CPR Renewal
Online Training
New NRP Class
S.T.A.B.L.E. Program
January 28, 2010
Course Overview
When newborn infants become ill and require specialized care, each member of the healthcare team-nurses, physicians, therapists and assistants-must know what to do in a timely and effective manner. It is not uncommon for an infant to be properly resuscitated in the delivery room, but to receive less than optimal care post-resuscitation, resulting in an unfortunate outcome. First introduced in 1996 in the US and Canada, S.T.A.B.L.E. is a neonatal education program focusing exclusively on the post-resuscitation/pre-transport stabilization care of sick infants. This early transitional care affects not only the infant’s immediate health, but the long-term outcome as well. Education in stabilization beyond resuscitation is critical to the mission of reducing infant mortality and morbidity.
S.T.A.B.L.E. stands for the 6 assessment parameters covered in the program: Sugar, Temperature, Airway, Blood pressure, Lab work, and Emotional support for the family. The design of this program is for all Healthcare Providers whose practice setting involves exposure to newborns, other than NICU providers.
Some of the Objectives Include:
• Recognize infants at increased risk for becoming hypoglycemic and
hyperglycemic.
• Identify candidates for placement of an umbilical catheter.
• List 3 ways healthcare providers can support parents of sick infants.
• Recognize infants at increased risk of becoming hypothermic, and list 3
necessary precautions to observe when re-warming hypothermic infants.
• Describe how to provide assistance during endotracheal intubation.
• List 2 signs and symptoms of a pneumothorax.
• Describe indications for, and safe administration of, dopamine.
• Identify the initial, appropriate IV fluid therapy for sick neonates.
• Discuss the relationship of thrombocytopenia to possible sepsis.
• List 3 laboratory tests indicated for evaluation of infection
Who Should Attend:
All Labor and Delivery, Postpartum and Newborn Nurses functioning in a “Women’s Services” unit other than NICU.
Allied health professionals may attend as appropriate based on the level of team involvement with sick newborns.
The course fee is $150 for Provider 6.7 Contact Hours 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 Plantation, FL Monday 9:30am – 6:30pm March 1 Register now |
Online CPR Certification Classes
February 6, 2009
Online CPR Certification Don’t have time to take a BLS renewal or Initial class? Register for the American Heart Association’s online course! Complete the Basic Life Support for Healthcare Providers class at your own pace, in the privacy of your own home. When you pass the online examination, bring your certificate to any American Heart Approved Skills Test (find one close to you). There you will demonstrate competence in BLS skills and receive your 2-year American Heart Association provider card.
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:
- Register and pay for the Online BLS Part 1 Course ($30)
- Receive via email an online key within 24 hours of registration.
- Complete the Online BLS Part 1 Course through the American Heart’s website
- Attend a skills test at a location close to you (find one close to you)
- 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.
BLS Renewal Class in North Miami – 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. After demonstrating skills, you will be given your provider card.
Register for the Online CPR Class.
Don’t Forget About HIV/AIDS Update, Domestic Violence Mandatory Requirement, and Prevention Of Medical Errors Mandatory Requirement
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.
