The purpose of this course is to provide healthcare professionals with a detailed approach to cardiac dysrhythmia interpretation, as well as cardiovascular anatomy and physiology, electrophysiology and treatments of dysrhythmia, in accordance with the American Association of Critical Care Nurses and the American Heart Association’s ACLS guidelines.  Course includes detailed, in-depth review of clinical diagnosis and treatment of the cardiac patient.

Some of the Objectives Include:

1. Describe the general anatomical structures of the heart.
2. Identify the heart’s electrical properties.
3. Describe the right- versus the left-sided mechanical functions of the heart.
4. Explain proper electrode placement for EKG monitoring.
5. Identify the components of the normal EKG complex.
6. Utilize the 5-step method for EKG interpretation.
7. Identify the criteria for arrhythmias, clinical significance and treatment modalities.
8. Identify the assessment sequence and techniques for pulmonary, cardiac and vascular diseases.
9. Describe different types of vascular diseases and their complications.
10. Outline diagnosis and treatment of acute coronary syndrome (ACS).
11. Perform a 12 lead and right-sided EKG.
12. Identify frequently used telemetry cardiac drugs, mechanism of action, side effects, adverse effects and nursing considerations.

Who Should Attend:

• Anyone who wishes to work in:
  •    Critical care
  •     Stepdown units
  •     Special Procedures

• RNs who would like to expand their marketability

The course fee is $300 for 29.4 Contact Hours. A comprehensive course workbook will be provided on the first day of class.

North Dade Nursing Unlimited Headquarters 18405 NW 2nd Ave Miami Gardens, FL Monday – Friday 9:00am – 5:00pm January 16-20 July 16-20	South Dade Kendall Regional Medical Center ECR #2 Training Room 1st Floor 11750 SW 40 St Miami, FL Monday – FridayFebruary 20-24 June 25-29 November 26-30
West Broward Plantation General Hospital Medical Office Building II Plantation, FL Monday – Friday 9:00am – 5:00pmApril 16-20 October 15-19

http://www.aafp.org/afp/990700ap/225.html

American Institute of Stress

http://www.stress.org/

Geriatric Depression Scale
University of Stanford

http://www.stanford.edu/~yesavage/GDS.html

Helpguide.org

http://www.helpguide.org/mental/stress_signs.htm

National Alliance on Mental Illness

http://www.nami.org/Content/ContentGroups/Helpline1/Depression_in_Women.htm

National Institutes of Health

http://www.nlm.nih.gov/medlineplus/stress.html

Prevalence of depression and its treatment in an elderly population: the Cache County study
Steffens DC, Skoog I, Norton MC et al
Archives of General Psychiatry 200: 57(6) 601-7

The Cleveland Clinic Foundation

http://www.cchs.net/health/health-info/docs/2200/2268.asp?index=931326

The National Institute of Mental Health

http://www.nimh.nih.gov/healthinformation/depressionmenu.cfm

Stress is a normal physical reaction that occurs when a person feels threatened or overwhelmed.  The perception of a threat is as stressful as a real threat.  The stress response narrows one’s ability to think clearly and function effectively.  It can be disabling both emotionally and physically.  The goal of stress management is to bring the nervous system back into balance, restoring a sense of calmness and control to the stressed individual.

Physical Effects of Stress
There have been many studies indicating that health is greatly affected by how one reacts to stressful events in life.  The common finding is that the number of life changes and stress a person has experienced increases their chances of contracting a physical illness.  A study by Cohen, Tyrrell, & Smith in 1993 showed that the “higher the subject’s reported level of stress, whether measured by negative life change events, perceived stress level, or negative feelings, the higher the likelihood that the subject would actually become infected with a cold.”

