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At the completion of this program, you should be able to:

1. Identify correct electrode placement required for accurate 12-lead ECG acquisition.
2. Differentiate normal from abnormal patterns on each lead of the 12-lead ECG.
3. Determine cardiac axis using lead I and aVF.
4. Describe the 12-lead ECG features seen in atrial and ventricular hypertrophy.
5. Contrast the features of right bundle branch block from the features of left bundle branch block.
6. Recognize 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. Recognize long QT as a risk factor for Torsades de Pointes.

1. 12-Lead ECG - A systematic approach
1. Limb leads and chest leads
2. Single electrode and dual electrode leads
3. Lead placement
4. Low leads record
5. Views of each lead
6. Cardiac conduction system and waveforms
7. Systematic ECG review
2. Cardiac Axis
1. Clinical application
2. Axis wheel
3. Quadrants of axis
4. Quick approach for axis assessment
5. Degree of axis
3. Bundle Branch Blocks (BBB) and Hypertrophy Identification
1. Right BBB Morphology
2. Left BBB Morphology
3. Left anterior hemi-block diagnostic criteria
4. Atrial Hypertrophy
5. Left Ventricular Hypertrophy
6. Right Ventricular Hypertrophy
4. Patterns of Myocardial Injury and Ischemia
1. Myocardial injury patterns
2. Patterns of ischemia
3. Reciprocal changes
4. Evolutionary ST / T wave changes
5. Pathological Q waves
6. Interpretation in presence of BBB
7. Specific types of myocardial infarction
8. Anterior wall
9. Lateral wall
10. Inferior wall
11. Posterior wall
12. Right ventricular
5. Complex Arrhythmia Interpretation
1. Mechanisms of tachyarrhythmias
2. Evaluating wide complex tachycardias
3. VT versus SVT with BBB aberrancy

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.

For U.S. and Canadian customers, CE is available for $20 USD per participant. International CE rates may vary; 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 will be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**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.

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Cardiovascular Technology Professionals
Cardiovascular Credentialing International (CCI) recognizes programs and providers approved by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This self-study package will qualify for 6.5 contact hour.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 12/4/2016
No CE available for this board.

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 7.8 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, Nurse Practitioners, Clinical Nurse Specialists, Advanced Paramedics, Physician Assistants, EKG Technicians, Telemetry Technicians, Cardiovascular Technology Professionals