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CNVAMC Dysrhythmia Identification & Management Course

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Day 1 2D169 DD Day 2 2B106DD

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Two day didactic course for RNs & LPNs with no/limited telemetry experience (NAs who have successfully completed Telemetry Pre-Course also welcome to attend). Must complete American Heart Association "Learn Rhythm" Course (NFED 3893085) in TMS BEFORE first class day. Attendees must be present for all parts of didactic course days. Class times 8:00am-4:30pm both days. Day 1: Nov 30, 2017 Day 2: Dec 14, 2017

FAQs

What can I bring into the event?

Bring an eagerness to learn! Complete the AHA 'Learn Rhythm' Course BEFORE the first day of class!!! Contact your unit educator or Beverly Snyder-DeSalles if you have questions completing this on-line requirment (you have 3 chances to complete the on-line test). Bring EKG calipers if you choose to use them. Otherwise, measurements of EKG waveforms will be done with pencil and paper.


I have had some EKG experience in the past, but it has been a few years. How can I brush up my EKG skills?

There are a WIDE variety of resources available online or in print to help you improve your dysrhythmia identification skills. The steps for a complete telemetry identification should include:

 1. Identifying atrial and ventricular rates

 2. Evaluating atrial and ventricular rhythms

3. Measuring PR and QRS intervals (for adults, QRSI less than 0.12 sec)

 4. Evaluating ST segments, T waves abnormalities

 5. Measuring QT interval (an explanation of QT Interval)1 o Should be no more than half of your R-R interval, and in most cases no more than 0.44 sec.

o If QTI is more than 0.44 sec, get 12 lead ECG to check if QTI corrects to less than 0.44 (heart rate, age affect QTI). If still elevated, notify LIP.

 

A complete interactive website that includes a review of waveforms, measurements, rhythms, and a quiz simulator is EKG Academy (https://ekg.academy/ekg-waveform-lesson )

Another complete website to review dysrhythmias is the ECG Interpretation Tutor (https://www.practicalclinicalskills.com/ecg-interpretation-tutor )

The ECG textbook ECG Interpretation Made Incredibly Easy is available on-line for reference, to search specific questions, or for more rhythm strip practice. (http://sgh.org.sa/Portals/0/Articles/ECG%20Interpretation%20Made%20Incredibly%20Easy!%20(5th%20edition).pdf )

The American Association for Critical Care Nurse’s Basic ECG Interpretation Course ECCO handout (http://vaww.portal.gla.med.va.gov/sites/nursing/cc/Critical%20Care%20Resources/Basic_ECG_Interpretation_2_0_ E_Learning_Notebook.pdf

A VERY complete video review of dysrhythmias is viewable by chapters on YouTube as The ECG Course by The Resuscitationist. https://www.youtube.com/watch?v=fLJAG1LSmtM&index=10&list=PLVRaFpHAzzCgJdurDKLdG464Z2sMAy4oY

Lastly, the interactive ECG simulator, SkillSTAT, does not include a review of the above identification process, but users will have to know this process in order to successfully identify rhythms. http://www.skillstat.com/tools/ecg-simulator




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Day 1 2D169 DD Day 2 2B106DD

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