Certified Emergency Nurse® (CEN)

About the Speaker

Jeff Solheim MSN RN-BC CEN CFRN FAEN

Jeff brings with him a wealth of nursing background, including clinical nursing in medical/surgical and emergency medicine, cruise-ship nursing, flight nursing, nursing management, state surveyor, and nursing educator. Jeff currently finds his fulfillment speaking in front of audiences around the world on a variety of clinical and motivational topics.

Jeff was honored by the Emergency Nurses Association with the “Nursing Education Award” for his outstanding contribution to Emergency Nursing through education and publication and in 2008, was inducted as a fellow in the Academy of Emergency Nursing.

Jeff has authored eight CEN review books, authored the online CEN review course for MCStrategies and the Emergency Nurses Association and has co-authored and edited numerous other textbooks, online courses and publications. Jeff is currently the co-editor of the column “Experience Talks” in the Journal of Emergency Nursing.

Jeff is also the founder and executive director of Project Helping Hands, a not-for-profit humanitarian medical organization that coordinates medical teams in developing nations. Jeff has personally led over 50 teams to countries all around the world.

Particular Heading Text that Captures Point of Brochure

Location Name 1-800-000-0000

Certified Emergency

Nurse® (CEN)

REVIEW

Tuba City, AZ April 15 – 16, 2014

July 11 & 12, 2011

Successfully completing the Certified Emergency Nurse (CEN) exam is a challenge that has been completed by only a minority of emergency nurses. This course is a review of emergency nursing designed to assist the participant to be successful in 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 provides a foundation for further study as the participant works toward emergency nursing certification.

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Refunds and Substitutions We have a no refund policy. Once your registration is submitted, payment will be processed and cannot be refunded for any reason.

Moenkopi Legacy Inn & Suites Tunatya Room 1&2

P.O. Box 2260 Tuba City, AZ 86045 Phone 928.283.4500

www.experiencehopi.com

Tues April 15 & Wed April 16, 2014, 8 AM – 5 PM

If you plan to stay at the Moenkopi Legacy Inn & Suites during the event, please book your room directly with the hotel by calling (928) 283-4500. When making your reservations, be sure to indicate that you will be attending the Certified Emergency Course sponsored by the AZ Chapter of the American Academy of Pediatrics and use Group Code P0415. Book by March 30th, 2014 to recieve a discounted rate. CONTACT HOURS

This activity has been approved by the Emergency Nurses Association for 16.4 contact

hours (Activity Code 120116-OR-C). The Emergency Nurses Association is accredited as an approver of continuing nursing education by the

American Nurses Credentialing Center’s Commission on Accreditation.

http://www.experiencehopi.com/

CEN Review Course

Day One Sessions Day Two Sessions

Registra t ion @0730

Review of Exam

Shock and Multi -system Trauma

Cardiovascular Emergencies

Medical Emergencies

Gastrointestinal Emergencies

Genitourinary/Obstetrical/ Gynecological Emergencies

Neurological Emergencies

Registra t ion @ 0730

Respiratory Emergencies

Toxicological and Environmental Emergencies

Professional Issues

Maxillofacial and Ocular Emergencies

Orthopedic/Wound Emergencies

Psychological and Social Emergencies

Moenkopi Legacy Inn & Suites Tunatya Room 1&2

P.O. Box 2260 Tuba City, AZ 86045

Tues April 15 & Wed April 16, 2014,

8 AM – 5 PM

$50.00/person for individuals or Free to Pediatric Prepared Emergency Care Hospital Members

Includes daily lunch & course syllabus

Registration is available online: https://events.r20.constantcontact.com/register/eventReg?llr=l4feghcab&oeidk=a07e8pqb99811f55ce8

https://events.r20.constantcontact.com/register/eventReg?llr=l4feghcab&oeidk=a07e8pqb99811f55ce8



COURSE DESCRIPTION: Successfully completing the Certified Emergency Nurse (CEN) ® exam is a challenge that has been completed

by only a minority of emergency nurses. Successful completion of this exam exhibits to others that the bearer has demonstrated a knowledge

base in the specialty of emergency nursing that exceeds their peers.