Many studies show that being depressed increases the risk of having a heart attack, whether or not the individual has heart disease.  Long-term stress can affect the immune system as well.  Most people with healthy immune systems take their resistance to disease for granted, but the most common causes of weakened immunity in healthy individuals are stress and aging.  Many studies have been done on the physical stress response in the elderly, and it was found that when placed under stress, elderly people experienced loss of appetite, weight loss, a lowered lymphocyte count (which impairs immune function) and an increase in psychological distress and in serum cholesterol levels.  Also, negative stress increases our body’s production of free radicals.  This is because the pituitary stimulates the adrenal glands, which in turn produce the stress hormones cortisol, epinephrine, and norepinephrine.  These chemical reactions set off a chain response, resulting in still more free radicals.

Methods of Preventing and Coping with Stress•
Lifestyle habits that can help avoid or manage stress include:
•    Getting enough sleep:  Adequate sleep fuels the mind, as well as the body. Feeling tired will increase stress because it may cause irrational thinking.
•    Connecting with others and developing a support network.
•    Exercising regularly:  Physical activity plays a key role in preventing and reducing the effects of stress.
•    Eating a balanced, nutritious diet:  Well-nourished bodies are better prepared to cope with stress.
•    Reducing caffeine and sugar:  In excessive amounts, the temporary “highs” they provide often end in fatigue or a “crash” later.
•    Not self-medicating with alcohol or drugs:  While consuming alcohol or drugs may appear to alleviate stress, it is only temporary.  When sober, the problems    and stress will still be there.  It is important not to mask the issue(s) at hand.
•    Doing something for yourself everyday: It is important to take time out from the hustle and bustle of life for leisure time.  Too much work is actually inefficient and can lead to burnout.

Changes in Thinking and Emotional Response to Better Handle Stress
Ways of thinking and responding that can reduce stress include:
•    Having realistic expectations of one’s limits and capabilities.
•    Reframing problems as opportunities.
•    Maintaining a sense of humor.
•    Expressing feelings rather than bottling them up.
•    Not trying to control events or other people.

Compassion Fatigue
Medical professionals often suffer from a type of stress known as “compassion fatigue,” resulting from the day-to-day stress of seeing others suffering, with only limited capacity to alleviate that suffering.  Compassion fatigue may result in poor job performance and plummeting self-esteem, and thus it can even drive some people who experience it out of their professions entirely.  Those who suffer from compassion fatigue can also experience tension in their home lives, or even fall into clinical depression or other mental-health problems.

The signs of compassion fatigue can mimic those of post-traumatic stress disorder, including sleeplessness, irritability, anxiety, emotional withdrawal, avoidance of certain tasks, isolation from co-workers, feelings of helplessness and inadequacy.  It can lead to excessive drinking or other unhealthy behavior.  And vicarious stress can trigger a professional’s memories of trauma experienced first hand, causing an accumulation of symptoms that can prove debilitating.  Those who experience compassion fatigue are often the best and the brightest, those endowed with a high level of sensitivity to the suffering of others.
Compassion fatigue is usually alleviated simply by acknowledging the problem and getting support.  The lifestyle and mental response methods of relieving stress outlined above can also assist in relieving this type of stress.

When Is Professional Help Needed for Stress Management?
There’s a fine line between feeling stressed out while still being able to function effectively, and the debilitating, even paralyzing phenomenon of breakdown.  It’s time to seek professional help if an individual:
·    Feels that stress is affecting their health.
·    Feels that it will never end.
·    Feels so desperate that they think about quitting their job, running away, taking a drug overdose, or injuring themselves.
·    Feels depressed, sad, tearful, or that life is not worth living.
·    Loses appetite and finds it difficult to sleep.
·    Is managing stress level by eating, sleeping, drinking alcoholic beverages, smoking, or using recreational drugs.
·    Has worries, feelings and thoughts that are difficult to talk about.
·    Hears voices telling them what to do.

Conclusion
Stress is inevitable in our lives as we age.  As a person gets older and older, there are more stressors that appear, which can cause extreme side effects, both physically and emotionally.  These effects are not to be taken lightly, since some can result in very serious health problems.  If certain preventive measures are taken and certain coping methods are learned, the effects of stress can be reduced as one ages.

