COURSE MASTER SYLLABUS A. Academic Division: Health and Public Service B. Department: Respiratory Care C. Course Number and Title: RES 2390- Directed Practice III D. Course Coordinator/Department Chair: Robert Slabodnick, M.Ed., RRT-NPS/Robert Slabodnick, M.Ed., RRT-NPS E. Credit Hours: 2 F. Prerequisites: RESP 1210, RESP 1290 G. Syllabus Effective: August 2012 H. Textbook(s) Title: (lecture 0, laboratory 0, Clinical 10) Clinical Practitioner's Pocket Guide to Respiratory Care Author: Oakes Year: 2008 Edition: 7th edition ISBN # 978-0932887313 I. Workbook(s) and/or Lab Manual: None J. Course Description: This is a clinical course. The student will be assigned to a hospital 12 hours per week for 16 weeks (192 total hours) to work under the direct supervision of a clinical instructor. This is a continuation of RESP 1290. This course provides clinical experience for the student to the practice respiratory care skills the student obtained in RESP 1210. The student will perform direct patient care in an ICU setting evaluating patients’ medical records, assessing patients’ oxygen therapy needs, practice administration/assessment of medical gas therapy, humidity/aerosol therapy, perform oxygen analysis, perform sterilization/infection control procedures, perform hyperinflation therapy, bronchopulmonary hygiene techniques on patients, airway management, RESP-2390 Course Master Syllabi Page 2 bronchopulmonary hygiene, lung expansion therapy, intermittent aerosolize therapy via different modalities, dispensing respiratory pharmacologic agents, arterial blood gas punctures and analysis, mechanical ventilation, and airway management techniques including extubation. The student may be involved in emergency medical procedures include cardiopulmonary resuscitation and the use of manual resuscitators. K. Core Learning Outcomes 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 Charting patient care. Evaluated in Midterm and Final student evaluations Giving/receiving report on patient care, interacting with patients. Midterm and Final student evaluations Interaction with patients, hospital staff. Evaluated in midterm and Final student evaluations Daily. evaluated daily with S.O.A.P. rubrics, Final written and lab examination Daily. evaluated daily with S.O.A.P. rubrics, Final written and lab examination Calculations associated with patient care and mechanical ventilation. assessed on Final written and lab examination Course Outcomes and Assessment Methods: Outcomes 1. Collect, evaluate, and review existing data in the patients’ record to assess the patient’s cardiopulmonary system and make recommendations to initiate or modify therapy. 2. Perform the following procedures: a. Patient assessment (HR, Br.S., RR, BP, percussion, palpation, X-ray, Lab values, color) b. Low-flow Oxygen devices c. High-flow Oxygen devices d. O2 Analysis e. Charting f. Universal precautions Assessments – How it is met & When it is met S.O.A.P. rubric, daily Case based written final examination SOAP rubric, daily Summative laboratory final examination Procedure check-off daily and at the end of the term Student clinical evaluation, midterm and final week of the term RESP-2390 Course Master Syllabi Page 3 g. h. i. j. k. Oximetry Isolation techniques IPPB Therapy Hand Held Aerosol Therapy Broncho-Pulmonary Hygiene and alternatives l. Dispense MDI Drug Therapy m. Dispense Nasal Spray Therapy n. Dispense all Respiratory Care Pharmacologic Agents o. Perform drug calculations p. Manual Resuscitation q. Suctioning Procedures r. Hyperinflation therapy s. Perform ABG Puncture and analysis t. Mechanical ventilation, set up, evaluate and discontinue u. extubation 3. Evaluate patient response to oxygen therapy and intermittent therapy (objective and/or subjective), mechanical ventilation, and make recommendations to modify therapy. 4. Select, assemble, and troubleshoot all oxygen delivery systems, intermittent therapy devices and/or setups, and mechanical ventilators 5. Document oxygen, intermittent therapy, and mechanical ventilation in the patient medical record. M. S.O.A.P. rubric, daily Case based written final examination Direct observation by instructor, daily Procedure check-off, daily and end of the term Student evaluation, midterm and final week of the term Direct observation by clinical instructor, daily Procedure check-off daily and at the end of the term Student evaluation midterm and final week of the term Course Topical Outline: 1. Patient assessment (HR, Br.S., RR, BP, percussion, palpation, X-ray, Lab values, and color) 2. Low-flow Oxygen devices 3. High-flow Oxygen devices 4. CPAP, BI-Level 5. O2 Analysis 6. Charting 7. Universal precautions 8. Oximetry studies RESP-2390 Course Master Syllabi Page 4 9. Isolation techniques 10. Sterilization techniques 11. Bronchopulmonary hygiene techniques 12. Hyperinflation therapy 13. Intermittent aerosolized medication therapy 14. MDA, DPI, Nasal Sprays 15. ABG puncture 16. ABG analysis 17. IPPB 18. Airway clearance, suctioning and maintenance 19. Emergency medical procedures and CPR 20. Hand ventilation, bagging/PPV N. Course Assignment: Daily S.O.A.P. (subjective, objective, assessment, plan) charting Direct hands-on patient care Additional assignments and projects will be completed and shared with the class such as: laboratory test and results, definitions of medical terms, diagnostic testing, medications, and pathology. Additional assignments and projects are to be completed and shared with the class. O. Recommended Grading Scale: 100-95 94-92 91-89 88-86 85-83 82-80 A AB+ B BC+ 79-77 76-74 73-71 70-68 67-65 64-Below C CD+ D DF