Syllabus. COURSE PREREQUISITES: Anatomy & Physiology I, MED 153 and Anatomy/Physiology II, MED154 may be taken concurrently.

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1 Syllabus COURSE TITLE: Cardiac Monitoring Procedures COURSE NUMBER: MED 294 CLASS MEETING DAY & TIME: Tuesday, 12:30 pm COURSE DESCRIPTION: This course is an introduction to the anatomy/physiology of the cardiac cycle, the electrical system of the heart. The student will be introduced to the normal sinus rhythm, atrial arrhythmia, junctional rhythm, ventricle rhythm. The student will be introduced to 12 lead EKG lead attachment. COURSE PREREQUISITES: Anatomy & Physiology I, MED 153 and Anatomy/Physiology II, MED154 may be taken concurrently. LECTURE HOURS: 40 LAB HOURS: None EXPECTED HOMEWORK HOURS: 80 LAB REQUIREMENTS: None ACADEMIC CREDITS HOURS AWARDED: 4.0 Quarter Credit Hours INSTRUCTOR: Lisa H. Young, RN, BSN, MA Ed. INSTRUCTOR CONTACT INFORMATION: We Change Lives One Person at a Time Revised 9/2014 Page 1

2 STUDENT LEARNING OUTCOMES/COURSE OBJECTIVES: Upon completion of this course, the student will: 1. Identify Normal Sinus Rhythm with 100% accuracy. 2. Identify Sinus Arrhythmias with 90% accuracy. 3. Identify Atrial Arrhythmias with 90% accuracy. 4. Identify Junctional Arrhythmias with 90% accuracy. 5. Identify Ventricular Arrhythmias with 90% accuracy. 6. Identify Premature Beats with 90% accuracy. 7. Identify Atrioventricular Block Arrhythmias with 90% accuracy. 8. Identify Asystole, PEA, Agonal, and Pacemaker rhythms with 90% accuracy. 9. Demonstrate proper lead placement for rhythm monitoring with 80% accuracy. 10. Demonstrate proper lead placement for 12 lead EKG with 90% accuracy. 11. Analyze a total of 200 heart arrhythmia strips with 90% accuracy. The Pacific Institute Element: This course prepares the student to readily identify heart arrhythmias and relate these arrhythmias to potential heart diseases or abnormalities required for telemetry surveillance as well as holter monitor recording, stress testing monitoring and critical care or cardiac catheterization procedure heart monitoring. INSTRUCTIONAL MATERIALS, REFERENCES, AND TEXT: Understanding EKGs; A Practical Approach, 3 rd edition. Beasley, Brenda. Pearson. ISBN: EKG in a Heartbeat, 2 nd edition. Ellis. Pearson. ISBN: textbook companion website EKG rhythm simulator for rhythm interpretation practice RMA examination EKG requirements CCI Cardiographic Technology certification examination EKG requirements. METHOD OF INSTRUCTION AND TEACHING STRATEGIES: Power Point Presentation with lecture, computer usage, DVD instructional films, worksheets, use of textbook CD materials, quizzes and tests. Cardiac rhythm strip interpretation practice and evaluation. Return demonstration of electrode placement for ECG tracing and 12 Lead EKG tracing. REQUIREMENTS FOR SUCCESSFUL COMPLETION & EVALUATION: Successful completion involves class participation, attendance, and completion of work by assigned dates, and taking exams on assigned dates. If assignments are 1 week late, the grade for this work will be dropped one letter grade. Example (A will be a B). After two week it will be an F. GRADING SCALE: Grade determination: Portfolio/LRC project 10% % A Worksheets 10% % B Rhythm Strips 30% % C Participation 10% % D Quiz/Mid-term 15% 64% or lower F Final Assessment 25% 100% We Change Lives One Person at a Time Revised 9/2014 Page 2

3 LEARNING RESOURCE CENTER/INTERNET ASSIGNMENT: Each student will be expected to visit the media resource center, find a Medical related journal or newspaper article on the internet, and give a brief summary of the information to the class. Resources for this project from the Learning Resource Center or ProQuest database or Elibrary (see attached hand-out) Topic: Cardiac arrhythmia including definition, signs and symptoms, treatment and / or management of arrhythmias PORTFOLIO PROJECT: Each student will receive a certificate of completion outlining the new skills they have mastered to keep in their portfolio. Students must update portfolios and bring them for review and evaluation. COURSE/CLASSROOM POLICIES: Participation/Professionalism: Each student must accept responsibility in the use of the facilities at Daymar and obey the policies and procedures. The instructor will conduct this class in a mature manner. It is expected that each student will act in the same adult manner when interacting with classmates and the instructor. It is my responsibility to maintain an atmosphere conducive to learning in the classroom, and I will do so. Please spare everyone the stress and embarrassment by being courteous and obeying classroom rules. Attendance: Students are expected to attend all scheduled courses in order to achieve the learning goals of their program. Prospective employers are often as concerned with applicants school attendance records as with their academic records. Attendance has a direct bearing on the students final grade in each course. If a student has been out of school for 14 consecutive days, the student will be withdrawn from school. Refer to Unofficial Withdrawal in the catalog. Internet Usage: There is to be no Internet surfing during class time unless instructed by the instructor. Tardiness: Attendance is recorded during the first ten minutes of each class session. The instructor updates the attendance record at the end of each class. If you know you will be late, please call Daymar and leave a message for your instructor. Late Work: Assignment due dates will be announced in class and will allow sufficient time for each assignment to be completed. Late homework, papers, etc. will be penalized. In-class assignments, quizzes, presentations, and other daily work cannot be made up. The instructor may extend an assignment due date for a student based upon individual circumstances. However, the situation must first be discussed and approved by the instructor. We Change Lives One Person at a Time Revised 9/2014 Page 3

