Essentials of Critical Care Orientation (ECCO)

Module Titles and Descriptions

ICU and PCU

Global Perspectives in the Care of Critically Ill Patients: Part 1............. 2 Caring for Patients With Neurologic Disorders: Part 1.......................... 12
Global Perspectives in the Care of Critically Ill Patients: Part 2............. 3 Caring for Patients With Neurologic Disorders: Part 2.......................... 13

Caring for Patients With Cardiovascular Disorders: Part 1.................... 4 Caring for Patients With Gastrointestinal Disorders............................. 14
Caring for Patients With Cardiovascular Disorders: Part 2.................... 5
Caring for Patients With Renal Disorders: Part 1 .................................. 16
Caring for Patients With Cardiovascular Disorders: Part 3.................... 6
Caring for Patients With Renal Disorders: Part 2 ICU Only ...................... 17
Caring for Patients With Cardiovascular Disorders: Part 4.................... 7

Caring for Patients With Endocrine Disorders...................................... 18

Caring for Patients With Pulmonary Disorders: Part 1............................ 8
Caring for Patients With Pulmonary Disorders: Part 2............................ 9
Caring for Patients With Hematological Disorders .............................. 19

Hemodynamic Monitoring of Critically Ill Patients: Part 1................... 10

Caring for Patients With Multisystem Disorders.................................... 20
Hemodynamic Monitoring of Critically Ill Patients: Part 2................... 11

1 Rev 05/20
 ECCO: Global Perspectives in the Care of Critically Ill Patients: Part 1
GLOBAL PERSPECTIVES PART 1 — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module provides content Professional Nursing Practice Patient Safety Bariatric Populations
on concepts and frameworks Frameworks • Introduction • Introduction
that impact and support • Attributes of a Safety Culture • Comorbidities
nursing practice in all clinical Continuing Professional
Development • Transition Planning • Pulmonary Complications
settings, including continuing
professional development, • Introduction • Communication Handoff • Cardiac Complications
team competence and • Lifelong Learning • Safe Transport • Skin Care
approaches to moral distress, • Skill Areas • Common Adverse Events • Thrombosis
implementing evidence- • Dignity and Value
• Learning Resources Evidence-based Practice (EBP)
based practice and key
elements of patient safety. Team Competence • Introduction
Essential frameworks • Introduction • Care Decisions Based on
presented include: • Core Competencies Evidence
• AACN Healthy Work • Collaboration and Integration • Common Barriers
Environment Standards • Teamwork • Sources of Evidence
• Patient- and Family- Patient- and Family-Centered Care
Centered Care Embracing Change
• Introduction • Introduction
Content also includes care • Family Needs
perspectives for two special • Barriers to Change
• Strategies for Success • Communication Plan
populations: older adults
and patients with bariatric
conditions.
Ethics and Moral Distress
Special Populations
• Introduction
Optional content is presented Older Adult Populations
• Common Causes
in the resources in PDF form
on the topics Regulatory • A Distressing Situation • Introduction
Measures and Hospital Impact, • Negative Impacts • Physiologic Domain
and the AACN Synergy Model. • Individual Strategies • Physical Domain
• Seek Support and Take Action • Cognitive Domain
CE INFORMATION: • Unit-Level Strategies • Psychosocial Domain
• Evidence-based Practices
Up to 3.45 ICU/3.54 PCU
ANCC contact hours. CERP B. Frameworks for Practice • Geriatric Syndromes
The American Association of Healthy Work Environments
Critical-Care Nurses (AACN) is (HWEs)
accredited as a provider of nursing • Introduction
continuing professional
• Six Standards
development by the American
Nurses Credentialing Center’s • Skilled Communication
Commission on Accreditation, • Communicating Effectively
Provider Number 0012. The • True Collaboration
American Association of Critical- • Effective Decision Making
Care Nurses is approved by the • Other HWE Standards
California State Board of
Registered Nursing, Provider
Number CEP1036 for 3.45
ICU/3.54 PCU contact hours.

Copyright ©2020 American Association of Critical-Care Nurses 2

 ECCO: Global Perspectives in the Care of Critically Ill Patients: Part 2
GLOBAL PERSPECTIVES PART 2 — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module includes: Pain, Agitation, and Delirium Other Complications Post-Anesthesia Recovery ICU Only
• Evidence-based assessment
• Introduction • Introduction
Managing Pain and Agitation
and management of pain, • Venous Thromboembolism • Types of Anesthesia Delivery
• Introduction
agitation and delirium (VTE) • Post-Anesthesia Care
• Daily Goals Worksheet
• Post-intensive care • Hospital-acquired Pressure • Potential Complications
• Pain and Physiologic Response Injuries (HAPIs)
syndrome and the • Interventions
interventions to decrease • Pain Assessment • Sleep Disruption
its incidence and impact, • Pain Management • Gastritis/Stress Ulcers
including the ABCDEF • Agitation and Anxiety Palliative and End-of-Life Care
bundle • Agitation and Sedation
Prioritizing and Organizing Care Palliative Care
• Common healthcare-
Delirium • Introduction
associated infections and Pre-admission
other risks such as VTE, • Introduction • Continuum of Care
CAUTI and HAPU • Introduction • Anxiety
• Risk Factors
• Preparation • Dyspnea
Module concludes with a • Assessment
• Specific Room Setup • Delirium
discussion of organizing and • Subtypes of Delirium
coordinating care throughout • Patient Update • Pain
• Stop, Think, and (last) Medicate
the hospital stay, as well as • Identify Immediate Needs
• Early Progressive Mobility End-of-Life Care
managing patients receiving
procedural sedation and
Protocol Admission • Patient Introduction
those recovering from Post-Intensive Care Syndrome • Patient Update • Patient Update
anesthesia. (PICS) • Quick Assessment First • Family Conference
Content on anesthesia • Introduction • Interpret Assessment Findings • Transition to Comfort Care
recovery is included in the • PICS Model • Comprehensive Assessment • Compassionate Extubation
ICU module only. • Management Strategies • Establishing a Baseline • Withdrawal of Mechanical
• Coping Skills Ongoing Care Circulatory Support
CE INFORMATION: • Strategies for Discharge • Patient Update
Up to 4.4 ICU/4.41 PCU ABCDEF Bundle • Ongoing Focused Assessments
ANCC contact hours. CERP A. • Ongoing Reassessments
• Introduction
The American Association of • Apply the ABCDEF Bundle • Anticipating Complications
Critical-Care Nurses (AACN) is ICU Only • Preventing Complications
accredited as a provider of nursing • Surveillance and Strategies Strategies
continuing professional ICU Only
development by the American
Nurses Credentialing Center’s Special Situations
Commission on Accreditation, Complications of Critical Illness Procedural Sedation
Provider Number 0012. The • Introduction
Healthcare-Associated Infections
American Association of Critical-
Care Nurses is approved by the • Introduction • Types of Procedures
California State Board of • CLABSI • Phases of Sedation Care
Registered Nursing, Provider • VAE/VAP (Phases 1, 2, 3)
Number CEP1036 for 4.4 • CAUTI • Complications
ICU/4.41 PCU contact hours.

