KERN COMMUNITY COLLEGE DISTRICT CERRO COSO COLLEGE HCRS C255 COURSE OUTLINE OF RECORD

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1 KERN COMMUNITY COLLEGE DISTRICT CERRO COSO COLLEGE HCRS C255 COURSE OUTLINE OF RECORD 1. DISCIPLINE AND COURSE NUMBER: HCRS C COURSE TITLE: Basic Cardiac Rhythm Interpretation 3. SHORT BANWEB TITLE: Basic Cardiac Rhythm Interpret 4. COURSE AUTHOR: Gates, Cheryl G. 5. COURSE SEATS: - 6. COURSE TERMS: 70 = Fall; 30 = Spring; 50 = Summer 7. CROSS-LISTED COURSES: 8. PROPOSAL TYPE: CC Course Revision 9. START TERM: 70 = Fall, C-ID: 11. CATALOG COURSE DESCRIPTION: This course is designed to enable students to interpret basic cardiac rhythms in health care related settings. Heart anatomy, physiology, and dysrhythmias relating to atrial and ventricular dysfunction, basic electrical conduction disorders and treatment plans are presented. 12. GRADING METHOD Default: S = Standard Letter Grade Optional: A = Audit;P = Pass/No Pass 13. TOTAL UNITS: INSTRUCTIONAL METHODS / UNITS & HOURS: Method Min Min Units Hours Lecture 3 54 Lab 0 0 Activity 0 0 Open Entry/Open Exit 0 0 Volunteer Work Experience 0 0 Paid Work Experience 0 0 Non Standard 0 0 Non-Standard Hours Justification: 15. REPEATABILITY Type: Non-Repeatable Credit 16. MATERIALS FEE: No 17. CREDIT BY EXAM: No 18. CORE MISSION APPLICABILITY: Associate Degree Applicable (AA/AS);Certificate of Achievement (COA);Career Technical Education (CTE) 19. STAND-ALONE: No 20. PROGRAM APPLICABILITY Required: Restricted Elective: Elective: Cerro Coso Vocational Nursing (AS Degree Program)

2 21. GENERAL EDUCATION APPLICABILITY Local: IGETC: CSU: UC Transfer Course: CSU Transfer Course: California State University, Bakersfield = NURS 440 California State University, Fresno = NURS 142 California State University, San Bernardino = KINE STUDENT LEARNING OUTCOMES Upon completion of the course, the student will be able to 1. Apply knowledge of coronary anatomy, physiology and electrophysiology. 2. Discriminate lead morphology and placement, and relate to technical aspects of the EKG. 3. Calculate heart rates and apply the 5 steps of rhythm interpretation. 4. Evaluate rhythms originating in the sinus node and atria. 5. Decipher rhythms originating in the AV juntion and Ventricles. 6. Elucidate rhythms of AV heart block and pacemakers. 23. REQUISITES Advisory: ENGL C070 Content Review Students must be able to read and comprehend at a college level text book explaining basic cardiac rhythm interpretation as it relates to the healthcare profession. The reading level encourages students to have the skills necessary for success in the assignments and subject matter material presented. 24. DETAILED TOPICAL OUTLINE: Lecture: A. Anatomy and Physiology of the Heart 1. Description and location of the heart 2. Function of the heart 3. Heart surfaces 4. Heart valves 5. Blood flow through the heart and lungs 6. Coronary circulation 7. Cardiac innervation B. Electrophysiology of the Heart 1. Cardiac cells 2. Depolarization and repolarization 3. Electrical conduction system of the heart 4. The cardiac cycle 5. Waveforms and current flow 6. Refractory and supernormal periods of the cardiac cycle 7. ECG graph paper C. Waveforms, Intervals, Segments, and Complexes 1. P wave 2. PR interval 3. ST segment 4. T wave 5. QT interval 6. U wave D. Cardiac Monitors 1. Purpose of ECG monitoring 2. Types of bedside monitoring 3. Applying the electrode pads 4. Troubleshooting monitor problems

