Respiratory Care Procedures II Syllabus for 2021-2022
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Course Information

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Amarillo College Tutoring for Success Policy:

The Tutoring for Success policy applies to any student whose grade or performance in the course falls below a departmentally determined minimum threshold. In either of those cases, the instructor will direct the student to the appropriate tutoring service, which may be faculty-led, discipline-specific, and/or general. Under this policy, the instructor will follow specific departmental guidelines governing the use, duration, and grade component of the tutoring need.

Administrative Drop Policy

Students who do not attend class on or prior to the census date will be administratively dropped. Effective Fall, 2016

Student Withdrawal Procedures

Students who wish to withdraw from a course must complete all steps indicated on the Academic Withdrawal Request form by the course withdrawal deadline.

NOTE: Students who are attending Texas institutions of higher education, for the first time fall 2007 and later, may not withdraw from more than six courses during their academic career. This withdrawal limitation does not include dual credit or developmental classes (Senate Bill 1231 Rule 4.10.) For more information on Drop and Withdrawal Policies, please visit the Registrar's Office Web site.

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Course

RSPT-1411-001 Respiratory Care Procedures II

Prerequisites

Prerequisite: RSPT 1410

Course Description

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

Student ResourcesStudent Resources Website

Department Expectations

Occupational License Disclaimer

Notice to Students enrolled in an educational program for preparation of issuance of certain occupational licenses:

Students enrolled in an educational program in preparation for obtaining certain occupational licenses are potentially ineligible for such license if the student has been convicted of an offense. For further information, please contact:

Melodie Graves
Justice Involved Advocate
Student Service Center 117
mgraves24@actx.edu
806-371-5995
Make appointment at https://melodiegraves.youcanbook.me

You can also contact the Legal Clinic, or the faculty member in charge of the educational program that you seek to enroll in. The further information you will receive will include notification to you of your right to request a criminal history evaluation letter from the licensing authority in order to clarify your particular situation.

Hours

(4 sem hrs; 3 lec, 4 lab)

Class Type

On Campus Course

Syllabus Information

Textbooks

1. Egan's Fundamentals of Resp. Care, 12th ed., Elsevier.
2. Pilbeam, Mechanical Ventilation: Physiological and Clinical Application, 7th ed., Elsevier.
3. Mosby’s Respiratory Care Equipment, 10th ed., Elsevier.
4. Lab Manual (downloaded from the web)
5. Lecture notes (downloaded from the web)

Be aware that book #1 and 3 were purchased last semester.

Supplies

1. Disposable lab supplies (purchased in previous Fall semester in AC West Campus Bookstore).
2. Stethoscope
3. Class Notes
4. Laptop computer with Internet/WiFi/camera capability for in-class online testing

 

Student Performance

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

1. Define, recognize and categorize respiratory failure.
2. Define endotracheal intubation.
3. List equipment needed for endotracheal intubation.
4. List indications for and complications of oral, nasal endotracheal; and tracheostomy tubes.
5. Identify the parts and describe the types of endotracheal, tracheostomy tubes and cuffs.
6. Demonstrate tracheostomy tube and stoma care.
7. Choose proper endotracheal tube size based on patient size and describe cuff inflation techniques.
8. Demonstrate proper intubation and extubation.
9. Define and list the indications for tracheotomy.
10. Know the indications for and the goals of mechanical ventilatory support.
11. Understand the differences between negative pressure ventilation, positive pressure ventilation and spontaneous ventilation.
12. Describe power sources, drive mechanisms, circuits, breath types, and control variables of mechanical ventilators.
13. Discuss time, flow, volume,and pressure relationships of mechanical ventilators.
14. Understand the phase variables of mechanical ventilators.
15. Calculate compressed volume loss and describe how this volume is affected by PIP.
16. Describe inflation hold. Why is it used? What are its side-effects?
17. Describe expiratory phase modifications, including expiratory hold, expiratory retard and PEEP.
18. Understand the clinical effects, both beneficial and harmful of mechanical ventilators.
19. Describe modes of ventilation.
20. Solve equations dealing with the relationships between tidal volume, gas flow rate, total cycle time, inspiratory time, expiratory time and I:E ratios.
21. Understand the effects of increased airway resistance, decreased compliance and leaks in the circuits on each type of cycling mechanism.
22. Understand the steps to begin mechanical ventilatory support including cardiovascular stabilization.
23. Describe humidification and heating techniques for mechanical ventilation, including advantages and disadvantages of humidifiers vs. heat/moisture exchangers.
24. Know ventilator initial settings for mode, tidal volume, respiratory rate, sensitivity, gas flow rate, FIO2, sighs, PEEP, humidification and alarm settings.
25. Describe and be able to set all types of ventilator alarms.
26. Monitor a ventilators operation and make ventilator changes according to arterial blood gas results and patient response.
27. Understand compliance and airway resistance, and be able to describe monitoring techniques for peak pressure, plateau pressure and mean airway pressure.
28. 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

Grievance Procedure: If a student is having a problem with course policies or the instructor, he or she should first try and resolve any such problems through the instructor.  If the problem is not resolved, the student may proceed to Respiratory Care Program Director (Becky Byrd), Associate Dean of Health Sciences (Kim Boyd), and Dean of Health Sciences (Kim Crowley.  If the student is still unsatisfied, they may proceed to the Vice President of Enrollment Management (Bob Austin) or to the Associate Vice President of Academic Affairs, (Becky Burton).

 

Grading Criteria

1. Homework assignments
2. Lab exercises
3. Weekly quizzes
4. Five (5) section exams
5. Lab Practical exam
6. Patient simulations

There will be no exemptions from section or final exams.

Testing Procedure

Exams will be administered using Respondus Lockdown Browser to ensure exam integrity.

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.  During exams, calculators will be enabled through Respondus.

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.

Exams will not be made available to review post-test.  If the student desires to know specific content areas to study based on exam peformance, an appointment must be made with the instructor to discuss this information.  Pictures and/or recordings of exam questions are not allowed.  Failure to adhere to this policy will result in a grade of 0 for the exam and will severely jeopardize successful completion of this course (see AC RC Student Handbook).

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 course material and to prepare for exams.  Lab is designed as a place to learn, then to practice, and finally to test in the sim lab. In the lab you are expected to perform the Lab Exercises and practice for the sims. Lab Worksheets are homework. Graded lab exercises can be "redone" to raise the initial grade, but the re-grade cannot exceed 85%.  Lab exercises, lab exercise corrections and homework assignments will be due on a specified date and will not be accepted late. 

Lab Exercises will be submitted for grading as a group assignment. Students working on the assignment must sign their own name to the work. Lab Exercise "redo's" must be completed separately, and both the original and corrected work submitted for re-grading. As with the original submission, students working on the corrections must sign their own name to the work. Names may not be added after submission.

The points earned from simulation, homework, quizzes and lab exercises will not be added into the student's course grade average unless the student has earned at least a 74.5% average on the exams.

Simulation Lab

Sim lab is for procedure 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 75%. A failed sim attempt will result if your name is drawn for simulation and you are not in class.

It will 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. oral discussion of topics
4. mandatory tutoring in the AC Success Center and/or with the SSS Program tutor.

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 negative points (-10 points) for that exam.

Attendance

Calendar

Additional Information