HOUSTON COMMUNITY COLLEGE SOUTHEAST 12-LEAD INTERPRETATION EMSP 1016 24 hours Southeast Campus Fridays, 6:00-9:00pm Konnie King Briggs, CCT, (CCI); CET, (ACA) Phone: 713-718-7235 Email: Konnie.King@hccs.edu Houston Community College-Southeast 6815 Rustic Houston, Texas 77087 HOUSTON COMMUNITY COLLEGE SOUTHEAST COURSE SYLLABUS 12-LEAD INTERPRETATION EMSP 1016 A course in instruction and practice in the interpretation of 12-lead electrocardiograms (ECG) to identify dysrhythmias; axis deviation; and myocardial ischemia, injury, and infarction. Clinical significance of abnormalities is discussed. COURSE OBJECTIVE: The student will demonstrate knowledge and skills to perform12-lead EKG interpretation of the electrocardiogram. The student will perform technical analysis, interpretation and documentation of the 12-lead EKG. Student will demonstrate knowledge in identifying dysrhythmias, axis deviation, myocardial ischemia, injury and infarction and acute cardiac emergencies. Emphasis is on identification of normal versus abnormal components of the ECG, clinical significance and appropriate interventions by the cardiac technician. GOALS: Upon completion of this course the student will successfully: A. Demonstrate understanding of proper lead placement, accurate interpretation and correct patient assessment in the delivery of patient care. B. Demonstrate understanding of 12-lead EKG analysis, identifying lethal dysrhythmias, myocardial ischemia, infarction and appropriate interventions. C. Demonstrate knowledge of advanced concepts of ECG, including Axis Deviation, Intraventricular Conduction Disturbances, Hypertrophy, Infarction, Medication Effects, Electrolyte Abnormalities and Artificial Pacemakers. LEARNING OUTCOMES: Upon completion of this course, the student will: 1. Demonstrate understanding of proper electrode and lead wire placement for 12-lead ECG 2. Identify components of the ECG and determine whether they are normal or abnormal 3. State the significance of abnormal components of the ECG 4. Perform technical analysis and interpret 12-lead ECG tracings 5. Determine axis deviation, the presence and location of myocardial infarction or ischemia and the clinical significance of the abnormalities. 6. Recognize life threatening cardiac emergencies per 12-lead ECG recordings. 2 PREREQUISITES: The student must be currently enrolled in ECRD 1011 or ECRD 1091, ECG Rhythm Analysis for Healthcare, or have understanding of basic EKG concepts, techniques, procedures and analysis prior to entry into the course. REQUIRED TEXTBOOK: The required book is EKG Plain and Simple, 3rd Edition by Karen Ellis, ISBN 978-013237-7294. COURSE REQUIREMENTS AND EXPECTATIONS A. Attendance Policy When EMSP 1016 is offered as a hybrid course 50% of the total course hours is to be completed in class attendance on campus. Regular and punctual attendance is required at all lecture sessions. Class roll will be taken. If an absence is anticipated, the student is to make a scheduling arrangement in advance with the instructor. More than 12 hours of absence, for any reason, may be cause to withdraw a student from the course. A student who is arrives after the scheduled class time is considered TARDY. Three (3) tardies constitute one absence. It is the student’s responsibility to keep account of his/her attendance record and make up all assignments, materials, examinations, which were missed and complete all course requirements. B. Dress Code Students will be expected to attend class and student practical/lab clean and neatly dressed to present a professional appearance. 1. Scrubs For professional purposes, students are expected to wear scrubs to practical sessions. Because students may be performing EKG testing on each other, it is important for students to dress in 2-piece scrubs with appropriate undergarments to ensure modesty, privacy and appropriate interactions within the classroom environment and student participation. It is recommended that students wear scrubs to every class. 2. Foot Wear Appropriate footwear will be required for professional appearance and safety. Closed-toe shoes that are soft-soled, such as white leather-type tennis or similar shoes are strongly recommended. No heels, sandals or canvas shoes are allowed. 3. Fingernails Fingernails must be clean and at a reasonable length. Reasonable length is defined as no more than 1/8" beyond the fingertip. 4. Jewelry While in student practical, jewelry should be limited to a wedding ring and a wristwatch. Conservative earlobe earrings (no more than one pair) that do not extend more than 1/2 inch below the earlobe are acceptable. Wearing of other jewelry or any other apparel must be preapproved by the instructor. 3 5. Fragrances All perfumes, colognes, and fragrances of any kind are prohibited from the classroom and practical/lab sessions. C. Cell Phones and Pagers Cell phones and pagers are not allowed. They must be turned off while in the classroom or student laboratory. D. Behavior Disruptive behavior or any behavior that interferes with any educational activity being performed by the instructor will not be allowed. Additionally, no student may interfere with his/her fellow students’ right to pursue their academic goals to the fullest in an atmosphere appropriate to a community of scholars. The following specific rules will apply throughout the course: 1. 