Copyright ©2020 American Association of Critical-Care Nurses 3

 ECCO: Caring for Patients With Cardiovascular Disorders: Part 1
CARDIO PART 1 — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module reviews funda- Assessing the Cardiovascular System Myocardial Oxygen Supply and RVMI Pre-Procedure Care
mental information about Demand • Patient Introduction • Patient Update
cardiovascular system assess-
Assessing Symptoms
• Introduction • Blood Supply • PCI Pre-Procedure Care
ment and diagnostic testing • Patient Introduction
• Oxygen Balance • Signs of RVMI • Patient Care Priorities
for critically ill patients. • Signs and Symptoms
• Preload • Diagnostic Tests
Acute coronary syndromes • Causes of Chest Pain and Post-Procedure Care
• Contractility • Pathophysiology ICU Only
are described, including: Assessment • Patient Update
• Afterload • RVMI Interventions
• Pathophysiologic differences • Causes of Dyspnea • Patient Care Priorities
• Oxygen Supply • Management of Patients With
• Diagnostic testing • Patient Interview • Vascular Access Site Assessment
• Monitoring and Medications RVMI
• Medical and interventional • GERD or ACS • Fluid Therapy
treatment priorities for ST-ele- Cardiogenic Shock • Patient Education
Auscultating Treating ACS
vation MI, non-ST-elevation MI • Patient Introduction • Focused Assessments
and unstable angina
• Patient Update
Treating a Patient With STEMI • Cardiogenic Shock: • Complications and Interventions
• Auscultation Overview
• Complications of MI includ- ° Signs and Symptoms
• Anatomical Landmarks • Patient Introduction
ing clinical signs and patient
management, are addressed • Heart Sounds • Treatment Goals ° Pathophysiology
• Classifying Murmurs • Thrombus ° Treatment
° ICU track includes brief • Ventricular Support Devices
discussions on ventricular • Identifying Heart Sounds • Monitoring Patient Response
support devices and • ACS Medications ° Extra ICU-Only Content
targeted temperature • Reperfusion
Diagnosing ACS Other Complications
management (TTM); PCU
• Fibrinolytic Agents • Topic Introduction
track offers an optional
Differentiating ACS Pain • Reinfarction
PDF resource with indica- Treating Patients With
tions and anticipated • Patient Update • Dysrhythmias
Non-STEMI and UA
benefits of each. • Characteristics of ACS Pain • Papillary Muscle Rupture
• Patient Introduction
° PCU track includes brief • Signs and Symptoms of STEMI • ROSC ICU Only
• Non-STEMI and UA
discussions on core mea- • Etiologies of Fatal MIs • Achieving TTM ICU Only
sures, discharge planning/
• Treatment Pathways
• Types of Angina
cardiac rehab and patient • Non-STEMI Treatment
• Ischemic Myocardial Disease
education • Types of UA Cardiac Procedures
• Chest Pain Protocol
• UA Treatment
CE INFORMATION: Noninvasive Cardiac Procedures
Identifying Ischemia and • Treatment Comparison
Up to 3.75 ICU/4.22 PCU Infarction • Topic Introduction
ANCC contact hours. CERP A. • Patient Update • Echocardiogram (ECHO)
Complications • TEE
The American Association of • 12-Lead ECG Tracing
Critical-Care Nurses (AACN) is • LMCA Infarction Pulmonary Edema • Comparing TTE and TEE
accredited as a provider of nursing • Posterior MI • Topic Introduction • Stress Testing PCU Only
continuing professional develop- • 12-Lead ECG Summary • Patient Assessment • Cardiac CT PCU Only
ment by the American Nurses • ECG Tracing • Communicate With Provider Invasive Cardiac Procedures
Credentialing Center’s Commission • Myocardial Dysfunction
on Accreditation, Provider Number Interpreting Biomarkers • Topic Introduction
• Patient Update • Cardiac Catheterization
0012. The American Association of • Introduction
Critical-Care Nurses is approved • Patient Care Priorities • Left Ventriculography
• Cardiac Biomarkers
by the California State Board of • Treatment Response • Right-Heart Catheterization
• Rise and Fall of Biomarkers
Registered Nursing, Provider • Percutaneous Coronary
Number CEP1036 for 3.75 • Cardiac Biomarker Frequency
Interventions (PCIs)
ICU/4.22 PCU contact hours. • 9-Hour Biomarkers

Copyright ©2020 American Association of Critical-Care Nurses 4

 ECCO: Caring for Patients With Cardiovascular Disorders: Part 2
CARDIO PART 2 — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module explores a variety Cardiovascular Disorders Aortic Dissection Pacemaker Modes Electrophysiology Studies (EPS) &
of cardiovascular disorders, • Patient Introduction • Topic Introduction Radiofrequency Ablation (RFA)
including:
Hypertensive Crisis
• Signs and Symptoms • Codes • Patient Introduction
• Patient Introduction
• Inflammatory diseases • Progression • EPS Procedure
• Signs and Symptoms Troubleshooting Pacemakers
• Congenital and acquired • Pharmacologic Interventions ICU Only
• Patient Update
structural defects • Organs at Risk ICU Only • RFA Indications
• Etiologies • Patient Introduction
• Aortic aneurysm, aortic • Treatment ICU Only • RFA Procedure
dissection • Treatment • ECG Tracing
• Complications ICU Only
• Peripheral vascular disease • Complications • Malfunctions
• Select electrophysiologic Aortic Repair • Troubleshooting Steps
Septal Defects ICU Only
disorders and treatments, • Topic Introduction
• Topic Introduction Implanted Cardioverter Defibrillator
including long QT syndrome, • Types of Repair
• Ventricular Septal Defects • Patient Introduction
pacemakers and ICDs • Types of Dissection
• Complications • Indications
Each topic explores • Communicating Effectively • Response to V-Tach/V-Fib
assessments, evidence-based Acute Inflammatory Diseases
interventions and strategies to Carotid Artery Stenosis • Programmed Therapies
• Topic Introduction
prevent complications. • Patient Introduction • Inappropriate Shocks
• Myocarditis
Septal defect and
• Symptoms and Diagnostics • Temporary ICD Suspension
• Endocarditis
transvenous pacing content • Pathophysiology
• Pericarditis
is available to PCU in an • Treatment Electrophysiology
optional PDF resource. • Differentiating Diagnoses
• Complications
Cardiac Tamponade Long QT Syndrome (LQTS)
CE INFORMATION: Peripheral Artery Disease (PAD) • Topic Introduction
• Patient Introduction
• Patient Introduction • Defining LQTS
Up to 4.64 ICU/4.17 PCU • Signs and Symptoms
ANCC contact hours. CERP A. • Assessment • Causes of Acquired LQTS
• Etiologies
• Diagnostics PCU Only • Risk Factors for Acquired LQTS
The American Association of • Pathophysiology
• Management PCU Only • Prolonged QTc
Critical-Care Nurses (AACN) is • Pericardiocentesis
accredited as a provider of nursing • Complications PCU Only • Calculating QTc
• Response to Intervention
continuing professional • Treating Acquired LQTS
development by the American Pacemakers and ICDs
Nurses Credentialing Center’s Vascular Disorders Cardioversion
Commission on Accreditation, Introduction to Pacemakers • Patient Introduction
Aortic Aneurysm
Provider Number 0012. The • Topic Introduction • Defining Cardioversion
• Topic Introduction
American Association of Critical- • Temporary Pacing Indications • Indications
Care Nurses is approved by the • Defining Aortic Aneurysm
• Pacemaker Components • Procedure
California State Board of • Thoracic Aortic Aneurysm
• Pacemaker Settings
Registered Nursing, Provider • Abdominal Aortic Aneurysm Defibrillation
• Temporary Pacemaker Setup
Number CEP1036 for 4.64 • Imaging Exams • Patient Update
ICU/4.17 PCU contact hours. • Permanent Pacing Indications
• Medication • Defining Defibrillation
• Surgical or Endovascular Repair Types of Temporary Pacing • Electrode Pads vs. Paddles
• Topic Introduction • Procedure
• Transcutaneous Pacing
• Transvenous Pacing ICU Only
• Epicardial Pacing
• Communicating Effectively

