Download Table of Contents - International College of Health Sciences

Date
Course Title
Basic EKG
HSC 1000, BSC 1085/
BSC1085L, ENC 1101,
PHY 2053, DMS 1020,
MAC 1105, BSC 2085/
BSC 2085L, PSY 1012,
SPC 1017, STA 2003
Hours
35 theory hours with
lab (35 clock hours)
Note: Subject to change
Pre-requisite (s)
Credits
Course Number
2 Credits
EKG 1010
Co-requisite (s)
NONE
Place and Time of Class Meeting
International College of Health Sciences
2300 S. Congress, Suite # 105
Boynton Beach, Fl 33426
Name and Contact Information of Instructor
Instructor: Juan Carlos Zamora, CCT, RCS, RDCS, RVT
E-mail: [email protected]
Office Hours: 9:00 am to 5:00 pm
Campus Telephone: 561-202-6333
Delivery Method: On Campus
Books required
Reference book
Title: ECG Workout
Title: EKG Plain and Simple
Jane Huff
Karen M. Ellis
Attendance Policy
Failure to maintain regular attendance may lead to a failing grade. The attendance policy at ICHS
is as follows:
 Students must attend 80 percent (80%) of the total didactic class hours per semester and
100 percent (100%) of clinical externship hours. A student may have the opportunity to
make up absences; however, this is only available at the discretion and approval of a lead
instructor and can only be completed outside of scheduled classroom hours, if available.
In the event that the student will be absent from his or her clinical externship, the student
must call the assigned site and ICHS in advance. All absences must be justified in
writing (i.e. doctor’s excuse). Students are not excused from attending the clinical
externship except for grave emergencies or serious illness, and the student must call the
assigned site and ICHS in advance. Additionally, these hours must be made up within a
student’s scheduled dates for the course, the term, the semester or the scheduled clinical
rotation. Instructors, in their discretion, may base a percentage of the grade on
attendance.

Termination may occur for any of the following attendance situations:
1. Eight (8) consecutive absences per semester.
2. Absence in excess of 20 percent (20%) of available course hours.
3. Absence in excess of 20 percent (20%) of externship hours.

Tardiness for didactic or clinical education will not be tolerated. Anytime beyond the
scheduled reporting time will be considered late or tardy. When attending clinical
externship, if a student is to be late, he or she must notify the clinical instructor at the
facility and the program clinical coordinator. If a student must miss class, he or she must
contact the program director or instructor at least 30 minutes prior to the class beginning.
For didactic education, four episodes of tardiness or leaving ICHS early per semester will
result in an absence.

If a student is more than 15 minutes late, he or she must obtain the instructor’s
permission to attend the class. Four late arrivals will result in the equivalent
“consequence” as one unexcused absence. Any student who has been excessively tardy in
arriving to class or absent will receive a written advisement and guidance report by a
faculty member. A student, who has more than one unexcused absence during clinical
externship, may be removed from the site.
DISTANCE EDUCATION ATTENDANCE POLICY
Students must log into their online course prior to the third day of the course as dictated by the
drop/ad policy of ICHS. Failure to log in by the end of the third day will result in the student
being dropped from the course. Attendance in online courses is defined as active participation in
the course. Active participation is defined as completion of all expectations outlined in the online
course as contained in the lesson plan, syllabi and other course related documents within the
course. These expectations may include but are not limited to participation in discussion forums,
submission of completed assignments, and completion of quizzes and exams.
VETERAN'S ATTENDACE POLICY
Excused absences will be granted for extenuating circumstances only. Excused absences must be
substantiated by entries in students' files. Early departures, class cuts, tardies, etc., for any
portion of a class period will be counted as absence. Students exceeding 3 unexcused absences in
a 7 day period for non-degree programs and 5 unexcused absences in a semester for degree
granting programs will be terminated from their VA benefits for unsatisfactory attendance. The
student's attendance record will be retained in the veteran's file for USDVA and SAA audit
purposes.
Course Description
Basic EKG is a thoroughly updated course design to provide the student with a great
understanding of basic anatomic and electrocardiographic concepts. Different types of
arrhythmias, such as Atrial, Junctional and Ventricular will be covered. Atrioventricular Blocks,
as well as Axis, Hypertrophy, Infarction, and Pacemakers among other miscellaneous
Pathologies will also be covered. A detail explanation of Equipment operation, artifacts, and
quality assurance will be covered in detail. The defining characteristics, physiologic
mechanisms, signs and symptoms, physiologic consequences, and interventions of each type of
pathology are explained and discussed in a classroom and lab atmosphere. After completion of
this course the student will be ready to sit for the certification in Electrocardiography offered by
Cardiovascular Credentialing International.
