ed 350 455 ce 062 137 title respiratory therapy … · respiratory therapy technology prcgram...

ED 350 455

TITLEINSTITUTION

SPONS AGENCY

PUB DATECONTRACTNOTEPUB TYPE

EDRS PRICEDESCRIPTORS

DOCUMENT RESUME

CE 062 137

Respiratory Therapy Technology Prcgram Guide.Georgia Univ., Athens. Dept. of VocationalEducation.Georgia State Dept. of Technical and Adult Education,Atlanta.89

GA-89-110013166p.; For the program standards, see CE 062 138.Guides Classroom Use Teaching Guides (ForTeacher) (052)

MF01/PC07 Plus Postage.*Allied Health Occupations Education; *BehavioralObjectives; Competency Based Education; *CourseContent; Course Descriptions; Employment Potential;Entry Workers; Job Skills; *Medical Services;Physical Therapy; Postsecondary Education; ProgramGuides; *Respiratory Therapy; State CurriculumGuides; Technical Education; Technical Institutes;Therapists; Two Year Colleges

IDENTIFIERS Georgia

ABSTRACTThis guide presents the standard curriculum for

technical institutes in Georgia. The curriculum addresses the minimumcompetencies for a respiratory therapy technology program. The guidecontains four sections. The General Information section contains anintroduction giving an overview and defining the purpose andobjectives, a program description, including admissions requirements,typical job titles, an accreditation and certification statement; anda curriculum model, including standard curriculum sequence and listsof courses. The next three sections describe the courses under threecategories: General Core Courses (English, algebraic concepts);Fundamental Technical Courses (anatomy and physiology, medicalterminology, introduction to respiratory therapy, foundations ofrespiratory therapy, respiratory therapy equipment); and SpecificTechnical Courses (cardiopulmonary anatomy and physiology,pharmacology, patient assessment, patient monitoring, airwaymanagement, microbiology, pathophysiology, mechanical ventilation,mechanical ventilators, introduction to pulmonary function testing,neonatal/pediatric respiratory care, pulmonary rehabilitation,seminar, clinical orientation, respiratory care I-II, and respiratorycritical care I-II). Each course entry consists of the following:course overview (description, competency areas, prerequisites, credithours, contact hours); course outline with student objectives andclass and lab hours; and resource list. An equipment list isappended. (YLB)

%.**********, .*********' "****

Reproductions supplied by EDRS are the best that can be madefrom the original document.

***********************************************************************

GEORGIA DEPARTMENT OF TECHNICAL AND

ADULT EDUCATION -

FY 89CONTRACT # 89-110013

GEORGIA DEPARTMENT OF TECHNICALAND ADULT EDUCATION

RESPIRATORY THERAPY TECHNOLOGYPROGRAM GUIDE

-4,46.1--Nsa-

111111111111111111_

U S IMPARTMENT OF EDUCATIONOffice of Educational Research and improvement

E CATIONAL RESOURCES INFORMATION..96CENTER (ERIC)

This document has been reproduced asreceived from t le person or organizationoriginating it

0 Minor changes have been made to improvereproduction quality

points of view o Opinions staled in thiSOOCuwent do not necessaro, represent Official

OE RI Position or policy

"PERMISSION TO REPRODUCE THISMATERIAL HAS BEEN GRANTED BY

TO THE EDUCATIONAL RESOURCESINFORMATION CENTER (ERIC)"

BEST Y AURAE

RESPIRATORY THERAPYTECHNOLOGY

PROGRAM GUIDE

Developed and ProducedUnder Contractual Agreement with

Office of Planning and DevelopmentDepartment of Technical and Adult Education

Suite 660 South TowerOne CNN Center

Atlanta, Georgia 3030327051989

RESPIRATORY THERAPYTECHNOLOGY

PROGRAM GUIDE

Dr. Sheila S. Squires,Respiratory Therapy Technology

Program Guide Development Director

College of EducationDepartment of Vocational Education

University of GeorgiaAthens, Georgia

Dr. Aleene A. Cross, Project Executive DirectorDr. Sheila S. Squires, Project Director

Madelyn Warrenfells, Publications Specialist

ACKNOWLEDGEMENTS

The project staff expresses its sincere appreciation to the Georgia Department of Technicaland Adult Education, the respiratory therapy profession, and the state's technical institutesfor their contribution to the development of this program guide. Kenneth Breeden andRobert Mabry of the Department of Technical and Adult Education provided initiative anddirection for the project. Patt Stonehouse, the acting Director of Instructional Services forthe Department of Technical and Adult Education provided invaluable assistance in theplonning and monitoring of the project.

Without the close cooperation of members of the respiratory therapy profession in Georgia,this program guide would not have been possible. The Respiratory Therapy TechnologyState Technical Committee provided overall direction, identified areas of concern, providedoccupational outlook and equipment recommendations, participated in task analysis review,and reviewed the curriculum in this guide. We would like to r each member of theRespiratory Therapy Technology State Technical Committee below.

William C. Bitzel, R.R.T.Technical DirectorArchbold Memorial HospitalThomasville

Bob Cagle, R.R.T.Director, Respiratory TherapyR.T. Jones HospitalCanton

Darryl Camp, R.R.T.St. Mary's HospitalAthens

Larry E. Christopher, R.R.T.Emory University HospitalAtlanta

Gilbert D. Grossman, M.D.Emory ClinicAtlanta

William Guest, M.D.Medical Director, Respiratory TherapyTift General HospitalTifton

Michael Esposito, R.R.T.Athens Regional Medical CenterAthens

Eric Kirkland, R.R.T.Assistant Director, CardiopulmonarySt. Mary's HospitalAthens

Charles Nix, R.R.T.Director Respiratory TherapyGwinnett Medical CenterLawrenceville

Donald Parker, R.R.T.Medical College of Georgia HospitalAugusta

Cynthia Phillips, R.R.T.Medical College of GeorgiaAugusta

Jerry Pickens, R.R.T.Director of Cardiopulmonary DepartmentShallowford HospitalAtlanta

Carissa Singletary, R.R.T.Archbold Memorial HospitalThomasville

Bjorn Thorarinsson, M.D.College of Georgia

Augusta

Lee Wilhelm, R.R.T.Director, Cardiopulmonary Dept.HCA Coliseum Medical CenterMacon

The Occupational Working Committee composed of personnel from the technical institutesand other educational institutions provided direct technical support and expertise in thedevelopment of the program guides. The members of this committee made the success ofthis endeavor possible. We would like to recognize the educators who participated on theRespiratory Therapy Technology Occupational Working Committee below.

