COURSE MASTER SYLLABUS A. Academic Division: Health and Public Service B. Department: Respiratory Care C. Course Number and Title: RES 142 - Clinical Education III D. Course Coordinator: Robert Slabodnick, M.Ed. RRT-NPS E. Credit Hours: 2 F. Prerequisites: RES 103, RES 132, RES 141, RES 133 or concurrent with RES 133 G. Syllabus Effective: September 2010 H. Textbook(s) Title: Clinical Practitioners Pocket Guide to Respiratory Care Author: Oakes Year: 2008 Edition: 7th ISBN #978-0-932887-31-3 I. Workbook(s) and/or Lab Manual: None J. Course Description: This course is held in the critical care setting focusing on the practical application of mechanical ventilation of the adult critical care patient. During the course of the clinical rotation the student will perform the following procedures including: assessment and treatment of critically ill patients utilizing skills learned in previous quarters; Mechanical Ventilation: assessments, initiation, monitoring, mode selection, circuit changes, extubation, troubleshooting, and adjustments techniques; Arterial Blood Gases: punctures and analysis; observation of diagnostic testing; and continued practice of procedures learned from previous quarters. K. Core Learning Outcomes RES-142 Course Master Syllabi Page 2 Core Learning Outcomes Communication – Written Communication – Speech Culture and Community Critical Thinking Computer Literacy Computation L. Assessments - - How it is met & When it is met Clinical Evaluations Midterm and final week of the term Clinical Evaluations Midterm and final week of the term Clinical Evaluations Midterm and final week of the term Clinical Evaluations Midterm and final week of the term Clinical Evaluations Midterm and final week of the term Clinical Evaluations Midterm and final week of the term Course Outcomes and Assessment Methods: Outcomes 1. Collect, evaluate, and review existing data in the patient’s record to assess the patient’s cardiopulmonary system and make recommendations to initiate therapy. 2. Perform the following procedures: Patient assessment (HR, Br.S., RR, BP, percussion, palpation, X-ray, Lab values, and color), Low-flow Oxygen devices, High-flow Oxygen devices, O2 Analysis, Charting, Universal precautions, Oximetry, Isolation techniques, IPPB Therapy, Hand Held Aerosol Therapy, BronchoPulmonary Hygiene and alternatives, Dispense MDI Drug Therapy, Dispense Nasal Spray Therapy, Dispense all Respiratory Care Pharmacologic Agents, Manual Resuscitation, Suctioning Procedures, Incentive Spirometry, Initiate Mechanical Ventilation, Monitor, Maintain and Adjust Parameters Associated with Mechanical Ventilation, Circuit Changes, Extubation, Arterial Gas Punctures and Analysis, Bedside Weaning Parameters, Cuff Pressure Monitoring, and Inline Therapy. Assessments – How it is met & When it is met SOAP Evaluation Rubric Case Based Written Examination SOAP Evaluation Rubric Case Based Written Examination Clinical Checkoffs Clinical Evaluation RES-142 Course Master Syllabi Page 3 M. 3. Evaluate patient response to oxygen therapy, intermittent therapy, and mechanical ventilation (objective and/or subjective) and make recommendations to modify therapy. 4. Select, assemble, and troubleshoot all oxygen delivery, intermittent therapy devices, and mechanical ventilators SOAP Evaluation Rubric Case Based Written Examination 5. Document oxygen therapy, Intermittent therapy, and mechanical ventilation in the patient medical record. Observation Checkoffs Clinical Evaluation Case Based Written Evaluation Direct Observation Clinical Checkoffs Clinical Evaluation Course Topical Outline: 1. Review existing data in the patient’s record to assess the patient’s cardiopulmonary system and make recommendations to initiate and continue care. 2. Patient assessment a. HR, Br.S., RR, BP, percussion, palpation, X-ray, Lab values, and color 3. Oxygen devices, a. Low Flow devices b. High-flow Oxygen devices c. O2 Analysis 4. Charting 5. Infection Control a. Universal precautions b. Isolation techniques 6. Performs Therapy: a. IPPB Therapy b. Hand Held Aerosol Therapy c. In-line therapy during mechanical ventilation d. Broncho-Pulmonary Hygiene and alternatives e. Dispense MDI Drug Therapy f. Dispense Nasal Spray Therapy g. Dispense all Respiratory Care Pharmacologic Agents h. Manual Resuscitation i. Suctioning Procedures j. Incentive Spirometry k. Initiate Mechanical Ventilation, Monitor, Maintain and Adjust Parameters Associated with Mechanical Ventilation l. Circuit Changes m. Extubate n. Arterial Gas Punctures and Analysis RES-142 Course Master Syllabi Page 4 o. Bedside Weaning Parameters p. Cuff Pressure Monitoring 7. Evaluate patient response to oxygen therapy, intermittent therapy, and mechanical ventilation and make recommendations to modify therapy. 8. Assemble, and troubleshoot all oxygen delivery, intermittent therapy devices, and mechanical ventilators 9. Document oxygen therapy, Intermittent therapy, and mechanical ventilation in the patient’s medical record. N. Course Assignment: The setting for this course is the Intensive Care Unit (ICU) area of the hospital. The student will be assigned patient(s) based upon acuity of care from the unit. The student will work under the direct supervision of an assigned clinical instructor that is a licensed Respiratory Care Therapist to manage the patient’s respiratory care needs. O. Recommended Grading Scale: 100-95 94-92 91-89 88-86 85-83 82-80 A AB+ B BC+ G:\syllabi-quarter\master syllabi\res\res142.doc\apr’10\lan 79-77 76-74 73-71 70-68 67-65 64-Below C CD+ D DF