Program Description This course is a review of emergency nursing designed to assist the participant in successfully obtaining CEN® certification. The course offers lectures, graphics, videos and practice questions in many of the areas that are tested on the CEN® Exam. This review will provide not only a knowledge base for successfully completing the exam, but also a foundation for further study as the participant works towards emergency nursing certification. Program Learning Outcomes This program prepares the learner to: 1. Discuss priorities of the primary and secondary assessment of patients in presenting to the emergency department. 2. Describe basic principles of disaster management. 3. Analyze the effectiveness of patient or family education in a clinical scenario. 4. Discuss the basic principles of safe interfacility transfer. 5. Describe anticipated assessment findings of patients with selected respiratory, medical, cardiovascular, neurologic, toxicologic, gastrointestinal and genitourinary emergencies. 6. Plan and prioritize interventions of patients with selected respiratory, medical, cardiovascular, neurologic, toxicologic, orthopedic, psychiatric or gastrointestinal emergencies. 7. Select appropriate triage categories for patients in clinical scenarios. 8. Differentiate cardiogenic, hypovolemic and distributive shock with regards to assessment and management. Module Description The CEN Exam contains 20 questions related to cardiovascular emergencies. The content ranges from coronary artery disease to peripheral vascular disease. This session will assist participants to understand the various diseases that influence the cardiovascular system as well as the drugs used to treat them. Participants will be introduced to assessment of cardiovascular disorders, interventions that are appropriate for various cardiovascular disorders and methods for evaluating care given to patients with cardiovascular disorders. Module Learning Outcomes This module prepares the learner to: 1. Define preload, afterload, cardiac output and stroke volume. 2. Recognize problems with implanted pacemakers that present to the emergency department. 3. List drugs that are used to control tachycardic rhythms. 4. State nursing interventions for a patient experiencing an acute aortic dissection. 5. Differentiate between the symptoms of a right-sided myocardial infarction and a left-sided myocardial infarction. 6. Differentiate treatments implemented for arterial versus venous peripheral vascular occlusions.