Wednesday, February 26, 2014

 


Basic Electrophysiology and RCES Prep Course
 
These classes are open to everyone

 Below are the Outlines and Objectives for the first two Classes.

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)


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March 4th, 2014
Class I - Types of Procedures

Lecture by: Brent A Lawhon, CVT CEPS

Objectives for Class I: Types of Procedures

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
 
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Date: TBA
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
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
             
 
 
 

 
 
          

 

 
 
 
 
 


 
 
 

 
 


 
 




 

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