Alvin Community College Diagnostic Cardiovascular Sonography Program Advanced Vascular ...

41 Pages·2012·0.61 MB·English

by  Dee Dee

Alvin Community College

Diagnostic Cardiovascular Sonography
Program

Advanced Vascular Sonography
DSVT 2335.01 Syllabus
Spring 2013

DeeDee Metzcher-Carr, JD, RVT
DSVT 2335- ADVANCED NON-INVASIVE VASCULAR TECHNOLOGY
COURSE DESCRIPTION This course will cover topics in the ever changing world of Non-Invasive Vascular
Sonography, which may include: abdominal vascular imaging, harmonic imaging with contrast, power
Doppler, digital vascular lab, intraoperative vascular, intravascular graft surveillance, vascular
interventions, research. An extensive look at case studies, technical reporting and interpretation will
also be presented. Students will be required to attend local society meetings, review current literature,
and prepare for the registry examinations.
PREREQUISITES
DSVT 2430 Vascular Evaluation of Pathology II, DSVT 2418 Peripheral Vascular Evaluation
COREQUISITE
DSVT 2462 Clinical DMST – Vascular Technology III
DSVT 2335 Spring Semester
Dates: Semester begins January 15 and goes through May 15, 2013.

Instructors:
DeeDee Metzcher-Carr 1-3 Lecture Lab: Deb Kleinhans
Date/Time: Tuesday 8:00-12:00 am lab Tues: 3:00-7:00 pm lab
Office: 281-756-5652 Office: 281-756-5652
Cell: Cell:
Home: Home:
Email: [email protected] [email protected]
Office hours: Tuesday, 3pm-5pm and by appointment Office hours: By appointment

COMMUNICATING WITH YOUR INSTRUCTOR
The preferred method of communicating with your instructors is through the MyBlackboard or college
e-mail; alternately you may contact either Deb or DeeDee at 281-756-5652. The initial day of class we
will provide additional contact information. Please give details of what you need to discuss, leave your
first and last name, and phone number or e-mail address where you can be contacted. I will normally
respond within 24 hours Monday-Thursday and by the next business day on Friday-Sunday.

DISCLAIMER
The instructor reserves the right to modify this syllabus as needed and will notify the students of any
changes using the ACC e-mail or MyBlackboard e-mail or announcements.

REQUIRED TEXTBOOKS AND COURSE MATERIAL:
Ridgeway, An Introduction to Vascular Scanning. 3rd Ed.
ISBN-10: 9780941022705

Zwibel, Introduction to Vascular Ultrasonography. 5th Ed.
ISBN-10: 0721606318

Rumwell, Claudia, Vascular Technology: An illustrated Review. 4th Ed.
ISBN-10: 0941022730
Daigle, Robert, Techniques in Noninvasive Vascular Scanning. 3rd Ed.
ISBN-10: 9780972065368

Zierler, Eugene, Strandness's Duplex Scanning in Vascular Disorders. 4th Ed.
ISBN-10: 9780781798389 (buy in bookstore or order online if they are out.)
Additional Supplies:
 Renewal of Ultralinq Access – Available in Bookstore
 CDr Disks in case you need to make copies of your studies
 ACC polo or ACC t-shirt to wear to lab
 ACC name tag to wear to lab
 Scantron Answer sheets

The textbooks and supplies can be purchased at the ACC bookstore, open Monday through Thursday
7:30 a.m. to 7:00 p.m. and Friday 7:30 a.m. to 2:00 p.m. Bookstore hours can vary during holidays so
please call the bookstore at 281-756-3681 for more information. The textbook can also be purchased
online and mailed directly to your residence from: http://www.alvinccstore.com

Software and System requirements: You should have a computer that can access the internet, uses
Windows XP system or higher, and word processing software compatible to Microsoft Word. Only
documents with .doc, .docx, .pdf, or .rtf extensions will be accepted.

Methodology: Advanced Vascular technology consists of 2 hours of lecture and 4 hours of lab per-week,
over 16-weeks. The lectures will be supplemented with slides, overheads, video presentations, and
guest lecturers when necessary. Demonstrations, exercises, and hands-on practice may be included
when necessary. Guest lecturers may be held outside of class time at alternative locations. Students
are required to attend the guest lectures. Notice will be give prior to outside guest lecture dates and
locations. The class may also include Web-based instruction, online discussion, online communication,
learning lab testing, and online submission of assignments.
Meeting time and location: Lecture will be held in S- 141 and Lab in S 143. Some classes may be held
off-campus at times where access to specialized equipment may be utilized for hands-on practice if
necessary. This will be announced in advance. If you are absent, please contact your instructor for
instructions. Course may also be conducted online through My Blackboard. When this occurs, students
are expected to log into the course every 2-3 days
Expectations
1. Students are expected to check the syllabus, read the assigned material and keep up with the
assignments. Students should check their email and MyBlackboard for any updates or announcements
two to three times per week.

