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1. Choose correct electrode placement required for accurate 12-lead ECG acquisition.
2. Assess normal and abnormal patterns on each lead of the 12-lead ECG.
3. Determine cardiac axis using lead I and aVF.
4. Analyze the 12-lead ECG features seen in atrial and ventricular hypertrophy.
5. Specify the features of right bundle branch block from the features of left bundle branch block.
6. Evaluate patterns of infarct, injury, and ischemia on the 12-lead.
7. Utilize morphology in Lead V1 and V6 to differentiate ventricular tachycardia from SVT with aberrant conduction.
8. Categorize high risk features for Torsades de Pointes and other cardiac arrhythmias.

Time Saving Tips & Strategies

• Systematic Approach
• Correlating Cardiac Conduction with Waveforms
• Layout of the 12-Lead, 15-Lead & Right-sided ECG
• Positive & Negative Lead Placement
• Cardiac Conduction System Clues

Determining Cardiac Axis

• Quick Approach for Axis by Quadrant
• Axis Practice Utilizing "Thumbs Technique"
• Causes for Axis Deviation
• Axis in Disease Diagnosis

Conduction Abnormalities

• Right & Left BBB Morphology
• Left Anterior Hemi-Block Criteria
• Chamber Enlargement
• Atrial Hypertrophy
• Right- & Left-Ventricular Hypertrophy

Myocardial Injury and Ischemia

• Patterns of Injury & Ischemia
• ST Segment & T Wave Changes
• Reciprocal Changes
• Pathological Q waves
• Specific Types of Myocardial Infarction
• Subtle Clues

Complex Arrhythmia Interpretation

• Mechanisms of Tachyarrhythmias
• Evaluating Wide Complex Tachycardias
• VT versus SVT with BBB Aberrancy

High Risk Features

• QT abnormalities
• The Brugada Syndrome
• Wolff Parkinson White Syndrome

Putting It All Together

• Emergency Interventions
• Acute vs. Chronic Treatment Recommendations
• Documentation of Findings

Cynthia L. Webner, DNP, RN, CCNS, CCRN-CMC, CHFN, has over 35 years of critical care and cardiovascular experience in a wide variety of clinical practice settings. Twelve years of her career were dedicated to nursing management and Heart Center administration. She currently practices as a hospital-based Acute Care Clinical Nurse Specialist with a large medical cardiology practice.

Cindy leads the hospital’s cardiac care therapeutic hypothermia program. Cindy has a passion for both nursing practice and the cardiac patient. She believes knowledge transforms clinical practice. In addition to maintaining a part-time clinical practice, Cindy is also a co-owner of Key Choice and Cardiovascular Nursing Education Associates.

She collaborated on Cardiovascular Nursing Practice: A Comprehensive Nursing Resource Manual published by CNEA in 2007. Cindy’s presentations at regional and national venues are known for their high level of enthusiasm and humor used to deliver very high level content. Cindy will convince you that learning is indeed fun, and clinical practice is truly a joy.

 

Speaker Disclosures:

Financial: Cynthia Webner is a business partner for Key Choice and Cardiovascular Nursing Education. She has an employment relationship with Aultman Hospital CVC. Dr. Webner receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.

Nonfinancial: Cynthia Webner is a CCRN Ambassador for the American Association of Critical Care Nurses.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. 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.

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 mental health professionals. 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 professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.5 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.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.5 self-study contact hours.

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 6.5 self-study contact hours.

Copies of the evaluation may be sent to the IBON. 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.

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Other Professions
This self-study activity qualifies for 6.5 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Physician Assistants, and other Healthcare Professionals