2014 – 2015
Florida Department of Education
Curriculum Framework 

Program Title:	Cardiovascular/Cardiopulmonary Technology
Career Cluster:	Health Science

AS	
CIP Number	1351090100	
Program Type	College Credit	
Standard Length	Primary 77 credit hours; Secondary 83 credit hours	
CTSO	HOSA: Future Health Professionals	
SOC Codes (all applicable) 	29-2031 Cardiovascular Technologists and Technicians
	
Targeted Occupation List	http://www.labormarketinfo.com/wec/TargetOccupationList.htm	
Perkins Technical Skill Attainment Inventory	http://www.fldoe.org/workforce/perkins/perkins_resources.asp 	
Statewide Articulation	http://www.fldoe.org/workforce/dwdframe/artic_frame.asp 	

Purpose

This program offers a sequence of courses that provides coherent and rigorous content aligned with challenging academic standards and relevant technical knowledge and skills needed to prepare for further education and careers in the Health Science career cluster; provides technical skill proficiency, and includes competency-based applied learning that contributes to the academic knowledge, higher-order reasoning and problem-solving skills, work attitudes, general employability skills, technical skills, and occupation-specific skills, and knowledge of all aspects of Health Science career cluster. 

The program is designed to prepare students for employment as cardiovascular technologists, SOC Code 29-2031 (Cardiovascular Technologists and Technicians).  

The content includes but is not limited to instruction in performing examinations leading to diagnosis and treatment of patients with cardiovascular disease.  A clinical component is a necessary element to a program. Reinforcement of basic skills in English, mathematics and science occurs through classroom instruction and applied laboratory practice.

Additional Information relevant to this Career and Technical Education (CTE) program is provided at the end of this document.

Program Structure

This program is a planned sequence of instruction consisting of 77-83 credit hours.

Standards

After successfully completing this program, the student will be able to perform the following:

01.0	Demonstrate knowledge of the health care delivery system and health occupations.
02.0	Demonstrate the ability to communicate and use interpersonal skills effectively.
03.0	Demonstrate legal and ethical responsibilities.
04.0	Demonstrate an understanding of and apply wellness and disease concepts.
05.0	Recognize and practice safety and security procedures.
06.0	Recognize and respond to emergency situations.
07.0	Recognize and practice infection control procedures.
08.0	Demonstrate an understanding of information technology applications in healthcare.
09.0	Demonstrate employability skills.
10.0	Demonstrate knowledge of blood borne diseases, including HIV/AIDS.
11.0	Apply basic math and science skills. 
12.0	Explore career opportunities in invasive cardiology, cardiac ultrasound, vascular ultrasound, and pulmonary function testing.
13.0	Identify the anatomic structure and function of body systems in relation to cardiovascular disease and studies.
14.0	Demonstrate the ability to recognize normal and abnormal electrocardiogram (EKG) rhythms and arrhythmias as each apply to intra-procedural therapies.  
15.0	Practice safety and quality assurance.
16.0	Follow professional principles related to the practice of cardiovascular technology.
17.0	Use basic medical electronics and medical instrumentation.
18.0	Describe the role of the cardiovascular technologist in catastrophic event management.
19.0	Discuss the pharmacological aspects of cardiovascular drugs.
20.0	Perform patient care, record patient history and practice effective patient communication.

One of the following sub-specialties must be added to the intended outcomes for both cardiovascular and cardiopulmonary.  

21.0	Assist in all aspects of invasive cardiovascular diagnostic and interventional procedures and techniques with emphasis on cardiovascular catheterization.
22.0	Perform noninvasive cardiovascular techniques with an emphasis on echocardiography.
23.0	Perform noninvasive peripheral vascular studies.
24.0	Perform noninvasive cardiovascular techniques with an emphasis on echocardiography related to the pediatric patient. 
25.0	Assist in all aspects of Cardiovascular electrophysiology procedures.
26.0	Demonstrate the ability to obtain arterial/venous blood samples.