4 Completion Of Course Work: All course work must be turned in by the last day of class. Work turned in after the last day of class will not be accepted for credit except under special circumstances approved by the Director of Education and/or the Campus Director. Dress: Students are required to dress in attire appropriate for a college classroom, and are to refrain from wearing clothing that might be considered distracting to others in the classroom. In addition, the curriculum has assignments in which a student s professional appearance will be evaluated as part of the overall grade of the assignment. Decorum: The following are some behaviors inappropriate for a college classroom: *sleeping in class *children in class *unauthorized visitors *rude behavior * interrupting speakers *profane language Cell phones: All communication devices MUST be turned off or put on silent mode during class time. Text messaging is not allowed during instructional time. Academic Dishonesty: Plagiarism is defined as an act or instance of stealing or passing off the ideas or words of another as one s own, or to use a creative production without crediting the source. Incidences of academic dishonesty will result in severe penalty up to and including a failing grade for the course, as well as being noted on the student s permanent record. Additional incidences of academic dishonesty could result in a student s permanent expulsion from Daymar. COURSE OVERVIEW AND OUTLINE Class Learning Outcomes/Objectives Week 1 Identify normal sinus rhythm with 100% accuracy. 9/30 Introduction to heart electrical conduction system and normal sinus rhythm, blood flow of the heart and electric conduction pathway of the heart. 2 10/7 3 10/14 Identify sinus arrhythmias with 100% accuracy. Introduction to Sinus Arrhythmias. Practice sinus dysrhythmia strip analysis Identify atrial arrhythmias with 100% accuracy. Introduction to Atrial Arrhythmias Practice atrial dysrhythmia strip analysis WIIFM I can identify normal sinus rhythm and the electrical conduction system of the heart. I can identify sinus I can identify atrial 4 Identify junctional arrhythmias with 100% accuracy. I can identify We Change Lives One Person at a Time Revised 9/2014 Page 4

5 10/21 Junctional dysrhythmia introduction Practice junctional dysrhythmia strip analysis 5 Mid-term review worksheet 10/28 Review of Normal Sinus Rhythm, Sinus Arrhythmias, Atrial Arrhythmias and Junctional Arrhythmias 6 11/4 7 11/ / / / /9 Mid-term examination Identify atrioventricular conduction block arrhythmias Introduction to AV conduction heart block dysrhythmias Atrioventricular heart block dysrhythmias continued Identify ventricular arrhythmias with 100% accuracy. Ventricular dysrhythmia introduction. Practice ventricular dysrhythmia strip analysis Asystole, PEA, Agonal and Intraventricular conduction defect dysrhythmias introduction with practice. Introduction to pacemaker rhythms. Glossary test #4 Review of AV Heart blocks, Ventricular arrhythmias, and specialty arrhythmias and paced rhythms. Arrhythmia review with strip practice Final Assessment LRC Project due Portfolio project due junctional I can identify NSR, sinus, atrial and junctional arrhythmias on a ECG rhythm strip. I can identify heart block I can identify advanced heart block I can identify ventricular I can identify asystole and arrhythmias with intraventricular conduction defects. I can identify premature heart beats on EKG strip. I have completed course requirements successfully. We Change Lives One Person at a Time Revised 9/2014 Page 5

6 Reading Assignment MED 294 Cardiac Monitoring Procedures Reading Schedule Class Week Chapters Due Date Week 1 Chapter 1: The Anatomy of Week 2 the Heart Structure Cardiovascular Anatomy Cardiovascular System Anatomy Heart Anatomy Chapter 2: Cardiovascular Physiology Function Heart Physiology A&P of the Heart Gross Physiology of the Cardiovascular System Week 2 Chapter 3: Basic Week 3 Electrophysiology Heart Rhythm Society Electrophysiology Chapter 4: The Electrical Conduction System Cardiac Conduction System Anatomy and function of the Heart s Electrical System Week 3 Chapter 5: The Electrocardiogram ACLS.net ECG Library Electrocardiogram Web Database Supplemental information about 12 Lead EKG electrode placement and tracing. Week 4 Chapter 6: Interpretation of We Change Lives One Person at a Time Revised 9/2014 Page 6

7 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 an EKG Strip ACLS.net Primer on Basic Concepts A Primary Approach to the ECG Chapter 7: Introducing the Sinus Rhythms Sinus Rhythms Normal Heart Rhythm Chapter 8: Introducing the Atrial Rhythms Arrhythmias Originating in the Atria Atrial Fibrillation Atrial Arrhythmias Chapter 9: Introducing the Junctional Rhythms Junctional Arrhythmias AV Junctional Rhythm Disturbances Chapter 11: Introducing the Heart Block Rhythms Heart Block EKG Review Heart Blocks Chapter 10: Introducing the Ventricular Rhythms Ventricular Rhythms Ventricular Rhythm Disturbances Chapter 12: Introducing the Pacemaker Rhythms Mastering Temporary Invasive Pacemaking External Pacemaking Description of How, When, Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 We Change Lives One Person at a Time Revised 9/2014 Page 7

8 Week 10 Week 11 Why to Utilize Transcutaenous Pacemaking Chapter 13: Assessment and Treatment of the Patient with Cardiac Emergencies Final Competency Assessment Rhythm Packet due LRC project due Portfolio project due Week 11 We Change Lives One Person at a Time Revised 9/2014 Page 8