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1. Determine the preferred treatment options based on acute heart disease pathophysiology.
2. Investigate the diagnostic progression that could meet eligibility criteria for cardiac rehabilitation referral.
3. Explore successful strategies for the most common lifestyle challenges that patients with acute cardiac disease may be experiencing.
4. Analyze the effectiveness of secondary prevention programs.
5. Evaluate gaps between in-patient and out-patient cardiac rehabilitation referrals.
6. Separate LVAD, Life Vest and bridge therapies.
7. Anticipate the next unexpected event when caring for heart disease patients.
8. Assess opportunities to incorporate virtual technology use in patient monitoring and follow up.

Acute Heart Disease Diagnoses

• Acute Coronary Syndrome
• Acute Myocardial Infarction (STEMI and
• Non-STEMI)
• Angina
• PTCA
• CABG
• Heart Transplant
• Heart Failure
• L VAD, Life Vest as Bridge or Destination
• COPD
• Diabetes

Cardiac Rehab Referrals

• Who is eligible?
• Educating in-patient nursing staff
• Educating physicians
• Computerized Medical Record use in triggering eligible patient populations
• Patients who fall through the cracks

Lifestyle Challenges for Patients

• Depression
• Motivation
• Compliance
• Risk factors
• Financial

Cardiac Rehab

• Phases 1 - 4
• Individualized treatment plans
• Patient education
• Monitoring quality outcomes
• Evidence-based practice updates

Secondary Prevention Program

• Becoming model for other programs
  • Hypertension
  • Obesity
  • Diabetes
  • Peripheral Vascular Disease

Effecting Change

• Knowledge is not enough
• Positive sense of self
• Power of control
• Readiness to change
• Goals and independence
• Feedback and celebrate success

Preparing for the Unexpected Event

• Rapid response
• Dysrhythmias
• Syncope
• Seizures
• Cardiac arrest
• Equipment, staffing

Insurance and Reimbursement

• Medicare vs. private insurance
• Number of sessions eligible
• Billing and coding
• Documentation

Preparing for Certification

• When to start
• Data collection
• Role of Medical Director
• Competencies

Heart Failure: Where are We at Incorporating Them into Rehab?

Use of Technology

• Appointment reminders
• Data reporting
• Virtual technology for follow-up opportunities

Using Cardiac Rehab to Its Fullest

• Partnering opportunities

Robin Gilbert, MSN, RN, CEN, CPEN, has over 25 years’ experience in emergency nursing. She is both a certified emergency nurse and certified pediatric emergency nurse. Robin has experience as an emergency department manager, manager of cardiac & pulmonary rehabilitation and currently as the regional manager for staff development at Central Main Medical Center. She instructs the NCLEX review class for Kaplan and tutors nursing students online for a local college of nursing. Her experience also includes having been an item writer for the Board Certification of Emergency Nursing and a former chairperson. In her current role, Robin is able to remain up to date in the trends and best practice standards for care in emergency nursing. Robin received her BSN from Curry College, Massachusetts and her MSN from Saint Joseph’s College, Maine. Robin is an active member of the Emergency Nurses Association, the American Nurses Association, Society of Critical Care Medicine, and is a reviewer for the ANCC’s Pathway to Excellence.

Speaker Disclosures:
Financial: Robin Gilbert has employment relationships with EBSCO, Central Maine Medical Center, Rumford Hospital, Pathway to Excellence, and Kaplan University. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Robin Gilbert is a member of the Society of Critical Care Medicine, the American Association of Cardiovascular and Pulmonary Rehabilitation, and the Emergency Nurses Association.

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Cardiovascular Technology Professionals
Cardiovascular Credentialing International (CCI) recognizes programs and providers approved by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This self-study package will qualify for 6.0 contact hour.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 12/6/2019
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.2 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.0 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.2 contact hours.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Cardiovascular Technology Professionals, Nurses, Physician Assistants, and other Healthcare Professionals