Twiddla Lesson Plan

Page history last edited by PBworks 4 years ago

Exploring ECG’s with Twiddla

Structure

Lesson plan title: Exploring ECG’s with Twiddla

Topic to teach: Normal Sinus Rhythm and the concept s of P waves, QRS complex, and T waves.

What need is being fulfilled by this lesson: This lesson will prepare learners in interpretation of normal sinus rhythm on an ECG, and be able to identify P and T waves, and QRS complexes for use in clinical practice. Nursing students’ precepting in an intensive care unit need to recognize the basic concepts for interpretation of normal sinus rhythm to advance to the more complicated and lethal rhythms.

Length of time: 2 hours

Setting: Learners can access/participate in the group discussion from any computer which has access to the internet either from home, a computer lab, etc.

Student demographic: Nursing students in an advanced medical/surgical rotation who have completed a lecture class on normal cardiac conduction and basics of ECG interpretation, and are now working together in small clinical groups of 6-10 students.

General goal: To teach nursing students how to interpret normal sinus on an ECG and understand and interpret the concepts of a P wave, QRS complex and T wave via use of Twiddla.com to explore internet resources of ECGs.

Specific objectives:

After completion of the online collaboration, the learner will be able to use Twiddla.com to find and browse internet resources for ECG information.
After completion of the online collaboration, the learner will be able to correctly find and identify ECG strips of normal sinus rhythm using Twiddla.com.

After completion of the online collaboration, the learner will be able to correctly find and identify a P wave, a QRS complex, and a T wave in normal sinus rhythm using Twiddla.com.

Required material: Desktop or laptop with internet access and a web browser

Additional resources:

http://library.med.utah.edu/kw/ecg/image_index/index.html

http://en.wikipedia.org/wiki/Electrical_conduction_system_of_the_heart

http://www.medmovie.com/mmdatabase/MediaPlayer.aspx?ClientID=21&TopicID=0

http://www.ecglibrary.com/

Process

Warm Up

6:00-6:10

Meet at Twiddla.com NSR Main Room
Chat and Greetings
Address tech issues regarding Twiddla

Introduction

6:10-6:30

Answer questions about cardiac conduction and NSR
Explain how to use Twiddla to locate ECG rhythm strips of NSR using the browse features
Locate P wave, QRS complex, and T wave on ECG using the mark up features
Review how to save your work

Instructional Procedures and Details

6:30-7:00

Break up in to small groups
Facilitators host the meeting; keep the group on the topic.
Timekeepers keep the group on time and ensure that all members have a chance to be a part of the discussion.
Tasks: Use Twiddla to find ECG strips of NSR; mark the P wave, QRS complex, and T wave of at least 3 ECG strips and remember to save your work.

NSR Group 1

NSR Group 2

NSR Group 3

Student A (Facilitator)

Student B (Timekeeper)

Student C

Student D (Facilitator)

Student E (Timekeeper)

Student F

Student G (Facilitator)

Student H (Timekeeper)

Student I

Student J

7:00-7:15

BREAK

Closure

7:15-8:00

Return to NSR Main Room
Review saved work of groups for accuracy; ECG-NSR, P, QRS, and T waves correct
Discussion related to NSR, address further questions

Evaluation

Journal Questions/Summary Experience Assessment:

1.    How did Twiddla.com assist you with locating ECG rhythms? Was Twiddla easy to use?

2.    How affective was collaborating in groups using Twiddla in locating NSR ECG’s? Describe the browsing feature?

3.    How affective was collaborating in groups using Twiddla in locating the P, QRS, and T waves of NSR? Describe the mark up feature?

Practice Assessment: During your next ICU rotation in clinical, collect three rhythm strips of NSR and locate the P wave, QRS complex, and T wave.

Needs Addressed

Adaptations

Answer questions as they arise
Review concepts of NSR
Provide additional website to review
Stay discussion to answer question, review material
Review rhythm strips for accuracy

Extensions

Encourage learners to share experiences with NSR
Encourage learners to answer and expand on questions
Encourage cooperative learning/ peer assistance with Twiddla collaboration
Give learners more advanced resources to utilize
In clinical practice: show learners actual NSR strips; how to find and measure P waves, QRS complexes, and T waves
Develop more Twiddla collaboration sessions to discussion more advance ECG rhythms and topics

What Adult Learning Needs are Addressed?

Active engagement with Twiddla, additional websites/resources
Practical information used in clinical practice, especially on telemetry and intensive care units
Learners can review saved Twiddla images and resources at their own pace and review on their own time
Instruction includes a variety of learning tools including; collaboration, examples, interactive learning, problem solving, hands-on learning, cooperative learning, peer assistance, and use of web resources
Higher level learning with identification of NSR, application and identification of P, QRS, and T waves, and application of information in clinical practice