HE0779 Respiratory Therapy Technician

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CLUSTER
Health Science Education
CONCENTRATION
Respiratory Therapy Technician
WVEIS CODE
HE0779
National Consortium for Health Science Education Health Care Standards
http://www.healthscienceconsortium.org/docs/therapeutic_svcs_pathway.pdf
National Board for Respiratory Care http://www.nbrc.org/Pages/default.aspx
Sample of reported job titles upon completion of the Respiratory Therapy Specialization:
Respiratory Therapy Therapist, Certified Respiratory Therapy Therapist (CRTT), Respiratory Technician
Sample of reported job titles upon completion of additional education:
Registered Pulmonary Function Technologist, Adult Critical Care Specialty Examination (RRT-ACCS),
Certified Pulmonary Function Technologist (CPFT), Neonatal/Pediatric Respiratory Care Specialist (CRT-NPS
or RRT-NPS), Registered Pulmonary Function Technologist (RPFT), Registered Respiratory Therapist (RRT),
Sleep Disorders Testing and Therapeutic Intervention Respiratory Care Specialist (CRT-SDS or RRT-SDS)
INDUSTRY CREDENTIALS
Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT)
RECOMMENDED PREREQUISITE
0714
Introduction to Health Care
REQUIRED COURSES
Note: A minimum course completion score of 80% is required for progression to next course.
WVEIS Code
HE0641
HE0642
HE0643
HE0644
HE0645
HE0646
HE 0647
HE 0648
Course
Respiratory Therapy Core
Respiratory Therapy Pharmacology and Basic Procedures
Respiratory Care Sciences and Application of Procedures
Clinical Experience I
Respiratory Therapy Procedures II
Clinical Experience II
Cardiopulmonary Anatomy, Physiology and Pathophysiology
Clinical Experience III
ELECTIVE COURSE
1060
Essentials of Addiction and Prevention
*Students accepted into this program should have a current CPR and AED for Health Care Provider or
Professional Rescuer and First Aid certification.
SKILL SETS
Career Preparation Skills
Safety Practices
Leadership Development
Patient/Client Customer Service
Literacy and Numeracy
Academic Foundation
Safety and Ethics
Technical Skills
Skill sets for Career Preparation Skills, Safety, Leadership Development and Patient/Client Customer Service
should be integrated throughout the concentration as remaining skill sets are delivered.
Skill Set
Knowledge Objectives
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Performance Objectives
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Skill Set
Knowledge Objectives
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Performance Objectives
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Skill Set
Knowledge Objectives
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Performance Objectives
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Career Preparation Skills
Students will demonstrate knowledge of
 career paths.
 goal development and achievement.
 attitudes and work habits that support career retention and advancement.
 personal qualities and abilities needed to be effective with children.
 communication in varied contexts.
Students will
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relate skills and abilities to possible career pathways.
explain methods of goal development.
discuss methods of time management and task coordination.
practice professionalism in punctuality, appropriate dress, task completion, etc.
investigate methods of supervision such as giving and receiving feedback and
instruction.
 develop and present a statement of their personal work ethic beliefs.
 prepare an application, cover letter, resume and thank you letter.
 create a personal portfolio for use when applying for employment.
 practice simulated job interviews.
Safety Practices
Students will demonstrate knowledge of
 infection control.
 controlling the growth and spread of microorganisms.
Students will
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explain principles of infection control.
perform hand washing according to Centers for Disease Control regulations.
don and remove non-sterile gloves.
Leadership Development
Students will demonstrate knowledge of
 public speaking.
 parliamentary law.
 leadership concepts.
 characteristics of effective teams and organizations.
Students will
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develop and deliver speeches.
participate in meetings using parliamentary procedure.
attend leadership conferences and training (local, state and/or national).
volunteer in community service opportunities.
participate in career development events.
