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Digital Seminar

12-Lead EKG & Chest X-Ray Interpretation: Enhancing Assessment Skills for Improved Outcomes


Speaker:
Cheryl Herrmann, RN, MS, APRN, CCRN, CCNS-CSC/CMC
Duration:
5 Hours 21 Minutes
Format:
Audio and Video
Copyright:
Jun 02, 2018
Product Code:
POS020023
Media Type:
Digital Seminar


Description

When to be concerned — 12-Lead EKG Pearls of Wisdom
In a cardiac event, the clock starts ticking as soon as the coronary artery becomes occluded. Are you ready to rapidly interpret STEMI (ST segment elevation myocardial infarction) changes with a 12-lead EKG and provide effective intervention to reduce the size of the AMI? The 12-lead EKG is one of the most frequently utilized cardiac assessment tools to assess chest pain. Yet, it provides us with so much more information that can help improve patient care. The purpose of this portion of the recording is to assist the health care professional in mastering 12-lead EKG assessment skills in order to identify the common and not-so-common changes. You will also examine subtle and high-risk signs on 12-Lead EKG that are of concern preoperatively, in the ED, or in the clinic.

As Easy as Black and White...
Chest X-rays are also a commonly ordered diagnostic test, yet viewing and interpreting them can be challenging. Chest X-rays can be as simple as black and white. The purpose of this portion of the recording is to provide clinicians with chest X-ray interpretation skills in order to help you easily assess changes in the patient’s condition. You will develop skills in line identification; differentiations among atelectasis, pneumonia, ARDS, pleural effusion, and pulmonary edema; and identification of pneumothorax, cardiac tamponade, and cardiomyopathy. You will view examples of numerous chest X-rays to reinforce the concepts presented. Clinicians will walk away from this session with practical skills for better, quicker patient assessment allowing for more effective intervention.

Credit


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.


Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 5.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 5.0 self-study contact hours.

CE Broker


Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 5.2 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Other Professions

This self-study activity qualifies for 5.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Cheryl Herrmann, RN, MS, APRN, CCRN, CCNS-CSC/CMC's Profile

Cheryl Herrmann, RN, MS, APRN, CCRN, CCNS-CSC/CMC Related seminars and products


Cheryl Herrmann, RN, MS, APRN, CCRN, CCNS-CSC/CMC, has 40+years of nursing experience – 15 years as a bedside nurse in critical care and 25 + years as a cardiac clinical nurse specialist. In her career, she has assessed and managed cardiology, cardiovascular surgery and critical care patients from the prehospital setting as PHRN on the ambulance to patients in cardiac progressive and critical care units. As CNS, she helped develop the Rapid Response Team and Protocols at her institution and was chairman of the RRT committee to analyze and improve outcomes. One of the creative teaching methods to improve outcomes was being involved in biyearly "Preventing a Crisis" sessions for acute care nurses that utilized recent case studies to discern strategies to prevent the crisis. Cheryl has a passion for cardiac nursing and is an advocate for empowering nurses to become experts.

She is a popular presenter for national conferences including the American Association of Critical Care Nurses NTI. Cheryl has been honored with the American Association of Critical Care Nurses Circle of Excellence – Excellent Clinical Nurse Specialist Award.

Speaker Disclosures:
Financial: Cheryl Herrmann has employment relationships with Carle Health Greater Peoria and Liberty University. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Cheryl Herrmann is a member of the Heart of Illinois AACN, the Illinois Society of Advanced Practice Nurses, the National AACN, and the National Association of Clinical Nurse Specialists.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

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Objectives

  1. Review normal 12-Lead EKG and the polarity of each lead
  2. Identify axis deviation and implication in clinical practice
  3. Discuss the criteria, causes, and significance of left and right bundle branch blocks
  4. Analyze EKG changes associated with ischemia, injury, and infarction patterns
  5. Develop a quick approach to diagnosis of STEMI on 12-lead EKG
  6. Analyze EKGs for subtle and high-risk signs
  7. Develop a systematic approach to chest X-ray interpretation
  8. Identify correct placement of common invasive lines on chest X-rays
  9. Differentiate between common cardiac and pulmonary disorders on chest X-rays
  10. Discover the clinical pearls of EKG and chest X-rays in challenging case studies

