Physiology and Bio Medical Instrumentation 1

Transcription

1 Western Technical College Physiology and Bio Medical Instrumentation 1 Course Outcome Summary Course Information Description Career Cluster Instructional Level Total Credits 3.00 Total Hours This course is the first of a two-part series introducing the student to human physiology and anatomy, as well as the acquisition of biophysical measurements made in the clinical environment. The primary focus is in the areas of an overview of body systems in general and the cardiovascular system in specific. The course includes weekly 2-hour laboratory sessions at the main campus. Science, Technology, Engineering and Mathematics Associate Degree Courses Types of Instruction Instruction Type Lecture Lab Credits/Hours 2 CR / 36 HR 1 CR / 36 HR Course History Last Approval Date 5/6/2016 Purpose/Goals Understand basic human physiological systems. Explain the human/machine interface including the limitations and inherent need for safety requirements. Use medical terminology to be able to communicate with medical professionals regarding medical equipment. This course focuses on topics related to details of the cardiovascular system, details of the circulatory system, basics of the digestive system, and basics of the muscular system, and the related medical equipment. Target Population Associate Degree Biomedical Electronics Program Students. Course Outcome Summary - Page 1 of 10

2 Pre/Corequisites Pre/Corequis ite Textbooks Intro to Bio Medical Technology Human Body in Health and Disease. 6th Edition. Copyright Ptton, Kevin T. and Gary A. Thibodeau. Publisher: Elsevier Science. ISBN-13: Required. Biomedical Instrumentation Systems. Copyright Chatterjee, Shakti and Leo Chartrand. Publisher: Cengage Learning. ISBN-13: Required. Biomedical Device Technology Principles and Design. Copyright Chan, Anthony Y. K. Publisher: Charles C Thomas. ISBN-13: Required Physiology and Biomedical Inst. Handouts. Western. Publisher: Western. Required. Bibliography Introduction to Biomedical Equipment Technology, 3rd or 4th ed., by Carr, Joseph J. and Brown, John M. ISBN , copyright 1999, published by Prentice Hill, Inc. Learner Supplies Two, 2-3 three-ring binders. Vendor: Campus Shop. Required. Core Abilities 1. Apply mathematical concepts Make decisions that incorporate the importance of sustainability Use technology effectively. Program Outcomes 1. Manage medical equipment and systems Type TSA Summative 1.1. Certified Biomedical Equipment Technician (CBET) practice exam 1.1. You install and assemble medical equipment Course Outcome Summary - Page 2 of 10

3 1.2. You operate basic medical equipment 1.3. You maintain medical equipment 1.4. You repair/troubleshoot medical equipment 1.5. You calibrate equipment 1.6. You verify medical equipment is working correctly 1.7. You assist users with medical equipment 1.8. You document activities 1.9. You use hand tools You use medical test equipment You adhere to industry codes and standards 2. Problem-solve electronic circuits and systems Type TSA Summative 2.1. Certified Biomedical Equipment Technician (CBET) practice exam 2.1. You interpret basic schematic circuitry 2.2. You use various electronic testing devices 2.3. You troubleshoot electronic circuits 2.4. You repair electronic circuits 2.5. You perform basic soldering skills 3. Apply principles of anatomy, physiology, and medical terminology Summative 3.1. Certified Biomedical Equipment Technician (CBET) practice exam 3.1. You communicate with clinical staff 3.2. You use appropriate medical terminology related to medical equipment supported 3.3. You recognize the interaction of medical equipment with the human body 4. Demonstrate safety precautions and practices with medical equipment Type TSA Summative 4.1. Certified Biomedical Equipment Technician (CBET) practice exam 4.1. You follow SDS guidelines 4.2. You follow classroom/clinical site safety guidelines 4.3. You comply with clinical site mandatory education regarding health risks and safety practices 4.4. You dispose/recycle of equipment and batteries in an environmentally safe manner 5. Demonstrate professionalism Type Local Summative 5.1. Internship Evaluation 5.1. You arrive for work on time 5.2. You manage time effectively 5.3. You dress professionally 5.4. You act ethically 5.5. You act as a member of the team 5.6. You are tactful and understanding when working with diverse groups of people 5.7. You demonstrate attention to detail and follow direction with a willingness to implement solutions for the best possible outcomes Course Outcome Summary - Page 3 of 10

