Marcia Gamaly – Advancing Your Telemetry Skills for the Complex Patient

Advancing Your Telemetry Skills for the Complex Patient – Marcia Gamaly

• Many hands-on skill labs to test your knowledge
• Cardioversion, pacing, defibrillation
• Never miss the subtle changes that can signal trouble
• Latest trends in chest pain and heart failure management
• What you can expect from new medications in practice
• Best tips to monitor patient’s post-catheterization

Managing complex patients in the telemetry unit can be challenging for even experienced nurses in today’s outcome and technology-driven cardiology world. Are you familiar with the core measures frequently monitored on the telemetry unit? Are you confident in your ability to care for a patient who has a wearable defibrillator? Are you comfortable in your ability to titrate and wean oxygen? Do you hesitate on the steps necessary to cardiovert or defibrillate your unstable patient? Best practices are constantly evolving in response to the latest guidance coming from research. While it can be challenging to remain current with trends in telemetry nursing care, for your patients… it can be critical that you do so. Make time to attend this hands-on, engaging and highly informative event to advance your practice!

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OUTLINE

Cardiac Rhythms Update

• Sinus
• Atrial
• Junctional
• Ventricular
• Blocks
• HANDS-ON LAB
  • SKILLS: Video presentation
    • Cardioversion
    • Pacing
    • Defibrillation

Commonly Prescribed Medications

• Vasodilators
• Antiarrythmics
• Vasopressors
• Inotropics
• Miscellaneous agents

Chest Pain – “Time is Muscle”

• Pathophysiology
• Cardiac enzymes & diagnostic testing
• Core measures
• Treatment/interventions
• HANDS-ON LAB
  • SKILLS: Telemetry monitoring
    • EKG lead placement
    • Telemetry packs – 3, 5, and 6 leads

Heart Failure

• Pathophysiology
• Diagnostic testing
• Core measures
• Treatment/interventions
• HANDS-ON LAB
  • SKILLS: Oxygen delivery systems
    • Nasal cannula
    • Simple face mask
    • Partial rebreather
    • Non-rebreather
    • Venturi® mask
• HANDS-ON LAB
  • SKILLS: Prevention of respiratory depression/failure
    • Pulse oximetry – how effective is it?
    • End-Tidal CO2 monitoring

Monitoring the Post-Cardiac Catheterization Patient

• Assessment of puncture site
• Monitoring for complications/Hematoma
• HANDS-ON LAB
  • SKILLS: Hemostatic devices
    • Radial access device
    • Femoral access device

Trends in Patient Management

• Wear-able Defibrillator
• Left Ventricular Assist Device
• Chest tube management
• Left Atrial Appendage Closure Device

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OBJECTIVES

1. Compare and contrast sinus and atrial rhythms.
2. Distinguish the differences between life-threatening arrhythmias.
3. Discuss indications for medications commonly prescribed for telemetry patients.
4. Analyze assessment of the post-cardiac catheterization patient for complications.
5. Plan appropriate nursing care for the patient experiencing chest pain and/or heart failure.
6. Evaluate the effectiveness of interventions to treat heart failure.

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