Respiratory Care Procedures II Syllabus for 2013-2014
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Instructor Information

Instructor

Valerie Hansen (Curriculum Vitae)

E-Mail

vahansen@actx.edu

Phone

Office Location

West Campus Allied Health 105

Office Hours

Course Information

Recording Policy

Disability Statement

Any student who, because of a disabling condition, may require some special arrangements in order to meet course requirements should contact disAbility Services (Student Service Center room 119, phone 371-5436) as soon as possible.

Statement for Mental Health and Advocacy & Resource Center:

As a student you may experience a range of issues that can cause barriers to learning, such as strained relationships, increased anxiety, alcohol/drug problems, feeling down, difficulty concentrating and/or lack of motivation. These mental health concerns or stressful events may lead to diminished academic performance or reduce a student's ability to participate in daily activities. Amarillo College offers services to assist you with addressing these and other concerns you may be experiencing. If you or someone you know are suffering from any of the aforementioned conditions, you can learn more about the broad range of confidential mental health services available on campus by calling the AC Counseling Center at 806-371-5900. The AC Counseling Center website is https://www.actx.edu/counseling/ . Also, if you are in need of social services (affordable housing, utilities, transportation, food, clothing, childcare, medical/dental/vision, legal), please call the AC Advocacy & Resource Center at 806-371-5439. The AC Advocacy & Resource Center website is https://www.actx.edu/arc

Amarillo College Tutoring for Success Policy:

Administrative Drop Policy

N/A

Student Withdrawal Procedures

N/A

Privacy Statement

The Amarillo College Privacy Policy is found at https://www.actx.edu/-amarillo-college-privacy-notice , and applies to all Amarillo College students. If you have questions about this privacy statement or you believe that your personal information has been released without your consent, send email to humanresources@actx.edu .

Course

RSPT-1411-001 Respiratory Care Procedures II

Prerequisites

RSPT 1410

Course Description

Develops essential knowledge and skills of airway care and mechanical ventilation.

Student Resources Student Resources Website

Department Expectations

Occupational License Disclaimer

Hours

(4 sem hrs; 3 lec, 4 lab)

Class Type

On Campus Course

Syllabus Information

Textbooks

Wilkins, Egan’s Fundamentals of Respiratory Care, 10th ed., St. Louis, Mosby.
Pilbeam, Mechanical Ventilation: Physiological and Clinical Application, 5th ed St. Louis, Mosby.
Cairo, Mosby’s Respiratory Care Equipment, 9th ed., St. Louis, Mosby.
Wilkins, Clinical Assessment in Respiratory Care, 6th ed., St. Louis, Mosby.
Lab Manual (downloaded from the web)
Lecture notes (downloaded from the web)

Supplies

\ Disposable lab supplies (purchased in previous Fall semester in AC West Campus Bookstore).
\ Stethoscope
\ Class Notes
\ Scantrons for testing

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Student Performance

\ End of Course Outcomes: Setup equipment; conduct airway care; initiate mechanical ventilation; troubleshoot equipment; maintain patient records; and communicate relevent information to members of the health care team.

