Evidence-based Clinical Care: Multispecialty Review

In this course, the evidence-based clinical care department hosts a panel of subject matter experts as they review standardized clinical pathways in the areas of asthma/COPD, anesthesia and sedation testing, massive transfusion, adult telemetry, sepsis, heart failure and acute coronary syndrome, and insulin management. 

Note to Physicians: Be sure to bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All power plans are available in Cerner. All EBCC deliverables will be available on the EBCC website.

Target Audience

Physicians, physician assistants/physician associates, advanced practice registered nurses, nurses, pharmacists, pharmacy technicians, and all interested healthcare providers.

Learning Objectives

  • Explain the evidence-based data supporting standardization efforts to ensure consistent delivery of care.
  • Adhere to asthma and COPD workflows and patient care orders. 
  • Apply evidence-based pre-anesthesia and sedation testing guidelines for patients having a surgical procedure to enhance clinical decision-making.
  • Utilize evidence-based practice in the identification and utilization of emergent release of blood and massive transfusion levels 1, 2, and 3.
  • Recognize the key elements of the standardized EBCC adult telemetry orders. 
  • Utilize the appropriate source-based antibiotics orders when caring for the sepsis patient.
  • Review key points in the management of patients with heart failure and acute coronary syndrome diagnosis.
  • Implement appropriate insulin management orders for the diabetic patient.
Additional information
Bibliography: 

Jaffa RK, Hammer J, Medaris LA, et al. Empiric aztreonam is associated with increased mortality compared to beta-lactams in septic shock. Am J Emerg Med. 2021; 48:255-60.

Evans L, Rhodes A, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Crit Care Med. 2021; 49:e1063-e1143.

Sandau, K. E. et al., (2017). On behalf of the American Heart Association Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; and Council on Cardiovascular Disease in the Young Update to Practice Standards for Electrocardiographic Monitoring in Hospital Settings: A Scientific Statement from the American Heart Association. Circulation. Oct 2017. E273-e344.

Mukherjee, D. (2024). Risk stratification before cardiac surgery. The American Journal of Cardiology, 210, 300–301.  

 

Related Topics

Evidence-based Clinical Care: Source-Based Antibiotic Power Plans for Sepsis

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Evidence-based Clinical Care: Anesthesia Guidelines Presurgery/Procedure Evaluation Tool Care Pathways

This evidence-based clinical care course provides practitioners with step-by-step training in the use of a new documentation tool within the Baptist Health electronic medical record for presurgical evaluation. 
Evidence-based Clinical Care: Approach to Atrial Fibrillation

This course provides practitioners with the latest evidence-based, standardized algorithms of care for the optimal management of atrial fibrillation.
Course Summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 General certificate of attendance
  • 1.50 Nurse Practitioners
  • 1.50 Florida Board of Nursing
  • 1.50 Florida Board of Pharmacy
Course opens: 
08/23/2024
Course expires: 
08/22/2027

Faculty

Martha Maldonado Alkhaldi, BSN, MSN, APRN-BC
APRN Supervisor 
South Miami Inpatient Physicians 

Bianca M. Capella, APRN-BC, R.N.-BSN
Clinical Manager, Evidence-based Clinical Care Department 
Baptist Health  

Seema Chandra, M.D. 
Hospitalist
West Kendall Baptist Hospital
Board-certified in Internal Medicine and Pediatrics
Associate Medical Director for Academics
Baptist Health Medical Group Hospital Medicine Program

Timothy P. Gauthier, Pharm.D., BCPS, BCIDP    
Director, ID PGY2 Pharmacy Residency Program 
Manager, Antimicrobial Stewardship Clinical Program
Baptist Health 
Miami, Florida

Erika F. Gonzalez
AVP Evidence-based Care
EBCC Initiative
Baptist Health 

Jody Murray, APRN-BC
Director of Advanced Practice Providers
Chest Pain Coordinator
Miami Cardiac & Vascular Institute

Tatiana Posada, BSN, R.N.
Corporate Senior Clinical Consultant, Evidence-Based Clinical Care
Baptist Health 

Andres Soto, M.D. 
Hospitalist
Chief of Hospital Medicine 
Baptist Health South Florida 

Timothy P. Gauthier, Pharm. D., BCPS, BCIDP, faculty for this educational activity, is a consultant with Pfizer, GSK, Pattern Biosciences, Ferring, Gilead, Melinta and Abbvie. All of the relevant financial relationships listed for this individual have been mitigated. The speaker has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

Seema Chandra, M.D., Martha Maldonado Alkhaldi, BSN, MSN, APRN-BC, Jody Murray, APRN-BC, Bianca M. Capella, APRN-BC, R.N.-BSN, Tatiana Posada, BSN, R.N., Erika F. Gonzalez, and Andres Soto, M.D. and faculty for this educational activity, have no relevant financial relationships with ineligible companies* to disclose.

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*

*Ineligible companies - Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 General certificate of attendance
  • 1.50 Nurse Practitioners
  • 1.50 Florida Board of Nursing
  • 1.50 Florida Board of Pharmacy
Please login or register for a Baptist Health CME account to take this course.

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