CVT2420 - Invasive Cardiology I

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 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 the information and skills necessary for employment in cardiac catheterization labs through assisting physicians during diagnostic and interventional cardiac and peripheral procedures.
2. Distinguish normal versus abnormal conditions that affect cardiac and peripheral systems.
3. Determine the professional role of the CVT and his or her responsibility to the patient, the physician, and other catheterization team members through the use of effective learning domains.
4. Apply the cognitive and psychomotor domains necessary to assist the physician by mastering competencies in patient care and technical procedural skills.
5. Demonstrate the information and abilities necessary to acquire the Advanced Cardiac Life Support (ACLS) certification and the 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:
 

1. The student will identify important figures and the founding fathers of cardiac catheterization.
2. The student will become familiar with the c-arm and its controls for operation.
3. The student will effectively and safely apply skills and information relating to x-ray generation and radiation safety.
4. The student will be able to identify anatomical structures on cinegraphic images in different projects.
5. The student will demonstrate proper scrub techniques for sterile procedures.
6. The student will identify catheters, sheaths, wires, and other ancillary procedural equipment and their specific functions.
7. The student will apply proper bubble less preparation of transducers, manifolds, catheters, and sheaths.
8. The student will demonstrate and explain the differences between fetal and adult circulation.
9. The student will recognize congenital anomalies with related etiologies.
10. The student will study and explain etiologies and pathogeneses of disease processes as these relate to interventions performed in the cardiac catheterization lab.
11. The student will apply concepts of cardiac waveform and arrhythmia recognition.

 

Course Content:

1. Influential Figures in Cardiac Catheterization

2. Personal Protective Equipment (PPE) and Sterile Scrub Technique

            -Hat and Mask
            -Eye Wear:
                        -Leaded
                        -Splash Shield
            -Personal Lead Aprons:
                        -One Piece (Disadvantages)
                        -Two Piece (Disadvantages)
            -3-Minute Scrub:
                        -Open Gloving
                        -Closed Gloving

3. C-arm and Gantry Controls

-Monoplane/Biplane
-Ceiling/Floor Mount
-Image Intensifier or Digital Flat Plate
-X-ray Tube
-Table and Beside Controls
-Cine Cameras
-Fluoroscopy Timer-Time, Distance, and Shielding
-Collimation
-Magnification Modes
-Normal vs. Pulsed Fluoro
-Inverse Square Law
-ALARA
-mAs and kVp
-Ancillary Staff Education

4. Angiographic Views and Anatomical Structures

            -Positioning of Patient
            -AP vs. PA
            -RAO, LAO, Cranial, and Caudal
            -Panning the Table
            -Cardiac Cath Images “Around the World”:
            -AP
            -LAO Caudal (Spider view)
            -AP Caudal
            -RAO Caudal
            -RAO Cranial
            -AP Cranial
            -LAO Cranial

5. Sterile Field and Tray

            -Patient Site Prep (Iodine, Hibiclins, Chloraprep):
                        -Radial, Brachial, or Femoral Approach
            -Maintaining Sterile Field
            -Sterile Tray Supplies and Setup:
                        -Prep Sticks
                        -Patient Drape and towels
                        -C-arm/Shield Covers
                        -2 Bowls (One for Heparinized Flush and One for Waste)
                        -Various Syringes and Needles (local anesthetic to access)
                        -Lidocaine (1% or 2%)
                        -Number 11 Blade
            -Three- or Four-Port Manifold

            -Pressure Bag

6. Cardiac Catheterization Equipment

            -Needles: Seldinger

-18g Access
-Micro Puncture Set

-Wires:

-Construction of
            -Diagnostic and Interventional (.014”, .018”, .035”)
-Sheath: (Construction)
            -French Size (Inner Diameter (ID) and Outer Diameter (OD))
            -Length
-Catheters: (Construction)
            -JL, AL, JR, 3DRC, Williams Right, LCB, RCB, LIMA, Pigtail Straight; Angled; and Langston, Multi Purpose, Swan-Ganz Thermodilution Catheter

-Pressure Transducers with Balancing and Maintaining “Zero”
-Power Injector Parts:

            -Control Panel

            -Dead-Man Switch

            -Injector Head

            -Turret and Barrel (Cylinder/Pressure Jacket)

            -Warming Sleeve

            -Piston and Plunger

-Power Injector Function and Operation:
            -Flow Rate and Volume
            -Rate/Rise or Rise/Fall
            -Injection or X-ray Delay

-Pressure Limits
-“Hands-on” Preparation of Bubble Less Manifold

-Introduction to Cardiac Waveform Recognition and Proper Viewing Scale:
-25, 50, 100, 200, or 400 Scale

7. Cardiovascular Disease and Related Pathophysiology

-CAD (Coronary Artery Disease)

-PAD (Peripheral Artery Disease)

-Myocardial Infarction

            -Angina: Stable and Unstable

-CVA (Cerebral Vascular Accident):

            -Stroke

            -TIA

-Systemic and Pulmonary hypertension

-Cardiac Tamponade

-Aneurysm

-Dissection: Coronary and Aortic (Type A and Type B)

-Thrombosis:

            -Ventricular     

            -Systemic                   

            -Pulmonary embolus

8. Fetal Circulation

            -Umbilical Arteries to Placenta

            -Umbilical Veins from Placenta

            -Portal Sinus and Ductus Venosus

            -IVC and SVC

            -RA to LA–Foramen Ovale–and LA to LV to Systemic

            -RA to RV–Ductus Arteriosus-to Systemic and PV to LA

            -Ventricles Eject in Parallel vs. in Series as in Adults

9. Congenital Anomalies

-VSD (Ventricular Septal Defects)

-ASD (Atrial Septal Defects)

-PDA (Patent Ductus Arteriosus)

-Tetralogy of Fallot

-Transposition of the Great Vessels

-Coarctation of the Aorta

-Aortic and Pulmonary Stenosis

            -Other Complex Neonatal Pathologies

10. Coronary and Peripheral Interventions

            -Angioplasty

            -Stenting

            -Atherectomy

            -Thrombectomy

            -Vascular Closure Devices (VCDs)

            -Introduction to Pacemakers and Instrumentation

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.

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.

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