Instructor:
Office:
Phone:
Email:
Spring 2010 Revised by EKB December 10, 2009
Elizabeth Kelley Buzbee, A.A.S., R.R.T.-N.P.S., R.C.P.
HSB 118V
281.312.1605
E.K.Buzbee@lonestar.edu
Credit: 3 Credit Hours
Prerequisites: Departmental Approval
Course Description per WECM : A study of physical, radiological, hemodynamic, laboratory, nutritional, and cardiopulmonary diagnostic assessments.
Learning
Outcomes:
End-of-Course Outcomes per WECM: Interpret patient data including physical, radiological, hemodynamic laboratory, nutritional, and cardiopulmonary diagnostic assessment of the pulmonary patient; and apply data to evaluate cardiopulmonary disorders.
Licensure/Certification Agency per WECM: : This course may be offered only by a college with a program approved by the Commission on Accreditation of Allied Health Education Programs
(CAAHEP), Committee on Accreditation for Respiratory Care Education (CoARC) or successor organizations.
SCANS:
The Secretary’s commission on Achieving Necessary Skills (SCANS) has identified (1) reading, (2) writing, (3) mathematics, (4) speaking and listening, (5) thinking skills, (6) personal qualities, (7) workplace competencies, and (8) basic use of computers as competencies required to enter employment.
1.
The student will demonstrate a working knowledge of SCANS competency 1 (reading).
Performance will be satisfactory if the student successfully Demonstrates the ability to read and comprehend: a.
the reading assignments
2.
b.
c. the examination questions research articles
The student will demonstrate a working knowledge of SCANS competency 2 (writing).
Performance will be satisfactory if the student successfully: a.
Demonstrates the ability to write a comprehensive essay response on examination b. Writes a term paper over a patient with a cardiopulmonary disease process

3.
4.
5.
6.
7.
8.
The student will demonstrate a working knowledge of SCANS competency 3 (mathematics).
Performance will be satisfactory if the student successfully Demonstrates the ability to calculate and apply: a.
b.
hemodynamic parameters for a critically ill patient scenario other laboratory values to determine appropriate patient care
The student will demonstrate a working knowledge of SCANS competency 4 (speaking and
listening). Performance will be satisfactory if the student successfully: a.
b.
Contributes to classroom discussions
Communicates with colleagues over discussions in the classroom
The student will demonstrate a working knowledge of SCANS competency 5 (thinking skills).
Performance will be satisfactory if the student successfully: a.
Evaluates patient data and implications of care b.
c.
Demonstrates problem solving skills in clinical scenarios
Demonstrates decision-making skills in clinical scenarios
The student will demonstrate a working knowledge of SCANS competency 6 (personal
qualities). Performance will be satisfactory if the student successfully: a.
b.
Interacts professionally with colleagues in the classroom
Interacts professionally with faculty in the classroom
The student will demonstrate a working knowledge of SCANS competency 7 (workplace
competencies). Performance will be satisfactory if the student successfully: a.
b.
c.
Performs and delivers assignments in a timely manner
Demonstrates an understanding of the care requirements of the critically ill patient
Demonstrates an ability to render adequate patient care in a simulated environment
The student will demonstrate a working knowledge of SCANS competency 8 (basic use of
computers). Performance will be satisfactory if the student successfully: a.
Performs assignments as required utilizing word processing software.
Required Material: The following textbooks are required for this course:
 Ellis, Karen M., EKG Plain and Simple, 2 nd edition
 Madama, Vincent C., Pulmonary Function Testing and Cardiopulmonary Stress Testing, 2 nd edition
 Wilkins, Robert L., et.al., EGAN’s Fundamentals of Respiratory Care, 9 th edition
 Wilkins, Krider, & Sheldon, Clinical Assessment in Respiratory Care, 5th edition.
 Kelley Buzbee’s notes for this course are available in the bookstore at cost.
Schedule:
Policies and
Lecture
Lab
Monday 1:30 PM-2:30 PM
Monday 2:40 PM-4:00 PM
Friday 10:10 AM – 12:20 PM
Friday 1:30 PM – 2:20 PM

