CVT 1000 - Introduction to Cardiovascular Technology

3 hours Lecture, 3 credit(s)

Lower-Division College Credit

Prerequisite(s): Acceptance into the Cardiovascular Technology Program

Course Description:
This course is an overview of the cardiovascular technology field, from diagnostic and interventional cardiology to radiology, and the differences between the two. Related medical terminology, the different national accrediting bodies, societies, and examination bureaus are discussed. This course introduces students to patient care, education, and management. The curriculum emphasizes patient identification, patient transportation with proper body mechanics, medical-legal ethics, patient confidentiality, and the required pre-procedure tests for cardiac catheterization (including chest x-ray, normal versus abnormal lab values, and the treatment of issues related to these tests). Students gain the skills to use hemodynamic monitors and record baseline vital signs, and to explain procedures and answer questions for patients and families. The curriculum includes an introduction to supervised basic hemodynamic monitoring before, during, and after procedures, including arrhythmia recognition.

Academic Dean’s Contact Information

LAKELAND DEAN’S OFFICE: LLC 2255 PHONE: (863) 297-1024
WINTER HAVEN DEAN’S OFFICE: WSC 101 PHONE: (863) 297-1020

Polk State College Mission and Outcomes

Polk State College is a quality-driven educational institution, providing access to affordable associate and baccalaureate degrees, career certificates, and workforce development programs, delivered by diverse, qualified faculty and staff who are committed to student learning and achievement through the consistent practice of collaboration and focus on excellence. In line with this purpose, Polk State College’s AS programs develop competence in career areas. A primary focus of this course is the development of competencies related to the following program learning outcome(s):

Students will be able to:
1.   Demonstrate knowledge and skills necessary for employment in cardiac catheterization labs while assisting
      physicians during diagnostic and interventional cardiac and peripheral procedures.
3.   Determine their role and responsibility to the patient, the physician, and other cath team members using
     effective learning domains.
4.   Apply the cognitive and psychomotor domains needed to assist the physician by mastering competencies in
      patient care and technical procedural skills.
5.   Demonstrate the knowledge necessary to acquire the Advanced Cardiac Life Support (ACLS) certification and
      Registered Cardiovascular Invasive Specialist (RCIS) credential.
6.   Demonstrate high standards of professional judgment, ethical standards, and critical thinking skills necessary
      for an entry level invasive cardiovascular technologist.

Course Objectives:

After completing the course, the student will have acquired the ability to:

Identify the different national accrediting agencies, societies, & exam bureaus.
Differentiate between diagnostic and interventional procedures in peripheral and cardiac arena with methods of arterial access.
Show basic knowledge of anatomical structures of the heart and the periphery including related circulation.
Determine means of infection control, modes of transmission, aseptic and sterile technique, maintaining sterile field, and disposing of bio hazardous material.
Identify patient rights and patient confidentiality
Recognize and identify medical terminology and acronyms in relation to cardiac and peripheral procedures.
The Student will properly identify patients and be able to use proper body mechanics needed to transfer & transport patients.
The Student will understand medical legal ethics and patient confidentiality.
The Student will understand the labs required for arteriography and the difference between normal and abnormal lab values.
The Student will be able to hook up patients to monitors and relate recorded values in relation to pathology and to the procedure.
The Student will begin to recognize arterial and venous waveforms in relation to hemodynamic monitoring.
Identify basic EKG rhythms and waveforms in relation to the cardiac cycle.

Course Content:

1. Cardiovascular organizations and professional relationship within the field:
-ARRT (American registry of Radiologic Technologists)
-CCI (Cardiovascular Credentialing International)
-ACC (American College of Cardiology)
-ACCP (American College of Chest Physicians)
-ASRT (American Society of Radiological Technologists)
-SCIP (Society of Invasive Cardiovascular Professionals)
-other related organizations & societies

2. Diagnostic Heart Catheterization & Peripheral Arteriogram with associated anatomy:
-Left Heart Catheterization: Coronary arteries
-Right Heart Catheterization: Chambers of Heart
-Complete Heart Catheterization: Coronary angiograms with chambers and valves of heart
-Renal Arteriogram
-Aortic Arch Great Vessels & Carotid Arteriogram
-Abdominal Arteriogram (Celiac Axis, Superior Mesenteric, Renals, & Inferior Mesenteric)
-Abdominal Aortogram with Run-off