Outline

PART I: THE ABCS OF 12-LEAD EKG INTERPRETATION

12-Lead EKG 101

  • Cardiac electrical conduction system
  • Electrical vectors
    • Introduction to the 12-leads
      • Limb leads
      • Augmented leads
      • Chest leads
  • Normal polarity and P-QRS-T configuration of each lead

Ace the Axis

  • Left and right axis deviation
  • Causes and criteria of axis deviation
  • Methods to determine axis deviation
  • Case presentations, analysis, and clinical application

Beat the Bundles

  • Right and left bundle branch blocks (BBB)
  • Criteria for right vs. left BBB
  • Causes and complications of right and left BBB
  • Left anterior and left posterior hemiblocks
  • Case presentations, analysis, and clinical application

Correlate the Coronary Anatomy

  • Coronary arteries
    • Right coronary artery (RCA)
    • Left coronary artery (LCA)
    • Left anterior descending artery (LAD)
    • Circumflex artery (CX)
  • Posterior descending artery (PDA)
  • Left ventricular walls
    • Inferior
    • Anterior
    • Septal
    • Lateral
    • Posterior
  • Relationship of coronary arteries and ventricular walls to the 12-leads
    • Inferior—RCA—leads II, III, AVF
    • Anterior/septal—LAD—leads V1–V4
    • Lateral—circumflex—leads I, AVL, V5, V6
    • Posterior—PDA—reciprocal changes V1–V4

Differential Diagnosis: 12-Lead EKG in Acute Coronary Syndrome

  • Ischemia pattern
  • Injury pattern
  • Infarction pattern
  • Reciprocal changes
  • ST segment elevation myocardial infarction (STEMI)
  • Non-ST segment elevation myocardial infarction (NSTEMI)
  • Coronary spasm
  • Takotsubo cardiomyopathy (broken heart syndrome)

Example and Analysis Time - Piecing It All Together

  • 30-second diagnosis of STEMI on 12-lead EKG
  • Coronary angiographic correlation to 12-lead EKG
  • Case presentations, analysis, and clinical application

Advanced 12-Lead: Challenging Clinical Presentations

  • Atrial and ventricular hypertrophy
  • Wolff-Parkinson-White syndrome
  • Prolonged QT intervals

PART II: CHEST X-RAY INTERPRETATION - AS EASY AS BLACK AND WHITE

Note: Most chest X-ray examples will be AP films

Chest X-ray basics

  • Technique
  • Black and white principles
  • Projections
    • Anterior-posterior (AP)
    • Posterior-anterior (PA)
    • Lateral

Systematic Approach

  • Bone structures
  • Intercostal spaces
  • Soft tissues
  • Lungs/trachea/pulmonary vasculature
  • Pleural surfaces
  • Diaphragm
  • Mediastinum
  • Heart and great vessels
  • Invasive lines

As Easy as Black

  • Pneumothorax
  • Subcutaneous emphysema
  • Clinical application and treatment

As Easy as White

  • Pleural effusion
  • Pulmonary edema
  • Pneumonia
  • Atelectasis
  • Acute respiratory distress syndrome (ARDS)
  • Cardiomyopathy
  • Pericardial effusion
  • Cardiac tamponade
  • Clinical application and treatment

Beyond the Basics

  • Aortic aneurysm
  • Post-op changes with pneumonectomy
  • Hydropneumothorax
  • Esophagogastrectomy
  • Dextrocardia
  • Clinical application and treatment

PART III: CXR & 12 LEAD EKG CASE PRESENTATIONS, ANALYSIS, AND CLINICAL APPLICATION

Target Audience

  • Acute Care and Family Nurse Practitioners
  • Registered Nurses in:
    • Critical and Intensive Care
    • Acute Care
    • Cardiac Care
    • Emergency Department
    • Physician Offices, Physician Assistants
    • Clinical Nurse Specialists
    • Medical Assistants
    • Emergency Medical Technicians
    • Paramedics
    • Respiratory Therapists

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