What Is Depression?
Depression seems to be related to an imbalance of certain chemicals in the brain. It may present solely as a major depressive disorder, or as part of a spectrum known as bipolar disorder.  By definition, it cannot be secondary to physical illness or alcohol, medication or street drug use.  It is not a part of the normal bereavement process.

Most of us know about the emotional symptoms of depression.  But depression can cause physical symptoms, too.  The signs and symptoms of depression are myriad and include:
•    Poor appetite
•   Weight loss
•    Lack of sleep
•    Memory problems
•    Lack of interest
•    Poor concentration
•    Lack of energy
•    Feeling of impending doom
•    Financial problems
•    Alcohol or other drug misuse – self medication
•    Psychosomatic presentation
•    Suicidal ideation

Treating Physical Symptoms
Many depressed people never get help, because they don’t know that their physical symptoms might be caused by depression.  A lot of doctors miss the symptoms, too.  Depression can cause real changes in the body, such as slowing down digestion, which can result in stomach problems.  In some cases, treating depression — with therapy or medicine or both — will also resolve physical symptoms.  Since pain and depression go together, sometimes easing pain may help with depression.  Some antidepressants, such as Cymbalta and Effexor, may also help with chronic pain.

Depression may be a precursor to another medical disorder, such as Alzheimer’s or Parkinson’s disease.  It may also be co-morbid with a disease, such as myocardial infarction, or it may follow a disorder, such as stroke.  Depression is common in patients with cancer, and 80% of all cancers occur in persons older than 60 years.

Depression in the Elderly
The risk of depression in the elderly is higher than in the general population for numerous reasons, including social isolation, physical handicap, multi-pathology and poly-pharmacy.  Depression in the elderly is a hugely under-reported and under-diagnosed illness.  Symptoms of depressive illness are often seen as a normal part of the aging process or as a normal response to physical illness or disability that often accompanies old age.  However, depression left untreated can have significant detrimental affects on concurrent illness and general quality of life.  It is estimated that 1 in 3 senior citizens living in nursing homes may be suffering from depression.  Although depression is common among older people, it is not a normal part of getting older.  Depression can and should be treated.

The following table describes factors and their specific statistics that may increase the risk of depression in an elderly patient.

Medical illness
Hypothyroidism (50%)
Myocardial infarction (45%)
Macular degeneration (33%)
Diabetes (8% to 28%)
Cancer (24%)
Coronary artery disease (20%)

Medications
Beta-blockers
Interferon alfa
Many anticancer drugs

Central nervous system disease
Parkinson’s disease (25% to 70%)
Alzheimer’s disease (15% to 57%)
Multiple sclerosis (27% to 54%)
Stroke (26% to 54%)
Huntington’s disease (9% to 44%)
Microvascular ischemic disease of the brain (20%)
Mini-Mental State Examination score <24

Risk of Suicide
The most serious complication of depression is the risk of suicide. Statistics show that older Americans are disproportionately likely to die by suicide.
·    Although they comprise only 12 percent of the U.S. population, people aged 65 and older accounted for 16 percent of suicide deaths in 2004.
·    14.3 of every 100,000 people aged 65 and older died by suicide in 2004, higher than the rate of about 11 per 100,000 in the general population.
·    Non-Hispanic white men aged 85 and older were most likely to die by suicide, with a rate of 49.8 suicide deaths per 100,000 persons.

For every 100,000 people aged 65 and older in each of the ethnic/racial groups below, the following number died by suicide in 2004:
·    Non-Hispanic Whites — 15.8 per 100,000
·    Asian and Pacific Islanders — 10.6 per 100,000
·    Hispanics — 7.9 per 100,000
·    Non-Hispanic Blacks — 5.0 per 100,000

Special Risks for Women
The female to male ratio for depression is 2.5 : 1, and women are more likely to suffer symptoms of sub-clinical depression.