Copyright ©2020 American Association of Critical-Care Nurses 5

 ECCO: Caring for Patients With Cardiovascular Disorders: Part 3
CARDIO PART 3 — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module addresses the Cardiomyopathies Systolic Heart Failure Treatment Valvular Heart Disease
following: • Patient Update
Dilated Cardiomyopathy Aortic Regurgitation
• Various cardiomyopathies • Treatment Goals
(dilated, hypertrophic, stress-
• Topic Introduction • Patient Introduction
• Treatment Overview
induced and restrictive) • Pathophysiology • Pathophysiology
• Effects on Compensation
• Types of heart failure • Compensatory Mechanisms • Signs and Symptoms
• Complications
(systolic, diastolic and right- • Understanding Relationships • Chronic: Patient Assessment &
sided)
• Treatments Treatments
• Signs and Symptoms
• Valvular heart disease • Diagnostic Testing Diastolic Heart Failure • Acute: Patient Assessment &
• Assessment Findings • Topic Introduction Treatments
Learners will apply an
understanding of the • Diastolic Dysfunction Aortic Stenosis
Hypertrophic Cardiomyopathy
different pathophysiologies • Pathophysiology • Topic Introduction
to interpretation of clinical • Patient Introduction
• Signs and Symptoms • Pathophysiology
presentation and patient • Signs and Symptoms
care management priorities.
• Diagnostic Tests • Signs and Symptoms
• Pathophysiology
• Patient Assessment • Patient Assessment
Optional content for “Stress- • Diagnostic Tests
• Treatments • Treatment Priorities
Induced and Restrictive • Patient Update
Cardiomyopathies” are • Treatment Priorities Right-sided Heart Failure Mitral Regurgitation
available in PDF resource. • Topic Introduction
• Treatment Outcomes • Topic Introduction
• Etiology • Pathophysiology
CE INFORMATION: Stress-Induced Cardiomyopathy
• Patient Assessment • Signs and Symptoms
Up to 3.15 ICU/PCU ANCC • Patient Introduction
• Assessment Findings • Chronic: Assessment
contact hours. CERP A. • Takotsubo
• Treatment Priorities • Chronic: Treatment Priorities
The American Association of • Potential Complications
• Response to Treatment • Acute: Surgical Treatment
Critical-Care Nurses (AACN) is • Recovery Process
accredited as a provider of nursing Patient Education • Acute: Medical Treatment
Restrictive Cardiomyopathy
continuing professional • Patient Update Mitral Stenosis
• Topic Introduction
development by the American • Discharge Planning • Topic Introduction
Nurses Credentialing Center’s • Pathophysiology
Considerations • Presentation
Commission on Accreditation, • Signs and Symptoms
• Patient Education Priorities • Signs and Symptoms
Provider Number 0012. The • Meeting Patient Needs
• Teach-Back • Assessment
American Association of Critical-
• Patient Conclusion • Treatment Priorities
Care Nurses is approved by the Heart Failure
California State Board of • Treatment Responses
Registered Nursing, Provider Systolic Heart Failure Assessment
Number CEP1036 for 3.15 Interventional and Surgical
• Patient Introduction Treatments
contact hours. • Compensatory Mechanisms • Topic Introduction
• Classifications • Types of Treatments
• Signs and Symptoms • Percutaneous and Catheter-based
• Diagnostic Tests Treatments
• Patient Assessment • Post-Procedure Care
• Indications

Copyright ©2020 American Association of Critical-Care Nurses 6

 ECCO: Caring for Patients With Cardiovascular Disorders: Part 4
CARDIO PART 4 — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module explores the Preoperative and Intraoperative Postoperative Management TAVR*
following: Management
First 24 Hours: ICU-Only Patient TAVR Selection and Procedure
• Coronary artery bypass CABG Care ICU Only
grafting
• Patient Introduction
• Patient Introduction • Topic Introduction • Eligibility and Site Selection
• Cardiac valve repair and
replacement
• CABG Indications • Communicate Effectively • Procedure
• Surgical approaches
• OPCAB • Hypothermia Outcomes • Patient Update
• MIDCAB • Patient Assessment *TAVR = Transcatheter aortic valve replacement
• Physiologic effects of
cardiopulmonary bypass • Bypass Conduits • Patient Care Priorities
Postoperative Patient Care
• Expected patient course • Patient Care Considerations • Patient Update
• Patient Update
• Identification of patient care • Patient Update • Extubation
• Patient Care Priorities
priorities Valve Surgery First 24 Hours: Patient Care • TAVR Approaches
• Recognition and • Topic Introduction • Topic Introduction • Complications
management of potential
• Indications • Patient Update • Conduction Abnormality Risk
complications
• Replacement Risk Factors • Fluid Imbalances • Additional Patient Care
The topic “The First 24
• Mechanical and Tissue Valves • Glycemic Control • Treatments
Hours: ICU-only Patient Care
Assignment on Postoperative • Patient Care Considerations • Patient Update
Care” is included in the ICU- • Mobility
Preoperative Patient Care
only module. • Patient Care Priorities
• Patient Update
CE INFORMATION: • Patient Care Priorities First 24 Hours: Complications
• Diagnostic Workup • Topic Introduction
Up to 4.48 ICU/2.42 PCU
• Diagnostic Studies • Excessive CT Output ICU Only
ANCC contact hours. CERP A.
• Medications Prior to Surgery • Cardiac Output Assessment
The American Association of ICU Only
Critical-Care Nurses (AACN) is Intraoperative Patient Care*
• Cardiac Tamponade Assessment
accredited as a provider of nursing • Patient Update
• Dysrhythmia Treatments
continuing professional • CPB Interventions
development by the American • Neurologic Deficits
• Inflammatory Response
Nurses Credentialing Center’s • Pulmonary Complications
• SIRS Treatment Priorities
Commission on Accreditation, Beyond 24 Hours: Patient Care
• Catecholamines and HTN
Provider Number 0012. The
• RAAS Activation • Topic Introduction
American Association of Critical-
Care Nurses is approved by the • Additional Systemic Effects • Patient Assessment at 24 Hours
California State Board of *This topic is included to educate nurses on • Cardiac Rehabilitation
Registered Nursing, Provider intraoperative conditions that affect postoperative • Interventions
management.
Number CEP1036 for 4.48 • Patient Update
ICU/2.42 PCU contact hours. • Discharge Teaching

Copyright ©2020 American Association of Critical-Care Nurses 7

 ECCO: Caring for Patients With Pulmonary Disorders: Part 1
PULMONARY PART 1 — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module provides an in-depth Assessment, Diagnostics and Oxygen Delivery COPD Thoracentesis and Chest Tubes
review of pulmonary assessment Monitoring • Topic Introduction • Patient Introduction • Topic Introduction
techniques, including lung
sounds, diagnostic tests and Pulmonary Assessment • Supplemental Oxygen Indicators • Etiology • Thoracentesis Procedure
arterial blood gas interpretation. • Topic Introduction • Supplemental Oxygen Devices • Pathophysiology • Chest Tubes
Additionally, this module provides • Indicators for Advancement • Signs, Symptoms and Assessment • Closed-Chest Drainage Systems
a review of oxygen delivery • Auscultation Procedure
devices and noninvasive positive • Normal Breath Sounds • Therapies • Drainage Chambers
Positive Pressure
pressure ventilation.
• Abnormal Breath Sounds • Patient Care Priorities • Chest Tube Placement Procedure
• Topic Introduction
Additional reviews include • Adventitious Breath Sounds • Indications and
management of the following Respiratory Failure and ARDS* Thoracic Surgical Procedures
disorders: • Recognizing Breath Sounds Contraindications
• Calculating P/F Ratio • Comparing CPAP and BiPAP Respiratory Failure Overview of Procedure
• Pulmonary hypertension
• Endotracheal Intubation • Patient Introduction • Topic Introduction
• Pulmonary emboli Diagnostic Testing
• Pneumonia • Topic Introduction • Pathophysiology • Types of Invasive Procedures
• Acute respiratory failure
• Chest X-Ray Pulmonary Disorders • Diagnostic Testing • Lung Surgeries
• Asthma
• CT, MRI and V/Q Scan Pulmonary Hypertension • Patient Care Priorities
• Chronic obstructive pulmonary Thoracotomy and Pneumonectomy
• Bronchoscopy *ARDS = Acute Respiratory Distress Syndrome
disease • Patient Introduction • Topic Introduction
• Acute respiratory distress • Patient Care Priorities • Disease Progression ARDS • Postsurgical Interventions
syndrome and pleural space Optional content on radiographs is
abnormalities, including pneu- • Clinical Presentation • Patient Update • Patient Education
available as a PDF resource. • Patient Management • Berlin Definition
mothorax and hemothorax. • Respiratory Failure
• Nursing priorities for managing Monitoring • Pharmacologic Therapies • Pathological Response ICU Only • Pain Management
post-pneumonectomy and
• Topic Introduction • Patient Care Priorities ICU Only • Patient Care Priorities • Pneumonectomy
post-thoracotomy
• SpO2 Monitoring Pulmonary Emboli • Alveolar Ventilation
Within each topic, assessments,
interventions and potential • EtCO2 Monitoring • Topic Introduction • Monitoring and Interventions
complications are explored. • Monitoring Oxygenation and • Etiology and Risk Factors
Ventilation Pleural Space Abnormalities
CE INFORMATION:
• Clinical Presentation
• Treatment Outcomes Pneumothorax and Hemothorax
Up to 5.47 ICU/PCU ANCC Managing Oxygenation and
contact hours. CERP A. Ventilation Pneumonia • Topic Introduction
• Topic Introduction • Pathophysiology
The American Association of ABG Analysis
Critical-Care Nurses (AACN) is • Etiology • Spontaneous Pneumothorax
• Topic Introduction • Risk Factors • Signs and Symptoms
accredited as a provider of nursing
continuing professional develop- • Acid-Base Balance • Clinical Presentation • Patient Presentations
ment by the American Nurses • ABG Decision Grid • Meeting Patient Needs • Treatment
Credentialing Center’s Commission • Acid-Base Disorder
on Accreditation, Provider Number Asthma/Status Asthmaticus Pleural Effusions
0012. The American Association of • Topic Introduction • Topic Introduction
Critical-Care Nurses is approved • Pathophysiology of Asthma • Signs and Symptoms
by the California State Board of • Pathophysiology of Status • Management Strategies
Registered Nursing, Provider Asthmaticus • Empyema
Number CEP1036 for 5.47 • Interventions
contact hours.

