MIAMI DADE COLLEGE
MEDICAL CENTER CAMPUS
SCHOOL OF HEALTH SCIENCES
RESPIRATORY CARE PROGRAM
COURSE OUTLINE
RET 2284L – PRINCIPLES OF MECHANICAL VENTILATION LABORATORY
COURSE DESCRIPTION:
Laboratory for RET 2284. This course is designed to provide training in the practical
application and skills associated with critical care procedures and mechanical ventilation
utilized in respiratory care.
Class Day:
Class Time:
Office:
Office: Hours:
Class Location:
Instructor:
Phone:
REQUIRED TEXTBOOKS/SUPPLIES:
1. Wilkins, Egan’s Fundamentals of Respiratory Care, 9th edition
Mosby publ., ISBN: 0-323-01813-0
2. Oakes, D.F. & Shortall, S.P. (2005). Ventilator Management: A Bedside
Reference Guide, 2nd edition. Health Educator Publications, Inc.
3. Pilbeam, S.P. & Cairo, J.M. (2006). Mechanical Ventilation: Physiological &
Clinical Applications, 4th edition. Mosby.
4. Pilbeam, S.P. & Cairo, J.M. (2006). Mechanical Ventilation: Physiological &
Clinical Applications Workbook, 4th edition. Mosby
PLEASE PURCHASE MOST RECENT EDITIONS OF REQUIRED TEXTS, WHICH
ARE AVAILABLE IN THE CAMPUS BOOKSTORE.
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Miami Dade College Learning Outcomes
Miami Dade College has adopted the General Education Outcomes listed below. Upon
completion of a program of study at the Medical Center Campus, graduates from Miami
Dade College should emulate these outcomes.
1.
Communicate effectively using listening, speaking, reading and writing skills.
2.
Use quantitative analytical skills to evaluate and process numerical data.
3.
Solve problems using critical and creative thinking and scientific reasoning.
4.
Formulate strategies to locate, evaluate, and apply information.
5.
Demonstrate knowledge of diverse cultures, including global and historical
perspectives.
6.
Create strategies that can be used to fulfill personal, civic, and social
responsibilities.
7.
Demonstrate knowledge of ethical thinking and its application to issues in
society.
8.
Use computer and emerging technologies effectively.
9.
Demonstrate an appreciation for aesthetics and creative activities.
10.
Describe how natural systems function and recognize the impact of humans on
the environment.
This course provides intentional learning experiences to address outcomes (I, 2, 3, 4, 6
and 8).
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SPECIFIC COURSE OBJECTIVES:
1.
The course work will be divided into modules, with specific objectives for each
module.
2.
You will be responsible for completing all module assignments, lab activities, and
quizzes/tests in order to satisfy all course objectives.
3.
Quizzes will be given following the completion of each module, as well as at any
time the instructor deems appropriate.
4.
It is the student’s responsibility to be present for all scheduled examinations.
Absences from a scheduled examination will result in a grade of zero (0) for the
exam, unless the absence is excused. The absence must be documented by a
physician or other suitable evidence [and notice was given to the instructor(s)]. In
this case, the student will be examined at the convenience of the instructor. The
format of any make-up exam is at the discretion of the instructor, cf. Respiratory
Care Program Policies and Procedures, Section Three: Assignments and Tests,
#3.
5.
The final grade will be computed based on the following:
I. Quizzes
II. Midterm
III. Final
50%
25%
25%
GRADING SCALE
A
=
100 - 94
B
=
93 - 87
C
=
86 - 80
-----------------------D
=
79 - 73
F
=
72 - below
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RET 2284L
TABLE OF CONTENTS - MODULE
MODULE 1.0
-
Classification of Mechanical Ventilators
MODULE 2.0
-
Types of Mechanical Ventilators
MODULE 3.0
-
Practical Applications for the Initiation of Mechanical
Ventilators
MODULE 4.0
-
Practical Applications for the Monitoring of
Mechanical Ventilators
MODULE 5.0
-
Practical Applications for the Discontinuation of
Mechanical Ventilators
MODULE 6.0
-
Neonatal and Pediatric Mechanical Ventilators
MODULE 7.0
-
Home Care Ventilators
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MODULE 1.0 – CLASSIFICATION OF MECHANICAL VENTILATORS
General Objective:
Upon completion of this module, the student will understand the classification of
mechanical ventilators utilized in Respiratory Care
Specific Objectives:
1.1
Identify the major categories used to classify mechanical ventilators.
1.2
Discuss the terms associated with the input power for mechanical ventilators.
1.3
Identify the drive mechanisms found on mechanical ventilators.
1.4
Review the terms associated with the control circuit of mechanical ventilators.
1.5
Identify the control variables found on mechanical ventilators.
1.6
Describe the phase variables found on mechanical ventilators.
1.7
Review the output waveforms associated with mechanical ventilators.
1.8
Discuss the alarm systems found on mechanical ventilators.
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MODULE 2.0 – TYPES OF MECHANICAL VENTILATORS
General Objective:
Upon completion of this module, the student will demonstrate an understanding of the
various types of mechanical ventilators that are available in Respiratory care.
Specific Objectives:
2.1
Identify the various types of mechanical ventilators utilized in respiratory care.
