ࡱ> fe~k "bjbjZ Z IS8cb8cb k  8\@dt@(???????$B8Ex@@.@ j? ? 8>C=?D@0t@[=8E~E0>E>4 @@qt@E B ^:  GROSSMONT COLLEGEPRIVATE  COURSE OUTLINE OF RECORD Curriculum Committee Approval: 03/22/2022 GCCCD Governing Board Approval: 04/19/2022 CARDIOVASCULAR TECHNOLOGY 253 - DIAGNOSTIC PROCEDURES II, VASCULAR TECHNOLOGY 1. Course Number Course Title Semester Units CVTE 253 Diagnostic Procedures II, Vascular Technology 5 Semester Hours 3 hours lecture: 48-54 hours 96-108 outside-of-class hours 6 hours laboratory: 96-108 hours 240-270 total hours Course Prerequisites A C grade or higher in CVTE 223. Corequisite None Recommended Preparation None 2. Catalog Description A course of instruction in the specialized techniques of noninvasive testing of the human vascular system and the evaluation of vascular pathophysiology. Lectures will stress the performance and analysis of vascular ultrasound scanning, spectral analysis and the interpretation of scanning and non-scanning modalities for vascular testing. The classroom laboratory provides advanced instruction in the topics and performance of diagnostics tests in vascular technology. The theory, calibration, operation and clinical application of specified diagnostic medical instrumentation will be applied. Hospital based laboratory sessions are conducted in vascular laboratories in local hospitals, with instruction in techniques of duplex scanning of the cerebrovascular and lower-extremity and abdominal vasculature. 3. Course Objectives The student will: a. Describe and interpret the principles of specialized human vascular anatomy, physiology and hemodynamics. b. Compare and contrast the physical principles, limitations and performance of test modalities used in the detection of lower-extremity, abdominal, mesenteric, renal and intracranial cerebral arterial disease, as well as upper-extremity arterial and venous and other less-common vascular disorders and tests. c. Exhibit in accordance with criteria established by the instructor and the course text, duplex scanning of the extracranial carotid, lower-extremity arterial and venous, upper-extremity, and abdominal vasculature. d. Analyze and interpret the results of specified noninvasive vascular tests: (1) Duplex scanning of the lower-extremity arterial system. (2) Duplex scanning of the abdominal and mesenteric arteries. (3) Duplex scanning of the kidney, renal arteries and veins. (4) Duplex scanning of the upper-extremity vessels. (5) Transcranial Doppler. (6) Duplex scanning of the temporal arteries (TA). (7) Non-ultrasound vascular diagnostic modalities. e. Identify the basic principles of the physics of diagnostic ultrasound. f. Perform calculations for test validation and describe their significance in the vascular lab. 4. Instructional Facilities a. Standard classroom. b. Vascular laboratories in local hospitals and clinics. c. Ultrasound laboratory. 5. Special Materials Required of Student a. Basic electronic calculator. b. Two or more blank flash drives of at least 2 gigabyte capacity. 6. Course Content a. Abdominal and mesenteric arteries 1. mechanism of diseases 2. pathology 3. repair/treatment 4. patient history and symptoms 5. ultrasound imaging and spectral analysis b. Renal vasculature 1. mechanism of diseases 2. pathology 3. repair/treatment 4. patient history and symptoms 5. ultrasound imaging and special analysis c. Raynauds phenomenon d. Thoracic Outlet Syndrome (TOS) e. Temporal arteritis (TA) f. Vasculogenic impotence g. Less common vascular disorders h. Arteriovenous fistulas and grafts (AVG/AVG) i. Clinical report writing j. Statistics and quality assurance calculations k. Introduction to general abdominal scanning l. Review of ultrasound physics 7. Method of Instruction a. Lectures with multimedia presentations. b. Clinical case discussions by instructor and students. c. Laboratory instruction in duplex scanning techniques. 8. Methods of Evaluating Student Performance Written exams and quizzes focused on ability to diagnose pathology based on given images, waveforms and patient symptoms for renal studies. Case assignments, journal reports and other outside class assignments. Digitally stored real-time scanning assignments. Competency-based performance exams in duplex scanning techniques demonstrating proficiency of protocol and optimization of technique during timed CBF, LEV, LEA, abdominal and renal studies. Comprehensive written final examination. 9. Outside Class Assignments a. Reports on articles in current medical literature, relating the content to vascular diagnostics. b. Gather information on diagnostic criteria from different clinical sites for comparison and contrast. c. Record scans for presentation and analysis. d. Gather and present cases of vascular testing for class discussion and analysis. 10. Representative Texts a. Representative Text(s): 1) Size, Gail. Inside Ultrasound Vascular Reference Guide. 1st Edition. Pasadena, CA: Davies Publishing. 2013. 2) Ridgway, Donald P. Introduction to Vascular Scanning. 4th edition. Pasadena, CA: Davies Publishing. 2012. 3) Ridgway, Donald P. Vascular Technology Review. 4th edition. Pasadena, CA: Davies Publishing. 2016. 4) Edelman, Sydney. Understanding Ultrasound Physics, 4th Edition. Woodlands, TX: ESP, Inc. 2012. 5) Rumwell, Claudia. Vascular Technology: An Illustrated Review. 5th edition. Pasadena, CA: Davies Publishing. 2014. 6) Pellerito, John. Introduction to Vascular Ultrasonography. 6th edition. Philadelphia PA. Elsevier Publishing 2012 b. Supplementary texts and workbooks: None. Addendum: Student Learning Outcomes Upon completion of this course, our students will be able to do the following: Accurately and consistently demonstrate the ability to recognize and diagnose symptoms and pathology associated with cerebral blood flow (CBF), TCD/TCI, mesenteric, renal, AVF/AVG, upper and lower-extremity arterial and venous disease with the use of ultrasound imaging and Doppler waveform analysis as well as other technologies at the level of an entry level diagnostic medical sonographer. Describe and define symptoms and pathology associated with miscellaneous vascular disorders and testing: Raynauds syndrome, TOS, TA, and vasculogenic impotence testing. c. Apply knowledge presented in this course to successfully pass the American Registry for Diagnostic Medical Sonography (ARDMS), Registered Vascular Technologist (RVT) credentialing exam. Describe and perform test validation calculations as used in the vascular laboratory. Describe and define prescribed concepts in ultrasound physics and instrumentation.   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