2. Students are expected to allocate a minimum of 6-12 hours per week to readings, course material,
presentations, discussion boards, assignments and quizzes.

3. Students are expected to have a workable computer that can access the course website.
COURSE COMPLETION REQUIREMENTS
In order to successfully complete this course and be awarded course credit, the student must:
1. Make a seventy-five (77) or better on the final average.
2. Have no more than four (4) absences.
3. Successfully challenge the vascular scanning capstones with at least an 85% or better.
4. Complete all assignments and projects.
5. Take the final exam
6. Attend at least one outside meeting this semester. This may not be used as clinical make up or
bonus.
7. Obtain 20 hours of outside scan time and turn in documentation form.
9. Attend required mandatory interpretation classes.
Students who fail to fulfill the requirements will not be awarded credit until they are met. (Please
make certain that you have ALL the requirements met before the last day of class and submit the correct
documentation forms to your instructor.)

COURSE COMPETENCIES
Upon completion of this course, the student will be able to:
 Stay abreast of current diagnostic trends and modalities in the field of non-invasive vascular
technology. (C14, C5, C6, F1, F8, F9)
 Embrace the attitude and behavior of lifelong learning, professionalism, and continuing
education. (F11, F12, F13, F16, F17, C1, C2, C15)
 List the indications, contraindications, technical aspects, uses, and protocol for each of the
advanced vascular techniques covered in this course. (C3, C4, C13, C7, C8, C16, C17, C18, C19,
C20, F3, F10)
 Attend conferences, meetings, and review current literature. (F1, F2, F5, F6, F15, C9, C10)
 Prepare a personal study plan and review material pertinent to the registry exam and pass the
Exit exams for the program.
 Perform abdominal vascular modalities.
 Explore current diagnostic trends in non-invasive vascular technology; list the indications,
contraindications, technical aspects, and standard protocols for each of the advanced
modalities; perform advanced vascular modalities utilizing standard protocols and
measurements; and discuss case studies, current literature, and registry examination material.

 See SCANS legend for more details about competencies.
Grading System
A 91-100
B 82-90
C 77-81
F Below 77

GRADING SUMMARY
Grade Calculation – The final grade will be calculated as follows. Each of the unit exams will be
averaged with the lab/homework/quiz average. Major projects, capstone and scan EVALS average will
count as exam grades. Your final grade will be available from WebAccess for you to review as soon as
they are certified by the registrar. Instructors will not always be able to provide you with your final
grade prior to that, so please keep track of your average. It is difficult for instructors to respond to
multitudes of emails requesting grades. Record weekly grades and keep track of your average. Students
will be evaluated at midterm, but if you notice an issue with your grades please come see the instructor
sooner and not later.
Your grade is based on the AVERAGE of all the major grades you received on all course assignments and
activities. Always notify your instructor if you are concerned with your grades or your status in the class.
Record Major Grades below:
Major Grades Grade
BB and Homework Assignments 10%
Labs-10%
Unit 1 Exam-15%
Unit 2 Exam-15%
Unit 3 Exam-15%
Final Exam(can replace lowest exam grade)
Scan Evals Average-15%
Capstone-20%
Average
It is the student’s responsibility to keep up with their grades and course average. The instructor is
available as needed for extra help or to discuss grades. Don’t wait until the end of the semester to
address any problems.
Keep track of your grades. Do not throw away any of your assignments until the semester is over. If you
notice a problem, contact your instructor. Do not let your grades get out of hand.
I.…..Incomplete. No Incompletes or “I” grades will be given except for extreme circumstances. If an “I”
grade is assigned and the course work is not completed by the pre-arranged time limit, this grade will
convert to an “F”.
W….Withdrawal. Students who file withdrawal requests by the published deadline will receive a grade of
W.
It is recommended that the student talk to the instructor before withdrawing. Current course
withdrawal information can be found in the online or printed version of the ACC Schedule for this
semester. Students who file withdrawal requests by the published deadline and have not exceeded the
withdrawal maximum will receive a grade of W.

