LESSION PLAN BLANK 1996 [FORM]

OFFERING DATA CHART FOR CONTINUING EDUCATION PROGRAMS Title of Offering: General Poison Managment

BEHAVIORAL OBJECTIVES	SUBJECT MATTER	TEACHING STRATEGIES	EVALUATION METHODS
Describe the expected learner outcomes in behavioral terms that are attainable, measurable and relevant to current nursing practice. Include who will do what and by when.	Adjacent to each objective, outline the subject matter that corresponds to the objective. Content should be current, accurate and listed in logical order. Document currency and accuracy of subject matter by references and/or bibliography. (Must be within 5 years)	List methodologies and learning activities. Utilize principles of adult education.	Identify methods used to determine that the stated behavioral objectives have been met.
Upon completion of the program the participant will be able to: · Describe the epidemiologic and demographic parameters that characterize toxic exposures in the United States. · Utilize historical information and clinical patient assessment in the evaluation of the poisoned patient. · Discuss current philosophies on the use of the various methods of gastrointestinal decontamination and the risks associated with these procedures in the poisoned/overdosed patient. · Initiate appropriate laboratory analysis directed at the diagnosis and monitoring of the toxic exposure and correctly interpret the results of such interventions. · Discuss the indications for use, and the risks associated with, the various methods to enhance elimination in the poisoned patient.	Definitions: Toxic exposures vs poisonings/ overdoses; Epidemiology of poisoning in the U.S. Assessment of the toxic patient: 1. Characterization of the suspected poisoning victim 2. Toxidrome recognition appropriate use of the lab in assessing the poisoned patient 3. Prognostic indicators Stabilization of the toxic patient Gastric decontamination procedures (indications, use, and risks) 1. Ipecac-induced emesis 2. Gastric lavage 3. Activated charcoal regimens 4. Cathartics 5. Whole bowel irrigation Enhancing the elimination of the toxin 1. multi-dose activated charcoal 2. manipulation of urine pH 3. extracorporeal methods of toxin elimination References: Litovitz TL, Felberg L, Klein-Schwartz W, Caravati IM, et al: 1998 annual report of the american association of poison controls centers toxic exposure surveillance system. Am J Emerg Med 1999;17:435-487 Manoguerra AS: Gastrointestinal decontamination after poisoning: where is the science? Critical Care Clinics 1997; 13:709-726 Schauben JL, McFarland AK: Toxicologic considerations, in Pharmacotherapy Self Assessment Program, 2^nd edition, Carter BL, ed chair. Am Coll Clin Pharmacy, Kansas City, 1995, pp281-317 Tucker CA, Schauben JL: Environmental and toxicological emergencies, in Manual of Pediatric Emergency Nursing, Soud TE, Rodgers JS eds., Mosby, St. Louis, 1998, pp622-559	Lecture with visuals Mini- case presentations	Question/Answer format for audience participation Mini-case presentations

BEHAVIORAL OBJECTIVES

SUBJECT MATTER

TEACHING STRATEGIES

EVALUATION METHODS

Describe the expected learner outcomes in behavioral terms that are attainable, measurable and relevant to current nursing practice. Include who will do what and by when.

Adjacent to each objective, outline the subject matter that corresponds to the objective. Content should be current, accurate and listed in logical order. Document currency and accuracy of subject matter by references and/or bibliography. (Must be within 5 years)

List methodologies and learning activities. Utilize principles of adult education.

Identify methods used to determine that the stated behavioral objectives have been met.

Upon completion of the program the participant will be able to:

· Describe the epidemiologic and demographic parameters that characterize toxic exposures in the United States.

· Utilize historical information and clinical patient assessment in the evaluation of the poisoned patient.

· Discuss current philosophies on the use of the various methods of gastrointestinal decontamination and the risks associated with these procedures in the poisoned/overdosed patient.

· Initiate appropriate laboratory analysis directed at the diagnosis and monitoring of the toxic exposure and correctly interpret the results of such interventions.

· Discuss the indications for use, and the risks associated with, the various methods to enhance elimination in the poisoned patient.

Definitions: Toxic exposures vs poisonings/ overdoses;

Epidemiology of poisoning in the U.S.

Assessment of the toxic patient:

1. Characterization of the suspected poisoning victim

2. Toxidrome recognition appropriate use of the lab in assessing the poisoned patient

3. Prognostic indicators

Stabilization of the toxic patient

Gastric decontamination procedures (indications, use, and risks)

1. Ipecac-induced emesis

2. Gastric lavage

3. Activated charcoal regimens

4. Cathartics

5. Whole bowel irrigation

Enhancing the elimination of the toxin

1. multi-dose activated charcoal

2. manipulation of urine pH

3. extracorporeal methods of toxin elimination

References:

Litovitz TL, Felberg L, Klein-Schwartz W, Caravati IM, et al: 1998 annual report of the american association of poison controls centers toxic exposure surveillance system. Am J Emerg Med 1999;17:435-487

Manoguerra AS: Gastrointestinal decontamination after poisoning: where is the science? Critical Care Clinics 1997; 13:709-726

Schauben JL, McFarland AK: Toxicologic considerations, in Pharmacotherapy Self Assessment Program, 2^nd edition, Carter BL, ed chair. Am Coll Clin Pharmacy, Kansas City, 1995, pp281-317

Tucker CA, Schauben JL: Environmental and toxicological emergencies, in Manual of Pediatric Emergency Nursing, Soud TE, Rodgers JS eds., Mosby, St. Louis, 1998, pp622-559

Lecture with visuals

Mini- case presentations

Question/Answer format for audience participation

Mini-case presentations