Upon successful completion of this course, the student will be able to:
1. Define the key terms associated with electrocardiographs.
2. Describe the cardiac cycle and the conduction systems that controls the cardiac cycle.
3. Describe the electrocardiogram.
4. Maintain equipment for safety and accuracy; identify and eliminate artifacts
and mechanical problems.
5. Identify the basic equipment and supplies required for electrocardiography.
6. Demonstrate proper lead placement.
7. Describe and demonstrate the step-by-step procedure for obtaining an EKG and use
documentation skills to identify electrocardiographs.
8. Calculate rate and identify rhythms.
9. Definition of Axis
10. Hypertrophy
11. Describe Ischemia, Acute Injury, Old Myocardial Infarction and Walls affected
12. Heart Blocks, ST-T Wave Abnormalities
13. Electrolytes Imbalance, Changes in Cardiac Rhythm due to Medications
14. Pacemaker Rhythms and Malfunction
Topical Outline and Schedule
DATE
WEEK 1
Describe the Course
SPECIFIC
OBJECTIVES Distribute and Discuss Syllabus
Discuss The Library and other Resources
At the end of this class, the student will be able to:
1- Understand the anatomy of the heart
2- Understand the cardiac cycle
3- Understand the conduction system of the heart
4- Understand the autonomic nervous system
5- Describe the roll of an electro-cardiographer
6- Discuss the history of EKG
TOPIC (S)
Anatomy of the Heart
LEARNING Power Point Presentation
ACTIVITIES Discussion: Anatomy of the Heart, Principles of Circulation, The Cardiac
Cycle.
Video presentation on the Electrical Conduction of the Heart
OUTSIDE
Homework: Practice Quiz page 11, Label Heart Diagram page 12
WORK &
Read: Chapter 1 EKG Plain and Simple
ASSIGNED
Key Terms
READINGS
DATE
WEEK 2
At the end of this class, the student will be able to:
SPECIFIC
1- Understand Einthoven’s triangle
OBJECTIVES
2- Understand cell depolarization and repolarization
3- Understand cellular ion exchange
4- Understand waves, intervals, segments
5- Understand graph paper (vertical and horizontal) time and amplitude
6- Precordial leads and limb leads
7- Leads placement
TOPIC (S)
Basic Principles of Electrophysiology
LEARNING Power Point Presentation
ACTIVITIES Video: Ion Adventure (Dale Dubin)
Practice Lead Placement
Projection of normal and abnormal EKG strips
Homework: Practice Quiz page 31 and 42
OUTSIDE
WORK &
Read: Chapters 2-3 EKG Plain and Simple
ASSIGNED
Key Terms
READINGS
Study for Quiz # 1
DATE
WEEK 3
At the end of this class, the student will be able to:
SPECIFIC
1- Understand how to operate the EKG machine
OBJECTIVES
2- Understand how to input patient information
3- Understand possible artifacts and pitfalls
4- Understand how to replace EKG paper
5- Record a twelve lead EKG and rhythm strips
6- Understand the importance of proper lead placement
TOPIC (S)
The EKG Machine
Power Point Presentation
LEARNING
Introduction to the EKG Machine and it’s functions
ACTIVITIES
Students will practice loading paper, information input, adjusting Amplitude
and Speed, Filter, Lead Placement.
Quiz # 1
OUTSIDE
Homework: Presentation of Einthoven’s Triangle, (limb, augmented, and
WORK &
precordial leads)
ASSIGNED
Read: Chapter 4 EKG Plain and Simple
READINGS
Key Terms
DATE
WEEK 4
At the end of this class, the student will be able to:
SPECIFIC
1- Learn how to calculate heart rate
OBJECTIVES
2- Understand the differences between a regular and irregular rhythm
3- Understand normal sinus rhythm
4- Understand sinus tachycardia and bradycardia
5- Understand sinus arrhythmia
6- Understand sinus arrest and block
TOPIC (S)
Calculating Heart Rate, Sinus Rhythms
LEARNING Power Point Presentation
ACTIVITIES Discuss the different ways to calculate Heart Rate
Discuss all Sinus Rhythms
Practice and identify Rhythm Strips
Homework: Practice Rhythm Strips (ECG Workout book) Pages 34-84
OUTSIDE
WORK &
Read: Chapters 5,6,7 EKG Plain and Simple
ASSIGNED
Practice Quiz page 88
READINGS
Study for Quiz # 2
DATE
WEEK 5
At the end of the class, the student will be able to:
SPECIFIC
1- Understand wandering atrial pacemaker
OBJECTIVES
2- Understand premature atrial contractions
3- Understand non-conductive pac’s
4- Understand paroxysmal atrial tachycardia
5- Understand atrial flutter
6- Understand atrial fibrillation
TOPIC (S)
