Unit Profile Correction added on 28-04-20
The end of term examination has now been changed. Please refer to the Moodle page for further detail of the assessment.
The residential school for this unit has been postponed and you will need to complete it at a later date. Further details about the residential school will be made available on Moodle in due course.
Overview
This unit will enable you to complete detailed clinical assessments and examination of cardiac patients, focusing on the use of 12-lead electrocardiograms as a diagnostic tool in emergency care. You will study the pathophysiology, diagnosis, and treatment of a range of cardiac and cardiorespiratory conditions, including acute coronary syndromes, cardiac failure, and cardiac arrest. Practical coronary care skills such as defibrillation and 12 lead ECG acquisition will be taught in this unit. Problem-based case management and clinical interventions are practised in the high-fidelity simulation environment during the residential school, allowing you to contextualise your knowledge of coronary care in preparation for decision-supported thrombolysis in paramedic practice.
Details
Pre-requisites or Co-requisites
Pre-requisite - PMSC11002 and BMSC11002 Co-requisite - PMSC12001
Important note: Students enrolled in a subsequent unit who failed their pre-requisite unit, should drop the subsequent unit before the census date or within 10 working days of Fail grade notification. Students who do not drop the unit in this timeframe cannot later drop the unit without academic and financial liability. See details in the Assessment Policy and Procedure (Higher Education Coursework).
Offerings For Term 1 - 2020
Attendance Requirements
All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).
Residential Schools
This unit has a Compulsory Residential School for distance mode students and the details are:
Click here to see your Residential School Timetable.
Recommended Student Time Commitment
Each 6-credit Undergraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.
Class Timetable
Assessment Overview
Assessment Grading
This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Policy for more details of interim results and final grades.
All University policies are available on the CQUniversity Policy site.
You may wish to view these policies:
- Grades and Results Policy
- Assessment Policy and Procedure (Higher Education Coursework)
- Review of Grade Procedure
- Student Academic Integrity Policy and Procedure
- Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
- Monitoring Academic Progress (MAP) Policy and Procedure – International Students
- Student Refund and Credit Balance Policy and Procedure
- Student Feedback – Compliments and Complaints Policy and Procedure
- Information and Communications Technology Acceptable Use Policy and Procedure
This list is not an exhaustive list of all University policies. The full list of University policies are available on the CQUniversity Policy site.
Feedback, Recommendations and Responses
Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.
Feedback from Unit Evaluation
Timely, clear and actionable assessment feedback.
Students appreciated individual feedback on assessment items. Continue to provide individualised feedback on assessments to assist student engagement and learning.
Feedback from Unit Evaluation
Clinical discussion sessions prior to scenario practice during residential school.
Feedback highlighted that students enjoyed the ability to review ECGS and the underlying pathophysiology of disease presentation before targeted scenario practice. Continue to use this method for residential schools.
Feedback from Unit Evaluation
Study guides, handouts and notes assisted with learning.
ECG guides, weekly study guides and supplementary study notes were made available to assist with learning. Continue to develop and refine these resources.
- Apply evidence-based knowledge of pathophysiology to differentiate between a broad range of cardiorespiratory conditions
- Accurately interpret ECGs to diagnose coronary conditions including dysrhythmias and acute coronary syndromes
- Integrate comprehensive knowledge of current evidence-based practice to articulate and/or undertake clinical assessment, skills and interventions in the management of cardiorespiratory conditions.
Justification for this unit is strongly influenced by industry feedback on first CQUniversity graduate paramedics. By increasing the paramedic-specific focus of this unit the graduates will be better prepared for independent on-road practice without additional educational support from the ambulance services.
Alignment of Assessment Tasks to Learning Outcomes
Assessment Tasks | Learning Outcomes | ||
---|---|---|---|
1 | 2 | 3 | |
1 - Written Assessment - 50% | |||
2 - Practical Assessment - 0% | |||
3 - Examination - 50% |
Alignment of Graduate Attributes to Learning Outcomes
Graduate Attributes | Learning Outcomes | ||
---|---|---|---|
1 | 2 | 3 | |
1 - Communication | |||
2 - Problem Solving | |||
3 - Critical Thinking | |||
4 - Information Literacy | |||
5 - Team Work | |||
6 - Information Technology Competence | |||
7 - Cross Cultural Competence | |||
8 - Ethical practice | |||
9 - Social Innovation | |||
10 - Aboriginal and Torres Strait Islander Cultures |
Alignment of Assessment Tasks to Graduate Attributes
Assessment Tasks | Graduate Attributes | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | |
1 - Written Assessment - 50% | ||||||||||
2 - Practical Assessment - 0% | ||||||||||
3 - Examination - 50% |
Textbooks
Huszar's ECG and 12-Lead Interpretation
5th Edition (2017)
Authors: Keith Wesley
Elsevier
St Louis St Louis , Missouri , USA
ISBN: 978-0-323-35575-9
Binding: Paperback
The 12-Lead ECG in Acute Coronary Syndromes
4th Edition (2019)
Authors: Time Phelan, Barbara Aehlert
Elsevier
St Louis St Louis , Missouri , USA
ISBN: 978-0-323-49789-3
Binding: Spiral
Additional Textbook Information
Copies are available for purchase at the CQUni Bookshop here: http://bookshop.cqu.edu.au (search on the Unit code)
IT Resources
- CQUniversity Student Email
- Internet
- Unit Website (Moodle)
All submissions for this unit must use the referencing style: American Psychological Association 6th Edition (APA 6th edition)
For further information, see the Assessment Tasks.