This course is a review of emergency nursing designed to assist the participant to be successful in obtaining CEN certification. The course

offers lectures, graphics, videos and practice questions in many of the areas that are tested on the CEN examination. 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.

ABOUT THE SPEAKER: Jeff Solheim RN-BC MSN CEN CFRN FAEN

Jeff brings with him a wealth of nursing background, including clinical nursing in medical/surgical and emergency medicine, cruise-ship

nursing, flight nursing, nursing management and administration, state surveyor, and nursing educator. Jeff currently finds his fulfillment

speaking in front of audiences around the world on a variety of clinical and motivational topics. He was honored by the Emergency Nurses

Association with the “Nursing Education Award” for his outstanding contributions to Emergency Nursing through education and publishing

and in 2008, was inducted as a fellow in the Academy of Emergency Nursing. Aside from speaking, Jeff contributes to numerous journals

and publications. He is the co-editor of the Manager’s Forum for the Journal of Emergency Nursing, is a regular contributor to Nursing

Spectrum, and has served as editor or author for numerous books.

Jeff wrote the CEN Review course in 2004 and has offered it in locations around the world over hundreds of times since. He has been invited

to present the course at the Emergency Nurses Association annual convention for numerous years and has been invited by the Emergency

Nurses Association to offer his course as a live webinar through the organization. Jeff is the author and editor of numerous resource books

utilized by participants in preparing for the CEN exam including a series of review books entitled “Pocket Pearls” and another series of books

entitled “Pocket Practice”. Jeff authored and edited an online CEN Review course in conjunction with the Emergency Nurses Association for

MC Strategies – an affiliate of Mosby-Elsevier publishing company. Jeff’s CDs, DVDs and iPod versions of the CEN review course have

sold thousands of copies over the past decade.

Aside from his work in the nursing field, Jeff is also the founder and director of a third world humanitarian organization called Project

Helping Hands which regularly takes medical teams into various third world countries. Jeff has personally visited over fifteen different

countries and led over 30 teams through his organization.

Jeff combines his sense of humor with stories from his travels around the world to make each seminar a fun and unforgettable experience.

DAY ONE – MORNING SESSION (0800 – 1200)

Review of exam

Preparing for the exam

Registering for the exam

Exam taking tips

Shock

Hypovolemic shock

Anaphylactic shock

Septic shock

Neurogenic shock

Obstructive shock

Medical Emergencies

Infectious diseases

Endocrine disorders

Hematological disorders

Fluid and electrolyte disorders

Psychosocial Emergencies

Psychosis

Eating Disorders

Abuse

Grief

Lunch (1200 – 1300)

DAY ONE – AFTERNOON SESSION (1300 – 1700)


Esophageal Emergencies

Stomach Emergencies

Emergencies of the organs of the biliary tree

Intestinal Emergencies

Abdominal trauma

Genitourinary, Gastrointestinal and

Obstetrical Emergencies

Genitourinary trauma

Male Issues

Gynecology

Obstetrics

Childbirth and post-natal care


Neurological Assessment

Neurological Trauma

Headaches

Seizures

Chronic Neurological Disorders

DAY TWO – MORNING SESSION (0800 – 1200)


Cardiovascular Physiology

Dysrhythmias

Vasopressors

Heart Failure

Coronary Artery Disease

Cardiac Infections

Peripheral Vascular Disease


Blood gases

Chronic Obstructive Pulmonary Disease

Pulmonary Embolism

Pulmonary Edema

Pulmonary trauma

Professional issues

Pain management

End-of-life issues

Disaster management

Evidence Based Practice and Research

Patient transport

Forensics

Critical Incident Stress Management

Ethics

DAY TWO – AFTERNOON SESSION (1300 – 1700)

Maxillofacial Emergencies

Disorders of the cranial nerves

Mouth and throat disorders

Nasal disorders

Ear disorders

Ocular disorders

Facial trauma

Orthopedic and Wound Trauma

Wounds

Infections

Joint Injuries

Fractures

Orthopedic complications

Amputations

Toxicological and Environmental

Emergencies

Toxidromes

Medicinal overdoses

Non-medicinal overdoses

Chemical and radiological exposures

Heat and cold related injuries

Animal injuries

Title of Educational Activity: Certified Emergency Nurse (CEN) Review Course

Learner Objectives

Content (Topics) Outline

Time Frame

Presenter

Teaching Methods

State the educational objectives for this CNE

activity in behavioral terms that define the

expected outcomes for the learner. They must

be expressed in measurable terms, identify

observable actions, and specify one action or

outcome per objective.

