ERIE COMMUNITY COLLEGE
NORTH CAMPUS
RESPIRATORY CARE PROGRAM
COURSE OUTLINE
A.
Unit code and suggested title:
RC122
Special Procedures I
B.
Curriculum/Program:
Respiratory Care Program/655
C.
Catalog Description:
Utilizing both a lecture and a lab format, this course is designed to provide the
necessary information and practice in a variety of related Respiratory Care
procedures. These include: basic cardiopulmonary resuscitation, artificial airways,
airway care and management, bronchoscopy, bronchopulmonary hygiene therapy,
basic thoracic imaging, as well as practice in the transportation of patients. Prerequisites: Matriculation in the Respiratory Care Program or permission of the
department., RC 110, RC 111, RC 112, RC 114. All Respiratory Care coursework
must be taken in sequential order.
D.
Duration of Instructional Period:
One 2-hour lecture and 2-hour lab session per week for 15 weeks
E.
Academic Credit Hours: 3.0 hours
Contact Hours: 4.0 hours
(2-2-3)
E.
Suggested Text/Course Materials:
Egan's Fundamentals of RespiratoryCare,
10th Edition, by Robert Kacmarek, James Stoller, Albert Heuer, Elsevier, 2013
G.
Course Outcomes:
Upon completion of this course, the student should be able to:
1.
Demonstrate an understanding of and provide basic cardiopulmonary resuscitation as
described by the American Heart Association’s latest standards.
2.
Demonstrate an understanding of and provide airway management.
a.
How to safely perform endotracheal and nasotracheal suctioning
b.
How to properly obtain sputum samples
c.
How to assess the need for and select an artificial airway.
d.
What complications and hazards are associated with insertion of artificial
airways.
e.
How to perform orotracheal and nasotracheal intubation of an adult.
f.
How to assess and confirm proper endotracheal tube placement.
g.
How and why tracheotomy is performed.
h.
i.
j.
k.
l.
m.
What types of damage artificial airways can cause.
How to properly maintain and troubleshoot artificial airways.
How to measure and adjust tracheal tube cuff pressures.
When and how to extubate or decannulate a patient.
How to use alternative airway devices.
How to assist a physician in setting up and performing bronchoscopy.
3.
Demonstrate an understanding of and provide lung expansion therapy.
a.
What causes the various types of atelectasis.
b.
Who needs lung expansion therapy.
c.
What clinical finding are seen in atelectasis.
d.
How lung expansion therapy works.
e.
What indications, hazards, and complications are associated with the various
modes of lung expansion therapy.
f.
What the primary responsibilities of the registered respiratory therapist (RRT)
are in planning, implement, and evaluating lung expansion therapy.
4.
Demonstrate an understanding of and provide bronchial hygiene therapy.
a.
How normal airway clearance mechanisms work and what can impair their
function.
b.
What diseases are associated with abnormal clearance secretions.
c.
What goals and indications apply to bronchial hygiene therapy.
d.
How to assess the need for bronchial hygiene therapy.
e.
How to select and perform various bronchial hygiene therapies, including:
1. Postural drainage therapy
2. Directed coughing and related expulsion techniques
3. Positive expiratory pressure (PEP) therapy
4. High-frequency compression/oscillation methods
5. Mobilization and exercise
6. Cough Assist
f.
How to monitor and evaluate a patient’s response to bronchial hygiene.
g.
How to modify bronchial hygiene therapies on the basis of patient response.
5.
a.
b.
c.
d.
Demonstrate a basic understanding of thoracic imaging studies.
How thoracic imaging assists in the diagnosis of pulmonary disease.
What steps are used to interpret thoracic imaging studies.
How to identify the more commonly encountered abnormalities seen in
thoracic imaging studies.
How to apply some rules of thumb about imaging in the practice of respiratory
care
6.
Demonstrate an understanding of the skills necessary for inter-hospital and
land/air transports of patients.
2
H.
I.
Program Competencies:
1.
Collect and evaluate existing pertinent clinical information and recommend
procedures to obtain additional data relative to respiratory care (objectives 2 – 5)
2.
Manipulate equipment by order or protocol (objectives 1 – 6)
3.
Ensure infection control( objectives 1 – 6)
4.
Perform quality control procedures for respiratory care equipment (NA)
5.
Maintain records and communicate information (NA)
6.
Maintain a patent airway, including care of artificial airways (objectives 1 – 4)
7.
Remove bronchopulmonary secretions; (objectives 2 – 4)
8.
Achieve adequate ventilator support (objective 1)
9.
Evaluate and monitor patient’s objective and subjective response to respiratory care
(objectives 3, 4)
10.
Recommend and independently modify therapeutic procedures based on patient’s
response (objectives 1 – 4)
11.
Initiate and conduct pulmonary rehabilitation and home care within the prescription
(NA)
12.
Determine the appropriateness of the prescribed respiratory care plan and
recommend modifications when indicated (NA)
13.
Initiate, conduct, or modify respiratory care techniques in an emergency setting
(objectives 1, 2)
14.
Act as an assistant to the physician performing special respiratory care procedures
(objective 2)
15.
Demonstrate behavior consistent with the acceptable professional conduct
standards, such as appearance, quality of work, quantity of work, continuing
education, human relation skills, leadership skills, reading skills, writing and verbal
communication skills(NA)
SUNY General Education Knowledge and Skills Areas: N/A
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J.
K.
ECC Learning Outcomes (LO):
2. Critical reasoning and analysis (objectives 1-6)
6. Technological competence (objectives 1-6)
Student Learning
K1.
Evaluation of Student Learning:
written exam 50% laboratory practicals 50%
K2.
Assessment of Student Learning:
The Respiratory Care Program will assess student learning with this course and all
other Respiratory Care courses by evaluating several program review instruments
including course examinations, annual assessments on faculty and coursework,
capstone activities and post-graduation survey and credentialing exam rates.
L.
Library Resources:
Students will be required to complete relative computer-assisted instructional
programs and/or clinical simulations pertinent to this course.
M.
Topical Outline:
N.
Cardiopulmonary Resuscitation
WEEK
1–2
Artificial Airways
3
Tracheal Intubation
4–5
Measuring Cuff Pressure and Extubation
6
Suction the Airway
7–8
Bronchoscopy
9
Bronchopulmonary Hygiene
10 – 11
Basic Thoracic Imaging
12 – 13
Patient Transports
14
Final Exam
15
Proposal Prepared by: James Bierl, Professor/Department Head
Date Prepared: May 2014
Date Last Updated: May 2014
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