Basic Electrophysiology and RCES Prep Course
These classes are open to everyone
As soon as I finalize the other class outlines I will post them.
Classes will be held the First and Third
Tuesday of each month from 0730 to 0830
Room# 3422
(Prep and Recovery Conference Room)
Class I - Types of Procedures
Lecture by: Brent A Lawhon, CVT CEPS
1) Identify the types of procedures performed
in Electrophysiology
2) Understand the difference between
procedures performed in Electrophysiology
3) Understand the risk factors for each type
of procedure
Types of Procedures encountered in
Electrophysiology Outline
A) Diagnostic Procedures
1) Tilt Table Testing
2) E.P. Study
3) Ultrasound (Echo) Studies
a) TEE
b) Transthoracic
4) Cardioversions
B) Therapeutic Procedures
1) RF Ablations
a) SVT Ablations
b) Atrial Fib Ablations
c) VT Ablations
2) Device Implantation
a) ILR Placement
b) Pacemaker
Placement - Single and Duel Chamber
c) ICD Placement – Single and Duel Chamber
d) CRT placement – Pacemaker and Defibrillator
e) Sub-Q ICD
C) Other Procedures
1) DFT
2) Device Interrogation and
Reprogramming
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March 18th, 2014
Class II - Pre-Procedure Activites
Lecture by: Ginny Hoff, RN
Objectives
for Class II - Pre-Procedure Activities
1)
Identify
the importance of using the EP Lab Procedure Safety Checklist
2)
Identify
the importance of obtaining Pre-Procedure Verification and the proper reporting
of abnormality’s
3)
Recognize
abnormal lab values and identity to whom they will be reported
4)
Recognize
abnormal lab values as they pertain to devices and ablations
5)
Recognize
abnormal vital signs and rhythm as they pertain to devices and ablations
6)
Recognize
antibiotic use as they pertain to devices
7)
Discuss
the importance of medical history as they pertain to devices and ablations
8)
Understand
the Sedation Risk Factors as they pertain to devices and ablations
9)
Discuss
the Anticoagulation/Antiplatelet Regime as they pertain to devices and
ablations
10) Identify the importance of obtaining Post
Procedure Timeout information and the proper reporting of a anormality
**25% of Questions come from this section**
Pre Procedure Activities Outline
A. Patient Preparation for Procedure
1) Ensure proper patient ID
2) Correct Consents for procedure
3) Maintain patient and family comfort
4) Basic patient assessment
a. Subjective assessment
b. Objective assessment
5) Patient and Family Teaching
a. Approximant length of procedure time
b. What to expect during procedure
c. Post procedure activities.
6) Review of Medical Record
7) Verify Physician Orders
8) IV placement and Lab Draws
9) Site preparation
10) Urinary catheter placement
B. Normal and Abnormal Lab Values
1) Normal Values
2) Abnormal Values
3) Critical values
C. 12 Lead ECG
1) Correct Lead Placement
D. Pre-procedure sedation
E. Other Pre-Procedure activities
1) Interrogation and Programming of existing device (i.e. Pacemaker, ICD, etc.)
2) Pre-procedure assessment of skin, documentation and photo for thermal burn.
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April 1, 2014
Class
III - Procedural activities
Part 1
Ablation Procedures
Lecture by: Barb Knick,
RN BSN RCES
Ablation
Procedural Activities Outline
A.
Procedural
Activities
1)
Sterile
Technique
2)
Sterile
Procedure Table Set-up
B.
Ablation
Activities
1)
Equipment
needed for procedure
2)
Assist
with sheath Placement (Venous and Arterial)
3)
Assist
with Catheter Placement
4)
Assist
with Trans septal Puncture
5)
Assist
with Ablation
C.
Non-Invasive
Procedures
1)
Equipment
needed for procedures
2)
Assist
with Cardioversion
3)
Assist
with TEE exam.
4)
Assist
with Tilt Table Exam
5)
Assist
with DFT’s and Device Testing
D.
Emergency
Procedures
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April 15, 2014
Class IV - Procedural activities
Part 2
LECTURE BY: DIANA
VANBENSCHOTEN, RT(R)
A.
Procedural
Activities
1)
Principles
of Sterile Technique
2)
Sterile
Procedure Table Set-up
B. Patient Preparation and Positioning
C.
Device
Activities
1)
Equipment
needed for Procedure
2)
Assist
with Pacemaker implantation
3)
Assist
with ICD Implantation
4)
Assist
with CRT implantation
5)
Assist
with Lead Extractions
6)
Sub-Q
ICD
D.
Emergency
Procedures
Class V - General Anatomy and
Physiology
LECTURE
BY: James Merriam, M.D.
A.
General
Cardiac Anatomy Physiology
1)
Basic
Cardiac Anatomy
2)
Cardiac
Pathophysiology
3)
Cardiac
Action Potential
4)
Cardiac
Conduction
**This Class may be
broken into two or more classes