2014 – 2015
Florida Department of Education
Student Performance Standards

Program Title:	Cardiovascular/Cardiopulmonary Technology
CIP Number:	1351090100 
Program Length:	160 credit hours
SOC Code(s):		29-2031

The AS degree requires the inclusion of a minimum of 15 credits of general education coursework according to SACS, and it must be transferable according to Rule 6A-14.030 (2), F.A.C.  At the completion of this program, the student will be able to:	
01.0	Demonstrate knowledge of the health care delivery system and health occupations–The student will be able to:	
01.01	Identify the basic components of the health care delivery system including public, private, government and non-profit.	
01.02	Identify common methods of payment for healthcare services.	
01.03	Describe the various types of healthcare providers and the range of services available including resources to victims of domestic violence. 	
01.04	Describe the composition and functions of a healthcare team. 	
01.05	Identify the general roles and responsibilities of the individual members of the healthcare team. 	
01.06	Identify the roles and responsibilities of the consumer within the healthcare delivery system. 	
01.07	Identify characteristics of effective teams. 	
01.08	Recognize methods for building positive team relationships.	
01.09	Analyze attributes and attitudes of an effective leader. 	
01.10	Recognize factors and situations that may lead to conflict.	
01.11	Demonstrate effective techniques for managing team conflict. 	
01.12	Describe factors that influence the current delivery system of healthcare.	
01.13	Explain the impact of emerging issues including technology, epidemiology, bioethics and socioeconomics on healthcare delivery systems. 	
02.0	Demonstrate the ability to communicate and use interpersonal skills effectively–The student will be able to:	
02.01	Develop basic speaking and active listening skills.	
02.02	Develop basic observational skills and related documentation strategies in written and oral form.	
02.03	Identify characteristics of successful and unsuccessful communication including communication styles and barriers. 	
02.04	Respond to verbal and non-verbal cues. 	
02.05	Compose written communication using correct spelling, grammar, a formatting and confidentiality and specific formats of letter writing.	
02.06	Use appropriate medical terminology and abbreviations. 	
02.07	Recognize the importance of courtesy and respect for patients and other healthcare workers and maintain good interpersonal relationships. 	
02.08	Recognize the importance of patient/client educations regarding healthcare. 	
02.09	Adapt communication skills to varied levels of understanding and cultural orientation including diverse age, cultural, economic, ethnic and religious groups. 	
02.10	Analyze elements of communication using a sender-receiver model.	
02.11	Distinguish between and report subjective and objective information. 	
02.12	Report relevant information in order of occurrence. 	
03.0	Demonstrate legal and ethical responsibilities–The student will be able to:	
03.01	Discuss the legal framework of the healthcare occupations including scope of practice legislation.	
03.02	Explain practices that could result in malpractice, liability, negligence, abandonment, false imprisonment and fraud. 	
03.03	Demonstrate procedures for accurate documentation and record keeping. 	
03.04	Interpret healthcare facility policy and procedures. 	
03.05	Explain the “Patient’s Bill of Rights”.	
03.06	Identify standards of the Health Insurance Portability and Accountability Act (HIPAA).	
03.07	Describe advance directives. 	
03.08	Describe informed consent. 	
03.09	Explain the laws governing harassment, labor and employment. 	
03.10	Differentiate between legal and ethical issues in healthcare.	
03.11	Describe a code of ethics consistent with the healthcare occupation. 	
03.12	Identify and compare personal, professional, and organizational ethics. 	
03.13	Recognize the limits of authority and responsibility of health care workers including legislated scope of practice. 	
03.14	Recognize and report illegal and/or unethical practices of healthcare workers. 	
03.15	Recognize and report abuse including domestic violence and neglect. 	
03.16	Distinguish among the five schedules of controlled substances.	
04.0	Demonstrate an understanding of and apply wellness and disease concepts–The student will be able to:	
04.01	Describe strategies for prevention of diseases including health screenings and examinations. 	
04.02	Identify personal health practices and environmental factors which affect optimal function of each of the major body systems.	
04.03	Identify psychological reactions to illness including defense mechanisms. 	
04.04	Identify complementary and alternative health practices. 	
04.05	Discuss the adverse effects of the use of alcohol, tobacco, and both legal and illegal drugs on the human body and apply safety practices related to these and other high risk behaviors. 	
04.06	Explain the basic concepts of positive self image, wellness and stress. 	
04.07	Develop a wellness and stress control plan that can be used in personal and professional life. 	
04.08	Explore and utilize the U.S. Department of Agriculture’s MyPlate food guide (www.choosemyplate.gov).	
04.09	Recognize the steps in the grief process. 	
05.0	Recognize and practice safety and security procedures–The student will be able to:	
05.01	Recognize safe and unsafe working conditions and report safety hazards. 	
05.02	Demonstrate the safe use of medical equipment.	
05.03	Explain and apply the theory of root- cause analysis.  	
