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Course Name:
Clinical Specialty Areas/Comprehensive Review
Course Number:
RT-240
Instructor
Ms. Dionne Thomas RRT
E-mail
Dthomas@concorde.edu
Phone #1
307-640-6239
Office Location
Bld. 200 office- Ms. Thomas
Office
Hours
10a.m.- 6:00p.m – Ms. Thomas
Class Location
Lecture RM- TBA,
Class
Time
Class time 1pm-6pm
Lab. Rm 225
Semester Credit
Hours
10.0
Clock
hours
Total
285
75 lecture 30 lab
180 Clinical
COURSE DESCRIPTION
In this course students will learn indications and techniques applicable to the discontinuation of
ventilation. Students will learn anatomy, physiology and respiratory care considerations for the
pediatric and neonatal patient. They will explore the goals and objective of pulmonary rehabilitation
and patient education. The course will also focus on providing respiratory care at non-traditional
sites utilizing the team approach and medical direction. The student will learn a variety of disease
processes and their effects on the anatomy and physiology of the body. The course provides the
student with an in-depth look at current general pharmacological principals. Students will practice
skills related to classroom and laboratory presentations in clinical activities. (Prerequisites: RT230)
TEXTS
Thomas J. Butler, PhD, RRT-NPS, RPFT Laboratory Exercises 3rd Ed. ISBN: 978-0-8036-2679-9,
FA Davis Company 2013
Gary C. White, MEd, RRT, RPFT, Basic Clinical Lab Competencies for Respiratory Care: An
Integrated Approach, 4th ed. ISBN: 0-7668-2532-9, Thomson Delmar Learning, 2003
Gary C. White, RRT, MEd, RRT, RPFT, Equipment Theory for Respiratory Care, 4th ed. with
workbook. ISBN: 1-4018-8454-7, Thomson Delmar Learning, 2005
Robert L. Wilkins, PhD, RRT, FAARC; James K. Stoller MD, MS and and Craig L. Scanlan, EdD,
RRT, FAARC and A H Heuer, PhD, MBA, RRT, RPFT; Egan's Fundamentals of Respiratory Care,
10th Ed... ISBN: 978-0-323-08203-7, Elsevier, Inc. via Mosby, Inc., 2013
Steven F. Wehrman, RRT, RPFT, AE-C, Workbook for Egan's Fundamentals of Respiratory Care,
10th ed. ISBN: 978-0323082020, Elsevier, Inc. via Mosby, Inc., 2013
Robert L. Wilkins, PhD, RRT, FAARC; Alber J. Heuer, PhD, MBA, RRT, RPFT; Craig L. Scanlan,
EdD, RRT, FAARC, Clinical Assessment Respiratory Care, 7th ed. ISBN: 978-0-323-10029-8,
Elsevier, Inc. via Mosby, Inc., 2010
James R. Sills, MEd, CPFT, RRT, Respiratory Therapist Exam Review entry Level and Advance
Levels, 6th ed. ISBN: 978-032324134-2, Elsevier, Inc. via Mosby, Inc., 2010
Dana Oakes, BA, RRT-NPS, Clinical Practitioner’s Pocket Guide to Respiratory Care, 7th ed. ISBN:
978-0-932887-31-3, Health Educator Publications, 2008
On loan to students - American Academy of Pediatrics and American Heart Association Textbook
of Neonatal Resuscitation May 15, 2011 Leon, M.D. Chameides, Ricardo A., M.D. Samson,
Stephen M., M.D. Schexnayder and Mary Fran, RN
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On Loan to student -Hazinski, Pediatric Advanced Life Support: Provider Manual 2012 David W.
Chang, Respiratory Care Calculations 3rded. ISBN 978-1-1113-0734-9, Delmar Cengage, 2012
On-Line readings, Handouts as assigned.
COURSE OBJECTIVES
 Neonatal and pediatrics
 Differentiate between fetal and newborn anatomy and physiology, transitional changes, and
pathological conditions or abnormalities of the fetus and newborn
 Investigate pathologies of pediatric patients
 Deliver home respiratory therapy
 Practice pulmonary rehabilitation
 Learn classifications, actions, indications and contraindications of pharmacological agents.
COMPUTER ACCESS SOME ASSIGNMENTS IN THIS COURSE SERIES REQUIRE COMPUTER ACCESS.
STUDENTS WHO DO NOT HAVE HOME ACCESS TO A COMPUTER SHOULD COMPLETE COMPUTER-BASED
ACTIVITIES AT A CONCORDE COMPUTER LAB, RESOURCE CENTER, OR PUBLIC LIBRARY. IN ADDITION
THERE IS TUTORIAL SOFTWARE THAT CAN ONLY BE ACCESSED IN A CONCORDE COMPUTER LAB. W HEN
THESE TUTORIALS ARE ASSIGNED, IT IS THE STUDENTS’ RESPONSIBILITY TO SCHEDULE TIME TO WORK IN
THE LAB WHEN CLASS TIME IS NOT ALLOTTED SPECIFICALLY FOR THIS PURPOSE.
