Syllabus
COURSE TITLE: Cardiac Monitoring Procedures
COURSE NUMBER: MED 294
CLASS MEETING DAY & TIME: Wednesday, 6 pm
COURSE DESCRIPTION:
This course is an introduction to the anatomy/physiology of the cardiac cycle, the electrical
system of the heart. The student will be introduced to the normal sinus rhythm, atrial arrhythmia,
junctional rhythm, ventricle rhythm. The student will be introduced to 12 lead EKG lead
attachment.
COURSE PREREQUISITES:
Anatomy & Physiology I, MED 153 and Anatomy/Physiology II, MED154 may be taken
concurrently.
LECTURE HOURS: 40
EXPECTED HOMEWORK HOURS: 80
ACADEMIC CREDITS HOURS AWARDED: 4.0 Quarter Credit Hours
LAB HOURS: None
LAB REQUIREMENTS: None
INSTRUCTOR: Lisa H. Young, RN, BSN, MA Ed.
INSTRUCTOR CONTACT INFORMATION: Lyoung@daymarcollege.edu
Cell or text: 270-202-6137
STUDENT LEARNING OUTCOMES:
Upon completion of this course, the student will:
1. Identify the normal blood flow and electrical pathway of the heart with 100% accuracy.
2. Identify Normal Sinus Rhythm with 100% accuracy.
3. Identify Sinus Arrhythmias with 90% accuracy.
4. Identify Atrial Arrhythmias with 90% accuracy.
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5. Identify Junctional Arrhythmias with 90% accuracy.
6. Identify Ventricular Arrhythmias with 90% accuracy.
7. Identify Premature Beats with 90% accuracy.
8. Identify Atrioventricular Block Arrhythmias with 90% accuracy.
9. Identify Asystole, PEA, Agonal, and Pacemaker rhythms with 90% accuracy.
10. Demonstrate proper lead placement for rhythm monitoring with 80% accuracy.
11. Demonstrate proper lead placement for holter monitoring with 80% accuracy.
12. Demonstrate proper lead placement for 12 lead EKG with 80% accuracy.
13. Analyze a total of 200 heart arrhythmia strips with 90% accuracy.
INSTRUCTIONAL MATERIALS, REFERENCES, AND TEXT:
Understanding EKGs; A Practical Approach, 3rd edition. Beasley, Brenda. Pearson. ISBN:
978-0-13-506906-6
EKG in a Heartbeat, 2nd edition. Ellis. Pearson. ISBN: 9780135069066.
Medicallyoung.wordpress.com blog for additional information and assignments
www.pearsonhighered.com/beasly: textbook companion website
www.skillstat.com: EKG rhythm simulator for rhythm interpretation practice
RMA examination EKG requirements
CCI CardiographicTechnology certification examination EKG requirements.
METHOD OF INSTRUCTION AND TEACHING STRATEGIES: Lecture, computer usage, DVD
instructional films, worksheets, quizzes and exams with power point presentation.
REQUIREMENTS FOR SUCCESSFUL COMPLETION & EVALUATION:
Successful completion involves class participation, attendance, and completion of work by
assigned dates, and taking exams on assigned dates. If assignments are 1 week late, the grade
for this work will be dropped one letter grade. Example (A will be a B). After two weeks, it will be
an F.
GRADING SCALE: Grade determination:
Professionalism
Worksheets/Quiz
Rhythm Strips
LRC Project
Portfolio Project
Final Assessment
90 – 100 %
80 – 89%
70 – 79%
60 – 64%
Below 64%
10%
20%
25%
10%
10%
25%
100%
A
B
C
D
F
LEARNING RESOURCE CENTER/INTERNET ASSIGNMENT:
Each student will be expected to visit the media resource center, find a Medical related journal
or newspaper article on the internet, and give a brief summary of the information to the class.
Resources for this project from the Learning Resource Center or ProQuest database or Elibrary
(see attached hand-out)
Topic: Cardiac arrhythmia including definition, signs and symptoms, treatment and / or
management of arrhythmias
LEARNING RESOURCE CENTER INFORMATION:
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Robin McGinnis, Coordinator
Office Hours: 8am – 5:30pm Mon – Thurs, 8am – 2pm
Fridays
The LRC is open to student
8am – 9pm Mon – Thurs
8am – 2pm on Fridays
THE PACIFIC INSTITUTE ELEMENT:
This course will provide the student with a fundamental understanding of the heart anatomy and
the ability to apply heart anatomy knowledge to understand common heart diseases, such as
cardiomyopathy, hypertension, coronary artery disease, and valvular dysfunction.
