ALH 115- ECG/EKG

SYLLABUS

LECTURE HOURS/CREDITS: 4

SEMESTER: Fall 2017

INSTRUCTORS: Megan Mook, MSN, RN CCRN

Deborah Marr, MSN, RN-BC

*Email is the best way to contact the instructors. Please allow 48 hours for email response from the instructor

CATALOG DESCRIPTION This course is designed to instruct students in all aspects of EKG/ECG and provides classroom instruction in conjunction with lab experience. Classroom instruction is provided in conjunction with lab experience, followed by a 45 hour clinical rotation. The clinical component requires completion of CPR and immunization requirements as specified in the Health Packet, received upon enrollment

Prerequisite: C or higher in ALH 104 or proof of passing national certifying exam.

TEXTBOOK AND COURSE MATERIALS:

BLESSI/WISE/KELLEY-ARNEY; MEDICAL ASSISTING, 8TH EDITION, ,DELMAR
ISBN:13 978-1-305-11070-0

It is the responsibility of the student to confirm with the bookstore and/or their instructor the textbook, handbook and other materials required for their specific course and section.

Please see current textbook prices at

ROWAN COLLEGE AT GLOUCESTER COUNTY CORE COMPETENCIES

(Based on the NJCC General Education Foundation - August 15, 2007; Revised 2011)

This comprehensive list reflects the core competencies that are essential for all RCGC graduates; however, each program varies regarding competencies required for a specific degree. Critical thinking is embedded in all courses, while teamwork and personal skills are embedded in many courses.

1 / Written and Oral Communication
Students will communicate effectively in both speech and writing.
2 / Quantitative Knowledge and Skills
Students will use appropriate mathematical and statistical concepts and operations to interpret data and to solve problems.
3 / Scientific Knowledge and Reasoning
Students will use the scientific method of inquiry, through the acquisition of scientific knowledge.
4 / Technological Competency
Students will use computer systems or other appropriate forms of technology to achieve educational and personal goals.
5 / Society and Human Behavior
Students will use social science theories and concepts to analyze human behavior and social and political institutions and to act as responsible citizens.
6 / Humanistic Perspective
Students will analyze works in the fields of art, history, music, or theater; literature; philosophy and/or religious studies; and/or will gain competence in the use of a foreign language
7 / Historical Perspective
Students will understand historical events and movements in World, Western, non-Western or American societies and assess their subsequent significance.
8 / Global and Cultural Awareness
Students will understand the importance of a global perspective and culturally diverse peoples.
9 / Ethical Reasoning and Action
Students will understand ethical issues and situations.
10 / Information Literacy
Students will address an information need by locating, evaluating, and effectively using information

ALH 115 CORE COMPETENCIES

This course focuses on 3 of RCGC’s Core Competencies:

  • Information Literacy
  • Written and Oral Communication
  • Technology Competency

Fall 2017

STUDENT LEARNING OUTCOMES: ECG/EKG

Successful completion of
ALH 116 will help students: / RCGC
Core Competencies / Evaluation / Assessment
(Additional means of evaluation may be included by individual instructors)
  1. Implement ones role as the electro cardiographer in ways that reflect integrity, responsibility and ethical practices.
/ Information Literacy / Quizzes
Tests
Lab competencies
  1. Demonstrate effective verbal and nonverbal therapeutic communication with diverse clients.
/ Written and Oral Communication / Quizzes
Lab competencies
  1. Demonstrate safe and effective care with emphasis on standard precautions and infection control procedures.
/ Information Literacy / Quizzes
Tests
Lab competencies
  1. Demonstrate obtaining an ECG/EKG using established procedure with focus on safety and monitoring risk for harm to patients and providers.
/ Technology Competency / Lab competencies
  1. Correctly interpret ECG/EKG rhythms and apply appropriate patient care procedures.
/ Technology Competency / Final exam
Lab competencies

