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Advancing Your Telemetry Skills for the Complex Patient

Marcia Gamaly, PhD(C), MSN, MHA, RN-BC, CEN, PCCN
Full Day
Dec 09, 2016
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  • 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!



* Credit Note - ****

Save time and money off other submission methods – purchase & take the CE test online for $29.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.  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. 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 or 800-844-8260 before completion.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**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.  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 6.0 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 6.0 self-study contact hours.

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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 7.6 self-study contact hours. Please email 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 6.25 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.



Marcia Gamaly, PhD(C), MSN, MHA, RN-BC, CEN, PCCN's Profile

Marcia Gamaly, PhD(C), MSN, MHA, RN-BC, CEN, PCCN Related seminars and products

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.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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Cardiac Rhythms Update

  • Sinus
  • Atrial
  • Junctional
  • Ventricular
  • Blocks
    • 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
    • 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
      • Simple face mask
      • Partial rebreather
      • Non-rebreather
      • Venturi® mask
    • 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
    • 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



  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



Overall:      5

Total Reviews: 2


Gemlyn R

"Very informative and timely."

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