PMSC12004 - Advanced Electrophysiology and Coronary Care
Term 1 - 2017


All details in this unit profile for PMSC12004 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student). The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.

Overview

This unit will enable you to complete detailed clinical assessments and examination of cardiac patients, focusing on the use of 12-lead electrocardiograms as a diagnostic tool in emergency care. You will study the pathophysiology, diagnosis, and treatment of a range of cardiac and cardiorespiratory conditions, including acute coronary syndromes, cardiac failure, and cardiac arrest. Practical coronary care skills such as defibrillation will be taught in this unit. Problem based case management and clinical interventions are practiced in the high-fidelity simulation environment during the residential school, allowing you to contextualise your knowledge of coronary care in preparation for decision supported thrombolysis in Paramedic practice.

Details

Career Level Undergraduate
Unit Level Level 2
Credit Points 6
Student Contribution Band 2
Fraction of Full-Time Student Load 0.125

Pre-requisites or Co-requisites

Pre-requisite - PMSC11002 and BMSC11002

Co-requisite - PMSC12001

Residential Schools

This unit has a Compulsory Residential School for distance mode students and the details are:
Click here to see your Residential School Timetable.

Attendance Requirements

All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).

Offerings

Term 1 - 2017
  • Cairns
  • Mixed Mode
  • Rockhampton
  • Townsville

Website

This unit has a website, within the Moodle system, which is available two weeks before the start of term. It is important that you visit your Moodle site throughout the term. Go to Moodle

Recommended Student Time Commitment

Each 6-credit Undergraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.

Class Timetable

Assessment Overview

Assessment Task Weighting
1. Written Assessment 50%
2. Written Assessment 50%
3. Practical Assessment Pass/Fail

This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Procedures for more details of interim results and final grades.

All University policies are available on the IMPortal.

You may wish to view these policies:

  • Grades and Results Procedure
  • Assessment Policy and Procedure (Higher Education Coursework)
  • Review of Grade Procedure
  • Academic Misconduct Procedure
  • Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
  • Monitoring Academic Progress (MAP) Policy and Procedure – International Students
  • Refund and Excess Payments (Credit Balances) Policy and Procedure
  • Student Feedback – Compliments and Complaints Policy and Procedure
  • Acceptable Use of Information and Communications Technology Facilities and Devices Policy and Procedure

This list is not an exhaustive list of all University policies. The full list of University policies are available on the IMPortal.

Feedback, Recommendations and Responses

Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.

Feedback Source Recommendation
The lectures were too long Course evaluations The structure and length of the lectures will be revised .
The prescribed textbook did not enhance the students learning Course evaluations An alternate textbook will be sourced for the next offering and other alternative resources will be explored.
Timing of the residential school needs to be changed to be completed after PMSC12001 residential school. It would also be helpful to have a whole day of ECG interpretation at residential school Course evaluations and self reflection The residential school timing will be changed next offering to allow students to complete PMSC12001 residential school before attending this residential school. The structure will also be revised to allow the students some ECG interpretation time while attending the residential school.
On successful completion of this unit, you will be able to:
  1. Undertake thorough clinical history and assessment of cardiac patients, including ECG acquisition, coronary care skills and physical examination.
  2. Accurately interpret ECGs to diagnose coronary conditions including dysrhythmias and acute coronary syndromes.
  3. Describe and differentiate several common coronary and cardiorespiratory pathologies.
  4. Synthesize clinical assessment data to diagnose cases and apply industry guidelines to develop clinical management plans.

Justification for this unit is strongly influenced by industry feedback on first CQUniversity graduate paramedics. By increasing the paramedic-specific focus of this unit the graduates will be better prepared for independent on-road practice without additional educational support from the ambulance services.

