Southern State Community College
Curriculum Committee January, 2012
HPER 2261 – Advanced Cardiac Life Support for Novice Providers
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I.
COURSE TITLE:
Advanced Cardiac Life Support for Novice Providers
COURSE NUMBER: 2261
CATALOG PREFIX: HPER
II.
PREREQUISITE(S): EMTP 2220 Or NURS 2205, 2210, 2220 Or RESP 2205
III.
CREDIT HOURS: 2
LABORATORY HOURS: 0
IV.
COURSE DESCRIPTION:
LECTURE HOURS: 2
OBSERVATION HOURS: 0
This course is designed to provide advanced cardiac life support instruction to
novice providers who will care for patients with cardiovascular conditions in a
variety of healthcare settings. It includes comprehensive review and integration of
knowledge and skills in ECG rhythm interpretation, pharmacology, airway and
ventilation management, and CPR/AED. In addition, management of
cardiopulmonary arrest and other cardiovascular emergencies will be explored.
Students are required to have a valid BLS for Healthcare Providers course
completion card from the American Heart Association prior to beginning the
class. Participants who successfully complete the course, including the written
examination and skills demonstration, will receive a course completion card.
V.
ADOPTED TEXT(S):
Airway Management Student Guide
American Heart Association, Publisher.
Order ID number 80-1464
Advanced Cardiovascular Life Support (ACLS) Provider Manual
American Heart Association, Publisher.
Order ID number 90-1014
ECG & Pharmacology Student Workbook
American Heart Association, Publisher.
Order ID number 80-1467
HPER 2261 – Advanced Cardiac Life Support for Novice Providers
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VI.
COURSE OBJECTIVES:
Upon successful completion of this course, the student should be able to:
ECG Rhythm Interpretation
1.
Describe the basic electrophysiology of the heart
2.
Recall normal ECG measurements
3.
Identify basic dysrhythmias
Pharmacology
1.
Recall usage and routes of administration for basic ACLS drugs
2.
Describe the integration of pharmacological therapies into ACLS
management
Airway Management
1.
Identify airway anatomy pertinent to airway management in a
cardiovascular emergency
2.
Recall the indication and contraindications for various airway
management devices
3.
Demonstrate the ability to properly utilize various airway management
devices
Acute Coronary Syndromes
1.
Describe the Acute Coronary Syndromes (ACS) continuum
2.
Identify the three 12-lead ECG classifications that are used to determine
the treatment of ACS patients
3.
Select the appropriate treatment modality for patients with ACS, including
the management of chest pain and the use of fibrinolytic reperfusion
therapy
Asystole
1.
Identify the causes of asystole
2.
Conduct a systematic survey to identify a patient in asystole
3.
Describe airway management techniques used to effectively treat
hypoventilation and hypoxemia related to asystole
4.
Select the appropriate treatment modalities (pharmacological and
electrical) to manage a patient in asystole
5.
Discuss the indications for terminating resuscitation efforts
CPR & Automated External Defibrillation
1.
Conduct a systematic assessment of a patient to identify cardiopulmonary
arrest
2.
Understand the importance of providing early defibrillation to patients in
cardiac arrest
3.
Demonstrate the proper use of an automated external defibrillator (AED)
HPER 2261 – Advanced Cardiac Life Support for Novice Providers
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4.
Demonstrate the proper sequence of managing a patient in
cardiopulmonary arrest with the AED, including integration of CPR
Bradycardia
1.
Distinguish between relative and absolute bradycardia
2.
Describe the signs and symptoms of symptomatic bradycardia
3.
Conduct a systematic survey to identify a patient in symptomatic
bradycardia
4.
Select the appropriate treatment modalities (pharmacological and
electrical) to effectively manage a patient with symptomatic bradycardia
5.
Indicate when, why, and how transcutaneous pacing (TCP) should be used
to treat symptomatic bradycardia
6.
Discuss the significance of bradycardia in an AMI situation
Narrow-Complex Tachycardia
1.
Conduct a systematic assessment of a patient with a narrow-complex
tachycardia to determine the hemodynamic status
2.
Distinguish between stable and unstable narrow-complex tachycardia
3.
Describe the initial management for both stable and unstable patients with
narrow-complex tachycardia
4.
Ascertain the underlying rhythm associated with the narrow-complex
tachycardia
5.
Select the appropriate treatment modalities (pharmacological and
electrical) to manage the patient with narrow-complex tachycardia
6.
Describe how and when to perform synchronized cardioversion
Pulseless Electrical Activity (PEA)
1.
Identify the causes of PEA
2.
Conduct a systematic survey to identify a patient in PEA
3.
Differentiate among the signs and symptoms of hypovolemia, pericardial
tamponade, and tension pneumothorax
4.
Describe airway management techniques used to effectively treat
hypoventilation and hypoxemia related to PEA
5.
Select the appropriate treatment modalities to manage a patient in PEA
Respiratory Arrest
1.
Conduct a systematic assessment of a patient to identify respiratory arrest
2.
Understand the importance of early intervention for patients in respiratory
arrest
3.
Demonstrate the ability to utilize basic and advanced airway devices,
including BVM, endotracheal intubation, Combitube, and LMA to manage
a patient in respiratory arrest
4.
Demonstrate the proper sequence of managing a patient in respiratory
arrest as a result of foreign body airway obstruction
HPER 2261 – Advanced Cardiac Life Support for Novice Providers
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Stroke
1.
