Dietitians, nurses, healthcare educators and
those interested in the topic of nutrition
will enjoy this “up to date” series. Chronic
diseases, such as heart disease, diabetes,
and obesity are significant causes of
disability and premature death in the United
States. Yet, they are all preventable
diseases with nutrition being a key
modifiable risk factor. Dietary choices not
only influence current health, but also
whether a person will develop a chronic
condition late in life. This six week series
will focus on the role nutrition plays in
managing and preventing chronic disease, as
well as focusing on motivating clients for
behavior change. Hypertension,
hyperlipidemia, diabetes, kidney disease,
weight management and motivational
interviewing will be discussed.
It is not too late to register - all webinars are recorded and posted on our website through
10/1/08
Nurses – Academy Medical Systems is
an approved provider of continuing nursing
education by the Michigan Nurses
Association, an accredited approver by the
American Nurses Credentialing Center’s
Commission on Accreditation. 9.0 contact
hours will be rewarded to nursing
professionals at the completion of this
workshop.
Academy medical Systems is also a provider
approved by the California Board of
Registered Nursing, provider #CEP14413, for
9.0 hours. And we are also a provider
approved by the Florida Board of Nursing,
provider #50-19, for 9.0 hours.
Iowa Nurses - The Iowa Board of Nurses will
recognize the recorded webinars as a home
study program. They recognize our ANCC
approved provider status as well as our CA
and Fl Board of Nursing provider approval
for home study products for nurses in Iowa.
Academy Medical Systems has submitted an
application for an Iowa approved provider
number for our live webinars. Please contact
us regarding the application status.
All other states recognize our approved
provider status listed in the above text for
continuing education credit for nurses. Dietitians - Academy Medical Systems
is a Continuing Professional Education (CPE)
Accredited Provider with the Commission on
Dietetic Registration (CDR). Registered
dietitians (RDs) and dietetic technicians,
registered (DTRs) will receive 9.0
continuing professional education units (CPEUs)
for completion of this program/material. Certified Dietary Managers – The
Certifying Board for Dietary Managers (CBDM)
has approved this program for 9 general
clock hours, approval # 11615. Certified
Dietary Managers enrolled in this program
will be requested to send in their
certification # during the series, to be
included on the sign-up sheet required by
the CBDM. Occupational Therapist - Occupational
Therapist will receive 9, continuing
education hours for completion this program
and a test score of 70% or better. AMS is an
approved provider for the AOTA , provider #
5470. Exercise Physiologist – ACSM
recognizes AMS’s approved provider status
with the ANCC and will honor our continuing
education for Certified Exercise
Physiologist recertification purposes. Certified Athletic Trainers – Academy
Medical Systems is recognized by the Board
of Certification (BOC) to offer continuing
education for certified athletic trainers. 9
hours will be awarded at the completion of
this program. Physical Therapists - PTs in the
following states will receive 9 contact
hours: CA, CO, CT, DE, IA, ID, KS, MI, MN,
MA, MT, NE, NH, NM, NC, ND, PA, RI, SC, SD,
TN, UT, VA, VT, WA, WY.
Motivational
interviewing (MI) is a client centered counseling style for eliciting
behavior change which helps clients explore and resolve ambivalence.
II.
Goals of MI are to help the person:
A.
Explore the behavior for
themselves
B.
Analyze cost/benefit
ratio of status quo
C.
Decrease potential
resistance to change
D.
Move toward being more
ready to discuss and make changes in behavior
E.
Clarify goals
F.
Develop realistic
strategies to facilitate change
G.
Create a safe
non-threatening environment for discussion
III.
Motivational interviewing techniques:
A.
Express empathy
B.
Develop discrepancies
C.
Roll with resistance
D.
Support self-efficacy
E.
Assessing Readiness to
change
Behavioral/Learning Objectives
1.
Define motivational
interviewing.
2.
State 3 goals of
motivational interviewing.
3.
Describe 2 techniques of
motivational interviewing.
Who Should Attend?
Dietitians, nurses, nutritionist, dietary managers and any
therapists working with patients with chronic diseases or working in
prevention and wellness centers.