Diagnosing Depression

There is no lab test to diagnose depression, which is why the healthcare professional’s observations and accurate reporting of patients’ behavior are very important.  When diagnosing depression, healthcare providers look for the signs of depression mentioned earlier.  They can also use “screening” tests to diagnose depression and determine its severity.  Sometimes, depression is caused by or made worse by medical problems.  Pain is an example of a medical condition that is associated with depression.  Successful treatment of pain can decrease depression.

Some signs of depression can also be signs of infection.  For example, if someone stops watching television (which he or she once enjoyed very much), the healthcare provider might want to check to see if the patient has a problem hearing or seeing.  Some medications can cause depression.  In these cases, the medication that causes depression can be stopped or the dosage can be decreased.  In general, if no medical cause is found for the patient’s changes in behavior, and if the signs have been present for 2 weeks or more, depression may be diagnosed.

Treatment of Depression
The consequences of undiagnosed and untreated depression are substantial.  Depression increases the risk for eventual development of permanent dementia, so early identification of depression is especially important in cases of reversible dementia. Persistent depression among individuals with physical dependency following a catastrophic illness is associated with failure to improve in physical functioning.  Depression can probably be linked to increased medical morbidity in nursing home residents, and recent data point to increased mortality in nursing home residents with major depressive disorder.

The treatment of depression depends on several factors, such as the severity of the depression, whether or not the person is suicidal, and the person’s ability to reason and participate in conversation.  For example, someone with severe depression should receive an antidepressant medication, whereas someone with mild depression may be treated successfully with non-drug therapies.

Management of depression is multi-faceted.  Depending on the specific signs and symptoms and complications, therapy may include psychotherapy, drugs, electro convulsive therapy, or a combination of these.  A study showed that about 80 percent of older adults with depression recovered with this kind of combined treatment and had lower recurrence rates than with psychotherapy or medication alone.

Psychotherapy – Varying modalities of psychotherapy have been shown to improve symptoms and prevent relapse if used correctly and consistently.

Drugs – Theory suggests that depression is caused by a relative lack of serotonin – the “happy hormone”, a neurotransmitter – in the brain of patients suffering from depression.  Drug therapy currently centers on increasing the amount of serotonin at the terminal ends of neurons in the central nervous system.

There are many classes of drugs available for treating depression, including, most commonly, tricyclic antidepressants, monoamine oxidase inhibitors (MAOIs) and selective serotonin reuptake inhibitors (SSRIs), and in refractory cases, lithium.  Studies have shown that patients aged 70 and older who became symptom-free and continued to take their medication for two more years were 60 percent less likely to relapse than those who discontinued their medications.  The problem with drugs is compliance.  The disease process itself may prevent patients from consistently following a drug regimen.  A large part of the problem is the side effects of drug-therapy, which include dry mouth, drowsiness, dizziness and anxiety.

Electro convulsive therapy (ECT) –  A long-used and feared form of treatment, this modality has a high success rate in the treatment of depression.  It is reserved for patients in whom other therapies have failed or are causing unacceptable adverse effects, or in patients where a positive result is required quickly.
ECT is performed under general anesthesia or sedation.  An electrical current is applied directly to the brain, resulting in a minor seizure.  The exact effects of ECT on the brain are not clearly understood, but it is conjectured that it changes intra-cerebral chemistry, with positive effects on depressed individuals.

Generally a safe form of treatment, ECT may have some side effects due to the anesthesia or the treatment itself.  In the first few hours, the patient may experience headache, muscle aches, nausea and confusion.  There may be a transient amnesia also.

Conclusion
Depression is a serious medical disorder, with important physical and emotional consequences, including exacerbation of other disease processes and an increased risk of suicide, particularly in the elderly.  However, depression can often be treated successfully, using psychotherapy, drugs, electro convulsive therapy, or a combination of all three.