2.2
List the range of parameters for each type of mechanical ventilator.
2.3
Identify all external controls, alarms, manometers, and tubing connections
of each type of mechanical ventilator.
2.4
Diagram the pressure, flow and volume patterns associated with each
mechanical ventilator.
2.5
Identify the modes of ventilation available on each type of mechanical ventilator.
2.6
Identify variables that may limit the utilization of each mechanical ventilator
2.7
Using a TTL (lung analog), demonstrate the effect every control on each type of
ventilator has on the tidal volume, pressure, and I:E ratio delivered to the patient.
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MODULE 3.0 – PRACTICAL APPLICATIONS FOR THE INITIATION OF
MECHANICAL VENTILATORS
General Objective:
Upon completion of this module, the student will understand the application of initial
settings and monitoring parameter associated with each type of mechanical ventilator
available in respiratory care.
Specific Objectives:
3.1
Identify the specific controls and settings required for the initiation of mechanical
ventilation of each type of mechanical ventilator
3.2
Identify the specific components on each type of ventilator to monitor the patient
on continuous mechanical ventilation.
3.3
Given a clinical situation with patient data, establish the initial settings for
continuous mechanical ventilation on each type of ventilator.
3.4
Given a clinical situation with patient data, establish appropriate monitoring
parameters based on the initial settings established for the patient.
3.5
Explain how patient compliance and airway resistance affects the volume,
pressure and flow delivered on each type of mechanical ventilator.
3.6
Identify various items which limit the use of each type of ventilator related to the
establishment of settings and monitoring parameters.
3.7
Interpret clinical meaning of given graphic displays on each ventilator with that
capability.
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MODULE 4.0 – PRACTICAL APPLICATIONS FOR THE MONITORING OF
MECHANICAL VENTILATORS
General Objective:
Upon completion of this module, the student will demonstrate an understanding of the
operation, manipulation of settings and parameters, and corrective actions when
monitoring a mechanical ventilator.
Specific Objectives:
4.1
Identify the specific information that is monitored on a mechanical ventilator when
being used for continuous mechanical ventilation.
4.2
Discuss the rationale for possible changed in monitoring parameters found on
mechanical ventilators that are being used during mechanical ventilation.
4.3
Given a clinical situation with patient data, manipulate the initial settings for
continuous mechanical ventilation on each type of ventilator.
4.4
Given a clinical situation with patient data, manipulate appropriate monitoring
parameters based on the change in settings established for the patient.
4.5
Develop a rationale for changes in monitoring parameters based on patient and
monitoring data.
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MODULE 5.0 – PRACTICAL APPLICATION FOR THE DISCONTINUATION OF
MECHANICAL VENTILATORS
General Objective:
Upon completion of this module, the student will demonstrate an understanding of the
procedures and techniques related to the discontinuation of a mechanical ventilator.
Specific Objectives:
5.1
Identify the specific information that is assessed on a mechanical ventilator and a
patient when weaning from mechanical ventilation is being considered.
5.2
Discuss the steps to be followed when weaning a patient from a mechanical
ventilator.
5.3
Identify the settings that are manipulated on a mechanical ventilator during the
weaning process.
5.3
Given a clinical situation with patient data, manipulation the settings for the
weaning process on each type of ventilator.
5.4
Given a clinical situation with patient data, manipulation appropriate monitoring
parameters for the weaning process on a patient.
5.5
Discuss the determinates of a successful weaning attempt and unsuccessful
weaning attempt from a mechanical ventilator.
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MODULE 6.0 - NEONATAL AND PEDIATRIC VENTILATORS
General Objective:
Upon completion of this module, the student will demonstrate procedures related to
neonatal and pediatric ventilators.
Specific Objectives:
6.1
Identify and explain the function of all external controls, alarms, manometers, and
tubing connections on the neonatal and pediatric ventilators.
6.2
Assemble and identify the component parts of the ventilators in 6.1.
6.3
Review the range of parameters for each neonatal/pediatric
ventilator discussed in lab*
6.4
Diagram the pressure and flow patterns of each of the ventilators in 6.1.
6.5
Operate the alarm/safety systems on these ventilators.
6.6
Using the neonatal TTL, evaluate the function of these ventilators for continuous
mechanical ventilation by monitoring rate, pressure, and I:E ratios.
6.7
Compare and contrast the various neonatal/pediatric ventilators discussed in lab
6.8
Perform ventilator adjustments based upon accurate analysis of data provided
during simulated ventilator management related to neonatal and pediatric
patients
6.9
Identify criteria monitored during a patient/ventilator assessment in neonatal and
pediatric practice.
6.10
Develop a classification of each of the ventilators in 6.1.
6.11
Explain methods of cleaning and sterilization of neonatal/pediatric ventilators
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MODULE 7.0 - HOME CARE VENTILATORS
General Objective:
Upon completion of this module, the student will understand procedures and techniques
related to home car ventilators.
Specific Objectives:
7.1
Identify the major home care ventilators utilized
7.2
Discuss procedures related to home care and mechanical ventilators
7.3
Identify problems which may be encountered with home care ventilators
7.4
Discuss the role of the respiratory care practitioner with the home care ventilator
program
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