CNC110 - Coronary Care I

Outline info
Last revision date 2017-11-21 12:02:39.821
Last review date 2017-11-21 12:02:46.154

Subject Title
Coronary Care I

Subject Description
This subject is designed to introduce and assist the Registered Nurse to develop knowledge and skills in the care of cardiac patients and their families. The focus is on patients with atherosclerotic heart disease, myocardial infarction and congestive heart failure, including diagnosis of these dysfunctions. The course also introduces students to basic cardiac dysrhythmias interpretations and the appropriate interventions. Current literature and medical research are incorporated to assure evidence based practice for students working in a cardiology environment. The student's have the opportunity to apply their new knowledge to application exercises and case study analysis.

Credit Status
1 credit. Coronary Care I is a pre-requisite for Coronary Care II, Part-time Critical Care Certificate and the Emergency Nursing Program.

Learning Outcomes
Upon successful completion of this subject the student will be able to:

1. Describe normal cardiovascular anatomy and physiology.

2.Outline the factors affecting cardiac output.

3. Describe the risk factors and the pathophysiology of atherosclerotic heart disease.

4. Identify the signs and symptoms of heart failure.

5. Identify the signs and symptoms of myocardial infarction.

6. Identify the current clinical management of congestive heart failure and myocardial infarction.

7. Interpret and analyze basic cardiac rhythm strips using a systematic approach.

8. Identify life threatening arrhythmias.

9. Select appropriate nursing intervention to patients with arrhythmia.

10. Select appropriate drug therapy for specific cardiac arrhythmia.

11. Understand the mechanism of actions of each drug and appropriate nursing interventions.

Cheating and Plagiarism
Each student should be aware of the College's policy regarding Cheating and Plagiarism. Seneca's Academic Policy will be strictly enforced.

To support academic honesty at Seneca College, all work submitted by students may be reviewed for authenticity and originality, utilizing software tools and third party services. Please visit the Academic Honesty site on for further information regarding cheating and plagiarism policies and procedures.

All students and employees have the right to study and work in an environment that is free from discrimination and/or harassment. Language or activities that defeat this objective violate the College Policy on Discrimination/Harassment and shall not be tolerated. Information and assistance are available from the Student Conduct Office at

Accommodation for Students with Disabilities
The College will provide reasonable accommodation to students with disabilities in order to promote academic success. If you require accommodation, contact the Counselling and Disabilities Services Office at ext. 22900 to initiate the process for documenting, assessing and implementing your individual accommodation needs.

RN, Certificate of Competence from College of Nurses of Ontario

Topic Outline

    Normal anatomy and physiology of the cardiovascular system
    Basic rhythm interpretation (sinus) using a systematic approach
    Basic arrhythmia interpretation
        heart blocks
    Introduction to pacemarker
    Common cardiovascular diagnostic tests
    Atherosclerotic heart disease
    Care of the client experiencing congestive heart failure
    Care of the client experiencing myocardial infarction

Mode of Instruction
Lecture/ discussion
Small Group Work
Case Study

Prescribed Texts
Jane Huff  ECG workout: Exercises in arrhythmia interpretation (latest edition)
Lippincott (ISBN: 0-7817-8230-9)
(For more information re: cost go to bookstore website at:

Reference Material
Cardiovascular Care Made Incredibly Easy Lippincott

Required Supplies

Promotion Policy

Grading Policy
A+90%  to  100%
A80%  to  89%
B+75%  to  79%
B70%  to  74%
C+65%  to  69%
C60%  to  64%
D+55%  to  59%
D50%  to  54%
F0%    to  49% (Not a Pass)

For further information, see a copy of the Academic Policy, available online ( or at Seneca's Registrar's Offices.

Modes of Evaluation
Normal Cardiac Anatomy & Physiology Test
ECG Tests
Final comprehensive exam   40%

In order to successfully pass this subject the following requirements MUST be met:   A minimum grade of 75% is required to pass each test and assignment.

*A minimum final grade of "B+"(75%) is considered a passing grade and must be obtained to successfully complete the Coronary Care 1 Subject.

Students must successfully pass all components, term work, multiple choice, and ECG as indicated above.
If the student is unsuccessful in any one or more of the components a grade of "F" is assigned.



1 credit towards part-time acute care certificate program.  Coronary Care I is a pre-requisite for Coronary Care II, Part-time Critical Care Certificate and the Emergency Nursing Certificate

Approved by: Lisa Somers