Grading Distribution

Tests25%

Quizzes25%

Lab competencies25%

Final Exam20%

Attendance/

Participation 5%

Fall 2017

ALH 115- ECG/EKG

MASTER SYLLABUS TOPICAL OUTLINE

TOPIC:Role of the electro-cardiographer

  • Review the role and responsibilities of the electro-cardiographer

TOPIC:Review of anatomy and physiology or the heart

  • Conduction pathway
  • Ventricles/atria/valves
  • Blood pathway though the heart

TOPIC: HIPPA, OSHA, Infection prevention

  • Patient confidentially
  • Safe environmental practices
  • EMR/HER
  • Standard precautions
  • Hand washing

TOPIC:Patient preparation for EKG

  • Proper identification of the patient
  • Draping/gowning

TOPIC: Performing EKG

  • Correct lead placement
  • Proper use of the EKG machine
  • Correctly executing the EKG
  • Adapting for patients with special circumstances

TOPIC:Interpreting the EKG

  • Proper identification of heart rhythms
  • Proper identification of life threatening rhythms
  • Sub-topic

TOPIC: Holter monitor testing/Telemetry

  • Proper identification of the patient
  • Correct lead placement for Holter monitor and telemetry
  • Describes each test and reasons for testing

Fall 2017

ALH 115- ECG/EKG

Affirmative Action Statement

The Board of Trustees is committed to providing an educational and workplace environment free from unlawful harassment and discrimination. All forms of employment and educational discrimination and harassment based upon race, creed, color, national origin, age, ancestry, nationality, marital or domestic partner or civil union status, sex, pregnancy, gender identity or expression, disability, liability for military service, affectional, or sexual orientation, atypical cellular or blood trait, genetic information (including refusal to submit to genetic testing) are prohibited and will not be tolerated.

For questions concerning discrimination contact Almarie J. Jones, Executive Director, Diversity and Equity, Affirmative Action/Title IX Officer at 856-415-2154 or .

For disability issues, contact Dennis M. Cook, Director, Department of Special Services, ADAAA/504Officer at 856-415-2265 or .

Department of Special Services

The Department of Special Services, located in the Instructional Center, room 425A, welcomes students of all abilities. The staff members in Special Services are committed to providing support services and ensuring equal access to eligible students with documented disabilities as outlined by the Americans withDisabilities Act (ADA) and the Americans with Disabilities Act with Amendments Act (ADAAA).

To maximize the potential of eligible students who self-identify, the Special Services staff provides an array of support services which may include extra time for tests and quizzes, testing in a separate location, advisement, interpreters, scribes, tutors, assistive technology (such as magnification devices and audio amplification), touch screen computers, audio books and note-taking assistance.

As students embark on their academic journey, they are encouraged to meet with staff members to identify, develop and implement support services that are in accord with their individual academic needs. Students are also encouraged to make use of other college support services that are available to all RCGCstudents currently enrolled in credited academic courses, such as tutoring services and the college library, which offer online information research and other materials needed to complement their studies.

Students registered with the Department of Special Services and who plan to earn an associate degree, further their education and transfer to a four-year institution, or enter the workforce, are encouraged to choose a corresponding program of study (college major) as soon as possible. The Special Services staff assists enrolled students with additional support that focuses on advancing students through their selected programs of study towards a goal of graduating.

Students who request academic support from the Department of Special Services can be assured that confidentiality will always be maintained. Accommodations are provided to address the special needs of individuals with disabilities under Section 504 of the 1973 Rehabilitation Act and the Americans with Disabilities Act (ADA) of 1990 together with the ADA Amendments Act of 2008 (ADAAA). Under these acts, the office advocates a user-friendly campus for accessibility and a learning-friendly campus foracademic success.For more information or to schedule an appointment to meet Special Services staff, please call 856-415-2265 or visit RCGC.edu/SpecialServices.

