Welcome to this course on Assessing Heart Sounds! Cardiovascular disease is the number one cause of death in the United States. For this reason, assessment of the cardiovascular (cardiac) system is critical to the health of those individuals you care for. Assessing heart sounds is an important component to any cardiac exam. It can identify the presence of a variety of cardiac conditions including valvular heart disease, congestive heart failure, and congenital heart lesions.
Heart sounds are assessed by auscultating, or listening to, the heart. Auscultation of the heart allows you to assess the heart rate and rhythm, as well as identify the presence of any abnormal heart sounds. All nurses, regardless of care setting, need to be able to recognize both normal heart sounds and the presence of abnormal sounds, which must then be reported for further evaluation.
Section 1: Introduction
Section 2: Basic Anatomy
Section 3: Normal Heart Sounds
Section 4: Abnormal Heart Sounds
Section 5: Procedure for Auscultating the Heart
A. Preparing for Auscultation – Steps Involved
B. Auscultating the Heart – Steps Involved
Section 6: Conclusion
A. Course Contributors
Cheryl Swann, RN-BC, BSN, WCC, LNHA has worked in long-term care for 20 years. Mrs. Swann has worked in many positions including Director of Nursing, Medicare Nurse Coordinator and Nursing Home Administrator. Cheryl is certified in both Gerontological nursing and wound care. In the past, she has assisted in the operations of multiple nursing facilities, including staffing, payroll, public health concerns, family member issues, management of consultant relationships (e.g. pharmacy, dietary, etc.), and as an intermediary between long-term care facilities and doctors. Mrs. Swann worked closely with federal monitors and the Office of Inspector General in developing an effective Continuous Quality Improvement and compliance program in her organization. Mrs. Swann has presented nationally regarding effective Quality Assurance, Restraint Reduction, Wound Prevention, CMS Five Star Quality Rating System and Developing a Corporate Compliance Program. Her expertise includes staff training and development, Quality Assurance and Performance Improvement initiatives, and policy development. Disclosure: Cheryl Swann, RN-BC, BSN, WCC, LNHA has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Instructor: Jennifer Moore, RN-BC, CDP, WCC
Jennifer Moore, RN-BC, CDP, WCC started working in the senior care industry in 2000. She is a certified Gerontological Nurse, a Certified Dementia Practitioner, and Wound Care Certified. She has held positions including MDS Coordinator, Director of Nursing, Medicare Nurse Coordinator, Nurse Consultant, Area Manager, and Director of Quality Assurance. Her overall responsibility within each of these positions was to ensure residents received the highest quality of care. This included active participation in quality improvement initiatives, review of clinical records to identify areas of weakness, corroboration with the medical director to institute policies and procedures for resident care, and staff education/training. Additionally, she was responsible for maintaining an effective compliance program under a Quality of Care Corporate Integrity Agreement with the Office of Inspector General for a period of five years. She currently serves as the Director of Curriculum Design & Research for Relias. Within this position, her responsibility is to oversee the development of online training modules across the healthcare continuum. She has served as the subject matter expert for courses on re-hospitalization, clinical skill reviews, leadership, management, and various OSHA and regulatory compliance topics. In addition, she has presented at various state conferences on mandatory compliance, quality assessment and assurance (QA&A), and quality assurance and performance improvement (QAPI). Disclosure: Jennifer Moore, RN-BC, CDP, WCC has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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