CVT2844L - Cardiovascular Practicum V

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 degrees, 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 various career-related skills. This course focuses on the development of competencies related to the following program outcomes:

Students will be able to:

1. Demonstrate the use of information and skills necessary for employment in cardiac catheterization labs while assisting physicians.
during diagnostic and interventional cardiac and peripheral procedures.

2. Apply the cognitive and psychomotor domains needed to assist the physician by mastering competencies in patient
care and technical procedural skills.

3. Demonstrate the use of information and skills necessary to acquire the Advanced Cardiac Life Support (ACLS) certification and Registered Cardiovascular Invasive Specialist (RCIS) credential.

4. Demonstrate high standards of professional judgment, ethical standards, and critical-thinking skills necessary for an
entry-level invasive cardiovascular technologist.

 
Course Objectives:
 

1. Demonstrate appropriate use of information and skills with regard to patient communication and transport.
2. Demonstrate appropriate use of information and skills with regard to pre- and post-catheterization patient care in holding areas.
3. Demonstrate appropriate use of information and skills within the scrub position during diagnostic and interventional cardiac and vascular procedures.
4. Demonstrate appropriate use of information and skills while in circulating position.
5. Demonstrate appropriate use of information and skills during hemodynamic monitoring.
6. Demonstrate skill in manipulating imaging equipment and while practicing radiation safety.

 

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 & 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. Physiologic and hemodynamic 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 Ventricle)
            -pressure pullbacks (LV-AO)
            -venous pressure waveforms with normal and abnormal values
            -RA (Right Atrium)
            -RV (Right Ventricle)
            -PA (Pulmonary Artery)
            -PCWP (Pulmonary Capillary Wedge Pressure)
            -pressure pullbacks (PCW-RA)

11. Scrub diagnostic and interventional procedures

            -LHC
            -RHC
            -CHC
            -PTCA
            -IVUS
            -Thrombectomy (Angiojet, Rinspiration catheter, and mechanical aspiration devices)
            -Rotational atherectomy (Rotablator)
            -Directional atherectomy
            -Brachytherapy
            -Abdominal aortagram with renal angio
            -Bi-lateral femoral run-off      

            -Peripheral PTA and stenting
            -Fox Hollow Silverhawk
            -Cryoplasty
            -Thrombectomy (Angiojet, Exsizer, Rispirator)
            -Pacemaker insertion
            -ICD and AICD insertion

12. Angiographic views and anatomical structures

            -Positioning of patient
            -AP versus 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
            -Abdominal aorta with run-off

13. Demonstrate skills in manipulating imaging equipment

            -Radiation control and protection
            -Time, distance, and shielding
            -Collimation
            -Magnification modes
            -Normal versus pulsed fluoro
            -Inverse Square Law
            -ALARA
            -mAs and kVp
            -Ancillary staff education

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 Textbooks” button on the PASSPORT schedule of classes.

College-Level Communication and Computation Skills

State Rule 6A-10.030 does not apply to this course.

Student Help

The professor is available for help during posted hours and by appointment during other non-class hours. Each student is encouraged to seek assistance from the professor. To further the educational process, the Learning Resources Centers, comprised of the campus Teaching/Learning and Computing Centers (TLCCs), JDA Student Success Center, and campus libraries, are available for student use. Each resource provides qualified staff and up-to-date equipment and facilities to promote 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. The 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

A student may officially withdraw from a course during any given term, provided he or she follows the appropriate policy and procedure. Following the conclusion of the Drop period, students may officially withdraw without receiving a grade from any course, provided they do so no later than the published withdrawal 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; these guidelines are listed in the specific program handbooks. 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 third attempt. Limited admission programs may have specific guidelines regarding repeating courses that vary from this policy; these guidelines are listed in the specific handbooks. 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 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 or 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. More specific information can be found in the Course Syllabus.

Information Technology Access/Use Policy

The information technology resources provided by Polk State College (this includes, but is not limited to, telephones, computers, the Polk State Local Area and Wide Area Networks, and the Internet) must be used 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 and Diversity (Title IX Coordinator)
999 Avenue H NE
Winter Haven, FL 33881
Office: WAD 227
Telephone: (863) 292-3602
e-mail: 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 Coordinator or Director of Disability Services. Note: Limited admission programs may have performance restrictions that apply. Restrictions (where applicable) are outlined in each program’s student handbook.

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

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