At the end of this activity, the learner will be

able to:

Provide an outline of the content for each

objective. Each objective must have a directly

related content outline that is more than a

restatement of the objective.

Provide a time

frame for each

objective and

its related

content.

List the presenter for each

objective. (Attach a bio

form for each presenter)

List teaching methods,

strategies, materials,

and resources for each

presenter and

objective. They must

be congruent with

objectives and content.

1. The learner will be able to list at least three

strategies for successfully preparing for the

Certified Emergency Nurse Exam

Preparing for the exam

I. Preparing for the exam

II. Registering for the exam

III. Exam taking tips

35 minutes Jeff Solheim Lecture

Powerpoint

presentation

Video and audio

clips

Sample questions

1. The learner will be able to define shock

2. The learner will be able to differentiate the

signs of compensatory shock from signs of

decompensatory shock.

3. The learner will be able to list the three

forms of distributive shock.

Shock States

I. Shock defined

II. Obstructive shock

III. Hypovolemic shock

a. Compensatory shock

b. Decompensatory shock

c. Signs and symptoms

d. Treatment

i. Crystalloids

ii. Colloids

iii. Blood products

IV. Distributive shock

a. Neurogenic shock

b. Septic shock

c. Anaphylactic shock


Powerpoint

presentation

Video and audio

clips

Practice questions

Medical Emergencies 85 minutes Jeff Solheim Lecture

1. Learners will be able to differentiate

between symptoms of diabetic ketoacidosis

and hyperosmolar hyperglycemic syndrome

2. Learners will be able to verbalize

precautions to consider when caring for a

patient with neutropenia

3. Learners will be able to recognize lab

abnormalities associated with disseminated

intravascular coagulation

4. Learners will be able to list what type of

isolation precautions are appropriate for

various infectious diseases

5. Learners will be able to verbalize risk

factors for developing Reye’s syndrome.

I. Endocrine disorders

A. Thyroid emergencies

i. Thyroid storm

ii. Myxedema coma

B. Pancreas

i. Hypoglycemia

ii. Diabetic ketoacidosis

iii. Hyperosmolar

hyperglycemic syndrome

C. Adrenal emergencies

i. Addison’s crisis

ii. Cushing’s syndrome

II. Hematological disorders

A. Polycythemia

B. Anemia

C. Sickle cell anemia

D. Neutropenia

E. Lymphopenia

F. Thrombocytopenia

G. Thrombocytosis

H. Disseminated intravascular

coagulation

I. Hemophilia

III. Infectious diseases

A. Isolation precautions

B. Tuberculosis

C. Mononucleosis

D. Childhood diseases

i. Mumps

ii. Pertussis

iii. Measles

iv. Varicella Zoster

Virus

v. Diphtheria

IV. Reye’s syndrome

Powerpoint

presentation

Video and audio

clips

Practice questions

1. The learner will be able to differentiate

between symptoms of delirium and

dementia

2. The learner will be able to list nursing

interventions for patients with various

eating disorders

3. The learner will be able to state the triad of

injuries commonly associated with abusive

brain injury

4. The learner will be able to discuss

interventions appropriate for patients

experiencing grief.

Psychological and Social Emergencies

I. Psychotic behavior

a. Delirium

b. Dementia

c. Depression

d. Bipolar disorder

e. Schizophrenia

II. Eating disorders

a. Anorexia nervosa

b. Bulimia

III. Abuse

a. Physical abuse

b. Emotional abuse

c. Neglect

d. Abusive brain injury

e. Munchausen syndrome

by proxy

IV. Grief


Powerpoint

presentation

Video and audio

clips

Practice questions

1. Learners will be able to prioritize

treatments for patients with esophageal

emergencies.

