Standard

Posted: 11/14/07

R State Standard £ Institutionally Developed College: N/A

VAS 246– Vascular Clinical IV

Course Description

This course provides a culminating clinical setting experience which allows students to analyze information and procedural instruction provided throughout the program. In a variety of settings, students perform all noninvasive vascular procedures independently with the supervision of an appropriately credentialed technologist. They also participate in procedures such as abdominal and visceral, extremity venous, extremity arterial, and cerebrovascular. Emphasis is placed on skill level improvement and final completion of all required clinical competencies presented in previous courses and practiced in previous clinical vascular courses. Topics include: professional conduct; infection control techniques; patient history; imaging and measuring abdominal organs and recognizing normal and abnormal echo patter; scope of practice of a vascular technologist; transporting patients; duplex, indirect, and TCD machine utilization; equipment utilization; procedural skills and patient care; and vascular procedures.

Competency Areas	Hours
Professional Conduct	Class	0
Infection Control Techniques	D. Lab	0
Patient History	P. Lab/O.B.I.	30
Imaging and Measuring Abdominal Organs and Recognizing Normal and Abnormal Echo Patter	Credit	12
Scope of Practice of a Vascular Technologist
Transporting Patients
Duplex, Indirect, and TCD Machine Utilization
Equipment Utilization
Procedural Skills and Patient Care
Vascular Procedures

Prerequisite:	VAS 245
Corequisite:

Course Guide

Competency	After completing this section, the student will be able to:	Hours
		Class	D.Lab	P.Lab/ O.B.I.

Professional Conduct		0	0	10
	Display appropriate dress.
	Practice professional communication skills.
	Understand and practice concepts of HIPPA.
Infection Control Techniques		0	0	5
	Practice appropriate skills to include: a. Hand washing b. Sterile technique Universal precautions
Patient History		0	0	5
	Identify signs and symptoms of extremity venous patients to include: acute and chronic deep vein thrombosis chronic venous insufficiency.
	Distinguish risk factors and contributing diseases.
	Recognize mechanisms of disease.
	Recognize appropriate areas relevant to the 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. Demonstrate Completion of Physical Examination.
Imaging and Measuring Abdominal Organs and Recognizing Normal and Abnormal Echo Patter		0	0	20
	Recognize and demonstrate normal and abnormal imaging and measuring of abdominal patterns to include: Liver Kidneys Spleen Abdominal Aortic Inferior Vena Cava portal renal arteries & veins Visceral Arteries
Scope of Practice of a Vascular Technologist		0	0	10
	Examine Scope of Practice of a Vascular Technologist to include: Exam performance Patient sonographer interaction Physician/sonographer interaction Medical Ethics HIPPA
Transporting Patients		0	0	10
	Practice safe Transporting of Patients to include: Wheelchair to Wheel chair transfer Bed to wheelchair transfer Transporting of ancillary devices i. O2 ii. Suction iii. Catheters iv. IVs d. Body Mechanics e. Fall prevention
Duplex, Indirect, and TCD Machine Utilization		0	0	210
	Practice and improve skills of Duplex, Indirect, and TCD Machine Utilization to include: TCD Complete carotid study Temporal Arteritis Dissection Subclavian steal Bypass grafts surveillance Vein Mapping A-V Fistula Evaluation Dialysis Grafts Pneumo-plethysmography Photo-plethysmography Reflux Testing Cold Tolerance Testing Thoracic Outlet Syndrome Testing Exercise Testing Reactive Hyperemia Testing
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: 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 p. Image Orientation and Manipulation i. Longitudinal (head to the left) ii. Transverse (right, left, lateral, medial) Scan Planes.
Procedural Skills and Patient Care		0	0	10
	Prepare exam room for the ordered procedure.
	Gather appropriate paperwork.
	Greet patient appropriately 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 accurately.
	Develop and maintain a professional attitude towards patients and co-workers.
Vascular Procedures		0	0	10
	Demonstrate knowledge of Pseudo aneurysm Ablation to include: a. Thrombin Injection b. Compression

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