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4
1 - Written Assessment    
2 - Written Assessment    
3 - Practical Assessment  

Alignment of Graduate Attributes to Learning Outcomes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Graduate Attributes Learning Outcomes
1 2 3 4
1. Communication    
2. Problem Solving
3. Critical Thinking
4. Information Literacy    
5. Team Work    
6. Information Technology Competence      
7. Cross Cultural Competence    
8. Ethical practice  

Alignment of Assessment Tasks to Graduate Attributes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7 8
1 - Written Assessment        
2 - Written Assessment      
3 - Practical Assessment

Prescribed Textbooks

The 12 Lead ECG in Acute Coronary Syndromes
Author/s: Tim Phelan, Barbara Aehlert Year: 2012
Edition: Third Edition Publisher: Elsevier
City: Maryland Heights State: Missouri
Country: USA
View textbooks at the CQUniversity Bookshop

Other Resources

These are not compulsory, but may assist you:
Huszar's Basic Dysrhythmias and Acute Coronary Syndromes
Author/s: Wesley Year: 2010
Edition: Fourth Publisher: Elsevier
City: St. Louis State: Missouri
Country: USA
Other resources may be available at CQUniversity Library. Note:

Both of the above texts are packaged with a pocket reference for the same price as the textbook. See them both at the CQUni Bookshop here: http://bookshop.cqu.edu.au

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
  • Access to Zoom
  • Access to University Library System
  • Access to UCROO
All submissions for this unit must use the American Psychological Association (APA) referencing style (details can be obtained here). For further information, see the Assessment Tasks below.
Unit CoordinatorLaura Triffett (laura.triffet@cqu.edu.au)
Note: Check the Term-Specific section for any additional contact information provided by the teaching team
Week Begin Date Module/Topic Chapter Events and Submissions
Week 1 06-03-2017

Anatomy & Physiology review, ECG basics, Resuscitation and Defibrillation review.

Chapter 1 Pages 1-20

Week 2 13-03-2017

12 Lead ECG Introduction

Chapter 2 & 3 Pages 21-57
Week 3 20-03-2017

Dysrhythmias Part 1

Week 4 27-03-2017

Dysrhythmias Part 2

Week 5 03-04-2017

Atrioventricular & Bundle Branch Blocks

Mind Map Due Friday (07 Apr 17) 11:00 PM AEST
Vacation Week 10-04-2017

Break Week

Week 6 17-04-2017

Coronary Heart Disease & Acute Coronary Syndrome Part 1

Chapter 4 Pages 61-71

Week 7 24-04-2017

Acute Coronary Syndrome Part 2

Chapter 5, 6 & 7 Pages 75-156

Week 8 01-05-2017

Other ECG findings

Peerwise Due Friday (05 May 17) 06:00 PM AEST
Week 9 08-05-2017

Case Studies

Chapter 8 & 9 Pages 159-296

Townsville Residential School 12th-15th May

Week 10 15-05-2017

Self orientated course revision

No assigned reading; use this time to ensure learning and assessment tasks are completed.

Rockhampton Residential School One 16th-19th May

Rockhampton Residential School Two 20th-23rd May

Cairns Residential School 15th-18th May

Week 11 22-05-2017

Self orientated course revision

No assigned reading; use this time to ensure learning and assessment tasks are completed.

Week 12 29-05-2017

Case Studies & Unit Review

Chapter 8 & 9 Pages 159-296

Review/Exam Week 05-06-2017
Exam Week 12-06-2017

1 Written Assessment

Assessment Title Mind Map
Task Description

For this assessment you will be required to construct a reflective mind map related to a cardiac condition.

You may choose any cardiac condition other than Acute Coronary Syndrome to construct your mind map.

You must include the following information:- PATHOPHYSIOLOGY, DIAGNOSIS, PRESENTATION, EMERGENCY TREATMENT, PHARMACOLOGY, EPIDEMIOLOGY & RISK FACTORS.

You must research your chosen condition and under each of the headings above you must examine what that heading means to you and display it as a mind map.

Presentation Format

You will be required to prepare a ONE page mind map of your understanding of this condition using the above headings.

You must also submit a second page with a list of your references.

There will be a suggested minimum word count of 750 for this assessment.


Assessment Due Date Week 5 Friday (07-Apr-2017) 11:00 PM AEST
Return Date to Students Week 7 Friday (28-Apr-2017)
Feedback will be provided to students within 2 weeks of the due date for this assessment.
Weighting 50%
Assessment Criteria

You must present a clear, well researched mind map showing your understanding of the cardiac condition you have chosen.