Copyright ©2020 American Association of Critical-Care Nurses 8

 ECCO: Caring for Patients With Pulmonary Disorders: Part 2
PULMONARY PART 2 — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module provides an Invasive Ventilation Neuromuscular Blockade ICU Only
in-depth review of managing • Topic Introduction
the patient who is receiving
Endotracheal Intubation
• Preventing Complications
invasive mechanical • Patient Introduction
• Train-of-Four
ventilation. • Indications for Intubation
• Pain and Sedation Assessment
The following nursing priorities • ETT Placement
• Pain and Neurologic Assessment
are identified: • Post-Intubation Priorities
• Managing patients with • Preventing Complications Preventing Complications
endotracheal vs. • Topic Introduction
tracheostomy tubes
Tracheostomy Tubes
• Cardiovascular Complications
• Assessing readiness for
• Patient Introduction
• Pulmonary Complications
weaning • Indications for Tracheostomy
• Multisystem Complications
• Weaning • Types of Tubes
• Gastrointestinal Complications
• Extubation vs. decannulation • Tracheostomy Care
• Preventing complications • Emergent Reinsertion Weaning From Ventilation
associated with mechanical • Mucous Plugging • Topic Introduction
ventilation • SBT* Safety Screen Criteria
Mechanical Ventilation
Within each topic, assessments, • Assessing Weaning Readiness
• Topic Introduction
evidence-based interventions • SBT Goals
• Ventilator Settings
and strategies to prevent • Facilitating the Weaning Process
complications are explored. • Ventilator Cycle Events
• Weaning Approaches
Content specific to patients • Volume and Pressure Ventilation
• Long-Term Ventilation Weaning
receiving neuromuscular • Volume Ventilation
*SBT = Spontaneous Breathing Trial
blockade is available in the • Pressure Ventilation
ICU module only. • Nursing Priorities Extubation and Decannulation
• Topic Introduction
CE INFORMATION: Troubleshooting Ventilators
• Extubation Equipment
Up to 2.76 ICU/3.45 PCU • Topic Introduction
• Extubation Procedure
ANCC contact hours. CERP A. • Ventilator Panel Controls
• Patient Care Priorities
The American Association of • Alarm Causes and Nursing
Actions • Decannulation Equipment
Critical-Care Nurses (AACN) is • Decannulation Procedure
accredited as a provider of nursing • Nursing Priorities
• Reintubation Precautions
continuing professional
development by the American Managing the Ventilated Patient
Nurses Credentialing Center’s
Commission on Accreditation, Spontaneous Awakening Trials
Provider Number 0012. The (SATs*)
American Association of Critical- • Patient Update
Care Nurses is approved by the • SAT Safety Screen
California State Board of • Patient Care Priorities
Registered Nursing, Provider
• Failed Sedation Interruption
Number CEP1036 for 2.76
*SAT = Spontaneous Awakening Trial
ICU/3.45 PCU contact hours.

Copyright ©2020 American Association of Critical-Care Nurses 9

 ECCO: Hemodynamic Monitoring of Critically Ill Patients: Part 1
HEMODYNAMIC PART 1 — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module provides an Basics of Hemodynamic Measurement of Arterial Pressure Complications*
in-depth review of Monitoring Systems • Topic Introduction • Patient Update
hemodynamic monitoring • Measure of Hydrostatic Pressure • Common Complications
systems for arterial and Components and Functions
• Topic Introduction • Indirect Methods of Monitoring • Interventions
central venous pressure
BP *Includes information on preventing air embolism
monitoring. • Closed Fluid-Filled Systems
• Verify Waveform Accuracy during insertion and removal of central venous
Topics include: • Component Functions catheters
• Basics of components • External Equipment Functions Removing Arterial Monitoring
Systems
• Setup for hemodynamic Obtaining Accurate Values
monitoring • Topic Introduction
• Topic Introduction
• Arterial pressure monitoring • Procedural Steps
• Ensure Accurate System Values
• Waveform analysis • Level the Air-Fluid Interface
• Central venous pressure Central Venous (CV) Catheters
• Locate the Phlebostatic Axis
(CVP) monitoring
• Dynamic Response Test Catheter Types, Sites and
• CVP waveform analysis Techniques
• Ensure Optimal Waveforms
Each topic area explores • Patient Safety • Topic Introduction
measures to ensure accuracy, • Physiology of CVP Monitoring
troubleshoot hemodynamic
Arterial Pressure Monitoring • Types of CV Catheters
monitoring systems and
prevent complications. • Insertion Sites
Basics of Arterial Catheters • Patient Introduction
CVP waveform analysis and • Topic Introduction
clinical application is an • Team Communication
• Catheter Insertion Sites
ICU-only topic and included Managing Central Venous (CV)
in the ICU module only. • Allen’s Test
Catheters
• System Setup
• Topic Introduction
CE INFORMATION: • Insertion Procedure
• Prevent Bloodstream Infections
Up to 4.39 ICU/4.1 PCU Complications of Arterial • Maintain Sterile Technique
ANCC contact hours. CERP A. Monitoring • Insertion Procedure
The American Association of • Topic Introduction • Multi-Lumen CV Catheter Ports
Critical-Care Nurses (AACN) is • Common Complications
accredited as a provider of nursing • 3-Way Stopcock Waveform Analysis and Clinical
continuing professional Application ICU Only
• Patient Safety
development by the American • Patient Update
• Interventions
Nurses Credentialing Center’s • Measuring CVP
Commission on Accreditation, Arterial Waveforms • Components of CVP Waveform
Provider Number 0012. The • Topic Introduction • Measuring Mean CVP
American Association of Critical- • Arterial Waveform Pattern • Altered Waveforms
Care Nurses is approved by the
• Common Waveform Alterations • Causes of Abnormal CVP
California State Board of
Registered Nursing, Provider • Clinical Interpretation of
Number CEP1036 for 4.39 Waveform Features
ICU/4.1 PCU contact hours. • Calculate Mean Arterial Pressure
(MAP)