05.04	Identify and describe methods in medical error reduction and prevention in the various healthcare settings. 	
05.05	Identify and practice security procedures for medical supplies and equipment. 	
05.06	Demonstrate personal safety procedures based on Occupations Safety and Health Administration (OSHA) and Centers for Disease Control (CDC) regulations (including standard precautions). 	
05.07	Recognize Materials Data Safety Sheets (MSDS) and comply with safety signs, symbols and labels. 	
05.08	Demonstrate proper body mechanics and ergonomics. 	
05.09	Demonstrate the procedure for properly identifying patients. 	
05.10	Demonstrate procedures for the safe transport and transfer of patients. 	
05.11	Describe fire, safety, disaster and evacuations procedures. 	
05.12	Discuss The Joint Commission patient safety goals (www.jointcommission.org). 	
06.0	Recognize and respond to emergency situations–The student will be able to:	
06.01	Monitor and record vital signs.	
06.02	Describe legal parameters relating to the administration of emergency care. 	
06.03	Obtain and maintain training or certification on cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid. 	
06.04	Recognize adverse drug related emergencies and take appropriate first aid action. 	
07.0	Recognize and practice infection control procedures–The student will be able to:	
07.01	Define principles of infection control including standard and transmission based precautions.	
07.02	Demonstrate knowledge of medical asepsis and practice procedures such as hand-washing and isolation. 	
07.03	Demonstrate knowledge of surgical asepsis. 	
07.04	Describe how to dispose correctly of biohazardous materials according to appropriate government guidelines such as OSHA. 	
08.0	Demonstrate an understanding of information technology applications in healthcare–The student will be able to:	
08.01	Describe technology applications in healthcare. 	
08.02	Define terms and demonstrate basic computer skills. 	
08.03	Recognize technology applications in healthcare. 	
08.04	Interpret information from electronic medical documents. 	
08.05	Identify methods of communication to access and distribute data such as fax, e-mail and internet. 	
09.0	Demonstrate employability skills–The student will be able to:	
09.01	Identify personal traits or attitudes desirable in a member of the healthcare team. 	
09.02	Exemplify basic professional standards of healthcare workers as they apply to hygiene, dress, language, confidentiality and behavior (i.e. telephone etiquette, courtesy and self-introductions). 	
09.03	Identify documents that may be required when applying for a job. 	
09.04	Write an appropriate resume. 	
09.05	Conduct a job search. 	
09.06	Complete a job application form correctly.	
09.07	Examine levels of education, credentialing requirements including licensure and certification, employment opportunities, workplace environments and career growth potential. 	
09.08	Recognize levels of education, credentialing requirements, employment opportunities, workplace environments and career growth potential. 	
09.09	Identify acceptable work habits. 	
09.10	Recognize appropriate affective/professional behavior. 	
09.11	Compare careers within the health science career pathways (diagnostic services, therapeutic services, health informatics, support services or biotechnology research and development). 	
10.0	Demonstrate knowledge of blood borne diseases, including HIV/AIDS–The student will be able to:	
10.01	Recognize emerging diseases and disorders.	
10.02	Distinguish between fact and fallacy about the transmission and treatment of diseases caused by blood borne pathogens including Hepatitis B.	
10.03	Identify community resources and services available to the individuals with diseases caused by blood borne pathogens.	
10.04	Identify "at risk" behaviors which promote the spread of diseases caused by blood borne pathogens and the public education necessary to combat the spread of these diseases.	
10.05	Apply infection control techniques designed to prevent the spread of diseases caused by blood borne pathogens to the care of all patients following Centers for Disease Control (CDC) guidelines.	
10.06	Demonstrate knowledge of the legal aspects of HIV/AIDS, including testing.	
11.0	Apply basic math and science skills–The student will be able to:	
11.01	Draw, read, and report on graphs, charts and tables.	
11.02	Measure time, temperature, distance, capacity, and mass/weight.	
11.03	Make, use and convert using both traditional and metric units. 	
11.04	Make estimations and approximations and judge the reasonableness of the result.	
11.05	Convert from regular to 24 hour time.	
11.06	Demonstrate ability to evaluate and draw conclusions.	
11.07	Organize and communicate the results obtained by observation and experimentation.	
11.08	Ask appropriate scientific questions and recognize what is involved in experimental approaches to the solution of such questions.	
11.09	Calculate ratios.	
12.0	Explore career opportunities in invasive cardiology (cardiac catheterization, non-invasive cardiac sonography (echocardiography), non-invasive vascular sonography, and pulmonary functions testing–The student will be able to:	
12.01	Describe the CVT/CPT profession, including but not limited to, history, accreditation, education, job conditions, salaries, critical thinking and team building.	
12.02	Identify the cardiovascular professional organizations and discuss their roles (SDMS, ASE, ACO, SVT, SICP, HRS)	
12.03	Discuss certification, licensure, and registration for the Cardiovascular/Cardiopulmonary Technologist.	
