Lone Star College Systems Kingwood College RSPT 2325 Cardiopulmonary Diagnostics

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Lone Star College Systems Kingwood College RSPT 2325 Cardiopulmonary Diagnostics

Spring 2010 Revised by EKB January 12, 2010

Instructor: Elizabeth Kelley Buzbee, A.A.S., R.R.T.-N.P.S., R.C.P.

Office: HSB 118V

Phone: 281.312.1605

Email:

Credit: 3 Credit Hours

Prerequisites: Departmental Approval

Course Description per WECM: A study of physical, radiological, hemodynamic, laboratory, nutritional, and cardiopulmonary diagnostic assessments.

Learning Outcomes:

SCANS:

The Secretary‘s commission on Achieving Necessary Skills (SCANS) has identified (1) reading, (2) writing, (3) mathematics, (4) speaking and listening, (5) thinking skills, (6) personal qualities, (7) workplace competencies, and (8) basic use of computers as competencies required to enter employment.

1. The student will demonstrate a working knowledge of SCANS competency 1 (reading). Performance will be satisfactory if the student successfully Demonstrates the ability to read and comprehend:

a. the reading assignments

b. the examination questions

c. assigned research articles

2. The student will demonstrate a working knowledge of SCANS competency 2 (writing). Performance will be satisfactory if the student successfully:

a. Demonstrates the ability to write a comprehensive essay response on examination

b. Writes a term paper over a patient with a cardiopulmonary disease process

3.The student will demonstrate a working knowledge of SCANS competency 3 (mathematics). Performance will be satisfactory if the student successfully demonstrates the ability to calculate and apply:

a. hemodynamic parameters for a critically ill patient scenario

b. other laboratory values to determine appropriate patient care

4. The student will demonstrate a working knowledge of SCANS competency 4 (speaking and listening). Performance will be satisfactory if the student successfully:

a. Contributes to classroom discussions during case study discussions

b. Communicates with colleagues over discussions in the classroom

5. The student will demonstrate a working knowledge of SCANS competency 5 (thinking skills). Performance will be satisfactory if the student successfully:

a. Evaluates patient data and implications of care

b. Demonstrates problem solving skills in clinical scenarios

c. Demonstrates decision-making skills in clinical scenarios

6. The student will demonstrate a working knowledge of SCANS competency 6 (personal qualities). Performance will be satisfactory if the student successfully:

a. Interacts professionally with colleagues in the classroom

b. Interacts professionally with faculty in the classroom

7. The student will demonstrate a working knowledge of SCANS competency 7 (workplace competencies). Performance will be satisfactory if the student successfully:

a. Performs and delivers assignments in a timely manner

b. Demonstrates an understanding of the care requirements of the critically ill patient

c. Demonstrates an ability to render adequate patient care in a simulated environment

8. The student will demonstrate a working knowledge of SCANS competency 8 (basic use of computers). Performance will be satisfactory if the student successfully:

a. Performs assignments as required utilizing word processing software.

Required Material: The following textbooks are required for this course:

• Ellis, Karen M., EKG Plain and Simple, 2nd edition ISBN-13 978-0-13-170814-3 [this includes a CD critical to understanding the material]
• Madama, Vincent C., Pulmonary Function Testing and Cardiopulmonary Stress Testing, 2nd edition ISBN 0-8273-8410-6
• Wilkins, Robert L., et.al., EGAN’s Fundamentals of Respiratory Care, 9th edition ISBN 978-0-323-03657-3
• Wilkins, Krider, & Sheldon, Clinical Assessment in Respiratory Care, 5th edition. ISBN-13-978-0-323-02885-1
• Kelley Buzbee‘s notes for this course are available in the bookstore at cost.

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Schedule:

Lecture Monday 1:30 PM-2:30 PM

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Lab Monday 2:40 PM-4:00 PM

Friday 10:10 AM – 12:20 PM

Friday 1:30 PM – 2:20 PM

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The Respiratory Care Therapist Program practices a non-discriminatory admissions policy with respect to race, color, creed, sex, age, or national origin.

Policies and procedures: Students may find the following information in the Respiratory Care Student Handbook.

• Withdrawal policies
• Attendance policies
• Grading scale

Course Structure: Didactic and Laboratory

Equipment needed for this course

At least 10 each Scantron forms for unit exam [answer sheet B form # 19641.] should be purchased for unit exams. This form has 1-50 answers on the front side and 51-100 answers on the reverse. They are available in the bookstore as loose, single sheets.

PLEASE NOTE: simple 4-function calculators will generally be used during testing but that will be addressed prior to each test.....so bring the calculator.

A 4-function calculator may be used during lab/class time for mathematical calculations. A scientific calculator that has ability to calculate log is recommended. Use of calculators during examinations will be discussed at the time of the exam.

No programmable devices, including cell phones may be used for any purpose during exams in this course.

