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OGEECHEE TECHNICAL COLLEGE CVT 103 – Electrophysiology and Cardiac Anatomy Loretta Stanley, RDCS Office Location: 322 Joe Kennedy Building Phone Number(s): 912.688-6950 (o) 912.235-2063 (p) [email protected] Office Hours: By Appointment COURSE ROOM, DAY AND TIME: Room 312, 6 hour class 1 day/week COURSE DESCRIPTION: Introduces the concepts essential in the performance and interpretation of 12 lead EKG and heart sounds. As a study of the anatomy, physiology, structural relationships, and the pathophysiology of the human heart and vascular system, the course concentrates on specialized terminology, cardiac and vascular anatomy, and electrophysiology. Topics include: heart anatomy, circulatory system, heart electrical system, heart layers, physical heart defects, and electrocardiograph, preparation for various electrocardiographic and sonographic examinations, and physical principles and pathophysiology of heart sounds. Laboratory experiences will be provided. . COMPETENCY AREAS: The student will be able to: 1. Anatomy of the Heart a. Describe the location of the heart using anatomical landmarks b. Identify the major heart structures using models or charts c. Identify the major vessels involved in coronary circulation using models or charts d. Explain the differences in structure and function of the two types of heart valves 2. Layers of the Heart a. Name and describe the two layers of the pericardium b. Name and describe the three layers of the heart wall. c. Describe the microscopic structure of cardiac muscle d. Describe the relationship between wall thickness and function for the chamber of the heart e. Define the function of fibrous tissue and skeleton of the heart 3. Circulatory System a. Describe the flow of blood through the chambers of the heart b. Describe the flow of blood through the systemic circulation c. Describe the flow of blood through the pulmonary system d. Describe coronary blood flow e. Diagram the flow of a drop of blood through the pulmonary and systemic circulations listing the vessels, chambers and valves. 4. Heart Electrical System a. Describe the structural and functional characteristics of cardiac muscle tissue and the conduction system of the heart b. Describe how action potential occurs in cardiac contractile fibers c. Identify the parts of the cardiac electrical conduction system using models or charts 5. Physical Heart Defects a. List the categories of congenital heart defects b. Describe and demonstrate the standard repairs for heart defects c. Using schematic drawings label types of ventricular and septal defects d. Classify the types of procedures used in congenital heart disease repair e. Describe the limitations of Echocardiography and alternate approaches 6. Electrocardiograph a. Describe the electrical events of a normal electrocardiogram b. Label the terms for a normal ECG on a graph c. Set up, calibrate, and operate an electrocardiograph machine d. Record an electrocardiogram and identify various tracing of a normal ECG e. Identify abnormal rhythms on an ECG including: 1. Myocardial ischemia, injury, and infarction on a 12 lead ECG 2. Bundle branch blocks 3. Pacemaker rhythms f. Determine electrical axis of the heart by using the triaxial reference system and leads I and III g. Identify miscellaneous EKG changes h.Discuss the placement of artificial pacemakers and function 7. Preparation of Patient for Related Modalities a. Explain specific sonographic and electrocardiographic procedures to patient b. Demonstrate proper positioning and gowning techniques to preserve patient privacy c. Utilize optimal patient positioning for appropriate acquisition of anatomy to be examines d. Demonstrate proper lead placement 8. Physical Principles and Pathophysiology of Heart Sounds a. Describe the pressure and volume changes that occur during a cardiac cycle b. Relate the timing of heart sounds to the ECG waves c. Relate the timing of heart sound to the pressure changes during systole and diastole d. Describe the relationship of ausculated heart sounds, pulse rate, and heart rate e. Define and describe the types of heart murmur PREREQUISITES/COREQUISITES: Program Admission CONTACT HOURS: 6 CREDIT HOURS: 4 TEXT: Aehlert B, ECG’s Made Easy (3rd Edition), 2006 ISBN978032303969 Susan K. DeWitt, Echocardiography From a Sonographer’s Perspective (5th Ed), 2002 (Notebook and workbook) MATERIALS AND SUPPLIES: REQUIRED Required: Computer access CLASSROOM POLICIES AND PROCEDURES: ATTENDANCE POLICY: It is essential that educational programs maintain requirements and standards necessary for successful employment of its graduates in business and industry. In view of the intensive nature of the educational programs, it is necessary for every student to be present and on time every day for all classes. Therefore, there are no excused absences from any course. Attendance is counted from the first scheduled class meeting of each quarter. If the student misses more than ten (10) percent in any course during a quarter, the student is subject to being dismissed from the course involved. Three (3) tardies or early departures equal one (1) absence for the course involved. The student WILL be dropped for absence greater than 10%. In this course, one day is 10%; any missed time exceeding this 10% will result in the student being dropped from the course. THERE IS NO ATTENDANCE APPEAL PROCEDURE! This course requires class participation of at least 2 hours of didactic work and 4 hours of lab participation