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Exploring the Essential Features of “Marcia Gamaly – Cardiac Emergencies: Quickly Recognize Life-Threatening Dysrhythmias & Manage Your Most Unstable Patients”
- Accurately interpret cardiac rhythms
- Compare novel anticoagulant therapies for prevention of thromboembolism
- Drug titration: What is important to know?
- Post-catheterization complications: Be ready to intervene!
- Sharpen care of the patient with myocardial ischemia
- TIMI, HEART & ASCVD: What’s the difference?
- Improve management of your septic patient
- Master skills required for today’s telemetry/postacute cardiac nurse
Managing complex cardiac patients 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 your 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? Can you apply restraints to a patient on CPAP? Do you hesitate on the steps necessary to cardiovert or defibrillate your unstable patient? You will leave this training with improved rhythm interpretation skills, the ability to quickly recognize life-threatening dysrhythmias and confidence to manage your unstable cardiac patients!
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
Cardiac rhythm review
- Sinus
- Atrial
- Junctional
- Ventricular
- Blocks
- SKILLS: Video presentation
- Cardioversion
- Pacing
- Defibrillation
Commonly prescribed medications
- Anticoagulants
- Vasodilators
- Antiarrythmics
- Vasopressors
- Inotropics
- Miscellaneous agents
Myocardial Ischemia – “Time is muscle”
- Pathophysiology
- Cardiac enzymes & diagnostic testing
- Core measures
- Risk assessment tools
- Treatment/interventions
- SKILLS: Telemetry monitoring
- EKG lead placement
- Telemetry packs – 3, 5, and 6-leads
Heart failure
- Pathophysiology
- Diagnostic testing
- Core measures
- Treatment/interventions
- SKILLS: Oxygen delivery systems
- Nasal cannula to CPAP
- SKILLS: Prevention of respiratory depression/failure
- Pulse oximetry – how effective is it?
- End-Tidal CO2 monitoring
Monitoring the post-cardiac catheterization patient
- Assessment of cath site
- Monitoring for complications/ hematoma
- SKILLS: Hemostatic devices
- Radial access device (e.g., VascBand®)
- Femoral access device (e.g., FemoStop®)
Trends in patient management
- Life-Vest
- WATCHMAN® Device
- Left Ventricular Assist Device
- Chest and abdominal drainage systems (e.g., PleurX®)
Objectives
- Compare and contrast sinus and atrial rhythms.
- Distinguish differences between life-threatening arrhythmias.
- Discriminate between indications for medications prescribed on the post-acute cardiac unit.
- Assess the post-cardiac catheterization patient to identify potential complications.
- Plan appropriate nursing care for the patient with myocardial ischemia.
- Formulate a plan to decrease risk of pressure injuries.
Target Audience
Nurses and other Healthcare Professionals
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