Procedures:
Withdrawal policy
Student may find the following information in the Respiratory Care Student
Handbook.
-
Attendance policy
-
Grading scale
-
The Respiratory Care Therapist Program practices a non-discriminatory admissions policy with respect to race, color, creed, sex, age, or national origin.
Course Structure: Didactic and Laboratory
Equipment needed for this course
At least 10 each Scantron forms for unit exam [answer sheet B form # 19641.] should be purchased for unit exams. This form has 1-50 answers on the front side and 51-100 answers on the reverse. They are available in the bookstore as loose, single sheets.
PLEASE NOTE : simple 4 function calculators will generally be used during testing but that will be addressed prior to each test.....so bring the calculator.
 A 4-function calculator may be used during lab/class time for mathematical calculations. A scientific calculator that has ability to calculate log is recommended. Use of calculators during examinations will be discussed at the time of the exam.
 No programmable devices, including cell phones may be used for any purpose during exams in this course.
Course Objectives: see lecture schedule
Lecture/Reading Assignments: (Schedule is tentative)
Topic Reading Assignment
Unit 1 EKG: Basic interpretation of Lead II
Unit 2.1 Interpreting Pulmonary Function Testing:
Ellis, Wilkins
Egan’s and Madama
Go here for case study key
Madama UNIT 2.2 PFT equipment & Capnography
Go here for key to case studies
Go here for key to table of equipment
Unit 3 X-rays: Egan’s & Wilkins go here for Power point
on X-ray views case study key
Unit 4: bronchoscopy & chest tube drainage assessment: Wilkins and Egan’s case study KEY

Unit 5: nutritional assessment and stress testing:
Unit 6 Hemodynamic monitoring:
Madama & TBA by Kenny McCowen TBA
Attendance:
Students are expected to attend all class, lab, and clinical sessions unless they are officially excused. An official absence is granted when such absence is caused by official participation in a college activity, and the instructor is informed in advance. All other absences are unofficial.
Absences caused by unavoidable conditions, such as illness, should be reported to the instructor by the start of class (Kelley 281.312.1605 or Kenny 281.312.1608). Please be aware that any call-ins will, none-the-less count as an absence or tardy.
Absences : will impact the final average with the first absence counting one [1] point, the second absence two [2] points, the third absence five [5] points, and each absence following a ten [10] point reduction.
 If the student is absent 1 day, there is 1% off the final grade
 If the student is absent 2 days, there is 3% off the final grade
 If the student is absent 3 days, there is 8% off the final grade
 If the student is absent 4 days, there is 18% off the final grade – at this point many students may be failing
 If the student is absent 5 days there is 28% off the final grade – at this point the student cannot pass the course*
*in this case, the student may be administratively withdrawn from the course by the instructor or program director.
At the program director’s discretion, even ‘excused absences’ may have to be made up if the number of days missing is considered excessive. In this situation, the student may get an incomplete for semester grade that will have be corrected before the next semester starts. This will be addressed in specific I contracts.
Each tardy of less than 30 minutes will result in the deduction of 0.33% from the final grade average for this course. A “tardy” is inclusive of leaving class within thirty minutes before dismissal, as well as, taking leave during class or labs for longer than a reasonable amount of time.
The instructor will be the arbitrator of what is ‘reasonable.”
Tardies of 30 minutes or more will be considered a half-day absence. These will be deducted as
0.5% from the final grade average for this course. Leaving a class/lab early or for extended periods will be calculated as a tardy or absence, depending on the amount of time missed. Students are to notify the instructor prior to walking out of class early.
Students shall not schedule conference times with other faculty or councilors during class time and any class time missed due to ‘appointments’ with councilors or other faculty will not be treated any differently from other types of tardy or absences.