LEARNING RESOURCE CENTER THE SCHOOL MAINTAINS AT LEAST ONE LRC FOR STUDENT USE. HOURS
ARE POSTED AND YOU ARE REQUESTED TO SIGN A LOG SHEET EACH TIME YOU VISIT. POLICIES ARE
POSTED IN THE LRC. YOU ARE EXPECTED TO BEHAVE IN ACCORDANCE WITH TYPICAL LIBRARY ETIQUETTE
AND RESPECT THE NEEDS OF OTHER STUDENTS BY NOT TALKING AND SHARING MATERIALS/COMPUTERS.
EVALUATION STUDENTS WILL BE EVALUATED ON KNOWLEDGE OF TEXTBOOK CONTENT, CLINICAL SKILLS,
AND COMPETENCE ON LAB ACTIVITIES. EXAM SCORES MUST MEET OR EXCEED 75%. THE MINIMUM
ACCEPTABLE TERM GRADE IS 75% FOR ADVANCEMENT. REFER TO THE SATISFACTORY ACADEMIC
PROGRESS POLICY IN THE CATALOG FOR GRADE POINT EXPECTATIONS. TERM GRADES ARE CALCULATED
AS FOLLOWS:
2-Unit Tests
@
12.5% each
NRP /PALS
@
12.5%
Case Presentation @ 12.5%
LRC P/F
Lab
P/F
Homework/Class work/Q&A Cards P/F
Clinical P/F
Final
50%
TERM GRADE
100%
Point Values for the Course Assignments
90-100
80-89
=
=
A
B
75-79
=
C
70-74
69 or
less
=
=
D
F
Partial points with be rounded to the nearest full point, e.g. 79.4=79 which leads to a grade of C;
79.5=80 which leads to a grade of B. A D grade will be included in your CGPA but must be
repeated in order to progress.
Make-up work It is very important for students to be in class for tests and performance evaluations.
The student must initiate the request to reschedule on the first day the student returns to class. It is
the student’s responsibility to schedule time outside the student’s regularly scheduled class hours
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(with program director and/or instructor) to complete any missed work. The PD will determine the
method for making up required course components like labs and competencies. Timelines are
identified in the specific sections below.
Tutoring will be scheduled at the discretion of the Program Director or Academic Dean. If you want
extra help, contact the instructor or program director immediately for available tutoring. If you do not
show or do not call for a session that you requested, the faculty is not obligated to reschedule or to
provide future assistance at your request.
The instructor and/or program director may require you attend a tutorial session if s/he believes that
you need assistance on any content, skill or clinical component. If you do not show or do not call for
a required session, you must meet with the Program Director before being allowed to attend class.
Tutoring sessions may be scheduled for the benefit of all students and anyone may attend these
sessions. During any session that includes a test, you may be excused to the LRC and/or assigned
a paper or project to help your progress.
Homework & Class work A course schedule outlines the due dates for all assignments, lists
reading assignments, and delineates lab activities. Any homework not completed and received by
the instructor prior to the applicable unit test will receive an incomplete on the test. You have 5
business days (7 calendar days) to complete missing working. Any outstanding assignments after
this period must be turned in by the final course day. Completion of all assigned work is required to
pass the course.
Chart Exam papers, Physician Contact papers, and time cards are due on the first class following
any clinical experience. All papers must be completed to pass the course.
Calculators may NOT be used in this class. The NBRC does not allow calculators for their exam, so
you must be able to work all math equations without the aid of a calculator.
Q&A Cards Based on assigned readings you will create at least 10 questions written on 3x5 index
cards with the answer on the opposite side so you may use them as flash cards for exam
preparation. You are responsible for creating cards prior to each class session. They are due at the
beginning of each class session to be reviewed by the instructor. If no reading assignment has
been designated for a class session, then questions are to be created from the previous class
reading assignment. When multiple books are assigned, questions are to be created from each text
in proportion to the amount of material gleaned from each text. Cards will typically be returned to
you prior to each unit exam so you may use them for exam preparation. You are expected to carry
any returned cards to class for group and class reviews throughout the course. At times, especially
later courses in the program, you will be expected to bring all accumulated cards from previous
program courses in preparation for the comprehensive exams. Each card must have the book, page
and paragraph number from which the question was generated. Any cards deemed by the instructor
to be incorrect or poorly written must be rewritten by the next class session for the assignment to be
considered complete
Exams Students must earn a 75% or higher on a test for a passing grade. Due to the nature of an
exam, students will be allowed up to 5 business days (7 calendar days) to take a missed exam. Not
appearing for the makeup exam within the 5 business days will result in an automatic zero (0) on
the unit exam. For any exam taken after the course’s original exam scheduled date, a 75% will be
recorded for any passing score.