Course Objectives: see lecture notes from Book store

Lecture/Reading Assignments: (Schedule is tentative)

Topic Reading Assignment

• Unit 1 EKG: Basic interpretation of Lead II Ellis, Wilkins
• Unit 2.1 Interpreting Pulmonary Function Testing: Egan‘s Madama
• UNIT 2.2 PFT equipment & Capnography Madama
• Unit 3 X-rays: Egan‘s & Wilkins
• Unit 4: bronchoscopy & chest tube drainage assessment: Wilkins Egan‘s
• Unit 5: nutritional assessment and stress testing: Madama & TBA
• Unit 6 Hemodynamic monitoring: by Kenny McCowen TBA
• Unit 7 Sleep studiesWilkins

Attendance:

Students are expected to attend all class, lab, and clinical sessions unless they are officially excused. An official absence is granted when such absence is caused by official participation in a college activity, and the instructor is informed in advance. All other absences are unofficial. Absences caused by unavoidable conditions, such as illness, should be reported to the instructor by the start of class (Kelley 281.312.1605 or Kenny 281.312.1608). Please be aware that any call-ins will, none-the-less count as an absence or tardy.

• Absences: will impact the final average with the each absence counting one [1%] point off the final grade up to 3 absences. On the 4th absence the student will be dropped from the program.

• Each tardy of less than 30 minutes will result in the deduction of 0.33% from the final grade average for this course. A “tardy” is inclusive of leaving class within thirty minutes before dismissal, as well as, taking leave during class or labs for longer than a reasonable amount of time. The instructor will be the arbitrator of what is “reasonable.”

• Each tardy of 30 minutes or more will be considered an absence. The student will not be allowed to enter the classroom and 1% point will be deducted from the final grade as an absence. Leaving a class/lab early or for extended periods will be calculated as a tardy or absence, depending on the amount of time missed. Students are to notify the instructor prior to walking out of class early.

• Students shall not schedule conference times with other faculty or councilors during class time. Any class time missed due to appointments with councilors or other faculty will not be treated any differently from other types of tardy or absences.

Test Taking: Prior to taking an exam or test, all books, papers and personal items must be removed from all desk tops. Students will be seated by the instructor. Cell phones are to be turned off during both classes and exams.

• Unit Exams: Exams and quizzes will be scheduled within the first 5 minutes of class. Due to the nature of this course, please, note that exams may be comprehensive. Each unit exams will consist of 30-50 multiple and multiple-multiple choice questions. Many of these questions may be linked to case studies. Each exam may include one or two essay exams that will be answered on the test sheet.

• The maximal time frame for each exam will be 1 hour [exception will be final exam which is 2 hours by LSC policy]. Any student who comes in late must complete the exam in the same time as the rest of the class. Based on the standard established by the NBRC [National Board for Respiratory Care] a student should average less than 1 minute per test question, so a 50-question exam should take 1 hour.

• Exams taken in the testing center: If a student cannot complete the exam within an hour, that student should make arrangements with the instructor to take all exams in the testing center. It is suggested that the student start 30 minutes early so she/he can finish with the rest of the class.

• Check with testing center [281.312.1476] for their schedule each semester, because testing is not allowed to continue past the closing time of the testing center. The student will return to the classroom as soon as he/she finishes so that he/she can participate in the rest of the day‘s activities.

• Exams taken in the classroom: A student who completes the exam in the classroom may exit the classroom if she/he wishes, but must move away from the doors until everyone has completed the test. No one leaving the classroom before completing the test shall speak to any student who has completed the exam. This will be interpreted as an attempt to cheat and both students will be penalized by application of a zero for their exams.

• Early exams Any student, who needs to take an exam early for any reason, may have to take a different exam from the one given to the rest of the class. The instructor will require at least 2 days notice to prepare another exam. It is strongly suggested that the student e-mail the instructor ith this request at least 2 working days before they plan take the exam early. Be aware that the instructor will be in clinical on Wednesdays so will not get any emails sent that day. Exams taken early will be awarded full credit and the student will get ½ day rather than a full sick day. After taking an exam early, the student should not discuss the test contents with anyone in the class.

Daily quizzes [of between 1-10 questions] may be given at random throughout the day. These exams will be awarded a grade which will be averaged with homework grades. Students not present during the quiz will not be allowed to make up the quiz.

See Remediation for taking exams late.

Cell Phones & Pagers:

All cell phones and pagers must be turned off during class time. During exams, cell phones will be secured in bags, pockets or purses. No cell phones on the desk during exams. No cell phone speakers are to be worn in the ears during lectures, quizzes or exams. Ever! If an emergency situation exists and only with instructors permission a cell phone may be left on vibration mode. This should be a rare occation.

Food stored or eaten in the classroom is not allowed. There are several seating areas in the HSB and there are microwave devices and seating areas located in the SFA building that can be used during the break.

Drinks will be allowed in the classroom, but never in the computer lab.

Remediation: All students will be required to remediate any exam not passed with a 75%. This remediation will consist of extra homework assignments & at least one meeting with the instructor. This remediation will not change the grade. All Remediation must be turned in prior to Finals‘ Week.

A student must remediate any unit exam that was missed because of an absence. Under these circumstances, the best grade he/she can get is a 75%. For example, the student answers 85% of the questions correctly. His grade will only be 85% of 75%-- which is only 64%. The retake will be on the first day back from the absence. If the student knows he/she will be absent on a testing day, the student may ask to take the test early and the exam will be left in the testing center for completion during the time frame established by instructor and student. [see above] A test taken early will accumulate full credit.