Identify the warning signs of stroke
2.
Describe the importance of quick action in the early treatment of a
possible stroke patient
3.
Describe the 7 “Ds” of stroke survival and recovery in initial stroke patient
care
4.
Discuss the risks, benefits, exclusions, and guidelines for the use of
fibrinolytic therapy for a stroke patient
Ventricular Fibrillation
1.
Conduct a systematic assessment of a patient in cardiac arrest
2.
Recognize the need to rapidly identify a patient in ventricular fibrillation
3.
Describe the initial management for a patient in ventricular fibrillation
4.
Describe why the treatment for a patient with pulseless ventricular
tachycardia is the same as a patient with ventricular fibrillation
5.
Select the appropriate treatment modalities (pharmacological and
electrical) to manage the patient with ventricular fibrillation
6.
Demonstrate the correct procedure for performing defibrillation
Wide-Complex Tachycardia
1.
Conduct a systematic assessment of a patient with a wide-complex
tachycardia to determine hemodynamic status
2.
Distinguish between stable and unstable wide-complex tachycardia
3.
Recognize the difference between monomorphic and polymorphic widecomplex tachycardia
4.
Describe the initial management for both stable and unstable patients with
wide-complex tachycardias
5.
Select the appropriate treatment modalities (pharmacological and
electrical) to manage the patient with a wide-complex tachycardia
6.
Demonstrate the correct procedure for performing synchronized
cardioversion
VII.
COURSE METHODOLOGY:
Lecture, discussion, skill demonstration, simulation, practical scenarios, and other
appropriate methodologies may be utilized as appropriate to the course objectives.
VIII. GRADING
Students will be required to complete a written exam at the time designated by the
course instructor.
The student will also be graded on his/her performance of the competency based
skills. A grade of “S” will be recorded for satisfactory performance and a grade of
“U” will be recorded for unsatisfactory performance.
HPER 2261 – Advanced Cardiac Life Support for Novice Providers
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Grading will be accorded using the following schedule:
S=
Satisfactory
U=
Unsatisfactory
IX.
COURSE OUTLINE:
ECG rhythm interpretation
Pharmacological therapy
Airway Management
Electrical therapy
Patient assessment and the cardiac patient
Case review: Acute coronary syndromes
Asystole
CPR & automated external defibrillation
Bradycardia
Narrow-complex tachycardia
Pulseless electrical activity
Respiratory arrest
Stroke
Ventricular fibrillation
Wide-complex tachycardia
Skills practice and remediation
Practice cases
Final skills examination
Final written examination
SAMPLE OUTLINE:*
Week 1
Introduction
ECG rhythm interpretation
Week 2
ECG rhythm interpretation (continued)
Week 3
ECG rhythm interpretation (continued
Pharmacology
Week 4
Pharmocology (continued)
Week 5
Pharmacology (continued)
Week 6
Airway management
Week 7
Airway management (continued)
Week 8
Respiratory arrest
HPER 2261 – Advanced Cardiac Life Support for Novice Providers
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X.
Week 9
CPR and AED
Week 10
VF / Pulseless VT
Week 11
ACS and stroke
Week 12
Bradycardia / PEA / Asystole
Week 13
Tachycardias
Week 14
Putting it all together
Week 15
Review and testing
Week 16
Finals
OTHER REQUIRED TEXTS, SOFTWARE, AND MATERIALS:
None
XI.
EVALUATION:
There will be one 100 point examination. Participants must achieve a score of 84.
Students who achieve a score of less than 84 on the exam will be given one
opportunity to retest. Any retests must be scheduled with the instructor outside of
regular class time and must be completed within one week of notification of
results. Quizzes may be given at the instructor’s discretion. Quizzes will not count
toward the final grade, but will be included as preparation for the final exam.
An “S” grade is required on the evaluation of each skill discussed and
demonstrated. Failure to achieve an “S” grade within three attempts or within ten
days of the assigned date will result in a “U” grade for the skill and an “U” for the
course, regardless of the theory grade achieved.
Successful course completion will be determined by satisfactory completion of all
required skills and a final course grade of 84 or greater.
XII.
SPECIFIC MANAGEMENT REQUIREMENTS:
To meet the objectives of the course, students must attend all scheduled classes.
At the beginning of the quarter, all instructors will pass out a class schedule that
lists all class meetings. If a student must miss a class due to extenuating
circumstances, then the student is expected to call and inform the instructor by
either talking with the instructor or leaving a message should the instructor not be
available.
HPER 2261 – Advanced Cardiac Life Support for Novice Providers
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Any student, who misses a scheduled competency, either demonstration or checkoff, must make an appointment with the instructor within one week of return to
school to make up this portion of class. Failure to do so will result in a “U” for the
competency, therefore, failure for the course. It is the student’s responsibility to
make these arrangements.
XIII. OTHER INFORMATION:
FERPA: Work submitted in this class may be seen by others. Others may see
your work when being distributed, during group project work, or if it is chosen for
demonstration purposes. Other instructors may also see you work during the
evaluation/feedback process. There is also a possibility that your papers may be
submitted electronically to other entities to determine if references are cited
appropriately.
DISABILITIES: If you have any condition or situation which will make it
difficult for you to carry out the work as outlined, please notify me as soon as
possible. Students with disabilities may contact the Disabilities Service Office,
Central Campus at 800-628-7722 or 937-393-3431.