To Register with Special Services

Students must follow these steps:

  • Complete and submit the Student Profileform.Access theStudent Profile Form.
  • Submit documentationdetailing the student’s disability. Support services will not be granted withoutdocumentation specifying the student’s disability.Documentation should include the following information:
  1. Diagnosiswith written evaluationof current disability;
  2. Date the student was diagnosed;
  3. Tests used to reach diagnosis;
  4. Credentials of the medical professional conducting evaluation; and
  5. How the disability affects daily activities and/or academic performance.
  • By clicking on the following links, students can downloadtheSpecial Education Records Release Formand/orMedical Release Form to present to their medical care professional.
  • Contact the Special Services office to schedule a meeting with a staff member.
  1. Students should schedule a meetingaftersubmitting theStudent Profile Form, proper documentation andcompletingthe College’s placement test. (Click onSpecial Accommodations for Placement Testingto determine whether student should arrange his/her placement test through the Special Services office orthe general Testing Center.
  2. During the meeting, the student and staff member will discuss his or her disability and determineeligible accommodations.

Accommodations

Students who qualify for accommodations are encouraged to register with the Department of Special Services at RCGC before they begintheir academic career at Rowan College. This allows students to take advantage of any special accommodations andauxiliary aids that they might need and be eligible to receive.

  • Special accommodationsinclude but are not limited to extended time on tests, private test rooms to complete tests with the assistance of a reader or scribe, as well as a distraction-free test room.
  • Auxiliary aidsinclude but are not limited to note takers, tape recorders, large display calculators, interactive calculators, desktop magnifiers, large-screen computer monitors, touch-screen computer monitors, touch-screen laptop computers andJAWS® software.More information about adaptive technology can be found on thetechnologylink.

Students are responsible for identifying which accommodations and auxiliary aids they require foracademic support.

Confidentiality

Students who register with the Department of Special Services are assured that their informationis keptconfidential.

In addition, the student's transcript will not indicate that the he or she is registered with the Department of Special Services. The student's specific special need is not disclosed to the student's instructors.However, accommodation letters are sent to each of the student’s professors if the student needs testingaccommodations oraccommodationsin the classroom. It is the student's choice whether or not to disclose the sp​ecificsof his or her special needs.

EVALUATION AND ASSESSMENT

Grading Distribution

Quizzes / 25% / There will be quizzes (see syllabus) on-line averaged equally to constitute 25 % of the final grade.
Tests / 25% / There will be a comprehensive test (see syllabus)
Lab Competency Testing / 25% / Performance Skills Competency (see syllabus)
Final Exam / 20% / Taking the NHA National Exam for EKG Certification
Attendance/Participation / 5% / Attending 90% of all classes and actively participating in class discussions
Clinical competency / Satisfactory in the clinical component (see clinical evaluation form)

Grading Scale

A = 92-100 / B+ =89-91
B= 84-88 / C+ =81-83
C = 76-80 / F= below 76

There are Four Professional Competencies for this course

  • Competency 1: Patient Preparation of patient for ECG/EKG procedures
  • Competency 2: Obtain and Record ECG Strips Using Proper Technique
  • Competency 3: Obtain and Interpret ECG Strips and Identify Arrhythmias
  • Competency 4: Identify and Respond to Potentially Life Threatening Arrhythmias

INSTRUCTOR OUTLINE

Course Policies

  • Class Attendance

Students will be scheduled for 45 hours of clinical which will include 5 days of 9.5 hours + lunch. Students may not miss a clinical day. In the event of an emergency, (student medical emergency or death in the family) the student must contact the clinical site and instructor as soon as possible to make arrangements to make up the clinical day. Unexcused absence, or absence without proper notification is considered unprofessional behavior, and will result in clinical failure. It is the student’s responsibility to notify the instructor of possible clinical issues. Students must satisfactorily pass the clinical component of the course in order to pass the course. Absences may not be made up and place the student at risk of failure in the course.

