C&L Crash Course

[sunlioness]

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Are there any conferences, meetings or workshops out there that goes over basic C&L stuff for people who don't really do a lot of C&L? I am wicked tired of feeling like an idiot. The ICU attending knows far more about managing delirium than I do, yet when the normal C&L guy is on vacation, I'm the one who becomes the expert. I want to be more competent and confident in it. Book recommendations are also welcome, though I already have a few of those. I'm looking for a more interactive sort of educational experience.

 

[OldPsychDoc]

Are there any conferences, meetings or workshops out there that goes over basic C&L stuff for people who don't really do a lot of C&L? I am wicked tired of feeling like an idiot. The ICU attending knows far more about managing delirium than I do, yet when the normal C&L guy is on vacation, I'm the one who becomes the expert. I want to be more competent and confident in it. Book recommendations are also welcome, though I already have a few of those. I'm looking for a more interactive sort of educational experience.

I think that Doc Samson had heartily recommended the Psychosomatic Society conference. Might be less of a "basic primer" than you're looking for, but I'm sure good info. Search for his post in the meeting recommendations thread.

And of course, there is the Holy Book.

 

[sunlioness]

I'm carrying around that book with me right now! 😀

I was thinking about APM. It might be a bit more advanced than I'm looking for, but it couldn't hurt. Going to have to talk to my boss about it though. I'm pretty sure the normal consult guy is planning to go and I'm his default back up. Still, if it makes me a better back up, I might be able to make a case for it. I'll look into the psychosomatic society too, though it looks like that's not until March.

 

[digitlnoize]

I'm carrying around that book with me right now! 😀

There does exist a PDF of this. Just sayin'.

 

[sunlioness]

This is true. I bought the physical copy though before I got my iPad. 😀

 

[OldPsychDoc]

This is true. I bought the physical copy though before I got my iPad. 😀

Better arm toning this way.😉

 

[sunlioness]

Indeed. I'm buff!

You know? The amount of haloperidol they advocate using in that book is kinda scary.

 

[OldPsychDoc]

I'm carrying around that book with me right now! 😀

I was thinking about APM. It might be a bit more advanced than I'm looking for, but it couldn't hurt. Going to have to talk to my boss about it though. I'm pretty sure the normal consult guy is planning to go and I'm his default back up. Still, if it makes me a better back up, I might be able to make a case for it. I'll look into the psychosomatic society too, though it looks like that's not until March.

BTW, it was APM that DocSamson recommended--see posts #3-4 in this thread.

 

[sunlioness]

Cool. Thank you. I'm going to try to get the green light to go to that this year.

 

[vistaril]

Indeed. I'm buff!

You know? The amount of haloperidol they advocate using in that book is kinda scary.

here is one problem with using a good bit of IV haldol in frequent intervals on consults: when the primary team puts in a delirium consult, their idea behind that isn't to create a bunch more work and monitoring for themselves and have their nurses yelling at them.......

 

[nitemagi]

here is one problem with using a good bit of IV haldol in frequent intervals on consults: when the primary team puts in a delirium consult, their idea behind that isn't to create a bunch more work and monitoring for themselves and have their nurses yelling at them.......

Ignoring.

Sunlioness, I think the haldol is a fine choice as long as they're actually watching for s/e's (QTc, dystonia). Those are the limiting factors, IMO. I always think about lower dose higher frequency if I'm worried about overloading someone, especially when you have IV access. Haldol drips are even possible.

 

[sunlioness]

The guy I'm covering for uses a good bit of haldol and sometimes some Zyprexa or Depakote. I just don't have the comfort level I want with any of it.

One thing I've noticed though is a tendency for nursing staff and primary team to pronounce that something isn't working when they're not completely working the plan. That one dose of something will be given, but a repeat dose (which is within the order parameters) won't be. Or something won't be given because they don't like the delivery mechanism whether it be IM or IV. Or I don't know what to believe because the nurse says that the patient is "thrashing all over the place", but when I go see her, she's a bit restless and moving, but hardly thrashing.

I just plain don't like delirium. Is it the weekend yet?

 

[sunlioness]

So I am planning to hit APM in Atlanta this Nov if anyone else is planning on being there. 😀