Skill Set
Knowledge Objectives
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Performance Objectives
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Skill Set
Knowledge objectives
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Performance Objectives
Patient/Client Customer Service
Students will demonstrate knowledge of
 customer service.
 patient/client satisfaction.
 patient/client needs assessment.
 quality for services.
Students will
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demonstrate respectful and empathetic treatment of all patients/clients.
hear and work to resolve complaints from patients/clients or the public.
check completed work for spelling, punctuation and format.
greet visitors or callers and handle their inquiries or direct them to the
appropriate persons according to their needs.
 answer inquiries pertaining to patient/client care policies and services and
work to resolve patient/client complaints.
 measure and assess patient/client and employee satisfaction.
 confer with patients/clients by telephone or in person to provide information
about health care or services, take orders from superiors, obtain details of
complaints and forward to instructor/supervisor.
 keep records of patient/client interactions, recording details of inquiries,
complaints or comments, as well as actions taken per health care institution
guidelines.
 check to ensure that appropriate changes were made to work toward resolving
patient/client problems.
 describe points of patient/client safety and respond to questions.
 investigate and work to resolve complaints regarding food quality, service or
patient/client care within your scope of practice.
 identify the characteristics of each health care industry’s target market.
Literacy and Numeracy
Students will demonstrate knowledge of
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literacy and numeracy skills required to solve complex
real-world problems associated with their career/technical content area
improve their thinking and reasoning skills.
utilize a variety of technical sources (e.g., Internet, manuals, journals,
directions, reports, etc.) to complete career/technical assignments and projects
demonstrate writing skills required to complete career/technical assignments
and projects
demonstrate accuracy in calculating and measuring graphical work required to
complete career/technical assignments and projects
analyze tables, charts, graphs and multiple data sources to complete
career/technical assignments and projects
Respiratory Therapy Core
Skill Set
Knowledge Objectives
0641.1
Performance Objectives
WVEIS 0641
Academic Foundation
Students will demonstrate knowledge of
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anatomy and physiology.
medical terminology.
Students will
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describe the organization of the body.
describe the chemical basis for life.
describe cells and tissues.
describe and structure and function of each of the following body systems.
o integumentary system
o skeletal system
o muscular system
o nervous system
o endocrine system
o cardiovascular system
o respiratory system
o lymphatic system
 immune system
o digestive system
 metabolism
o urinary system
o reproductive system
 male
 female
o special senses
 eyes
 ears
analyze blood as a system of the body.
identify and apply terms associated with the systems of the human body.
utilize medical terminology related to respiratory therapy.
apply medical terms in relation to the human body in health and disease.
apply medical terminology related to common diagnostic procedures and
pharmacology.
recognize, define and pronounce the terms associated with basic examination
procedures.
identify and describe the basic examination positions.
describe the four vital signs recorded for most patients.
recognize, define and pronounce terms associated with frequently performed
blood and urinalysis laboratory tests.
recognize, define and pronounce terms associated with radiography.
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Skill Set
Knowledge Objectives
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Performance Objectives
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differentiate between projection and position in relation to radiography.
describe basic radiographic projections.
analyze unfamiliar medical terms using your knowledge of word parts.
Leadership Development
Students will demonstrate knowledge of
 respiratory therapy program requirements.
 respiratory therapy as an occupation.
 communication techniques.
Students will
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discuss the philosophy, rules and regulations consistent with the technology
center, respiratory care career major.
explore individual learning styles.
demonstrate knowledge of basic computer components and programs.
classify personal traits or attitudes desirable in a member of the healthcare team
summarize basic professional standards of healthcare workers as they apply to
hygiene, dress, language, confidentiality and behavior (i.e. courtesy and selfintroductions).
apply employability skills in healthcare.
exemplify professional characteristics.
engage in continuous self-assessment and career goal modification for personal
and professional growth.
compare careers within the health science career pathways (diagnostic services,
therapeutic services, health informatics, support services, or biotechnology
research and development).
recognize levels of education, credentialing requirements, employment
opportunities, workplace environments and career growth potential in the field
of respiratory therapy.
