NURSING 7120 - Interventional Cardiology

North Terrace Campus - Semester 2 - 2014

This course is intended for nurses currently working in the cardiac catheterisation laboratory. It is designed to assist students acquire the theoretical knowledge and practical skills required to manage the care of the patient in the cardiac catheterisation laboratory. The course will consist of lectures complemented by 'hands on' practical workshops. Topics include X-ray theory, radiation exposure and safety, vascular access, haemostasis and vascular closure, diagnostic cardiac catheterisation, percutaneous coronary intervention, non-coronary procedures, pharmacotherapy, and aseptic surgical technique. The course will also cover shock, inotropes, and inta-aortic balloon pump.

  • General Course Information
    Course Details
    Course Code NURSING 7120
    Course Interventional Cardiology
    Coordinating Unit Adelaide Nursing School
    Term Semester 2
    Level Postgraduate Coursework
    Location/s North Terrace Campus
    Units 3
    Contact Up to 3 hours per week
    Prerequisites NURSING 7108
    Restrictions Available to M.NursSc students only
    Assessment Case presentation, structured clinical assessment, written examination and skills workbook
    Course Staff

    Course Coordinator: Mr Adrian De Luca

    Course Coordinator: Adrian De Luca
    Phone: +61 8 8313 6284
    Email: adrian.deluca@adelaide.edu.au
    Course Timetable

    The full timetable of all activities for this course can be accessed from Course Planner.

  • Learning Outcomes
    Course Learning Outcomes
    1 Explain the aetiology, pathophysiology, assessment, and management of shock and its complications
    2 Demonstrate advanced haemodynamic monitoring techniques
    3 Analyse and interpret haemodynamic data and explain the significance of the findings
    4 Explain the influence of various drug therapies on haemodynamics
    5 Explain the indications, physiological effects, nursing care, and complications of the intraaortic balloon pump.
    6 Effectively Assess and manage of patients undergoing cardiac catheterisation, percutaneous interventions, and device implantation throughout all phases of the patient experience in the cardiac catheterisation laboratory
    7 Reflect upon the ethical implications of disease and its management
    8 Identify and critically appraise the evidence that informs practice.
    University Graduate Attributes

    This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

    University Graduate Attribute Course Learning Outcome(s)
    Knowledge and understanding of the content and techniques of a chosen discipline at advanced levels that are internationally recognised. 1-7
    The ability to locate, analyse, evaluate and synthesise information from a wide variety of sources in a planned and timely manner. 1, 4, 8
    An ability to apply effective, creative and innovative solutions, both independently and cooperatively, to current and future problems. 7, 8
    Skills of a high order in interpersonal understanding, teamwork and communication. 7, 8
    A proficiency in the appropriate use of contemporary technologies. 2-6
    A commitment to continuous learning and the capacity to maintain intellectual curiosity throughout life. 8
    A commitment to the highest standards of professional endeavour and the ability to take a leadership role in the community. 1, 6-8
    An awareness of ethical, social and cultural issues within a global context and their importance in the exercise of professional skills and responsibilities. 7
  • Learning Resources
    Required Resources
    Prescribed texts
    *Norell, MS, Perrins, EJ, Meier, B & Lincoff, AM (eds) 2008, Essential interventional cardiology, 2nd edn, Saunders Elsevier, United States of America.

    Opie, LH & Gersh, BJ 2013, Drugs for the heart, 8th edn, Elsevier Saunders, Philadelphia.

    *Sidebotham D, McKee A, Gillham M, Levy JH 2007, Cardiothoracic Critical Care, Butterworth Heinemann Elsevier, Philadelphia.

    *Stouffer, GA 2008, Cardiovascular Hemodynamics for the Clinician, Blackwell, Oxford.

    Thompson, PL (ed.) 2011, Coronary Care Manual, 2e, Elsevier Australia, Chatswood.

    Note: (*) Full Text Available to view online via the University of Adelaide library (e-books).

    The prescribed texts are integral to the course and may be purchased from all or some of the following outlets:

    Unibooks
    The University of Adelaide
    Adelaide SA 5005
    Phone: +61 8 8125 5160
    Email: adelaide@unibooks.com.au
    Website: www.unibooks.com.au

    Ramsay – Medical books and more
    Located at Unibooks Adelaide Store
    Gate 10 (off Victoria Drive) Union Building
    Adelaide SA 5000
    Phone: +61 8 8125 5195 or 1300 796 106
    Fax: +61 8 8231 2069
    Email: sales@ramsaybooks.com.au
    Website: www.ramsaybooks.com.au

    Encompass Bookshop
    Shop 20, Renaissance Arcade
    128 Rundle Mall
    Adelaide SA 5000
    Phone: 08 8224 0886
    Fax: 08 8223 3570
    Email: adelaide@encompassbooks.com.au
    Website: www.encompassbooks.com.au
  • Learning & Teaching Activities
    Learning & Teaching Modes
    This course will be delivered on campus and will incorporate the following:
    1. Three hours contact per week.
    2. Students will have a blend of lectures, tutorial, and workshops.
    3. Students will receive lecture notes online
    Workload

    The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

    The delivery mode of this course is mainly face-to-face workshops on campus (Three hours contact per week). Although attendance is not compulsory in this course, students are strongly encouraged to attend the classes. Many of the workshops presented in this course will involve problem-based learning using real-life case studies and therefore have a close link to your clinical rotation within the specialty areas of cardiac nursing practice. Practical workshops will form the basis of some of the sessions.

