ROSE and the Four Ds: Implementing Goldilocks Principles in Fluid Resuscitation and Therapy

Author(s): Jan M Headley

Contact Hours 1.25

CERP A 1.25

Expires Dec 31, 2026

Topics: Hemodynamics

Population: Adult

Role: Staff

Added to Collection

Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Too much or too little fluid in resuscitation efforts can lead to a plethora of adverse events. Asking a series of four questions concerning drug, dose, duration, and de-escalation (the four Ds) facilitates optimal fluid therapy. The four phases in fluid resuscitation are resuscitation, optimization, stabilization and de-resuscitation (ROSE). Each phase has evidence-based rationale for specific hemodynamic targets and interventions. This intermediate-level session presents a Goldilocks strategy using dynamic parameters to achieve a patient’s optimal Starling curve.

Objectives

  • Apply current research addressing outcomes related to optimizing fluids and fluid balance.
  • Describe the four conceptual phases in the process of fluid resuscitation (ROSE).
  • Develop a strategy in using SV and SVV to determine the patient’s individual optimal Starling curve location.

Continuing Education Disclosure Statement

Criteria for Awarding Contact Hours

Learners must complete the entire activity and the associated evaluation AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.

Accreditation

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 {contactHours} contact hours.

Disclosures

The Nurse Planner has determined that no individuals with the ability to control content of this activity have relevant relationships with ineligible companies.

Activities with pharmacotherapeutic credit are to assist the APRN in fulfilling their education requirements for licensure and certification renewals.

Refund Policy

Continuing Education Activities are nonrefundable.