develop components of a personal portfolio.
demonstrate process for obtaining employment.
identify various functions of professional organizations and relate their
significance to the field of respiratory care.
discuss and describe common leadership skills needed in the hospital.
discuss and describe the development of respiratory care, including the roles of
o American Association of Respiratory Care (AARC)
o National Board for Respiratory Care (NBRC)
o The Joint Review Committee for Respiratory Therapy Education
(JRCRTE)
o Committee on Accreditation for Respiratory Care (CoARC)
o Commission on Accreditation of Allied Health Education Programs
(CAAHEP)
explain the importance of credentialing in the field of respiratory care.
identify legal and ethical responsibilities of the respiratory therapy technologist.
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Skill Set
Knowledge Objectives
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Performance Objectives
define the scope of practice for the respiratory therapy technologist
apply concepts of effective communication techniques.
discuss and describe the importance of good communication in healthcare
delivery.
Safety and Ethics
Students will demonstrate knowledge of
 safety.
 medical ethics for respiratory therapy.
 blood borne pathogens and disease transmission.
Students will
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identify general safety knowledge and procedures in the classroom, laboratory
and clinical facilities.
identify and perform proper body mechanics when lifting or moving any heavy
object or patient.
identify the different types of fires and describe the proper operation of a fire
extinguisher.
define hazardous communication and MSDS (material safety data sheets).
define Standard Precautions (Universal Precautions).
define OSHA (Occupational Safety & Health Administration) and discuss
OSHA guidelines for laboratories and healthcare workers.
identify bloodborne pathogens and describe how to prevent exposure and
transmission.
identify the proper procedure to use for accidents and or incidents.
recognize emerging diseases and disorders.
distinguish between fact and fiction about the transmission and treatment of
diseases caused by bloodborne pathogens including Hepatitis B.
identify community resources and services available to individuals with diseases
caused by bloodborne pathogens.
identify "at risk" behaviors which promote the spread of diseases caused by
bloodborne pathogens and the public education necessary to combat the spread
of these diseases.
apply infection control techniques designed to prevent the spread of diseases
caused by bloodborne pathogens to the care of all patients following Centers for
Disease Control (CDC) guidelines.
demonstrate knowledge of the legal aspects of HIV/AIDS including the
following:
o testing
o key medical/legal terms as related to respiratory care.
o discuss legal issues and cases which have influenced or will influence
how patients and practitioners view life support, and their relationship to
the Right to Die question.
o provide relevant examples of medical ethics as related to patient care,
respiratory care, the AARC code of Ethics and the stages of death and
dying.
o demonstrate competency and achieve certification in Healthcare Provider
cardiopulmonary resuscitation.
Respiratory Therapy Pharmacology and Basic Procedures
Skill Set
Knowledge Objectives
0642.1
Performance Objectives
WVEIS 0642
Academic Foundation
Students will demonstrate knowledge of
 pharmacology for the respiratory therapist.
Students will
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describe the various routes by which drugs are administered and the advantages
and disadvantages of each.
define select terms and medical abbreviations which describe drug interactions
and safety.
describe the components of a medication order and a prescription.
outline the divisions of the central nervous system and state the general function
of each.
define terms relating to the actions of drugs affecting the autonomic nervous
system.
describe the actions of the sympathetic and parasympathetic nervous systems on
specific smooth muscles and glands.
describe the classification of drugs acting on the autonomic nervous system as
bronchodilators.
categorize and define the action of sympathomimetic drugs.
describe how simple changes in the chemical structure of bronchodilators alters
drug performance.
discuss steroid release in the human body, causes of inflammation and side
effects of steroids.
compare and contrast intrinsic and extrinsic asthma and the associated
pharmacological treatment.
discuss gases used in respiratory care, indications, methods of administration
and possible side effects.
describe the composition of the mucociliary escalator and glands which produce
mucus.
