Respiratory Care Procedures I Syllabus for 2016-2017
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Course

RSPT-1410-001 Respiratory Care Procedures I

Prerequisites

Course Description

Essential knowledge of the equipment and techniques used in the treatment of cardiopulmonary disease.

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Department Expectations

Occupational License Disclaimer

Hours

(4 sem hrs; 3 lec, 4 lab)

Class Type

On Campus Course

Syllabus Information

Textbooks

1. Kacmarek, Egan’s Fundamentals of Respiratory Care, 11^th edition, Elsevier, 2016.
2. Cairo/Pilbeam, Mosby’s Respiratory Care Equipment, 9^th edition, Elsevier, 2015.
3. Lab Manual (posted in Blackboard)
4. Lecture Notes (posted in Blackboard)

 

Supplies

1. 1 box of exam gloves
2. Disposable lab supplies (purchased in AC West Campus Bookstore)
3. Stethoscope
4. Laptop computer with Internet/WiFi capability for in-class online testing
5. 1 box of tissues

Student Performance

End-of-Course Outcomes:  Utilize respiratory care equipment; perform therapeutic procedures including oxygen therapy, humidity and aerosol therapy, lung expansion therapy, bronchial hygiene therapy, and pulse oximetry; recommend modification of therapy; and maintain patient records.

Section 1

1. List the gases that make up our atmosphere and their percentages.
2. Define and calculate partial pressures, given total pressure and gas percentage.
3. List six medical gases and describe their characteristics
4. Define STPD, ATPS, BTPS, density, and specific gravity.
5. Describe the manufacturing of oxygen by fractional distillation of air.
6. Describe the construction and testing of gas cylinders.
7. List the most commonly used cylinder sizes noting the capacity, cylinder markings and color coding for the various medical gases.
8. Describe the types of gas cylinder valves and pressure-relief valves.
9. Explain cylinder safety systems and their uses.
10. Determine the gas flow duration of various size cylinders at various flows.
11. Describe the construction, use and safety features of bulk liquid oxygen storage, portable liquid oxygen systems and central supply oxygen systems.
12. Demonstrate the proper techniques of transporting compressed gas cylinders.
13. Explain the principle of operation of regulators and flowmeters.
14. Explain the differences between low-flow, reservoir, high flow, variable-performance and fixed-performance oxygen administration devices.
15. Describe the uses, advantages and disadvantages, recommended liter flows, total liter flows and approximate FIO2’s of the oxygen delivery devices.
16. Calculate and explain the relationship between, total cycle time, inspiratory time, expiratory time and inspiratory time to expiratory time ratio (I:E)
17. Calculate minute ventilation and minute alveolar ventilation.
18. Describe the use of pulse oximetry.
19. Demonstrate the proper techniques for attaching pressure regulators to compressed gas cylinders, for attaching flowmeters to pressure regulators and for attaching various oxygen administration devices to flowmeters.

Section 2

1. Convert temperatures from one scale to another.
2. Define terms associated with humidity and aerosols.
3. Solve problems dealing with absolute humidity, relative humidity and humidity deficits.
4. Describe the physiology, goals and indications for humidification therapy.
5. Define isothermic saturation boundary and list the factors that can shift the ISB.
6. Explain the differences between a humidifier and a nebulizer and between vapor and aerosol.
7. List and describe the factors affecting the performance of humidification devices.
8. Explain the principle of operation of humidification devices.
9. Describe the characteristics and principles of operation of nebulizers.
10. Describe the uses, advantages and disadvantages, recommended liter flows and approximate FIO2 s of the aerosol devices:
11. Define terms related to aerosols.
12. List and factors that affect the penetration and deposition of aerosol particles and describe the optimal ventilatory pattern for a patient on aerosol therapy.
13. Explain the indications, contraindications, hazards, types and goals of aerosol therapy.
14. Demonstrate the proper techniques of administering humidity and aerosol therapy with available devices.
15. Describe the indications, contraindications, precautions and hazards of respiratory pharmacologic agents.
16. List the indications for aerosol therapy and demonstrate understanding of the principle of operation and proper techniques of administering aerosol therapy by SVN.

