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Would you perform carotid artery stenting with embolic protection in an 80 year old man with an asymptomatic, 80-99%, unilateral internal carotid artery stenosis?
Always, if the anatomy can be negotiated.
Only in a clinical registry or trial.
Only if transcranial Doppler (TCD) detects cerebral emboli, denoting high risk for adverse neurological events.
Never.
Refer for carotid endarterectomy if not surgically high-risk.
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SIS 2011 Symposia

Course Description
The SIS Cardiology Nurse/Tech Symposium is committed to providing the highest quality educational activities using a variety of traditional and non-traditional learning modalities. A combination of didactic presentations, clinical case scenarios, panel discussion, and hands-on BioSkills sessions will be used to impart the latest information to attendees. These activities will enhance each attendee's knowledge, skills, judgment, and attitude in today's complex and ever-changing health care environment. This comprehensive program will give attendees the breadth of knowledge and skill they will need to effectively assist the cardiologist in the cath lab, the surgeon in the operating room and the patient at the bedside.

Target Audience
The target audience for this program includes cardiology nurses, ARNPs, PA-Cs, cath lab technicians, and allied health care workers who manage cardiovascular patients in the cath lab, operating room, ICU, CCU, telemetry and other associated areas.

Course Objectives
At the conclusion of this conference, the participants will provide better patient care through an increased ability to:

  • Describe various new procedures and technologies in the care of cardiovascular and cardiovascular surgical patients
  • Describe the anatomy and physiology of cardiac structures
  • Review and discuss the changing world of collaboration between cardiology, cardiovascular surgery and vascular surgery in and out of the surgical and cath lab suites
  • Review the outcomes of new drug trials in CHF, identify new drug classes for treatment of CHF and compare and contrast drugs vs. device outcomes in the treatment of CHF
  • Demonstrate the ability to evaluate and manage patients with complications after cardiovascular procedures
  • Communicate and educate patients and patients' families regarding their medications, the importance of adhering to medication therapy and counseling of patients before and after their procedures
  • Discuss different groin closure devices and review management of groin artery access with and without the use of a closure device
  • Review patient selection, techniques and management of complications for patents who have had radial artery access
  • Describe the assessment for signs and symptoms of neurological changes and the management of these complications after carotid stent implantation
  • Discuss pharmacologic treatment options for patients requiring anticoagulation and/or antiplatelet therapy
  • Identify pharmacologic treatments for patients with hypertension and lipid disorders
  • Discuss the care of patients before, during and after a combined cardiovascular surgery and atrial fibrillation ablation
  • Discuss the evaluation and treatment options for patients with aortic stenosis
  • Review the treatment options for patients with mitral valve regurgitation and interpret echocardiogram evaluation
  • Define the process of diagnosis and treatment of aortic valve stenosis, including echocardiogram evaluation, murmur identification and timing of treatment
  • Discuss medication management, course of disease and surgical vs. percutaneous techniques for aortic valve replacement
  • Explain how to care for permanent pacemakers during patient's hospitalization
  • Educate patients regarding various devices, stents, procedures and therapies in the management of their cardiovascular disease
  • Review, discuss and establish an algorithm in the continuum of care of the congestive heart failure patient

Accreditation with Commendation
Swedish Medical Center is accredited with commendation by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

AMA PRA Category 1 Credits
Swedish Medical Center designates this live activity for a maximum of 8.75 AMA PRA Category 1 Credits™.  Physicians should only claim credit commensurate with the exatent of their participation in the activity.

Nursing CE Contact Hours
Contact hours for this continuing education activity has been submitted to Swedish Medical Center, an approved provider of continuing nursing education by the Washington State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Contact Vicki Enslow at Swedish Medical Center for more information about contact hours at 206-320-2711.

Technologist CE Contact Hours
This activity has been submitted to the American Society of Radiology Technologists (ASRT) for the approval of 8.75 hours.

Disclosure Statement
It is the policy of Swedish Medical Center and the SIS Course Planning Committee to ensure balance, independence, objectivity and scientific rigor in all of its sponsored educational programs. None of the didactic content within the SIS Symposium may be influenced by industry involvement or support in any way. Any relationships between industry vendors and SIS faculty, either perceived or real, will be openly disclosed and disseminated at the SIS meeting. Persons who have not completed a conflict of interest disclosure form will not be allowed to participate as faculty at SIS.

Acknowledgments
This symposium is financially supported in part by educational grants in accordance with ACCME's Standards for Commercial Support. At the time of this printing, a complete listing of commercial supporters was not available. Appropriate acknowledgment will be given to all supporters at the time of the symposium.

Conflict of Interest
Given the close interaction of SIS with industry, we recognize concerns that arise regarding possible conflicts of interest. To fully comply with the ACCME Standards for Commercial Support and related industry regulations, SMC and SIS have established a very rigorous Conflict of Interest Policy that is in compliance with regulatory requirements and AHA and ACC guidelines.

All educational presentations and case transmissions during SIS are conceived, organized and implemented for the sole purpose of educating the practicing physician, nurses, PA-Cs, technicians, and allied healthcare professionals and academia on all facets of interventional cardiology and cardiovascular surgery without comprising scientific integrity and without direction from industry.

Planning Committee
Marie Arnone, R.N.
Michaelene Deelstra, ARNP
Dmitry Levin
Howard S. Lewis, M.D.
Jessica Martinson, M.S., CME Manager
Nanny Rawlings, R.N.
Susan L. Reed, M.N., ARNP, Co-Director
Mark Reisman, M.D., Co-Director
LeeAnn Robbins, R.N.
Laurie Turay, B.A., CME Specialists
R. Jeffrey Westcott, M.D., Co-Director

 

SIS in Action

Dr. Glenn Barnhart and an OR assistant prepare a human cadaver in order to demonstrate a mitral valve repair