Copyright ©2020 American Association of Critical-Care Nurses 10

 ECCO: Hemodynamic Monitoring of Critically Ill Patients: Part 2
HEMODYNAMIC PART 2 — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module provides an Pulmonary Artery (PA) Catheters Cardiac Output Oxygenation and Transport Managing Afterload
in-depth review of nursing ICU Only
• Topic Introduction
priorities for the following:
Factors Affecting Cardiac Output Oxygen Supply and Demand
Indications for PA Catheters • Conditions That Elevate PVR*
• Hemodynamic monitoring
• Topic Overview • Topic Introduction
ICU Only • Reducing PVR
• Cardiac Output Factors • Tissue Perfusion
• Pulmonary artery pressure • Patient Introduction • Systemic Vascular Resistance (SVR)
monitoring ICU Only • Cardiac Index • Oxygen Supply
• Indications for PA Catheter • Vasodilators
• Assessment • Stroke Volume Index (SVI) • Oxygen Delivery (DO2)
• Uses of PA Catheters • Vasopressors
• Consequences of cardiac • Preload • Mixed Venous Oxygen Saturation
• Precautions, Relative (SvO2) • Vasoactive Infusion Extravasation
output monitoring • Afterload
Contraindications • Contractility • SvO2 and ScvO2 *PVR = Pulmonary Vascular Resistance
• Assessment and
interventions for oxygenation Catheter Types ICU Only • Oxygen Supply/Demand Managing Contractility
Measuring Cardiac Output ICU Only Imbalance
and oxygen transport • Topic Introduction • Patient Update
• Topic Introduction
• Alterations in preload, • Types of PA Catheters Conditions Affecting Oxygen • Positive Inotropes
afterload and contractility • Calculation Methods
• PA Catheter Ports Monitoring • Negative Inotropic Medications
• Intermittent Bolus
Each topic area will explore • Topic Overview • Treatment and Titration
Catheter Insertion ICU Only Thermodilution
measures to ensure accuracy, • DO2/VO2 Imbalances
troubleshoot monitoring • Patient Update • Ensuring Accuracy in TDCO
• Continuous Cardiac Output • Conditions Increasing Oxygen
issues, intervene for alterations • Catheter Insertion Sites
and prevent complications. (CCO) Demand
• Insertion Procedure Tasks
• Factors Affecting CCO • Indicators of Oxygen Imbalance
The assignment titled • Monitor Waveforms
“Pulmonary Artery Catheters” Measurements • Causes of Decreased SvO2/ScvO2
• Obtaining PAOP
is available in the ICU module • Causes of Increased SvO2/ScvO2
• Balloon Inflation Safety Alert Clinical Application of Cardiac
only. • “Good Lung, Bad Lung”
• Verify Catheter Placement Output
CE INFORMATION:
• Patient Update Clinical Applications
Waveform Analysis ICU Only
• Hemodynamic Instability • Topic Introduction
Up to 5.2 ICU/4.79 PCU • Topic Introduction
• Causes of Low Cardiac Output • Continuous SvO2 and ScvO2
ANCC contact hours. CERP A. • Components of PAP Waveform ICU Only Monitoring
The American Association of • Measure PA Pressures at End- • Assessing Low Cardiac Output • Improving Oxygen Supply and
Critical-Care Nurses (AACN) is Expiration Reducing Demand
• Elevated Cardiac Output
accredited as a provider of nursing • PAOP Waveform
continuing professional • Measure Mean PAOP Minimal and Noninvasive
development by the American Monitoring Pharmacological Management
• Overwedge
Nurses Credentialing Center’s • Conditions That Change • Topic Introduction Managing Preload
Commission on Accreditation, Waveforms • Types of Minimally Invasive • Patient Update
Provider Number 0012. The Cardiac Output Monitoring
Complications and Associated • Measures of Preload
American Association of Critical- • Functional Hemodynamics
Care Nurses is approved by the Problems ICU Only • Crystalloids
• Passive Leg Raise (PLR) • Colloids
California State Board of • Topic Introduction Maneuver
Registered Nursing, Provider • Insertion-related Complications • Blood Products
• Simplified Treatment Algorithm
Number CEP1036 for 5.2 • Equipment and Catheter • Monitoring Preload
ICU/4.79 PCU contact hours. • Fluid and Titration Interventions
Problems • Preload Reducers
• Patient-related Complications
• CLABSI
• PA Rupture

Copyright ©2020 American Association of Critical-Care Nurses 11

 ECCO: Caring for Patients With Neurologic Disorders: Part 1
NEURO PART 1 — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module provides an in-depth Special Assessment Techniques ICP and Brain Herniation Lab Values Cerebral Spinal Fluid (CSF)
review of neurologic assessment • Topic Introduction Devices
techniques, including: LOC and Mental Status (includes Increased ICP
• Sodium and Water Imbalances • Patient Introduction
• Standardized scales Speech and Delirium) • Topic Introduction
• Serum and Urine Osmolality • CSF Drainage
• Diagnostic tests • Topic Introduction • Monro-Kellie Hypothesis
• Additional Lab Testing • Adjusting Drainage Amounts
• Intracranial pressure monitoring • Types of Neurologic Exams • Causes
• Patient Monitoring of AEDs* • Patient Transport
• Overview of death by • Assessing LOC • Pathophysiology and Etiology
neurologic criteria • Assessing Drainage
• Assessing Mental Status • Signs and Symptoms *AEDs = Antiepileptic Drugs
• Vital sign evaluation • Troubleshooting the EVD
• Types of Aphasia • Effects
Nursing priorities for the patient with • Lumbar Drain
• Dysarthria Neurologic Monitoring
intracranial pressure (ICP) Herniation
monitoring include: • Assessing Cognition and Mental
Status • Patient Introduction ICP Monitoring
• Use of invasive ICP monitoring • Cranial Anatomy • Patient Introduction
• ICP waveform analysis ICU Only Motor and Sensation • Brain Herniation • Noninvasive Monitoring
• Setup, maintenance and • Topic Introduction
troubleshooting cerebral spinal
• Emergency Interventions • Invasive Monitoring ICU Only
• Assessing Motor Function
fluid drains
Death by Neurologic Criteria • System Components ICU Only
• Evaluating Pronator Drift
Each topic area explores • Patient Update • Management During Insertion
measures to ensure accuracy, • Assessing Sensation ICU Only
troubleshoot monitoring issues, • Assessing Sensation in Patients • Criteria
intervene for alterations and • Laws and Policies • Management Post-Insertion
With SCI* ICU Only
prevent complications. • Testing ICU Only
*SCI = Spinal cord injury
Optional content for PCU on ICP • Communicating With Family ICP Waveform Analysis ICU Only
monitoring, waveform analysis CN and Brainstem Function ICU Only • Topic Introduction
and other monitoring is available
as PDF resource.
• Topic Introduction • Organ Donation/Procurement • ICP Waveform Analysis
• Cranial Nerve (CN) Assessment • Trended Waveforms
CE INFORMATION: • Special Patient Populations Diagnostic Testing Managing ICP
Up to 4.35 ICU/3.45 PCU Scales and Special Assessments Specialized Diagnostic Tests • Topic Introduction
ANCC contact hours. CERP A. • Patient Introduction • Family and Patient Education
• Topic Introduction
The American Association of • Glasgow Coma Scale (GCS) • Electroencephalogram (EEG) • Independent Nursing
Critical-Care Nurses (AACN) is • GCS: Eye Opening • Lumbar Puncture (LP) Interventions
accredited as a provider of nursing • GCS: Motor Response • Collaborative Interventions
• Electromyography (EMG) and
continuing professional • GCS: Verbal Response ICU Only
Nerve Conduction Studies
development by the American • Surgical Interventions ICU Only
• GCS: Total Score (NCSs)
Nurses Credentialing Center’s
• Other Assessment Techniques • Additional Care Considerations
Commission on Accreditation, Imaging Diagnostics
Provider Number 0012. The Vital Sign Alterations • Topic Introduction Other Monitoring ICU Only
American Association of Critical- • Topic Introduction • CT and CT Angiography (CTA) • Topic Introduction
Care Nurses is approved by the • Neuronal Supply and Demand
• Autonomic Nervous System (ANS) • Magnetic Resonance Imaging
California State Board of
• Cushing’s Triad (MRI) • Cerebral Perfusion Pressure
Registered Nursing, Provider
• Neurologic Emergencies • Transcranial Doppler (TCD) (CPP)
Number CEP1036 for 4.35
ICU/3.45 PCU contact hours. • Cerebral Angiography and • Brain Tissue Oxygen Monitor
Endovascular Treatment • Other Measurement Devices