3 E. Analyzing a Rhythm Strip 1. Determine the regularity of the R waves 2. Calculate the heart rate 3. Identify and examine P waves 4. Measure the PR interval 5. Measure the QRS complex F. Sinus Arrhythmias 1. Normal sinus rhythm 2. Sinus tachycardia 3. Sinus bradycardia 4. Sinus arrhythmia 5. Sinus pause G. Atrial Arrhythmias 1. Wandering atrial pacemaker 2. Premature atrial contraction 3. Nonconducted premature atrial contraction 4. Paroxysmal atrial tachycardia 5. Atrial flutter 6. Atrial fibrillation H. AV Junctional Arrhythmias 1. Premature junctional contraction 2. Junctional rhythm 3. Accelerated junctional arrythmia 4. Paroxysmal junctional tachycardi I. AV Blocks 1. Atrioventricular heart blocks 2. First-degree AV block 3. Second-degree AV block 4. Third-degree heart block J. Ventricular Arrhythmias and Bundle-Branch Blocks 1. Bundle-branch block 2. Premature ventricular contractions 3. Ventricular tachycardia 4. Idioventricular rhythm 5. Accelerated idioventricular rhythm 6. Ventricular standstill and asystole K. Pacemakers 1. Temporary pacemakers 2. Permanent pacemakers 3. Classification of pacemakers 4. Pacemaker terms 5. Pacemaker malfunctions 6. Analyzing pacemaker rhythm strips 25. METHODS OF INSTRUCTION--Course instructional methods may include but are not limited to 1. Case Study; 2. Discussion; 3. Lecture; 4. Outside reading; 5. Peer-to-peer instruction; 6. Presentations (by students); 7. Problem Solving; 8. Written work;

4 9. Other Methods: Power Point Slides Group Discussions Textbook Exercises Internet Research 26. OUT OF CLASS ASSIGNMENTS: Out of class assignments may include but are not limited to A. Group Discussions B. Internet Research C. Textbook Assignments on assigned chapters (End of Chapter questions) Example of assignment: Briefly describe how to determine the presence of left ventricular hypertrophy using the 12-lead ECG. 27. METHODS OF EVALUATION: Assessment of student performance may include but is not limited to A. Completion of textbook exercises B. Weekly readings, discussion threads, participation C. Discussion Groups D. Internet Research E. Quizzes (Multiple choice and/or short answer) F. Exams (Multiple choice and/or short answer) 28. TEXTS, READINGS, AND MATERIALS: Instructional materials may include but are not limited to Textbooks Ellis, K.. (2012) EKG Plain & Simple, 3rd, Pearson Publishing - Manuals Periodicals Software Other 29. METHOD OF DELIVERY: Online (purely online no face-to-face contact) ;Face to face; 30. MINIMUM QUALIFICATIONS: Health Care Ancillaries;Licensed Vocational Nursing;Nursing (Masters Required); 31. APPROVALS: Origination Date 02/09/2013 Last Outline Revision 04/20/2007 Curriculum Committee Approval 04/12/2013 Board of Trustees 06/13/2013 State Approval 08/24/2013 UC Approval UC Approval Status CSU Approval 30 = Spring 2007 CSU Approval Status Approved IGETC Approval CSU GE Approval IGETC Approval Status CSU GE Approval Status Data Element Changes CB03 TOP Code Data Justification Course is an elective in the Vocational Nursing Program Course Element Changes Other (Describe in Summary) Course Change Justification Textbook update SLO updates Course ID (CB00) CCC TOP Code (CB03) Licensed Vocational Nursi; Course Credit Status (CB04) D - Credit - Degree Applicable; Course Transfer Status (CB05) C = Not Transferable

5 Course Units of Credit Maximum High (CB06): 3 Course Units of Credit Minimum Low (CB07): 3 Course Basic Skills (BS) Status (CB08): N = Course is not a basic skills course. SAM Code (CB09): C = Occupational; Cooperative Education Course Status (CB10): Not part of Coop Work Exp; Course Classification Code (CB11): Not Applicable, Credit Course; Course Special Status (CB13): N - Not Special; CAN Code (CB14): CAN-Code Seq (CB15): Course Prior to College Level (CB21): Not Applicable; Course Non-Credit Category (CB22): Not Applicable, Credit Course; Funding Agency Category (CB23): Not Applicable Course Program Status (CB24): 1 - Program Applicable;