\ Define, recognize and categorize respiratory failure.
\ Define endotracheal intubation.
\ List equipment needed for endotracheal intubation.
\ List indications for and complications of oral, nasal endotracheal; and tracheostomy tubes.
\ Identify the parts and describe the types of endotracheal, tracheostomy tubes and cuffs.
\ Demonstrate tracheostomy tube and stoma care.
\ Choose proper endotracheal tube size based on patient size and describe cuff inflation techniques.
\ Demonstrate proper intubation and extubation.
\ Define and list the indications for tracheotomy.
\ Know the indications for and the goals of mechanical ventilatory support.
\ Understand the differences between negative pressure ventilation, positive pressure ventilation and spontaneous ventilation.
\ Describe power sources, drive mechanisms, circuits, breath types, and control variables of mechanical ventilators.
\ Discuss time, flow, volume,and pressure relationships of mechanical ventilators.
\ Understand the phase variables of mechanical ventilators.
\ Calculate compressed volume loss and describe how this volume is affected by PIP.
\ Describe inflation hold. Why is it used? What are its side-effects?
\ Describe expiratory phase modifications, including expiratory hold, expiratory retard and PEEP.
\ Understand the clinical effects, both beneficial and harmful of mechanical ventilators.
\ Describe modes of ventilation.
\ Solve equations dealing with the relationships between tidal volume, gas flow rate, total cycle time, inspiratory time, expiratory time and I:E ratios.
\ Understand the effects of increased airway resistance, decreased compliance and leaks in the circuits on each type of cycling mechanism.
\ Understand the steps to begin mechanical ventilatory support including cardiovascular stabilization.
\ Describe humidification and heating techniques for mechanical ventilation, including advantages and disadvantages of humidifiers vs. heat/moisture exchangers.
\ Know ventilator initial settings for mode, tidal volume, respiratory rate, sensitivity, gas flow rate, FIO2, sighs, PEEP, humidification and alarm settings.
\ Describe and be able to set all types of ventilator alarms.
\ Monitor a ventilators operation and make ventilator changes according to arterial blood gas results and patient response.
\ Understand compliance and airway resistance, and be able to describe monitoring techniques for peak pressure, plateau pressure and mean airway pressure.
\ List conditions that may change lung compliance and airway resistance.

Students Rights and Responsibilities

Student Rights and Responsibilities

Log in using the AC Connect Portal

In order to receive your AC Connect Email, you must log in through AC Connect at https://acconnect.actx.edu .

If you are an active staff or faculty member according to Human Resources, use "Exchange". All other students, use "AC Connect (Google) Email".

Expected Student Behavior

Please make every effort to be on time. Late arrivals are very disrupting to the class and to a proper leaning environment.
If you must leave class for any reason, you may not return until the class period is over.
The student should read assignments prior to class and be prepared to discuss topics covered in class. Students will be called on to share their understanding of topics.
Assigned homework is to be completed before class. Homework cannot be completed in class unless the instructor gives permission.
Exams and daily quizzes will be handed out at the beginning of class. In the case of major exams, students may begin the exam when they arrive, but will have the same turn-in deadline as everyone else in the class. In the case of daily quizzes, if the student arrives late, he/she will not be allowed to take the quiz and will receive a grade of 0. Please note that for major exams the student will need to bring their own Scantron sheets and pencils.
CELL PHONES MUST BE TURNED OFF OR BE IN VIBRATE ONLY MODE DURING CLASS AND EXAMS. The instructer has the right to confiscate any cell phone being used inappropirately. The phone will be returned at the end of class. If a cell phone rings during a major exam, a 10% score deduction will be implemented when the exam is graded.
Calculators may not be used during exams or quizzes.
Other disruptive behavior, such as carrying on private conversations may lead to the student being asked to leave the classroom. If his happens, the student will not be allowed to return until after a counseling session with the Program Director.
Cheating on exams or copying the work of others on assignments will result in a grade of 0 for the exam or assignment and will severely jeopardize successful completion of this course (see AC RC Student Handbook).

Grading Criteria

Homework assignments
Lab exercises
Daily quizzes
Five (5) section exams
Lab Practical exam
Patient simulations

Class attendance, participation and attitude may be used by the instructor to subjectively influence final grades.

The 2 lowest quiz grades will be dropped.There will be no exemptions from section or final exams and the student will not be permitted to keep exams after class exam review.

Testing Procedure

During the testing period, the student may take a break, however, no additional time will be allowed for the test. Only one student at a time may leave the testing room. After completion of a major exam, the student will not be allowed to wait for the next class in the laboratory or hallway. The student must either sit quietly in their seat until all students are finished or exit the building.

Calculators may not be used during exams or quizzes.

Make-up policy

The opportunity to make-up missed tests and turn in assignments will be decided on an individual basis by the instructor. The exam must be taken within 1 week and the maximum grade that can be earned is 70%. Makeup exams may be different from the exam given on the scheduled day. There will be no make-up offered for the final exam, lab practical or quizzes.

