This podcast is an interview with Lynne Rudderow, MSN, RN, CRNP, WHNP-BC, CCE, a women’s health nurse practitioner for Penn Medicine, Chester County Hospital. While evidence on COVID-19 in pregnancy is lacking, Lynne shares what current recommendations are for prenatal care, care during labor and delivery, postpartum care, and breastfeeding.  

*Note: this podcast was recorded on April 10, 2020. For the most up to date information, please visit our Coronavirus (COVID-19) Resource page, where you’ll find links to the CDC and WHO, plus free access to our point-of-care tools and more.

This podcast is an interview with Robin Haskell, an acute care nurse practitioner for Penn Medicine, Chester County Hospital. Robin reviews the background of the new Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19),  and discusses each element of the recommendations and suggestions, including infection control, laboratory diagnosis and specimens, hemodynamic support, ventilatory support, and COVID-19 therapy. Highlights of how these guidelines differ from the guidelines for sepsis management and acute respiratory distress syndrome (ARDS) are also presented.

*Note: this podcast was recorded on March 27, 2020. For the most up to date information, please visit our Coronavirus (COVID-19) Resource page, where you’ll find links to the CDC and WHO, plus free access to our point-of-care tools and more.

This podcast is an interview with Dr. Anne Dabrow Woods, Chief Nurse of Wolters Kluwer Health Learning, Research & Practice, adjunct faculty for Drexel University, and a critical care nurse practitioner for Penn Medicine, Chester County Hospital. Our discussion covers topics such as personal protective equipment (PPE) – both availability of resources and the time necessary to put on full gear to protect ourselves, decisions on supportive care when faced with ventilator shortages, and the lack of social support for patients when visitors are restricted. Dr. Woods closes with inspirational words on resiliency and recovery when this crisis is over.

*Note: this podcast was recorded on March 26, 2020. For the most up to date information, please visit our Coronavirus (COVID-19) Resource page, where you’ll find links to the CDC and WHO, plus free access to our point-of-care tools and more.

This podcast is an interview with Dr. Anne Dabrow Woods, Chief Nurse of Wolters Kluwer Health Learning, Research & Practice, adjunct faculty for Drexel University, and a critical care nurse practitioner for Penn Medicine, Chester County Hospital. The discussion is around COVID-19 and the resulting surge of patients overwhelming the healthcare system. In some areas, hospitals have increased their bed capacity to accommodate more patients, which brings up the question – who will care for these patients? Dr. Woods shares specific recommendations for strategies to increase staff quickly, including alternative staffing and onboarding models.

*Note: this podcast was recorded on March 26, 2020. For the most up to date information, please visit our Coronavirus (COVID-19) Resource page, where you’ll find links to the CDC and WHO, plus free access to our point-of-care tools and more.

On March 11, 2020, the World Health Organization declared coronavirus disease, also known as COVID-19, a pandemic.  In this interview with Collette Hendler, RN, MS, MA, CIC, Editor-in-Chief for Lippincott Solutions and Certified Infection Preventionist, we break down the terms for our own understanding and to help keep our patients and the public informed. We also discuss what nurses and institutions should do in preparation and response to this virus. 

*Note: this podcast was recorded on March 13, 2020. For the most up to date information, please visit our Coronavirus (COVID-19) Resource page, where you’ll find links to the CDC and WHO, plus free access to our point-of-care tools and more.

Nurses are on the frontlines caring for patients with possible and confirmed cases of coronavirus, or COVID-19. Listen to this interview with Betsy Todd, MPH, RN, Nurse Epidemiologist and Clinical Editor for American Journal of Nursing, and Lisa Bonsall, Clinical Editor for Lippincott NursingCenter, to learn important facts that nurses need to know, specifically when it comes to infection control and prevention. They review the basics about categories of isolation precautions, discuss current recommendations, and review teaching points for the public. Details of the virus and its transmission are changing quickly, so please remember to stay up to date on recommendations and rely on reputable sources – identified during this podcast – for information.