12.04	Describe the sub-specialty of Invasive cardiovascular technology (Cardiac Catheterization) and identify the duties of the Cardiovascular Invasive Specialist 	
12.05	Describe the sub-specialty of and identify the duties of the Cardiovascular Technologist.	
12.06	Describe the sub-specialty of adult echocardiography Non-invasive Vascular Sonography and identify the duties of the Cardiovascular Technologist.	
12.07	Describe the sub-specialty of pediatric echocardiography and identify the duties of the Cardiovascular Technologist	
12.08	Describe the sub-specialty of cardiac electrophysiology and identify the duties of the Cardiovascular Technologist.	
13.0	Identify the anatomic structure and function of body systems in relation to cardiovascular disease and studies–The student will be able to:	
13.01	Describe human anatomy and physiology with emphasis on the cardiovascular and pulmonary systems.	
13.02	Discuss principles and methods of disease transmission and prevention.	
13.03	Identify normal and abnormal data obtained from medical tests.	
13.04	Describe basic pathological conditions of the cardiovascular and pulmonary systems.	
14.0	Demonstrate the ability to recognize normal and abnormal electrocardiogram (EKG) rhythms and arrhythmias as each apply to intra-procedural therapies--The student will be able to:	
14.01	Identify cardiac anatomy and the electrical conduction pathways within the heart. 	
14.02	Identify the inherent rates of each segment of the nodal pathway of the heart.	
14.03	Identify the components of a normal cardiac cycle.	
14.04	Associate each electrical segment of the EKG cycle (P wave, PR segment, QRS complex, T wave, Isoelectric line) to the mechanical function of the heart.	
14.05	Explain how the PR interval and QRS complex are measured within the cardiac cycle.	
14.06	Identify sinus, atrial, junctional, and ventricular rhythms as well as heart blocks and paced rhythms.	
14.07	Correlate the clinical implications of arrhythmias to cardiac pathology.	
14.08	Differentiate artifact, interference, and noise versus arrhythmia.	
15.0	Practice safety and quality assurance–The student will be able to:	
15.01	Observe acceptable safety practices in cardiovascular instrumentation.	
15.02	Demonstrate knowledge of radiation safety procedures.	
15.03	Demonstrate knowledge of quality assurance as it relates to imaging equipment, film quality, etc.	
15.04	Implement appropriate Joint Commission patient safety goals.	
16.0	Follow professional principles related to the practice of cardiovascular technology–The student will be able to:	
16.01	Carry out all responsibilities in the best interest of the patient in an excellent manner.	
16.02	Carry out assigned tasks conscientiously, honestly, enthusiastically, and accept responsibility for the task and the results.	
16.03	Function effectively as part of a team-adaptable to change and willing to teach others.	
16.04	Abide by the rules and procedures of the work site.	
16.05	Maintain a hygienic, professional appearance.	
16.06	Demonstrate pride and loyalty to the profession.	
17.0	Use basic medical electronics and medical instrumentation–The student will be able to:	
17.01	Identify the duties related to electronic monitoring and diagnostic testing of patient.	
17.02	Demonstrate computer literacy skills as applied to cardiovascular practice.	
17.03	Operate equipment used in diagnostic testing and physiological monitoring of patients.	
17.04	Set up, calibrate and operate selected equipment in the cardiovascular laboratory.	
18.0	Describe the role of the cardiovascular technologist in catastrophic event management–The student will be able to:	
18.01	Follow institutional catastrophic event protocol.	
18.02	Respond to simulated emergency care situations encountered in a cardiovascular department.	
18.03	Identify the components of the defibrillator.	
18.04	Cite the indications for cardiac defibrillation and cardioversion.	
19.0	Discuss the pharmacological aspects of cardiovascular drugs–The student will be able to:	
19.01	State the mechanism of action of selected cardiovascular drugs.	
19.02	Identify and describe uses of pharmacological agents on an emergency "crash" cart.	
19.03	Calculate drug dosages and mixtures.	
19.04	Use needles and syringes in preparing medications for administration in simulated practice.	
19.05	Describe intravenous fluid therapy maintenance.	
20.0	Perform patient care, record patient history and practice effective communication–The student will be able to:	
20.01	Perform patient identification procedures.	
20.02	Examine patient chart and locate pertinent information.	
20.03	Perform a patient history pertinent to the cardiovascular exam.	
20.04	Practice patient care with emphasis on patient privacy, body mechanics, patient positions and patient transportation.	
20.05	Measure vital signs and differentiate between normal and abnormal values.	
20.06	Cite the indications for and name the methods of oxygen administration.	
20.07	Perform the attachment of a regulator to and regulate the flow of oxygen from a tank or central system.	
20.08	Perform suctioning technique in a simulated laboratory setting.	
20.09	Recognize human behaviors indicative of anxiety.	
20.10	Identify and develop effective communication and interpersonal relations skills.	
20.11	Discuss approaches used in dealing with a variety of hospitalized persons.	
20.12	Describe socio-cultural traits which may affect a person's hospital care.	
One of the following sub-specialties must be added to the intended outcomes for both cardiovascular and cardiopulmonary.  Additional sub-specialties may be included, as desired.