Examples will be provided in Moodle; however you are free to research mind maps and decide on how you would like to present your work. Please note it must be a written presentation i.e. word document, PDF, power-point or similar. A marking rubric will be available via the Moodle page prior to the assessment due date.

You must achieve a pass mark of 50% in order to pass this assessment.

This assessment task must be completed individually and you should not collaborate with any other student. For this assessment task no late submissions will be accepted. In the absence of an approved extension, there will be no opportunity to complete the task after this date, and there will be no opportunity to apply a late penalty of five per cent per day. Therefore this assessment task must be completed by the due date.

Conditions Minimum mark or grade - 50
Referencing Style American Psychological Association (APA)
Submission Online

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

3. Describe and differentiate several common coronary and cardiorespiratory pathologies.

4. Synthesize clinical assessment data to diagnose cases and apply industry guidelines to develop clinical management plans.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

2. Problem Solving

3. Critical Thinking

4. Information Literacy

6. Information Technology Competence



2 Written Assessment

Assessment Title Peerwise
Task Description

Part A: PeerWise (20%)

You are required to write a minimum of seven (7) multiple choice questions related to coronary and cardiorespiratory pathophysiology, presentation or management, using the PeerWise software. These questions must relate to the learning outcomes of the unit. You must also provide detailed answers to those questions. The questions and answers must be detailed and valid. An explanation of the correct answer must also be provided. The ability to write a good question requires you to have truly understood a topic and shows evidence of a deeper level of understanding.

The questions must be uploaded to the PeerWise software and you must answer a minimum of seven (7) other questions and provide appropriate feedback on those questions. Using peer review and asking you to give appropriate feedback is very important and will allow you to reflect and monitor your progress. It will also allow you to develop and demonstrate the ability to judge yourself and others against a set standard.

This assessment task also provides you with the opportunity to use the question and answers provided as revision for your own study.

Academic staff can also provide feedback on the quality of the questions submitted and the answers generated and will monitor the Peerwise software, questions, answers and peer reviews. The Peerwise software will be open from the end of week 2 until the end of week 8. You can choose to upload a single question each week or can upload all questions at the same time.

Part B: Short Answer Questions (30%)

You will be required to answer two (2) short answer essays out of 6 questions provided. You must research and use evidence based date to discuss your thoughts on the given situations.

Further information and the six (6) questions will be provided to you in Week 2 via the Moodle page.

Word Count: 300words (+/- 10%) for both short answer essays.

Assessment Due Date Week 8 Friday (05-May-2017) 06:00 PM AEST
All questions,reviews and short answer essays must be completed by the due date.
Return Date to Students Week 10 Friday (19-May-2017)
Weighting 50%
Assessment Criteria

To achieve a pass mark in this assessment you must submit all seven (7) questions and must answer at least seven (7) other questions from your peers and provide constructive feedback for those questions.You must also submit both short answer essays.

As you contribute to PeerWise, you will accumulate a score which is composed of three parts:
  • Writing questions (Questioning),
  • Answering questions (Answering), and
  • Rating questions you have answered (Rating).

The more questions you create and answer the better your overall score will be.

On completion of the task you will receive an overall score that is generated by the PeerWise software based on the quality of the questions submitted and by the feedback gained from fellow students, this score will then be converted to a percentage and added to the marks from part B.

The PeerWise score will contribute to 20% of this assessment item with the Short Answer Questions contributing to the final 30%

In order to achieve a passing grade you must achieve a pass mark of greater than 50% for part A & part B.

A marking rubric for the short answer essays will be provided on the Moodle page.

Conditions Minimum mark or grade - 50%
Referencing Style American Psychological Association (APA)
Submission Online

Hard Copy

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

2. Accurately interpret ECGs to diagnose coronary conditions including dysrhythmias and acute coronary syndromes.

3. Describe and differentiate several common coronary and cardiorespiratory pathologies.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

3. Critical Thinking

4. Information Literacy

6. Information Technology Competence



3 Practical Assessment

Assessment Title Practical Assessment
Task Description

For this assessment students will be required to attend a compulsory residential school. This assessment consists of two (2) components.