• Distinguish between aspiration pneumonitis and aspiration pneumonia
• List 2 causative organisms of community-acquired aspiration pneumonia
• List 5 risk factors for aspiration pneumonia
• List 4 symptoms of aspiration pneumonia
• Identify 6 tests used to diagnose aspiration pneumonia
• List 3 complications of aspiration pneumonia
• Discuss 3 methods of prevention of this disease

Akritidis, N., Gousis, C., Dimos, G: Fever, cough, and bilateral lung infiltrates. Achalasia associated with aspiration pneumonia. Chest 2003 Feb; 123(2): 608-12.

Bartlett, J.G. Pneumonia: Management of respiratory tract infections, 2^nd ed. (1999) Lippincott Williams & Wilkins, Philadelphia, PA.

Campbell, G.D., Niederman, M.S., Broughton, W.A., et al. Hospital-acquired pneumonia in adults: diagnosis, assessment of severity, initial antimicrobial therapy, and preventive strategies. A consensus statement. American Thoracic Society, November 1995. Am J Respir Crit Care Med 1996;153(5):1711-25.

Drakulovic, M.B., Torres, A., Bauer, T.T., et al: Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomised trial. Lancet 1999 Nov 27; 354(9193): 1851-8.

Ferri, F.F. Ferri’s Clinical Advisor (2007), 1^st ed. Mosby, Philadelphia, PA..

Goldman, L., Ausiello, D. Cecil Textbook of Medicine, 22^nd ed. (2003). Saunders, Philadelphia, PA.

Marik, P.E., Careau, P: The role of anaerobes in patients with ventilator-associated pneumonia and aspiration pneumonia: a prospective study. Chest 1999 Jan; 115(1): 178-83.

Marik, P.E. Aspiration pneumonitis and aspiration pneumonia. N Engl J Med 2001;344(9):665-71.

Marom, E.M., McAdams, H.P., Erasmus, J.J: The many faces of pulmonary aspiration. AJR Am J Roentgenol 1999 Jan; 172(1): 121-8.

Marx, J.S., Hockberger, R.S., Walls, R.M., eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice, 5^th ed. (2002). Mosby, St. Louis, MO.

Russell, S.L., Boylan, R.J., Kaslick, R.S., et al. Respiratory pathogen colonization of the dental plaque of institutionalized elders. Spec Care Dentist 1999;19(3):128-34.

Sasaki, H., Sekizawa, K., Yanai, M: New strategies for aspiration pneumonia. Intern Med 1997 Dec; 36(12): 851-5.

To educate healthcare professionals about the causes, risks and means of containment of pandemic influenza.

Bloomberg News article, Scientists Move Closer to Understanding Flu Virus Evolution (August 2006).

Brundage. J.F. and G.D. Shanks, “Death from Bacterial Pneumonia during 1918-19 Influenza Pandemic”, Emerging Infectious Diseases (August 2008).

Fidler, David, “Progress and Problems with Global Health
Governance”, Global Public Health (2007).

Kawaoka, Y (ed.), Influenza Virology: Current Topics. Caister Academic Press (2006).

Lemon, Stanley M. (ed.), The Threat of Pandemic Influenza: Are We Ready? National Academies Press, p. 66 (2005).

Markel, Howard, MD, et al, “Nonpharmaceutical Interventions Implemented by US Cities during the 1918-1919 Influenza Pandemic”, JAMA. 2007; 298:644-654.

Morens, D.M., et al, Predominant Role of Bacterial Pneumonia as A Cause of Death in Pandemic Influenza: Implications for Pandemic Influenza Preparedness. The Journal of Infectious Diseases DOI: 10.1086/591708 (2008).

Nicholls, H., “Pandemic Influenza: the Inside Story”. PLoS Biol. 4 (2): e50 (February 2006).

Price-Smith, Andrew, Contagion and Chaos, Cambridge, MA: MIT Press (2009).

Roos, Robert and Lisa Schnirring, “HHS Ties Pandemic Mitigation Advice to Severity”, University of Minnesota Center for Infectious Disease Research and Policy (CIDRAP) (February 2007).

Taubenberger, J. and D. Morens, “1918 Influenza: the Mother of All Pandemics”, Emerging Infectious Diseases, 12 (1): 15–22 (2006).

www.cdc.gov/ncidod/diseases/flu/fluvirus.htm
www.clinicaltrials.gov
www.hhs.gov/nvpo/pandemicplan/index.html
www.nih.gov

Upon completion of this course, the learner should be able to:
·    Define pandemic influenza
·    List 3 modes of transmission of influenza
·    List the 3 types of influenza virus
·    Discuss the difference and implications of antigenic drift and shift
·    Identify the 3 major influenza pandemics of the 20th century
·    Explain the role of cytokine storm in susceptibility to influenza
·    Explain the role of secondary infection by bacterial pneumonia
·    List 3 means of pandemic control

Most Healthcare professionals are required to have a current CPR credential, and the American Heart Association BLS for Healthcare provider card is the gold standard.  The BLS Healthcare Provider Course is designed to provide healthcare professionals the ability to recognize life-threatening emergencies, provide CPR, use an AED, and relieve choking in a safe, timely and effective manner.  The course is designed for certified, noncertified, licensed and nonlicensed healthcare professionals.

Intended Audience
Healthcare providers such as physicians, nurses, paramedics, emergency medical technicians, respiratory therapists, physical and occupational therapists, physician’s assistants, residents or fellows, or medical or nursing students in training, aides, medical or nursing assistants, police officers, and other allied health personnel.

Here are some of the major changes in 2005 guidelines:

• Increased compression to ventilation rate for adult victims from 15:2 to  30:2.  The goal for the compression rate for any age victim is now 100 compressions per minute.
• location of hands for compressions in now the inter-mammary line.
• Discontinue use of blind finger sweeps.
• For Children and Infant’s, 5 cycles of CPR must be completed prior to calling 911

Steps to complete the CPR Course Online:

1. Register and pay for the Online BLS Part 1 Course ($30)
2. Receive via email an online key within 24 hours of registration.
3. Complete the Online BLS Part 1 Course through the American Heart’s website
4. Attend a skills test at a location close to you (find one close to you)
5. Receive your certification card for the skills testing location.

The course fee for the online CPR class is $30.

Register now for the Online BLS Course! $30

Do you live in South Florida?  Register for the Online Renewal Package which includes the Online class and skills evaluation for $50.

Register now fo the Online BLS Course with Skills Assessment! $50

Don’t forget about our Online Nursing CEU Classes and mandatory requirements.

• FROM THE SOUTH: Take I-95 to the Forest Hill Blvd West exit.  Go West to Congress Ave and turn right (North) to NW Collin Drive.  Make a U-turn on Collin Drive the building will be on your right hand side.
• FROM THE NORTH: Take I-95 to Southern Boulevard . West exit.  Go West to Congress Ave. and turn left. Building will be on the right side past Collin Drive.
• FROM THE TURNPIKE: Take Turnpike to Southern Boulevard . East exit.  Go East to Congress Ave. and turn right. Building will be on the right side past Collin Drive.

Classes offered at this location

• CPR Renewal
• CPR Skills Assessment
• ACLS
• PALS
• AIDS/OSHA/TB – BBP
• Domestic Violence
• Prevention of Medical Errors
• Phlebotomy
• Starting and Maintaining IV Certification
• PICC Line Insertion Class

• FROM ANY DIRECTION: I-95 to Palmetto Park Road Exit, go east, heading immediately into far left lane to the traffic light. Make u-turn at the light, and go immediately into far right turning lane .Make a very quick right turn. Turns left, then make a sharp right into the interstate Plaza. Go straight and proceed to the back of the building, See a sign for parking. Follow sigh to the ramp for the parking garage. Park on the first or second level. Go to the first level. Go west, and follow the path across the street where you’ll see Hospice by the Sea’s West building, Main Entrance is on your left.
  

• FROM ANY DIRECTION: The hospital is located West of 441 (also called State Road 7) between Broward and Sunrise Boulevards. Take any major road to 441 and when you get to Broward Blvd. or Sunrise Blvd., follow the Blue Hospital roadway signs. Parking is in the visitor’s lot.

Plantation General Hospital
Medical Office Building II
4101 NW 3rd Court
Plantation, FL

• FROM THE SOUTH: Take I-95 to the Broward Blvd. West exit.  Go West to 441 (State Road 7) and turn right (North) to NW 3rd Court.  Turn left (West) on NW 3rd Court. The Medical Office Building II is the 1st building on your right.  Parking is available underneath the building.
• FROM THE NORTH: Take I-95 to the Sunrise Blvd. West exit.  Go West to 441 (State Road 7) and turn left (South) to NW 3rd Court. Turn right (West) on NW 3rd Court.  The Medical Office Building II is the 1st building on your right.  Parking is available underneath the building.
• FROM ANY OTHER DIRECTION: Take 441 (State Road 7) to North Hospital Drive (NW 4th Street). Turn left (West) on North Hospital Drive. The Medical Office Building II is the 1st building on your left. Parking in under the building.

• FROM THE EAST: Take I-95 to Commercial Blvd (Exit 32). Go west for approximately one mile.  Turn left at NW 17th Way (Spectrum Way).  Keiser University will be on your left.  Please park on the unpaved lot behind the building.
• FROM THE WEST: Take the Turnpike to Commercial Blvd (Exit 62).  Go east for approximately three miles. Turn right at NW 17th Way (Spectrum Way).  Keiser University will be on your left. Please park on the unpaved lot behind the building.

• FROM ANY DIRECTION: Take the Turnpike to Eureka Drive (SW 184 Street) and go east to
  US-1.  Proceed North to SW 174 Street and Gramercy Park is on the right facing US 1. It is a four story, pastel colored building surrounded by a black iron ornamental fence.  Pull up to the gate on
  US-1 and it will open automatically. The classroom is located on the first floor in the education
  center.

Medical Office Building
11760 SW 40th  Street (Bird Road)
Miami, FL

Commission for Independent Education

American Heart Association

Oncology Nursing Society

If you are looking for other types of training, check out the training-classes.com directory of telecommunications career training

Miami Dade County Business List

This course has been designed to teach an evidence-based approach to resuscitation of the newborn. The causes, prevention, and management of mild to severe neonatal asphyxia are carefully explained so that health professionals may develop optimal knowledge and skill in resuscitation.

The Neonatal Resuscitation Program™ is an educational program that introduces the concepts and basic skills of neonatal resuscitation. Completion of the program does not imply that an individual has the competence to perform neonatal resuscitation. Each hospital is responsible for determining the level of competence and qualifications required for someone to assume clinical responsibility for neonatal resuscitation.

A comprehensive instructional textbook, which includes an interactive multi-media DVD-ROM, forms the basic educational component of the program.

How to Complete the NRP Program

1. Complete the online theory examination.

• Register for the online exam at  http://www.aap.org/nrp/
• Use your copy of the “Textbook of Neonatal Resuscitation (with DVD) 6th Edition” to study and prepare for the exam.  A library copy of the book is provided by Nursing Unlimited when registering for the skills session.
• Pass the minimum mandatory lessons (1-4 and 9).  Some providers are required to take lessons 5-8 based on their scope of practice and institutional responsibilities.
• Bring a copy of the exam verification form to the skills session and give to the NRP instructor.

2. Complete the live skills evaluation.

• Select a skills evaluation option and date below.
• The time of the skills evaluation will be assigned and communicated after registration.
•   Bring a copy of the exam verification form to the skills session and give to the NRP instructor.
• Complete the mandatory megacode skills evaluation in accordance with your scope of practice.