*For those programs which include the INVASIVE CARDIOLOGY SUB-SPECIALTY, the following student performance standards are necessary.
	
21.0	Assist in all aspects of invasive cardiovascular diagnostic and interventional procedures and techniques with emphasis on cardiovascular catheterization. –The student will be able to:	
21.01	Describe the history of invasive procedures, including pioneers in the field.	
21.02	Practice sterile technique as it applies to the cardiac catheterization set up and protocol.	
21.03	Describe routine left heart and right heart and vascular catheterization set up and protocols.	
21.04	Describe diagnostic and interventional procedures in the cardiovascular cath lab including, but not limited to, angiography, IVUS (intravascular ultrasound), FFR (fractional flow reserve), percutaneous coronary and vascular interventions, angioplasty, stent implantation, thrombectomy, IABP (intraaortic balloon pumping), electrophysiology studies, valvuloplasty, biopsy and pericardiocentesis.	
21.05	Describe catheter insertion techniques and assist physician with manipulation of catheterization equipment and instruments during the procedure.	
21.06	Recognize cardiovascular anatomy through angiography and assess cardiovascular status from the data.	
21.07	Recognize cardiovascular hemodynamic parameters and record and measure left and right heart and vascular pressures.	
21.08	Determine cardiac output and cardiac index by Fick equation, thermodilution technique and angiographic technique and perform Hemodynamic calculations.	
21.09	Perform calculations which include, but are not limited to, mean arterial pressure, ejection fraction regurgitation fraction, valve area using Gorlin formula and pulmonary and systemic vascular resistances.	
21.10	Recognize presence of shunts by oximetry and/or dye curves and perform shunt calculations.	
21.11	Discuss permanent and temporary pacemaker protocols.	
21.12	Correlate and calculate necessary data from right and left heart and vascular catheterization and assess the cardiovascular status from this information.	
21.13	Demonstrate acceptable post-cath care of the catheterization site.	
21.14	Identify complications which occur during cardiovascular catheterization.	
21.15	Describe and perform venipuncture to initiate intravenous fluid therapy on a venipuncture model.	
21.16	Maintain and troubleshoot existing intravenous/intra-arterial lines.	
21.17	Demonstrate knowledge of basic x-ray history,theory,production, biology and protection.	
21.18	Demonstrate knowledge of patient assessment and practice patient care of the invasive Cardiovascular patient, including but not limited to basic assessment, history and physical,vital signs, lab values, CNS assessment, CVS assessment, peripheral vascular assessment etc.	
21.19	Demonstrate clinical skills, including but not limited to Pre and post cath patient care, monitoring and recording, manipulation of imaging equipment,Image Processing quality control, scrubbing, and circulating.	
21.20	Demonstrate knowledge of the pharmacologic principles and medications required to function in the cardiovascular cath labs.	
21.21	Demonstrate knowledge of the congenital and acquired cardiovascular diseases and their treatments found in cardiovascular patients.     	
21.22	Demonstrate knowledge of arterial blood gas and acid-base physiology; identify normal and abnormal blood gas values, interpret blood gas and acid-base data, outline steps in collecting arterial blood samples.	
21.23	Discuss the main components of the blood clotting cascade, how different pathology and pharmacological agents affect the process, and how manual and mechanical arterial closure methods relate to post-op hemostasis.	
*For those programs which include the NONINVASIVE CARDIOLOGY SUBSPECIALITY, these student performance standards are necessary.
	