    Reading
    There are several required texts for this course. Most of the Reading will be supplied to you online through MyUni. However you are strongly advised to search and read widely of each topic in this course.

    This is a 3-unit course so you should be expecting to spend at least 12 hours a week on workshops, readings and completing the assignments. Thus some weeks it will require more time and others less. It is recommended that you plan your time commitment to the course at the beginning of the semester.
    Learning Activities Summary
    The course content will include the following:

    1. Hemodynamic monitoring (pulmonary artery catheters and cardiac output measurement)

    2. Shock states

    3. Inotropic agents

    4. Haemodynamic profiles workshop

    5. Intra-aortic balloon therapy

    6. Acute renal failure

    7. Electrical safety

    8. X-ray theory, radiation exposure, and safety

    9. Vascular access

    10. Haemostasis and vascular closure

    11. Diagnostic cardiac catheterisation

    12. Coronary arteriography and intravascular imaging

    13. Analysis of the coronary anatomy and haemodynamic data

    14. Percutaneous coronary interventions

    15. Non coronary procedures

    16. Scrubbing, gowning, gloving, skin prep, draping, & the role of the scrub nurse / The role of the scout nurse

    17. Analgesia, conscious sedation

    18. Drug therapies in the cardiac catheterisation laboratory

    19. Complications & emergencies in the cardiac catheterisation laboratory

    20. Case presentations
  • Assessment

    The University's policy on Assessment for Coursework Programs is based on the following four principles:

    1. Assessment must encourage and reinforce learning.
    2. Assessment must enable robust and fair judgements about student performance.
    3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
    4. Assessment must maintain academic standards.

    Assessment Summary
    Assessment Task Assessment Type Weighting Learning Outcome(s) being addressed
    Learning activity Formative NGP 2-4, 6, 8
    Case presentation outline Formative 10% 1-4, 6-8
    Case presentation Summative 30% 1-4, 6-8
    Structured clinical assessment Summative 30% 1-7
    Skills workbook Summative Pass/fail 1-7
    Assessment Detail
    Learning Activity (150 words) – NGP, Due: Week 2: Complete the learning activity in week 1 consisting of your responses to those activities/discussion points. The assessment is scheduled early in the semester to assist students with the planning and development of the presentation, to ensure that appropriate resources are used, and that referencing complies with the Disciplines Handbook and Style Guide.

    Case presentation outline (500 words) − 10%, Due: Week 6: The aim of this assessment is to introduce the topic; provide a justification for selecting the case; present the case in a structured format; and outline the key points and issues to be critiqued; including a reference list of at least 5 preliminary references. This assessment is scheduled early in the semester to assist students with the planning and development of the case presentation.

    Case presentation (15 minutes total) − 40%, Due: Week 12: The presentation time will include 10 minutes for the presentation and 5 minutes for discussion and questions. Assessment will be based on: the content of the presentation; the students understanding and critique of the topic; the presentation style; support of the topic from contemporary literature; and the student’s ability to promote discussion.

    Structured Clinical Assessment (30 minutes) − 50%, Due: Exam weeks: This practically based examination will test the student's ability to apply knowledge to practice and covers both the knowledge and skills taught in this course. The assessment focus on the student's ability to assess, interpret, analyse and make appropriate clinical decisions relating to clinical scenarios in cardiac nursing.

    Skill workbook (Pass/Fail), Due: Swot week: Students are required to achieve ‘competence’ in a list of clinical skills integral to the course content and management of the cardiac nursing. Students will be assessed by preceptors and Clinical Titleholders within their institution for clinical competence.
    Submission
    Assessment Submission
    Assessments, unless otherwise stated in your Study guide, are to be submitted electronically via Assignments in MyUni on the due date identified in this Study guide. Instructions for assignment submission are available for all students under Tutorials at www.adelaide.edu.au/myuni/. Formatting and presentation of assignments must comply with School policy as indicated in the School Academic Manual.

    An assessment submitted via MyUni must be submitted as a .doc, .docx or .rtf file (or unless otherwise specified, i.e. PowerPoint). It is also important to submit your file under your surname and id number, such as surnamestudentid (i.e. knight1234567). MyUni stamps all the other details against your filename once you submit your assessment.

    Your assessment must include an Assignment Coversheet. Your assignment should be submitted as one file, with the coversheet being the first page. A word version and rich text format of the Assignment Coversheet is available to download at http://health.adelaide.edu.au/nursing/current-students/. The Plagiarism Statement must be signed and dated for your assessment to be marked (signature is not required for electronic submission). More information on avoiding Plagiarism is available at www.adelaide.edu.au/writingcentre/plagiarism/.