Larry Arnson, R.R.T.Gwinnett Technical Institute

David Chapman, R.R.T.Athens Technical Institute

Bob Delorme, R.R.T.Gwinnett Technical Institute

Pamela Griffin, R.R.T.Thomas Technical Institute

Carol Jones, R.RT.Thomas Technical Institute

Bruce Ott, R.R.T.Athens Technical Institute

Leann Papp, R.R.T.Coosa Valley Technical Institute

Vivian Tilson, R.R.T.Augusta Technical Institute

Donna Williams, R.R.T.Augusta Technical Institute

We would like to thank all the other business, industry, and educational leaders whocontributed to the development of the program guide. We would also like to thank TeriBell for electronic publishing assistance.

6

Document Number00-00-01

TABLE OF CONTENTS

TAB /SEC'T'ION SUBJECT LOCATION

GENERAL INFORMATION 01

Introduction Overview 01-01-01Standard Curriculum 01-01-02Developmental Process 01-01-03Purpose and Objectives 01-01-04

Program Description Program Defined 01-02-01Admissions 01-02-02Typical Job Titles 01-02-03Accreditation/Certification 01-02-04

Curriculum Model Standard Curriculum 01-03-01General Core Courses 01-03-02Fundamental Technical Courses 01-03-03Specific Technical Course . 01-03-04Electives 01-03-05

GENERAL CORE COURSES 02

ENG 101 Erleish Course Overview 02-01-01Course Outline 02-01-02Resources 02-01-03

MAT 103 Algebraic Course Overview 02-02-01Concepts Course Outline 02-02-02

Resources 02-02-03

FUNDAMENTAL TECHNICAL COURSES 03

AHS 101 Anatomy and Course Overview 03-01-01Physiology Course Outline 03-01-02

Resources 03-01-03

October 1989 Page 1 of 4

Document Number00-00-01 41)

TAB/SECTION SUBJECT LOCATION

AHS 109 MedicalTerminology forAllied Health Science

RFS 101 Introduction toRespiratory Therapy

RES 102 Foundations ofRespiratory Therapy

RES 103 RespiratoryTherapy Equipment

Course OverviewCourse OutlineResources




SPECIFIC TECHNICAL COURSES

RES 104 CardiopulmonaryAnatomy andPhysiology

RES 106 Pharmacology

RES 107 PatientAssessment

RES 108 PatientMonitoring

RES 109 AirwayManagement






03-02-0103-02-0203-02-03

03-03-0103-03-0203-03-03

03-04-0103-04-0203-04-03

03-05-0103-05-0203-05-03

04

04-01-0104-01-0204-01-03

04-02-0104-02-0204-02-03

04-03-0104-03-0204-03-03

04-04-0104-04-0204-04-03

04-05-0104-05-0204-05-03

October 1989 Page 2 of 4 III


TAB /SECTION SUBJECT LOCATION

RES 110 Microbiology

RES 111 Pathophysiology

RES 113 MechanicalVentilation

RES 114 MechanicalVentilators

RES 115 Introduction toPulmonary FunctionTesting

RES 116 Neonatal/Pediatric RespiratoryCare

RES 117 PulmonaryRehabilitation

RES 120 RespiratoryTherapy Seminar

RES 121









Respiratory Course OverviewClinical Orientation Course Outline

Resources

RES 122 RespiratoryCare I


04-06-0104-06-0204-06-03

04-07-0104-07-0204-07-03

04-08-0104-08-0204-08-03

04-09-0104-09-0204-09-03

04-10-0104-10-0204-10-03

04-11-0104-11-0204-11-03

04-12-0104-12-0204-12-03

04-13-0104-13-0204-13-03

04-14-0104-14-0204-14-03

04-15-0104-15-0204-15-03


TAB /SECTION SUBJECT

Document Number00-00-01 4110

LOCATION

RES 123 RespiratoryCare II

RES 124 RespiratoryCritical Care I

RFS 125 RespiratoryCritical Care II

APPENDICES

Appendix A

Course Overview 04-16-01Course Outline 04-16-02Resources 04-16-03



99

Equipment List 99-01-01

October 1989 Page 4 of 4 410

10

Document Number00-00.02

HOW TO USE THIS MANUAL

Summary This manual is divided into:

Tabs - major divisions, physically separated by numberedtab dividers

Sections - divisions within a tab

Numbering System

Locating a Document

Subjects - divisions within a section

Each document (Subject) has a unique 6-digit number.This number is divided into 3 sets of 2 digits which areseparated by dashes.

Example: 04 - 02 03TAB SECTION SUBJECT

Document numbers appear on the upper right handcorner of each page (see top of this page). To locate asubject:

1. Refer to the Table of Contents.

2. Note the document number for the subject.

Example: 04-02-03

3. Turn to the tab divider marked 04 and within this tabfind Section 02 and Subject 03.

Table of Contents The table of contents (00-00-01) is intended to give acover-to-cover overview of the manual contents andorganization. It lists contents of a Tab to the Section andSubject level.

Amendments Registered manual holders are instructed to keep theirmanuals up-to-date.

October 1989

I ii

Page 1 of 2

Manuals DocumentTransmittal

Amendment Record

October 1989


All new or revised documents are sent to theregistered holder of the manual and are recorded on aManuals Document Transmittal Form. Transmittals arenumbered consecutively, and instructions for use areprinted on the form.

The registered holder of the manual records the receiptof all manual document transmittals on the AmendmentRecord. This record and instructions are found on thereverse side of the manual title page.

12

Page 2 of 2


GENERAL INFORMATION

Introduction

Overview

Respiratory Therapy Technology is a program of study which is consistent with thephilosophy and purpose of the institution. The program provides academic foundations incommunications, mathematics, and human relations, as well as technical fundamentals.Program graduates are well trained in the underlying fundamentals of respiratory therapytechnology and are well prepared for employment and subsequent upward mobility.

