Las Vegas, Nevada

This is the city that attracts more than 37.5 million visitors a year by offering the grandest hotels, the biggest stars in entertainment, the highest caliber of award-winning chefs and master sommeliers and, of course, the brightest lights. And let’s not forget the gaming! If you can bet on it, you’ll find it here. People watching is unsurpassed. Comedy and music headliners as well as seven resident Cirque du Soleil productions, classic Las Vegas show girl revues and more are here for your pleasure. Las Vegas has become one of the premium world-class shopping destinations in the country.

If you want to relax, Las Vegas offers the most luxurious and varied spa experiences and pools to be found anywhere. For the golf aficionado, the sixty-plus golf courses in Las Vegas, designed by top golf pros, have put Vegas on the map. The city famous for having “something for everyone” furthers the proof to its claim when the sun goes down. From elaborately themed clubs to the new wave of upscale “ultra lounges”, you can experience a variety of night spots. And let’s not forget, nature in Vegas has something special to share as well – Red Rock Canyon offers scenic hiking and wildlife viewing. Or venture out to see nearby Boulder City, Hoover Dam, Lake Mead, the Grand Canyon, or many other desert spectacles.

Gatlinburg, Tennessee

Gatlinburg and the Great Smoky Mountain National Park are just thirty miles from Knoxville, nestled at the foot of the Smoky Mountains. Gatlinburg is one of the fastest growing tourist destinations in the south. Natural beauty, entertainment for all ages and tastes, and old-fashioned mountain hospitality make this a special place you and your family are sure to enjoy.

Dollywood, Dixie Stampede, and country music shows await you in nearby Pigeon Forge (about 7 miles). Leisure time activities abound: museums, golf, hiking, rafting, canoeing, fishing, swimming, horseback riding - you name it and you’ll find it. Shopping is a bargain hunter’s dream with everything from local crafts to designer clothes available in the Gatlinburg/Pigeon Forge area.

The numerous factory outlet malls in Pigeon Forge alone can keep you occupied for days or you can shop for country crafts along the Craft Loop. If you’ve never experienced fall foliage in the Smokies, you’re in for a real treat. The colors of nature are truly magnificent. Fall is the best time to be in Gatlinburg. It’s time for you to come and see why it’s one of the top five, best attended locations we use!

The Westin Las Vegas

The Westin Las Vegas is a calm sanctuary amidst the bustle of Las Vegas, yet just one block from the famous Las Vegas “Strip,” offering you easy access to its dizzying array of casinos, dining for all tastes, and pulsing nightlife. Refresh in the  comfortably heated, sparkling pool or unwind on the deck and enjoy the sunshine under cool water misters. This pool is open 24 hours a day, 365 days per year! The 10,000 square foot Hibiscus Spa features 14 soothing treatment rooms, a sauna, steam room, and comfortable locker room. Choose from many spa treatments and services to help you look your best and feel rested. Keep up with your fitness routine during your stay with access to state-of-the-art Lifestyle Fitness cardio machines, strength-training equipment, and free weights. The cardio machines have built-in cable televisions and some have iPod/MP3 docking stations.  WHen it's time to play, try your luck in the 14,000 square foot MAX Casino with 150+ machines and six table games. Visit over drinks and light food at the Lobby Bar.  Delight in the cuisine of SAVONA Bistro, inspired from the regions French and Italian cooking traditions, creating a unique culinary experience. Or, stop by the in-house Starbucks® to grab a quick breakfast on the go or a mid-afternoon coffee break.  After an action-packed Vegas day, retreat to the comfort of newly renovated guest rooms featuring elegant, contemporary decor, one king or two double Heavenly® Bed (based on hotel availability), flat-screen TV, individual cup coffee maker, safe, hairdryer, iron/board, Heavenly® Bath and more. The Westin Las Vegas is located approximately 5 miles from McCarran International Airport (LAS).


