Official Course Description: MCCCD Approval: 12/14/99
NCE251 20002-20086	LEC	3 Credit(s)	3 Period(s)
Telemetry Nursing
Cardiac anatomy and physiology and the conduction system. Elements of a cardiac assessment. Recognition of arrthymia and cardiac abnormalities seen on electrocardiogram (EKG). Indications for temporary and permanent pacing. Drug groups and their interactions specific to the cardiac patient. Normal and abnormal lab values for the cardiac patient. Pre- and post-procedure care for cardiac procedures. Nursing interventions and emergency treatment. Prerequisites: Registered Nurse (RN) and NCE248, or NCE214CA, or equivalent.

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MCCCD Official Course Competencies:
NCE251   20002-20086	Telemetry Nursing

1.	Describe basic cardiac anatomy and physiology. (I)
2.	Describe the cardiac conduction system. (I, III)
3.	Identify the elements of a cardiac assessment. (II)
4.	Describe arrthymia recognition and drug therapies. (III)
5.	Identify specific cardiac abnormalities as seen on a EKG. (III)
6.	Describe the indications for temporary and permanent cardiac pacing. (IV)
7.	Describe specific drug groups used in the treatment of the cardiac patient. (V)
8.	Describe the actions, dosing, contraindications, food/drug interactions and clinical applications for specific cardiac medications. (V)
9.	Identify normal and abnormal laboratory values consistent with management of the cardiac patient. (VI)
10.	Describe pre- and post-procedure care for patients undergoing cardiac catherization , angioplasty/stent, and open heart surgery. (VII)
11.	Describe the indications and phases of cardiac rehabilitation. (VIII)
12.	Describe nursing interventions for specific cardiac diseases. (IX)
13.	Demonstrate correct technique to ensure proper airway management. (X)

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MCCCD Official Course Outline:
NCE251   20002-20086	Telemetry Nursing

I. Cardiovascular Anatomy and Physiology A. Physiological principles B. Cardiac output C. Coronary circulation D. Peripheral circulation E. Cardiac conduction system II. Cardiac Assessment A. History B. Exam C. Cardiac assessment III. EKG Interpretation A. Review of normal rhythms B. Dangerous dysrhythmias C. Management of patient with dysrhythmias D. Cardiac abnormalities IV. Pacemakers A. Indications B. Temporary C. Permanent V. Drug Therapy A. Indications for the cardiac patient B. Antiarrhythmics 1. drug action 2. contraindications 3. food/drug interactions 4. clinical applications C. Vasoactive agents 1. drug action 2. contraindications 3. food/drug interactions 4. clinical applications D. Thrombolytics 1. drug action 2. contraindications 3. food/drug interactions 4. clinical applications VI. Laboratory Values A. Routine Labs B. Enzymes C. Normal lab values for the cardiac patient D. Abnormal lab values for the cardiac patient VII. Cardiac Procedures and Surgery A. Coronary artery bypass grafts B. Disorders and repair C. Cardiomyoplasty D. Endartectomy E. Coronary catherization procedures F. Pre-procedure care G. Post-procedure care VIII. Cardiac Rehabilitation A. Exercise B. Diet IX. Cardiac Disease Interventions A. Infectious and inflammatory disorders of the heart B. Cardiomyopathies C. Peripheral vascular disease D. Aortic disease E. Heart failure F. Acute myocardial infarction X. Airway Management A. Airway structures B. Airway management procedure

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