Rapid Response RN

Sarah Lorenzini
Rapid Response RN Podcast

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.

  1. 3 DAYS AGO

    122: What is POTS and When Is It an Emergency? With Guest Dr. Alexis Cutchins

    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 POTSCommon symptoms of POTSDiagnostic tests and diagnostic challengesThe treatment process and effective strategiesNew developments in POTS researchTreating POTS in an emergency situationHow 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

    30 min
  2. 13 SEPT

    121: Early Detection of AKI With Tom MSN, RN From Accuryn

    Pee might be the key to saving your patient’s life. In this episode of Rapid Response RN, we dive into the critical yet often overlooked early sign of clinical deterioration — urine output. Join us as Tom Colabro, MNS-HCSM, RN, NEA-BC, shares his expert insights on why accurate urine output can be a cost-effective biomarker in patient care. Tom introduces the Accuryn Monitoring System, which not only identifies AKI up to 33.4 hours faster than traditional methods but also features Active Drain Line Clearance, significantly reducing the risk of CAUTI. You’ll learn how this innovative technology both eases the nursing workload and improves patient outcomes. From a patient case study to practical tips, this episode covers everything you need to know about the development and prevention of AKI. Tune in for an engaging discussion on the importance of early detection through urine output monitoring! Topics discussed in this episode: Overlooked dangers of acute kidney injuryWhat happens in the body to cause AKIsGood pee versus bad peeThe correlation between urine output and patient outcomesCase study on the AKI cascadeThe three stages of AKI: prerenal, intrarenal, and postrenalChallenges in accurate urine output monitoringHow CMS mandatory reporting regulations could impact hospitalsAccuryn’s innovative work in the early detection of AKIsTips for advocating for new technology at your workplaceThe most important takeaways from this episode Starting in October 2024, CMS is including AKI as a reportable measure under the IPPS eCQMS Patient Safety reporting. Mandatory reporting of AKI Stage 2 and greater will begin by 2026. Click here to learn more:  https://accuryn.com/why-accuryn/ 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

    44 min
  3. 6 SEPT

    120: Medical Missions Nursing With Becca RN From Mercy Ships

    Burned out by hospital life? For Becca RN, serving a two-year mission with Mercy Ships reignited her passion for nursing and introduced her to a global community of volunteers. Her experience as a nurse on a hospital ship in West Africa went beyond traditional patient care, allowing her to play a role in both the physical and emotional healing of her patients. In this episode, she shares what daily life is like on Mercy Ships, talks about the diverse education and team-focused work environment, and reflects on the personal growth that came from living and working in a multicultural setting aboard Mercy Ships. Tune in to learn how Mercy Ships provided life-changing opportunities for both patients and volunteers! Topics discussed in this episode: Becca’s journey to join Mercy ShipsMercy Ships’ mission and volunteer opportunitiesThe training process to live and work on a shipA day in the life as a Mercy Ships nurseCommunity and social life on Mercy ShipsEducational perks and collaborative work environment Mercy Ships’ profound impact on patients and volunteersWant to volunteer with Mercy Ships? Mercy Ships is a global charity that operates the world’s largest hospital ships. Since its founding in 1978, Mercy Ships has brought hope and healing to Africa through surgical care, education, training, community development, and health programs. The life-changing work of our hospital ships is made possible all because of our vibrant community of volunteers from around the world. Whether you are a Perioperative, Critical Care, Ophthalmology, or a Pediatric Nurse, there is a place on board for you! Find your place and join Mercy Ship as a volunteer to help change the lives of people in great need.    Follow Mercy Ships:   Facebook: https://www.facebook.com/MercyShips Instagram: https://www.instagram.com/mercyships/ LinkedIn: https://www.linkedin.com/company/mercy-ships/ Learn more: https://opportunities.mercyships.org/volunteer-now/ 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 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

    37 min
  4. 30 AUG

    119: Spinal Cord Ischemia with Michelle Dedeo DNP, RN, CNS, ACCNS-AG, CCRN, CNRN, SCRN, TCRN

    When Michelle discovered her patient was paralyzed, it surprised the whole medical team. This patient who was previously mobile and recovering from septic shock was now paralyzed and ultimately diagnosed with spinal cord ischemia, but could early intervention have changed the outcome? In this episode, we discuss the causes, signs, diagnosis and treatment of spinal cord ischemia. Michelle shares powerful insights from her work in neurocritical care, including a technique for detecting easy-to-miss neurological changes. Tune in to find out how you can improve patient outcomes when managing spinal cord ischemia! Topics discussed in this episode: Michelle’s passion for patient care and nurse advocacyCritical case study: discovering a spinal cord abscessHow the patient developed spinal cord ischemiaPathophysiology and signs of spinal cord ischemiaNeurological assessment tipsPeripheral versus central nervous system assessmentsDiagnostic criteria and the diagnostic processPrognosis and patient recoveryTreatment options and challengesThe role of the ABCDEF bundle in critical care Connect with Michelle: https://www.michellededeo.com/ https://www.instagram.com/michellededeo/ Listen to Michelle’s podcasts, the SCRN Prep Podcast and Narrative Nurse Project Podcast! Get 20% off Michelle’s Stroke Review Bootcamp with code RAPIDRN20! https://www.nicolekupchikconsulting.com/booksAndCourses/online-courses/61/stroke-review-bootcamp-case-studies-in-optimizing-care 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