The Respiratory Therapy Technology program is a specialized training program thatprovides the student with the knowledge and skills to become a competent respiratorytherapy technician in the modern respiratory therapy technology profession. Skillsapplication plays a vital role in the comprehensive Respiratory Therapy Technologyprogram. Important attributes of successful program graduates are critical thinking, problemsolving, and the ability to apply technology to the work requirement. This field hasexperienced rapid expansion and the trend is expected to continue for the foreseeablefuture.

The program structure acknowledges individual differences and provides opportunities forstudents to seek fulfillment of their respective educational goals. The program does notdiscriminate on the basis of race, color, national origin, religion, sex, handicapping condition,academic or economic disadvantage.

To assist each student to attain his or her respective potential within the program, both theinstructor and the student incur an obligation in the learning process. The instructor is amanager of instructional resources and organizes instruction in a manner which promoteslearning. The student assumes responsibility for learning by actively participating in thelearning process.

This is a dynamic field which requires extraordinary attention to current curriculum and up-to-date instructional equipment, materials and processes. The Respiratory TherapyTechnology program must promote the concept of change as the profession evolves. Theneed for nurturing the spirit of involvement and lifelong learning is paramount in therespiratory therapy technology profession.



GENERAL INFORMATION

Introduction

Standard Curriculum

The Respiratory Therapy Technology program guide presents the standard respiratorytherapy technology curriculum for technical institutes in Georgia. This curriculum addressesthe minimum competencies for the Respiratory Therapy Technology program. Thecompetency areas included in a local Respiratory Therapy Technology program may exceedwhat is contained in this program guide, but it must encompass the minimum competenciescontained herein.

As changes occur in Respiratory Therapy Technology, this program guide will be revised toreflect those changes. Proposed changes are first evaluated and approved by the localprogram advisory committee and then forwarded to the State Technical Committee forapproval and inclusion in the state standard program guide.

This program guide is designed to relate primarily to the development of those skills neededby individuals in the field such as airway management, mechanical ventilation, andpulmonary rehabilitation.

October 1989

14

Page 1 of 1


GENERAL INFORMATION

Introduction

Developmental Process

The development of the Respiratory Therapy Technology program guide was based on thepremise that the people in the industry can best determine program needs. With this inmind, representatives from businesses which would employ program graduates were askedto serve on a State Technical Committee to help identify the technical content and toprovide overall guidance to ensure that the resulting program would produce graduatesqualified for entry-level technical positions in the industry.

Representatives from the various technical areas recommended by the State TechnicalCommittee verified the task list compiled from extensive research. These representativesincluded workers who had actually performed the duties and tasks being verified.

Technical institutes which would implement the curriculum were also .included in thedevelopmental effort. Representatives from the technical institutes provided the expertisein teaching methodology unique to each discipline and developed the courses contained inthis program guide.

The University of Georgia coordinated and directed the development of the curriculum andproduced the final program guide. The role of each group in the developmental process isshown in the following diagram.



GENERAL INFORMATION

Introduction

Purpose and Objectives

Purpose

The purpose of the Respiratory Therapy Technology program is to provide educationalopportunities to individuals that will enable them to obtain the knowledge, skills, andattitudes necessary to succeed in the respiratory therapy technology profession.

The Respiratory Therapy Technology program provides educational opportunities regardlessof race, color, national origin, religion, sex, age, handicapping condition, academicdisadvantage, or economic disadvantage.

The Respiratory Therapy Technology program is intended to produce graduates who areprepared for employment as respiratory therapy technicians. Program graduates are to becompetent in the general areas of communications, math, and professional relations

Graduates are to be competent in reviewing clinical data, history, and respiratory therapyorders; collecting clinical data by interview and examination of the patient; recommendingand/or performing and reviewing additional bedside procedures and laboratory tests;evaluating data to determine the appropriateness of the prescribed respiratory care;assembling and maintaining equipment used in respiratory care; assuring cleanliness andsterility by the selection and/or performance of appropriate disinfecting techniques andmonitoring their effectiveness; and initiating, conducting, and modifying prescribedtherapeutic procedures.

Objectives

1. Provide current curriculum instructional materials, and equipment (in accordance withavailable funding) which teach knowledge, skills, and attitudes appropriate to industryneeds.

2. Provide educational facilities which foster learning and provide safe, healthyenvironments available and accessible to all students who can benefit from theprogram.

3. Provide academic instruction which supports effective learning within the program andwhich enhances professional performance on the job.

0 October 1989 Page 1 of 2

16


4. Provide employability skills which foster work attitudes and work habits that willenable graduates of the program to perform as good employees.

5. Nurture the desire for learning so that graduates will pursue their own continuingeducation as a lifelong endeavor.

6. Provide an educational atmosphere which promotes a positive self image and a senseof personal well being.

7. Provide education that fosters development of good safety habits.

8. Provide admission, educational, and placement services without regard to race, color,national origin, religion, zee, age, or handicapping condition.

9. Provide information to the public regarding the program that will facilitaterecruitment and enrollment of students.

10. Promote good public relations via contacts and regular communications with business,industry, and thI public sector.

11. Promote faculty and student rapport and communications to enhance student successin the program.

October 1989

17

Page 2 of 2


GENERAL INFORMATION

Program Description

Program Defined

The Respiratory Therapy Technology accredited program prepares students for employmentin a variety of positions in today's respiratory therapy profession. The Respiratory TherapyTechnology program provides learning opportunities which introduce, develop, and reinforceacademic and occupational knowledge, skills, and attitudes required for job acquisition,retention, and advancement. Graduates of the program receive a Respiratory TherapyTechnology diploma and are eligible to sit for a national, certified respiratory therapytechnician examination.

. October 1989 Page 1 of 1


GENERAL INFORMATION

Program Description

Admissions

Admissions Requirements

Admission of new students to the Respiratory Therapy Technology program is contingentupon their meeting all of the following requirements:

a) attainment of 17 or more years of age;b) achievement of the 10th grade level in math, reading, and English as shown on

a statistically validated test fa minimum SAT scores of 400 verbal and 400 math;c) documentation of high school graduation or satisfaction of GED requirements;d) documentation of a physician's examination;e) submission of an immunization record; and0 completion of application and related procedures.

Admission of transfer students is contingent upon their meeting the following:

a) regular admission and good standing at a regionally accredited diplomaor degreegranting institution; and

b) proper completion of application and related procedures.