Final Exams Class will still be held for at least 2 hours on finals day to review and cover any
remaining class items with 3 hours allotted for the exam. Not attending class for 5 hours will be
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documented following the attendance policy. The final exam must be made up within 5 business
days as required by the incomplete grade policy in the catalog. Not taking the final exam or meeting
the other retake requirements will result in failing the course.
Practical Oral Exams Separate from presentations and case studies, other work, e.g., unit exams,
lab competencies and clinical may include oral responses, especially in the later courses. At least 3
times during your training you will have an exam given strictly in oral format. Students must earn a
75% or higher on a test for a passing grade. You are expected to conduct yourself in a professional
manner during the exam, simulating physician contact in a clinical setting.
Lab Grades All labs and competencies are skills expected of professionals in the field, so a student
will be required to complete labs and competencies in order to pass the course. Not successfully
completing all competencies and labs/practical’s will result in a failed course grade. Lab
assignments may include tests, activities and practical. Students who do not obtain the minimum
requirements stated in the performance evaluation must repeat the evaluation. Refer to each check
list for scoring, but typically a 90% is required to pass.
Clinical Grades Your clinical experience is a pass/fail grade. Students must demonstrate mastery
and pass all laboratory clinical objectives.
MAINTAINING SATISFACTORY ATTENDANCE STATUS. ATTENDANCE IS MANDATORY. ALL ABSENCES ARE
UNEXCUSED. IT IS ALSO A REFLECTION OF A STUDENT’S COMMITMENT TO HIS OR HER OWN EDUCATIONAL
SUCCESS. REVIEW YOUR SCHOOL CATALOG FOR SPECIFICS OF SATISFACTORY ATTENDANCE, PROBATION
AND TERMS OF DISMISSAL.
Missing more than 10% of any combination of classroom lab and clinical time will result in an
automatic probation for current term, and will remain on probation the following term. If while on
attendance probation, the student misses cumulative one hour in that term, they will be withdrawn.
A student may be on Attendance Probation no more than two times. Please refer to RT student
handbook.
If you will be absent or late to a class, you must contact the program director by calling the school. If
you must leave a voice message, please leave a detailed message and a return phone number
where you can be reached. Notify your instructor if you plan to leave class before dismissal.
Clinical Attendance For clinical absences, you must contact the clinical site and the Director of
Clinical Education (DCE). If the DCE is not available, you must request s/he be paged and leave a
number for you to be reached. In addition you must contact the department supervisor, or
designated contact at the clinical site, at least one hour before your scheduled shift. A voice mail
message is not considered appropriate and would be a last resort measure.
Missing more than 10% of any combination of classroom lab and clinical time will result in an
automatic probation for current term, and will remain on probation the following term. If while on
attendance probation, the student misses cumulative one hour in that term, they will be withdrawn.
A student who misses in excess of 10% of the scheduled time in the following term will be
immediately withdrawn from the RT program. A student may be on Attendance Probation no more
than two times.
A no show-no call is unprofessional behavior and is grounds for dismissal. A second offense is an
automatic withdraw from the program. If a site requests removal, refer to the catalog for policy.
STUDENT RESPONSIBILITIES MASTERY OF THE THEORY AND LAB SKILLS IN THIS COURSE IS ESSENTIAL TO
YOUR SUCCESS IN CLINICAL. ALSO YOU WILL BE PREPARING FOR THE NBRC ENTRY LEVEL EXAM. IN
PREPARATION, YOU ARE EXPECTED TO SPEND APPROXIMATELY 16 ½ HOURS PER WEEK ON ASSIGNMENTS
AND ACTIVITIES TO HELP YOU ACHIEVE THE COURSE OBJECTIVES. AT LEAST HALF OF YOUR OUTSIDE
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CLASS TIME SHOULD BE SPENT READING THE TEXTBOOK MATERIALS, DEVELOPING OUTLINES AND NOTES
FOR EXAM PREPARATION, MEMORIZING THEORY, AND PRACTICING APPLICATION OF THEORY. FOR THE
REMAINING TIME COMPLETE THE END OF CHAPTER ACTIVITIES IN THE TEXTBOOK, INVESTIGATE THE WEB
RESOURCES ASSOCIATED WITH THE TEXT, RESEARCH, DRAFT, AND WRITE PAPERS OR PRESENTATIONS,
FINISH STUDY GUIDE OR WORKBOOK ACTIVITIES AS AVAILABLE, AND PERFORM ANY OTHER PRACTICE AS
ASSIGNED BY THE INSTRUCTOR. IT IS RECOMMENDED THAT YOU SPEND TIME ON A DAILY BASIS REVIEWING
PAST MATERIAL TO PREPARE YOU FOR THE NBRC EXAM. DETAILS OF WEEKLY ACTIVITIES WILL BE IN
YOUR COURSE SCHEDULE.