a.hodgetts@cqu.edu.au
Module/Topic
Cardiac Anatomy and Physiology review.
Resuscitation and Defibrillation review.
Chapter
Huzar's ECG and 12-Lead Interpretation;
Chapter 1, 2, 3,
The 12-Lead ECG in Acute Coronary Syndromes;
Chapter 1
Events and Submissions/Topic
Module/Topic
ECG Basics
12 Lead ECG introduction and acquisition.
Chapter
Huzar's ECG and 12-Lead Interpretation;
Chapter 12
The 12-Lead ECG in Acute Coronary Syndromes;
Chapter 2 & 3
Events and Submissions/Topic
Module/Topic
Systematic Approach to ECG Interpretation
Sinus and Atrial rhythms.
Chapter
Huzar's ECG and 12-Lead Interpretation;
Chapter 5, 6, 11
Events and Submissions/Topic
Module/Topic
Junctional Rhythms & Atrio-Ventricular Blocks
Chapter
Huzar's ECG and 12-Lead Interpretation;
Chapter 7, 9 & 11
Events and Submissions/Topic
Written Assessment Part A due 5:00pm Friday
Module/Topic
Chapter
Huzar's ECG and 12-Lead Interpretation;
Chapter 8, 11 & 13
Events and Submissions/Topic
Module/Topic
Chapter
Events and Submissions/Topic
Module/Topic
Coronary Heart Disease and Acute Coronary Syndromes Part 1.
Chapter
Huzar's ECG and 12-Lead Interpretation;
Chapter 15, 16, 17
The 12-Lead ECG in Acute Coronary Syndromes;
Chapter 4Events and Submissions/Topic
Module/Topic
Coronary Heart Disease and Acute Coronary Syndromes Part 2.
Heart Failure and CPAP
Chapter
Huzar's ECG and 12-Lead Interpretation;
Chapter 15, 16, 17
The 12-Lead ECG in Acute Coronary Syndromes;
Chapter 4
Events and Submissions/Topic
Written Assessment Part B due 5:00pm Friday
Written Assessment Due: Week 7 Friday (1 May 2020) 5:00 pm AEST
Module/Topic
Coronary Heart Disease and Acute Coronary Syndromes Part 3.
Chapter
Huzar's ECG and 12-Lead Interpretation;
Chapter 15, 16, 17
The 12-Lead ECG in Acute Coronary Syndromes;
Chapter 4
Events and Submissions/Topic
Module/Topic
Other ECG findings & CCP/ICP/MICA Backup
Chapter
Huzar's ECG and 12-Lead Interpretation;
Chapter 14
Events and Submissions/Topic
Module/Topic
Residential School
Chapter
Events and Submissions/Topic
Residential school assessment day/s
Practical Assessment Due: Week 10 Monday (18 May 2020) 11:45 pm AEST
Module/Topic
Self directed learning.
Exam revision
Chapter
Events and Submissions/Topic
Module/Topic
Exam revision.
Self directed learning.
Chapter
Events and Submissions/Topic
Module/Topic
Chapter
Events and Submissions/Topic
Students enrolled as On-campus will be required to attend compulsory tutorial sessions during the term. Students must nominate their preferred tutorial location and time through MyCQU, under My Timetable in the My Units tab. Tutorial numbers are capped per session, you are not guaranteed a place at your preferred session, but you are guaranteed one session per week.
Students enrolled as Distance will be required to attend a compulsory residential school. Students must nominate their preferred residential school location through MyCQU, under My Timetable in the My Units tab. Numbers at residential schools are capped and a position at your preferred residential school is not guaranteed. Geographical proximity to and/or previous attendance at a residential school location does not guarantee placement at your preferred residential school location.
Attendance at internal tutorials and residential schools is compulsory. If for any reason you cannot attend a tutorial or day at residential school you must provide appropriate evidence, as per Assessment Policy and Procedure, to justify your absence. You will be responsible for making arrangements, with the unit coordinator, to make up for the missed learning and teaching.
1 Written Assessment
For this assessment, you are required to choose one Clinical Practice Guideline (CPG), from a list available on the Moodle page, and write a critical clinical review, assessing the CPG against current best practice and make recommendations to change and/or improve the CPG.
There are two (2) components to this assessment, Part A: Assessment Proposal & Part B: Critical Clinical Review
Part A: Assessment Proposal
You are required to choose one Clinical Practice Guideline, from a list on the Moodle page, and submit a proposal for your critical clinical review (Part B). The proposal should include a brief description of your chosen CPG and specific sections of the CPG you will be analysing. Finally, you must outline where you will source relevant academic literature pertinent to your topic, and you must provide a preliminary reference list of no less than 5 recent peer-reviewed scientific journal articles published after 2010. The word limit for your assessment proposal is 500 words (+/- 10%, not including headings or references).
Part B: Critical Clinical Review
You are required to expand upon your initial assessment proposal and write a critical clinical review on your chosen CPG. You will need to utilise current best practice and peer-reviewed scientific literature to discuss your CPG and make recommendations for changing and/or improving the CPG. You will utilise the current research to formulate your arguments for updating the CPG and how these changes will align with contemporary paramedic practice in Australia. You can make recommendations to change the CPG at an ACP2/ALS or CCP/ICP/MICA clinical level. The word count for this assessment is 1500 words (+/- 10%, not including headings or references).
Week 7 Friday (1 May 2020) 5:00 pm AEST
Part A is due 5pm Friday of Week 4, Part B is due 5pm Friday of Week 7.
Week 9 Friday (15 May 2020)
Assessment Criteria
Please write your assessment using the following style and format and then upload it to the PMSC12004 Moodle page under Assessment 1: Written Assessment link in the Assessment tab.
Presentation:
Your assessment should be formatted on A4 International Standard paper with margins of 2.54cm. Arial font and size set to 12 point, and line spacing should be set to 1.5.
Only submissions in Microsoft Word format (.doc or .docx) will be accepted.
Format:
Cover page: a cover page must be included for each part of this assessment, in the following format:
· Assessment name
· Unit number and name (PMSC12004 Advanced Electrophysiology and Coronary Care)
· Your Name
· Student Number
· Word count (not including cover page, headings and references)
· Assessment due date (If you have an approved extension this needs to be noted here)
Part A: Assessment Proposal
Part A is worth 10 marks. The word limit is 500 words (+/- 10%, not including cover page, headings or references). The assessment will be marked against a rubric which will be available on the Moodle page. You must provide a reference list of no less than 5 peer-reviewed scientific journal articles published after 2010. You may also reference Australian and/or New Zealand ambulance service guidelines and expert textbooks and websites, as appropriate. The assessment must be referenced in the APA style.
In the absence of an approved extension, a penalty of 5% of the total marks for the assessment will be deducted for each full or part calendar day the assessment is overdue, in accordance with Assessment Policy and Procedure.
Part B: Critical Clinical Review
Part B is worth 40 marks. The word limit is 1500 words (+/- 10%, not including cover page, headings or references). The assessment will be marked against a rubric which will be available on the Moodle page. You must provide a reference list of no less than 10 peer-reviewed scientific journal articles published after 2010.
In the absence of an approved extension, a penalty of 5% of the total marks for the assessment will be deducted for each full or part calendar day the assessment is overdue, in accordance with Assessment Policy and Procedure.
The marks from Part A and Part B will be totalled, adjusted and recorded as a mark out of 100, as per Assessment Policy and Procedure.
The pass mark for this assessment is 50%
- Apply evidence-based knowledge of pathophysiology to differentiate between a broad range of cardiorespiratory conditions
- Critical Thinking
- Information Literacy
- Information Technology Competence
2 Practical Assessment
You will be required to attend an assessment day/s at: your nominated campus for Internal students, or at your nominated residential school for Distance students.
Your assessment tasks will consist of three (3) Objective Structured Clinical Examinations (OSCEs). The format of the OSCEs will include a Long Case Management Exercise, a Short Case Management Exercise and a Viva Voce.
All assessment tasks align with the learning outcomes for this unit, as described in the Unit Profile.
The Case Management Exercises (CMEs) will take the format of clinical scenarios designed to assess your knowledge and understanding of the material covered throughout the unit by means of a structured, simulated patient interaction. Furthermore, the CMEs are designed to assess your ability to perform a thorough and accurate patient assessment and use this information to formulate a provisional diagnosis. In combination with your patient assessment and provisional diagnosis, you will be required to implement appropriate and timely clinical interventions, procedures and/or skills commensurate with your current scope of practice. Scene management and effective communication skill, including the ability to deliver a clinical handover to a senior clinician (i.e. CCP/ICP/MICA) or other health care professionals, will also be assessed.
The Viva Voce is a verbal or interview style assessment where you will be required to answer a series of questions to demonstrate your knowledge and understanding of the material covered throughout the unit.
Week 10 Monday (18 May 2020) 11:45 pm AEST
Assessments will be carried out during the residential school or during internal assessment days
Week 12 Friday (5 June 2020)
Feedback will be provided to students within two weeks after the assessments take place
The practical assessment is a pass/fail assessment. You must achieve a cumulative mark of greater than 50% across all three (3) OSCEs to pass this assessment.
The Long CME will be worth 40% of the overall marks and the Short CME and Viva Voce are worth 30% each of the overall marks.
Multiple scoring tools/rubrics will be utilised, based on the format of the OSCE. The scoring tools/rubrics for each assessment are validated and reliable.
Assessments will be moderated by the Unit Coordinator and therefore feedback will not be made available at the completion of your assessment day/s or residential school.
Critical errors in this unit will be classed as anything, by act or omission that: causes immediate harm or has the potential to cause harm to yourself, partner, patient or bystanders and/or any procedure/skill or pharmacology administered, that is performed outside your scope of practice.
During any form of assessment, if any of the following critical errors are witnessed the assessment will continue and be moderated. Upon review and confirmation of a critical error, no marks will be awarded for that assessment item. Furthermore, any critical error discovered on review or moderation will result in no marks being awarded for that assessment item.
Critical errors are as follows:
· Unsafe defibrillation
· Incorrect joules delivered during defibrillation
· Defibrillation of a non-shockable rhythm
· Failure to recognise a cardiac arrest within one (1) minute
· Failure to defibrillate a shockable rhythm within two (2) minutes
· Failure to perform a complete drug check, including determining indications and all contraindications
· Incorrect sharps disposal or unsafe practice with a sharp
· Performing a skill or procedure outside your scope of practice taught to you in PMSC11002, PMSC12001 or PMSC12004
· Administering pharmacology outside your scope of practice, or administering an incorrect drug or drug dose
· Any grossly unsafe practice, as determined by the assessing academic
If you do not understand any of the above, please clarify with your unit coordinator.
Failure to attempt/undertake an assessment task will result in a fail for this assessment.
- Accurately interpret ECGs to diagnose coronary conditions including dysrhythmias and acute coronary syndromes
- Integrate comprehensive knowledge of current evidence-based practice to articulate and/or undertake clinical assessment, skills and interventions in the management of cardiorespiratory conditions.
- Communication
- Problem Solving
- Critical Thinking
- Information Literacy
- Team Work
- Ethical practice
Examination
As a CQUniversity student you are expected to act honestly in all aspects of your academic work.
Any assessable work undertaken or submitted for review or assessment must be your own work. Assessable work is any type of work you do to meet the assessment requirements in the unit, including draft work submitted for review and feedback and final work to be assessed.
When you use the ideas, words or data of others in your assessment, you must thoroughly and clearly acknowledge the source of this information by using the correct referencing style for your unit. Using others’ work without proper acknowledgement may be considered a form of intellectual dishonesty.
Participating honestly, respectfully, responsibly, and fairly in your university study ensures the CQUniversity qualification you earn will be valued as a true indication of your individual academic achievement and will continue to receive the respect and recognition it deserves.
As a student, you are responsible for reading and following CQUniversity’s policies, including the Student Academic Integrity Policy and Procedure. This policy sets out CQUniversity’s expectations of you to act with integrity, examples of academic integrity breaches to avoid, the processes used to address alleged breaches of academic integrity, and potential penalties.
What is a breach of academic integrity?
A breach of academic integrity includes but is not limited to plagiarism, self-plagiarism, collusion, cheating, contract cheating, and academic misconduct. The Student Academic Integrity Policy and Procedure defines what these terms mean and gives examples.
Why is academic integrity important?
A breach of academic integrity may result in one or more penalties, including suspension or even expulsion from the University. It can also have negative implications for student visas and future enrolment at CQUniversity or elsewhere. Students who engage in contract cheating also risk being blackmailed by contract cheating services.
Where can I get assistance?
For academic advice and guidance, the Academic Learning Centre (ALC) can support you in becoming confident in completing assessments with integrity and of high standard.