Provisional Admission

A new student who does not meet the regular admission requirements of the program maybe admitted on a provisional basis. The requirements for provisional admission are:

a) attainment of 17 or more years of age;b) achievement of the 9th grade level in math, reading, and English as shown on a

statistically validated test or recommendztion by program faculty and designatedadmissions personnel on the basis of interview and assessment of studentpotential; and

c) completion of application and related procedures.

11Page 1 of 1


GENERAL INFORMATION

Program Descriptton

Typical Job Titles

The Respiratory Therapy Technology program is assigned a (PGM) CEP code of (PGM)17.0210 and is consistent with all other programs throughout the state which have the same(PGM) CIP code. The related D.O.T. job title follows:

Respiratory Therapy Technician 079361-010


20


GENERAL INFORMATION

Program Description

Accreditation and Certification

This program must conform to the institutional accreditation requirements of the SouthernAssociation of Colleges and schools by meeting Commission on Colleges (COC) orCommission on Occupational Education Institutions (COEI) accreditation requirements andmust not conflict with the accreditation criteria established by COC and COEL

This program must meet the requirements stated in the Essentials and Guidelines of anAccredited Educational Program for the Respiratory Therapy Technician and RespiratoryTherapists.

Respiratory Therapy programs are accredited by the Committee on Allied Health EducationAccreditation of the American Medical Association and the Joint Review Committee forRespiratory Therapy Education (JRCRTE).



GENERAL INFORMATION

Curriculum Model

Standard Curriculum

The standard curriculum for the Respiratory Therapy Technology program is set up on thequarter system. Technical institutes may implement the Respiratory Therapy Technologyprogram using one of the sequences listed below or using a locally developed sequencedesigned to reflect course prerequisites and/or corequisites.

Course

WeeklyClass Lab ContactHours Hours Hours Credits

SUGGESTED SEQUENCE I

FIRST QUARTER

ENG 101 English 5 0 5 5MAT 103 Algebraic Concepts 5 0 5 5AHS 101 Anatomy and Physiology 5 0 5 5AHS 109 Medical Terminology for

Allied Health Science 3 0 3 3RES 101 Introduction to Respiratory

Therapy 5 0 5 5

23 0 23 23SECOND QUARTER

RFS 102 Foundations of RespiratoryTherapy 5 0 5 5

RES 103 Respiratory Therapy Equipment 3 5 8 5RES 104 Cardiopulmonary Anatomy and

Physiology 5 0 5 5RES 106 Pharmacology 5 0 5 5XXX XXX Technical or Technically Related

Elective - - - 3

18 5 23 23

40October 1989 Page 1 of 4


Course


THIRD QUARTER

RFS 107RES 108RES 109RES 110RES 111RES 121RES 122

Patient AssessmentPatient MonitoringAirway ManagementMicrobiologyPathophysiologyRespiratory Clinical OrientationRespiratory Care I

FOURTH QUARTER

RES 113RES 114RES 115

RES 123RES 124

Mechanical VentilationMechanical VentilatorsIntroduction to Pulmonary

Function TestingRespiratory Care IIRespiratory Critical Care I

2223600

15

4o

1

0o

5

FIFTH QUARTER

RES 116 Neonatal/PediatricRespiratory Care 4

RES 117 Pulmonary Rehabilitation 1RES 120 Respiratory Therapy Seminar 1RES 125 Respiratory Critical Care II 0

6

1 3 21 3 21 3 20 3 30 6 68 8 28 8 2

19 34 19

0 4 46 6 3

1 2 1

8 8 216 16 5

31 36 15

0 4 40 1 1

0 1 1

32 32 10

32 38 16



Course


SUGGESTED SEQUENCE II

FIRST QUARTER

AHS 101 General Anatomy and PhysiologyAHS 109 Medical Terminology for Allied

Health ScienceENG 101 EnglishMAT 103 Algebraic ConceptsRES 101 Introduction to Respiratory

TherapyRES 102 Foundations of Respiratory

Therapy

SECOND QUARTER

RES 103 Respiratory Therapy EquipmentRES 104 Cardiopulmonary Anatomy and

PhysiologyRES 106 PharmacologyRES 107 Patient AssessmentRES 121 Respiratory Clinical Orientation

5 0 5 5

3 0 3 35 0 5 55 0 5 5

5 0 5 5

5 0 5 5

28 0 28 28

3 5 8 5

5 0 5 55 0 5 52 1 3 20 8 8 2

15 14 29 19



Course


THIRD QUARTER

RES 108 Patient Monitoring 2 1 3 2RES 109 Airway Management 2 1 3 2RES 110 Microbiology 3 0 3 3RES 111 Pathology 6 0 6 6RES 122 Respiratory Care I 0 8 8 2RES 123 Respiratory Care II 0 8 8 2

13 18 31 17

FOURTH QUARTER

RES 113 Mechanical Ventilation 4 0 4 4RES 114 Mechanical Ventilators 0 6 6 3RES 115 Introduction to Pulmonary

Function Testing 1 1 2 1

RES 116 Neonatal/Pediatric RespiratoryCare 4 0 4 4

RES 124 Respiratory Critical Car ; I 0 16 16 5

9 23 . 32 17

FIFTH QUARTER

RES 117 Pulmonary Rehabilitation 1 0 1 1RES 120 Respiratory Therapy Seminar 1 0 1 1RES 125 Respiratory Critical Care II 0 32 32 10XXX XXX Technical or Technically Related

Elective - - - 3

2 32 34 15

October 1989 Page 4 of 4 ill

25

GENERAL INFORMATION

Curriculum Model

General Core Courses


The general core courses provide students with a foundation in the basic skills which enablethem to express themselves more clearly, both orally and in writing, and to perform themathematical functions required in this occupation. The general core courses for theRespiratory Therapy Technology program are listed below.

ENG 101 English

MAT 103 Algebraic Concepts

5 Credits

5 Credits


2


GENERAL INFORMATION

Curriculum Model

Fundamental Technical Courses

The fundamental technical courses provide students with a foundation in the area ofrespiratory therapy technology which is needed to progress to the more highly specializedcourses in respiratory therapy technology. The fundamental technical courses are listedbelow.

