2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients with Syncope

Check out the link below to read more on the new 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines, and the Heart Rhythm Society!

AHA Logo

http://circ.ahajournals.org/content/early/2017/03/09/CIR.0000000000000499

Tired of wasting time in ER waiting rooms?

Value added wait time is a big focus for our patients, they want to get back home ASAP and stop being a patient.  This study from the Annals of Emergency Medicine looks at the effects of waiting room work-ups.  Pretty intuitive…they work!

Initiating Diagnostic Studies on Patients c AP in the Waiting Room Decreases Time Spent in an ED Bed (and Total ED LOS): A RCT

Begaz T, et al. Ann Emerg Med. 2017 Mar;69(3):298-307.

STUDY OBJECTIVE: The effect of clinician screening of patients in the emergency department (ED) waiting room is unclear. This study aims to determine the effect of initiating laboratory and imaging studies from the ED waiting room on time in a bed, total ED time, and likelihood of patients leaving before completion of service.

METHODS: This was a prospective, randomized, controlled trial evaluating 1,659 nonpregnant adults with a chief complaint of abdominal pain, conducted in a public hospital ED when all ED beds were occupied and patients were in the waiting room awaiting definitive evaluation. After a brief screening examination, stable patients were randomized to either rapid medical evaluation (RME)+waiting room diagnostic testing (WRDT) or RME-only groups. Patients randomized to the RME+WRDT group had laboratory and imaging studies ordered at the discretion of the screening provider while in the waiting room. The primary outcome was time in an ED bed. Secondary outcomes were total ED time and rate of leaving before completion of service. Linear and logistic regression models were used to compare outcomes between groups.

RESULTS: Between July 2014 and May 2015, 1,659 patients completed the study, 848 patients in the RME+WRDT group and 811 in the RME-only group. Baseline demographic characteristics were similar between groups. Patients in the RME+WRDT group had a significantly shorter mean time in an ED bed than the RME-only group, 245 minutes compared with 277 minutes (adjusted difference of 31 minutes; 95% confidence interval [CI] 16 to 46 minutes). The RME+WRDT group also had significantly shorter mean total ED time from arrival to disposition than the RME-only group, 460 minutes compared with 504 minutes (adjusted difference 42 minutes; 95% CI 22 to 63 minutes). Of the 1,659 patients enrolled, 181 left before completion of service: 78 of 848 patients (9%) in the RME+WRDT group compared with 103 of 811 (13%) in the RME-only group (difference 3.5%; 95% CI 0.5% to 6.5%). By the end of their ED visit, patients in the RME+WRDT group had significantly more types of diagnostic studies ordered than those in the RME-only group, 2.59 versus 2.03 total unique test categories by location ordered (difference 0.56; 95% CI 0.44 to 0.68).

CONCLUSION: Initiating diagnostic testing in the waiting room reduced time spent in an ED bed, total ED time, and rates of leaving before completion of service. For clinicians screening patients in the waiting room, initiating diagnostic evaluations may improve throughput in crowded EDs.

 

https://drvinsonlitbits.blogspot.com/

CARIBBEAN CRUISE FOR KAISER NURSES!!!!!!

Hey Kaiser nurses!

Did you know that Kaiser union members have the benefit of tuition/enrollment reimbursement up to $2,300/year for applicable courses related to your department? (i.e. ACLS, PALS, TNCC, EKG, etc)

Did you also know that up to $500 of that amount can be used for travel expenses

Project Heartbeat is excited to offer you an opportunity to take advantage of this wonderful benefit while on board a luxury cruise through the Southern Caribbean (Puerto Rico, Virgin Islands, Curacao, and Aruba).

Give us a call for additional information on how to access the funds, (510) 452-1100, ext 0, or visit our website www.projectheartbeat.com to download the brochure.

Here's a sneak peek of our cruise ship!

Here’s a sneak peek of our cruise ship!