4 5.8. You provide customer service with confidence; recognize limitations and ask for assistance 5.9. You adhere to HIPAA requirements Course Competencies 1. Utilize medical terminology in communications. Domain Cognitive Level Applying 1.1. Participation in assigned activities including classroom discussions, observation of and responses to 1.2. Skill demonstration in simulated or actual situations Objective tests You identify the following component parts: prefix, suffix, combining vowel, combining form, and root You define common prefixes, suffixes, combining vowels, combining forms, and roots You combine component parts to determine complete term meaning. 1.a. Break terms into component parts. 1.b. Define common medical terminology component parts. 1.c. Define complete medical terms. 2. Describe basic human physiology. Domain Cognitive Level Applying 2.1. Participation in assigned activities including classroom discussions, observation of and responses to 2.2. Skill demonstration in simulated or actual situations Objective tests Your basic definitions include: anatomy, physiology, disease, pathology, homeostasis, feedback, and levels of organization You relate body position to make sense of directional terms You define locations using anatomical directions, planes/body sections, depth, body cavities, and body regions Your chemistry explanations include chemistry building blocks, bonding, organic/inorganic, water chemistry, ph, and major types of organic molecules Your explanation of cells and tissues includes major cell components, organelles, active/passive transport, DNA/RNA, cell reproduction, and structure/function of cells to tissues You use appropriate human physiology terminology on all assigned activities. 2.a. Define terms related to human physiology. 2.b. Define terms related to body positions. 2.c. Define terms related to locations in the body. 2.d. Explain basic chemistry of the cell and organism. Course Outcome Summary - Page 4 of 10

5 2.e. Explain the structures and functions of a cell and tissues. 3. Explain the major human body systems. Domain Cognitive Level Applying 3.1. Participation in assigned activities including classroom discussions, observation of and responses to 3.2. Skill demonstration in simulated or actual situations Objective tests Your explanation includes the major functions of each system Your explanation includes the major anatomy and organs of each system Your explanation lists medical equipment used with each system including the name and purpose of that equipment You use appropriate body system terminology on all assigned activities. 3.a. Explain major body systems including: cardiovascular, digestive, endocrine, integumentary, lymphatic/immune, muscular, nervous, reproductive, respiratory, skeletal, and urinary. 3.b. Describe medical equipment used with each body system. 4. Explain the major structures of the human cardiovascular system. Domain Cognitive Level Analyzing 4.1. Participation in assigned activities including classroom discussions, observation of and responses to 4.2. Skill demonstration in simulated or actual situations Objective tests You identify anatomy including the heart location/orientation in body, heart chambers, heart sides, heart valves, sounds from anatomy, major arteries/veins, blood flow path, EKG relationship to anatomy, and common anatomy disorders You include the function of each part of anatomy including the heart location/orientation in body, heart chambers, heart sides, heart valves, major arteries/veins, and blood flow path Your explanation of the electrical conduction system includes the anatomical components, their function, and relationship to the PQRST signal and heart actions You include the following parts of the electrical conduction system: SA node, intermodal pathway, AV node, AV bundle, bundle branches, purkinje fibers, electrical path, timing of electrical signal, and disorders You use appropriate cardiovascular system terminology on all assigned activities. 4.a. Explain anatomy of the cardiovascular system. 4.b. Explain the electrical conduction system of the heart. 5. Explain the cardiac operation of the human cardiovascular system. Course Outcome Summary - Page 5 of 10