Atrial Arrhythmias
LEARNING Power Point Presentation
ACTIVITIES Discuss Atrial Arrhythmias
Practice and identify Rhythm Strips
Quiz # 2
Homework: Practice Rhythm Strips (ECG Workout book) Pages 85-137
Read: Chapter 8 EKG Plain and Simple
Practice Quiz page 109
Study for Mid-Term
WEEK 6
At the end of this class, the student will be able to:
1- Understand junctional rhythm
2- Understand accelerated junctional rhythm
3- Understand junctional tachycardia
4- Understand first degree AV block
5- Understand second degree AV block (Type I and II)
6- Understand third degree AV block
TOPIC (S)
Junctional Arrhythmias and AV Blocks
LEARNING Power Point Presentation
ACTIVITIES Discuss Junctional Arrhythmias and AV Blocks
Practice and identify Rhythm Strips
Mid-Term Exam
Homework: Practice Rhythm Strips (ECG Workout book) Pages 138-196
OUTSIDE
WORK &
Read: Chapter 9 and 11 EKG Plain and Simple
ASSIGNED
Practice quiz page 122, 165
READINGS
Key Terms
DATE
WEEK 7
At the end of this class, the student will be able to:
SPECIFIC
1- Understand premature ventricular contractions (unifocal, multifocal,
OBJECTIVES
R on T)
2- Understand idioventricular rhythm
3- Understand accelerated ventricular rhythm
4- Understand ventricular tachycardia
5- Understand ventricular fibrillation
6- Understand Torsade De Pointes
7- Understand ventricular standstill (primary and secondary)
8- Understand pulseless electrical activity
9- Right and Left Bundle Branch Blocks
10- Fascicular blocks
TOPIC (S)
Ventricular Arrhythmias and Bundle Branch Blocks
Power Point Presentation
LEARNING
ACTIVITIES Discuss Ventricular Arrhythmias and Bundle Branch Blocks
Practice and identify Rhythm Strips
Discuss Defibrillators
Homework: Practice Rhythm Strips (ECG Workout book) Pages 197-255
OUTSIDE
WORK &
Read: Chapter 10 EKG Plain and Simple
ASSIGNED
Practice Quiz page 146
READINGS
Key Terms
OUTSIDE
WORK &
ASSIGNED
READINGS
DATE
SPECIFIC
OBJECTIVES
DATE
WEEK 8
At the end of this class, the student will be able to:
SPECIFIC
1- Understand the mean QRS vector
OBJECTIVES
2- Discuss limb, augmented and precordial leads
3- Understand normal axis, left and right axis deviation
4- Infarction and hypertrophy and the effects on axis
5- Understand right and left ventricular hypertrophy
6- Understand atrial dilation
7- Understand fascicular blocks
TOPIC (S)
Axis and Hypertrophy
LEARNING Power Point Presentation
ACTIVITIES Discuss Axis and Hypertrophy
Practice and identify 12 Lead EKG Criteria use to identify Axis and
Hypertrophy
OUTSIDE
Homework: Practice 12 Lead EKG’s to determine Axis and Hypertrophy
WORK &
Read: Chapter 13 EKG Plain and Simple
ASSIGNED
Practice Quiz page 289
READINGS
Study for Quiz # 3
DATE
WEEK 9
At the end of this class, the student will be able to:
SPECIFIC
1- Understand coronary arteries distribution
OBJECTIVES
2- Understand ischemia, injury and necrosis
3- Understand ST-T wave abnormalities
4- Understand angina pectoris
5- Understand the area affected by correct identification of EKG leads
6- Understand hemiblocks in reference to infarctions
7- Understand the differences between acute and old mi
TOPIC (S)
Ischemia, Infarction
LEARNING Power Point Presentation
ACTIVITIES Discuss Acute, Old and Silent Myocardial Infarctions
Practice and identify 12 Lead EKG Criteria use to identify the area affected by
Ischemia, Injury and Necrosis
Quiz # 3
Homework: Practice 12 Lead EKG’s to determine MI’s and location
OUTSIDE
WORK &
Read: Chapter 14 EKG Plain and Simple
ASSIGNED
Practice Quiz page 332
READINGS
Key Terms
DATE
SPECIFIC
OBJECTIVES
TOPIC (S)
LEARNING
ACTIVITIES
WEEK 10
At the end of the class, the student will be able to:
1- Understand the effects of pulmonary disease on an EKG tracing
2- Understand electrolytes imbalance and the effects on the heart
3- Understand the effects of medications on the heart
4- Understand Q-T abnormalities
5- Understand hyperkalemia, hypokalemia, hypercalcemia,
hypocalcemia, digitalis toxicity, quinidine effects
Miscellaneous Effects
Power point slides presentation
Discuss the miscellaneous effects on the Heart and the EKG abnormalities
associated
Practice Tracings for Miscellaneous Abnormalities
Homework: Practice 12 Lead EKG’s
Read: Chapter 16 EKG Plain and Simple
Key Terms
OUTSIDE
WORK &
ASSIGNED
READINGS
DATE
WEEK 11
