CNC200 - Coronary Care II

Outline info
Last revision date 2018-07-20 13:34:47.384
Last review date 2018-07-20 13:34:57.699

Subject Title
Coronary Care II

Subject Description
This subject is designed to build on the student's knowledge of ischemic heart disease and expand their skill of basic rhythm strip and arrhythmia interpretation. The focus is on 12 and 15 lead ECG interpretation and arrhythmia analysis. This knowledge is applied to the various degrees and stages of heart disease and other cardiac abnormalities. The content is delivered using interactive teaching modalities, including practice exercises and case study format. This delivery format enhances the student's ability to transfer their theoretical knowledge to clinical practice. Current literature and medical research are incorporated to assure evidence based practice for students working in or planning to work in a cardiology environment.

Credit Status
1 credit - Coronary Care I is a prerequisite

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

1.Demonstrates knowledge of a comprehensive complete cardiovascular assessment.
2. Discuss cardiac diagnostic tests including:

. Stress test
. Echo/ TEE
. Coronary Angiogram
. Nuclear angio
. Intravascular US

3. Identify the current clinical management of acute coronary syndrome and myocardial infarction

4. Interpret and analyze 12 and 15 lead ECG and cardiac rhythm strips using a systematic approach.

5. Demonstrate critical analysis of the clinical significance of rhythm arrhythmias and 12 lead / 15 lead abnormalities, including life threatening arrhythmias.

6. Anticipate and devise a treatment plan, including temporary and permanent pacing, for clients experiencing cardiac arrhythmia and abnormalities, including nursing and medical interventions.

7. Demonstrate a systematic, appropriate approach to Advanced Cardiac Life Support (ACLS).

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.

Current registration: Registered Nurse Ontario Certificate of Competence.
Coronary Care I or Equivalent

Topic Outline
     Cardiovascular assessment
     Systematic approach to 12 and 15 lead ECG interpretation
     Cardiac arrhythmias
     In –depth cardiovascular diagnostics
     Acute coronary syndrome
     Complications and care of a client experiencing myocardial infarction
     Code blue (optional ACSL)

Mode of Instruction
Lecture/ discussion
Small Group Work
Case Study

Prescribed Texts
Springhouse. ECG interpretation made incredible easy. ISBN: 1-58255-135-9.

Reference Material
Springhouse. ECG interpretation made incredible easy. ISBN: 1-58255-135-9.

Boudreau Conover, M. (2004). Mosby's Pocket Guide Series: Electrocardiography (latest ed.).Mosby California    ISBN: 0-323-01906-4

Required Supplies

Promotion Policy

Grading Policy
A+ 90%  to  100%
A 80%  to  89%
B+ 75%  to  79%
B 70%  to  74%
C+ 65%  to  69%
C 60%  to  64%
D+ 55%  to  59%
D 50%  to  54%
F 0%    to  49% (Not a Pass)
EXC Excellent
SAT Satisfactory
UNSAT Unsatisfactory

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

Modes of Evaluation
Method of Evaluation Weighting

10% - CVS assessment assignment 
10% - 12 Lead ECG assignment 
10% - 12 Lead Conduction pathway assignment
30% - Midterm Exam 
40% - Final comprehensive exam 

A final grade of 70% overall must be obtained to successfully pass Coronary Care II. If a grade of 70% or greater is not obtained a grade of "F" is assigned.


Approved by: Lisa Somers