1 Spot left!!! Sign up for Advanced Cardiovascular Life Support (ACLS) – Initial Certification Thu 1/19/2017 from 9:30 AM to 4:30 PM. This class also meets on: Fri 1/20/17 from 9:30a to 4:30p

Audience /Overview

American Heart Association ACLS for healthcare providers includes management of Bradycardia, Tachycardia, and Pulseless arrest using 2015 AHA Advanced Cardiovascular Life Support guidelines as well as Stroke and Heart Attack, ACS.

What to do BEFORE class:

Every student is required to take the Precourse Self Assessment Evaluation and review the 2015 ACLS Provider Manual before attending class.

1. Visit heart.org/eccstudent

2. Enter manual code: “acls15″ to begin

3. Re-take this Precourse Self Assessment Evaluation until you receive an 84%

4. Print and bring your score to class

Course Content

  • Key changes in ACLS from the new 2015 AHA Guidelines
  • Basic life support skills, including effective chest compressions, use of a bag-mask device and use of an (AED)
  • Recognition and early management of respiratory and cardiac arrest
  • Recognition and early management of peri-arrest conditions such as symptomatic bradycardia
  • Airway management
  • Related pharmacology
  • Management of acute coronary syndromes (ACS) and stroke
  • Effective communication as a member and leader of a resuscitation team
  • Effective Resuscitation Team Dynamics

Course Format

  • ACLS Initial Course: 16 hours over 2 days, with time for breaks and lunch.

*course time based on 1 instructor: 8 students: 2 manikins

Features

  • Course uses learning stations for practice of essential skills and simulated clinical scenarios that encourage active participation
  • Hands-on class format reinforces skills proficiency
  • Classroom-based works well for learners who prefer group interaction and instructor feedback while learning skills

Course Completion Card

American Heart Association ACLS Provider Course Completion Card, valid for two years and 14 CE credits

Textbook Requirement
2015 ACLS Provider Manual

ISBN #: 978-1-61669-400-5

You are required to have the current textbook for this course. If you already own one or have access to one before, during, and after the class, you do not need to purchase one here.

eLearning BLS for Healthcare Providers and skills session Wed 1/18/2017 from 1:30 PM to 2:00 PM

Part 1:

  • Must be completed before Part 2 and 3 (skills session)
  • Two hour online, self-paced course accessible anytime from any computer
  •  Students can access the BLS for Healthcare Providers Student Manual, BLS Pocket Reference Card and more for 24 months
  • May be used for initial or renewal BLS for Healthcare Providers Course completion.

Part 2 and 3:

  • Make sure you complete the course survey at the end of the eLeaning to generate your Completion Certificate
  • Bring the Completion Certificate to your instructor on the scheduled skills session (30 min duration)
  • Practice, demonstrate, and successfully complete skills testing with an instructor to receieve your BLS Provider Card on the same day

Basic Life Support (BLS/CPR) – Renewal Certification for Healthcare Providers Wed 1/18/2017 from 11:00 AM to 2:00 PM

Audience/Overview

The BLS for Healthcare Providers – Classroom Course is designed to provide a wide variety of healthcare professionals the ability to recognize several life-threatening emergencies, provide CPR, use an AED, and relieve choking in a safe, timely and effective manner. Most healthcare providers are required to take this course.

Must have current/non-expired BLS Provider Card to take this re-certification course. Expired card holders and new beginners must sign up for the BLS initial certification.