At the end of the class, the student will be able to:
SPECIFIC
1- Understand the indications for pacemaker implantation
OBJECTIVES
2- Understand temporary pacemakers (transcutaneous, transvenous, and
epicardial pacing)
3- Understand permanent pacemakers
4- Understand ventricular defibrillators
5- Understand pacemaker firing
6- Define capture, sensing, intrinsic beat, fusion beats, pseudofusion beats
7- Understand pacemaker malfunction (failure to fire, failure to capture,
sensing failure)
TOPIC (S)
Pacemakers
LEARNING Power Point Presentation
ACTIVITIES Discuss Indications for Pacemaker when the Heart’s Electrical System
Malfunctions
Practice and identify Pacemaker Rhythm Strips
Discuss Defibrillators
OUTSIDE
Homework: Practice Rhythm Strips (ECG Workout book) Pages 256-283
WORK &
Read: Chapter 16 EKG Plain and Simple
ASSIGNED
Practice Quiz page 378
READINGS
Study for Final Exam
DATE
WEEK 12
At the end of this class, the student will be able to:
SPECIFIC
Have a clear understanding of the importance of Electrophysiology in the
OBJECTIVES
medical field.
Be able to analyze and understand Rhythms, and 12 lead EKG tracings
TOPIC
FINAL EXAM and REVIEW
LEARNING FINAL EVALUATION
ACTIVITIES Integration of data: Incorporate outside data (clinical assessment, physical, lab
values, compare with previous exams, provide preliminary reports to
physician)
OUTSIDE
Student to review all criteria for EKG interpretation
WORK &
Read Chapters 17 and 18
ASSIGNED
READINGS
Instructional Methods
The following strategies may be used in this class:
1. Online Lectures
2. PowerPoint Presentation
3. Online Discussion
4. Practice tests
5. Internet research
6. Student evaluation of course
References and Resources
ICHS Virtual Library
Login to the ICHS Virtual Library at http://www.lirn.net, access code 40149 to
online books, journals, and other reference resources selected to support ICHS curricula.
Medline Plus http://www.nlm.nih.gov/medlineplus/
Health information from the National Library of Medicine National Institutes of Health. Easy
access to Medline and Health topics, medical dictionaries, directories, drug information, videos
and more.
PALM BEACH COUNTY LIBRARY ONLINE RESOURCES
You need a free Palm Beach County Library card to access, or register for a free “Temporary
Research Access Code” at http://edb.pbclibrary.org/TRAC/
If you need help using any of the library websites, click on the
“Ask a Librarian” icon and “chat” with a librarian.
Consumer Health
http://www.pbclibrary.org/health.htm
CINAHL® with Full Text - full text articles for more than 610 nursing and allied health journals
(and indexing for an additional 3000 journals) as well as health care books, nursing
dissertations, selected conference proceedings, and more.
http://www.pbclibrary.org/databases/
LearningExpress - (Practice Tests) Contains online learning with skill building modules, test
preparation materials and practice exams; including test preparation E-books. Take practice
tests for Health Careers, Radiography, Registered Medical Assistant and NCLEX-RN for
Nursing. Learn techniques for job searching, resumes, interviewing and workplace skills.
http://www.pbclibrary.org/databases/
Health and Wellness Resource Center http://www.pbclibrary.org/databases/
Assessment Criteria and Methods of Evaluating Students
A
B
C
F
equivalent to
equivalent to
equivalent to
equivalent to
90 – 100
80 – 89
75 – 79
74 and below
4.0
3.0
2.0
0.0
Generally, the grades “A” through “C” are considered passing grades. Grades "W" and "I" indicate that no
grades were earned for the course. A "W" grade indicates that the student withdrew from the course. An
"I" grade indicates that the student was passing the course, but failed to complete all the required course
work. The instructor, in his/her discretion may grant an "I" grade instead of an "F", pending completion of
the course work by the student within a specified time arranged by the instructor and told to the student. It
is the student's responsibility to follow-up with the instructor to complete the course work. If the course
work is not completed by the arranged time, the “I” grade becomes an “F".
Distribution of Grade Elements
Quizzes
25%
Mid-Term
25%
Final Exam
30%
Presentations
20%
Total
100%
Syllabus Revised: Oct 1, 2015