PORTFOLIO PROJECT: Each student will receive an outline identifying the new skills they
have mastered for their portfolio. Portfolio will be reviewed at end of course for completeness.
COURSE/CLASSROOM POLICIES:
Participation/Professionalism:
Each student must accept responsibility in the use of the facilities at Daymar and obey the
policies and procedures. The instructor will conduct this class in a mature manner. It is expected
that each student will act in the same adult manner when interacting with classmates and the
instructor. It is my responsibility to maintain an atmosphere conducive to learning in the
classroom, and I will do so. Please spare everyone the stress and embarrassment by being
courteous and obeying classroom rules.
Attendance:
Students are expected to attend all scheduled courses in order to achieve the learning goals of
their program. Prospective employers are often as concerned with applicants’ school attendance
records as with their academic records. Attendance has a direct bearing on the students’ final
grade in each course. If a student has been out of school for 14 consecutive days, the student will
be withdrawn from school. Refer to Unofficial Withdrawal in the catalog.
Internet Usage:
There is to be no Internet surfing during class time unless instructed by the instructor.
Tardiness:
Attendance is recorded during the first ten minutes of each class session. The instructor updates
the attendance record at the end of each class. If you know you will be late, please call Daymar
and leave a message for your instructor.
Late Work:
Assignment due dates will be announced in class and will allow sufficient time for each
assignment to be completed. Late homework, papers, etc. will be penalized. In-class
assignments, quizzes, presentations, and other daily work cannot be made up. The instructor may
extend an assignment due date for a student based upon individual circumstances. However, the
situation must first be discussed and approved by the instructor.
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Completion Of Course Work:
All course work must be turned in by the last day of class. Work turned in after the last day of
class will not be accepted for credit except under special circumstances approved by the Director
of Education and/or the Campus Director.
Dress:
Students are required to dress in attire appropriate for a college classroom, and are to refrain
from wearing clothing that might be considered “distracting” to others in the classroom. In
addition, the curriculum has assignments in which a student’s professional appearance will be
evaluated as part of the overall grade of the assignment.
Decorum:
The following are some behaviors inappropriate for a college classroom:
*sleeping in class
*children in class
*unauthorized visitors
*rude behavior
* interrupting speakers *profane language
Cell phones: A communication devices MUST be turned off or put on silent mode during class
time. Text messaging is not allowed during instructional time.
Academic Dishonesty:
Plagiarism is defined as an act or instance of stealing or passing off the ideas or words of another
as one’s own, or to use a creative production without crediting the source. Incidences of
academic dishonesty will result in severe penalty up to and including a failing grade for the
course, as well as being noted on the student’s permanent record. Additional incidences of
academic dishonesty could result in a student’s permanent expulsion from Daymar.
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Course Overview and Outline (adjusted according to number of weeks in quarter)
Class
Week
1
2
Learning Outcomes / Objectives
WIIFM
Identify the normal blood flow and electrical
pathway of the heart with 100% accuracy
Review blood flow of the heart and an introduction to
heart electrical conduction system and normal sinus
rhythm, blood flow of the heart and electric
conduction pathway of the heart.
Identify normal sinus rhythm with 100% accuracy.
Demonstrate proper lead placement for rhythm
monitoring with 80% accuracy.
Introduction to rhythm strip analysis including the
characteristics for normal sinus rhythm.
I can recite and label normal
blood flow through the heart as
well as the normal electrical
pathway of the heart.
I can use the steps to identify
rhythms using a systematic
approach. I can identify normal
sinus rhythm on a rhythm strip.
I can properly apply electrodes
for rhythm strip monitoring.
I can identify sinus arrhythmias.
3
Identify sinus arrhythmias with 100% accuracy.
Introduction to Sinus Arrhythmias.
Practice sinus dysrhythmia strip analysis
4
Identify atrial arrhythmias with 100% accuracy.
Introduction to Atrial Arrhythmias
Practice atrial dysrhythmia strip analysis
I can identify atrial arrhythmias.
5
Identify junctional arrhythmias with 100% accuracy
Junctional dysrhythmia introduction
Practice junctional dysrhythmia strip analysis
I can identify junctional
arrhythmias.
Review of Normal Sinus Rhythm, Sinus
Arrhythmias, Atrial Arrhythmias and Junctional
Arrhythmias
6
I can identify NSR, sinus, atrial
and junctional arrhythmias on a
ECG rhythm strip as with
telemetry monitoring.