Copyright ©2020 American Association of Critical-Care Nurses 12

 ECCO: Caring for Patients With Neurologic Disorders: Part 2
NEURO PART 2 — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module addresses Ischemic Stroke Additional Ischemic Stroke Traumatic Brain and Spinal Cord
neurologic disorders, including: Treatments Injuries
Etiology of Ischemic Stroke
• Strokes • Topic Introduction
• Patient Introduction Traumatic Brain Injuries
• Subarachnoid hemorrhage • Strategies
• Etiology • Patient Introduction
• Traumatic brain and spinal • Intra-arterial (IA) Fibrinolysis
• Risk Factors • Primary and Secondary Injuries
cord injuries • Combination Therapy
• TIA • Etiology
• Seizures • Patient Management
• Symptoms • Intracranial Hemorrhage
• Selected central nervous • Patient Care
• Treatment • Patient Care Priorities
system infections
• Clinical Presentation • Interventions
Presenting signs, diagnosis Hemorrhagic Stroke • Topic Conclusion
and treatments are explored Diagnosing Stroke
with an emphasis on patient • Patient Update Intracerebral Hemorrhage (ICH) Traumatic Spinal Cord Injuries
care priorities and clinical
• Imaging Techniques • Patient Introduction • Patient Introduction
decision-making. • ICH
• CT and MRI Perfusion • Etiology
Additional content on status • Circulation Evaluation • Signs and Symptoms • Priority Assessments
epilepticus is included in the • Focus of Care
• ECG, TTE and TEE • Interventions
ICU module. • Patient Care Priorities • Potential Complications
Immediate Management of • Interventions ICU Only
CE INFORMATION: • Topic Conclusion
Ischemic Stroke
Up to 4.44 ICU/4.42 PCU • Patient Introduction Subarachnoid Hemorrhage
ANCC contact hours. CERP A. • Stroke Response Team • Patient Introduction Other Pathological Conditions
• Patient Care Priorities • Pathophysiology
The American Association of Seizures
Critical-Care Nurses (AACN) is • Hypotension • Signs and Symptoms
• Patient Introduction
accredited as a provider of nursing • Hypertension • Severity Scoring System
• Seizures
continuing professional • Patient Assessment • Patient Care Priorities
• ILAE Classification System
development by the American • Tests • Complications
Nurses Credentialing Center’s • Seizure Activity Phases
• Patient Management
Commission on Accreditation, Fibrinolytic Therapy for Ischemic • Status Epilepticus ICU Only
Provider Number 0012. The Stroke Patient Management for All • Diagnostic Testing
American Association of Critical- • Patient Update Strokes • Treatments
Care Nurses is approved by the • rtPA* • Topic Introduction
California State Board of Central Nervous System Infections
• Patient Care Priorities • Patient Care Priorities
Registered Nursing, Provider • Topic Introduction
• Complications • Early Mobilization
Number CEP1036 for 4.44 • Encephalitis
• Monitoring for Hemorrhagic • Complications
ICU/4.42 PCU contact hours. • Meningitis
Transformation • Medications
• Brain Abscess
• Symptoms of Hemorrhages • Treatment Goals
• Nursing Intervention
• Management of Hemorrhages • Collaborative Care
• Patient Care
*rtPA = Recombinant Tissue Plasminogen Activator

Copyright ©2020 American Association of Critical-Care Nurses 13

 ECCO: Caring for Patients With Gastrointestinal Disorders
GASTROINTESTINAL — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module includes an Diagnostic Testing Liver Failure Intra-abdominal Acute Pancreatitis
overview of GI diagnostic Hypertension ICU Only
testing and nutritional
Imaging Exams Patient Presentation Diagnosis and Treatment
therapies, including enteral • Topic Introduction • Patient Introduction Screening for IAH ICU Only • Patient Introduction
and parenteral nutrition. • CT Scan Preparation • Signs and Symptoms • Patient Update • Pain Management
The learner will explore the • MRI Preparation • Causes • Risk Factors • Etiology of Acute Pancreatitis
diagnosis, management and • Angiography • Understanding Orders • Pathophysiology • Risk Factors
potential complications of GI
• Systemic Effects • Diagnostic Imaging Studies
bleeding, pancreatitis and Other Diagnostic Procedures Assessment
liver failure. • Measuring Pressure • Lab Studies
• Topic Introduction • Patient Assessment
• Effects of Increased IAP* • Treatment Priorities
Measurement of intra- • Liver Biopsy • Patient Care Priorities
*IAP = Intra-abdominal Pressure
abdominal pressure and • Encephalopathy Grades Anticipating Complications
management of intra- • Physical Signs of Liver Failure Monitoring IAP ICU Only • Patient Update
abdominal hypertension Acute GI Bleeding
• Indications of Overt Bleeding • Topic Introduction • Trends to Monitor
are addressed in ICU-only Signs and Symptoms
content. • Patient Care Priorities • Measuring IAP • Risks Associated With ERCP
• Patient Introduction • Abnormal Lab Values • IAH/ACS* Definitions • Treatment
Optional content on • Monitor the Patient
“Endoscopic procedures, • Monitoring for Trends
• Observable Signs Monitoring Responses Managing Complications
Lab studies, GI infections and • IAH Grades
• Upper vs. Lower Bleeding • Patient Update • Patient Update
CDiff” is available as a PDF *ACS = Abdominal Compartment Syndrome
resource. • Common Causes of Upper GI • Ammonia and Encephalopathy • Signs of Complications
Bleeding • Ammonia and Neurotoxicity Managing IAH ICU Only
CE INFORMATION: • Cerebral Edema • Patient Update
Patient Care Priorities
• ICP Monitoring Controversy • Managing Rising IAP
Up to 4.66 ICU/4.33 PCU • Patient Assessment
ANCC contact hours. CERP A. • Medications and Liver Failure • Interventions to Decrease IAH
• Hemodynamic Response to
• Treatment Goals • Managing IAH
The American Association of Hemorrhage
Critical-Care Nurses (AACN) is • Management Goals Ascites Managing Complications ICU Only
accredited as a provider of nursing • Patient Care Priorities • Patient Update • Topic Introduction
continuing professional • Teamwork • Risk Factors for IAH* and • Monitoring for Complications
development by the American Compartment Syndrome • Grade II IAH: Causes and
Nurses Credentialing Center’s Interventions
• Assessing for Ascites Treatments
Commission on Accreditation, • Patient Update
Provider Number 0012. The • Patient Care Priorities
• Interventions
American Association of Critical- • Paracentesis
• Sclerotherapy
Care Nurses is approved by the *IAH = Intra-abdominal Hypertension
• Banding
California State Board of
Registered Nursing, Provider • Balloon Tamponade More Complications of Liver Failure
Number CEP1036 for 4.66 • Signs of Complications • Topic Introduction
ICU/4.33 PCU contact hours. • Infections and Sepsis
Monitoring Responses
• Hypoglycemia
• Patient Update
• Portal Hypertension
• Assessing Post-Intervention
• Hepatopulmonary Syndrome
• Anticipate Lab Findings (HPS)
• Signs of Bleed Resolution • Position a Patient With HPS
• Hepatorenal Syndrome

Continued on next page …

Copyright ©2020 American Association of Critical-Care Nurses 14

 ECCO: Caring for Patients With Gastrointestinal Disorders (cont.)
GASTROINTESTINAL — ASSIGNMENTS, TOPICS AND SUBTOPICS (CONT.)