2. Learners will be able to recognize the

signs of gastritis.


discharge instructions appropriate for

patients with hepatitis.


between the symptoms of small bowel

obstructions and large bowel


A. Esophageal emergencies

a. Obstruction

b. Mallory-Weiss tears

c. Boerhaave’s syndrome

d. Varices

e. Esophagitis

B. Stomach emergencies

a. Gastritis

b. Ulcers

C. Disorders of organs of the biliary tree

a. Cholecystitis

b. Pancreatitis

c. Hepatitis

d. Cirrhosis/liver failure

D. Peritonitis

E. Bowel emergencies


PowerPoint

presentation

Video and audio

clips

Practice questions

Discussion.

obstructions.

5. Learners will be abel to identify the

abdominal organ most frequently

injured in traumatic situations.

a. Appendicitis

b. Diverticulitis

c. Bowel obstruction

i. Small bowel

ii. Large bowel

d. Functional bowel syndromes

F. Abdominal trauma

a. Spleen

b. Liver

c. Stomach

d. Pancreas

e. Bowel

1. Learners will be able to prioritize

interventions appropriate for genitourinary

trauma.


between various sexually transmitted

diseases based on a patient’s presenting

complaint

3. Learners will be able to verbalize nursing

care for a patient with a fractured penis.


between various causes of ovarian cysts

based on a patient’s complaints.

5. Learners will be able to define the six types

of abortion

Genitourinary, Obstetrical and

Gynecological Emergencies

I. Genitourinary trauma

a. Renal trauma

b. Bladder/Urethral trauma

II. Renal Colic

III. Sexually Transmitted Diseases

a. Genital Herpes

b. Gonorrhea

c. Chlamydia

IV. Male Genitourinary problems

a. Testicular Torsion

b. Epididymitis

c. Orchitis

d. Phimosis/Paraphimosis

e. Fractured Penis

a.

V. Female Genitourinary Problems

a. Vulvovaginitis

b. Pelvic Inflammatory Disease

c. Vaginal Bleeding

d. Bartholin’s Cyst

e. Ovarian Cysts


Powerpoint

presentation

Video and audio

clips

Practice questions

6. Learners will be able to list the steps

involved in assisting with childbirth.

VI. Emergencies during pregnancy

a. Abortion

b. Ectopic Pregnancy

c. Placenta Previa

d. Abruption Placentae

e. Pre-eclampsia

f. Eclampsia

g. HELLP Syndrome

h. Trauma and Pregnancy

i. Prolapsed Cord

VII. Childbirth

VIII. Neonatal resuscitation


between early and late signs of

increased intracranial pressure

2. Learners will be able to discuss care of

the patient with a basilar skull fracture.

3. Learners will be able to define

autonomic dysreflexia.


I. Intracranial pressure

a. Symptoms

b. Treatment

V. Shunt Dysfunctions

VI. Glasgow Coma Score

a. Best eye opening

b. Best motor response

c. Best verbal response

VII. Brain Injuries

a. Diffuse Axonal Injury

b. Intracranial bleeds

i. Epidural bleed

ii. Subdural bleed

iii. Subarachnoid

bleed

c. Basilar skull fractures

VIII. Spinal cord injuries

a. Complete cord injuries

b. Partial cord injuries

i. Anterior cord

syndrome

ii. Posterior cord


Powerpoint

presentation

Video and audio

clips

Practice questions

4. Learners will be able to recognize

medications used in the treatment of

seizures.


discharge instructions that should be

provided to patients with Myasthenias

Gravis

syndrome

iii. Central cord

syndrome

iv. Brown-Sequard

syndrome

v. Cauda equine

syndrome

c. Spinal shock

d. Treatment

e. Autonomic Dysreflexia

IX. Headaches

X. Seizures

XI. Meningitis

XII. Chronic Neurological

disorders

a. Amyotrophic Lateral

Sclerosis

b. Multiple Sclerosis

c. Parkinson’s Disease

d. Myasthenia Gravis

e. Guillian Barre Syndrome

1. The learner will be able to define preload,

afterload, cardiac output and stroke volume.