AHS 101 Anatomy and Physiology

AHS 109 Medical Terminology for Allied Health Science

RES 101 Introduction to Respiratory Therapy

RES 102 Foundations of Respiratory Therapy

RES 103 Respiratory Therapy Equipment

5 Credits

3 Credits

5 Credits

5 Credits

5 Credits

October 1989

2',

Page 1 of 1


GENERAL. INFORMATION

Curriculum Model

Specific Technical Courses

The specific technical courses build upon the fundamental occupational courses to providestudents with the basic knowledge and skill required to work as a respiratory therapytechnician. The specific technical courses offered in the Respiratory Therapy Technologyprogram are listed below.

RES 104 Cardiopulmonary Anatomy and Physiology 5 Credits

RES 106 Pharmacology 5 Credits

RES 107 Patient Assessment 2 Credits

RES 108 Patient Monitoring 2 Credits

RES 109 Airway Management 2 Credits

RES 110 Microbiology 3 Credits

RES 111 Pathophysiology 6 Credits

RES 113 Mechanical Ventilation 4 Credits

RES 114 Mechanical Ventilators 3 Credits

RES 115 Introduction to Pulmonary Function Testing 1 Credit

RFS 116 Neonatal/Pediatric Respiratory Care 4 Credits

RES 117 Pulmonary Rehabilitation 1 Credit

RES 120 Respiratory Therapy Seminar 1 Credit

RES 121 Respiratory Clinical Orientation 2 Credits

RES 122 Respiratory Care I 2 Credits

41) October 1989 Page 1 of 2

RES 123

RFS 124

RES 125


Respiratory Care II 2 Credits

Respiratory Critical Care I 5 Credits

Respiratory Critical Care II 10 Credits

Technical or Technically Related Electives 3 Credits

October 1989

25

Page 2 of 2


GENERAL INFORMATION

Curriculum Model

Electives

Elective courses are provided to allow for the different levels of prior knowledge and skillsbrought to the classroom by students with diverse backgrounds, educational attainment, andspecialized interests.

Decisions regarding the selection and appropriateness of any elective are made by thestudent after consultation with the instructor. Courses from other departments may betaken as electives when considered appropriate for a student's academic circumstances andcareer goals.


Document Number:02-01-01

GENERAL CORE

ENG 101 - English

Course Overview

Course Description

Emphasizes the development and improvement of written and oral communication abilities.Topics include: analysis of writing techniques used in selected readings, writing practice,editing and proofreading, research skills, and oral presentation skills. Homeworkassignments reinforce classroom learning.

Competency Areas

Analysis of Writing TechniquesUsed in Selected ReadingsWriting PracticeEditing and ProofreadingResearch SkillsOral Presentation Skills

Prerequisite

Program admission level English and reading competency

Credit Hours

5

Contact Hours Per reek

Class - 5

Lab - 0


01

Document Number:02 -01-02

GENERAL CORE

ENG 101 - English

Course Outline

Recommended Outline After completing thissection, the student will:

HoursClass Lab

ANALYSIS OF WRITINGTECHNIQUES USED INSELECTED READINGS

Review and analysis ofvarious writing techniques

WRITING PRACTICE

Review of grammarfundamentals

Review of compositionfundamentals

Read and analyze writing to identifysubject and focus.

Read and analyze writing to identifysupporting information.

Read and analyze writing to identifypatterns of development, such astime,space, climax, example, process,instructions, definition, comparison/contrast, cause and effect,classification, and problem-solving.

Produce logically organized,grammatically acceptable writing.

Compose a variety of paragraphs,reports, memorandums, and businessletters.

Demonstrate listening skills byfollowing directions for writingassignments.

10 0

20 0




HoursClass Lab

EDITING AND PROOFREADING

Reviztvi of editingfundamentals

RESEARCH SKILLS

Resource materialslocation and utilization

ORAL PRESENTATIONSKILLS

Types of oral presentationparticipation

Role of the listener

Revise to improve ideas, style,organization, and format, preferablywith word processing.

Edit to improve grammar, mechanics,and spelling.

Utilize library resources to enhancewriting.

Participate in class discussion, smallgroup discussion, and/or individualpresentations.

Participate as an active listener.

10 0

October 1989

5 0

5 0

Page 2 of 2


GENERAL CORE

ENG 101 - English

Resources

Lewis, S. D., Smith, H., Baker, F., Ellegood, G., Kopay, C., & Tanzer, W. (1988). Writingskills for technical students (2nd ed.). Englewood Cliffs, NJ: Prentice Hall.

VanAistyne, J. S. (1986). Professional and technical writing strategies. Englewood Cliffs,NJ: Prentice Hall.



GENERAL CORE

MAT 103 - Algebraic Concepts

Course Overview

Course Description

Introduces concepts and operations which can be applied to the study of algebra. Topicsinclude: a review of arithmetic, signed numbers, order of operations, unknowns andvariables, algebraic expressions, equations and formulas, and graphs. Class includes lecture,applications, and homework to reinforce learning.

Competency Areas

Basic Mathematical ConceptBasic Algebraic Concepts

Prerequisite

Program admission level math competency

Credit Hours

5

Contact Hours Per Week

Class - 5

Lab - 0



GENERAL CORE


Course Outline


HoursClass Lab

BASIC MATHEMATICALCONCEPTS

Review of arithmetic

BASIC ALGEBRAICCONCEPTS

Signed numbers

Order of operations

Perform mathematical calculationsusing whole numbers, fractions,decimals, and percents.

Solve problems using exponents andradicals.

Use a calculator to perform basicmathematical operations to solveproblems.

Identify signed numbers, absolutevalues, and scientific notation.

Perform basic operations using signednumbers.

Use signed numbers in elementaryapplications.

List the hierarchy of operations.

Apply hierarchy of operations tosolve mathematical problemsrequiring multiple operations.

15 0

35 0


36



HoursClass Lab

Unknowns and variables Define unknowns and variables.

Recognize the difference betweenfactors and terms.

Algebraic expressions Recognize literal expressions andterms.

Equations, formulas, andgraphs

Perform addition, subtraction,multiplication, and division ofalgebraic expressions.

Factor algebraic expressions.

Simplify algebraic expressions.

Solve linear equations of oneunknown using numericalcalculations, approximation, andgraphs

Solve a formula for a designatedunknown.

Use formulas to solve appliedproblems under given conditions.

Solve applied problems usingequations.

Solve linear equations of twounknowns using simultaneousequations, substitution, and graphing.

Solve linear equations of two andthree unknowns using determinants.