Test Taking: Prior to taking an exam or test, all books, papers and personal items must be removed from all desk tops. Students will be seated by the instructor. Cell phones are to be turned off during both classes and exams.
Unit Exams: Exams and quizzes will be scheduled within the first 5 minutes of class. Due to the nature of this course, please, note that exams may be comprehensive. Each unit exams will consist of
30-50 multiple and multiple-multiple choice questions. Many of these questions may be linked to case studies. Each exam may include one or two essay exams that will be answered on the test sheet.
The maximal time frame for each exam will be 1 hour [exception will be final exam which is 2 hours by LSC policy]. Any student who comes in late must complete the exam in the same time as the rest of the class. Based on the standard established by the NBRC [National Board for Respiratory
Care] a student should average less than 1 minute per test question, so a 50-question exam should take 1 hour.
Exams taken in the testing center: If a student cannot complete the exam within an hour, that student should make arrangements with the instructor to take all exams in the testing center. It is suggested that the student start 30 minutes early so she/he can finish with the rest of the class.
Check with testing center [281.312.1476] for their schedule each semester, because testing is not allowed to continue past the closing time of the testing center. The student will return to the classroom as soon as he/she finishes so that he/she can participate in the rest of the day’s activities.
Exams taken in the classroom: A student who completes the exam in the classroom may exit the classroom if she/he wishes, but must move away from the doors until everyone has completed the test. No one leaving the classroom before completing the test shall speak to any student who has completed the exam. This will be interpreted as an attempt to cheat and both students will be penalized.
Early exams Any student, who needs to take an exam early for any reason, may have to take a
different exam from the one given to the rest of the class. The instructor will require at least 2 days notice to prepare another exam. It is strongly suggested that the student e-mail the instructor EKBuzbee@Lonestar.edu
with this request at least 2 working days before they plan take the exam early. Exams taken early will be awarded full credit and the student will get ½ day rather than a full sick day. After taking an exam early, the student should not discuss the test contents with anyone in the class.
Daily quizzes [of between 1-5 questions] may be given at random throughout the day. These exams will be awarded a grade which will be averaged with homework grades.
See Remediation for taking exams late.
Cell Phones & Pagers:
All cell phones and pagers must be turned off during class time. During exams, Cell phones will be secured in bag, pockets or purses. No cell phones on the desk during exams. No cell phone speakers are to be worn in the ears during lectures or exams. Ever! If an emergency situation exists and only

with instructor’s approval, cell phones may be placed in “vibrate” mode. However, leaving the classroom to answer an emergency call MUST be an infrequent occurrence.
Any cell phone that goes off during class may result in the student being asked to leave the classroom till the next break.
Food stored or eaten in the classroom is not allowed. There are several seating areas in the HSB and there are microwave devices and seating areas located in the SFA building that can be used during the break.
Drinks will be allowed in the classroom, but never in the computer lab.
Remediation: All students will be required to remediate any exam not passed with a 75%. This remediation will consist of extra homework assignments & at least one meeting with the instructor.
This remediation will not change the grade. All Remediation must be turned in prior to Finals’ Week.
A student must remediate any unit exam that was missed because of an absence during the time of the exam. Under these circumstances, the best grade he/she can get is a 75%. For example, the student answers 85% of the questions correctly. His grade will only be 85% of 75%-- which is only
64%. The retake will be on the first day back from the absence. If the student knows he/she will be absent on a testing day, the student may ask to take the test early and the exam will be left in the testing center for completion during the time frame established by instructor and student. [see above] A test taken early will accumulate full credit.
Review/ Remediation /open lab: The instructor will be available every Monday at 1:00 PM for review of current information. Persons who have failing grades will be required to attend these sessions every week until the grades improve, but all students may attend these reviews. Reviews before a scheduled exam will concentrate on the information in the exam. If a student with a failing grade cannot make the Monday session, she/he must make arrangements with the instructor to schedule another time frame.
Homework:
Homework will be assigned at the start of each unit. Homework will be averaged and comprise 2.5% of the grade in this course. The function of homework is to help the student clarify the information in the unit. While it is possible to pass this course without doing homework, we strongly recommend the student complete each homework assignment as if it was being graded. Exam questions will be based on unit review sheets and case study questions assigned with each unit.
Homework will be due on the day that unit exam—unless otherwise instructed
 Unit review sheets: will be passed out at the start of each unit and will be due on the day of the exam over that unit.
 Case studies: patient care situations in which the RCP must decide on the treatment based on assessment of the patient. The RCP will also be expected to alter treatment based on the patient’s reactions.

 Other homework will be assigned: generally any formula the student is expected to perform in clinical setting will be included in a separate homework assignment. These will be due the day of the exam over that unit
Research Paper
A research paper utilizing APA guidelines and on the topic of a cardiovascular patient will be due
November 24, 2009. Students must present topic and secondary topic in writing to instructor by
September 16, 2009.
The paper must be a minimum of 2 pages in length and incorporate hemodynamic, lab and EKG data for a fictional patient. This is a fictional case study and the student will not submit actual data from any patient in their care. A minimum of three peer reviewed references is required as references. Textbooks may be used and cited. The paper must be cited. Failure to cite is a form of plagiarism. A plagiarized paper will result in a grade of “0”.
All papers are due Friday, March 26, 2010 at start of class. Late papers will not be accepted, but awarded a zero. In an emergency, the paper can be faxed or emailed as an attachment to Kelley
Buzbee.
It must be at least 2-3 pages with font 10-12 and APA format cited and referenced. Students may turn in the research paper by March 12 for 5% extra credit.
Must include a physical exam that includes data consistent with disorder:
 interview,
 past medical history