The Palms Casino Resort

The Palms Casino Resort Internationally recognized for its exceptional accommodations, high-energy nightlife, extravagant pools and world-renowned restaurants, Palms Casino Resort captures all the excitement and energy of Las Vegas in one vibrant setting. Situated on nearly 30 acres, Palms is a boutique property with three distinct towers, each offering unparalleled views of the iconic Las Vegas Strip. Having recently undergone a multi-million dollar transformation, the Palms has redesigned guest rooms, new culinary experiences, re-imagined gaming areas, and created even more distinctive nightlife and daytime experiences.

Each of The Palm’s award-winning restaurants is home to a world-class chef whose cuisine not only excites the senses but the culinary world as a whole. With a variety of atmospheres ranging from sports-driven entertainment to relaxed, poolside dining, the settings are as diverse as the menus. The Eatery is a collection of popular, fast-casual restaurants located at the west end of the casino. No matter what or when you’re craving, you can always grab a quick bite and then get back to the good times. The Palms shines brightest once the sun goes down. For those who want a sizzling dance floor with a view, nothing tops Ghostbar. If you’re looking for a different vibe, The Palm’s offering of lounges and bars are a comfortable, stylish way to make the most of the night.

Home to one of the only IMAX experiences in Las Vegas, Brenden Theatres is a 14-screen movieplex on the Palms casino floor. Each theater really ups the movie magic with tiered stadium seating, plush rocker high-back seats, digital sound and giant wall-to-wall curved screens. When it’s time to relax, nourish your body at the lavishly modern Drift spa. With over 20 treatment rooms and an extensive list of services, Drift is truly a retreat for every body. The spa is also home to the first Hammam in Las Vegas. Inspired by tradition, this co-ed steam bath evolves what has been a Turkish custom for centuries. Recharge Salon & Fitness is a two-story sanctuary featuring a cardio center, beauty salon and pool. From group yoga, Pilates or spin class to a one-on-one personal training session, the fitness center is available to help keep you looking and feeling good while you’re away from home.


The Park Vista, a Doubletree Hotel

This Gatlinburg icon has undergone an $11 million complete renovation and is now a Doubletree hotel. This circular high-rise hotel sits overlooking the Great Smoky Mountains National Park and the City of Gatlinburg. Guest rooms boast breathtaking views from your private balcony, one king or two queen beds (based on availability), 42-inch flat panel TV, desk, refrigerator, sitting area, high-speed Internet access (fee may apply), hair dryer, iron/board, coffee maker, clock radio with iPod or MP3 connections, and more. Other improvements include the new Patio Lounge, Firefly’s featuring outdoor seating and the newly renovated restaurant, the Vista Grill. The public space areas have received a makeover that enhances an already relaxing and warm atmosphere. Kids of all ages will enjoy the indoor pool area, which is now a “private water park attraction” within the hotel.


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Mark A. Kossick, DNSc, CRNA, APN
Professor, School of Nursing
Western Carolina University
Cullowhee, North Carolina

Dr. Mark A. Kossick received his Doctor of Nursing Science degree in 2003 from the University of Tennessee Health Science Center - Memphis, College of Nursing. He completed his clinical residency in the electrophysiology laboratory at the University of Alabama at Birmingham (UAB). During his residency he developed a new modified chest lead (MAC1L). Dr. Kossick finished his anesthesia education in 1984 at Hamot Medical Center, Erie, Pennsylvania/Edinboro University, Edinboro, Pennsylvania. Over the past 20 years he has been on faculty at several universities (University of Kansas, UAB, University of Maryland, Union University).

He is currently on faculty as a full professor at Western Carolina University, in Candler, North Carolina. Over the past two decades he has lectured extensively across the country on ECG interpretation and the management of ischemia and arrhythmias. His lectures have addressed audiences at state and national meetings as well as graduate students and faculty as a visiting professor at other universities across the United States. Internationally he has lectured in London, United Kingdom, as well as Vienna, Austria. Dr. Kossick has also written a textbook and handbook on electrocardiography, is an author of two chapters in the textbook, Nurse Anesthesia (Inhalation Anesthetics and Clinical Monitoring I: Cardiovascular System), and authored the antiarrhythmic chapter in the recently published textbook, Pharmacology for Nurse Anesthesiology. He is a member of Sigma Theta Tau International, American Association of Nurse Anesthetists (AANA), and the International Society for Computerized ElectroCardiography. In 2006, Dr. Kossick was inducted into Ashtabula Harbor High School’s Hall of Fame as an alumni recipient of the “Career Achievement Award,” Ashtabula, Ohio.


