Course Number and Title:
VAS 112 Vascular Techniques II
Prerequisites
Prerequisite: VAS 111
Course Credits and Hours
3 credit(s)
3 lecture hours/week
1 lab hours/week
Course Description
This course is a continuation of Vascular Techniques I. Emphasis is placed on the fundamental skills and principles needed to perform peripheral venous evaluation of the upper and lower extremities. Evaluation of cerebrovascular and intracranial Doppler is also included.
Additional Materials
None
Core Course Performance Objectives (CCPOs)
- Describe normal and abnormal venous anatomy of the upper and lower extremity. (CCC 1, 2, 5, 6; PGC CVS 3, 5; PGC DMS 2, 4)
- Explain pathology, pathophysiology, and treatment of venous disease of the upper and lower extremities. (CCC 1, 2, 5, 6; PGC CVS 3, 5; PGC DMS 2, 4)
- Perform diagnostic sonographic procedures in the evaluation of extremity veins. (CCC 1, 2, 3, 4, 5, 6; PGC CVS 2, 3, 4, 5; PGC DMS 1, 2, 3, 4)
- Discuss the importance and impact of other diagnostic venous procedures. (CCC 1, 2, 5, 6; PGC CVS 3, 5; PGC DMS 2, 4)
- Describe normal and abnormal anatomy of cerebrovascular and intracranial vasculature. (CCC 1, 2, 5, 6; PGC CVS 3, 5; PGC DMS 2, 4)
- Perform basic skills in the evaluation of acquired and congenital cerebrovascular and intracranial testing. (CCC 1, 2, 3, 4, 5, 6; PGC CVS 2, 3, 4, 5; PGC DMS 1, 2, 3, 4)
- Describe other non-invasive and invasive diagnostic cerebrovascular procedures emphasizing indications, utilities, and limitations of these procedures. (CCC 1, 2, 5, 6; PGC CVS 3, 5; PGC DMS 2, 4)
See Core Curriculum Competencies and Program Graduate Competencies at the end of the syllabus. CCPOs are linked to every competency they develop.
Measurable Performance Objectives (MPOs)
Upon completion of this course, the student will:
- Describe normal and abnormal venous anatomy of the upper and lower extremity.
- Identify normal and abnormal venous anatomy of the upper and lower extremity, including system anatomy, upper and lower extremity veins, microscopic anatomy of the vein, and anatomic variants.
- Explain pathology, pathophysiology, and treatment of venous disease of the upper and lower extremities.
- Explain pathology, pathophysiology of extremity venous disease, and indications for venous extremities testing, including but not limited to the patient history and the physical exam.
- Discuss venous treatments and therapeutic interventions for peripheral venous diseases, including but not limited to prophylaxis, medical treatment, surgical treatment, and therapeutic intervention.
- Discuss mechanisms of vascular diseases, vascular pathophysiology, and hemodynamic effects of venous thromboembolism and venous valvular disorders.
- Perform diagnostic sonographic procedures in the evaluation of extremity veins.
- Perform venous extremities sonographic procedures, including but not limited to:
- Selecting correct instrumentation and optimal machine setting.
- Use proper patient preparation and positioning.
- Describe sonographic appearance of normal extremity veins.
- Explain venous extremity Doppler waveform characteristics.
- Perform with competency duplex imaging of:
- Upper extremity venous evaluation
- Lower extremity venous evaluation
- Upper and lower extremities vein mapping
- Explain different types of plethysmography used in venous extremity testing emphasizing indications, utilities, and limitations of these procedures.
- Discuss venous imaging in the evaluation of valvular insufficiency and in determining the severity of disease using venous reflux time.
- Discuss the importance and impact of other diagnostic venous procedures.
- Discuss the importance and impact of invasive venous extremity testing, including but not limited to venography, superficial vein ablation, thrombin injection for pseudoaneurysm treatment, computed tomographic angiography, magnetic resonance angiography, and nuclear medicine vascular procedure.
- Describe normal and abnormal anatomy of cerebrovascular and intracranial vasculature.
- Identify the anatomy of the cerebral arterial system, including but not limited to the extracranial carotid, vertebral, and intracranial arteries (circle of Willis).
- Differentiate normal and abnormal anatomy of the cerebral arterial system.
- Perform basic skills in the evaluation of acquired and congenital cerebrovascular and intracranial testing.
- Explain pathology and pathophysiology of cerebral arterial disease and indications for extracranial carotid and vertebral arteries test, including but not limited to patient history and physical exam.
- Explain clinical sonographic procedure in the evaluation of extracranial carotid and vertebral arteries, including but not limited to Doppler characteristics and duplex imaging.
- Perform with competency sonographic vascular procedures in the evaluation of extracranial carotid and vertebral arteries.
- Explain indications for transcranial Doppler.
- Explain transcranial Doppler procedure in the evaluation of cerebrovasculature, including but not limited to windows for insonation, basis for vessel identification and flow characteristics.
- Describe other non-invasive and invasive diagnostic cerebrovascular procedures emphasizing indications, utilities, and limitations of these procedures.
- Explain the indication, utilities, and limitation of the following diagnostic cerebrovascular procedures:
- Other non-invasive cerebrovascular procedures, including periorbital Doppler, posterior orbital Doppler, and ocular pneumoplethysmography.
- Angiography and pharmacologic alterations
- Computed tomographic angiography
- Magnetic resonance angiography
- Nuclear medicine vascular procedure
- Coil embolization procedure
Evaluation Criteria/Policies
The grade will be determined using the Delaware Tech grading system:
| 90-100 |
= |
A |
| 80-89 |
= |
B |
| 70-79 |
= |
C |
| 0-69 |
= |
F |
Students should refer to the
Catalog/Student Handbook for information on the Academic Standing Policy, the Academic Integrity Policy, Student Rights and Responsibilities, and other policies relevant to their academic progress.
Final Course Grade
Calculated using the following weighted average
|
Evaluation Measure
|
Percentage of final grade
|
|
Tests (3) (Equally Weighted) (summative)
|
30 %
|
| Simulator & Classroom/Workbook Assignments (formative) |
20 %
|
|
Final Comprehensive Exam (summative)
|
20 %
|
|
Lab Competency 1-
Upper Extremity Venous Competency (summative)
|
7.5 %
|
|
Lab Competency 2-
Lower Extremity Venous Competency (summative)
|
7.5 %
|
|
Lab Competency 3-
Upper and Lower Extremities Vein Mapping Competency (summative)
|
7.5 %
|
|
Lab Competency 4-
Carotid and Vertebral Duplex Competency (summative)
|
7.5 %
|
|
TOTAL
|
100%
|
Program Graduate Competencies (PGCs are the competencies every graduate will develop specific to his or her major)
CVS Program Graduate Competencies: (PGCs are the competencies every graduate will develop specific to his or her major)
- Perform competently a full range of echocardiography procedures.
- Perform competently a full range of vascular sonographic procedures.
- Utilize professional verbal, nonverbal, and written communication skills in patient care, procedure intervention, and professional relationships.
- Act in a professional and ethical manner and comply with professional scope of practice.
- Integrate critical thinking and problem solving skills as expected of a healthcare professional.
DMS Program Graduate Competencies: (PGCs are the competencies every graduate will develop specific to his or her major)
- Perform competently a full range of diagnostic medical sonographic procedures pertaining to their learning concentration.
- Utilize professional verbal, nonverbal, and written communication skills in patient care, procedure intervention, and professional relationships.
- Act in a professional and ethical manner and comply with professional scope of practice.
- Integrate critical thinking and problem solving skills as expected of a healthcare professional.
Core Curriculum Competencies (CCCs are the competencies every graduate will develop)
- Apply clear and effective communication skills.
- Use critical thinking to solve problems.
- Collaborate to achieve a common goal.
- Demonstrate professional and ethical conduct.
- Use information literacy for effective vocational and/or academic research.
- Apply quantitative reasoning and/or scientific inquiry to solve practical problems.
Students in Need of Accommodations Due to a Disability
We value all individuals and provide an inclusive environment that fosters equity and student success. The College is committed to providing reasonable accommodations for students with disabilities. Students are encouraged to schedule an appointment with the campus Disabilities Support Counselor to request an accommodation needed due to a disability. The College's policy on accommodations for persons with disabilities can be found in the College's Guide to Requesting Academic Accommodations and/or Auxiliary Aids Students may also access the Guide and contact information for Disabilities Support Counselors through the Student Resources web page under Disabilities Support Services, or visit the campus Advising Center.