identify the various wetting and surface-active agents along with their uses, side
effects and hazards.
explain the divisions and functions of the brain and spinal cord and how they
affect respiration.
describe the classification of anti-infectives and Gram's staining technique.
describe the functions of the major body electrolytes and the structure and
functions of the kidney.
briefly describe the electrophysiology of the heart, as well as normal
hemodynamic parameters.
describe the actions, indications and dosage of the primary resuscitation drugs.
list the mechanism of action, indications, contraindications, precautions,
classification, adverse reactions, generic and trade names, route of
administration and dosage of the most commonly used drugs from the following
categories:
o bronchodilators
o corticosteroids
o anti-asthmatics
o mucokinetics
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Skill Set
Knowledge Objectives
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Performance Objectives
o surface-active agents
o cholinergic muscle stimulants
o neuromuscular blockers
o ventilatory stimulants
o ventilatory depressants
o anti-infective agents
o diuretics
o cardiovascular agents
 given a patient/client scenario, calculate drug dosages and recommend
respiratory care modalities to provide optimal care.
Technical Skills
Students will demonstrate knowledge of
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basic respiratory care skills.
Students will
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demonstrate the principles of operation and ability to set up equipment used to
provide various respiratory therapies including medical gases, aerosol, humidity,
lung expansion and airway clearance.
explain the goals, indications, contraindications and hazards of respiratory
therapies including medical gases, humidity, aerosol, lung expansion and airway
clearance.
perform physical assessment using correct terminology and procedures.
identify normal and abnormal findings on chest radiographs.
explain the principles and goals of therapist driven protocols and the knowledge
base required for successful use of protocols.
Respiratory Care Sciences and Application of Procedures
Skill Set
Knowledge Objectives
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Performance Objectives
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Skill Set
Knowledge Objectives
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Performance Objectives
WVEIS 0643
Academic Foundation
Students will demonstrate knowledge of
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physics, chemistry, biology and microbiology necessary for the understanding
and application of respiratory care.
Students will
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perform conversions within the metric system.
perform conversions between the metric and U.S. standard units of measure.
discuss the basic principles of atomic structure, states of matter, ion formation
and bonding.
 explain the concepts of density and specific gravity, as well as calculating these
values.
 discuss the factors that affect solubility and calculate solubility and content of
gases in solution.
 discuss and apply the laws of physics related to fluid dynamics, flow and surface
tension.
 discuss basic principles of organic chemistry as relates to respiratory care.
Technical Skills
Students will demonstrate knowledge of
 gas laws and calculations.
 laws of physics.
 microbiology.
Students will
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demonstrate knowledge concerning the Gas Laws and their use in calculations
related to respiratory care to include:
o Charles
o Boyles
o Gay Lussac
o Henry and Graham
o Combined Gas Law
o Dalton's
apply the laws of physics to human ventilation and perfusion.
demonstrate knowledge of basic microbiology, microbial disease and their
application to respiratory care.
Clinical Experience I
Skill Set
Knowledge Objectives
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Performance Objectives
WVEIS 0644
Technical Skills
Students will demonstrate knowledge of
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classroom theory related to respiratory therapy.
Students will
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participate by asking appropriate questions.
exhibit dependability, be punctual, attend clinical rotations according to program
policies and complete assigned objectives.
respond positively to supervision and guidance.
exhibit an ability to communicate patient information.
perform procedures competently and attend to details.
recognize limitations and boundaries of role; seek assistance when necessary.
evaluate appropriateness of therapy; maximize efficacy of therapy.
apply didactic knowledge to patient care to include the following:
o indications of therapy
o hazards of therapy
o contraindications of therapy
o goals of therapy
perform correct infection control procedures for different isolation protocols.
assess the respiratory status of the patient to include auscultation, respiratory rate
and pattern.
assess the vital signs of a patient/client to include radial and apical heart rate,
blood pressure and temperature.
observe and assist (to degree possible) in an emergency CPR/ Code Blue
procedure.
