Clinical Decision Making

Gina Ankner, RN, MSN, ANP-BC, is senior nurse coordinator and program director for the Specialty Care in Pregnancy Program (SCIPP) in the Department of Medicine at Women & Infants Hospital of Rhode Island. The only program of its kind in the United States, SCIPP brings a multidisciplinary team together to consult on cases of women whose pregnancy, or plan for pregnancy, is complicated by a medical condition. She is also responsible for outreach and new program development for the Department of Medicine. Prior to her current position at Women & Infants Hospital, she taught medical-surgical nursing for ten years at the University Of Massachusetts Dartmouth College Of Nursing. Ankner earned her bachelor's and master's degrees in nursing from Boston College.

1. The Cardiovascular System & the Blood.
Needle Stick, Bethany". Deep Vein Thrombosis, "Mr. Luke". Digoxin Toxicity, "Mrs. Kidway". Pernicious Anemia, "Mrs. Anderson". HIV, "Mr. Thomas". Rule Out Myocardial Infarctions, "Mrs. Darsana". Heart Failure, "Mrs. Yates". Sickle Cell Anemia, "Ms. Fox".
Cardiac Catheterization, "Mrs. O'Grady".
2. The Respiratory System.
Asthma, "Mrs. Hogan". ABG Analysis, "William". COPD, "Mr. Cohen". Sleep Apnea, "Mr. Kaberry". Emphysema, "Mr. Bailey".
3. The Nervous/Neurological System.
Transient Ischemic Attack, "Mrs. Giammo". Delirium versus Dementia, "Mr. Aponi".
Acute Change in Mental Status, "Mr. Greene". Alcohol Withdrawal, "Mrs. Perry".
ALS, "Mr. Cooper". Bell's Palsy, "Mrs. Seaborn".
4. The Sensory System.
Glaucoma, "Mr. Evans".
5. The Integumentary System.
Urinary Incontinence, "Mrs. Sweeney". Herpes Zoster, "Mr. Dennis". MRSA, "Mrs. Sims".
Melanoma, "Mr. Vincent". Steven's Johnson Syndrome, "Mr. Lee".
6. The Digestive System.
Diverticulitis, "Mrs. Dolan" (Part 1). Diverticulitis, "Mrs. Dolan" (Part 2). Upper GI Bleed, "Ms. Winnie". Chron's Disease, "Mr. Cummings". Malabsorption Syndrome, "Mrs. Bennett".
7. The Urinary System.
Acute Renal Failure, "Mrs. Jimenez" (Part 1). Acute Renal Failure, "Mrs. Jimenez" (Part 2). Renal Calculi, "Mrs. Condiff".
8. The Endocrine/Metabolic System.
Acute Gout versus Cellulitis, "Mr. Rogers". Hyperglycemia, "Mr. Jenaro". Acute Pancreatitis, "Mrs. Miller".
9. The Skeletal System.
Leg Amputation, "Mr. Mendes". Hip Fracture/Replacement, "Mrs. Damerae". Osteomyelitis, "Mr. Lourde".
10. The Muscular System.
Patient Fall, "Mr. O'Brien". Fibromyalgia, "Mrs. Roberts".
11. The Reproductive System.
Breast Cancer, "Mrs. Whitney".
12. Multi-System Failure.
Septic Shock, "Mrs. Bagent"."