    If you have difficulty submitting your assignment, you can call the MyUni helpdesk Monday to Friday (8am to 6pm) on 08 8313 3335.

    Extension of time for assessment items
    It is expected that all assessments will be submitted on or by the specified due date.

    However, students may apply for an extension of time to submit an assessment, if they are experiencing difficulty. Applications for extension must be made via the online form on the School of Nursing website http://health.adelaide.edu.au/nursing/current-students/. The grounds for granting an extension include health problems, compassionate reasons and other extenuating circumstances. Extensions will usually only be granted for a maximum of one week, but can be longer at the discretion of the Chairperson of the Postgraduate Learning and Teaching Sub-Committee or Head of Learning and Teaching if substantiated with evidence such as a medical certificate.

    Upon completion of the online form, you will receive a receipt to your student email of your approved extension. If your extension is granted, then it is your responsibility to keep in contact with the course coordinator and to submit the assessment with evidence of your approved extension.

    You must complete this online form for each course and assessment that you request an extension for.

    Failure to submit an assessment item on time without an approved extension will incur a penalty as detailed under Late Submission of Work.

    Late submission of work
    All assessments should be submitted by the specified due date.

    Late submission without an approved extension will be penalised at the rate of 10% of available marks for each day after the due date. Work submitted more than ten days after the due date may be returned unmarked. This action will be taken to prevent students who do get their work in on time being disadvantaged.

    Word limit
    You are advised to comply with word limits. You are, of course, not expected to achieve exactly the required length and a 10% leeway on either side is acceptable. However, a penalty of 5% of available marks will apply for word limit in excess of the 10% leeway.

    Presentation
    Your written work must comply with the formatting and referencing indicated in the School Academic Manual. Marks will be lost for failing to do so.

    Return of assessments
    Marked assignments and feedback will be returned via MyUni. For further information relating to assessment refer to the Assessment for Coursework Programs Policy.

    Requesting a remark
    Any student who, after discussion of the result with the course coordinator, is still dissatisfied with the final grade awarded for a course, and who has specific grounds for objecting to the grade, may lodge a written request for a review of the result or an independent second assessment with the Head of School within 10 University business days from the date of notification of the result. Such a written request must contain details of the grounds on which the objection is based. Requests must include a summary of the reasons the student believes his or her assessment work deserves a higher grade. These reasons must be directly related to the academic quality of the work. Re-marks, for example, will not be granted where the grounds are that the student has paid tuition fees or incurred liability under HECS-HELP or FEE-HELP, or needs one or two additional marks to get a higher overall grade for the course. The Head of Learning and Teaching may seek the advice of the Postgraduate Learning and Teaching Sub-Committee, and will make a determination on review or second assessment, and inform the student of his or her decision in writing.

    The grade awarded to a piece of work following review or second assessment as provided for in this policy or as a consequence of appeal to the Student Appeals Committee will usually stand as the final grade for the work, regardless of whether it is higher or lower than the grade originally awarded.

    Further guidelines and policies regarding examinations may be found on the examinations website www.adelaide.edu.au/student/exams/rules_policies.html.

    Resubmitting failed assignments
    In accordance with University Policy, the guidelines and conditions regarding resubmission are stated below. It should be noted that these guidelines concern work that has been assessed as ‘FAIL’.
    Course coordinators, in consultation with Head of Learning & Teaching and/or the Pre-Registration or Postgraduate Learning and Teaching Sub-Committee Chairperson, are responsible for determining the circumstances in which students may resubmit assessment tasks. In determining these circumstances, the following are considered.
    a) Students may only resubmit their work when:
    i ) It will allow them to demonstrate that they have understood feedback on their work; and/or
    ii) They might otherwise be at risk of failing the course; and/or
    iii) When they have received a Fail grade with an underlying mark of 45-49%; or
    iv) The final assessment task in the course is weighted at 20% or more of the total course assessment.
    b) In granting a resubmission, the deadline will be negotiated.
    c) The resubmitted work will be awarded no more than the minimum pass mark (i.e. 50%).
    d) If the resubmitted work does not achieve a pass, it cannot be submitted a third time, and a fail will be recorded.
    e) Students who accept an offer of resubmission must take into account the possible implications, such as eligibility for graduation should the reassessment not be able to be completed in time for their preferred ceremony.
    Course Grading

    Grades for your performance in this course will be awarded in accordance with the following scheme:

    M10 (Coursework Mark Scheme)
    Grade Mark Description
    FNS   Fail No Submission
    F 1-49 Fail
    P 50-64 Pass
    C 65-74 Credit
    D 75-84 Distinction
    HD 85-100 High Distinction
    CN   Continuing
    NFE   No Formal Examination
    RP   Result Pending

    Further details of the grades/results can be obtained from Examinations.

    Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

    Final results for this course will be made available through Access Adelaide.

  • Student Feedback

    The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

    SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

  • Student Support
  • Policies & Guidelines
  • Fraud Awareness

    Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student’s disciplinary procedures.

The University of Adelaide is committed to regular reviews of the courses and programs it offers to students. The University of Adelaide therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.