We are offering other seminars/workshops either during or after EKG. If you have colleagues that wish to come with you, but do not need to take EKG, if you desire to obtain additional credits while at the location, or you want more specific location/hotel information you can view the full schedule of meetings here.

Concurrent Courses - Separate Brochure and Tuition Applies
4-day 20 CME/CEC conference with each EKG Workshop
Email us at or call us (800) 222-6927 • (509) 547-7065


This course is designed for physicians, certified registered nurse anesthetists, physician assistants, nurse practitioners, registered nurses and other medical care providers who must maintain state-of-the-art knowledge of the specialty or are impacted by it.


Due to the epidemiology of cardiovascular disease and standards of care regarding EKG monitoring by various professional organizations, physicians in many specialties (anesthesiology, emergency medicine, and critical care), advanced practice nurses, and other health care providers are being challenged to interpret the EKG as well as treat underlying dysrhythmias. This program is designed to update these practitioners with the latest information on this body of scientific information and reinforce cardinal EKG
concepts for accurate interpretation. This course offers 8 contact hours.


At the conclusion of this program, the participant will be able to:

Review the 12-lead EKG system, the normal morphology of the EKG waveforms, and options for lead placement.

Define the criteria for assessing evidence of myocardial ischemia, injury, and infarction, including the limitations of the EKG.

Review the classic placement of chest leads and limb leads as well as discuss legitimate variations available for EKG lead placement for surgical and postoperative patients.

Apply the criteria for the diagnosis of supraventricular arrhythmias (e.g., sinus bradycardia, atrial tachycardia, atrial flutter, atrial fibrillation, and Wolff-Parkinson-White Syndrome).

Explain the treatment guidelines for supraventricular arrhythmias.

Apply the criteria for the diagnosis of first degree heart block, second degree heart block (Mobitz I & II), and third degree heart block with a junctional escape or ventricular escape rhythm.

Discuss the treatment of AV nodal and infranodal arrhythmias.

Apply the criteria for the diagnosis of ventricular arrhythmias (e.g., torsade de pointes, ventricular tachycardia, ventricular fibrillation.

Discuss the recommended treatment for ventricular arrhythmias.

Diagnose faculty-presented EKG rhythm strips and 12 Lead EKGs, reviewing the criteria by which each was identified.

Clarify the material presented throughout the day through questions and answers and discuss participants’ concerns for application in their own clinical settings.

Comprehensive EKG Seminar

0730 Registration - Mandatory Sign In - Continental Breakfast
0755 Welcome NWAS Staff
0800 Cardinal Skills for Comprehensive EKG Interpretation
  Describe the 12-lead EKG system, dipole concept, and clinical applications of the normal morphology of EKG waveforms
  Discuss the current American College of Cardiology guidelines for obtaining a 12 lead EKG
0900 EKG Lead Configuration, Potential EKG Anatomical Mapping, and Evidence of Ischemia
  Discuss the clinical relevance and recommendations for correct EKG lead placement
  Describe how the grouping of EKG leads (e.g., II, III, aVF) may provide insight to the anatomical location of myocardial ischemia/injury, and infarction
  Identify T wave changes suggestive of myocardial ischemia
1000 Break
1015 Clinical Guidelines for Using Computerized ST Segment Analysis
  Describe the current American College of Cardiology and American Heart Association criteria for assessing
  EKG evidence of myocardial ischemia/injury
  Describe the correct technique and indications for adjusting bedside EKG software parameters for continuous computerized ST segment analysis
  Discuss how incorrect identification and placement of computerized ST segment parameters on newer software (Iso point, ST point) and older software (Iso point, J point, ST point) can produce iatrogenic injury
1115 Understanding the Clinical Relevance of Modified Chest Leads versus True Chest Leads
  Describe the most current recommendations for chest lead monitoring for myocardial ischemia/injury
  Discuss variations for EKG lead placement and consideration for the use of modified chest leads
1215 Lunch - On your own
1315 Diagnostic Criteria for Myocardial Infarction
  Identify EKG criteria for myocardial infarction
  Discuss the indications and potential value of obtaining a 15 lead or 18 lead EKG
1415 Practice 12 Lead EKGs and Rhythm Strips
  Identify EKG criteria for anterior, inferior, lateral, and posterior myocardial ischemia, injury, and infarction
1515 Break
1530 Diagnostic Criteria and Clinical Implications for Axis Deviation, Hypertrophy, Bundle Branch Blocks and Hemiblocks
  Identify EKG evidence of axis deviation, ventricular hypertrophy, bundle branch blocks, and hemiblocks
  Describe the clinical implications of shifts in the heart's axis, hypertrophy, and bundle branch blocks
1630 Practice 12 Lead EKGs and EKG Rhythm Strips
  Diagnose faculty presented EKG rhythm strips and 12 lead EKGs, reviewing the criteria by which each is identified
1730 Adjourn
8 CME I / 8 CEC