Lab Exercises & Homework Assignments

Lab exercises & homework assignments are intended to enhance learning course material and to prepare for exams. Lab exercises and homework assignments will be due on a specified date and will not be accepted late. Interactive sessions will be held to "go over" the answers and to give the opportunity to ask questions.

Simulation Lab

Sim lab is for testing and there will be a reasonable time limit on all simulations. Absolutely no teaching regarding technique will be done. Questions may be asked about the situation. Each simulation is worth 10 points and all sims must be passed to pass the course. Each sim may be attempted up to 3 times, however every attempt after the initial will have a maximum score of 7.

It will most likely be necessary to spend time in the laboratory outside of class time to complete all laboratory assignments and simulations. All simulations must be successfully completed by Thursday, 4:00 pm in the week preceding finals. ABSOLUTELY NO EXCEPTIONS!

Grading

Additional assignments may also be given and points may be earned by the student for completion of the assignment.
Nothing in this course will be curved. There will be no extra credit offered in this course and any bonus points earned may not increase the grade for that activity above 100%.
At least 10% of the questions on major exams will come from the reading assignments.
Exams and quizzes will be worth 75% of the final grade. Simulations, homework assignments and lab exercises will be worth 25% of the final grade. The points earned from simulation, homework and lab exercises will not be added into the student's grade average unless the student has earned at least a 69.5% average on the exams and quizzes.
At the end of the course, the grade will be computed and the result will be expressed as a percent.
Rounding of score will take place as follows: 0.5 will round up to the next highest whole number, ex. 69.5 = 70.0. 69.4 will NOT round up.
Grades will be posted on AC Online.
The normal grading scale for this course is:

             A = 90 - 100
             B = 80 - 89
             C = 70 - 79
             F = 0 - 69

Remediation Policy

The instructor will meet with students who perform poorly on exams. Both parties will develop a plan to gain better understanding of the information covered on the test. The plan may include but not be limited to:

retaking the exam
research of exam topics
written discussion of topics

Remediation of an exam must be complete before the next exam can be taken.

Attendance

\ Any time a class is missed, it is the student's responsibility to obtain notes from classmates. The instructor will be happy to discuss any information from the class, but the instructor's lecture notes are not available for copying.

\ A student who plans to succeed in this course should also plan to regularly attend all lecture and laboratory sessions. Cases of excessive tardiness and absence will be handled on an individual basis and will require a counseling session. Following this session, a departmental counseling form will be placed in your file. The purpose of this form is to document that the student has been made aware that excessive absences are jeopardizing successful completion of this course.

Calendar

DATE	LESSON/LECTURE	LAB
Week 1	Syllabus, Respiratory failure	Suction practice
Week 2	Respiratory failure, ABGs	Unit 15: Artificial Airways
Week 3	Intro to mechanical ventilation	Unit 16: Ventilation Parameters Unit 17: Cuff Inflation
Week 4	Drives, breath types, flow/volume/time/pressure	Unit 18: Intubation/Extubation
Week 5	Exam 1; control variables, cycling	Unit 18: Intubation/Extubation
Week 6	Inspiratory & expiratory phase	Unit 13: Tracheostomy
Week 7	Exam 2; modes	Ventilator Orientation
Week 8	Modes	BiPAP Orientation
Week 9	Calculations	Ventilator Exercises
Week 10	Exam 3; Ventilatory support initiation	Ventilator Exercises
Week 11	Humidification, Ventilator settings	Ventilator Exercises
Week 12	Ventilator settings	Ventilator Exercises
Week 13	Management: volume, pressure, flow	Patient-Ventilator Management
Week 14	Management: ventilation, oxygenation	Patient-Ventilator Management
Week 15	Management: diseases	Patient-Ventilator Management Lab Practical (Wed. April 30)
Final Week	Final Exam Wednesday, May 7, 9:00 am

Additional Information

Faculty web page:
http://www.actx.edu/respiratory/vah

Resources:
http://www.actx.edu/resources

Syllabus Created on:

11/30/-1 12:00 AM

Last Edited on: