BLS Renewal Class in North Dade - Miami Gardens
December 22, 2008
Course Overview
This CPR course is conducted in affiliation with the American Heart Association, which has updated the guidelines for performance of Basic Life Support. This is the course required by healthcare facilities in order to maintain employment. It is designed for healthcare providers that have taken CPR before and have a current Healthcare Provider card. Our 1 to 1 manikin to student ratio increases the amount of time spent on actual skills resulting in enhanced retention. Upon successful completion a 2-year American Heart Association card will be issued along with a certificate for 3 contact hours.
Course Prerequisite:
A current AHA BLS for Healthcare Provider Card. Pre registration is not required for this program. Just call before class and let us know you are coming and we will save you a seat.
The course fee is $45 for 3 contact hours and includes the AHA textbook from Nursing Unlimited’s Library
Don’t Forget About HIV/AIDS Update, Domestic Violence Mandatory Requirement, and Prevention Of Medical Errors Mandatory Requirement.
| Miami Gardens
Nursing Unlimited Headquarters Every Monday and 1st and 3rd Saturday of every month |
Online CPR Skills Assessment
September 23, 2008
Steps for completing the CPR Skills Assessment:
- Register for the Online BLS for Healthcare Poviders Renewal Class.
- Complete the Online Class
- Print your certificate (please bring it with you to the skills assessment)
- Call our office (800) 852-4126 and register for the skills assessment
- Demonstrate CPR skills
- Receive your AHA Provider card good for two years.
The cost for the Skills Assessment is $25. If you have registered for Nursing Unlimited’s Online CPR class there is no cost for the skills assessment. After demonstrating skills, you will be given your provider card.
Register for the Online CPR Class.
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Transvenous Pacing
September 16, 2008
For ACLS purposes, we are primarily concerned with two basic types of pacing. The first, transcutaneous pacing, is an emergent procedure which uses 2 gel pads. One is placed at the 5th intercostal space mid-clavicular on the left side of the anterior chest wall, and the other in between the backbone and shoulder blade on the left side of the back. The electricity travels through the pads and innervates the heart. This form of pacing is temporary. It is especially uncomfortable for the patient, and therefore should only be used as a means of maintaining stability in the bradycardic patient while attempting other interventions, such as drug therapy, or preparing for a more permanent transvenous pacemaker which causes no pain.
Types of Rhythms Where Pacing Is Indicated
• Bradycardias that are unresponsive to drug therapy or are symptomatic
• 2nd degree heart block type II
• 3rd degree heart block
Clinical Note:
Atropine may be given to 2nd degree type II heart block or a narrow complex 3rd degree heart block as a trial but, when detected, the American Heart Association ACLS guidelines recommend that these dysrhythmias be managed by immediate application of the transcutaneous pacer and close observation of the patient for any signs of hemodynamic instability, e.g., shortness of breath – hypotension – altered level of consciousness – chest pain – pallor – nausea & vomiting – profuse sweating. If unstable and in 2nd degree heart block type II or 3rd degree heart block, then the pacer should be used to correct the rate only until transvenous pacing can be accomplished by a qualified person.
Remember from earlier in the reading that if a patient is bradycardic and hemodynamically unstable, as described in the previous paragraph, then transcutaneous pacing should be considered as a first line treatment.
Setting a transcutaneous pacemaker will be discussed in the electrical therapy station on day 1 of ACLS
Three Basic Rhythms
There are 3 categories of abnormal rhythms: too fast, too slow or none. Patients with any dysrhythmia may be stable, unstable or in cardiac arrest. Recognizing which type of patient you have will decide your treatment choices: medicine, electrical, and/or mechanical (BLS).
Too Fast
The first rhythm is too fast. Our goal is to slow it down. We have two methods to slow down a rhythm: electrical therapy and/or medicine. If the patient is hemodynamically stable, pharmacology should be the first line treatment. If our patient were hemodynamically unstable, synchronized cardioversion should be the first line treatment.
Too Slow
The second rhythm is too slow. Our goal is to speed it up. We have two methods of speeding up a rhythm: electrical therapy and/or medicine. If the patient is hemodynamically stable, pharmacology should be the first line treatment. If our patient were hemodynamically unstable, transcutaneous pacing should be the first line treatment.
None
Ventricular fibrillation, pulseless ventricular tachycardia, pulseless electrical activity and asystole are the dysrhythmias associated with cardiac arrest. As these are lethal dysrhythmias, management must be quick and aggressive.
AHA PALS Classes in Miami Dade (South Kendall)
August 7, 2008
Kendall
Kendall Regional Medical Center
11750 SW 40 St,
3rd Floor Auditorium
Miami, FL
9:00 am - 5:00 pm (Day 1)
9:00 am - 5:45 pm (Day 2)
February 13 - 14 (Wednesday & Thursday)
May 31 - June 1 (Saturday & Sunday)(MOB II, Room 758)
August 13 - 14 (Wednesday & Thursday)
November 12 - 13 (Wednesday & Thursday)
AHA PALS Classes in Miami Dade (North Dade)
August 7, 2008
Miami Gardens
Nursing Unlimited Headquarters
18405 NW 2nd Ave
Miami Gardens, Fl
Thursday & Friday
9:00 am - 5:00 pm (Day 1)
9:00 am - 5:45 pm (Day 2)
March 27 - 28
May 29 - 30
July 31 - August 1
September 25 - 26
November 20 - 21
Register now for the 2-day Class
CPR Renewal
New NRP Class
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