perform incentive breathing therapy.
coach patient/client in an effective cough technique based on patient/client
situation and disease process.
apply and adjust supplemental oxygen devices to achieve a given oxygen
percentage.
perform CPT using pneumatic devices, vest and PEP/Flutter devices.
obtain sputum specimen from patient/client in the prescribed manner.
apply and adjust humidity therapy in specified manner.
administer small volume nebulizer, metered dose inhaler and dry powder inhaler
to patient/client in a specified manner.
disinfect and prepare respiratory care equipment for sterilization.
apply knowledge concerning indications, contraindications, hazards and benefits
concerning the following:
o diaphragmatic breathing
o pursed lip breathing
o incentive spirometry
o oxygen therapy
o basic ventilatory assessment
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o chest percussion and postural drainage
o aerosol therapy
o aerosol medication delivery: MDI, SVN, DPI
o pulse oximetry
identify the most common respiratory medications.
calculate a basic drug dosage.
state indications and possible side effects of the common respiratory drugs.
identify the sections of a patient/client chart.
review a patient/client chart to collect information pertinent to therapy ordered.
identify the bulk oxygen storage system used at the clinical facility.
locate zone valves.
perform E cylinder connection and handling.
calculate the duration of flow for various sizes of oxygen cylinders.
evaluate arterial blood gas (ABG) results.
make appropriate recommendations based on ABG evaluation.
Respiratory Therapy Procedures II
Skill Set
Knowledge Objectives
0645.1
Performance Objectives
WVEIS 0645
Academic Foundation
Students will demonstrate knowledge of
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airway suctioning
pulmonary function testing
artificial airways
intubation
ventilator settings
Students will
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explain indications, contraindications and hazards of airway suctioning.
explain the purpose of pulmonary function testing.
identify specific uses of pulmonary function testing.
perform pulmonary function testing.
perform pulmonary function testing to distinguish between major patterns of
pulmonary disease and their severity.
describe various artificial airways.
perform proper insertion of the various airways.
explain the indications for and hazards of intubation.
explain the difference between pressure and volume ventilation.
describe the various modes, settings and alarms on mechanical ventilators.
make recommendations for changes in ventilator settings based on arterial blood
gas results, physical assessment and radiographs.
explain the indications for BiLevel ventilation.
explain the goals of patient/client education and the evaluation process for
determining the success of patient/client education.
explain the goals of health promotion.
explain the various special procedures related to respiratory therapy including
the following:
o bronchoscopy,
o chest tube insertion
o air transport of patients
o cardiopulmonary stress testing
o cardioversion
o conscious sedation
o sleep study
o thoracentesis
o percutaneous needle biopsy
o transtracheal aspiration
Skill Set
Knowledge Objectives
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Performance Objectives
Technical Skills
Students will demonstrate knowledge of
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suctioning.
arterial blood gases.
ECG tracings and rhythms.
ventilators.
intubation.
Students will
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demonstrate proper procedure for airway suctioning.
demonstrate the ability to properly perform and interpret arterial blood gases.
demonstrate proper placement of electrocardiography leads and interpret normal
and various arrhythmias on rhythm strips.
demonstrate proper tracheostomy care.
demonstrate the proper procedures for intubation and extubation.
demonstrate proper set-up and make appropriate changes regarding BiLevel
ventilation.
demonstrate the ability to set-up, operate and maintain a mechanical ventilator.
Clinical Experience II
Skill Set
Knowledge Objectives
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Performance Objectives
WVEIS 0646
Technical Skills
Students will demonstrate knowledge of
 classroom theory related to respiratory therapy.