 inspection, VS, Sp02 auscultation
 percussion & palpation  history of current illness, chief complaint
Must include data such as:

 labs, electrolytes, cytology, urine production [I and O]
 liver function studies
 kidney function studies
 cultures or other microbiology tests for infection,
 skin tests /titers for infection
 pulmonary function studies,
 sleep studies,
 hemodynamics
 chest films/Cat Scans / MRI
 Bronchoscopy results of brushings, washings or biopsies [invasive, so optional if not indicted]
 EKG
 Chest tube drainage: cultures, specific gravity [invasive so, optional if not indicated]
Student must address every single diagnostic test listed above and create actual typical lab values.
If the patient requires a therapeutic or diagnostic bronchoscopy include results such as cultures or cytology studies. Be specific; give numbers or data; don’t just say “normal values.”
EXAMPLE: “Bronchoscope washing was negative for AFB and culture for legionella was negative
after 3 days”

If a particular lab is contraindicated, such as PFT for untreated pneumothorax, then this must be stated : ”Contraindicated” so we know you considered it.
Unless the study is contraindicated, have your doctor order it and give the results and interpretation. See example below:
“ABG: pH 7.45, PaC02 40 torr HC03- 24 and Pa02 88 torr--WNL”
“Serum glucose is high at 355.”
Academic Integrity [LSC policy and procedure]
NHMCCD is committed to a high standard of academic integrity in the academic community. In becoming a part of the academic community, students are responsible for honesty and independent effort. Failure to uphold these standards includes, but is not limited to, the following: plagiarizing written work or projects, cheating on exams or assignments, collusion on an exam or project, and misrepresentation of credentials or prerequisites when registering for a course. Cheating includes looking at or copying from another student’s exam, orally communicating or receiving answers during an exam, having another person take an exam or complete a project or assignment, using unauthorized notes, texts, or other materials for an exam, and obtaining or distributing an unauthorized copy of an exam or any part of an exam. Plagiarism means passing off as one’s own the ideas or writings of another (that is, without giving proper credit by documenting sources).
Plagiarism includes submitting a paper, report or project that someone else has prepared, in whole or in part. Collusion is inappropriately collaborating on assignments designed to be completed individually. These definitions are not exhaustive.
When there is clear evidence of cheating, plagiarism, collusion, or misrepresentation, a faculty member will take disciplinary action including but not limited to: requiring the student to retake or resubmit an exam or assignment, assigning a grade of zero or “F” for an exam or assignment, or assigning a grade of “F” for the course. Additional sanctions including being withdrawn from the course/program or being expelled from school may be imposed on a student who violates the standards of academic integrity.
Grading: There will be a minimum of 6 exams. The final examination may be comprehensive. Each exam will be 45-50 multiple choice questions.
Exams
Homework/quizzes
Research Paper
95%
2.5%
2.5%
No grades will be dropped in the computation of the final grade for this course
All respiratory care courses must have a minimum grade of 75% in order to continue in the
Respiratory Care Program. An overall GPA of 2.5 or greater must be maintained.
Lecture exams and the lecture final exam will be weighed equally, averaged and count as 95% of the final grade for this course.

Research Paper will count as 2.5% of the final grade for this course. You must turn in copies of the journal articles (minimum 3) you cited for your paper. Go here for link to grading form.
Homework & quizzes will be averaged and will count as (2.5%) of your final grade.
The final grade will be based on the following:
A
B
=
=
90 - 100
80 - 89
C
D
=
=
75 - 79
65 – 74 failing
F < 65
Office Hours:
Office Hours are from 9:00-10:00 Monday & Tuesday and 3-4 PM on Thursday; make arrangements for interviews at other times. Instructor will be at clinical site on Wednesdays this semester
Course Drop
Leave of Absence is NOT given in this program. Withdrawal is required before official drop date
[see below] Student may not drop this class without consultation with the instructor. Please go to http://www.lonestar.edu/course-drops.htm
for Texas law regarding dropping classes “6-drop rule”
Calendar and Holidays:
January 18………………………………… MLK holiday
January 19 ……………………………….start of class for weekdays
February 1 ………………………..official day of record
February 18 ……………………….. Conference Day
March 15-21 ………………………………spring break
April 1-4……………………………………….Spring holiday
April 13…………………………………………last day to drop and get W
May 10-16…………………………………….Final exams

ACKNOWLEDGMENT