Course Content

  • Key changes in CPR from the new 2015 AHA Guidelines
  • CPR Critical Concepts
  • 1-Rescuer CPR and AED for adult, child and infant
  • 2-Rescuer CPR and AED for adult, child and infant
  • Bag-mask techniques for adult, child and infant
  • Rescue breathing for adult, child and infant
  • Choking for adult, child and infant
  • CPR with an advanced airway

Course Length
BLS Renewal Course: 3.5 hours

*course time based on 1 instructor: 6 students

Features

  • Course uses learning stations for practice of essential skills and simulated clinical scenarios that encourage active participation
  • Hands-on class format reinforces skills proficiency
  • Classroom-based works well for learners who prefer group interaction and instructor feedback while learning skills

Certification

  •  American Heart Association BLS for Healthcare Providers Card
    • received immediately after successful course completion
    • valid for two years

Textbook Requirement

2015 BLS for Healthcare Providers Student Manual

ISBN-10: 1616690399

You are required to have the current textbook for this course. If you already own one or have access to one before, during, and after the class, you do not need to purchase one here.
2015 BLS Provider Manual $20

Neonatal Resuscitation Program (NRP) 7th Edition Tue 1/17/2017 from 12:30 PM to 2:30 PM

Audience

NRP is designed to provide healthcare professionals working with neonatal and newborn infants the ability to participate in the causes, prevention, and management of mild to severe neonatal asphyxia. This course will introduce students through an evidence-based approach to the concepts and basic skills of neonatal resuscitation.

Required Online Exam

Complete NRP Online Exam 7th Edition BEFORE attending the course by following these instructions:

  1. Visit www.healthstream.com/hlc/aap
  2. Create a new login or if you are an existing user, log back in
  3. Click on the “Catalog” tab and click on 7th Edition NRP Provider (DO NOT select the old 6th Edition, we will not accept it)
  4. There is an additional fee of $35.00 for this exam on the American Academy of Pediatrics website.
  5. Complete part 1 (includes Exam with 50 questions, eSim cases, and eSim evaluation) Complete all sections to receive completion status. Estimated time (4.5 hours)
  6. After completing the online exam, you have 30 days to take the NRP course.
  7. You will need to reference the 2015 NRP Textbook (7th Edition) as you take the online exam.
  8. Part 2 is the Instructor-Led Event (Hands-on Session) which is the session appointment you purchase with Project Heartbeat
  9. The deadline to submit your exam completion certificate to our office is 24 hours before the course to be admitted to the NRP course, otherwise your spot could potentially be released to a waitlist. Please email a copy to info@projectheartbeat.com or fax to 510-452-1110.

NRP exam online web browser compatibility:

Recommeded to use Internet Explorer v8 or higher on a PC or Firefox on a Mac. Do not use Safari and Chrome, those will not work for the exam. If you have technical issues, please contact HealthStream Customer Support at 1-800-521-0574

Course Format

NRP Online Course: completed at home by the student

NRP Skills Session: 2 hours – completed in our training center with an instructor

Features

  • Course uses learning stations for practice of essential skills and simulated clinical scenarios that encourage active participation
  • Hands-on class format reinforces skills proficiency
  • Classroom-based skills practice works well for learners who prefer group interaction and instructor feedback while learning skills

Certification

  • American Academy of Pediatrics/American Heart Association® Neonatal Resuscitation Program card (valid for two years)
  • CEU credits will be issued by the American Academy of Pediatrics after you complete the online exam. Log back into your account and claim the credits after completion.

Textbook Requirement

2015 Neonatal Resuscitation (NRP) Textbook – 7th Edition: Students are required to reference the textbook during the online course.

You are required to have the current 2015 NRP textbook 7th Edition for this course. Please do NOT use the old 6th Edition textbook for this course. If you already own one or have access to one before, during, and after the class, you do not need to purchase one here. The book is $85

Advanced 12 Lead ECG Interpretation on Tue 1/17/2017 from 9:30 AM to 4:30 PM. This class also meets on: Wed 1/18/17 from 9:30a to 4:30p

Audience /Overview

Advanced 12 Lead EKG Interpretation is designed to provide healthcare professionals the ability to interpret 12 Lead EKGs (electrocardiograms) and recognize myocardial infarction (MI). Students will increase their confidence in interpretation and practice through this course. The Advanced 12 Lead EKG course provides a more comprehensive overview of reading EKGs.

