Adult Basic Arrhythmia Cardiac Rhythm Interpretation (BACRI)

Adult Basic Arrhythmia Cardiac Rhythm Interpretation Competency
The adult basic arrhythmia competency is required for team members that work in areas where adult patients undergo cardiac monitoring as part of routine patient care.

Policy CL 20-07.03 Basic Arrhythmia Competency indicates team members 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
The Adult Basic Arrhythmia Initial Competency is online in the Learning Exchange (LMS) and is part of the LMS Orientation Curricula for FY22.

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

Initial Competency eLearning Description
1.  Adult Basic Arrhythmia Competency Test Out

  • PASS:  
    If an 85% or greater is scored on the test out, the team member has completed the initial basic arrhythmia competency. The competency is updated in their LMS account to a complete status.  
     
  • ONLINE CLASS:
    If a team member scores less than 85%, the self-paced online Adult Basic Arrhythmia Course is auto-assigned to their LMS account. In addition, upon completion of the online course, Competency Assessment 1 is auto-assigned to their LMS account. 
     

2.  Competency Assessment 1:

  • PASS: 
    If an 85% or greater is scored on Competency Assessment 1, the team member has completed the initial basic arrhythmia competency. The competency is updated in their LMS account to a complete status.  
     
  • REMEDIATION:
    If a team member scores less than 85% on Competency Assessment 1, the self-paced online Adult Basic Arrhythmia Remediation is auto-assigned to their LMS account. Upon completion of the remediation course, Competency Assessment 2 is auto-assigned within their LMS account.
     

3.  Competency Assessment 2:

  • PASS:   
    If an 85% or greater is scored on Competency Assessment 2, the team member has completed the initial basic arrhythmia competency. The competency is updated in their LMS account to a complete status.  
     
  • REMEDIATION: 
    If a team member scores less than 85% on Competency Assessment 2, unit leadership will need to meet with the team member to formulate a written action plan before attempting Competency Assessment 3. This plan should include a plan for remediation and a plan to re-test within 30 days before attempting Competency Assessment 3.
     

4.  Competency Assessment 3:

  • Coordinate with Jim Cuvelier, Clinical Education Facilitator, Nursing Education and Professional Development, to arrange Competency Assessment 3.
    James.m.cuvelier@vumc.org
    office: 615/322-0622
     
  • PASS: 
    If an 85% or greater is scored on Competency Assessment 3, the team member has completed the initial basic arrhythmia competency. The competency is updated in their LMS account to a complete status.  
     
  • REMEDIATION: 
    If the team member fails the test a third time, unit leadership consults with their Human Resources Business Partner to review their actions.
     

The Competency
The online competency assessment consists of 38 multiple-choice questions. 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:
•    Normal Sinus Rhythm
•    Sinus Bradycardia
•    Sinus Tachycardia
•    Sinus Pause/Block/Arrest
•    First Degree Heart Block
•    Second Degree Heart Block Mobitz Type I
•    Second Degree Heart Block Mobitz Type II
•    Third Degree Heart Block
•    Atrial Flutter
•    Atrial Fibrillation
•    Premature Atrial Beats
•    Junctional Rhythm
•    Premature Junctional Beats
•    Supraventricular Tachycardia
•    Idioventricular Rhythm
•    Ventricular Tachycardia
•    Ventricular Fibrillation
•    Premature Ventricular Beats
•    Atrial Paced Rhythm with 100% capture
•    Ventricular Paced Rhythm with 100% capture
•    Atrio-Ventricular Paced Rhythm with 100% capture
•    Loss of Capture
•    Failure to Pace


 

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

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