3. Cardiac & Peripheral Interventions:
-PTCA (Percutaneous Transluminal Coronary Angioplasty)
-Thrombectomy (AngioJet/Possis, Rinsperator, other mechanical hand held devices
-Atherectomy (Silverhawk, Rotablation)
-IVUS (Intravascular Ultrasound) & 3D CT/Angiograms
-Pericardiocentesis
-coronary & peripheral stenting and stent grafts
-IABP (Intra Aortic Balloon Pumping)

4.    Infection Control & Prevention:
-medical asepsis
-sterile technique
-types of sterilization
-modes of transmission of infection
-types of precautions
-handling and disposal of Biohazardous materials

5.    Coronary & Peripheral Arterial Circulation:
-Heart Circulation & Arteries:
SVC/IVC>RA>RV>PA>PCW>LA>LV>AO & SYSTEMIC
                        -Left Anterior Descending
                        -Circumflex
                        -Right Coronary

6. Patient Care & Confidentiality:
-redundant patient identification
                     Name
                     DOB
                     Account number
-transportation of patients with necessary ancillary equipment
                     ECG monitor
                     Defibrillator
                     O2 canister
                     Smooth mover
                     Chest tubes
                     In-dwelling catheters
                     Foley catheter
-legal issues and patient confidentiality

7. Patient Communication & Education:
-pre-procedural communication on explanation of procedures
-informed consent
-intra-procedural communication in regard to hemodynamic monitoring & conscious sedation
-post-procedural care instructions and groin management

8.    Patient Assessment:
-acquiring patient Vital signs
                     Temperature
                     Heart rate
                     Respirations
                     Blood pressure
                     Pulse oximetry
-access assessment:
                     Radial approach
                     Brachial approach
                     Femoral approach
                     Peripheral and distal pulse checks
                                 Manually
                                 Doppler
                     Site prep from pre-scrub, if needed, to shaving/clipping access area

9.    Patient Lab Values:
-Chemistry (Chem-7)
                     Glucose
                     BUN
                     Creatinine
                     Electrolytes
                     Enzymes
                     Potassium
                     Sodium
-Hematology
                    Hematocrit
                    Hemoglobin
                    Platelet count
                    White blood count (WBC)
-Coagulation factors
                    Prothrombin time (PT)
                    Partial Thromboplastin time (PTT)
                    International normalization ration (INR)
                    Activated clotting time (ACT)

10.  Physiologic Monitoring:
-ECG recognition
-12 lead EKG
                    Patient prep
                    Patient setup
                    Performance of
                    Recognition of rhythms
-arterial pressure waveforms with normal and abnormal values
                    AO (Aorta)
                    LV (Left Ventrical)
-venous pressure waveforms with normal and abnormal values
                    RA (Right Atrium)
                    RV (Right Ventrical)
                    PA (Pulmonary Artery)
                    PCWP (Pulmonary Capillary Wedge Pressure)

11.  Patient Bill of Rights and Confidentiality.

12.  Related Medical terminology to Cardiac & Peripheral Catheterization.

Textbook and Other Requirements

Textbook information is provided in the course syllabus, at the campus bookstore, and on the campus bookstore website at: www.efollett.com.

The Gordon Rule

This is not a Gordon Rule course.

Student Help

The professor is available for help during posted hours and by appointment during other non-class hours. Students are encouraged to seek assistance from the professor. To further the educational process, the campus Learning Resources Centers, comprised of the Teaching/Learning and Computing Center (TLCC) and library, are available for student use. Each resource provides qualified staff and up-to-date equipment and facilities to promote students’ academic success. The TLCC provides tutoring services, computing resources, and other instructional support. The library provides information resources, individual and group study space, research assistance, information literacy instruction, and computing resources. Each facility provides free wireless access to the Internet. Polk State College Library and TLCC hours of operation and tutoring schedules are posted at each facility and on the Polk State College website.