ECG Boot Camp: Basic Training in 12-Lead Electrocardiography: Arrhythmias
Cardiac care clinicians are required to know
the bare essentials in reading an
electrocardiogram (ECG). Commonly, the
preparation is a short course on arrhythmias
(and those courses often teach arrhythmia
recognition from lead II only).
Consequently, in practice, much more is
expected and necessary for competent patient
care. This 6-hour course will give the
clinician a basic understanding of the
fundamentals of 12-lead ECG interpretation
of arrhythmias. It is designed for nurses,
therapists, or exercise physiologists
working in cardiac rehabilitation, telemetry
units, emergency departments, intensive care
units, or anywhere cardiac ECG monitoring is
required. This course focusing on basic
arrhythmia interpretation is the first in a
series of 12-lead ECG interpretation
courses.
It is not too late to register - all webinars are recorded and posted on our website through
9/18/08
Nurses – Academy Medical Systems is
an approved provider of continuing nursing
education by the Michigan Nurses
Association, an accredited approver by the
American Nurses Credentialing Center’s
Commission on Accreditation. 9.0 contact
hours will be rewarded to nursing
professionals at the completion of this
workshop.
Academy medical Systems is also a provider
approved by the California Board of
Registered Nursing, provider #CEP14413, for
9.0 hours. And we are also a provider
approved by the Florida Board of Nursing,
provider #50-19, for 9.0 hours.
Iowa Nurses – Academy Medical Systems has
submitted an application for n Iowa approved
provider number for live webinar
presentations. Please contact us regarding
the application status. The Iowa Board of
Nurses will recognize the recorded webinars
as a home study program. They recognize our
ANCC approved provider status as well as our
CA and Fl Board of Nursing provider approval
for home study products for nurses in Iowa.
All other states recognize our approved
provider status listed in the above text for
continuing education credit for nurses. Respiratory therapist – This program
has been approved for 9.0 contact hours
Continuing Respiratory Care Education (CRCE)
credit by the American Association for
Respiratory Care, 9425 N. MacArthur Blvd.
Ste 100, Irving TX 75063. Course #
281591000. Dietitians - Academy Medical Systems
is a Continuing Professional Education (CPE)
Accredited Provider with the Commission on
Dietetic Registration (CDR). Registered
dietitians (RDs) and dietetic technicians,
registered (DTRs) will receive 9.0
continuing professional education units (CPEUs)
for completion of this program/material. Occupational Therapist - Occupational
Therapist will receive 9, continuing
education hours for completion this program
and a test score of 70% or better. AMS is an
approved provider for the AOTA , provider #
5470. Exercise Physiologist – ACSM
recognizes AMS’s approved provider status
with the ANCC and will honor our continuing
education for Certified Exercise
Physiologist recertification purposes. Certified Athletic Trainers – Academy
Medical Systems is recognized by the Board
of Certification (BOC) to offer continuing
education for certified athletic trainers. 9
hours will be awarded at the completion of
this program. Physical Therapists - PTs in the
following states will receive 9 contact
hours: CA, CO, CT, DE, IA, ID, KS, MI, MN,
MA, MT, NE, NH, NM, NC, ND, PA, RI, SC, SD,
TN, UT, VA, VT, WA, WY.
Class Description
The first step in reading an ECG is understanding how the ECG is
generated and what it represents in the heart. While you have studied
much of this in your basic health care education, this class will
reiterate what you have already learned, adding to it and stressing
additional factors that relate to the ECG. This is the foundation for
everything that follows in this six-hour course.
Cardiac Anatomy, Physiology, and Electrophysiology Topics
I.
Gross cardiac anatomy
A.
Atria
B.
Ventricles
C.
Vessels
D.
Normal circulation
through the heart
E.
Coronary arteries
II.
Conduction system
III.
Electrophysiology terms
IV.
Components of the
electrocardiogram
A.
P wave
B.
PR interval
C.
QRS complex
D.
ST segment
E.
T wave
F.
U wave
V.
ECG paper, measurements,
settings, voltage
VI.
Determining rate on the
ECG
VII.
Rules for interpreting
cardiac rhythms
A.
