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, 2024

Topics: Cardiovascular

Population: Adult, Geriatric

Role: Staff

Member: Free
NonMember: $10.00

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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, read Implicit Bias impacts patient outcomes, and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

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