2. 3. 4. E. Be on time. Be prepared. Be respectful and courteous. Be helpful. Recording devices The student use of recording devices, including camera phones, video and audio tape recorders, cameras and any other electronic device that is capable of recording human voice or image is prohibited in classrooms, laboratories, faculty offices and other locations where instruction, tutoring or testing occurs. Students with disabilities who need to use a recording device as a reasonable accommodation should contact the Office for Students with Disabilities for information regarding reasonable accommodations. Additionally, the use of recording devices is prohibited in restrooms, locker rooms, dressing rooms and other locations where people have a reasonable expectation of privacy. Violation of this policy may result in discipline, including expulsion. SPECIAL STUDENT LABORATORY REQUIREMENTS A. It is the responsibility of the student to prepare for each lecture/practical session. Practical exercises must be reviewed prior to attending the practical period to provide the student with the basic understanding of what will be expected of him/her during the practical session. B. Each student is responsible for his/her own work and for the cleaning up of the student lab. C. Students will be removing their outer clothing from the waist up for EKG procedures. Also, hands on techniques are required for EKG testing. Therefore, the following rules must be observed: 1. Food, drink, gum, mints, lozenges, (anything by mouth), or the application of cosmetics is not permitted in the laboratory. Avoid putting objects in your mouth or touching your face. 2. Hands must be washed before and after performing procedures or handling equipment. Proper hand washing is essential in preventing the acquisition and spread of potentially harmful organisms. 4 3. Privacy, confidentiality, safety, professionalism, and appropriate behavior are ESSENTIAL when learning and applying the technical skills necessary to perform electrocardiography. D. Disinfect or clean work area thoroughly after each laboratory session. E. Cleanliness, proper handling and maintenance of equipment and supplies, as instructed, are essential. F. All accidents/incidents are to be reported immediately to the practical instructor. G. Proper safety instructions as outlined in the EKG Technician Program Handbook must be observed at all times. STUDENT EVALUATION: This course is nonacademic. You will not receive semester hours as credit for the course. By meeting the course requirements, you will receive a grade of “COM” (complete). By failing to meet the course requirements, you will receive a grade of “F” (failed). To determine completion of the course, the instructor will assign grades for all exams, assignments, lab activities and practical exams. To determine completion of the course, the instructor will assign grades for all exams, assignments, lab activities and practical exams. The student must average 70% to receive a grade of pass (complete). Final grade Final exam – 50% Quizzes, assignments – 50% WITHDRAWAL AND REFUND POLICY: Please refer to your schedule for withdrawal and refund policy. DISABILITY SERVICES: Any student with a documented disability (e.g. physical, learning, psychiatric, vision, hearing, etc.) who needs to arrange reasonable accommodations must contact the Disability Support Services Counselor at the beginning of each semester. Faculty members are authorized to provide only the accommodations requested by the Disability Support Services Office. The Southeast College Disability Support Services Office phone number is 713-718-7218. The Southwest College Disability Services Office phone number is 713-718-7909. The Northwest College Disability Services Office phone number is 713-718-5408. 5 STATEMENT OF UNDERSTANDING EMSP 1016 After thoroughly reading and familiarizing yourself with the syllabus, EMSP 1016, please read and initial each of the following statements: I have read the syllabus and agree to abide by all of the rules contained therein. _____ I have received and read a copy of the EKG Student Handbook and signed a Statement of Understanding for it, and agree to abide by the guidelines, which pertain to EMSP 1016, stated therein. ______ I understand the restrictions regarding the student use of recording devices in HCC facilities and agree to abide by these policies. _______ I understand that if I miss more than twelve hours of class, I may be withdrawn from the class. Additionally, if I am withdrawn from the class, I understand that I will have to pay for the class again to once again be enrolled in EMSP 1016. _____ I understand that in EMSP 1016, I may be performing electrocardiography procedures on my classmates, and they may perform the same procedures on me, as directed by my instructor(s). I agree to fully participate in these procedures and abide by all rules stated both in this syllabus and the EKG Student Handbook. _______ I understand that I must average a 70% on exams, quizzes and assignments to receive a passing grade of (complete). ____ Student Name (print)________________________________________________ Student Signature_________________________________________________________ Today’s Date______________________________________________________ 6