GENERAL CORE


Resources

Harter, J. H., & Beitzel, W. D. (1988). Mathematics applied to electronic (3rd ed.).Englewood Cliffs, NJ: Prentice Hall.

Heywood, A. (1982). Arithmetic: A programmed worked. Monterey, CA: Brooks/Cole.

Johnston, C. L, Willis, A. T., & Hughes, (1984) Essential arithmetic (4th ed.). Belmont,CA: Wadsworth.

Keedy, M. L, & Bittinger, M. L (1983). Introductory algebra (4th ed.). Perdue, IN:Addison-Wesley.

Keedy, M. L, & Bittinger, M. L (1985). Essential mathematics (4th ed.). Perdue, IN:Addison - Wesley.

Lewis, H. (1986). Technical mathematics. Albany, NY: Delmar.

Palmer, C. L, & Rachek, L A. (1986). Practical mathematics (7th ed.). Minneapolis:McGraw-Hill.

Proga, R. (1987). Basic mathematics (2nd ed.): Boston: Prindle, Weber & Schmidt.

Washington, A. J., & Triola, M. F. (1984). Technical mathematics (3rd ed.). Poughkeepsie,NY: Benjamin/Cummings.



FUNDAMENTAL TECHNICAL

AHS 101 - Anatomy And Physiology

Course Overview

Course Description

Focuses on basic normal structure and function of the human body. Topics include: anoverview of each body system, how systems coordinate activities to maintain a balancedstate, recognizing deviations from the normal, and medical terminology including basic wordstructure and terms related to body structure and function are taught as an integral part ofthe course.

Competency Areas

Medical terms describing the human bodyStructure and function of the human body

Prerequisite

Provisional admission

5


Class - 5

Lab -0





Course Outline


HoursClass Lab

MEDICAL TERMS DESCRIBINGTHE HUMAN BODY

Patient information Describe anatomical position.using a knowledgeof anatomical Define and use the principleterminology directional terms in human

anatomy.

Word elements andmedical terminology

Identify on diagram, sagittal,tranverse, and frontal sections ofthe body.

Define and locate the principleregions and cavities of the humanbody.

Give the definition of a selectedgroup of prefixes, roots combiningforms, and suffixes

Write the meaning of a selectedlist of medical terms.

STRUCTURE AND FUNCTIONOF THE HUMAN BODY

General plan andstructure of thehuman body

Define anatomy and physiciagy.

10 0

40 0




HoursClass Lab

Chemical elementsand the human body

Basic structure andfunction of systemsfor body integrationand coordination:endocrine, nervous,and sensory systems

Identify the structure of a cell,tissue, organ, and system andexplain the relationship a monththese structures as they constitutean organism.

Define the term homeostatis andmetabolism.

Differentiate between inorganicand organic compounds and giveexamples of each.

Explain and distinguish amongpassive and active processes.

Contrast acids and use PH scalein describing acidity and alkalinityof a solution.

Identify the biologically significantelements from a given list by theirchemical symb313 znd summarizethe main functions of each in thebody.

Locate the principle endocrineglands, and identify the principlehormone and functions.

Define the terms endocrine glandand hormone and describe howthe endocrine system works tomaintain homeostasis.

October 1989 Page 2 of 9 41)

41


Recommended Outline After completing this Hourssection, the student will: Class Lab

Describe the negative feedbackmechanism.

Describe the mechanism by whichthe hypothalamus links thenervous and endocrine systems.

Identify the general functions ofthe nervous system.

Explain the anatomical andfunctinal classification of thenervous system.

Identify types of neurons anddescribe their functions.

Identify parts of a neuron.

Describe the physiology of anerve impulse.

Describe structures that protectthe brain and spinal cord.

Identify cranial nerves and givefunctions of each.

Compare and contrast thesympathetic with theparasympathetic nervous system.

Compare the effect ofsympathetic with parasympatheticstimulation on a specific organ.

Identify spinal nerves and defineplexus.

4

Page 3 of 9



HoursClass Lab

Systems formaintenance of thebody:cardiovascular,respiratory,gastrointestinal, andurinary systems

Name the principle areas andfunctions associated with thelobes of the cerebrum.

Identify parts of the brain.

Describe the structure andfunctions of the three major partsof the ear.

Describe the structure andfunctions of the eye.

Describe the physiology of vision.

Trace sound waves through theear.

Differentiate special and generalsenses.

Describe tactile sensation andproprioception.

Describe the functions of thecardiovascular system.

Describe the major componentsof the cardiovascular system.

Describe the location of the heartin relation to other organs of thethoracic cavity and the associatedserous membranes.

October 1989

43

Page 4 of 9

Document Number:03 -01-02


Label a heart identifyingchambers, valves, and associatedvessels of the heart.

Trace flow of blood through theheart, and distinguish between thepulmonary and systemiccirculation.

Describe location of the parts ofthe conduction system of theheart, and trace the pathway ofimpulses initiation andconduction.

Describe the components of bloodin reference to two main partsand the functions of each.

Explain the function of lymphaticsustems as a subsystem to thecirculatory system.

Describe parts of the upper andlower respiratory tract.

Trace the pathway of air into andout of the respiratory tract.

Explain the physiology ofbreathing.

Differentiate external and internalrespirations.

Differentiate chemical andmechanical digestion.




Identify on diagram parts of thedigestive system.

List primary and accessorydigestive organs.

Briefly discuss physiology of alldigestive organs

Relate the rols of the autonomicnervous system to functioning ofthe digestive system.

Associate location of the digestiveorgans with the front abduminalquadrants.

Differentiate visceral and parietalperitoneum.

Locate the parts of the urinarysystem on a diagram.

Explain general functions of theurinary system.

Explain the relationships of theurinary system to the endocrineand circulatory system.

Describe the structure andfunction of the nephron.

Compare the urinary system ofthe female with that of the male.


zi' t-.t t)

Docignent Number:03-01-02


Identify the constituents of urine.

Differentiate among secretion,filtration, and reabsorption.

Body support and Identify functions of themovement: integumentary system.muscoskeletal andintegumentary Describe parts of thesystems integumentary system.

Explain two divisions of theskeletal system.

Identify bones of the twodivisions.

Describe functions of the skeletalsystem.

Explain relationships of theendocrine system to the skeletalsystem.

Describe development of theskeletal system.

List functions of the skeletalmuscles.