Review/ Remediation /open lab: The instructor will be available every Monday at 1:00 PM for review of current information. Persons who have failing grades will be required to attend these sessions every week until the grades improve, but all students may attend these reviews. Reviews before a scheduled exam will concentrate on the information in the exam. If a student with a failing grade cannot make the Monday session, she/he must make arrangements with the instructor to schedule another time frame.

Homework:

Homework will be assigned at the start of each unit. Homework will be averaged with quizzes and comprise 2.5% of the grade in this course. The function of homework is to help the student clarify the information in the unit. While it is possible to pass this course without doing homework, we strongly recommend the student complete each homework assignment as if it was being graded. Exam questions will be based on unit review sheets and case study questions assigned with each unit. Homework will be due on the day that unit exam—unless otherwise instructed.

• Unit review sheets: will be passed out at the start of each unit and will be due on the day of the exam over that unit.

• Case studies: patient care situations in which the RCP must decide on the treatment based on assessment of the patient. The RCP will also be expected to alter treatment based on the patient‘s reactions.

• Other homework will be assigned: generally any formula the student is expected to perform in clinical setting will be included in a separate homework assignment. These will be due the day of the exam over that unit

Research Paper

A research paper utilizing APA guidelines and on the topic of a cardiovascular patient will be due Friday, March 26, 2010. Students must present topic and secondary topic in writing to instructor by February 5, 2010.

The paper must be a minimum of 2 pages in length have normal margins and a font that is 10-12 and incorporate hemodynamic, lab and EKG data for a fictional patient. This is a fictional case study and the student will not submit actual data from any patient in their care. A minimum of three peer-reviewed references is required as references. Textbooks may be used and cited. All paper must be cited. Failure to cite is a form of plagiarism and will result in a grade of zero for the paper.

The student should turn in the first 5 pages of any articles that appear in the reference page. If a textbook is used, only the first page of the chapter cited is turned into the instructor. Failure to turn in these articles may be interpreted as evidence ofplagiarism and the paper will be awarded a zero.

All papers are due Friday, March 26, 2010 at the start of class. Late papers will not be accepted, but awarded a zero. In an emergency, such as faulty printer, the paper can be faxed or emailed as an attachment to . Students may turn in the research paper by March 12 for 5% extra credit on the paper.

Must include a physical exam that includes data consistent with disorder:

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interview,

past medical history

history of current illness, chief complaint

inspection, VS, Sp02

auscultation

percussion & palpation

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Must include data such as:

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labs, electrolytes, cytology,

urine production [I and O]

liver function studies

kidney function studies

cultures or other microbiology tests for infection,

skin tests /titers for infection

pulmonary function studies,

sleep studies,

hemodynamics

chest films/Cat Scans / MRI

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Bronchoscopy results of brushings, washings or biopsies [invasive, so optional if not indicted]

EKG

Chest tube drainage: cultures, specific gravity [invasive so, optional if not indicated]

Student must address every single diagnostic test listed above and create actual typical lab values. If the patient requires a therapeutic or diagnostic bronchoscopy include results such as cultures or cytology studies. Be specific; give numbers or data; don‘t just say ―normal values.”

EXAMPLE: ―Bronchoscope washing was negative for AFB and culture for legionella was negative after 3 days.”

If a particular test is contraindicated [such as a pulmonary function study for a untreated pneumothorax] this must be addressed as “PFT contraindicated”

Unless the study is contraindicated, give the results and interpretation. See example below:

―ABG: pH 7.45, PaC02 40 torr HC03- 24 and Pa02 88 torr—WNL”

―Serum glucose is high at 355.”

Grading: There will be a minimum of 6 exams. The final examination may be comprehensive. Each exam will be 45-50 multiple choice questions. Due to the nature of this course, information from prior units or courses may be used in the next exam.

• Exams 95% [all unit exams averaged including final]
• Homework/quizzes 2.5%
• Research Paper 2.5%

No grades will be dropped in the computation of the final grade for this course

All respiratory care courses must have a minimum grade of 75% in order to continue in the Respiratory Care Program. An overall GPA of 2.5 or greater must be maintained.

The final grade will be based on the following:

A = 90 - 100

B = 80 - 89

C = 75 - 79

D = 65 – 74 failing

F < 65

Office Hours:

Office Hours are from 9:00-10:00 Monday & Tuesday and 3-4 PM on Thursday; make arrangements for interviews at other times. Instructor will be at clinical site on Wednesdays this semester.

Course Drop

Leave of Absence is NOT given in this program. Withdrawal is required before official drop date [see below] Student may not drop this class without consultation with the instructor. Please go to for Texas law regarding dropping classes ―6-drop rule‖

Calendar and Holidays:

January 18………………………………… MLK holiday

January 19 ……………………………….start of class for weekdays

February 1 ………………………………..official day of record

February 8…………………………………last day to drop and get W

February 18 …………………………….. Conference Day

March 15-21 ………………………………spring break

April 1-4……………………………………….Spring holiday

May 10-16…………………………………….Final exam week