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Adult Basic Arrhythmia Cardiac Rhythm Interpretation (BACRI)

Competency

The basic arrhythmia competency is required  for Vanderbilt University Hospital and Clinic staff members who work in areas where patients undergo cardiac monitoring as part of routine patient care.

Per Policy CL 20-07.03 Basic Arrhythmia Competency, staff must have documentation of competency for arrhythmia recognition before completion of their end-of-orientation evaluation (90 days for non-exempt or 180 days for exempt staff).

Initial Competency

Initial competency is completed by either:

  1. Successful completion of the Clinical Orientation Initial Basic Arrhythmia Competency Test Out
  2. Successful completion of the Basic Arrhythmia Cardiac Rhythm Interpretation (BACRI) class and post test.
  3. Staff members who internally transfer into a unit where the competency is required, may either test out of the competency or attend the course and post test.

Ongoing Competency

Ongoing competency is maintained on an annual basis by the successful completion of the online module within the Learning Exchange. 

 Learning Exchange Title: 2020 FY Adult Basic Arrhythmia

Clinical Orientation Test Out

Clinical Orientation Test Out

The Basic Arrhythmia Cardiac Rhythm Interpretation (BACRI) Test Out for VUH and Clinics is given to appropriate staff members during Clinical Orientation.

Registration

The BACRI Team manages the registration and testing within Clinical Orientation. Unit leadership does not need to register a staff member for the test out session during Clinical Orientation.

PASS or CLASS

The BACRI Test Out Option is considered PASS or CLASS. A member of the BACRI team will notify unit leadership on the status of a new staff member upon completion of the test out session.

PASS

If an 85% or greater is scored on the test out, the staff member has completed the initial basic arrhythmia competency and does not need to attend the BACRI Course. Completion of the competency will be documented within the Learning Exchange by a member of the BACRI team.

CLASS

If a staff member scores less than an 85%, they simply need to attend a BACRI Course and test within 30 days of completion of the course.  Registration for the BACRI course and follow up testing within the Learning Exchange is the responsibility of unit leadership. 

Regular Test Out

Regular Test Out

The test out option is still available for those staff members who are not registered to attend Clinical Orientation and is based on the PASS or CLASS principle. Unit leadership will be notified by a member of the BACRI team of the staff members' result on the test out.

Registration

Registration for a regular test out session is the responsibility of unit leadership and it is available within the Learning Exchange under the title Basic Arrhythmia - Cardiac Rhythm Test. 

Individual testing sessions, if needed, can be arranged by contacting Linda Partridge, Associate Program Manager for BACRI.

PASS

Successful completion on the test out option is a score of 85% or higher. Completion of the competency will be documented within the Learning Exchange by a member of the BACRI team.

CLASS

If a staff member scores less than an 85%, they simply need to attend a BACRI Course and test within 30 days of completion of the course.  Registration for the BACRI course and follow up testing within the Learning Exchange is the responsibility of unit leadership. 

Class and Post Test

The Basic Arrhythmia Cardiac Rhythm Interpretation (BACRI) class is a non-consecutive two-day instructional course (4 hours each day) that focuses on arrhythmia recognition.

Upon successful completion of the class the learner should be able to apply important concepts, including a basic understanding of:

  1. Cardiac cells
  2. The cardiac conduction system
  3. Three and five lead cable system
  4. EKG graph paper components
  5. EKG complex components
  6. How to correcctly measure PR intervals, QRS complex width and QT intervals
  7. How to calculate atrial and ventricular heart rates
  8. How to interpret cardiac rhythms utilizing a six second rhythm strip 

Class Materials

Each participant of the class will recieve their own copy of the course manual at the beginning of the first day of class. Calipers will be available for use during the class and during testing sessions.

Registration

Registration for the class is the responsibility of unit leadership and is available within the Learning Exchange under the title Basic Arrhythmia - Cardiac Rhythm Interpretation Class.  

Testing Post Class

Registration for a testing session  is the responsibility of unit leadership and it is available within the Learning Exchange under the title Basic Arrhythmia - Cardiac Rhythm Interpretation Test

Individual testing sessions, if needed, can be arranged by contacting Linda Partridge, Associate Program Manager for BACRI.

The Test

The test consists of a total of 46 True/False and multiple choice questions. Test content includes:

  • Conduction system pathway and intrinsic rates of the pacemaker sites 

  • Correctly label monitoring electrodes for a three-lead and five-lead cable system

  • Accurately measure the P-P interval, R-R interval, PR interval, QRS complex and QT interval

  • Accurately calculate the atrial and ventricular rates for all rhythms

  • Correctly recognize and name the following:

  1. Normal Sinus Rhythm
  2. Sinus Bradycardia
  3. Sinus Tachycardia
  4. Sinus Pause/Block/Arrest
  5. First Degree Heart Block
  6. Second Degree Heart Block Mobitz Type I
  7. Second Degree Heart Block Mobitz Type II
  8. Third Degree Heart Block
  9. Atrial Flutter
  10. Atrial Fibrillation
  11. Premature Atrial Beats
  12. Junctional Rhythm
  13. Premature Junctional Beats
  14. Supraventricular Tachycardia
  15. Idioventricular Rhythm
  16. Ventricular Tachycardia
  17. Ventricular Fibrillation
  18. Premature Ventricular Beats
  19. Atrial Paced Rhythm with 100% capture
  20. Ventricular Paced Rhythm with 100% capture
  21. Atrio-Ventricular Paced Rhythm with 100% capture
  22. Loss of Capture
  23. Failure to Pace

Remediation and Resources

Several resources are available for self study remediation. In addition to the The Basic Arrhythmia Cardiac Rhythm Interpretation course manual, the following self-paced learning activities can be self-assigned within the Learning Exchange: 

  1. Basic Arrhythmia Self Study (BASS) Learning Activity
  2. Basic Arrhythmia Self Study (BASS) Knowledge Assessments
  3. Basic Arrhythmia Self-Paced Review 1: Reading an EKG
  4. Basic Arrhythmia Self-Paced Review 2: Sinus Dysrhythmias
  5. Basic Arrhythmia Self-Paced Review 3: Atrial and Junctional Dysrhythmias and Heart Block
  6. Basic Arrhythmia Self-Paced Review 4: Ventricular Dysrhythmias and Patient Care

Contact Us

Linda Partridge

Jim Cuvelier