ATTENDANCE POLICY: Each student is expected to attend class regularly. To receive attendance credit,
students must attend both lecture and lab. Students more than 15 minutes late will be counted absent.
Students with more than four (4) class absences may be dropped from the class.
MISSED OR LATE WORK: Assigned work is expected to be turned in on time. Ample time is allotted for
completion of assignments. It is the student’s responsibility to make up any assignments that are
missed prior to the next class period. You may email the assignment to the instructor. An assignment
not turned in prior to the next class period will receive a zero. Please call, email, or text the instructor if
you are going to be absent to make arrangements for missed assignments, handouts, and/or tests. If
you are going to miss a lab, please notify the instructor via a communication method listed.
Bonus Points
Students may receive up to a maximum of two (2) bonus points, to be added to the final average for this
course, by completing any of the following activities.
1.) Attend any related society meeting or educational conference/in-service as announced.
(Attendance must be verified – Each one is worth one point)
2.) Volunteer for Events: Health Fairs, Career Fairs, ect..
Behavioral Intervention Team (BIT) – Letting someone know
The Behavioral Intervention Team (BIT) at Alvin Community College is committed to improving
community safety through a proactive, collaborative, coordinated, objective and thoughtful
approach to the prevention, identification, assessment, intervention and management of situations
that pose, or may reasonably pose, a threat to the safety and well-being to the campus community.
College faculty, staff, students and community members may communicate concerns to the BIT by
email, [email protected], or through an electronic reporting option located on the BIT page of
the college website, www.alvincollege.edu/bit.
CODE OF ACADEMIC INTEGRITY AND HONESTY
Alvin Community College students are members of an institution dedicated to the pursuit of
knowledge through a formalized program of instruction and learning. At the heart of this endeavor,
lie the core values of academic integrity which include honesty, truth, and freedom from lies and
fraud. Because personal integrity is important in all aspects of life, students at Alvin Community
College are expected to conduct themselves with honesty and integrity both in and out of the
classroom. Incidents of academic dishonesty will not be tolerated and students guilty of such
conduct are subject to severe disciplinary measures.

ACADEMIC SUCCESS AND SUPPORT SERVICES:

1. The ACC Library website: http://www.alvincollege.edu/library/default.htm. The ACC Library is
an excellent source of assistance for writing the required research paper.
2. The ACC Learning Lab, located upstairs in building A, provides students with a variety of services
including tutoring (math, writing papers, and other disciplines); computers and printers; a testing
facility; and tables/carrels for studying. Learning Lab hours are M-TH 8:00am – 9:00pm and F 8:00am
– 4:00pm. Testing hours are M-TH 10:00am – 7:30pm (Tests must be completed by 8:30pm) and F
10:00am – 12:00pm (Tests must be completed by 1:00pm). Call 281-756-3566 for more
information.
3. MyBlackboard - Any technical problems or issues with MyBlackboard should be directed to the
Distance Education Department at [email protected]. Include your first and last name, student ID
number and a description of the problem. Students will not be penalized if there is an interruption
in MyBlackboard service and the instructor is notified of such an issue by the Distance Education
Department.
4. WEBACCESS, Passwords or ACC Computer Labs- contact the IT Dept. Help Desk at 281-756-
3544.
COURSE OBJECTIVES: Upon completion of this course, the student will be able to:
Unit 1
1. List the indications, contraindications, technical aspects, uses, and protocol for each of the
abdominal vessels interrogated.
2. Identify on an ultrasound screen the anatomy and Doppler waveform routinely observed in the
standard views from each of the vessels of the abdomen. (Celiac, Splenic, Hepatic, SMA, IMA,
Portal, Hepatic, Renal, IVC, Aorta, Iliac, Penile)
3. List the possible risks, hazards, and complications associated abdominal vascular duplex especially
regarding the patient prep, fasting state, etc.
4. State the procedures, transducers used, and precautions that should be taken while performing
these procedures.
5. Perform the standard measurements and calculations for each exam and know the normal and
abnormal values. (Renal Aortic Ratio RAR, Pulsatility Index, Resistive Index RI, End-Diastolic Ratio
EDR, Pourcelot’s Ratio, Acceleration Time AT, Acceleration Index AI)
6. Recognize common pathology of the abdominal vasculature from images and interpret the exams.
7. Recommend appropriate interventions or procedures for each type of pathology presented.

