Rapid Response RN

By: Sarah Lorenzini
  • Summary

  • Do you want to go from dreading emergencies to feeling confident and ready to jump into action to rescue your patient? Well, this show will let you see emergencies unfold through the eyes of a Rapid Response Nurse. With real life stories from the frontlines of nursing, host Sarah Lorenzini MSN, RN, CCRN, CEN, a Rapid Response Nurse and educator, shares her experiences at rapid response events and breaks down the pathophysiology, pharmacology, and the important role the nurse plays during emergencies. If you want to sharpen your assessment skills and learn how to think like a Rapid Response Nurse, then Sarah is here to share stories, tips, tricks, and mindsets that will prepare you to approach any emergency. Every episode is packed full of exactly what you need to know to handle whatever crisis that could arise on your shift. It’s one thing to get the right answer on the test, but knowing how to detect when YOUR patient is declining and what to do when YOUR patient is crashing is what will make or break your day… and might just save your patient’s life.
    Copyright 2024 Sarah Lorenzini
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Episodes
  • 124: ETOH Withdrawal
    Oct 11 2024

    Caring for patients withdrawing from alcohol can be challenging to say the least. In this episode, host Sarah Lorenzini shares a case of a patient recovering from emergency surgery, and highlights the subtle but critical signs of alcohol withdrawal—like anxiety, tremors, confusion, tachycardia, and hypertension—that often go unrecognized until symptoms escalate.

    Key topics covered in this episode include:

    • The pathophysiology of alcohol withdrawal, focusing on how chronic alcohol use disrupts the balance between the brain’s inhibitory GABA and excitatory glutamate neurotransmitter systems.
    • A detailed timeline of alcohol withdrawal symptoms, from early signs (6-12 hours) to severe complications like delirium tremens (48-72 hours).
    • The importance of compassionate, non-judgmental care for patients with alcohol use disorder (AUD) during withdrawal, and why judgment rarely leads to positive change.
    • The role of CIWA-Ar scoring to assess withdrawal severity and guide treatment, including common medications like benzodiazepines and the emerging use of phenobarbital for symptom management.
    • Critical reminders to carefully evaluate all symptoms and avoid misattributing every instance of confusion or agitation to alcohol withdrawal, ensuring comprehensive care.

    Tune in to learn how to recognize and manage alcohol withdrawal, keep patients safe, and provide the compassionate care they need during this vulnerable time.

    Mentioned in this episode:

    Rapid Response Academy Link

    Wanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/community

    Rapid Response and Rescue Intro Course

    CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com

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    24 mins
  • 123: What Makes for a Great Resuscitationist?
    Sep 27 2024

    Bringing calm to chaos is an underrated skill in medicine. During her talk at the ResusX Conference, Sarah explored this concept and the importance of guiding teams through high-stress situations. In today’s episode, you’ll hear what happened when Sarah responded to a bloody code blue that ended in tears and defeat. This patient story is a prime example of why being a great resuscitationist requires more than clinical skills, and how leadership and communication can make or break a team’s performance under pressure.

    So, what makes for a great resuscitationist? Tune in as Sarah breaks down three areas you should focus on to become a better resuscitationist leader!


    Topics discussed in this episode:


    • Lessons from a chaotic code blue
    • What makes a great resuscitationist?
    • How to effectively lead a resuscitation team
    • The crucial role of debriefs


    Mentioned in this episode:

    Rapid Response and Rescue Intro Course

    CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com

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    19 mins
  • 122: What is POTS and When Is It an Emergency? With Guest Dr. Alexis Cutchins
    Sep 20 2024

    Behind every POTS diagnosis is a patient who had to fight for answers. Postural orthostatic tachycardia syndrome (POTS) is often misdiagnosed because its symptoms mimic so many other conditions. In fact, it is often dismissed as “just anxiety”, but anxiety is a secondary side effect of the fact that the patient keeps having syncopal episodes without explanation.

    To dig deeper into its diagnosis and treatment challenges, Sarah turned to Dr. Alexis Cutchins, cardiologist and co-author of a key article on the management of POTS. In this episode, Dr. Cutchins breaks down the symptoms, possible causes and contributing factors of this complex and misunderstood disorder. She also explores treatment strategies and new research that could improve patient outcomes.


    Tune in to hear Dr. Cutchins’ insights into how healthcare professionals can better recognize POTS and advocate for patients!


    Topics discussed in this episode:


    • What is postural orthostatic tachycardia syndrome (POTS)?
    • Causes and contributing factors of POTS
    • Common symptoms of POTS
    • Diagnostic tests and diagnostic challenges
    • The treatment process and effective strategies
    • New developments in POTS research
    • Treating POTS in an emergency situation
    • How to better manage and advocate for patients


    Read Dr. Cutchins' article, Narrative Review of Postural Orthostatic Tachycardia Syndrome: Associated Conditions and Management Strategies: https://www.uscjournal.com/articles/narrative-review-postural-orthostatic-tachycardia-syndrome-associated-conditions-and


    POTS patients can find more information and resources here:

    https://www.dysautonomiainternational.org/


    Print this guide to plan for POTS emergencies with your physician!

    https://supertmastcell.org/wp-content/uploads/2024/04/SuperT-PatientReferenceGuide-2024.pdf


    Mentioned in this episode:

    Rapid Response Academy Link

    Wanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/community

    Rapid Response and Rescue Intro Course

    CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com

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    30 mins

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Had similar experience post-op hysterectomy

“My gut feeling was the one that saved her. Charge nurse refused to call the hospitalist and when she finally did, the NP hospitalist placed orders without assessing the patient. The sitter did not see anyone come in the room except me every 15 min to check on the patient. At this point I was livid and finally got everyone at the bedside just in the nick of time before the patient coded. I wish I had listened to this podcast and I would have been on the phone with the night supervisor."

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Educate and advocate. Sarah will inspire you to be the best you can for your patients.

Sarah thank you for being such a wonderful advocate and educator. I'm an ICU nurse of a little less than 5 years and I love listening to your podcast. I'm inspired by your ability to advocate and communicate and I learn so much from your stories! Your podcast was recommended to me from a friend and I now share it with everyone I can. You make learning fun and palletable and offer a model of how to be persistent and clear without being abrasive or rude. I'm inspired by your communication skills and learn so much from this platform. Thank you again for putting it together :)

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