Mark A. Kossick, DNSc, CRNA, APN
Graduate Anesthesia Simulation Coordinator
School of Nursing
College of Health and Human Sciences
Western Carolina University
Asheville, NC


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health and Northwest Anesthesia Seminars. The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the ACCME to provide continuing medical education for physicians.

The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health designates this live activity for a maximum of 8 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Anesthesiology: CME credit will be sent directly to The American Board of Anesthesiology to fulfill the Part 2 requirement for the Maintenance of Certification in Anesthesiology Program (MOCA®).

Canadian Physicians: This activity is eligible for Section 1 credits in the Royal College’s Maintenance of Certification (MOC) Program. Participants must log into MAINPORT to claim this activity.

Certified Registered Nurse Anesthetists: This program has been prior approved by the AANA for 8 Class A CEC; AANA Code #1033874; Expiration Date 11/13/2017.

Nurse Practitioners: The American Academy of Nurse Practitioners Certification Program (AANPCP) and the American Nurses Credentialing Center (ANCC) accept CME from organizations accredited by the ACCME.

Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA).

Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 8 hours of Category I credit for completing this program.

Registered Nurses: NWAS is an approved provider for the following state nursing boards: California Board of Registered Nursing (Provider Number 4833), District of Columbia Board of Nursing (Provider Number 50-7480), Florida Board of Nursing (Provider Number 50-7480), Georgia Board of Nursing (Provider Number 50-7480), and the South Carolina Board of Nursing (Provider Number 50-7480). This program offers 8 contact hours.


Mark Murphy, MD, MSN Education, Austin, Texas and Medical Director Northwest Anesthesia Seminars, Pasco, Washington


Factors beyond our control sometimes necessitate changes in the schedule and faculty. If time permits, we will inform all registrants of any changes prior to the program. Changes on site due to local conditions will be announced in class.


We reserve the right to cancel a course for any reason. In such case, a minimum of 30 days notice will be given to those registered and 100% of tuition paid will be refunded. NWAS and NW-WWT will not be responsible for any non-refundable airfare, hotel, or other liabilities you may incur. We highly recommend purchase of travel insurance.


$100 60-30 days prior to course. No refund inside 30 days; however, 50% of tuition paid may be applied toward tuition for another NWAS program within the next 12 months. Cancellation must be made in writing.

We have a block of rooms for seminar participants. Once this block is sold, rooms are on availability only and may be at a higher rate.


Universal Travel. Be sure to mention Northwest Anesthesia Seminars when booking (booking fees may apply.)

Contact: Kellee Kilmer, (858) 456-7887


FAP (Frequent Attendee Points)

FAP lets you accumulate points based on dollars spent with NWAS, including tuition, net cruise and hotel (but not air). When you have enough points for a complete tuition, they can then be redeemed for tuition. A great program to reward you for supporting NWAS! Click here for more information.

Lecture notes will be provided via download in PDF format.

You must sign-in every day you attend to receive credit.

While we strive for accuracy at all times with our published information, we cannot be responsible for typographical and other errors.

Please note that children and non-registered guests are not allowed to attend the lectures.


Limited number of slot. Registration subject to close without notice. Don’t delay.