6 Domain Cognitive Level Analyzing Apply mathematical concepts Participation in assigned activities including classroom discussions, observation of and responses to 5.2. Skill demonstration in simulated or actual situations Objective tests Your explanation of the action potential includes ionic vs electronic current, polarization, depolarization, cardiac muscle contraction, timing, and variation between action potentials of muscles/heart/nerves You explain the cardiac cycle including the relationships between the anatomy, electrical conduction, blood flow, EKG wave, heart sounds, pressures, valve actions, systole, diastole, and graphs of all parameters Your explanation of cardiac cycle includes average values and definitions of cardiac cycle, stroke volume, cardiac output, and heart rate Your explanation of cardiac output includes formula relating cardiac output/heart rate/stroke volume, typical values, and measurement methods You use appropriate cardiovascular system terminology on all assigned activities. 5.a. Explain the action potential and how it relates to an EKG and heart actions. 5.b. Explain the cardiac cycle. 5.c. Explain cardiac output. 6. Explain cardiovascular disorders and the related medical equipment. Domain Cognitive Level Analyzing Apply mathematical concepts Participation in assigned activities including classroom discussions, observation of and responses to 6.2. Skill demonstration in simulated or actual situations Objective tests Your explanation of medical equipment used on the cardiovascular system includes its name, and purpose Your explanation distinguishes between the types of information that can be obtained with 3, 5, 6, and 12 lead EKG including distinguishing what portions of the heart are focused on and the difference between monitoring EKG and diagnostic EKG Your explanation of EKG includes Einthoven s triangle, electrode labels, relationship between electrodes/wires/leads, limb leads, augmented leads, and chest leads Your explanation of the parts of an EKG signal includes identifying and listing timing of segments, waves, and intervals of the PQRST wave and stating how monitors use this timing information to provide an analysis of the EKG to assist in diagnosis or patient care Your explanation of the lead equations includes stating the equations You include the following common cardiovascular disorders, myocardial infarction, valve problems, Course Outcome Summary - Page 6 of 10

7 anatomic abnormalities, atherosclerosis, angina pectoris, thrombus, common dysrhythmias, and heart failure You use appropriate cardiovascular system terminology on all assigned activities. 6.a. Describe medical equipment used with the cardiovascular system. 6.b. Describe electrocardiography. 6.c. Explain the parts of an EKG electrical signal. 6.d. Explain the lead equations used to obtain an EKG. 6.e. Explain common cardiovascular disorders. 7. Maintain medical equipment related to the human cardiovascular system. Domain Psychomotor Level Practicing Apply mathematical concepts. Make decisions that incorporate the importance of sustainability. Use technology effectively Participation in assigned activities including classroom discussions, observation of and responses to 7.2. Skill demonstration in simulated or actual situations Objective tests You relate resistance, voltage values, and current values to acquiring an EKG with electrodes including the requirements for skin prep to reduce resistance and the requirement for high input impedance to avoid losing the signal Your explanation of EKG equipment includes relationship between electrodes/wires/leads, noise reduction, circuit isolation, and circuitry required to obtain lead signals Your lab report adheres to format presented in class including cover page, purpose, equipment, procedure, data, analysis, and conclusion Your lab report requires specific concrete statements of clear information using correct grammar and must answer specific lab questions You use a multi-parameter simulator and safety analyzer to test an EKG monitor You operate an EKG monitor to obtain an actual EKG signal, analyze the signal, and simulate faults with signal acquisition You include an explanation of the circuit blocks of an EKG monitor including circuit isolation, amplifiers, and filters You analyze EKG tracings to determine the equipment fault focusing on electrode problems and filter problems You operate equipment to obtain heart rates researching the theory of operation of each piece of equipment, comparing heart rates obtained, comparing the capabilities of each piece of equipment, and determining appropriate procedures to test the equipment You use appropriate cardiovascular system terminology and electronics terminology on all assigned activities You adhere to lab safety precautions while working on medical equipment related to the cardiovascular system. 7.a. Apply basic electronic knowledge to the acquisition an ECG signal. 7.b. Explain 3, 6, and 12 lead EKG equipment. 7.c. Use a lab report to present results of cardiovascular system medical equipment labs when assigned. 7.d. Test an EKG monitor. 7.e. Operate medical equipment capable of being used to obtain a heart rate. 8. Explain the human circulatory system. Course Outcome Summary - Page 7 of 10