22.0	Perform noninvasive cardiovascular techniques with an emphasis on echocardiography–The student will be able to:	
22.01	Auscultate normal and abnormal heart sounds and relate abnormal findings to specific cardiac pathology.	
22.02	Assist in performance of stress electrocardiography and explain indications, contraindications, positive and negative test results.	
22.03	Assist in performance of ambulatory electrocardiography and explain indications and test results.	
22.04	Describe the physics of ultrasound as it applies to echocardiography and cardiac Doppler.	
22.05	Demonstrate function and use of noninvasive cardiology equipment.	
22.06	Perform, measure and analyze M-Mode and Two-Dimensional echocardiograms.	
22.07	Perform, measure and analyze Color Flow Doppler exams.	
22.08	Perform, measure and analyze interventional spectral Doppler echocardiography.	
22.09	Demonstrate knowledge of pathophysiology of cardiovascular diseases as seen on echocardiography.	
22.10	Perform and demonstrate knowledge of information derived from echocardiography, including but not limited to measurements, normal parameters and equations.	
22.11	Demonstrate knowledge of patient assessment, and practice patient care of the cardiac patient.	
22.12	Perform and demonstrate knowledge of non-invasive modalities and advance techniques, including but not limited to stress echo, effects of medication, normal/abnormal findings, holter monitoring, stress testing, transesophageal echocardiogram, contrast agents and provocation maneuvers.	
*For those programs which include the NONINVASIVE VASCULAR SONOGRAPHY SUB-SPECIALITY, the following student performance standards are necessary.
	
23.0	Perform noninvasive peripheral vascular studies--The student will be able to:	
23.01	Discuss the physics of ultrasound as it applies to Sonography imaging and Doppler, including but not limited to definition of sound, propagation of sound in tissue, Transducers and ultrasound imaging (A,B, & M mode).	
23.02	Discuss the physical principles and instrumentation as it applies to tissue perfusion, including but not limited to general physics and laws of hemodynamics, tissue mechanics and pressure transmission, & plethysomography.	
23.03	Discuss normal vascular anatomy.	
23.04	Interpret normal vascular ultrasonic anatomy.	
23.05	Describe patient positioning with respect to vascular modalities.	
23.06	Demonstrate knowledge of assessment and care of the cardiovascular patient.	
23.07	Discuss circulatory hemodynamics as it applies to arterial, venous and cerebral hemodynamics.	
23.08	Perform arterial patient physical assessment	
23.09	Perform venous patient physical assessment.	
23.10	Perform cerebrovascular patient physical assessment.	
23.11	Perform noninvasive peripheral vascular evaluations, including venous, arterial, visceral and cerebral vascular studies.	
23.12	Discuss therapeutic intervention as it relates to arterial, venous, visceral and cerebrovascular studies.	
23.13	Describe test validation and measurements as they relate to vascular studies.	
23.14	Demonstrate a knowledge of the pathophysiology and etiology of diseases of the circulatory system, including venous, arterial, visceral and cerebrovascular diseases.	
23.15	Discuss appropriate action based on data interpretation	
*For those programs which include the PEDIATRIC NONINVASIVE CARDIOLOGY SUBSPECIALITY, these student performance standards are necessary.
	
24.0	Perform noninvasive cardiovascular techniques with an emphasis on echocardiography related to the pediatric patient–The student will be able to:	
24.01	Demonstrate knowledge of indication for echocardiogram and obtain information required for diagnosis and treatment of the pediatric patient.	
24.02	Describe the physics of ultrasound as it applies to echocardiography and cardiac Doppler.	
24.03	Demonstrate function and safe use of cardiac ultrasound equipment.	
24.04	Demonstrate ability to acquire diagnostic images and utilization of proper display orientation.	
24.05	Perform, measure and analyze M-Mode and Two-Dimensional echocardiograms.	
24.06	Perform, measure and analyze Color Flow Doppler exams.	
24.07	Perform, measure and analyze spectral Doppler and recognize application for assessment of blood flow and prediction of intracardiac pressures.	
24.08	Demonstrate knowledge of cardiac cycles and related hemodynamics 	
24.09	Demonstrate knowledge of embryology, congenital heart diseases and acquired heart diseases.	
24.10	Demonstrate knowledge of pathophysiology of cardiovascular diseases as seen on echocardiography.	
24.11	Demonstrate knowledge of cardiac surgeries, allografts, interventional procedures and sequelae	
24.12	Perform and demonstrate knowledge of information derived from echocardiography, including but not limited to measurements, normal parameters and equations.	
24.13	Demonstrate knowledge of limitations of echocardiography and Doppler techniques.	
24.14	Demonstrate knowledge of patient assessment, and practice patient care of the pediatric cardiac patient.	
24.15	Perform and demonstrate knowledge of advanced techniques, including but not limited to stress echo, effects of medication, normal/abnormal findings, stress testing, transesophageal echocardiogram, intra cardiac echo, 3D echo and contrast agents and provocation maneuvers.	
*For those programs which include the CARDIAC ELECTROPHYSIOLOGY SUB-SPECIALITY, the following student performance standards are necessary.
	