Students will
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participate by asking appropriate questions.
exhibit dependability, be punctual, attend clinical rotations according to program
policies and complete assigned objectives.
respond positively to supervision and guidance.
exhibit an ability to communicate patient information.
perform procedures competently and attend to details.
recognize limitations and boundaries of role; seek assistance when necessary.
evaluate appropriateness of therapy; maximize efficacy of therapy.
apply didactic knowledge to patient/client care to include the following:
o indications of therapy
o hazards of therapy
o contraindications of therapy
o goals of therapy.
perform correct infection control procedures for different isolation protocols.
assess the respiratory status of the patient to include auscultation, respiratory rate
and pattern.
assess the vital signs of a patient to include radial and apical heart rate, blood
pressure and temperature.
observe and assist in an emergency CPR/Code Blue procedure.
evaluate arterial blood gas (ABG) results.
make appropriate recommendations based on ABG evaluation.
perform proper procedure for airway suctioning.
perform and interpret arterial blood gases.
perform electrocardiographs and interpret normal and various arrhythmias on
rhythm strips.
preform tracheostomy care.
observe proper procedures for intubation and assist in extubation.
assist with set-up and make appropriate changes regarding BiLevel ventilation.
perform the set-up, operation and maintenance of a mechanical ventilator.
Cardiopulmonary Anatomy, Physiology and Pathophysiology
Skill Set
Knowledge Objectives
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Performance Objectives
Academic Foundation
Students will demonstrate knowledge of
 cardiopulomonary anatomy, physiology and pathophysiology.
Students will
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Skill Set
Knowledge Objectives
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Performance Objectives
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WVEIS 0647
analyze and compare the normal anatomy and physiology of the cardiac and
respiratory systems to abnormal anatomy and physiology.
demonstrate in-depth knowledge of cardiopulmonary physiology to include the
following:
o ventilation
o diffusion and gas exchange
o gas transport
o ventilation-perfusion relationship
o control of ventilation
o renal effects on respiratory function
Technical Skills
Students will demonstrate knowledge of
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signs and symptoms of respiratory abnormalities.
cardiopulmonary diseases.
Students will
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assess and interpret signs and symptoms of respiratory abnormalities.
demonstrate and apply knowledge of the following cardiopulmonary diseases to
include etiology, pathophysiology, signs and symptoms, diagnostic tests and
indicated respiratory treatments:
o chronic obstructive pulmonary disease
o asthma
o respiratory failure
o pulmonary thrombotic disease
o pulmonary edema
o heart failure
o traumatic lung injury
o smoke inhalation and burns
o near drowning
o respiratory distress syndrome
o neuromuscular diseases
o interstitial lung diseases
o sleep apnea
o pneumonia and tuberculosis
o lung cancer
Clinical Experience III
Skill Set
Knowledge Objectives
0648.1
Performance Objectives
WVEIS 0648
Technical Skills
Students will demonstrate knowledge of
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classroom theory related to respiratory therapy.
practice and refinement of respiratory therapeutics and clinical skills.
Students will
0648.2
0648.3
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0648.4
0648.5
0648.6
0648.7
0648.8
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0648.9
0648.10
0648.11
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0648.12
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participate by asking appropriate questions.
exhibit dependability, be punctual, attend clinical rotations according to program
policies and complete assigned objectives.
respond positively to supervision and guidance.
exhibit an ability to assess and communicate patient information.
perform procedures competently and attend to details.
evaluate appropriateness of therapy; maximize efficacy of therapy.
apply didactic knowledge to patient care to include the following:
o indications of therapy
o hazards of therapy
o contraindications of therapy
o goals of therapy
perform correct infection control procedures for different isolation protocols.
observe and assist in an emergency CPR/ Code Blue procedure.
continue practice, performance and application of clinical knowledge and skills
performed in Clinical I and II.
perform the following procedures/skills:
o oxygen therapy administration
o chest percussion and postural drainage
o aerosol medication delivery
o pulse oximetry
o analyze oxygen efficacy
o physical assessment
o isolation techniques, infection control
o ABG sticks and analysis
o ventilatory assessment
o emergency equipment use, manual resuscitators
o airway management
o airway care of the intubated patient
o airway care of the tracheotomized patient
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