8 Domain Cognitive Level Analyzing 8.1. Participation in assigned activities including classroom discussions, observation of and responses to 8.2. Skill demonstration in simulated or actual situations Objective tests Your explanation of blood vessels includes the structure and functions of arteries, arterioles, veins, venules, and capillaries Your explanation of circulation of blood includes the systemic, pulmonary, hepatic portal, and fetal circulation Your explanation of control of localized blood flow includes concepts of capillary bed control, osmosis, hydrostatic pressures, osmotic pressures, autoregulation, chemical controls, ph, CO2/O2 concentration gradients, nutrient gradients, body temperature, capillary anatomy, and diffusion Your explanation includes the following disorders of the circulatory system: arteriosclerosis, varicose veins, thrombus, pulmonary embolism, aneurysm, cerebrovascular accident/stroke, hypertension, and hypotension You use appropriate circulatory system terminology on all assigned activities. 8.a. Describe blood vessels. 8.b. Describe the circulation of blood. 8.c. Describe control of localized blood flow. 8.d. Describe disorders of the circulatory system. 9. Explain blood pressure. Domain Cognitive Level Analyzing Apply mathematical concepts Participation in assigned activities including classroom discussions, observation of and responses to 9.2. Skill demonstration in simulated or actual situations Objective tests Your explanation of blood pressure includes its definition and the values in different parts of the circulatory system You explain the role of the artery elasticity in arterial circulation, and the muscular pump and respiratory pump in venous circulation Your explanation of blood pressure includes a definition and a graph of pressure in time of the following: systolic, diastolic, dicrotic notch, pulse pressure, mean arterial pressure You include the mathematical relationships of pulse pressure/systolic pressure/diastolic pressure and mean arterial pressure/diastolic pressure/pulse pressure You explain the oscillometric and asculcatory methods of acquiring blood pressure including the blocks of equipment required to make those measurements You explain factors influencing blood pressure including the roles of and descriptions of peripheral Course Outcome Summary - Page 8 of 10

9 resistance, cardiac output, blood volume, and vessel elasticity You include an explanation of determining blood pressure with a stethoscope and cuff by listening to the sounds of the blood in the artery You include an explanation of obtaining blood pressure non-invasivly (NIBP) and invasively Your explanation of blood pressure regulation includes short term mechanisms (vessel diameter, heart rate, contractility) and long term mechanisms (blood volume) You use appropriate circulatory system terminology on all assigned activities. 9.a. Explain the acquisition of blood pressures. 9.b. Explain factors influencing blood pressure. 9.c. Describe how the blood pressure is regulated by the body. 10. Maintain medical equipment related to the human circulatory system. Domain Psychomotor Level Practicing Apply mathematical concepts. Make decisions that incorporate the importance of sustainability. Use technology effectively Participation in assigned activities including classroom discussions, observation of and responses to Skill demonstration in simulated or actual situations Objective tests You test a NIBP monitor using documentation, a simulator, and a subject to determine accuracy, function, and safety characteristics You include the identification and function of the major blocks of a NIBP monitor including possible failures You use appropriate circulatory system terminology and electronics terminology on all assigned activities You adhere to lab safety precautions while working on medical equipment related to the circulatory system. 10.a. Maintain NIBP monitors. 11. Explain the basics of the human digestive system. Domain Cognitive Level Applying Participation in assigned activities including classroom discussions, observation of and responses to Skill demonstration in simulated or actual situations Objective tests Your functional explanation includes gastrointestinal, chemical and mechanical breakdown of foods, Course Outcome Summary - Page 9 of 10

10 enzyme actions, and absorption You identify and list the function of the following anatomy of the digestive system: mouth, uvula, palate, tongue, pharynx, esophagus, stomach, small intestine, appendix, large intestine, colon, rectum, sphincters, wall structure, salivary glands, liver, and pancreas Your explanation of medical equipment related to the digestive system includes listing the names and function of different types of scopes used in endoscopy, feeding pumps, suction units, surgical equipment, and imaging equipment Your list of major disorders includes: cancer, reflux, gallstones, ulcers, cleft lip/palate, ulcers, appendicitis, inflammation, celiac, diverticulosis, and polyps You use appropriate digestive system terminology on all assigned activities. 11.a. Explain the function of the digestive system. 11.b. Describe the major anatomy of the digestive system. 11.c. Explain the use of medical equipment on the human digestive system. 11.d. List major disorders of the digestive system. 12. Explain the basics of the human muscular system. Domain Cognitive Level Applying Participation in assigned activities including classroom discussions, observation of and responses to Skill demonstration in simulated or actual situations Objective tests Your comparison of muscle types includes: cell shapes, nuclei, striations, voluntary/involuntary control, locations in the body, and functions Your explanation of skeletal muscles includes: muscle fibers, tendons, bursae, posture, fatigue, types of movements produced, and temperature control Your explanation of medical equipment related to the muscular system includes the name and function of the following: EMG, imaging equipment, scopes, and physical therapy equipment You use appropriate muscular system terminology on all assigned activities. 12.a. Compare the characteristics of the different types of muscles: skeletal, smooth, and cardiovascular. 12.b. Describe the basics of the skeletal muscle system. 12.c. Explain the use of medical equipment on the muscular system. Course Outcome Summary - Page 10 of 10