Other Pathologies Determining Nutrition Route

• Topic Introduction
Bowel Ischemia and Infarction
• Comparing Nutrition Routes
• Patient Introduction
• Indications for EN
• Risk Factors
• Benefits of EN
• Pathophysiology
• Contraindications to EN
• Diagnostic Exams
• Treatment Interventions Enteral Nutrition: Delivery Devices
• Post-Intervention • Patient Update
• Complications • Types of EN Devices
• Avoiding Nutrition Delays
Ileus and Obstructions
• Topic Introduction Enteral Feeding: Tube Placement
• Ileus Pathophysiology and • Patient Update
Etiology • Verifying Proper Tube Placement
• Obstruction Pathophysiology and • Assessing Aspirated Fluid
Etiology • Evaluating EN Tolerance
• Patient Care Priorities • Managing Gastric Residual
• Surgical Intervention Volume (GRV)
Abdominal Trauma • Advancing Nutrition Rate
• Topic Introduction Enteral Nutrition: Monitoring
• Assessment • Patient Update
• Patient Care Priorities • Nutritional Interruptions
• Types of Abdominal Trauma • Preventing Tube Occlusion
• Diagnostic Tools • Risks and Complications of EN
• Indications for Surgery
Enteral Nutrition: Diarrhea Risk
• Potential Complications
• Patient Update
• Causes of Diarrhea
Nutritional Support • Preventing Tube Contamination
Assessing Nutrition Needs Parenteral Nutrition (PN)
• Patient Introduction • Patient Introduction
• Risk Factors • Indications of PN
• Hypermetabolism • Benefits of PN
• Effects of Malnutrition • Types of PN
• Nutritional Evaluation • Potential Complications
• Causes of Malnutrition • Controlling Glucose
• Nutritional Interventions • PN Administration

Copyright ©2020 American Association of Critical-Care Nurses 15

 ECCO: Caring for Patients With Renal Disorders: Part 1
RENAL PART 1 — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module provides an in- Assessment AKI and Acute Tubular Necrosis
depth review of the following: (ATN)
Testing and Monitoring
• Assessment tools for • Patient Update
• Topic Introduction
monitoring kidney function • AKI Risk Factors
• Lab Results
• Nursing priorities for fluid • Types of Renal Dysfunction
and electrolyte disorders • Urinalysis
• Interventions
• Scoring systems to • Serum and Urine Osmolality
• Oliguric Phase
differentiate acute kidney Other Diagnostic Tests • Diuretic Phase
injury and chronic kidney
disease
• Topic Introduction • Recovery Phase
• Types of Dysfunction
• Overview of types of renal Medication and Contrast-Induced
replacement therapies • Diagnostic Imaging AKI (CI-AKI)
(RRTs) • Topic Introduction
• Temporary vs. permanent Fluid and Electrolytes • Patient Introduction
access catheters used for
Fluid Deficit and Excess • Nephrotoxic Medications
dialysis
• Topic Introduction • Prevention/Intervention
Each topic area explores
measures to intervene for • Patient Findings
alterations and prevent • Therapy Chronic Kidney Disease (CKD)
complications. • Water Intoxication Chronic Kidney Disease
• Fluid Volume Excess Therapy • Topic Introduction
CE INFORMATION:
Electrolyte Imbalances • Disease Progression
Up to 4.24 ICU/PCU ANCC
• Topic Introduction • Patient Introduction
contact hours. CERP A.
• Hypo/Hypernatremia • Patient Care Priorities
The American Association of
• Hyper/Hypokalemia Renal Replacement Therapy (RRT)
Critical-Care Nurses (AACN) is
accredited as a provider of nursing • Hypo/Hypercalcemia • Topic Introduction
continuing professional • Hypophosphatemia • Indicators
development by the American • Hypomagnesemia • Patient Management
Nurses Credentialing Center’s
Commission on Accreditation, Peritoneal Dialysis
Acute Kidney Injury (AKI)
Provider Number 0012. The • Topic Introduction
American Association of Critical- Classifying AKI • Patient Introduction
Care Nurses is approved by the • Patient Introduction • Patient Care Priorities
California State Board of • RIFLE Criteria • Lab Values
Registered Nursing, Provider
• KDIGO Guidelines
Number CEP1036 for 4.24 ICU/ Hemodialysis (HD) and HD
PCU contact hours. • Signs and Symptoms Access Sites
• Topic Introduction
• Patient Update
• Protocols
• Patient Care Priorities
• Arteriovenous Patient Care
• Post HD

Copyright ©2020 American Association of Critical-Care Nurses 16

 ECCO: Caring for Patients With Renal Disorders: Part 2 ICU Only

RENAL PART 2 — ASSIGNMENTS, TOPICS AND SUBTOPICS

MODULE DESCRIPTION:
This module provides an in- Common Considerations in
depth overview of principles CRRT ICU Only
of renal replacement
therapy (RRT) for the patient Principles of Renal Replacement
experiencing continuous Therapy ICU Only
renal replacement therapy • Topic Introduction
(CRRT). • Patient Considerations
Topics include: • Continuous Renal Replacement
• Evaluating CRRT orders Therapy (CRRT)
based on patient condition Transport Mechanisms in CRRT
• Assessing and ICU Only
troubleshooting the CRRT • Patient Update
circuit
• Dialysate Composition
• Calculating fluid removal
• Dialysis Principles
rates
• Ensuring patient safety Maintaining the Filter and the
Within each topic area,
Circuit ICU Only
measures to intervene for • Topic Introduction
alterations and prevent • Fluid Replacement and
complications are explored. Anticoagulation
• Intake and Output Fluids
CE INFORMATION: (Calculations for Net Fluid
Up to 2.83 ICU ANCC contact Removal)
hours. CERP A. • Patient Care Priorities (Dialysate/
Replacement Solutions)
The American Association of
• Anticoagulants
Critical-Care Nurses (AACN) is
accredited as a provider of nursing • Complications
continuing professional
development by the American Types and Complications of
Nurses Credentialing Center’s CRRT ICU Only
Commission on Accreditation,
Provider Number 0012. The Types of CRRT ICU Only
American Association of Critical- • Topic Introduction
Care Nurses is approved by the • CRRT Procedures (SCUF,
California State Board of CVVH, CVVHD, CVVHDF)
Registered Nursing, Provider
Number CEP1036 for 2.83 Complications of CRRT ICU Only
contact hours. • Topic Introduction
• Patient Update
• Clotting Interventions
• Patient Care Priorities
• Correcting Acidosis
• Collaborative Care
• Patient Management for
Decompensation on CRRT

Copyright ©2020 American Association of Critical-Care Nurses 17

 ECCO: Caring for Patients With Endocrine Disorders
ENDOCRINE — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This modules provides an Endocrine System Assessment Diabetic Ketoacidosis (DKA) Cerebral Salt Wasting (CSW)
in-depth overview of assess- • Patient Update • Topic Introduction
ment, management, nursing
Assessing Pancreatic Function
• Pathophysiology • Patient Presentation
priorities, and evaluation • Topic Introduction
• Signs and Symptoms • Signs and Symptoms
of patients with a variety of • Patient Introduction
endocrine disorders. • Treatment Goals • Underlying Causes
• Blood Glucose Testing
• Management Priorities • Etiology
Topics include: • Blood Glucose Values
• Electrolyte Management • Management
• Assessing the endocrine system • Ketones
• Normalizing Blood Glucose
• Managing diabetes and Assessing Pituitary Functions
diabetic emergencies Hyperglycemic Hyperosmolar Thyroid Disorders
• Topic Introduction
• Managing patients with State (HHS) Hyperthyroidism
• ADH
disorders of the pituitary • Topic Introduction • Topic Introduction
and thyroid glands • Subjective and Objective
• Patient Presentation • Signs and Symptoms
• Information on patients with
Assessments
• Pathophysiology • Thyroid Storm
cerebral salt wasting • ADH Effects on Osmolality
• Clinical Monitoring • Treatment
• Managing hyperglycemia in • Fluid Volume Status
• Lab Values
the critically ill patient with Hypothyroidism
Thyroid and Parathyroid • Management
continuous insulin infusions
Functions • Differential Diagnosis • Topic Introduction
Each topic area explores as- • Topic Introduction • Myxedema Coma
sessment tools and diagnos- • Hypo- or Hyperthyroidism • Identifying Myxedema Coma
tics, measures to intervene for Pituitary and Non-Pituitary
alterations and tips to prevent Disorders • Myxedema Coma Interventions
complications. Diabetes and Complications
Diabetes Insipidus (DI)
Optional content is available Managing Hyperglycemia
Diabetes and Complications • Patient Introduction
on assessing parathyroid and
• Patient Introduction • Assessments Insulin Administration
adrenal glands, managing
parathyroid and adrenal • Types of Diabetes • Pathophysiology • Patient Introduction
disorders, and calculating • Etiology • Lab Values • Insulin Administration
total daily dose of insulin in a • Pathophysiology • Patient Management • Treatment Considerations
PDF resource. • Therapeutic Interventions • Potential Complications • Insulin Sensitivity
• Maintaining Blood Glucose • Patient Education • Insulin Resistance
CE INFORMATION: Levels • Patient Safety
Up to 4.73 ICU/PCU ANCC • Insulin Therapy Syndrome of Inappropriate
contact hours. CERP A. Antidiuretic Hormone (SIADH) Patients With Insulin Pumps
Hypoglycemia • Patient Update • Topic Introduction
The American Association of • Patient Introduction • Pathophysiology • Pump Types
Critical-Care Nurses (AACN) is
• Risks of Hypoglycemia • Etiologies • Halting the Pump
accredited as a provider of nursing
continuing professional development • Patient Assessment • Patient Care Priorities • Minimize Hypoglycemia Risk
by the American Nurses Creden- • Treatment Protocols • Patient Monitoring • Partnering With Patients
tialing Center’s Commission on • Patient Care Priorities
Accreditation, Provider Number • Maintaining Blood Glucose
0012. The American Association of Levels
Critical-Care Nurses is approved by • Monitoring
the California State Board of Reg-
istered Nursing, Provider Number
CEP1036 for 4.73 contact hours.