*Note: this podcast was recorded on March 6, 2020. For the most up to date information, please visit our Coronavirus (COVID-19) Resource page, where you’ll find links to the CDC and WHO, plus free access to our point-of-care tools and more.

Listen in as Megan Doble, DNP, FNP-C, AGACNP-C, reviews the basics of sepsis and the latest recommendations on managing patients with sepsis. 

By remaining up to date on the latest research and recommendations, nurses can recognize subtle clinical changes that are the precursors to sepsis and best advocate for patients. 

Dr. Doble discusses:
*Current definitions related to sepsis
*Sepsis pathophysiology
*Patient care recommendations

The take home message is recognizing sepsis as a medical emergency, as early recognition and treatment can prevent death. 

References:
Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., Machado, F. R., Mcintyre, L., Ostermann, M., Prescott, H. C., Schorr, C., Simpson, S., Wiersinga, W. J., Alshamsi, F., Angus, D. C., Arabi, Y., Azevedo, L., Beale, R., Beilman, G., Belley-Cote, E., … Levy, M. (2021). Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Intensive care medicine, 47(11), 1181–1247. https://doi.org/10.1007/s00134-021-06506-yv

Levy, M. M., Evans, L. E., & Rhodes, A. (2018). The Surviving Sepsis Campaign Bundle: 2018 update. Intensive care medicine, 44(6), 925–928. https://doi.org/10.1007/s00134-018-5085-0   

Rhodes, A., Evans, L. E., Alhazzani, W., Levy, M. M., Antonelli, M., Ferrer, R., Kumar, A., Sevransky, J. E., Sprung, C. L., Nunnally, M. E., Rochwerg, B., Rubenfeld, G. D., Angus, D. C., Annane, D., Beale, R. J., Bellinghan, G. J., Bernard, G. R., Chiche, J. D., Coopersmith, C., De Backer, D. P., … Dellinger, R. P. (2017). Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016. Intensive care medicine, 43(3), 304–377. https://doi.org/10.1007/s00134-017-4683-6

Singer, M., Deutschman, C. S., Seymour, C. W., Shankar-Hari, M., Annane, D., Bauer, M., Bellomo, R., Bernard, G. R., Chiche, J. D., Coopersmith, C. M., Hotchkiss, R. S., Levy, M. M., Marshall, J. C., Martin, G. S., Opal, S. M., Rubenfeld, G. D., van der Poll, T., Vincent, J. L., & Angus, D. C. (2016). The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA, 315(8), 801–810. https://doi.org/10.1001/jama.2016.0287

Transcript

For more sepsis resources, visit Focus On: Sepsis. 

In healthy patients, most fluids are confined in three spaces of the body: the intravascular space (in the blood vessels), the intracellular space (in the cells), or the interstitial spaces. The interstitial spaces are the small spaces between cells that are not contained within blood vessels. In normal situations, fluid moves between all three spaces to maintain fluid balance. Third-spacing occurs when too much fluid moves from the intravascular space into the interstitial or “third” space.

Reference:
Holcomb, S. (2009). Topics in Progressive Care: Third-Spacing: When Body Fluids Shifts. Nursing in Critical Care, 4(2). doi: 10.1097/01.NURSE.0000325345.22694.44

Dr. Patrick Robinson is the Dean of the School of Nursing and Health Sciences at Capella University. Dr. Robinson has a wealth of experiences and achievements in academia and nursing leadership, as well as clinical expertise caring for HIV/AIDS patients. Learn about his journey in nursing, along with the work being done at Capella University and the Nurses on Boards Coalition to prepare nurses to be leaders in health care. Some highlights from this conversation include words of wisdom from Dr. Robinson’s own mentor, Joan Shaver, PhD, RN, FAAN, Dean of the School of Nursing at the University of Arizona. In fact, when presented with a problem or challenge, Dr. Robinson often asks himself, “What would Joan do?” Listen in to learn three takeaways from this advice.


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