Rate
B.
Rhythm
C.
P waves
D.
PR interval
E.
QRS complex
Behavioral/Learning Objectives
1.
Describe the sequence of
circulation through the heart and the supply of blood to the heart
through the coronary arteries.
2.
List structures of the
conduction system, explain the sequence of normal cardiac activation,
and describe the resultant wave forms produced on the ECG.
3.
Define the
electrophysiologic terms depolarization, repolarization, refractory
period, and conduction.
4,
Define time and voltage
values on the ECG and compute heart rate and rhythm.
5.
Explain the derivation
of the P-wave, QRS complex, PR interval, PR segment, ST segment, T-wave,
and U-wave and define the normal durations and amplitudes of each.
6.
Explain the QRS
descriptors.
8/7/08
Absolute Necessities: Leads, Axis, Principles of Monitoring, What’s Normal
Class Description
To determine what’s abnormal in a 12-lead ECG, it is imperative to know
what is normal and be able to make that determination quickly.
Determining the QRS axis on the frontal plane, if the T wave and ST
segments are directed normally, and thoroughly understanding leads and
how to manipulate them are skills fundamental to rapid 12-lead ECG
interpretation. Often not taught in arrhythmia interpretation courses,
this information is basic and necessary to understand the remaining
sessions in this series.
Absolute Necessities: Leads, Axis, Principles of Monitoring, What’s Normal Topics
I.
Leads of the frontal plane
A.
Standard, bipolar limb leads
B.
Unipolar limb leads
C.
Determination of axis
II.
Leads of the horizontal plane
A.
Two very important leads for
monitoring (V1 and V5)
B.
Bipolar substitutes for V-leads
III.
Lead choices for various
populations
IV.
Other leads (posterior,
right ventricular, etc.)
V.
Rules for monitoring
A.
One lead is not enough!
B.
Choose lead based on patient, not
policy!
Behavioral/Learning Objectives
1.
Identify a normal
12-lead ECG.
2.
Explain how the P wave,
QRS complex, and T wave should look in all 12 leads.
3.
Identify the electrical
axis of the ECG in seconds.
4.
Describe the normal
precordial pattern and how it is derived.
5.
Explain how bipolar
substitutes for the V leads are derived, e.g., MCL1, MCL5, CM5, etc.,
and when they are indicated.
6.
List advantages of using
V1 and V5 for monitoring in cardiac rehabilitation.
Class Description
The sinus rhythms differ from other anatomic classifications, such as
atrial, junctional, and ventricular arrhythmias, mainly because not all
are pathologic. Some are known as physiologic rhythms or variations of
normal sinus rhythm and are found in healthy people. While it is
important to recognize the variations, it is equally important to
remember that these rhythms are not necessarily prognostically
significant.
Absolute Necessities: The Sinus Rhythms Topics
I.
Normal sinus rhythm
A.
ECG characteristics
B.
Normal rates for various ages
II.
Sinus arrhythmia
A.
ECG characteristics
B.
Types
1. Respiratory
2. Nonrespiratory
C.
Implications of its presence
III.
Sinus
tachycardia
A.
ECG characteristics
B.
Etiology and treatment
IV.
Sinus
bradycardia
A.
ECG characteristics
B.
Etiology and treatment
V.
Sino-atrial blocks
A.
ECG characteristics
1. Type 1 second degree SA block
2. Type 2 second degree SA block
B.
Differential diagnosis
VI.
Sick sinus syndrome
A.
ECG characteristics
B.
Some treatment options
Behavioral/Learning Objectives
1.
Describe the features of
normal sinus rhythm (NSR) for adults and children.
2.
Differentiate
physiologic from pathologic arrhythmias and identify ECG examples and
characteristics of each.
3.
Identify sinus
tachycardia, explain factors to consider in determining clinical
significance, and list ten etiologic factors associated with it.
4.
Define sinus bradycardia
and compare and contrast its mechanism with sinus tachycardia.
5.
Define SA blocks and
discuss recognition on the ECG, differentiating from sinus bradycardia.
6.
Describe “sick sinus
syndrome” and common treatment for it.
