MadisonvilleCommunity College

Respiratory Care Program Syllabus

Spring 2009

Course Prefix & Number:RCP 250

Course Title:Clinical Practice V

Class Time:Monday & Wednesday 8:00 am – 2:00 pm and other times as assigned

Instructors:Kelly Hayes, RRT

Other assigned clinical faculty

Office Number:132 Hatley Building, Health Campus

Office Hours:As posted

Office Phone:(270) 824-1747

E-mail:

Course Description:Emphasis is on preparing the student to participate in effective and efficient planning, managing and delivering respiratory care to diverse client population in various settings.

Prerequisites:RCP 225 with a grade of “C” or better

Learning Resources:AARC Clinical Practice Guidelines

Cairo and Pilbeam, Mosby’s Respiratory Care Equipment, 6th Edition, C.V. Mosby, Philadelphia, 1999.

Clinical Affiliate Respiratory Care Policy and Procedure Manuals.

Pilbeam, Susan, Mechanical Ventilation, Physiological and Clinical Applications, 3rd Edition, Mosby Multimedia, St. Louis, 1995.

Computer simulation problems and tutorials

Wilkins et al Egan’s Fundamentals of Respiratory Care Eighth Edition Mosby 2003

Course Requirements:By the end of the semester, the student will:

Successfully complete all remaining performance evaluations

ALL REQUIRED CLINICAL PERFORMANCE COMPETENCIES MUST BE SATISFACTORIALY COMPLETED for SUCCESSFUL COMPLETION OF THIS CLINICAL COURSE. THIS REQUIREMENT IS IN ADDITION TO HAVING A GRADE OF “C” OR BETTER IN THIS COURSE. ANY STUDENT THAT DOES NOT COMPLETE ALL REQUIRED COMPETENCIES WILL RECEIVE A GRADE OF “E” FOR THE COURSE AND WILL NOT BE PERMITTED TO CONTINUE IN THE PROGRAM

1. Perform accurate documentation.

2. Perform basic assessment and basic respiratory care in all assigned areas.

  1. Perform, assess and modify ventilation systems in Critical Care.
  2. Present an oralcase study.
  3. Actively participate in Physician’s rounds and post-conference
  4. Complete a mock NBRC Registry Exam with a passing score covering all aspects of respiratory care covered in all didactic and clinical courses.
  5. Complete online homework assignments
  6. Successfully complete all modules, as well as the CTR140 exam, contained in the required online CRT examination review. All modules and the CRT 140 exam must be completed before the scheduled date of the last exam (mock NBRC Registry Exam). If a student is unable to successfully complete the online modules and CRT 140 exam in the required time frame they will receive a grade of “E” for the course.

Grading Scale:90 - 100A

80 - 89 B

70 - 79 C

60 - 69 D

BELOW 60E

Grading Criteria:Daily Evaluations/Attendance20%

CTR Review20%

Weekly Online Homework10%

Oral Case Study10%

Professional Evaluation20%

Mock NBRC Registry Exam20%

Writing/Communication:It is important for success that you communicate using Standard English in both written and verbal communication. Your writing will be evaluated by utilizing various assignments. With further attention to the evaluation of your writing, “All faculty are expected to call attention to and penalize for errors in English usage and require the rewriting of papers which do not meet acceptable standards.” (C.C.S. Rules, Section V 232)

Textbook:None

Supplies:Online CRT Review from UMDNJ School of Health Related Professions

Red Scrubs

Red lab jacket

Watch with second -hand

Stethoscope

Ball -point pen (BLACK Ink only and no felt-tip pens, please!) Pocket size notebook

Student identification badge

Attendance Policy:Attendance is necessary for success in any clinical course. Students are expected to attend all assigned clinical sessions. All students are initially awarded two (2) clinical days that can be missed within the course that will not reflect a daily grade of zero. These days are to be used at the student’s discretion. It is the responsibility of the student to call the facility they are scheduled to be in and the course instructor no later than one (1) hour before clinical time is to begin. Failure to notify both parties will result in a daily grade of zero. Each day the student is absent from clinics, in addition to the two awarded days, will result in a daily grade of zero and make up days will not be allowed. The course instructor reserves the right to modify this policy. In addition, a letter grade of “E” may be assigned if the Director of Clinical Education deems absences “excessive.”

Tardy Policy:Since punctuality is also necessary for success in your field of endeavor, tardiness is frowned upon. The instructors understand that an unavoidable circumstance may cause you to be tardy. All students will initially be awarded two (2) excused tardies for the semester. Each tardy after that time will result in a 10 point grade reduction on that days evaluation. A tardy for this clinical class is defined as being ten (10) or more minutes late to the assigned clinical site.

Late Work Policy:Late submission of online homework assignments will NOT be accepted, as ample time is given for completion. Late submission of any other assigned work will result in the student receiving a ten point deduction for each day of the week that the work is late. If the work is not turned in one (1) week after the date it is due, a grade of zero (0) will be assigned. All assignments in all areas must be completed or the student will receive and Incomplete (I) for the course.

Make-up Policy:Missed clinical cannot be made up. At the discretion of the Director of Clinical Education and only under extreme extenuating circumstances will make-up days be allowed.

Withdrawal Policy:The instructor of the course will adhere to the schedule published in the Madisonville Community College Calendar.

January 16 - Last day to drop a course without a grade.

March 16-Last day for students, at their discretion, to officially withdraw from a class and receive a grade of W.

May 1 - Last day for a student, at the discretion of the instructor, to officially withdraw from a class and receive a grade of W.

