Marcia Gamaly – PESI – Essential Rhythm Interpretation Skills for Nurses

Description

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Marcia Gamaly – PESI – Essential Rhythm Interpretation Skills for Nurses

• Take away 8 essential steps to accurate rhythm interpretation
• Learn how to interpret rhythms with a live Nurse
• Educator – NOT an online module
• So . . . you have taken a rhythm class but STILL struggle with interpretation?
• Take charge of your practice! Don’t rely on a monitor technician to read your rhythms

Your patient has just arrived onto the unit, and you are placing them on the remote telemetry pack. The telemetry monitor at the nursing station is ringing loudly, and you hear your name being called about your patient’s rhythm. Panic sets in…. Will you be able to correctly interpret the rhythm?!

Learn from nurse clinician, Marcia Gamaly, PhD(c), MSN, MHA, RN-BC, CEN, PCCN, during this unique learning opportunity. Through analysis of actual patient rhythm strips, you will return to work with new insights that will dramatically impact patient care outcomes.

• Don’t fear calls from the physician asking what the patient’s rhythm is! Improve your skills so
  you can accurately respond to physician questions.
• Develop confidence in your rhythm interpretation – for every complicated patient entrusted to your care.
• Anticipate medications and interventions needed for a variety of rhythms.
• Improve patient outcomes through quick identification and management of arrhythmias.

Speaker

Marcia Gamaly, PhD(C), MSN, MHA, RN-BC, CEN, PCCN
Marcia Gamaly, PhD(C), MSN, MHA, RN-BC, CEN, PCCN, has over twenty years of nursing experience at the bedside and in staff development. Marcia currently works as a clinical nurse educator at St. Mary Medical Center in Langhorne, Pennsylvania. In her current role, she oversees and plans the educational needs of over 250 nurses and supports staff on a variety of units, including a step-down, neuro-tele and medical-surgical units. She has developed and presented on a variety of topics including certification courses for critical care, progressive care, medical-surgical, oncology and emergency nursing. Other presentations include telemetry skills day, medical-surgical skills day, cardiac dysrhythmia interpretation, post-operative care and heart failure. Additionally, Marcia is an instructor for BLS, ACLS, PALS, TNCC, ENPC and ASLS and works as a per-diem emergency department staff nurse.

She is a doctoral student at Villanova University, with a research interest in bariatrics. She is certified in medical-surgical nursing, progressive care nursing, emergency nursing, and professional staff development. She is a member of the Emergency Nurses Association, American Association of Critical Care Nurses, and American Society of Metabolic and Bariatric Surgery.

Marcia combines her role in clinical education with hands-on experience to deliver a high-level learning opportunity that is patient-focused and outcome-driven. The meaningful insights she has to share will be applied easily at the bedside to improve your own care of patients!

Speaker Disclosures:

Financial: Marcia Gamaly has an employment relationship with St. Mary Medical Center and Lower Bucks Hospital. She receives a speaking honorarium from PESI, Inc.

Non-financial: Marcia Gamaly is a member of the Academy of Medical-Surgical Nurses; America Association of Critical-Care Nurses; American Nurses Association; American Society of Metabolic and Bariatric Surgery; and Emergency Nurses Association.

Outline

• Telemetry lead placement and management
  • Appropriate placement for 3-, 4-, 5- and 6-lead systems
  • VIDEO: Lead placement
  • Current recommendations for lead management
• Alarm management
  • Patient safety issue
  • Joint Commission National Patient Safety Goal
  • VIDEO: Tips to minimize alarming
• Rhythm interpretation
  • Cardiac anatomy
  • Cardiac conduction system
  • Measurement tips
  • 8 steps to interpretation
  • Sinus rhythmsSinus rhythm
  • Sinus bradycardia
  • Sinus tachycardia
  • Sinus arrhythmia
  • Sinus blocks and sinus arrest
  • VIDEO: Pacer pad placement
• Atrial rhythms
  • Premature Atrial Contractions (PACs)
  • Atrial tachycardia
  • Atrial flutter
  • Atrial fibrillation
  • Wandering Atrial Pacemaker (WAP)
  • VIDEO: Cardioversion
• Junctional rhythms
  • Junctional rhythm
  • Accelerated junctional
  • Junctional tachycardia
  • Junctional escape beat
  • Premature Junctional Contractions (PJCs)
• Ventricular rhythms
  • Ventricular rhythm
  • Accelerated ventricular
  • Ventricular tachycardia
  • Premature Ventricular Contractions (PVCs)
  • Torsades de Pointes
  • Ventricular fibrillation
  • Asystole
  • VIDEO: Code 99 management
  • VIDEO: Defibrillation
• Heart blocks
  • 1st degree
  • 2nd degree – Type I
  • 2nd degree – Type II
  • 3rd degree
  • VIDEO: Transcutaneous pacemaker management
• Pacemakers
  • A-paced
  • V-paced
  • AV-paced

Objectives

• Describe accurate telemetry lead placement and daily management.
• Formulate strategies to minimize alarm fatigue.
• Compare and contrast sinus and atrial rhythms.
• Distinguish differences between life-threatening arrhythmias.
• Plan for the administration of emergency medications to terminate lethal arrhythmias.
• Discriminate between stable and unstable cardiac rhythms.
• Plan appropriate nursing care for the patient experiencing unstable tachycardias.
• Evaluate the effectiveness of interventions to treat selected arrhythmias.

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists

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