels like a giant mystery and is too difficult to even begin to comprehend when you’re just trying to survive each shift.
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Katy Cleber – Neuro Nurse Crash Course
Why is neuro nursing so intimidating?
Maybe it’s because when a neuro patient starts to decline, the signs are incredibly subtle.
Maybe it’s because truly understanding all that’s happening in the brain feels like a giant mystery and is too difficult to even begin to comprehend when you’re just trying to survive each shift.
Or, maybe it’s because neurosurgeons and neurologists are really intimidating and expect you to have the same level of understanding of neuroanatomy and disease processes they do – on day one.
What if it didn’t have to be that way?
What if you could take report on neuro patients, understand all of the abbreviations, and know exactly what your priorities needed to be for that patient?
What if you could quickly and efficiently complete a detailed neuro assessment, and be able to concisely communicate it to a neurosurgeon with ease?
What if you knew exactly how to explain really complex neuro pathophysiology to patients and loved ones in a way that made sense to them?
Learning how to be a confident and competent neuro nurse is tough. I’ve been a nurse since 2010 and had the honor of working in neurocritical care for a generous portion of my career. While today I am a nurse educator with a specialty certification in critical care, I didn’t start there.
I started out in neurocritical care back in 2012 incredibly intimidated and terrified. I was completely overwhelmed with learning how to care for critically ill patients – adding on their neurological issues was an entirely different obstacle I was not prepared for!
I was so scared that my patient’s neuro status would begin declining and I would be totally clueless. I was constantly worried I was missing something.
Whenever neurosurgeons and neurologists would round on my patients, I was so nervous they would ask me a question that would reveal how little I actually did know about neuro microanatomy and embarrass me in front of everyone.
With each shift, I would fumble through answering my patient’s and their loved ones questions, knowing I wasn’t making much sense but didn’t what else to say.
It was such a steep learning curve, but I made it through to the other side. Thanks to some amazing nurse educators sowing into my development, I was able to not only understand the why behind my actions but also learn how to become incredibly efficient at my time management and clear with my communication.
It was as if the nurse heavens parted and I saw the light!
Here’s the thing.
While the NCLEX® and nursing school did a great job of introducing neuro concepts and theory, there is so much more to know to safely care for neuro patients. It also prepares you for “perfect world” nursing, not the real world nursing you’re going to work in.
So what other neuro resources are out there?
There are text books, research articles, and professional nursing organization… but that information is far too technical. You need something to help you at the bedside now.
Nothing too broad, and nothing so detailed and highly technical that you can’t make sense of it. It’s crucial to break all of these really complex concepts down into terms that make sense for you – the bedside nurse new to neuro.
This is especially important because it will enable you to educate patients and loved ones better, while helping you know what to look out for in terms of complications and warning signs all while managing your time safely and efficiently.
And let’s be honest.
Being a nurse is tough. There is so much to know and it is constantly evolving.
This is especially true for newly licensed nurses.
While many of us know how to keep patients safe, a lot of us don’t know the why behind our actions for some time into our job. We are so focused on getting things done, staying caught up, and keeping patients safe that we don’t have time to ask specifically how mannitol reduce cerebral edema, why patients with a temporal lobe stroke have a high risk for seizure activity, or why the neurosurgeon always asks what the sodium level was.
We just give the mannitol… give the Keppra… and tell him or her the latest sodium level.
Only until we get into a groove can we even think about diving into the why behind things.
Sure, we passed a test or maybe even worked in another nursing unit, but just because we get hired into neuro and sit through some classes or pass some mandatory education tests doesn’t mean we get it. There’s so much pressure in those classes to say the right thing so can make sure you save face.
But… what if we didn’t have to wait until months after beginning our orientation to really get our minds around important information?
What if you could start your neuro job with a practical knowledge of neuro anatomy and disease processes so you could focus on learning the intricacies of your unit?
What if you had access to a resource to answer all of those questions that you could work through at your own pace?
What if you could learn about the must-know information to take care of neuro patients at home so you could look like a neuro rock star on the unit?
Introducing the Neuro Nurse Crash Course from FreshRN®
The online course for motivated nurses new to neuro who desire straight-forward and practical education they can apply at their very next shift on a neuro floor or neurocritical care unit
, Documenting Assessment Findings module, Noticing Subtle Neuro Changes module]
Course Curriculum
Neuro Nurse Crash Course
Introduction
Goals & Objectives of the Course (1:45)
Disclosures and Disclaimers
Kati Kleber, MSN RN CCRN-K
Melissa Stafford, BSN RN CCRN SCRN
Abbreviated Neuro Anatomy
Circulatory System of the Brain
Lobes of the Brain
Intracranial Pressure (ICP)
Cerebral Perfusion Pressure (CPP)
Neuro Disease Processes
Brain Injuries
Spine Injuries
Infections
Neuro Degenerative Disorders
Primary and Secondary Injury
Definitions
Prevention (8:02)
Causes
Treatments
It’s All About the Salt
Why Sodium is Crucial
Symptoms of Hypernatremia and Hyponatremia
Patient Examples
Salt Syndromes
Treatment of Sodium Imbalances
Neuro Orientation
What to Expect
Practical Preparedness
Nursing Report
Neuro Report
Utilizing the Medical Record
Example Floor Patient Report (3:56)
Example Neuro ICU Report (11:33)
The Neuro Assessment
Why it’s Crucial & General Tips
Noticing Subtle Neuro Changes (10:06)
Conscious Neuro ICU Patient Assessment (24:48)
Unconscious Neuro ICU Patient Assessment (28:27)
Neuro Floor Patient Considerations (10:55)
Communicating Assessment Findings
Documenting Assessment Findings
Time Management
ICU Patient Management (20:31)
Floor Patient Management
Medications
Drips
Neuro-Specific Meds
Central Lines (17:45)
Brain Death and Organ Donation
Definition of Brain Death
Organ Donation
Resources & References
Resources
References
Feedback & Contact
OPTIONAL: 5.0 Continuing Education Credits
Katy Cleber|Katy Cleber – Neuro Nurse Crash Course|Neuro Nurse Crash Course
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