Section 3

1. Discuss the process of assessing the need for oxygen therapy.
2. List and discuss the symptoms and types of hypoxia and their treatments including the goals, indications, contraindications and hazards of oxygen therapy.
3. Discuss the process of selecting the proper oxygen delivery device.
4. Describe the operating principles of the oxygen systems and demonstrate the proper techniques of administering oxygen with available devices.
5. Define and discuss hyperbaric oxygen therapy (HBO), nitric oxide (NO) therapy and He therapy, including the physiologic affects, methods of administration, indications, dosing, precautions and hazards.
6. Discuss the incidence, etiology, clinical signs and radiologic signs of atelectasis and describe the relationship between intrapulmonary, intrapleural and transpulmonary pressures.
7. Discuss the effects, indications, contraindications and hazards of the various lung expansion modalities on atelectasis, including incentive spirometer, IPPB, positive expiratory pressure (PEP), EZPAP therapies.
8. Demonstrate the proper techniques of administering incentive spirometer, IPPB, positive expiratory pressure (PEP), EZPAP therapies.

Section 4

1. List the indications, contraindications and goals for Chest Percussion and Postural Drainage (CPPD) therapy.
2. Demonstrate the proper techniques of positioning, percussion and vibration used in CPPD therapy.
3. Understand the indications, contraindications, physiological effects and techniques for tracheal aspiration.
4. Describe and demonstrate proper techniques for procuring a patent airway, including positioning maneuvers and simple airways.
5. Describe proper techniques of handling contaminated equipment and preparing equipment for sterilization.
6. Explain how microbial destruction is achieved by sterilization methods:
7. Describe the purpose of bacterial surveillance programs and explain the procedures involved.

Additional objectives will be made available as new sections are developed.

Students Rights and Responsibilities

Student Rights and Responsibilities

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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.  Late arrivals 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 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 quizzes, if the student arrives late, he/she will not be allowed to take the quiz and will receive a grade of 0.
5. Cell phones will be deposited in the “Cell Phone Basket” at the beginning of class and returned to the student when class has concluded. If any phone is seen by the instructor during class, it will be confiscated and returned to the student when class is finished.  In addition, cell phones will not be used as calculators.  Exceptions will be made on a case-by-case basis. If a cell phone rings during an exam, 10% will be deducted from the phone’s owner on the exam score.
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 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

Activities

1. Homework assignments
2. Classroom activities
3. Lab exercises
4. Unannounced quizzes
5. Announced quizzes
6. Section exams
7. Comprehensive final exam
8. Patient simulations
9. Lab Practical

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.

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 at a later date, with the late 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 75%.  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 the course material and to prepare for exams. Lab Exercises will be graded but will not be included as part of the final course grade. All lab assignments must be passed with an 80% or better in order to be eligible to take the exams. Interactive sessions (“Lunch & Learn”) will be held to "go over" the answers and to give the opportunity to ask questions. Any lab exercise score that was initially failed can be increased to 80% by attending Lunch & Learn and participating in the discussions.

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 7.5.

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!

Remediation Policy

The instructor will meet with students who do not pass exams for mandatory remediation.  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. ​discussion of topics

Mandatory remediation of an exam will be a group event at a date/time set by the instructor. Failure to arrive on time and complete the a remediation meeting at the set date/time will result in additional negative points (-10 points) for that exam.

Mandatory tutoring in the West Campus Tutoring Center (WCD Building) will also be required when a test is failed. The student will obtain a “prescription” for tutoring from the instructor and return proof of the tutoring session to the instructor when tutoring is complete. The student must complete the prescribed tutoring to be eligible to take the next exam.

Faculty Texting and Phone Policy

Faculty will reply to emails on school days between 8:00 am-5:00 pm.

Other

Additional assignments may also be given and points may be earned by the student for completion of the assignment.

1. There are no extra credit assignments for RSPT 1410.
2. Nothing in this course will be curved.  There will be no extra credit offered in this course and any bonus points earned on exams may not increase the grade for that activity above 100%.
3. At least 10% of the questions on major exams will come from the reading assignments.
4. The points earned from simulations will not be added into the student's grade average unless the student has earned at least a 74.5% average on the exams and quizzes.
5. Total possible course points may change as assignments are added throughout the semester.
6. At the end of the course, the grade will be computed and the result will be expressed as a percent.  The final course grades will not be curved.
7. Rounding of score will take place as follows:  0.5 will round up to the next highest whole number, ex. 74.5 = 75.0.  74.4 will NOT round up.
8. Grades will be posted on AC Online.
9. The normal grading scale for this course is:

             A = 90 - 100
             B = 80 - 89
             C = 75 - 79
             F = 0 - 74

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.

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Additional Information

Grievance Procedure

Any student who has a problem with a course policy or the course instructor, should first, try to resolve the problem with the instructor or program director.  If the problem cannot be resolved at this level, the student should go to the Division Chairman of Allied Health, the Dean of Instruction, and the college President, in that order.

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