Identify three types of muscles.

Describe criteria used for namingmuscles.

Name the muscles used forintramuscular injection sites.




Differentiate tenuous ligathents,fascia.

Explain functions of skeletalmuscular system.

Explain physiology of a musclecontraction.

Describe kinds of movementspossible as a result of skeletalmuscle contraction and jointfunctining.

Systems for Describe the anatomy andcontinuance of the physiology of the female ductspecies system.

Describe physiology of the ovary.

Identify three parts of the uterus.

Label diagram of the femalereproductive system.

Explain the hormonal control ofthe menstrual cycle.

Describe the anatomy andphysiology of the male ductsystem.

Describe physiology of the testes.

Relate urinary system to thereproductive system of the maJes.


Document Number:-03-01-02


Explain relationship of endocrinefunctioning to the malereproductive system.





Resources

Anthony, C. P., & Thibodeau, G. A. (1983). Structure and function of the body, time mirror.St. Louis: Mosby.

Anthony, C. P., & Thibodeau, G. A. (1983). Textbook of anatomy and physiology. St. Louis:Mosby.

Marieb, E. (1988). Essentials of human anatomy and physiology. Menlo Park, CA: AddisonWesley.

Marieb, E. (1988). Essentials of human anatomy and physiology workbook. Menlo Park,CA: Addison Wesley.

Memmler, R. L, & Wood, D. L (1986). Structure and function of the human body.Philadelphia: J. B. Lippncott.

Rice, J. (1986). Medical terminology with human anatomy. New York: Appleton & Lange.

Soloman, E. P., & Phillips, G. A. (1987). Understanding human anatomy and physiology.Philadelphia: J. B. Lippincott.

Thomas, C. L (1985). Taber's cyclopedia medical dictionary. Philadelphia: F. A. Davis.




AHS 109 - Medical Terminology For Allied Health Science

Course Overview

Course Description

Introduces the elements of medical terminology. Emphasis is placed on building familiaritywith medical words through knowledge of roots, prefixes,and suffixes. Topics include:origins, word building, abbreviations and symbols, terminology related to the humananatomy, reading medical orders and reports, and terminology specific to the student's fieldof study.

Competency Areas

Word Origins (Roots, Prefixes, and Suffixes)Word BuildingAbbreviations and SymbolsTerminology Related to the Human AnatomyReading Medical Orders and ReportsTerminology Specific to the Student's Field of Study

Prerequisite


Credit Hours

3


Lab - 0

Class - 3





Course Outline


HoursClass Lab

WORD ORIGINS(ROOTS, PREFIXES,AND SUFFIXES)

History of medicalterminology

Fundamentals ofterminology

Suffixes

Prefixes

WORD BUILDING

Using morphemes

Explain derivation of medicalterms.

Define word roots, prefixes, andsuffixes.

Explain the conventions forcombining morphemes and theformation of plurals.

Pronounce basic medical terms.

Identify adjective endings.

Identify noun endings.

Identify prefixes of position, color,number and measurement,negation, and direction.

Form medical terms utilizingroots.

Form medical terms utilizingsuffixes.

5 0

3 0


r-01



HoursClass Lab

Combiningmorphemes

Form medical terms utilizingprefixes.

Form medical terms combiningroots, prefixes, and suffixes.

ABBREVIATIONS AND SYMBOLS

Abbreviations Intrepret basic medicalabbreviations.

SymbolsInterpret basic medical symbols.

TERMINOLOGY RELATEDTO THE HUMAN ANATOMY

Integumentarysystem

Musculoskeletalsystem

Respiratory system

Cardiovascularsystem

Utilize diagnostic, surgical,procedural terms, andabbreviations related to theintegurn- t a ry system.

Utilize diagnostic, surgical,procedural terms, andabbreviations related to themusculoskeletal system.

Utilize diagnostic, surgical,procedural terms, andabbreviations related to therespiratory system.

Utilize diagnostic, surgical,procedural terms, andabbreviations related to thecardiovascular system.

October 1989

2 0

7 0

Page 2 of 4 S



HoursClass Lab

Gastrointestinal Utilize diagnostic, surgical,system procedural terms, and

abbreviations related to thegastrointestinal system.

Urinary system Utilize diagnostic, surgical,procedural terms, andabbreviations related to theurinary system.

Male reproductive Utilize diagnostic, surgical,system procedural terms, and

abbreviations related to the malereproductive system.

Female reproductive Utilize diagnostic, surgical,system procedural terms, and

abbreviations related to thefemale reproductive system.

Nervous system Utilize diagnostic, surgical,procedural terms, andabbreviations related to thenervous system.

Endocrine system Utilize diatnostic, surgical,procedural terms, andabbreviations related to theendocrine system.

READING MEDICALORDERS AND REPORTS 3 0

Medical orders

Medical reports

Interpret medical orders.

Interpret medical reports.

Prepare medical reports.


Jv



TERMINOLOGY SPECIFIC70 THE STUDENT'SFIELD OF STUDY 10 0

Occupationally Utilize diagnostic, surgical,specific medical procedural terms, andterminology abbreviations related to a specific

medical field.





Resources

Glanze, W. D. Anderson, K. N., & Anderson, L E. (1986). Mosby's medical and nursingdictionary 2nd ed.). St. Louis: C. V. Mosby.

Gylys, B. A., & Wedding, M. E. (1988). Instructor's guide for medical terminology: A systemsapproach. Philadelphia: F. A. Davis.

Gylys, B. A., & Wedding, M. E. (1988). Medical terminology: A systems approach (2nd ed.).Philadelphia: F. A. Davis.

LaFleur, M. W., & Starr, W. K. (1988). Exploring medical language. Philadelphia: W. B.Saunders.

Rice, E. P. (1985). Phonetic dictionary of medical terminology: A spelling guide. OwingsMills, MD: National Health.

Rice, J. (1986). Medical terminology with human anatomy. New York: Appleton & Lange.

Rice, J. (1986). Answer key and test bank Medical terminology with human anatomy. EastNorwolk, CT: Appleton-Century-Crofts.

Smith, G. L, & Davis, P. E. (1988). Medical terminology: A prognzmmed test (5th ed.).New York: John Wiley & Sons.

Squires, B. P. (1986). Basic terms of anatomy and physiology. (2nd ed.). Philadelphia: W.B. Saunders.