Part A

You will be assessed in an OSCE format throughout the compulsory residential school. In an OSCE clinical skills are tested as well as theoretical knowledge. It is essential to learn correct clinical methods, and then practice repeatedly until you perfect the methods whilst simultaneously developing an understanding of the underlying theory behind the methods used.

There will be a total of three (3) assessment tasks each designed to assess knowledge and practical skills acquired during this course. The assessment tasks will consist of OSCE's. The format of the OSCE's will be CME (Case Management Exercise), Viva Voce or a clinical skill station which relates to the learning outcomes of this unit.

There will be two (2) long case CME's where students will be allocated 20 minutes to complete each assessment.

The long case CME will be in the format of a structured scenario looking at the following areas :

Patient assessment and history taking

Evidence gathering and patient treatment

Implementation of interventions, procedures and skills

Overall patient and scene management

There will also be a short case OSCE which will be in the form of a Viva Voce or a clinical skill station and students will be allocated 10 minutes to complete this assessment task.

According to the Encyclopedia and Dictionary of Medicine, Nursing and Allied Health, "Critical" can be defined as: Extremely important or essential.

Critical errors in this unit will be classed as anything that causes immediate harm to yourself, partner, patient or bystanders and/or any procedure that is performed outside the scope of practice. During any form of assessment, if any of the following are witnessed the assessment will immediately cease and no marks will be given for that item:

  • Unsafe defibrillation
  • Incorrect joulage delivered to the patient
  • Defibrillation of an unshockable rhythm
  • Failure to recognise a shockable rhythm
  • No or incomplete drug check
  • Incorrect sharps disposal
  • Performing a skill and/or procedure outside the scope of practice taught to you in PMSC12001 or PMSC12004

Part B

Students must complete an ECG exam at the residential school. This assessment task will consist of twenty (20) 12 Lead ECG’s. Students will be required to answer questions based on the ECG’s provided. Some questions will require the student to provide an accurate interpretation of the 12 lead ECG finding and some questions will require a short answer based on the ECG presented


Assessment Due Date The Practical Assessment will take place during the Residential School
Return Date to Students Results and feedback will be given to students within 2 weeks of completion of the residential school.
Weighting Pass/Fail
Assessment Criteria

Part A

Each long case OSCE will be worth 20% of the overall mark for this assessment and each short case OSCE will be worth 10% of the overall mark for this assessment.

There will be varied scoring tools based on the type of OSCE assessment. The scoring tools for each station are validated and reliable and will be available to students via the Moodle page at the commencement of term.

Students must achieve an overall pass mark of 50% for all three (3) OSCE to pass part A.

Part B

Students must review each ECG carefully. If an interpretation is required you must follow a systematic analysis and provide a rhythm interpretation of each 12 lead ECG, this must include rate, rhythm, full analysis of the ECG and any other abnormalities that are shown. If no rhythm interpretation is included in this answer, no marks will be given for that question.

They must answer any question associated with the presented ECG.

The pass mark for this assessment task is 60%, which is higher than the University pass mark of 50%. This is why we prefer a pass/fail model of grading. This is about assessing your competence in ECG interpretation rather than academic attainment.

Students must achieve a passing grade for BOTH part A & part B to pass this assessment.

Conditions Minimum mark or grade - 50%
Referencing Style American Psychological Association (APA)
Submission Hard copy

Hard Copy

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Undertake thorough clinical history and assessment of cardiac patients, including ECG acquisition, coronary care skills and physical examination.

2. Accurately interpret ECGs to diagnose coronary conditions including dysrhythmias and acute coronary syndromes.

4. Synthesize clinical assessment data to diagnose cases and apply industry guidelines to develop clinical management plans.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

3. Critical Thinking

4. Information Literacy

5. Team Work

6. Information Technology Competence

7. Cross Cultural Competence

8. Ethical practice




© 2017 CQUniversity
Page generated by apps-prod-01.cqu.edu.au at Fri May 26 11:44:11 AEST 2017