  • Methods of Determining Course Grade
  1. Students must earn a grade of C or higher (76%) in order to pass this course and qualify for the clinical component ALH 115.
  2. Students must pass the clinical component to pass this class, regardless of didactic grade average. To pass this class students must demonstrate competency on all required clinical competencies
  • Specific Grading Scale
  • Performance Skills Competency

Students must demonstrate satisfactory performance on each Performance Competency in Lab. Each competency is worth 10 points. To earn full points, each skill must be performed satisfactorily. Students are expected to attend all Performance Labs. If the student is absent for a performance lab, the student must email the instructor for a make-up. Students must complete missed labs within one week. Failure to complete a missed lab may jeopardize the student from successfully completing ALH 115. Competency exams will be signed by instructor and returned. All students must earn a minimum of a 76% on each Performance Competency in order to achieve a passing grade in this class, regardless of didactic class average.

  • Testing Policy

Students are required to work individually on all tests, quizzes, the final exam, and lab competencies. Should a student require additional testing accommodations, it is the students responsibility to notify the instructor prior to any testing.

  • SPECIAL NEEDS SERVICES : If there are any students in this class who have special needs, or who think they may have special needs because of learning disabilities or other kinds of disabilities, please feel free to discuss this with your instructor, or call the office of Special Needs 415-2281. The Department of Special Services provides academic support to RCGC students who have documented disabilities. Section 504 of the Rehabilitation Act of 1973 and Title II of the Americans with Disabilities Act of 1990 prohibit discrimination on the basis of disability. The Department of Special Services ensures RCGC students receive appropriate accommodations which allow for academic success. Information can be found at
  • Cheating or Plagiarism Policy
  • PLAGIARISM: RCGC's Academic Integrity Policy defines plagiarism as "the unacknowledged use of another's means of expression and/or work product, whether published or unpublished, without proper credit through the use of quotation marks, citations and other customary means of identifying sources." Essentially, this means copying the words or ideas of another without the proper form of academic documentation.
  • There are two basic kinds of plagiarism: deliberate plagiarism and accidental plagiarism. One may sound more acceptable than the other, but they are equally serious academic offenses. The most common act of deliberate plagiarism involves copying another person's work and passing it off as your own. The most common act of accidental plagiarism involves failing to provide the proper internal documentation for quoted, summarized and paraphrased ideas from another person, even if you list the source in your Works Cited.
  • NOTE: The penalties for plagiarism will be determined by the instructor and distributed the first day of class. Please be advised that offenses may be reported to the Dean of Liberal Arts and the Director of Student Affairs.
  • Method of Making up missed work

Any assignment that is late will result in a 10% score deduction for each day that it is late. If an assignment is going to be late, please notify the instructor of the lateness.