8/21/08
Absolute Necessities: Atrial Rhythm Disturbances and Supraventricular Tachycardias
Class Description
The atrial arrhythmias and supraventricular tachycardias are rhythm
disturbances that will be encountered often in electrocardiograms of all
age groups. It is essential that the clinician is able to quickly
differentiate supraventricular rhythms from ventricular, diagnose atrial
arrhythmias, and be able to distinguish significant atrial rhythm
disturbances from normal variations.
Absolute Necessities: Atrial Rhythm Disturbances and Supraventricular Tachycardias Topics
I.
Atrial
premature beat/contraction (APB or APC or PAC)
A.
Types
1. Typical
2. Nonconducted
3. Morphology of P wave
4. P’R interval of the APB
B.
Significance
C.
ECG characteristics
II.
Supraventricular tachycardias
A.
Multiform atrial tachycardia
B.
Paroxysmal supraventricular tachycardia
C.
Atrial tachycardia
D.
Atrial flutter
E.
Atrial fibrillation
III.
Wandering pacemaker
IV.
Atrial escape rhythm
Behavioral/Learning Objectives
1.
Explain the clinical
significance of each of the atrial arrhythmias and specify which may be
found in healthy people and which may be indicative of disease.
2.
Describe ECG features of
atrial premature beats or contractions (APBs/APCs) and explain the
various ways they may be displayed on the ECG.
3.
Define paroxysmal
supraventricular tachycardia (PSVT), describe possible associated
findings, and list two etiologies.
4.
Define atrial
tachycardia with and without block and differentiate it from other
atrial tachycardias, such as PSVT, atrial flutter, etc.
5.
Identify and explain the
ECG features of atrial flutter, listing three leads that tend to exhibit
flutter waves clearly, and anticipate the ventricular rate in both adult
and pediatric patients prior to treatment.
6.
Identify atrial
fibrillation, describe its hemodynamic effects, risk of thrombus
formation, and treatment.
8/28/08
Necessities: AV Junctional Rhythm Disturbances and AV Blocks
Class Description
The atrioventricular (AV) junction includes the AV node and the bundle
of His. The junctional tissue contains cells capable of automaticity.
The junction is also capable of slowing and blocking impulses from
traveling from the atria to the ventricles. Thus, this class will
discuss the AV blocks as well as the junctional arrhythmias.
Necessities: AV Junctional Rhythm Disturbances and AV Blocks Topics
I.
Junctional premature
beats
A.
ECG characteristics
B.
Comparison of APBs and JPBs
II.
Junctional tachycardia
A.
ECG characteristics
B.
Treatment options
III.
Junctional escape beats
and idiojunctional rhythm
A.
ECG characteristics
B.
Implications
IV.
AV blocks
A.
First degree
B.
Second degree
1. Type I
2. Type II
C.
Third degree
D.
ECG characteristics of each of the
AV blocks
E.
Treatment options
Behavioral/Learning Objectives
1.
Describe which leads are
most helpful in assessing junctional arrhythmias, differentiate
junctional from atrial arrhythmias and discuss retrograde atrial
depolarization.
2.
Identify premature
junctional contractions (PJCs) and differentiate from APCs.
3.
Define junctional
tachycardia and explain how it is different from atrial tachycardias.
4.
Identify first, second
(both type I and type II), and third degree AV blocks.
5.
Describe AV
dissociation.
6.
Define the Wenckebach
phenomenon and describe two of its ECG manifestations.
Class Description
The ventricular arrhythmias are the most important of the cardiac rhythm
disturbances because the ventricles are responsible for pumping blood to
the body. If faulty ventricular depolarization results in little or no
ventricular pumping, the result may be lethal. Yet, as will be seen in
this class, ventricular arrhythmias are ubiquitous and may be benign or
malignant. The trick is distinguishing lethal or potentially lethal from
benign ventricular arrhythmias.
Ventricular premature
beat or contraction (VPB or VPC or PVC)
A.
ECG characteristics
B.
Incidence and implications
II.
Ventricular tachycardia
(VT)
A.
ECG characteristics
B.
Incidence and implications
III.
Ventricular fibrillation
A.
