CVT2100L - Cardiovascular Practicum I

24 hours Clinical, 5 credit(s)

Lower-Division College Credit

Prerequisite(s): CVT 1800L

AA Elective: No

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

Course Description:
This course provides a supervised clinical introduction which allows students to apply information and skills gained from didactic instruction in patient assessment and care, and demonstrate their familiarization with cardiac cath lab equipment in relation to scrub and circulating roles. Students observe and perform duties to prepare patients and prepare the needed sterile trays for heart catheterization and peripheral procedures.

Polk State College Mission and Program Outcomes

Polk State College, a quality driven institution, transforms lives through the power of education by providing access to affordable associate and baccalaureate degree programs, career certificates and workforce employment programs, delivered by diverse, qualified faculty and staff. In line with this purpose, Polk State’s Associate in Science and baccalaureate degree programs develop competence in career areas. This course focuses on the development of competencies related to the following program outcomes:

Students will be able to:
1. Demonstrate “technical procedure skills” necessary to assist the cardiologist during diagnostic and interventional cardiac and peripheral procedures in the cardiac catheterization lab.
2. Demonstrate basic patient care skills.
3. Demonstrate effective oral and written communication.
4. Demonstrate the “critical thinking skills” necessary to acquire the Advanced Cardiac Life Support (ACLS) certification and the Registered Cardiovascular Invasive Specialist (RCIS) credential.

Course Objectives:
Upon successful completion of this course, students will be able to:

1. The student will be able to prepare patients for catheterization.
2. The student will be able to input pertinent information into the patient care computers and hemodynamic systems used by clinical facility.
3. The student will set the sterile table and maintain sterile field.
4. The student will be able to assist physician under the guidance of clinical instructor by scrubbing during diagnostic procedures.
5. The student will become familiar with the imaging systems and manipulation of equipment used during catheterization with regard to patient and staff radiation safety.
6. The student will be able to assist in post-operative care of heart catheterization patients.
7. The student will be able to achieve hemostasis through manual compression of arterial access sites under the guidance of the clinical instructor.
8. The student will study the correlations among stress testing, echocardiography, and Holter monitoring in relation to heart catheterization.

Course Content:
1. Apply concepts of Patient assessment and preparation

            -Baseline Vital Signs
            -temperature
            -heart rate
            -blood pressure
            -respirations
            -pulse oximetry

2. Access site assessment

            -Shave or clip generous area around access site
            -Evaluate and grade distal pulses:
            -manually palpating
            -using mini Doppler
            -perform Allen’s Test for arm access
            -mark pulses with permanent marker
            -notice of non-healing ulcers or unusual markings

3. Determine if pre procedural tests have been completed and entered in patient chart

            -12 lead EKG
            -Chest x-ray
            -Lab work completed
            -Chem-7
            -Hematology
            -Coagulation factors
            -History and Physical completed

4. Explain diagnostic procedures to patient and answer any questions

            -type of procedure
            -risks and possible complications
            -benefits of procedure
            -potential methods of intervention
            -answer patient and family questions

5. Effectively pull supplies needed for specific procedures being performed

-sheaths, wires, and catheters

6. Proper 3-minute sterile scrub

            -correctly dressed with hat and mask
            -proper sterile scrub technique from finger tips to elbows
            -proper hand drying, donning gown, and closed gloving

7. Efficient set-up of sterile tray

            -properly open sterile supplies including the hand off to scrub personnel
            -correctly taking sterile supplies from the circulator
            -arrange supplies and mark syringes correctly
            -completely flush sheaths and catheters with sterile saline so no bubbles are present
            -correctly prep the 3-port manifold
            -all connections tightened
            -saline flushed through system
            -absolute bubble less system

8. Sterile prep and setup of the patient

            -maintain patient modesty
            -correct patient prep technique
            -circular motion inside-out
            -generous area prepped to prevent cross contamination
            -proper placement of the sterile sheet over access site and patient
            -effective setup of procedural equipment on the sterile field
            -proper maintenance of the sterile field

9. Femoral sheath removal and hemostasis

            -Blood Coagulation (hemostasis)
            -vascular spasm
            -formation of platelet plug
            -clotting mechanism
            -clot retraction
            -minimum 15 minute (5-5-5) hold time (depending on size of sheath and medications on board)
            -5 minutes occlusive (distal pulses diminished or absent)
            -5 minutes of moderate pressure (distal pulses at least Dopplered)
            -10 minutes of light pressure
                        -Possible complications
                        -hematoma
                        -vasovagal response
                        -pseudoaneurysm
                        -retroperitoneal bleed
                        -frank bleeding
                        -arterial occlusion
            -Mechanical hemostasis
                        -Femo-stop
                        -c-clamp
                        -patches
                        -Angioseal
                        -Perclose
                        -VasoSeal Elite
                        -Duett

10. Introduction to ancillary testing

            -Stress testing:
            -exercise bike or treadmill
            -Thallium stress test
            -Holter monitoring
            -Echocardiography

Textbook and Other Requirements

Textbook information is provided in the course syllabus, at the campus bookstore, on the campus bookstore website (www.polk.bncollege.com), or via the “Shop Textbook” button on the PASSPORT schedule of classes.

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) JDA Student Success Center, 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 TLCCs and JDA Student Success Center provide 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, Student Success Center, and TLCC hours of operation and tutoring schedules are posted at each facility and on the 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 course withdrawal that vary from this policy. Individuals should refer to 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 a course that vary from this policy. Individuals should refer to 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

Polk State College is an equal access/equal opportunity institution committed to excellence through diversity in education and employment. The College complies with all state and federal laws granting rights to students, employees, and applicants for employment or admission to the College. Polk State College does not discriminate on the basis of race, color, national origin, ethnicity, sex, age, religion, sexual orientation, marital status, veteran status, genetic information, disability, or pregnancy in its programs, activities, or employment.

The following person has been designated to handle inquiries regarding the non-discrimination policies:
Valparisa Baker
Director, Equity & Diversity (Title IX Coordinator)
999 Avenue H NE
Winter Haven, FL 33881-4299
Office: WAD 227, 863.292.3602 Ext. 5378, vbaker@polk.edu.

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 a Disability Services Advisor or the Coordinator of Disability Services. Note: Limited admission programs may have performance restrictions that apply. Restrictions (where applicable) are outlined in each program’s student handbook.

Evaluative Criteria:

Multiple choice tests, quizzes, equipment/procedure check-off and competencies, individual assignments and projects, group activities, and professional behavior.

Clinical experience= 50%
Competencies, Lab, & Case Studies= 30%
Professional Behavior= 20%

Grading Scale:
92 - 100 A
85 - 91 B
75 - 84 C
65 - 74 D
64 - below F

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