COURSE MASTER SYLLABUS A. Academic Division: Health and Public Service B. Department: Respiratory Care C. Course Number and Title: RES 243 - Clinical Education IV D. Course Coordinator: Robert Slabodnick, M.Ed., RRT-NPS E. Credit Hours: 2 F. Prerequisites: RES 133, RES 142 G. Syllabus Effective: September 2010 H. Textbook(s) Title: Clinical Practitioner’s Pocket Guide Author: Dana Oakes Year: Latest 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 clinical setting focusing on the understanding of pathophysiology of the critical care patient as it applies to mechanical ventilation and critical care procedures. The student will learn to assess and troubleshoot mechanical ventilators, asses, analyze and apply mechanical ventilator techniques to adapt to the patient’s pathophysiological needs. As a part of this clinical experience the student will perform an intubation rotation in a surgical environment under the supervision of an anesthesiologist. The student will continue to practice procedures from previous quarters. RES-243 Course Master Syllabi Page 2 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 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. The student will continue to perform respiratory care procedures with adults critically ill patients to include: a. Aerosol therapy b. Oxygen therapy c. Incentive spirometry d. Suctioning e. Arterial blood gas puncture & analysis f. IPPB therapy g. Postural drainage h. Intubation & extubation i. Cardiopulmonary resuscitation 2. The student will be able to understand and perform the following procedures for the adult critically ill patient requiring mechanical ventilation: a. Indications for mechanical ventilation b. Pathophysiology of the critically ill patient. c. Modes of mechanical ventilation as they relate to the patient pathophysiology d. Ventilator discontinuance techniques e. Monitoring the patient on mechanical Assessments – How it is met & When it is met Clinical Evaluation Direct Observation by Instructor Written Case Based Examination Clinical Evaluation SOAP Assessments RES-243 Course Master Syllabi Page 3 ventilation f. Troubleshooting the ventilator system g. Drug therapies associated with the critically ill patient h. Interpret hemodynamic measurements & waveforms of the critically ill patient i. Ventilator system setup and checkout j. Make recommendations directly to physicians and other allied health professionals to modify patient care k. Chest tube systems l. EKGs and cardiac monitoring 3. Intubate patients in a controlled surgical environment 4. The student will be able to draw blood samples from arterial lines M. Direct Observation of Anesthesiologist or Certified Nurse anesthetist Clinical Check-off Evaluation Course Topical Outline: 1. The student will continue to perform respiratory care procedures with adults critically ill patients to include: a. Aerosol therapy b. Oxygen therapy c. Incentive spirometry d. Suctioning e. Arterial blood gas puncture & analysis f. IPPB therapy g. Postural drainage h. Intubation & extubation i. Cardiopulmonary resuscitation 2. Perform the following procedures for the adult critically ill patient requiring mechanical ventilation: a. Indications for mechanical ventilation b. Pathophysiology of the critically ill patient. c. Modes of mechanical ventilation as they relate to the patient pathophysiology d. Ventilator discontinuance techniques e. Monitoring the patient on mechanical ventilation f. Troubleshooting the ventilator system g. Drug therapies associated with the critically ill patient h. Interpret hemodynamic measurements & waveforms of the critically ill patient i. Ventilator system setup and checkout j. Make recommendations directly to physicians and other allied health professionals to modify patient care k. Chest tube systems RES-243 Course Master Syllabi Page 4 l. EKGs and cardiac monitoring 3. Intubate patients in a controlled surgical environment 4. The student will draw arterial blood gas samplesfrom arterial lines 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. In addition, the student will participate in an intubation rotation in a surgical setting under the direct supervision of a Anesthesiologist or a Certified Nurse anesthetist. 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\res243.doc\apr’10\lan 79-77 76-74 73-71 70-68 67-65 64-Below C CD+ D DF