Copyright ©2020 American Association of Critical-Care Nurses 18

 ECCO: Caring for Patients With Hematological Disorders
HEMATOLOGICAL — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module provides an in-depth Diagnostic Testing Disseminated Intravascular Complications of Transfusions
overview of assessment, manage- Coagulation (DIC) • Topic Introduction
ment, nursing priorities, interven- Hematologic Studies
• Patient Update • Complications
tions and evaluation for managing • Topic Introduction
patients with a variety of hemato- • Pathophysiology • Transfusion Reaction
• Patient Introduction
logic and coagulation disorders. • Risk Factors • Pulmonary Edema & TACO*
• Complete Blood Count (CBC)
Topics include: • Diagnostic Tests • TRALI**
• H&H
• Laboratory evaluation for hemato- • Signs and Symptoms ICU Only *TACO = Transfusion Associated Circulatory
logic and coagulation disorders • Common Errors
• Patient Care Priorities ICU Only Overload
• Nursing priorities and treatment • Platelet Count
• Therapy for Bleeding ICU Only **TRALI = Transfusion Related Acute Lung Injury
options for managing patients • Non-CBC Tests
with thrombocytopenia
• Heparin-induced thrombocyto- Coagulation Studies Other Pathologic Conditions
penia (HIT) • Topic Introduction
• Disseminated intravascular • PT-INR and aPTT Anemia
coagulation (DIC)
• Lab Draws • Topic Introduction
• Anemia: blood loss and hemolytic • Compensatory Mechanisms
• Considerations for Testing
• Venous thromboembolism (VTE) • Signs and Symptoms
• Drug-induced coagulopathies
• Additional Diagnostic Tests (FSP,
D-Dimer, Anit-Xa, Fibrinogen, • Types of Anemia
• Reversal agents for anticoagulants
TEG) • Diagnostic Tests
Nursing priorities are addressed for • Treatment
patients receiving blood product
transfusions and assessing for Thrombocytopenias • Response to Treatment
transfusion complications, including
pulmonary edema, transfusion Thrombocytopenia Venous Thromboembolism (VTE)
reaction, transfusion-related acute lung • Topic Overview • Topic Introduction
injury (TRALI) and transfusion-asso- • Risk Factors
ciated circulatory overload (TACO). • Pathophysiology
• Etiologies • Treatment
Each topic area explores assess- • Anticoagulant Transition
ment tools and diagnostics, mea- • Treatment
sures to intervene for alterations • Transfusion Risks • Contraindications
and tips to prevent complications.
• Transfusion Thresholds Drug-Induced Coagulopathies
CE INFORMATION:
• Response to Treatment • Topic Introduction
Heparin-Induced • Risk Factors
Up to 3.14 ICU/PCU ANCC
Thrombocytopenia (HIT) • Diagnostic Tests and Response to
contact hours. CERP A.
• Patient Introduction Treatment
The American Association of • Anticoagulant Reversal Agents
Critical-Care Nurses (AACN) is • Pathophysiology
accredited as a provider of nursing • Risk Factors
continuing professional development • Signs and Symptoms Transfusions and Complications
by the American Nurses Creden- • Diagnostic Criteria Transfusion of Blood Products
tialing Center’s Commission on • Treatment • Patient Update
Accreditation, Provider Number
0012. The American Association of • Transfusion Indications
Critical-Care Nurses is approved by • Double-Check Procedure
the California State Board of Reg- • Transfusion Protocol
istered Nursing, Provider Number • Complications
CEP1036 for 3.14 contact hours. • Response to Treatment

Copyright ©2020 American Association of Critical-Care Nurses 19

 ECCO: Caring for Patients With Multisystem Disorders
MULTISYSTEM — ASSIGNMENTS, TOPICS AND SUBTOPICS
MODULE DESCRIPTION:
This module provides an in- Shock SIRS, Sepsis and MODS* Behavioral
depth review of the following:
Shock Syndrome SIRS, Sepsis, MODS Continuum Alcohol
• Different types of shock
(hypovolemic, cardiogenic,
• Patient Introduction • Topic Introduction • Patient Introduction
neurogenic and • Types of Shock • Continuum of Sepsis, Septic • Patient Screening
anaphylactic) • Stages of Shock Shock and MODS • Assessing for Alcohol Withdrawal
• SIRS-sepsis-septic shock • Patient Management • Screening and Risk Assessment • Initial Management
continuum Tools • Treatment Management
Hypovolemic Shock *MODS = Multisystem Organ Dysfunction Syndrome
• Multisystem organ • Monitor Patient Response
dysfunction syndrome
• Patient Update
Sepsis Screening • Symptom-Triggered Therapy
(MODS) • Etiologies
• Hemorrhage Classification • Patient Introduction Drug Overdose
• Rhabdomyolysis
• Diagnostic Indicators • Sepsis and Risk Assessment • Topic Introduction
• Necrotizing fasciitis
• Corrective Actions Screening • Diagnostic Testing
• Behavioral issues in critical
• Assess the Patient • Drug Overdose Management
care, including alcohol Cardiogenic Shock
withdrawal and substance • Evaluate the Screening Criteria • Neurologic Depression
abuse
• Patient Introduction • Patients at Risk • Clearing Toxins
• Mortality Rate • Hospital Protocols
Each topic area explores • Specific Drug Treatments
• Underlying Causes
assessments, evidence-based Sepsis • Monitoring and Preventing
interventions and strategies to • Pathophysiology
• Patient Update Complications
prevent complications. • Diagnostics
• Treatment • Indicators of Organ Dysfunction
The assignment “Multisystem • Impaired Capillary Perfusion Necrotizing Fasciitis and
Organ Dysfunction Syndrome Obstructive Shock • Pathophysiology Rhabdomyolysis
(MODS)” is available in the
• Topic Introduction • 3-Hour Sepsis Bundle
ICU module only. Necrotizing Fasciitis
• Common Causes • Trending • Topic Introduction
CE INFORMATION: • Treatment • 6-Hour Sepsis Bundle • Etiology and Pathophysiology
Up to 5.37 ICU/3.69 PCU Neurogenic Shock International Evidence-based • Signs and Symptoms
ANCC contact hours. CERP A. • Topic Introduction Treatment Bundles • Patient Profile
The American Association of • Sympathetic Tone Loss • Topic Introduction • Patient Assessment
Critical-Care Nurses (AACN) • Causes • Septic Shock • Immediate Priorities
is accredited as a provider of • Diagnosis • Evidence-based Interventions • Psychosocial Support
nursing continuing professional • Hemodynamic Status • Family Support and Goals of Care
development by the American Rhabdomyolysis
• Treatment
Nurses Credentialing Center’s MODS ICU Only • Topic Introduction
Commission on Accreditation, Anaphylactic Shock • Patient Update • Pathophysiology
Provider Number 0012. The • Topic Introduction • Populations at Risk • Causes
American Association of Critical- • Pathophysiology • Pathophysiology • Signs and Symptoms
Care Nurses is approved by the • Diagnostic Criteria
California State Board of • Evidence-based Interventions • Diagnostic Criteria
Registered Nursing, Provider • Signs and Symptoms • End-of-Life Decisions • Complications
Number CEP1036 for 5.37 • Treatment • Interventions
ICU/3.69 PCU contact hours.

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