Assessment Framework for Recognizing Clinical Deterioration in Patients With ACS Undergoing PCI

Author(s): Kevin White, RN, BSc (Hons), MNursPrac, Judy Currey, PhD, RN, BN (Hons), CritCareCert, GCertHigherEd, GCertSc (App Stats), Julie Considine, PhD, RN

Contact Hours 1.00

CERP A 1.00

Expires Jul 28, 2023

Topics: Cardiovascular

Population: Adult, Geriatric

Role: Staff

Member: Free
NonMember: $10.00

Added to Collection

Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

This manuscript reviews the forms and causes of clinical deterioration in patients with unstable ACS undergoing PCI. It proposes a practical application of the Primary Survey assessment framework, facilitating rapid identification of the cause and form of clinical deterioration. The primary aim of this approach is to promote early escalation of care and accurate evidence based interventions to rescue.


  • Describe the seven forms of clinical deterioration associated with increased mortality and morbidity in PCI for unstable ACS
  • Describe prioritized physiological cue collection using the Primary Survey approach
  • Compare and contrast three causes and forms of clinical deterioration to assess key physiological cues facilitating rapid identification

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


This activity has been reviewed by the Nurse Planner. It has been determined that the material presented here shows no bias. No conflicts of interest have been identified for any individual with the ability to influence the content of this activity. Accreditation refers to recognition of continuing education only and does not imply AACN or ANCC approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.


The American Association of Critical-Care Nurses (AACN) is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's (ANCC's) Commission on Accreditation, ANCC Provider Number 0012. AACN has been approved as a provider of continuing education in nursing by the California State Board of Nursing (CBRN), California Provider number CEP 1036. This activity is approved for 1.00 contact hours.

AACN programming meets the standards for most states that require mandatory continuing education contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.

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