2. The learner will be able to recognize

problems with implanted pacemakers that

present to the emergency department.

3. The learner will be able to list drugs that

are used to control tachycardic rhythms.


I. Cardiovascular Physiology

a. Cardiac output

b. Stroke volume

c. Heart rate

d. Preload

e. Afterload

f. Contractility

II. Bradycardia

a. Pharmacology

b. Pacing

i. Transcutaneous

ii. Transvenous

iii. Implanted


Powerpoint

presentation

Video and audio

clips

Practice questions

4. The learner will be able to state nursing

interventions for a patient experiencing an

acute aortic dissection.


between the symptoms of a right-sided

myocardial infarction and a left-sided

myocardial infarction.


treatments implemented for arterial versus

venous peripheral vascular occlusions.

III. Tachycardia

a. Cardioversion

b. ICD

c. Pharmacology

IV. Hypotension

V. Hypertension

a. Hypertensive crisis

b. Aortic dissection

VI. Heart failure

VII. Coronary Artery Disease

a. EKG

b. Symptoms

c. Treatment

d. Right sided MI

VIII. Variant Angina

IX. Infections of the heart

a. Endocarditis

b. Pericarditis

X. Pericardial tamponade

XI. Peripheral vascular occlusions

a. Arterial

b. Venous

XII. Blunt cardiac injury

1. Learners will be able to analyze a blood gas

abnormality by looking at blood gas values.

2. Learners will be able to list side effects of

drugs used to treat chronic Obstructive

Pulmonary Disease


I. Suctioning

II. Oxygen therapy

III. Respiratory Patterns

IV. Blood Gases

a. Respiratory Acidosis

b. Respiratory Alkalosis

c. Metabolic Acidosis

d. Metabolic Alkalosis

V. Chronic Obstructive Pulmonary Disease

a. Asthma

b. Chronic Bronchitis


Powerpoint

presentation

Video and audio

clips

Practice questions


between types of pulmonary emboli based

on presenting symptamology.

4. Learners will be able to recognize

symptoms of each type of respiratory

infection.

5. Learners will be able to verbalize treatment

strategies for pulmonary edema.

6. Learners will be able to list nursing

interventions for various types of

pnuemothoraces

c. Emphysema

VI. Pulmonary Embolism

a. Blood clot

b. Fat

c. Amniotic Fluid

VII. Respiratory Infections

a. Bronchitis

b. Bronchiolitis

c. Pneumonia

VIII. Pulmonary Edema

a. Cardiogenic

b. Acute Respiratory Distress

Syndrome

c. Neurogenic

d. High Altitude

IX. Thoracic Trauma

a. Rib Fractures

b. Pulmonary Contusion

c. Ruptured Diaphragm

d. Pleural Space

i. Simple Pneumothorax

ii. Open Pneumothorax

iii. Tension Pneumothorax

iv. Fluid in the pleural space

1. The learner will be able to define somatic,

visceral and neuropathic pain

2. The learner will be able to define three

types of advanced directives

Professional Issues

I. Pain management

a. Types of pain

i. Somatic pain

ii. Visceral pain

iii. Neuropathic pain

b. Sedation and analgesic agents

c. Pediatric pain management

II. End-of-life issues

a. Advanced directives

b. Organ and tissue donation


Powerpoint

presentation

Video and audio

clips

Practice questions

3. The learner will be able to correctly apply

triage levels to sample patients utilizing

disaster triage.

4. The learner will be able to verbalize the

steps in the research process.

5. The learner will be able to list two

advantages and two disadvantages of

ground, rotor-wing and fixed-wing

transports.

6. The learner will be able to describe the

process of documenting when caring for a

patient who is the victim of a crime.