 

Course Content Day 1

  • Anatomy, Electrophysiology and Action Potential
  • Interpretation of EKG strips
  • Electrical Conduction System
  • Myocardial Ischemia, Injury and Infarction
  • Inferior, Lateral, Septal, Anterior MI’s

Course Content Day 2

  • Posterior MI’s
  • Axis Deviation and Bundle branch blocks
  • ACS Imitators
  • Therapeutic Modalities and Pharmacology
  • Practice of EKG strips

Course Format

14 hours over 2 days, time for breaks and lunch is included

 

Features

  • Reinforces skills proficiency
  • Classroom-based works well for learners who prefer group interaction and instructor feedback while learning skills

 

Course Completion Card

  • American Heart Association ECG & Pharmacology Certificate
  • Board of Registered Nursing 14 CEU
  • EMS CE vary upon license/state

Materials

A powerpoint lecture manual will be handed out at the beginning of class to each student at no additional charge in addition to practice packet handouts

 

Optional Textbooks for additional practice; not required:

  • Pocket Reference for The 12-Lead ECG in Acute Coronary Syndromes by Tim Phalen (we do not carry this book, but it is sold on Amazon)
    • recommended by our EKG instructor
    • 12-lead ECG interpretation and appropriate thrombolytic therapy
    • topics are presented logically, step-by-step, and fully illustrated

 

  • American Heart Association ECG & Pharmacology Student Workbook (may be purchased on our website during online registration)
    • basic electrophysiology
    • normal ECG measurements
    • basic arrhythmias
    • the administration of appropriate drugs within the ACLS algorithms
No textbook is required, you will received a lecture manual at no additional charge on the day of class. For added practice, you may purchase the optional student workbook.

Advanced Cardiovascular Life Support (ACLS) – Renewal Certification on Wed 8/31/2016 from 9:30 AM to 4:30 PM

Audience /Overview

ACLS is designed to provide healthcare professionals the ability to participate in the management of cardiopulmonary arrest and other cardiovascular emergencies. It emphasizes the importance of BLS to patient survival, the integration of effective BLS with ACLS interventions, and the importance of effective team interaction and communication.

 

Prerequisites

  • Must have a current/non-expired ACLS card
  • What to do BEFORE class:

    Every student is required to take the Precourse Self Assessment Evaluation and review the 2015 ACLS Provider Manual before attending class.

    1. Visit heart.org/eccstudent

    2. Enter manual code: “acls15″ to begin

    3. Re-take this Precourse Self Assessment Evaluation until you receive an 84%

    4. Print and bring your score to class

 

Course Content

  • Key changes in ACLS from the new 2015 AHA Guidelines
  • Basic life support skills, including effective chest compressions, use of a bag-mask device and use of an (AED)
  • Recognition and early management of respiratory and cardiac arrest
  • Recognition and early management of peri-arrest conditions such as symptomatic bradycardia
  • Airway management
  • Related pharmacology
  • Management of acute coronary syndromes (ACS) and stroke
  • Effective communication as a member and leader of a resuscitation team
  • Effective Resuscitation Team Dynamics

 

Course Format

ACLS Renewal Course: 7 hours over 1 day, time for breaks and lunch included

*course time based on 1 instructor: 8 students: 2 manikins

 

Features

  • Course uses learning stations for practice of essential skills and simulated clinical scenarios that encourage active participation
  • Hands-on class format reinforces skills proficiency
  • Classroom-based works well for learners who prefer group interaction and instructor feedback while learning skills

 

Course Completion Card and Continuing Education

American Heart Association ACLS Provider Course Completion Card, valid for two years.

Board of Registered Nursing Provider approved for 7 CE’s

EMS CE’s available and may vary by license type

 

Textbook Requirement

2015 ACLS Provider Manual

ISBN #: 978-1-61669-400-5

 

You are required to have the current textbook for this course. If you already own one or have access to one before, during, and after the class, you do not need to purchase one here. Please choose from the following optional items: