Studying at York
12 Lead Electrocardiogram Interpretation - HEA00110M
Module summary
This module aims to provide nursing, medical, and allied health professionals with a detailed understanding of the electrocardiogram (ECG) and its analysis and interpretation in clinical contexts in the care of adult patients. The module has been developed to enable practitioners to gain knowledge of the theoretical principles underpinning the ECG to enable a deeper level of understanding of clinically important abnormalities that will enhance the care of the acutely ill cardiovascular patient and patients presenting with signs and symptoms which may be cardiac in origin.
Module will run
| Occurrence | Teaching period |
|---|---|
| B | Spring Term 2022-23 |
| C | Summer Term 2022-23 |
Module aims
This module aims to provide nursing, medical, and allied health professionals with a detailed understanding of the electrocardiogram (ECG) and its analysis and interpretation in clinical contexts in the care of adult patients. The module has been developed to enable practitioners to gain knowledge of the theoretical principles underpinning the ECG to enable a deeper level of understanding of clinically important abnormalities that will enhance the care of the acutely ill cardiovascular patient and patients presenting with signs and symptoms which may be cardiac in origin.
The module facilitates the development of clinical skills in cardiovascular assessment and ECG interpretation in clinical practice, as well as the ability to appraise and critique current evidence. The practitioner will also have the opportunity to develop skills in reflecting on their own practice. At Level 7 students will develop the ability critically analyse the impact of ECG findings and discuss and evaluate the treatment options and likely outcomes for people in their care.
The content of the module reflects the priorities for care identified by the North of England Cardiovascular Network (2012) and NICE (2007) guidelines for recognition and response to acute illness in adults in hospital.
Module learning outcomes
By the end of the module, students will be able to:
- Demonstrate a systematic, comprehensive and detailed level of knowledge and understanding in relation to cardiac physiology and pathophysiology.
- Accurately and systematically interpret and distinguish between a wide variety of normal and abnormal cardiac rhythms and 12 lead ECGs.
- Critically evaluate the evidence-based use and limitations of ECG interpretation to support recommendations in patient care for people with complex presentations.
- Evaluate and critically analyse the principles of ECG interpretation and the application of problem solving in making sound clinical judgements.
- Independently integrate knowledge, clinical information, problem solving and physical examination skills with sound diagnostic reasoning and patient management in the care of the cardiovascularly unstable patient and patients presenting with possible cardiac problems
- Accurately analyse a series of 12 Lead ECGs from a single patient journey. Critically evaluate the available care and treatment options and design an evidence-based plan of care for that individual underpinned by contemporary best practice
Module content
Topics will include:
- Cardiac anatomy and physiology
- The ECG in the healthy person
- Atrial arrhythmias
- Ventricular arrhythmias
- Heart blocks
- Pacemakers, AICDs and other implantable cardiac devices.
- Patient centred care
- Acute coronary syndromes
- Cardiac axis and axis deviation
Indicative assessment
| Task | % of module mark |
|---|---|
| Online Exam - 24 hrs (Centrally scheduled) | 100 |
Special assessment rules
Non-compensatable
Additional assessment information
Formative work
Formative assessment involves student engagement with a variety of case studies. These will be released gradually into the VLE after taught sessions. Over the course of the module these will become more challenging and increase in complexity. Engagement with online wikis which align with the case studies, involving both their peers and the module leaders will provide peer and lecturer feedback. Similarly the students are required to develop their own multiple-choice questions.Formative feedback on these will be from be primarily from a small group of peers, overseen by the module leaders.
Through this engagement students will have the opportunity to develop their knowledge and understanding of ECG interpretation and become better prepared for the summative examinations.
Summative assessment
Unseen, closed book examinations: Multiple Choice Question paper, Short Answer Question paper, Long Answer Question Paper Each paper will account for one third of the overall mark awarded.
These papers will assess the student’s knowledge, understanding and critical awareness of ECG interpretation in the context of contemporary patient treatment and care as highlighted in the learning outcomes.
Indicative reassessment
| Task | % of module mark |
|---|---|
| Online Exam - 24 hrs (Centrally scheduled) | 100 |
Module feedback
Feedback will be provided throughout the module in a variety of ways:
- Ongoing verbal feedback/dialogue during lectures and seminars.
- Ongoing formative work allows students to access feedback from peers and the teaching staff, at a minimum this will be offered on four occasions through engagement with the distance elements of the module(although this is likely to be much higher).
- A final revision session offers students the opportunity to receive feedback while thy work on a formative multiple-choice examination paper (which has been developed by their peers).
- Cohort feedback on the summative assessment will be provided in line with Departmental policy for closed examinations.
Indicative reading
- Hampton, J,R. (2008) The ECG Made Easy. 7th ed. London: Churchill Livingstone.
- Hampton, J,R. (2008) The ECG in Practice. 5th ed. China: Churchill Livingstone.
- Houghton, A,R. and Gray, D. (2014) Making Sense of the ECG: A Hands on Guide. 4th ed.
- London: CRC Press.
- Houghton, A,R. ( 2014) Making Sense of the ECG: Cases for Self-Assessment. . 2nd ed. London:CRC Press
- The Society for Cardiological Science and Technology. (2010) Clinical Guidelines by Consensus: Recording a 12-lead electrocardiogram, an approved methodology. Available at http://www.scst.org.uk/resources/consensus_guideline_for_recording_a_12_lead_ecg_Rev_072010b.pdf. Accessed 27.08.2014.