    46 min
  5. 23 AUG

    118: Cardiac Tamponade With Brian McCain

    This week, we are talking about every cardiac nurse’s worst nightmare: cardiac tamponade. Host Sarah Lorenzini is joined by Brian McCain RN to share a crazy case of cardiac tamponade where quick intervention made all the difference. In this episode, they discuss the critical signs, symptoms and pathophysiology of cardiac tamponade. Brian and Sarah cover clinical findings like Beck’s triad and dampened arterial line waveforms, assessment techniques for patients who rapidly decline versus those with a gradual buildup of symptoms, and the nurse’s role in preparing patients for an open arrest. Tune in to learn how to recognize and manage this cardiac emergency!  Topics discussed in this episode: What Brian loves about the nursing professionA classic case of cardiac tamponadePathophysiology of cardiac tamponadeThe clinical findings of cardiac tamponadeAssessment and diagnosis of cardiac tamponadeDifferentiating between cardiac tamponade and pericardial effusionPreparing the patient for an open arrest 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 AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!

    36 min
  6. 16 AUG

    117: Pericarditis vs Myocardial Infarction

    A patient arrives at the ER, complaining of chest pain that dramatically worsens when she lies down. What could this clue reveal about her condition? In this episode, host Sarah Lorenzini recounts her experience caring for her first pericarditis patient and the subtle yet critical signs that distinguish it from more common cardiac emergencies. Sarah dives into the tricky nature of chest pain, sharing how the PQRST pain assessment and an EKG played a critical role in uncovering the patient’s condition. She also outlines the diagnostic criteria that help differentiate pericarditis from more serious conditions like myocardial infarction, emphasizing the symptoms that can make diagnosis challenging. Listen to the episode for insights on recognizing the easily mistaken signs of pericarditis, diagnosing the condition, and providing effective treatment! Topics discussed in this episode: Patient case study of a young woman with chest painAssessment and diagnosis of pericarditisPathophysiology of pericarditisInfectious vs. noninfectious causes of pericarditisThe diagnostic criteria for pericarditisEKG characteristics in pericarditis vs. myocardial infarctionKey takeaways on the diagnosis and treatment of pericarditis Learn more by reading this Brady et al article about ECG morphology in pericarditis: https://pubmed.ncbi.nlm.nih.gov/11581081/ 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 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

    26 min
  7. 2 AUG

    116: "So You Want to Go Back to School?" with Guest Nicole Kupchik, Clinical Nurse Specialist

    Clinical Nurse Specialists are more than just experts in their field.  They are advanced practice nurses who are driven to make system wide changes for both nurses and their patients. This episode sheds light on the critical role of Clinical Nurse Specialists, the extensive education and experience needed to enter the field, and their unique responsibilities compared to other nursing positions. Nicole openly shares the impact she’s been able to make as a CNS, the challenges she’s faced — and even mistakes she's made along the way. We also discuss the worrying decline in CNS programs, and what nurses can do to secure a CNS position in today's healthcare environment. Tune in to learn more about what it takes to be a Clinical Nurse Specialist and decide if it's the right fit for you! Topics discussed in this episode: The importance of the CNS role in healthcareDifferences between a CNS and other nursing rolesNicole’s experience implementing an award winning sepsis programThe experience and skills required to succeed as a CNSChallenges of the CNS roleThe future of the CNS roleAdvice for aspiring Clinical Nurse Specialists Head to Nicole’s website to get 20% off ALL courses and educational materials with code RAPIDRN20! https://www.nicolekupchikconsulting.com/?ref=30065 Connect with Nicole Kupchik: https://www.instagram.com/nicolekupchik/ https://www.tiktok.com/@nicolekupchik https://www.facebook.com/NicoleKupchikConsultingEducation https://www.linkedin.com/in/nicole-kupchik-mn-rn-ccrn-530b8710/ https://www.youtube.com/channel/nicolekupchik5959 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

    37 min
  8. 26 JUL

    115: Pediatric Empyema With Erik and Nykole, Critical Care Transport Nurses

    This week's case study features a 5-week trauma injury, a critical care transport, and a pediatric patient with a surprise sepsis diagnosis. Critical Care Transport Nurses Erik and Nykole join host Sarah Lorenzini to discuss the complexities of managing a young patient with an unexpected empyema. In this episode, you’ll hear Erik's initial assessment of the patient, how the diagnosis of empyema was ultimately reached, and the actions taken to keep the patient stabilized during transport. They cover important topics like fluid overload in pediatric patients, re-expansion pulmonary edema, and therapeutic presence. Erik and Nykole also share their journey to becoming critical care transport nurses and offer insights on caring for pediatric patients. Listen to this conversation for a behind-the-scenes look at pediatric critical care transport! Topics discussed in this episode: The training required for critical care transport nursingInitial patient assessment and historyWhat led Erik to suspect sepsisThe pathophysiology of re-expansion pulmonary edemaManaging the patient during transportKey lessons from the caseBest practices for pediatric fluid managementSymptoms and treatment of re-expansion pulmonary edemaThe importance of therapeutic presence in pediatric cases 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 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

    45 min

About

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.

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