Please remember that if a student stops attending a class without withdrawing, the student will receive an “E” for that class.

Student Code of Conduct:The Kentucky Community and Technical College System Student Code of Conduct may be accessed at:

ADA Statement:If you have a documented disability and need any type of accommodation, you are required to register with the Disability Resource Coordinator. Contact: Valerie Wolfe,Disability Resource Coordinator

Room 112 LRC

270-824-1670

General Education Competency: Make connections in learning across the disciplines and draw logical conclusions.

Course Competencies:In addition to previously learned competencies, the student will:

  1. Interpret the results of fundamental laboratory tests for hematological, blood chemistry/fluid and electrolyte balance;
  2. Demonstrate a working knowledge of the principles and techniques of hemodynamic monitoring and assist in the insertion and maintenance of hemodynamic monitoring systems;
  3. Demonstrate a working knowledge of the principles and techniques of pulmonary and cardiac exercise/stress testing;
  4. Assist in performance of sleep studies;
  5. Assist in metabolic testing and nutritional assessment;
  6. Assist the physician in the performance of special therapeutic and diagnostic procedures pertaining to the respiratory patient
  7. Participate in ground and/or air transportation of patients;
  8. Assess the respiratory condition of neonatal and pediatric patients
  9. Initiate, monitor, and provide quality assurance for neonatal and pediatric mechanical ventilation systems; and
  10. Demonstrate professional behavior appropriate to the current educational level.

Outline:I.Assume the role of the respiratory therapist A. Professional behavior

B. Member of the team

  1. Embracing diversity
  2. Ethical considerations
  3. Medico legal aspects
  4. Relationships with others
  5. Personal attributes

IIPractice medical asepsis

A. Hand washing

  1. Utilization of universal/standard precautions
  2. Equipment cleaning
  3. Materials handling

III. Gather information

A. Confidentiality

  1. General Condition
  2. Orders
  3. Physical
  4. Progress notes
  5. History
  6. Lab, radiology, and other tests

IV. Report and record information

A. Legal aspects

  1. Communication

V. Patient assessment

A. Interview

B. Inspection

  1. Palpation
  2. Percussion
  3. Auscultation
  4. Vital signs

VI. Medical gas administration

A. Devices

  1. Systems

C. Techniques

  1. Assessment
  2. Quality control

VII. Humidity and Aerosol therapy

A. Devices

  1. Systems
  2. Techniques
  3. Assessment
  4. Quality control

VIII.Chest Physiotherapy

  1. Devices
  2. Systems
  3. Techniques
  4. Assessment

E. Quality control

IX.Bronchial hygiene therapies (PEP, Flutter, etc.)

A. Devices

B. Systems

C. Techniques

  1. Assessment
  2. Quality Control
  1. Lung Inflation Therapy
  1. Devices
  2. Systems
  3. Techniques
  4. Assessment
  5. Quality Control
  1. Airway management

A. Emergency airways

B. Intubation

  1. Trach care
  2. Care of the intubated patient
  3. Extubation
  4. Tracheobronchial aspiration
  5. Specialty airways
  1. Noninvasive ventilation/CPAP techniques
  1. Devices
  2. Systems
  3. Techniques
  4. Assessment and monitoring
  5. Quality control
  1. Drug Therapy
  1. Administration via inhalation
  2. Recommending modification
  3. Recommending other agents
  4. Devices
  5. Systems
  6. Techniques
  7. Assessment
  8. Quality Control
  1. Mechanical Ventilators
  1. Devices
  2. Systems
  3. Techniques
  4. Assessment
  5. Quality Control
  1. Assessing and modifying patient ventilator systems
  1. Measuring and adjusting parameters
  2. Assessing through graphics
  3. Modifying therapy
  4. Measuring ventilation mechanics e.g., resistance, compliance,

inspiratory forces etc.

  1. Monitoring oxygenation and ventilation status
  1. Invasive
  2. Arterial blood gases by puncture and arterial line
  3. operating blood gas analyzers and Co-oximeters
  4. Quality control procedures
  5. Interpretation
  1. Non-invasive
  2. Pulse Oximetry
  3. Capnometry
  4. Transcutaneous
  1. Calculations and reporting data
  1. Pulmonary function testing and interpretation
  1. Tidal and minute volume measurement
  2. Maximum inspiratory and expiratory pressures
  3. Spirometry
  4. Lung volume measurement
  5. Diffusion
  6. Test of small airways
  7. Devices
  8. Systems
  9. Techniques
  10. Assessments
  11. Quality control

XVIIIElectrocardiography

  1. Devices
  2. Systems
  3. Techniques
  4. Assessment and interpretation
  5. Quality control
  1. Hemodynamic monitoring systems
  1. Devices
  2. Systems
  3. Techniques
  4. Calculations
  5. Assessment
  6. Quality Control

XX.Assessing Chest radiographs

  1. Tube placement
  2. Pneumothorax
  3. Atelectasis
  4. Infiltrates, abscess, etc.
  5. Pleural fluid

XXI. Cardiopulmonary exercise testing

  1. Devices
  2. Systems
  3. Techniques
  4. Assessment
  5. Quality control

XXIISleep Studies

  1. Devices
  2. Systems
  3. Techniques
  4. Assessments
  5. Quality control

XXIIIMetabolic testing

  1. Devices
  2. Systems
  3. Techniques
  4. Assessments
  5. Quality control

XXIV.Assist in emergency and special procedures

  1. ACLS
  2. NRP
  3. PALS

XXV Assist in patient transport

  1. Air
  2. Ground

29 October 2018

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RCP 250

Syllabus