Critical Care Monitoring Syllabus for 2014-2015
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Instructor Information

Course Information

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Course

RSPT-2355-001 Critical Care Monitoring

Prerequisites

Course Description

Advanced monitoring techniques used to assess a patient in the critical care setting.

Student Resources Student Resources Website

Department Expectations

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Occupational License Disclaimer

Hours

(3 sem hrs; 3 lec)

Class Type

On Campus Course

Syllabus Information

Textbooks

1. Pilbeam.  Mechanical Ventilation: Physiological and Clinical Application, Mosby, 5^th Ed., 2012.
2. Wilkins. Clinical Assessment in Respiratory Care, Mosby/Year, 6th Ed, 2010.
3. Wilkins.  Egans Fundmentals of Respiratory Care, Mosby, 10th Ed, 2013.

Supplies

1. Class Notes
2. Laptop computer with Internet/WiFi capability for in-class online testing

Student Performance

End-of-Course Outcomes:  Describe the principles/techniques involved in critical care monitoring; interpret patient data; and apply data to evaluate cardiopulmonary disorders.

1. List and describe indications and contrindications for chest drainage & the placement of chest tubes.
2. Describe the types of drainage systems.
3. Describe care of patients with closed-chest drainage.
4. Describe methods used to analyze expired CO2 & be able to interpret capnograms.
5. List indications for bronchoscopy (rigid and flexible).
6. Describe the bronchoscopy procedure (rigid and flexible), including methods, equipment and complications associated with the procedure.
7. Understand the effects of mechanical ventiltory support, both beneficial & harmful.
8. Be able to diagnose acute respiratory failure by clinical assessment & spontaneous parameters.
9. Assess tissue oxygenation, including V/Q relationships, ability of oxygen to cross the alveolar-capillary membrane, O2, transport, tissue O2 extraction, and adequacy of ventilation.
10. Define and calculate cardiac physiology concepts, including cardiac output, stroke volume, cardiac index, systemic vascular resistance and pulmonary vascular resistance.
11. Understand what determines cardiac output, including preload, afterload, and myocardial contractility.
12. Describe components of a pressure monitoring system, set-up, and general complications involved with a system.
13. Discuss the physiologic significance of hemodynamic monitoring and be able to interpret the pressure values obtained.
14. Describe the catheter insertion technique for the Swan-Ganz catheter, A-line, and CVP.
15. List possible complications of having a A-line, CVP, or Swan-Ganz catheter in place and know how to measure cardiac output using the thermodilution and dye dilution technique.
16. Describe spectrophotometry be able to interpret values obtained from mixed venous blood gas samples.
17. Discuss the operation of the Intra-Aortic Balloon Pump (IABP).

Students 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

1. Please make every effort to be on time and stay in your seat for the entire class period.  Late arrivals, leaving class and returning are very disrupting to the class and to a proper leaning environment.
2. 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.
3. Assigned homework is to be completed before class.  Homework cannot be completed in class unless the instructor gives permission.
4. Exams and daily quizzes will begin at the start of class.  In the case of major exams, students may begin the exam when they arrive, but  will have the same completion 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 laptop computers.
5. CELL PHONES MUST BE TURNED OFF OR BE IN VIBRATE MODE AND PUT AWAY 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.
6. 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.
7. Cheating on exams will result in a grade of 0 for the exam and will severely jeopardize successful completion of this course (see AC RC Student Handbook).

Grading Criteria

1. Homework assignments
2. Weekly quizzes
3. Unannounced quizzes
4. Paper
5. Oral Case Study Presentation
6. Six (6) section exams

There will be no exemptions from section or final exams.

The paper and the Oral Case Study will be worth 100 points each. Exams will vary in point value.

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.

The Program has 1 "loaner" computer for testing. If your laptop fails to log in, the loaner will be available on a first-come, first serve basis. If the loaners is not available, the test will have to be taken late, with the make-up penalty applied.

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 or quizzes.  Homework assignments will not be accepted late.

Grading

1. Additional assignments may also be given and points may be earned by the student for completion of the assignment.
2. Each examination/quiz/assignment will have a specific number of points awarded for correct answers. The number of points earned by a student will be divided by the maximum possible points. The result will be expressed as a percent and converted to a grade.
3. There will be no extra credit offered in this course and any bonus points earned may not increase the grade for that item above 100%.
4. Nothing in this course will be curved, however, bonus points will be available on each exam.
5. Rounding of scores 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.
6. At least 10% of the questions on major exams will come from the reading assignments.
7. At the end of the course, the final grade will be computed using the schema listed below.
8. Grades will be posted in Blackboard.
9. The grading schema for this course is:

• A = 90-100
• B = 80-89
• C = 70-79
• F = less than 70

Remediation Policy

The instructor will meet with students who do not pass 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:

1. research of exam topics
2. written discussion of topics
3. oral discussion of topics

Mandatory remediation sessions exams will be a group event at a date/time set by the instructor. Failure to arrive on time and complete the remediation at the set date/time will result in negative (-10)points.

Attendance

Calendar

Additional Information

Faculty web page

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