Cynthia L. Webner, Karen M. Marzlin – 12-Lead ECG

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 Cynthia L. Webner, Karen M. Marzlin – 12-Lead ECG

Description:

You will gain the essential skills and in-depth knowledge for determining:

• Axis Deviation
• A Systematic Approach to the 12-lead ECG
• Bundle Branch Block Identification
• Myocardial Injury & Ischemia
• Arrhythmia Interpretation

Attend this comprehensive ECG seminar and take your ECG knowledge to the next level. Your speakers Cynthia Webner, DNP, RN, CCNS, CCRN-CMC, CHFN, and Karen Marzlin, DNP, RN, CCNS, CCRN-CMC, CHFN will focus on the direct application of ECG interpretation in clinical practice and case study analyses, with many opportunities to practice your 12-lead ECG assessment skills.

Cindy and Karen have developed innovative teaching methods that will improve your long-term retention of key concepts through engaged hands-on learning activities, such as the creation of a reference worksheet that includes visual reminders for rapid and accurate assessment. You will use these skills every day in your clinical practice.

OUTLINE

12-Lead ECG – A systematic approach

• Limb leads and chest leads
• Single electrode and dual electrode leads
• Lead placement
• Low leads record
• Views of each lead
• Cardiac conduction system and waveforms
• Systematic ECG review

Cardiac Axis

• Clinical application
• Axis wheel
• Quadrants of axis
• Quick approach for axis assessment
• Degree of axis

Bundle Branch Blocks (BBB) and Hypertrophy Identification

• Right BBB Morphology
• Left BBB Morphology
• Left anterior hemi-block diagnostic criteria
• Atrial Hypertrophy
• Left Ventricular Hypertrophy
• Right Ventricular Hypertrophy

Patterns of Myocardial Injury and Ischemia

• Myocardial injury patterns
• Patterns of ischemia
• Reciprocal changes
• Evolutionary ST / T wave changes
• Pathological Q waves
• Interpretation in presence of BBB
• Specific types of myocardial infarction
• Anterior wall
• Lateral wall
• Inferior wall
• Posterior wall
• Right ventricular

Complex Arrhythmia Interpretation

• Mechanisms of tachyarrhythmias
• Evaluating wide complex tachycardias
• VT versus SVT with BBB aberrancy

OBJECTIVES

• Identify correct electrode placement required for accurate 12-lead ECG acquisition.
• Differentiate normal from abnormal patterns on each lead of the 12-lead ECG.
• Determine cardiac axis using lead I and aVF.
• Describe the 12-lead ECG features seen in atrial and ventricular hypertrophy.
• Contrast the features of right bundle branch block from the features of left bundle branch block.
• Recognize patterns of infarct, injury, and ischemia on the 12-lead.
• Utilize morphology in Lead V1 and V6 to differentiate ventricular tachycardia from SVT with aberrant conduction.
• Recognize long QT as a risk factor for Torsades de Pointes.

ABOUT THE SPEAKERS

Karen M. Marzlin, DNP, RN, CCNS, CCRN-CMC, CHFN, is an acute care Clinical Nurse Specialist practicing with medical cardiology patients in a 56-bed variable staffing CCU. Karen has been a nurse for over 26 years and has spent her entire career working with the cardiac patient. Karen also dedicated 10 years of her career to management and cardiovascular program administration. She has a passion for creating excellence at the bedside that is evident in her daily practice.

Karen, in addition to maintaining a part-time clinical practice, is a co-owner of Key Choice, a training and consulting business. She travels nationally and provides continuing education on a wide variety of cardiovascular and critical care topics as well as leadership/management consulting. Her presentations are enthusiastically delivered and offer practical tips that help everyone achieve excellence at the bedside. Linking knowledge to practice is the goal of every education program.

Karen collaborated on Cardiovascular Nursing Practice: A Comprehensive Nursing Resource Manual published by CNEA in 2007.

Cynthia L. Webner, DNP, RN, CCNS, CCRN-CMC, CHFN, is an acute care Clinical Nurse Specialist with over 32 years of experience in a wide variety of clinical practice venues surrounding the cardiac patient. Twelve years of her career were dedicated to nursing management and Heart Center administration. She currently practices as a hospital-based advanced practice nurse with medical cardiology patients. Cindy has a passion for nursing and the cardiac patient and is committed to learning something new every day.

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Cindy, in addition to maintaining a part-time clinical practice, is a co-owner of Key Choice, a training and consulting business. She travels nationally and provides continuing education on a wide variety of cardiovascular and critical care topics as well as leadership/management consulting. Her presentations are enthusiastically delivered and offer practical tips that help everyone achieve excellence at the bedside. Linking knowledge to practice is the goal of every education program. Cindy collaborated on Cardiovascular Nursing Practice: A Comprehensive Nursing Resource Manual published by CNEA in 2007.