25.0	Assist in all aspects of Cardiovascular electrophysiology procedure–The student will be able to:	
25.01	Describe the physiology of and indications for diagnostic and interventional EP  procedures including, but not limited to, ventricular stimulation, syncope study, SVT study, single, dual and bi-ventricular internal cardiac device implant, venous angiography, PTVA, radiofrequency ablation, cryo-ablation, external cardioversion, internal cardioversion, pericardiocentesis, lead extraction and  laser lead extraction.	
25.02	Identify the complications associated with electrophysiology studies and internal cardiac device implants and describe emergency interventions.	
25.03	Demonstrate knowledge of and practice pre and post patient care for the patient undergoing diagnostic/interventional electrophysiology study and internal cardiac device implant to include review of history and physical, vital signs, lab values, medications and peripheral vascular assessment.	
25.04	Identify diagnostic and interventional catheters, their use, and how they could be configured for EGM acquisition. 	
25.05	Describe catheter insertion techniques for manipulation of temporary & permanent pacing and interventional catheters. 	
25.06	Practice sterile technique as it applies to the preparation of self and patients for electrophysiology procedures and internal cardiac device implants.	
25.07	Perform patient and sterile table set up for diagnostic and interventional ventricular, syncope and SVT electrophysiology procedures and internal cardiac device implants.	
25.08	Perform as a scrub and record technologist assisting physicians with diagnostic and interventional EP procedures including, but not limited to, ventricular stimulation, syncope study, SVT study, single, dual chamber, and bi-ventricular internal cardiac device implant, venous angiography, PTVA, radiofrequency ablation, cryo-ablation, external cardioversion and internal cardioversion.	
25.09	Identify and properly utilize surgical instruments while assisting with internal cardiac device implants.	
25.10	Identify the ionic properties of the cardiac action potential and the changes to the action potential associated with abnormal values.	
25.11	Identify the normal refractory periods of the nodes & tissue and describe the effects that antiarrhythmics may have on them.	
25.12	Identify intra-cardiac electrograms from the right & left atrium, at the AV node, bundle of His, right & left ventricles and in the coronary sinus. 	
25.13	Identify and describe the mechanism and perform differential diagnosis of cardiac arrhythmias including, but not limited to, ventricular tachycardia, AV nodal reentrant tachycardia, AV reentrant tachycardia, atrial flutter and atrial fibrillation.	
25.14	Perform stimulation protocols and identify pharmacology used for induction, termination, and differential diagnosis of arrhythmias, including but not limited to, ventricular tachycardia’s (ischemic, RVOT-VT, idiopathic LV VT &  BBRT), AV nodal reentrant tachycardia, AV reentrant tachycardia, atrial flutter and atrial fibrillation.	
25.15	Demonstrate knowledge of the pharmacologic principles and medications used for the care of patients in the cardiac electrophysiology lab.	
25.16	Demonstrate knowledge of differential diagnosis techniques and treatment of congenital arrhythmias, including but not limited to, Brugada Syndrome, Long QT syndrome, Arrhythmogenic Right Ventricular Dysplasia and Wolf-Parkinson-White.	
25.17	Identify the coronary venous system utilizing radiographic and angiographic imaging.	
25.18	Identify venous and arterial hemodynamic waveforms while performing trans-septal puncture and respond appropriately to recognized data.	
25.19	Perform in the record role, demonstrating knowledge of acquisition and evaluation of data, stimulator operations, and provide differential diagnosis of arrhythmias during electrophysiology and internal cardiac device procedures.	
25.20	Demonstrate the ability to perform basic internal cardiac device programmer operations, including interrogation, diagnostic information retrieval, pacing & sensing thresholds, and emergency pacing.	
25.21	Analyze diagnostic data and results of functional testing retrieved from pacemakers and internal cardiac devices.	
25.22	Demonstrate appropriate post-procedure care for venous/arterial access sites and/or electrophysiology procedures or internal cardiac device implant sites. 	
25.23	Demonstrate knowledge of basic x-ray history, theory, production, biology and patient/employee safety.	
25.24	Demonstrate critical behaviors and knowledge of quality control while manipulating imaging equipment, and providing image acquisition during diagnostic/interventional electrophysiology procedures and internal cardiac device implants.	
26.0	Demonstrate the ability to obtain arterial/venous blood samples--The student will be able to:	
26.01	 Describe quality control techniques in blood gas analyses.	
26.02	Outline the steps in collecting arterial blood samples.	
26.03	Demonstrate the ability to analyze and interpret arterial blood gas results, including: 	
26.03.01	Blood gas acid-base physiology.	
26.03.02	Normal and abnormal blood gas values and appropriate interventions, if necessary.	

