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: 2261CATALOG PREFIX:HPER
II.PREREQUISITE(S):EMTP 2220Or NURS2205, 2210, 2220OrRESP 2205
III.CREDIT HOURS:2LECTURE HOURS:2
LABORATORY HOURS:0OBSERVATION HOURS:0
IV.COURSE DESCRIPTION:
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.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.
Grading will be accorded using the following schedule:
S=Satisfactory
U=Unsatisfactory
VI. ADOPTED TEXT(S):
Advanced Cardiovascular Life Support Provider Manual
AmericanHeart Association, Publisher.
Order ID number 15-1005
ISBN: 978-1-61669-400-5
Copyright: 2016
VII.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)
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
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 wide- complex 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
VIII.COURSE METHODOLOGY:
Lecture, discussion, skill demonstration, simulation, practical scenarios, and other appropriate methodologies may be utilized as appropriate to the course objectives.
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 1Introduction
ECG rhythm interpretation
Week 2ECG rhythm interpretation (continued)
Week 3ECG rhythm interpretation (continued
Pharmacology
Week 4Pharmocology (continued)
Week 5Pharmacology (continued)
Week 6Airway management
Week 7Airway management (continued)
Week 8Respiratory arrest
Week 9CPR and AED
Week 10VF / Pulseless VT
Week 11ACS and stroke
Week 12Bradycardia / PEA / Asystole
Week 13Tachycardias
Week 14Putting it all together
Week 15Review and testing
Week 16Finals
X.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.
Any student, who misses a scheduled competency, either demonstration or check- off, 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.