HomeMy WebLinkAboutRSP-231Bergen Community College
Division of Health Professions
Department of Respiratory Care
RSP-231 Respiratory Care
Clinical Externship IV
Course Description
Student Learning Objectives: As a result of meeting the requirements in this course, at a minimum
proficiency of 78%, the student will:
1.Properly assemble, disassemble, clean, functionally check, describe, and apply the operation
of the various mechanical ventilators in real patient situations utilizing various modes of
ventilation.
2.Properly assemble, disassemble, clean, functionally check, describe, and apply the operation
of the various mechanical ventilators in real patient situations utilizing various modes of
ventilation.
3.Properly assemble, dissemble, clean, functionally check, describe, and apply the operation of
the following pressure ventilators in real patient situations.
4.Given a specific ventilator, modify or provide for the following:
a.FiO2 between 0.21 and 1.0
b.Continuous monitoring of VT or VE
c.Variable humidification
d.Minimal or variable dead space
e.Disconnect and modify alarm system
f.All ventilation modes
g.High frequency ventilation
Phone:
Instructor:
Email address:
Locations:
Office Hours:
5.Maintain continuous and accurate flow sheets on all patients receiving respiratory care and be
responsible, where indicated and prescribed, for the following measurements or calculations:
a.VT, VE
b.Static and dynamic compliance
c.Negative inspiratory force
d.P(A-a)O2, % shunt, respiratory index
e.VD/VTratio
f.PaO2 / FiO2
g.Arterial blood gases
h.Cuff pressures
i.Ventilator alarms
6.Properly interpret the significance of the above data relative to patient management (i.e.,
ventilator commitment, ventilator discontinuance, CPAP, and weaning parameters.
7.Practice and demonstrate competency in proper airway management and assessment
(pharyngeal, endotracheal, and tracheostomy tubes), including:
a.Naso/Oropharyngeal suctioning
b.Tracheobronchial suctioning
c.Tracheostomy care
d.Cuff management
e.Pre-intubation preparation
f.Bronchoscopy assisting
g.Post-intubation management
h.Extubation management
i.Auscultation
8.Describe the correct monitoring parameters and evaluate patients whose support modes are
being changed (i.e., to SIMV, T-tube, CPAP, PEEP, PS, etc.)
9.Properly assemble, explain the function of, functionally check and apply the following
techniques in real patient situations:
a.SIMV
b.Pressure support
c.SIMV with pressure support
d.Adult non-invasive ventilation
e.Pressure control
f.PRVC
g.And other modes of ventilation exposed to in the clinical setting.
10.Provide for and explain alternate methods of monitoring ventilatory parameters of patients
receiving SIMV, PS, CPAP, and Bi-PAP.
11.In conjunction with the nursing staff, accurately measure and record the following patient
parameters:
a.Vital signs
b.Capnography
c.CVP / Swan Ganz
d.I & O
12.Given an ECG rhythm strip, correctly interpret it, and justify it to patient management.
13.Correctly prepare, perform, assess and record all pulmonary physical therapy as assigned on
both spontaneously breathing and mechanically assisted patients.
14.Correctly prepare, perform, assess, and record all oxygen therapy, aerosol therapy, IPPB
therapy, and/or incentive spirometry therapy according to the competency manual.
15.In conjunction with the nursing staff, properly monitor and maintain thoracic drainage units.
16.Participate in the following activities:
a.Pulmonary rounds
b.Pulmonary conference
c.Department report
17.Given various treatments (to include aerosol therapy, IPPB, oxygen therapy, pulmonary
physical therapy, and incentive spirometry) at differing time intervals, properly organize,
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Schedule, perform, assess, record and bill the assigned therapy, within an appropriate time
interval.
18.Perform a complete and comprehensive oral report of patient needs, therapeutic approach,
treatment procedure, and efficiency of therapy to incoming / outgoing staff.
19.Demonstrate and explain the proper clinical utilization of ventilators utilized for IPPB.
20.Correctly change all ventilator circuits in the critical care areas, according to the specified
procedure and policies.
21.Assist in any cardiopulmonary resuscitation attempts and complete in writing a cardiac arrest
report and procedure summary, which describes precipitating factors, procedure, personnel,
therapeutic intervention, and results/prognosis.
22.Describe and prepare the necessary equipment for sampling of arterial blood.
23.Properly select a sample site (palpation, modified Allen test, etc.) and secure an arterial
sample of sufficient quantity for analysis.
24.Ensure proper homeostasis after sampling of arterial blood.
25.Properly handle the sample after the puncture, and describe the rationale for post-sampling
procedures (ice, puncture proof container, pressure to puncture site, etc.)
26.Perform correctly the analysis of a sample of arterial blood and accurately ascertain the
following parameters.
a.PaCO2
b.HCO3
c.pH
d.BE
e.PaO2
f.SaO2
27.Define the acid / base status.
28.Relate the acid / base status and level of oxygenation to patient management.
29.Describe the concept of buffer base and base excess relative to the metabolic component of
acid / base physiology.