We recommend that you prepare for this course by:

1.  Reading all lessons in the textbook appropriate to your level of responsibility.
2. Answering the review questions and studying the key points at the end of each lesson.
3. Watching the DVD-ROM provided at the back of the textbook.

Once you have completed the online exam please print out the exam verification form and bring it with you on the day of your skills session. It is mandatory that we receive the certificate at your skills session. If you do not bring it you will not be allowed to proceed with the session.

If you have any questions, please do not hesitate to email or call us at 800-852-4126.

Skills session for Initial Providers fee is $70

Skills session for Renewals fee is $70

Courses and includes the course textbook from Nursing Unlimited’s library, please remember to include $5.00 for shipping and handling.

West Broward
Plantation General Hospital
401 N.W. 42nd Avenue
2nd Floor, Women’s Pavilion
Plantation, FL

Skills Renewal Session

Monday
9:00am – 10:00 am, 10:00am – 11:00 am or 11:00am – 12:00 pm (Time slot assigned after registration)
January 16 (CLASS FULL)
February 13
March 26
April 23
May 21

Initial Provider Skills  Sessions
Monday
1:00pm – 3:00 pm or 3:00pm – 5:00 pm (Time slot assigned after registration)

January 16 (CLASS FULL)
February 13
March 26
April 23
May 21

NRP – Neonatal Resuscitation Classes in Ft. Lauderdale, Plantation and Broward County.

Don’t see the dates you want? Call our office at (800) 852-4126 to schedule a private class around your schedule.

• FROM THE NORTH OR SOUTH: Take I-95 or Turnpike to the Golden Glades Interchange. Exit 441 North. Building will be on the right, after passing Miami Gardens Drive.
• FROM THE WEST: Take SR 826 East exit 441 North. The Building will be on the right after passing Miami Gardens Drive.
• FROM THE EAST: Exit Miami Gardens Drive west to NW 2nd ave make a right Building will be in the right.

Dade County Locations

Nursing Unlimited Headquarters (directions)
Kendall Regional Medical Center (directions) (map)
Gramercy Park Nursing Center (directions) (map)

Broward County Locations

Keiser University (directions) (map)
Plantation General Hospital (directions) (map)

Palm Beach County Locations

Hospice by the Sea (directions) (map)
West Boca Medical Center (directions) (map)
Palm Beach Staffing (directions (map)

Who Should Attend:

• Anyone taking ACLS for the first time
• Anyone renewing ACLS who doesn’t work with cardiac rhythms or lifesaving medications regularly
• Anyone needing a review in basic ECG interpretation and/or pharmacology.

Pre-requisites
Possess a working knowledge of CPR skills, a basic understanding of ECG rhythm interpretation, and is a healthcare provider

Some of the Objectives Include

•    Describe the cardiac electrical conduction system
•    Identify the components of the cardiac cycle
•    Describe the 5-step rapid interpretation method
•    Identify lethal and non-lethal ACLS dysrhythmias
•    List the most important medications used in adult emergency resuscitation.
•    Recognize the contraindications and most important side effects of ACLS medications.
•    Identify the adult core algorithms as published by the AHA.

If you are not practicing ACLS as part of your job duties, this class is a must!

The course fee is $35 for 3.4 contact hours and includes a course handout which will be provided on the day of class.

LIST OF CLASSES:

Training for Lay Rescuers

Heartsaver CPR

Heartsaver First Aid

Heartsaver AED

Training for Healthcare Providers

BLS for Healthcare Providers – Initial Provider Course

BLS for Healthcare Providers – Renewal Course

BLS for Healthcare Providers – Online Renewal Course

Advanced Cardiac Life Support Course

ACLS Renewal for the Highly Experienced Practitioner

ACLS HeartCode

Pediatric Advanced Life Support Course

Instructor Classes

AHA Instructor Core

BLS Instructor Class

ACLS Instructor Class

PALS Instructor Class

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