7. The learner will be able to define the

ethical principal of beneficence and non-

maleficence


between a defusing and a debriefing

III. Disaster management

a. Stages of disaster

management

b. Disaster triage

IV. Research and quality improvement

a. Evidence based practice

b. Types of research

c. Steps of research

d. Quality

improvement/assurance

V. Patient transport

a. Ground transport

b. Rotor-wing transport

c. Fixed wing transport

d. Patient considerations for

transport

VI. Forensics

a. Clothing

b. Gunshot wounds

c. DNA

d. Documentation

VII. Ethical principals

a. Autonomy

b. Veracity

c. Justice

d. Beneficence

e. Non-maleficence

VIII. Critical incident stress management

a. Defusing

b. Debriefing

1. The learner will be able to describe

assessment of various cranial nerves.

2. The learner will be able to verbalize

Maxillofacial and ocular emergencies

I. Cranial nerves

II. Maxillofacial trauma

a. Facial fractures


Powerpoint

presentation

Video and audio

clips

treatment considerations for maxillofacial

trauma.

3. The learner will be able to describe the

process for removing a foreign body from

the ear canal.

4. The learner will be able to prioritize

interventions for oral emergencies

b. TMJ dislocation

c. Neck injuries

III. Ocular emergencies

IV. Nasal emergencies

V. Foreign bodies in the ear

VI. Ear infections

VII. Oral emergencies

Practice questions

1. Learners will be able to describe

assessment techniques for major nerves of

the hand and foot.

2. Learners will be able to assign a triage level

to patients with various types of wounds.

3. Learners will be able to properly fit a

patient for crutches.


between primary, secondary, tertiary and

quaternary explosive injuries

Orthopedic and Wound Emergencies

1. Nerve assessment

2. Inflammatory conditions

a. Tendonitis

b. Bursitis

c. Cellulitis

d. Ostemomyelitis

e. Arthritis

3. Wounds

a. Abrasions

b. Amputation

c. Avulsion/degloving

d. Contusions

e. Puncture wounds

i. High pressure

injuries

ii. Foreign objects

f. Pressure wounds

g. Wound closure

h. Tetanus immunization

4. Orthopedic injuries

a. Dislocations

b. Fractures

c. Crutches

5. Explosive injuries

6. Orthopedic complications

a. Rhabdomyolysis


Powerpoint

presentation

Video and audio

clips

Practice questions

5. Learners will be able to describe the

process of measuring compartment

pressures.

b. Compartment syndrome

1. The learner will be able to identify the type

of substance ingested based on the signs

and symptoms demonstrated.

2. The learner will be able to verbalize

treatment recommendations for various

drugs of abuse.

3. The learner will be able to list antidotes for

common medicinal overdoses.


decontamination procedures for chemical

and radiation exposures.

5. The learner will be able to verbalize body

temperatures that are considered life

Toxicological and Environmental

Emergencies

A. Toxidromes

a. Sympathomemetics

b. Anti-cholinergics

c. Cholinergics

d. Sedative-Hypnotics

e. Opiates

B. Drugs of Abuse

a. Gamma-hydroxyburyrate

b. Phencyclidine

c. Inhalants

d. Alcohol

i. Ethanol

ii. Methanol

iii. Ethylene Glycol

iv. Isopropanol

C. Medicinal Overdoses

a. Digoxin

b. Beta-Blockers

c. Calcium Channel Blockers

d. Tylenol

e. Salicylates

f. Iron

D. Environmental Emergencies

a. Chemical emergencies

i. Ingestion

ii. Skin exposure

iii. Ocular exposure

b. Radiation exposure

c. Thermal burns

d. Carbon monoxide and cyanide

exposure

e. Electrical burns


PowePoint

presentation

Video and audio

clips

Practice questions

threatening.


treatment modalities appropriate for various

poisonous animal envenomations.


between various parasitical infections based

on the symptoms presented.

f. Heat stroke

g. Cold injuries

i. Frostbite

ii. Hypothermia

h. Animal related injuries

i. Aquatic animals

ii. Spider envenomation

iii. Snake envenomation

iv. Scorpion sting

v. Rabies

i. Parasitical infections

i. Pin worms

ii. Ring worm

iii. Tape worm

iv. Giardia

v. Lice

vi. Scabies

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