Standard

Posted: 11/14/07

R State Standard £ Institutionally Developed College: N/A

VAS 245– Vascular Clinical III

Course Description

This course provides opportunities for the student to participate in and perform with assistance procedures performed in noninvasive vascular laboratories, radiology departments, imaging centers, and surgical departments. Continued participation by the student will progressively lead to the unassisted performance of diagnostic procedures under the supervision of an appropriately credentialed technologist. Emphasis is placed on medical therapy, surgical therapy, and other diagnostic tests performed in settings other than vascular laboratories. Topics include: equipment utilization; patient history; procedural skills and patient care; cerebrovascular procedures; therapeutic intervention; diagnostic tests for vascular diseases; carotid, arterial, venous, limited TCD, and limited abdominal duplex; and imaging and measuring abdominal organs and recognizing normal and abnormal echo patterns.

Competency Areas	Hours
Equipment Utilization	Class	0
Patient History	D. Lab	0
Procedural Skills and Patient Care	P. Lab/O.B.I.	24
Cerebrovascular Procedures	Credit	8
Therapeutic Intervention
Diagnostic Tests for Vascular Diseases
Carotid, Arterial, Venous, Limited TCD, and Limited Abdominal Duplex
Imaging and Measuring Abdominal Organs and Recognizing Normal and Abnormal Echo Patterns

Prerequisite:	VAS 144
Corequisite:

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	10
	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 to include: On/Off Switch Indirect Testing Equipment Duplex Scanner Continuous Wave Doppler Dual Channel Recorder Photoplethysmography Overall Gain Time Gain Compensation Freeze Control Depth Control Pulsed Wave Doppler Color Doppler Angle Correction Scale/Baseline/Invert Transducers i. Selection for study (Linear, curved, etc.) ii. Frequency for study Image Orientation and Manipulation i. Longitudinal (head to the left) ii. Transverse (right, left, lateral, medial) iii. Scan Planes
Patient History		0	0	10
	Signs and symptoms of extremity venous patients to include: acute and chronic deep vein thrombosis chronic venous insufficiency.
	Risk factors and contributing diseases.
	Mechanisms of disease.
	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 to include: Identifying the signs and symptoms. Identifying risk factors and contributing diseases. Identifying the mechanisms of disease. Recognize pertinent laboratory results i. As demonstrated during the completion of a physical examination.
Procedural Skills and Patient Care		0	0	10
	Prepare exam room for the ordered procedure.
	Gather appropriate paperwork.
	Greet patient / 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.
Cerebrovascular Procedures		0	0	10
	Perform carotid duplex ultrasounds
	Analyze spectral information from common, internal, external carotid arteries and vertebral arteries
Therapeutic Intervention		0	0	20
	Practice intervention skills for Pseudo aneurysm Ablation to include: Thrombin Injection Compression
Diagnostic Tests for Vascular Diseases		0	0	60
	Demonstrate skills for diagnostic tests for vascular diseases to include: Pneumo-plethysmography Photo-plethysmography Reflux Testing Cold Tolerance Testing Thoracic Outlet Syndrome Testing Exercise Testing Reactive Hyperemia Testing
Carotid, Arterial, Venous, Limited TCD, and Limited Abdominal Duplex		0	0	60
	Demonstrate and in order to improve skills to include: TCD Basic assisted carotid study Temporal Arteritis Dissection Subclavian steal Bypass grafts surveillance Vein Mapping A-V Fistula Evaluation Dialysis Grafts
Imaging and Measuring Abdominal Organs and Recognizing Normal and Abnormal Echo Patterns		0	0	60
	Practice imaging and measuring abdominal organs and recognizing normal and abnormal echo patterns to include: Abdominal Aortic Inferior Vena Cava Portal Renal arteries & veins Visceral Arteries

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. (5^th ed.) Elsevier. ISBN-13: 978-0-323-03943-7

Ridgeway, D. (1998). Introduction to Vascular Scanning. (3^rd 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. (3^rd ed.) Philadelphia: Lippincott Publishing. ISBN: 0-7817-2631-X

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

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

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