Adult Basic Arrhythmia Cardiac Rhythm Interpretation (BACRI)

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

According to Policy CL 20-07.03 Basic Arrhythmia Competency, staff must have documentation of competency for arrhythmia recognition before completing 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 NEPD Adult Basic Arrhythmia Online Course Chapters 1-16 self-paced online course 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 complete the online course and post-test.
     

Ongoing Competency
Ongoing competency is maintained on an annual basis by completing the online module within the Learning Exchange. The current fiscal year initiates the title. 
Learning Exchange Title: 202? FY Adult Basic Arrhythmia
 

Clinical Orientation Test-Out
The Basic Arrhythmia Cardiac Rhythm Interpretation (BACRI) Test-Out for VUAH and Clinics is assigned 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 of a new staff member's status upon completing 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 complete the online 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 85%, they need to complete the self-paced online course and test within 30 days of completing the course.  The BACRI team manages registration for the online course. Instructions for follow up testing are sent to the learner from the LMS upon completing the online course.


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' results on the test out.

Registration:
Contact Linda Partridge, Program Manager for BACRI, at linda.j.partridge@vumc.org to schedule a test out session.

PASS:    
Successful completion of 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 85%, they need to complete the self-paced online course and test within 30 days of completing the course.  The BACRI team completes registration for the online course. 
 

Online Course and Post-Test
The NEPD Adult Basic Arrhythmia Online Course Chapters 1-16 is a self-paced online that focuses on arrhythmia recognition.

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

  1. EKG graph paper components
  2. EKG complex components
  3. How to correctly measure PR intervals, QRS complex width, and QT intervals
  4. How to calculate atrial and ventricular heart rates
  5. How to interpret cardiac rhythms utilizing a six-second rhythm strip 

Registration: 
Contact the BA team to register a team member for the online course. Contact information is listed below.
 
Testing Post Class: 
Contact Linda Partridge, Associate Program Manager for BACRI, at linda.j.partridge@vumc.org to schedule an online testing session.


The Test
The online test consists of a total of 38 multiple-choice questions. Test content includes:

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



Questions?  Contact Us:
Linda Partridge
Program Manager
Nursing Education and Professional Development
linda.j.partridge@vumc.org or 615/322-2366

Jim Cuvelier
Clinical Education Facilitator
Nursing Education and Professional Development
james.m.cuvelier@vumc.org or 615/322-0622