Week
[Dates] / Weeks Topic / Reading and Resource Assignments / Assessment Items Due
ONE
9/5/17
In class
9/11/2017
In class
*9/12/2017
*Online learning assignment / Role of the electro-cardiographer
Review of the Anatomy and Physiology of the Heart
Normal conduction of the heart
OSHA and HIPAA
Informed Consent / Blesi, Wise & Kelly-Arney Read Ch1
Blesi, Wise & Kelly-Arney Read Ch 16, p. 297-303
Blesi, Wise & Kelly-Arney Read Ch 46 p.1071-1078
p.297-303
Blesi, Wise & Kelly-Arney Read Ch. 3 p.51-56 / Lab assignment due Sept 19
TWO
9/18/2017
In class
9/19/2017
In class / Patient preparation/assessment for EKG procedure
Follow Standard Precautions (CDC)
Placement of EKG leads; 3-lead
5 lead
12 Lead
Normal Components of an EKG wave / Blesi, Wise & Kelly-Arney Read Ch. 46, p.1084, 1085-1088
Week 2 on-line activities: see e-learning
Blesi, Wise & Kelly-Arney Read Ch. 34, p.774-786
Blesi, Wise & Kelly-Arney Read Ch 46, p.1078-1084
Blesi, Wise & Kelly-Arney Read Ch 46, p.107 / Quiz #1
THREE
9/25/2017
In class
9/26/17
In class / Patient preparation for EKG procedure
Vital Signs
Patient History
Medications
Proper Positioning
Introduction to preforming EKG
And introduction to EHR
Identification of ECG/EKG Rhythms
Review of Sinoatrial Node Rhythms; normal sinus rhythm, sinus bradycardia, sinus tachycardia, sinus arrhythmia
Atrial fibrillation, Atrial flutter
Premature Atrial Contractions,
PAT / Blesi, Wise & Kelly-Arney Read Ch 46, p. 1084-1087
Ch. 36, review Vital signs
Blesi, Wise & Kelly-Arney Procedure: Ch 46, p.1085-1087 / Quiz #2
FOUR
10/2/17
Online
10/3/17
In class / Patient preparation for EKG procedure
Preforming EKG
and documentation on EHR
HIPPA (review)
Demonstrate documentation: electronic medical record
Identification of ECG/EKG Rhythms
Causes of Artifact / Blesi, Wise & Kelly-Arney Read Ch 46 p.1085-1087
Blesi, Wise & Kelly-Arney Procedure: Ch 46 p.1085-1087
Blesi, Wise & Kelly-Arney Procedure: Ch 26 p.590-601
Online learning activity / Online learning activity due Monday, Oct. 9
Competency 1: Basic Patient Preparation for ECG/EKG using single channel EKG machine.
FIVE
10/9/17
In class
10/10/17
In class / Identification of common dysrthymias of the heart: atrial and ventricles;
Ventricular arrhythmias:
Premature Ventricular Contractions
Ventricular Tachycardia
Ventricular fibrillation
EKG procedure for:
Halter Monitor
Stress testing
Telemetry
Patients with special considerations;
Amputees
Pediatric patients
Obtain and Record ECG Strips and calculating rhythm Using Proper Technique / Blesi, Wise & Kelly-Arney Procedure: Ch 46 p.1088-1092
Identity and discuss ECG strip interpretation
Blesi, Wise & Kelly-Arney Procedure: Ch 46 p.1092-1094 / Practice for Lab Competency2:
Complete EKG procedure,
Interpret and Document in EHR
Quiz #3
SIX
10/16/17
Online
10/17/17
In class / Obtain and Record ECG Strips and calculating rhythm Using Proper Technique
Demonstrate performing and EKG in a simulated setting. (2,3,4) / Competency # 2: Complete EKG procedure,
Interpret and Document in EHR
Online learning activity due Monday, October 23.
Practice Competency 3
Obtain, interpret and resolve artifacts on required number of ECG strips using proper technique.
SEVEN
10/23/17
In class
10/24/17
In class / Review of ventricular arrhythmias,
Identify
pacemaker rhythms First degree AV Block
Second Degree AV Block
Review of selected examples from EKG samples
Review of Life threatening dysrhythmias
Review appropriate procedure (CPR) for clients with life threatening dysrhythmias / Blesi, Wise & Kelly-Arney Procedure: Ch 46 p.1090-1092
Identity and discuss ECG strip interpretation and ventricular dysrhythmias
Blesi, Wise & Kelly-Arney Ch 46 p.1091-1092
Blesi, Wise & Kelly-Arney Ch 54 1241-1247 / Competency #3 due
Quiz #4
EIGHT
10/30/17
Online
10/31/17
In class / Discuss role of electro-cardiographer in caring for patients with life threatening dysrhythmias. / Blesi, Wise & Kelly-Arney Ch 46 p.1091-1092 / Competency #4 Case study
Online assignment due Monday, Nov. 6
NINE
11/6/17
In class
11/7/17
In class / Review of ECG/EKG procedure for all situations previously discussed
Review appropriate procedure for clients with life threatening dysrhythmias / Prepare and review content for Certification Exam
Comprehensive Test / Competency 5:
Comprehensive Competency
Performance in Simulation: EKG, interpretation, documentation
TEN
11/13/17
In class / Certification exam
ELEVEN-FOURTEEN / Course Survey, Clinical practice
FIFTEEN / Self study- preparation for CCMA exam

*Course outlines are subject to changes- weekly updates will be provided*