The syllabus is a guideline for instruction. The instructor, Program Direction and/or Academic Dean
reserve the right to change, modify, or delete any item as necessary with sufficient notice.
CLASSROOM CONDUCT: REFER TO THE CATALOG FOR DETAILS ON EATING, BREAKAGE, CLEANLINESS,
ETC. OTHER ITEMS NOT COVERED ARE BELOW :
 Cell Phones – Cell phones are not allowed in the classroom. Upon entering the classroom
please turn off all cell phones and store away. Cell phones must not be visible at any time. If
seen during quizzes or exams, the student’s paper will be collected and given a zero (0) with no
option for make-up or retake.
 Participation/Class work — you are expected to participate in class. Class assignments,
which are a part of your course grade, occur throughout the day, with or without announcement,
at the instructor’s discretion.
BREAK TIMES STUDENTS WILL BE GIVEN A BREAK FROM CLASS FOR 10 MINUTES EVERY HOUR. FAILURE
TO RETURN TO CLASS AS SCHEDULED WILL RESULT IN MINUTES SUBTRACTED FROM DAILY ATTENDANCE.
SEE ATTENDANCE REQUIREMENTS ABOVE.
Date
Subject
10/26/15
Introduction to Term
10/27/15
10/28/15

Review:
--In the Womb DVD
--Neonatal
pathophysiology, fetal
circulation
Neonatal assessment
--Neonatal respiratory
disorders
--Neonatal equipment
NRP online Lessons 1-9
Computer lab
Assignment
Homework due
Lab 28
Egan’s Ch. 8
Sill’s Ch1,3
Neonatal/Pediatric
monitoring, O2
therapy Lab
Exam
Egan: Ch. 8
(149-164)
Instructor will
assign neo/peds
presentation
Egan: Ch. 31
NRP : Textbook
Egans ch 48 (12281248)
NRP : Textbook
Q&A cards
Sill’s Ch 16
Class work is defined as any competency, skill, activity, or discussion that occurs during scheduled class hours.
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Date
Subject
Assignment
Homework due
10/29/15
Congentital defects
online PPT/ABG
monitoring
Neonatal/ peds review
Egan: Ch.31(680690)
Egan’s Ch 31
Egan’s Ch 48
(1228-1248)
Egans ch 48
Neonatal ventilation/
APRV presentation
Guest speaker: Dennis
Bing from Draeger
medical
Pediatric assessment/
Respiratory disorders
Egan: Chapter 31
(693-698)
Sills ch 5,11
Q&A cards
Draeger V500
vetilator
CARC ch 12,Egans
ch 48 1249-1263
E/CARC (Wilkins)
Ch 12
Draeger V500
ventilator
Pediatric ventilation
HFV/oscillator
ECMO
INO
NRP
Egan ch 44 11261128
Egan ch 48
Lab- Oscillator
Quiz
NRP
Online NRP
lessons 1-9 should
be complete
Sills ch 4
Jet ventilator
EXAM
10/30/15
11/2/15
11/3/15
11/4/15
11/5/15
Lab 28
Neo/peds PPV,
Cpap/Sipap,
neo/peds airways
Competencies:
NRP: Initial Steps
of Delivery
11/6/15
Neonatal/pediatric
exam
11/9/15
Advanced mechanical
ventilation/
waveforms/vent
liberation
Hemodynamics/renal
anatomy/function/
cardiac arrythmias
Egans Ch 47 12081225,Ch 46 11761190
Egans ch 47
Q&A cards
Case scenarios
Egans Ch 32 (707731) ch 46 11911192, ch 47 12061208
Sills ch 9
Arterial lines/cvp’s
Advanced
pharmacology/ review
Hemo/vent exam, mid
term advising
Egans ch 34 810813
Respiratory driven
protocols/ COPD
readmissions
Egans ch 2, ch 23
526-531
11/10/15
11/12/15
11/13/15
1/4/16
Exam
Quiz
quiz
Sills ch 17
PFT review
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Date
Subject
Assignment
Homework due
Lab 28
1/5/16
Sleep medicine/ home
o2
Egans Ch 51 13131322
Ch51
Case scenarios
1/7/16
Pulmonary rehab/
hyperbaric chamber
Egans Ch 50 12851303
Ch 50
1/11/16/1/12/16
Neonatal/pediatric
presentations
.
1/13/16
Practice and Review for
Final, TMC exam (SAE
exam)
Clin sim (SAE),Final
Advisement, Grades
1/15/16
Exam
quiz
NBRC (SAE)
exam
Note: RT250
starts1/19/16
NBRC (SAE)
exam
Final
exam