is required. Keeping current on homework assignments and problem solving is essential in this type of class. Assigned reading should be done prior to class so as to make proper use of class-time and assigned activities to be completed as directed by the instructor. Complete assignments on time. Incomplete assignments will NOT be accepted. Late assignments will NOT be accepted. Due dates are on your calendar and will be adhered to! To protect the integrity of the course, online quizzes / tests may be password protected and can be accessed as designated by the instructor. The student will have a timed access for each test/quiz. All tests/quizzes MUST be taken without the used of textbook, handouts, notes, friends, family, etc. Make-up test will be scheduled by the instructor and must be taken at the assigned time (after the final exam) or a grade of zero will be given in place of the test. Make up tests will not be allowed to interfere with class, lab or clinical time. No make-up quizzes will be given! SAFETY: Please refer to the Echocardiography Program Handbook and Clinical Manual. DISTRIBUTION OF GRADES: Evaluation of the student’s achievement of the course objectives will be based on satisfactory completion of all required activities. Grading to be computed as follows: A grade of 85 % or better is required for EKG and Stress lab test Lab tests will be a demonstration in which the student will be required to perform select tasks as defined by the objectives while the instructor observes and evaluates the performance. Student will be graded using the CVT 103 Lab Rubric. A student who fails to master procedures lab tests will be subject to disciplinary action. A lab test grade of 85 % or better is required to proceed to the next quarter classes. o You will have 3 attempts to pass the lab exam with a grade of 85. If unsuccessful, you can not sit for the final and will receive a WP or WF depending on the grade you have received in class up to this point. Refer to the OTC student handbook for policy on readmission to the sonography program. LAB TESTS 35% HOMEWORK/QUIZ 10% GRADING SCALE A B C D F LECTURE TESTS FINAL 35% 20% 90-100 80-89 70-79 60-69 59 and below Code of Conduct Academic Policies: “The term "cheating" includes, but is not limited to: (1) use of any unauthorized assistance in taking quizzes, tests, or examinations; (2) dependence upon the aid of sources beyond those authorized by the instructor in writing papers, preparing reports, solving problems, or carrying out other assignments; or (3) the acquisition, without permission, of tests or other academic material belonging to a member of the Technical College faculty or staff. The term "plagiarism" includes, but is not limited, to, the use, by paraphrase or direct quotation, of the published or unpublished work of another person without full and clear acknowledgment. It also includes the unacknowledged use of materials prepared by another person or agency engaged in the selling of term papers or other academic materials.” For further explanations of the above information, please refer to the Ogeechee Technical College Student Handbook and Planner. “Academic misconduct is any act that does or could improperly distort students’ grades or other student academic records. A student enrolls at Ogeechee Technical College to gain technical skills to lead to greater employability. Academic misconduct is not only “cheating” the student of learning the needed skills; it is an offense to the academic integrity of the learning environment. All forms of academic dishonesty will call for discipline.” Ogeechee Technical College Student Handbook and Planner. Alteration of any grade sheets through changing scores or filling in of blank spaces after being graded is considered cheating. A student dismissed for cheating or plagiarism will not be eligible for re-entry. DISABILITY STATEMENT Students with disabilities who believe that they may need accommodations in this class based on the impact of the disability are encouraged to contact Penny Hendrix in the Special Services Office, Room 332C, Kennedy Bldg., 912-4867211, to coordinate reasonable accommodations. WORK ETHICS Students will receive a work ethics grade each quarter for each fundamental and specific course in which they enroll. The work ethics grade of 3, 2, 1, or 0 will not affect the student’s academic grade point average (GPA). Work ethics grades will appear on the student’s quarterly Student Grade Reports and Transcripts. Performance factors and indicators include, but are not limited to, quality of work, ability to follow instructions, productivity, dependability, honesty, reliability, attendance and punctuality, attitude, integrity, enthusiasm, interpersonal skills, and initiative. The work ethics grade descriptions are Exceeds expectations: 3 Meets expectations: 2 Needs improvement: 1 Unacceptable: 0 WARRANTY STATEMENT: The Department of Technical and Adult Education guarantees employers that graduates of State Technical Colleges shall possess skills and knowledge as prescribed by State Curriculum Standards. Should any graduate employee within two years of graduation be deemed lacking in said skills, that student shall be retrained in any State Technical College at no charge for instructional costs to either the student or the employer. DISCLAIMER The instructor reserves the right to amend or correct this course syllabus as necessary. If the instructor amends or corrects this syllabus, students will be given a revised syllabus or corrections.