30.Describe and locate the basic structures of a blood gas analyzer.
31.Properly interpret any and all arterial / capillary blood gas results at each clinical session.
This will include an interpretation of acid / base status and oxygenation status.
32.Properly perform calibration, slope and controls of the blood gas machine at various clinical
sites.
33.Describe the indications, equipment, procedure, hazards, and complications of indwelling
arterial lines. Describe further how to obtain an arterial sample from the stopcock system.
34.Assemble and demonstrate proficiency in the utilization of a functional CPAP & Bi-PAP device
capable of delivering a variable, monitored, and accurate FIO2 via:
a.Mask CPAP / BiPAP
b.Nasal prongs
35.Describe (from observation) the indications, technique, hazards, and complications of
umbilical artery catheterization and alternate blood gas sampling techniques in the neonate /
pediatric patient.
36.Describe specific purposes of pulmonary function testing.
37.Differentiate lung volume / capacity measuring tests, air flow-volume measuring tests, and
supplementary pulmonary function tests (non-standard spirometry).
38.Describe general maneuvers/means of measuring lung volumes / capacities, air flow-volume,
and supplementary pulmonary function tests.
39.Describe a systematic means of interpreting pulmonary function test results.
40.Explain the usefulness of bronchodilator therapy during pulmonary function testing and
determine the usefulness of bronchodilator therapy by assessing pulmonary function test
results.
41.Assist with the administration of any available pulmonary function tests (including
bronchodilator therapy), when permitted by the pulmonary function lab technician.
42.Observe and assist bronchoscopy studies and stress testing.
43.Satisfactorily perform the objectives from all previous clinical courses as required.
44.Participation in clinical rounds with the medical director.
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Course Content
Special Features of the Course
Course Texts and/or Other Study Materials
Research, Writing, and Examination Requirement(s)
11th Elsevier, 2017 ISBN: 978-0-323-34136-3
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Means of Assessment
Grading Policy
Grade Computation:
The clinical instructor will evaluate individual competencies performed by the student. The
competency evaluation for each procedure must be attained at a satisfactory level within a prescribed
time period.
Evaluation of Clinical Performance – Each student will have an evaluation of overall clinical
performance at the end of each clinical rotation. The average of these evaluations will be the basis
for part of the final course grade.
Grading Format:
Instructor evaluations 60%
Competency evaluations, assignments 10%
Final exam – written 15%
Final exam – oral 15%
Grade Determination:
A Student must demonstrate superior work; excel to contribute
positively to class discussions and demonstrated skills.
B+ Student must merit excellent work; contribute to class
discussions and demonstrated skills
B Student must show above average work and an above average
standard of achievement
C+ Student must meet and attain a standard of achievement with
reasonable theoretical knowledge and demonstrated skills
93 -100
88 - 92.9
83 - 87.9
78 - 82.9
F Student fails to meet acceptable standards and skills <78
N Incomplete – Student has not completed course requirements
Late work or Assignments:
Late work and make-up examinations will be penalized with a grade being no greater than 75%. Late
work will be submitted as soon as possible; makeup exams will be completed at the end of the
semester.
Attendance Policy
Departmental Policy Statements
For every absence in any given semester, 5pts will be taken off the student's final grade.
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Student and Faculty Support Services
1.The program faculty maintain office hours for counseling and are available to provide tutorial
assistance to students.
2.Students must make appointments in advance to meet with the respective instructors.
3.Students may also obtain assistance from the College Tutoring Center. Appointments must be
made in advance through this center.
4.The College has a personal counseling center for those students who may need personal
assistance. Appointments are made directly through this center.
5.Any problems, concerns, or questions should be directed to the course instructor or the
student’s advisor.
6.Statement on Civility
a.Refer to the Standards of Conduct Subsection found in the Student Judicial Affairs
Policies & Procedures Section found in the Student Handbook.
7.Academic Integrity
a.Refer to the Academic Integrity Subsection; found in the Academic Regulations,
Academic Policies Section found in the Academic Policies & Regulations Area of the
College Catalog
8.Other possible College, Divisional, and/or Departmental Policy Statements to be referenced
a.ADA statement.
i.Students with documented disabilities who require accommodations by the
American with Disabilities Act (ADA) can request support services from the
Office of Specialized Service of Bergen Community College located in room
L-115 of the Pitkin Education Center.
http://www.bergen.edu/Pages1/Pages/5175.aspx
b.Sexual Harassment statement.
c.Statement on acceptable use of BCC technology.
d.Statement on the purpose and value of faculty office hours.
9.Student and Faculty Support Services
a.List support services, e.g., the Writing Center, the Math Lab, the Tutorial Center,
Online Writing Lab (OWL), Office of Specialized Services, etc.
10.BCC Library
a.The Sidney Silverman Library is committed to providing a quiet, welcoming, respectful
atmosphere conducive to study and research in an environment that is comfortable,
clean, and safe. The use of the library will be beneficial in providing resources on
researching topic information, citation styles, finding current articles among many
other media services available.
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