ECG characteristics
B.
Treatment
IV.
Accelerated
idioventricular rhythm
A.
ECG characteristics
B.
Implications
V.
Idioventricular rhythm
A.
ECG characteristics
B.
Implications
Behavioral/Learning Objectives
1.
Define sudden cardiac
death and relate the arrhythmias most often responsible for it and the
type of patient most likely to be at higher risk.
2.
List five causes of
ventricular premature beats (or contractions) (VPBs, VPCs, or PVCs) and
describe the ECG features and patterns of occurrence.
3.
Recognize ventricular
tachycardia and contrast it with supraventricular tachycardia.
4.
Differentiate
accelerated idioventricular rhythm and ventricular tachycardia,
explaining differences in treatment and outcome.
5.
Describe ventricular
fibrillation and delineate treatment.
6.
Identify ventricular
asystole and discuss treatment options.
Who Should Attend?
Nurses, therapists or exercise therapists working in cardiac
rehabilitation, telemetry units, emergency departments, intensive care
units, or anywhere cardiac ECG monitoring is required.
Exercise Prescription for the Cardiac Rehab Patient
This webinar series is designed to provide
the participant with some basic principles
of exercise prescription for the Cardiac
Rehab patient. The series will begin with a
review of some basic Exercise Physiology
concepts and conclude with exercise
prescriptions for specific patient
populations. Several co-morbidities will be
discussed along the way. Clinicians who are
new to Cardiac Rehab as well as those who
need a review of exercise prescription will
benefit from this program. The content
presented meets AACVPR and ACSM guidelines.
Recorded Webinars will remain posted through 11/4/08
Nurses – Academy Medical Systems is
an approved provider of continuing nursing
education by the Michigan Nurses
Association, an accredited approver by the
American Nurses Credentialing Center’s
Commission on Accreditation. 9.0 contact
hours will be rewarded to nursing
professionals at the completion of this
workshop.
Academy medical Systems is also a provider
approved by the California Board of
Registered Nursing, provider #CEP14413, for
9.0 hours. And we are also a provider
approved by the Florida Board of Nursing,
provider #50-19, for 9.0 hours.
Iowa Nurses – Academy Medical Systems has
submitted an application for n Iowa approved
provider number for live webinar
presentations. Please contact us regarding
the application status. The Iowa Board of
Nurses will recognize the recorded webinars
as a home study program. They recognize our
ANCC approved provider status as well as our
CA and Fl Board of Nursing provider approval
for home study products for nurses in Iowa.
All other states recognize our approved
provider status listed in the above text for
continuing education credit for nurses. Respiratory therapist – This program
has been approved for 9.0 contact hours
Continuing Respiratory Care Education (CRCE)
credit by the American Association for
Respiratory Care, 9425 N. MacArthur Blvd.
Ste 100, Irving TX 75063. Course #
281726000. Dietitians - Academy Medical Systems
is a Continuing Professional Education (CPE)
Accredited Provider with the Commission on
Dietetic Registration (CDR). Registered
dietitians (RDs) and dietetic technicians,
registered (DTRs) will receive 9.0
continuing professional education units (CPEUs)
for completion of this program/material. Occupational Therapist - Occupational
Therapist will receive 9, continuing
education hours for completion this program
and a test score of 70% or better. AMS is an
approved provider for the AOTA , provider #
5470. Exercise Physiologist – ACSM
recognizes AMS’s approved provider status
with the ANCC and will honor our continuing
education for Certified Exercise
Physiologist recertification purposes. Certified Athletic Trainers – Academy
Medical Systems is recognized by the Board
of Certification (BOC) to offer continuing
education for certified athletic trainers. 9
hours will be awarded at the completion of
this program. Physical Therapists - PTs in the
following states will receive 9 contact
hours: CA, CO, CT, DE, IA, ID, KS, MI, MN,
MA, MT, NE, NH, NM, NC, ND, PA, RI, SC, SD,
TN, UT, VA, VT, WA, WY. Certified Cardiovascular Techs –
Cardiovascular Credentialing International
recognizes our approved provider status with
the ANCC for continuing education courses
for CCTs.
