Standard


Posted: 11/13/07

R State Standard         £  Institutionally Developed          College: N/A

 

VAS 144 – Vascular Clinical II

 

Course Description

Provides the student opportunities to participate and perform competencies achieved in the noninvasive vascular laboratories and radiology departments. Also, the student will practice competencies to include abdominal, visceral and extremity venous vascular procedures. Topics include: equipment utilization; patient history, identifying risk factors, and contributing disease; procedural skills and patient care; extremity venous vascular procedures, cerebrovascular testing, advanced cerebrovascular testing, extremity arterial vascular procedures, and indirect testing.


 

Competency Areas

Hours

Equipment Utilization

Class

0

Patient History, Identifying Risk Factors, and Contributing Disease

D. Lab

0

Procedural Skills and Patient Care

P. Lab/O.B.I.

24

Extremity Venous Vascular Procedures

Credit

8

Cerebrovascular Testing

 

 

Advanced Cerebrovascular  Testing

 

 

Extremity Arterial Vascular Procedures

 

 

Indirect Testing

 

 

 

Prerequisite:

VAS 143

Corequisite:

None

 

Course Guide

 

Competency

After completing this section, the student will be able to:

Hours

Class

D.Lab

P.Lab/

O.B.I.


Equipment Utilization

0

0

30

 

Observe safety checks of equipment and accessories.

 

 

 

 

Recognize and report malfunctions in equipment used in vascular procedures.

 

 

 

 

Inspect and clean equipment and rooms to be used during procedures.

 

 

 

 

Demonstrate knowledge and or location of the following:

a.  On/Off Switch

b.  Indirect Testing Equipment

c.  Duplex Scanner

d.  Continuous Wave Doppler

e.  Dual Channel Recorder

f.    Photo-plethysmography

g.  Overall Gain

h.  Time Gain Compensation

i.    Freeze Control

j.    Depth Control

k.  Pulsed Wave Doppler

l.    Color Doppler

m.     Angle Correction

n.  Scale/Baseline/Invert

o.  Transducers

i. Selection for study (Linear, curved, etc.)

ii. Frequency for study

p.  Image Orientation and Manipulation

i.   Longitudinal (head to the left)

ii.  Transverse (right, left, lateral, medial)

             iii. Scan Planes

 

 

 

Patient History, Identifying Risk Factors, and Contributing Disease

0

0

20

 

Assess signs and symptoms of extremity venous patients including;

a.    Acute and chronic deep vein thrombosis

b.    Chronic venous insufficiency

c.    Risk factors and contributing diseases

d.    Mechanisms of disease

e.    Physical Examination

 

 

 

 

Recognize pertinent laboratory results.

 

 

 

 

Identify risk factors and contributing, diseases for each patient for extremity and cerebrovascular  procedures

 

 

 

 

Demonstrate completion of patient history including:

a.    Identifying the signs and symptoms

b.    Identifying risk factors and contributing diseases

c.    Identifying the mechanisms of disease

d.    Recognize pertinent laboratory results

     i. Demonstrate completion of physical examination

 

 

 

Procedural Skills and Patient Care

0

0

30

 

Prepare exam room for the ordered procedure.

 

 

 

 

Gather appropriate paperwork.

 

 

 

 

Greet patient and verify patient identification.

 

 

 

 

Obtain pertinent clinical information from the patient or the patient's medical chart.

 

 

 

 

Enter patient ID into equipment.

 

 

 

 

Explain procedure to the patient.

 

 

 

 

Position patient appropriately for procedure.

 

 

 

 

Properly clean equipment and replace supplies after completion of each procedure.

 

 

 

 

Complete exam paperwork.

 

 

 

 

Develop and maintain a professional attitude towards patients and co-workers.

 

 

 

Extremity Venous Vascular Procedures

0

0

40

 

Perform duplex venous examinations of the upper and lower extremity.

 

 

 

Cerebrovascular Testing

0

0

40

 

Perform Basic assisted carotid study.

 

 

 

Advanced Cerebrovascular

0

0

10

 

Perform TCD examinations.

 

 

 

Extremity Arterial Vascular Procedures

0

0

40

 

Practice arterial duplex examinations of the upper and lower extremity.

 

 

 

Indirect Testing

0

0

30

 

Perform the following indirect tests

a.    Pneumo-plethysmography

b.    Photo-plethysmography

c.    Reflux testing

d.    Cold tolerance testing

e.    Thoracic outlet syndrome testing

f.      Exercise testing

g.    Reactive hyperemia testing

 

 

 

 

Suggested Resources

 

Daigle, R (2002). Techniques in Noninvasive Vascular Diagnosis. (2007) Summer Publishing: ISBN:  0-9720653-0-X

Mosby’s Pocket Dictionary of Medicine, Nursing & Health Professions. (5th ed.) Elsevier. ISBN-13: 978-0-323-03943-7

Ridgeway, D. (1998). Introduction to Vascular Scanning. (3rd ed.) Pasadena: Davies Publishing. ISBN: 0-9410-2239-0

Scissons, R. (2003). Physiologic Testing: Techniques and Interpretation. North Kingstown.: Unetixs Corporation

Strandness, E. (2002). Duplex Scanning in Vascular Disorders. (3rd ed.) Philadelphia: Lippincott Publishing.
ISBN:  0-7817-2631-X

Taber’s Cyclopedic Dictionary. (20th ed) F. A. Davis. ISBN-13: 978-0-8036-1207-5

Thrush, A. (2005). Peripheral Vascular Ultrasound. (2nd Ed.) Elsevier: Churchill Livingstone. ISBN-13: 978-0-443-07283-3

Zweibel, W., Pellerito, J. (2005), Introduction to Vascular Ultrasonography. (4th ed.) Elsevier: ISBN: 0-7216-6949-2