Mid-term examination
Midterm grade evaluation
Identify atrioventricular conduction block
arrhythmias Introduction to AV conduction heart
block dysrhythmias
.
8
Identify ventricular arrhythmias with 100%
accuracy.
Ventricular dysrhythmia introduction.
Practice ventricular dysrhythmia strip analysis
I can identify ventricular
arrhythmias.
9
Identify Asystole, PEA, Agonal rhythms with 90%
accuracy.
Practice rhythm strips for these arrhythmias.
10
Identify Pacemaker rhythms with 80% accuracy.
Demonstrate proper lead placement for holter
monitoring with 80% accuracy
I can identify asystole and
arrhythmias with
intraventricular conduction
defects
I can identify pacemaker
rhythms. I can apply electrodes
for Holter Monitoring.
7
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I can identify advanced heart
block arrhythmias.
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11
Arrhythmia review of all rhythms.
12
Final Assessment
I can correctly identify all
arrhythmias introduced.
I have completed course
requirements successfully.
Textbook Reading Schedule and Homework Assignments
(subject to change…monitor blog for updates; medicallyoung.wordpress.com)
Class
Chapters & Homework Assignments
Week
Week 1 Chapter 1: The Anatomy of the Heart Structure
1/21
Chapter 2: Cardiovascular Physiology Function
Chapter 3: Basic Electrophysiology
Chapter 4: The Electrical Conduction System
Due
Date
Week 2
1/28
Textbook Web Resources: Heart Physiology A&P of the Heart Gross Physiology of
the Cardiovascular System, Cardiac Conduction System Anatomy and function of the
Heart’s Electrical System, Heart Rhythm Society Electrophysiology
Week 2
1/28
Assignments: Chapter 1& 2, 3 & 4 worksheets
Chapter 5: The Electrocardiogram
Chapter 6: Interpretation of an EKG Strip
Week 3
2/4
Textbook Web Resources: ACLS.net, ECG Library Electrocardiogram Web Database
& Supplemental information about 12 Lead EKG electrode placement and tracing,
ACLS.net, Primer on Basic Concepts A Primary Approach to the ECG.
Week 3
2/4
Week 4
2/11
Week 5
2/18
Week 6
2/25
Assignments: Chapters 5 & 6 worksheets, Glossary #1 Worksheet &
Basic Electrocardiography Worksheet, and identify waveforms of a
cardiac rhythm strip
Chapter 7: Introducing the Sinus Rhythms
Textbook Web Resources: Sinus Rhythms Normal Heart Rhythm
Assignments: Chapter 7 worksheet, Sinus Arrhythmia Worksheet, and
Midterm Review Worksheet
Chapter 8: Introducing Atrial Rhythms
Textbook Web Resources: Arrhythmias Originating in the Atria
Assignments: Chapter 8 worksheet, Sinus rhythm strip packet, glossary
#2 worksheet
Assignments: Atrial Rhythm strip packet, Atrial Rhythms Worksheet
Week 4
2/11
Week 5
2/18
Midterm Exam
Week 6
2/25
Midterm grade evaluation
Chapter 9: Introducing the Junctional Rhythms
Chapter 11: Introducing the Heart Block Rhythms
Week 7
3/4
Textbook Web Resources: Junctional Arrhythmias, Heart Block
Week 7
3/4
Week 8
3/11
Assignments: Chapters 9 & 11 worksheets, Junctional Rhythms
worksheet, AVB Rhythms worksheet
Chapter 10: Introducing the Ventricular Rhythms
Textbook Web Resources: Ventricular Rhythms
Week 8
3/11
Assignments: Junctional rhythm strip packet, Ventricular Rhythms
worksheet, Glossary #3 worksheet
Chapter 12: Introducing the Pacemaker Rhythms & Introduction to
Asystole, Pulseless Electrical Activity, and Agonal arrhythmias
Week 9
3/18
Textbook Web Resources: Mastering Temporary Invasive Pacemaking
Assignments: Chapter 12 worksheet, AVB rhythm strip packet, Other
rhythms worksheet, Final Review Assessment Worksheet
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Week 9
3/18
Chapter 13: Assessment and Treatment of the Patient with Cardiac
Emergencies
Textbook Web Resources: ACLS.net, AHA.com
Week 10
3/25
Week
10
3/25
Assignments: Chapter 13 worksheet, Glossary #4 worksheet, and
Ventricular rhythm strip packet
Prepare for final assessment
Final Competency Assessment
Post Test Rhythm Packet due
LRC project due
Portfolio project due
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