Marcia Gamaly – Advancing Your Telemetry Skills for the Complex Patient

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Exploring the Essential Features of “Marcia Gamaly – Advancing Your Telemetry Skills for the Complex Patient”

Speaker: Marcia Gamaly, PhD(C), MSN, MHA, RN-BC, CEN, PCCN

Duration: Full Day

Format: Audio and Video

Copyright: Dec 09, 2016  

Media Type: Digital Seminar

Description

• 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!

Speaker

Marcia Gamaly, 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 for over 250 nurses and support 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

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

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.

Target Audience

Nurses and other Healthcare Professionals

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