Withdrawing From a Course

Students may officially withdraw from course(s) during any given term, provided they follow the appropriate policy and procedure. Following the conclusion of the Drop/Add Period, a student may officially withdraw without academic penalty from any credit course, provided he or she has submitted the appropriate forms to the Student Services Office no later than the published deadline. The published deadline reflects approximately (but no more than) 70% of the term, based upon the course’s scheduled duration. It is the student’s responsibility to submit these withdrawal forms; failure to do so may result in a grade of F in the course. Under the Forgiveness Policy, a student is allowed only three attempts in any one course: one initial enrollment and two repeats. A student is not allowed to withdraw from a third course attempt. Limited admission programs may have specific guidelines regarding withdrawing from courses that vary from this policy. Please see the student handbook for that program for more information. If a student stops attending class, the grade earned, usually an F, is assigned and posted. Prior to withdrawing from a course, the student should consult with the Financial Aid Office to determine what impact, if any, withdrawal from the course will have on his or her financial aid status. A student cannot use course withdrawal to avoid academic dishonesty penalties. A student who has been penalized for academic dishonesty in a course is not eligible to withdraw from the course.

A student who withdrawals or fails any CVT course during their first semester of the first year may return the following year on a “clinic space availability” basis with permission from the Program director (remedial activities may be given at this time). A student who withdrawals or fails the same CVT course two times will be dismissed from the program. The student may reapply through the readmit application process within one year and is subject to the “clinic space available” basis with permission from the Program director. A student must successfully demonstrate the appropriate level clinical skills to the Clinical Coordinator prior to returning to the clinical setting after an absence of one semester or more.

Repeating a Course

Under the Forgiveness Policy, a student is allowed only three attempts in any one college credit course: one initial enrollment and two repeats. Under certain circumstances, a student may petition to repeat a credit course beyond the three attempts. Limited admission programs may have specific guidelines regarding repeating courses that vary from this policy. Please see the student handbook for that program for more information. The student should be aware that repeating a course may result in a higher course cost. A course cannot be repeated unless the previously earned grade is a D, F, or W (the Polk State College Catalog provides further details regarding this process). Prior to repeating a course, the student should consult with the Financial Aid Office to determine what impact, if any, repeating the course will have on his or her financial aid status.

Academic Dishonesty

Each student is responsible for his or her work. It is assumed that each student is honest and will abide by this standard; however, in the event that there is an indication or suspicion of cheating/plagiarism, the situation shall be dealt with in accordance with the published College policy. Copies of this policy are available in the Student Services Office. Students should also refer to the course syllabus for more specific information.

Information Technology Access/Use Policy

All individuals who employ the information technology resources provided by Polk State College (this includes, but is not limited to, telephones, computers, the Polk State College Local Area and Wide Area Networks, and the Internet) must use these resources for academic purposes only. Use of these resources is a privilege, not a right. Inappropriate use can result in revocation or suspension of this privilege.

Equal Access/Opportunity

Equal Opportunity For Students With Disabilities

The College complies with the Americans with Disabilities Act and provides equal educational opportunity for qualified individuals. A student with a disability who requires special accommodations or auxiliary aids under The Americans with Disabilities Act (ADA) should contact the Student Services Office on either campus and speak with the Coordinator of Academic Advising.

Evaluative Criteria:

Multiple choice tests, quizzes, equipment/procedure check-off, individual assignments and projects, group activities, and professional behavior. Assignments and/or projects that may be assigned are to be submitted on the designated date during class period. No assignments or projects will be accepted after the class has adjourned, unless prior arrangements have been made between the student and instructor. Students failing to submit assignments on time and not following procedures will receive a zero (0) score.

            Lecture= 50%
            Tests & Quizzes= 40%
            Professional Behavior= 10%

Grading Scale:
100 - 92        A
91 – 84         B
83 – 75         C
74 – 65         D
Below 65       F

Attendance:

There is a high positive correlation between the amount of time exposed to the subject matter and the amount of material learned. Regular attendance in the classroom and clinical setting is mandatory. When two (2) absences are accumulated, the student will be issued a written warning. If an additional absence occurs, the student may be dropped from the program in accordance with the attendance policies outlined in the student handbook. Three tardies to class or clinical will equal one absence.

Work Missed:

NO Make-ups will be given for missed quizzes and previous arrangements must be made to miss exams, assignments, or projects unless the condition falls under extended medical leave, military leave, or family emergency. If any of these work items are missed, the grade assigned will be a zero (0). Students who need to be on extended medical, military, or family emergency must submit copies of official documents to the program director.

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