Additional Information

Laboratory Activities

Laboratory activities are an integral part of this program.  These activities include instruction in the use of safety procedures, tools, equipment, materials, and processes related to these occupations.  Equipment and supplies should be provided to enhance hands-on experiences for students. 

Special Notes

Basic preparation in English, Mathematics, and the Sciences are recommended prior to entering the Cardiovascular/Cardiopulmonary professional component of the curriculum.  The following courses with an (*) marking those thought to be essential.  (Prerequisite courses required to complete the program must be included in the listed program length credits. 

_ English - Composition*
_ Communications - Speech
_ Electronic
_ Oral Biology
_ Anatomy & Physiology - General*
_ Math - Algebra *
_ Chemistry*
_ Physics*
_ Microbiology
_ Psychology - Social Skills
_ Computers (health informatics)
_ Keyboarding
_ Word processing
_ Hardware & systems
_ Software
_ Humanities - as required for graduation

Cardiovascular/cardiopulmonary technology educational programs will address one or more of the five basic sub-specialties:  1) invasive cardiovascular technology, 2) adult echocardiography) pediatric echocardiography, 4) noninvasive vascular study and 5) cardiac electrophysiology.  Cardiopulmonary technology should include the additional component of pulmonary function testing.  The Cardiovascular/Cardiopulmonary Technology Program may award an Associate of Applied Science (AAS) and/or Associate of Science (AS) degree within the program length guidelines.  When the cardiovascular program competencies are offered, the program cannot exceed 77 credit hours.  When the cardiopulmonary competencies are offered, the program cannot exceed 83 credit hours.  

This program meets the Department of Health HIV/AIDS and domestic violence education requirements.  Upon completion of this program the instructor will provide a certificate to the student verifying that the HIV/AIDS and domestic violence requirements have been met.

The program should meet the requirements of the American Medical Association and Commission on Accreditation of Allied Health Education Programs (CAAHEP), 1361 Park Street, Clearwater, FL 33756, Phone: 727-210-2350, Fax: 727-210-2354 www.CAAHEP.org. 

Graduates should be prepared to take the appropriate registry and/or state licensure examinations.

Outcomes 01-11 are referred to as the Health Careers Core and do not have to be completed if the student has previously completed the Core in another health science program.  The Core should be taken first or concurrently with the first course in the program.  Following the successful completion of the core, the student is eligible to take the National Health Care Foundation Skill Standards Assessment with instructor approval and the completion of a portfolio.

Career and Technical Student Organization (CTSO)

HOSA: Future Health Professionals is the appropriate career and technical student organization for providing leadership training and reinforcing specific career and technical skills.  Career and Technical Student Organizations provide activities for students as an integral part of the instruction offered.  The activities of such organizations are defined as part of the curriculum in accordance with Rule 6A-6.065, F.A.C.

Accommodations

Federal and state legislation requires the provision of accommodations for students with disabilities as identified on the secondary student’s Individual Educational Plan (IEP) or 504 plan or postsecondary student’s accommodations’ plan to meet individual needs and ensure equal access.  Postsecondary students with disabilities must self-identify, present documentation, request accommodations if needed, and develop a plan with their counselor and/or instructors.  Accommodations received in postsecondary education may differ from those received in secondary education.  Accommodations change the way the student is instructed.  Students with disabilities may need accommodations in such areas as instructional methods and materials, assignments and assessments, time demands and schedules, learning environment, assistive technology and special communication systems.  Documentation of the accommodations requested and provided should be maintained in a confidential file.

Articulation

To be transferable statewide between institutions, this program must have been reviewed, and a “transfer value” assigned the curriculum content by the appropriate Statewide Course Numbering System discipline committee.  This does not preclude institutions from developing specific articulation agreements with each other. 

For details on articulation agreements which correlate to programs and industry certifications refer to http://www.fldoe.org/workforce/dwdframe/artic_frame.asp .

Program Length

The AS degree requires the inclusion of a minimum of 15 credits of general education coursework according to SACS, and it must be transferable according to Rule 6A-14.030 (2), F.A.C.  The standard length of this program is 77-83 credit hours according to Rule 6A-14.030, F.A.C.