Unit 2
1. Describe the physical principles used to create and perform tissue Doppler.
2. List the uses of tissue Doppler and any related vascular applications.
3. Describe power or “intensity” Doppler and how it is used.
4. Define the physics concepts of harmonic imaging.
5. Review the transducers and capabilities of harmonics.
6. Examine the relationship between harmonics and contrast agents.
7. State the difference between tissue, Doppler, and contract harmonics.
8. List the current uses and limitations of harmonics, contrast, tissue, and power Doppler in non-
invasive vascular technology and abdominal imaging.
9. Compile a list of the supplies needed to use contrast during a vascular exam.
10. State the types, protocol, indication, uses, and limitations of contrast ultrasound.
11. Describe the importance of physics concepts with the use of contrast, especially cavitation and
mechanical indices.
10. List and define the capabilities of a digital ultrasound lab and the methods for acquiring, viewing,
and storing digital images.
11. Be familiar with the terminology and “jargon” used to describe digital echo requirements especially
DICOM communication standards, PAC’s and other image management systems, compression of
data, and other computer information system terminology.
Unit 3
1. State the indications, contraindications, uses, limitations, and protocol for each type of special
procedure covered in this unit.
2. List the reasons why intra-arterial images are so appealing to the diagnosis and treatment of
coronary artery and other vascular diseases.
3. Define the role of the vascular technologist during invasive vascular procedures.
4. Describe the uses of vascular ultrasound monitoring during surgical procedures.
5. Discuss the way vascular ultrasound is utilized in performing and evaluating interventions and
treatment of vascular diseases, for example, ultrasound guided closure of pseudoaneurysms,
thrombin injection, graft evaluation, determination of shunt patency, ultrasound guided PIC line
insertion and insertion of other types of lines/catheters.
6. List and define the types of grafts used in vascular repair and for dialysis purposes.
7. Perform vein mapping and identify the characteristics of suitable veins for bypass.
8. State the types of vascular interventions and the decision making process for determining which
intervention to perform.
9. Identify the recommended follow up for various procedures and pathology.
10. Identify normal vs. abnormal graft flow and the areas to be especially scrutinized.

Unit 4
1. Develop a 6-month personal study plan to prepare for the registry exam, this should include a daily
study calendar.
2. Practice taking computer based exams.
3. Successfully challenge the vascular technology and vascular physics and principals exit examination.
4. Study review material and self-assessment exams.
5. Pass the ARDMS registry examination after graduation.

ASSIGNMENTS:

Unit 1
Homework Interpretation Assignment
1. Find at least one patient at clinical who is undergoing some form of abdominal vascular exam.
Discuss interpretation of the procedure including the technical comments, history, physical exam,
measurement, calculations, and complete interpretation in a APA format paper. (You may have to visit
the general ultrasound lab for one procedure to get this done.) Ask your preceptor for help. If you can’t
get it done at clinical, you will need to find a representative case example from the internet. We will
discuss in class.

Journal / Research Assignments
3. Prepare and present to the class a 15-20 minute instruction on an assigned topic. You will need to
provide fellow students with a power point presentation, an outline of your topic presentation, and any
associated handouts. Topics will be assigned in class. (See Tentative Presentation Schedule)

Unit 2
Homework Interpretation Assignment
1. Find at least one case where contrast ultrasound was used. (May have to be abdominal vascular)
Discuss the exam and interpretation of the procedure including the technical comments, history,
physical exam, measurement, calculations, and complete interpretation in an APA format paper. You
may have to visit the general ultrasound lab to get this done. Ask your preceptor for help. If you can’t
get it done at clinical, you will need to find a representative case example from the internet.
Journal / Research Assignment:
2. Prepare and present to the class a 15-20 minute instruction on an assigned topic. You will need to
provide fellow students with a power point presentation, an outline of your topic presentation, and any
associated handouts. Topics will be assigned in class. (See Tentative Presentation Schedule)

Unit 3
Homework Interpretation Assignment
1. Find at least one interpretation of a vascular intervention procedure. It may be a by-pass, stent,
balloon, dialysis graft, etc. Write a technical paper about the interpretation of the procedure including
the technical comments, history, physical exam, measurement, calculations, and complete
interpretation. Ask your preceptor for help. If you can’t get it done at clinical, you will need to find a
representative case example from the internet. Discuss in class.

Journal / Research Assignment:
2 Prepare and present to the class a 15-20 minute instruction on an assigned topic. You will need to
provide fellow students with a power point presentation, an outline of your topic presentation, and any
associated handouts. Topics will be assigned in class. (See Tentative Presentation Schedule)
Interpretation Assignment:
3. Bring one Arterial Segmental Non-Imaging interpretation including intervention and follow up to
discuss in class.
Unit 4
Homework Assignment:
1. Go to the internet and research options for registry review and preparation. Visit the sites that offer
free CME’s. Develop your 3-6-month personal study plan. (Start early)
*Write out a daily study schedule and weekly topic calendar.
*Identify which topics will be studied each week and how much time will be spent
studying the topic.
*Note when self-assessment exams will be incorporated.
*Plan a projected date to take the exam.
*List any review courses you plan to attend.
Your personal study plan can be longer than 6 months, but not shorter than 3 months.

Journal Assignment:
2. Prepare and present to the class a 15- 20 minute instruction on an assigned topic. You will need to
provide fellow students with a power point presentation, an outline of your topic presentation, and any
associated handouts. Topics will be assigned in class. (See Tentative Presentation Schedule)
Interpretation Assignment:
3. Bring a mini case study from clinical to share with the class each week during unit 4. Students and
instructor will discuss these cases as a group in class with emphasis on interpretation, intervention, and
follow up. (Weeks 13, 14, 15)