Division: MSAH Subject Code: CVT Course #: 222 Course Title: Cardiac Sonography Physics and Instrumentation HARRISBURG AREA COMMUNITY COLLEGE FORM 335 Course Form 335 must be updated at least every five years to qualify for state reimbursement. 1. Digital Description [§335.2]: Credit hours: Lecture hours: Lab hours: 2. 4 3 3 Catalog Description [§335.2]: Provides the student with an overview of echocardiographic scanning equipment including transducers, image display, and storage. Instrument controls including power, gain, compression, and focal zone are covered. The principles of pulse echo imaging are also presented. Laboratory sessions allow the student to manipulate equipment controls, access the internal design of transducers, experiment with scan converter and digital memory technology, and perform quality assurance tests. Students must perform a complete 2D and M-Mode echocardiogram according to establish standards. Ethics, professionalism, current job descriptions for the cardiac sonographer and the code of ethics are also presented. 3. Prerequisites: MATH 103 Corequisites: Minimum Grade Required C CVT 220 C Other: 4. Learning Outcomes [§335.2] [These outcomes are necessary to enable students to attain the essential knowledge and skills embodied in the program’s educational objectives.] Upon successful completion of the course the student will be able to: Review the basic mathematical methods and physical concepts necessary to understand ultrasonic physics. Differentiate between the basic concepts of wave interaction and propagation in different media. Calculate relevant parameters of pulsed waves used in pulse echo imaging. Describe the physics of transducers and the various ways of beam focusing and steering. 1 Division: MSAH Subject Code: CVT Course #: 222 Course Title: Cardiac Sonography Physics and Instrumentation 5. Describe how an ultrasound system works. Describe Doppler physics and its application in diagnostic ultrasonics. Describe the role of artifacts in limiting detail resolution in ultrasonic imaging. Describe different physical mechanisms of creating bioeffects. Discuss different facets of quality controls in routine maintenance of ultrasonic systems. Describe the fundamental physical principles of diagnostic ultrasound. Use the terminology of ultrasound physics and instrumentation with confidence. Demonstrate an understanding of ultrasound safety as it applies to the patient and quality control standards. Demonstrate skills in proficiency by obtaining the standard Echocardiographic views. Identify normal vs. abnormal structures using Echocardiography. Identify normal and abnormal 2D and M-Mode measurements using Echocardiography. Discuss common cardiac arrhythmias and their effects on cardiac hemodynamics. Perform M-Mode and 2D measurements of the heart. Perform ejection fraction assessment from apical four and two chamber views. Discuss common MSI as a result of prolonged scanning. Discuss ethics and professionalism as it applies to the field of cardiac sonography. Prepare for clinical rotation by discussing common clinical assessments and sonographic procedures. Planned Sequence of Learning Activities [§335.2] [These must be designed to help students achieve the learning outcomes.] 1. Sound 2. Describing Pulsed Waves 3. Intensities 4. Interaction of Sound and Media 5. Range Equation 6. Axial Resolution 7. Transducers 8. Sound Beams 9. Display Modes 10. Two-dimensional Imaging 11. Real-time Imaging 12. Pulsed Echo Instrumentation 13. Displays and Image Storage 14. Dynamic Range 15. Harmonics and contrast agents. 16. Doppler 2 Division: MSAH Subject Code: CVT Course #: 222 Course Title: Cardiac Sonography Physics and Instrumentation 17. 18. 19. 20. 21. 22. 23. 24, 6. Artifacts, Quality Assurance, Bioeffects Lab protocol; Digital and VHS M-Mode and 2D measurements Sonographer as a Student Sonographer Development Sonographer Safety Issues (MSI) Clinical Assessments and Sonographic Procedures Ethics and Professionalism List of Texts, References, Selected Library Resources or other Learning Materials (code each item based on instructional use: C-lecture/lab, Alecture, B-lab, I-internet, and V-videocourse) [§335.2] [These resources must be easily accessible to students.] Understanding Ultrasound Physics-3rd Edition, Sidney Edelman, Ph.D. 7. Prepared by Faculty Member: Pamela Pacana/Lois Schaffer Date: 11-12-07 8. Approved by Dean: Christopher W. Fowler Date: 01/29/08 This course meets all reimbursement requirements of Chapter 335, subchapters A / B. This course was developed, approved, and offered in accordance with the policies, standards, guidelines, and practices established by the College. It is consistent with the college mission. If the course described here is a transfer course, it is comparable to similar courses generally accepted for transfer to accredited four-year colleges and universities. 9. Whether transfer or career, this course is articulated with other courses so that it is an elective or a requirement of one of the college programs and it does not require students to have more than 30 credit hours of post secondary study prior to enrolling in the program. VP, Academic Affairs and Enrollment Management: R. Young Date: 1/30/08 10. Original Date of course approval by the college: 11. Date(s) of subsequent reviews: 12/1/04 3