Thomas, C. L (1985). Taber's cyclopedia medical dictionary. Philadelphia: F. A. Davis.




RES 101 - Introduction To Respiratory Therapy

Course Overview

Course Description

Provides a study of the relations in the contemporary medical field that prepares studentsfor working in hospitals or home care settings. Topics include: overview of respiratorytherapy; job acquisition, retention, and advancement; legal and ethical considerations;hospital and departmental organization; death and dying; professionalism; and safety.

Competency Areas

Overview of Respiratory TherapyJob Acquisition, Retention, and AdvancementLegal and Ethical ConsiderationsHospital and Departmental OrganizationDeath and DyingProfessionalismSafety

Prerequisite


Credit Hours

5


Lab - 0

Class -


5{)




Course Outline


OVERVIEW OF RESPIRATORYTHERAPY

History of the Discuss the development of theprofession respiratory therapy profession.

Professional and Discuss the role of profession andaccrediting accrediting organizations.organizations

JOB ACQUISITION,RETENTION, ANDADVANCEMENT 10 0

Employability skills Identify skills needed to acquireand retain a job.

Discuss the skills needed to retainand advance in the respiratoryprofession.

LEGAL AND ETHICALCONSIDERATIONS

Vocabulary Identify the legal terms used inlawsuits.

Discuss the types of lawsuits seenin the medical field.

Avoidance of legal Identify ways to avoid a lawsuit.problems




HoursClass Lab

Overview of ethics

HOSPITAL ANDDEPARTMENTALORGANIZATION

Organizationalstructure of thehospital andrespiratory caredepartment

DEATH AND DYING

Overview of thedying process

Stress management

PROFESSIONALISM

Health care as aprofession

Discuss the role of the technicianin lawsuits.

Identify the fundamental ethics alltechnicians must observe.

Identify a generic hospital anddepartmental structure.

Discuss the function of thedepartmental structure.

Identify the psychological stagesinvolved in the dying process.

Describe stress management forthe health care worker.

Describe various health careprofessions.

Discuss the need for professionalorganizations.

Identify the characteristics of aprofessional.

October 1989

58

5 0

2 0

3 0

Page 2 of 3



HoursClass Lab

SAFETY 10 0

General safety Identify basic electrical safety.concerns

Identify proper lifting techniques.

Adopt laboratory safety practices.

Hospital safety Identify blood and body fluidconcerns precautions.

Discuss patient safety issues.

Identify potential fire hazards inthe hospital and methods ofhazard avoidance.

Discuss the need for cutoff valves.


5 5




Resources

Barnes, T. A. (Ed.). (1988). Respiratory care practice. Chicago: Year Book Medical.

Burton, G. G., & Hodgkin, J. E. (Eds.). (1984). Respiratory care: A guide to clinical practice(2nd ed.). Philadelphia: Lippincott.

Deshpande, V. M. (1988). Comprehensive respiratory therapy. East Norwalk, CT: Appleton& Lange.

Eubanks, D. H., & Bone, R. (1985). Comprehensive respiratory care. St. Louis: C. V.Mosby.

Kacmerek, R. (1979). The essentials of respiratory therapy. Chicago: Year Book Medical.

Shapiro, B. A. (1985). Clinical applications of respiratory care (3rd ed.). Chicago: YearBook Medical.

Spearman, C. B., Sheldon, R. L, & Egan, D. F. (1988). Egan's fundamentals of respiratorytherapy (5th ed.). St. Louis: C. V. Mosby.




RES 102 - Foundations Of Respiratory Therapy

Course Overview

Course Description

L'iscusses the basic respiratory therapy modalities and their relationship to medicalappication, indications, contraindications, hazards, and evaluation of these modalities.Topics include: chemistry; physics; process, storage, and regulation of medical gases; andindications, hazards, and contraindications of oxygen therapy, aerosol and humidity therapy,chest physiotherapy, and hyperinflation therapy.

Competency Areas

ChemistryPhysicsProcess, Storage, and Regulation of Medical GasesIndications, Hazards, and Contraindications ofOxygen Therapy, Aerosol and Humidity Therapy,Chest Physiotherapy, and Hyperinflation Therapy

Prerequisite

Program admission

Credit Hours

5


Lab - 0

Class - 5





Course Outline


HoursClass Lab

CHEMISTRY

Symbols

Therapeutic gases

PHYSICS

Concepts andformulas

Computations

PROCESS, STORAGE,AND REGULATIONOF MEDICAL GASES

Storage andregulation

Identify the chemical symbolsassociated with therapeutic gases.

Explain the chemical principlesassociated with therapeutic gases.

Explain the physical concepts andformulas associated withrespiratory therapy.

Perform computations forformulas associated withrespiratory therapy.

Describe the procedures; laws,and processes associated with thestorage and regulation of medicalgases.

5 0

5 0

10 0




HoursClass Lab

INDICATIONS, HAZARDS,AND CONTRAINDICATIONSOF OXYGEN THERAPY,AEROSOL AND HUMIDITYTHERAPY, CHESTPHYSIOTHERAPY, ANDHYPERINFLATIONTHERAPY 30

Indications

Contradictions andhazards

Describe the indications andrational for oxygen therapy,aerosol and humidity therapy,chest physiotherapy, andhyperinflation therapy.

Describe the contraindicationsand hazards of oxygen therapy,aerosol and humidity therapy,chest physiotherapy, andhyperinflation therapy.


filDocument Number:

03-04-03



Resources







Spearman, C. B., Sheldon, R. L, & Egan, D. F. (1988). Egan'sfundamentals of respiratorytherapy (5th ed.). St. Louis: C. V. Mosby.




RES 103 - Respiratory Therapy Equipment

Course Overview

Course Description

Examines the basic equipment used in therapeutic modalities with emphasis on equipmentcharacteristics, assembly, disassembly, repair, and application to the patient. Topics include:oxygen therapy, aerosol and humidity therapy, chest physiotherapy, hyperinflation, oximetry,and concentrators and compressors.

Coinpetency Areas

Oxygen TherapyAerosol and Humidity TherapyChest PhysiotherapyHyperinflationOximetryConcentrators and Compressors

Prerequisites/Corequisites

RES 101, RES 102

Credit Hours

5


D.Lab - 5

Class - 3


C .i')




Course Outline


HoursClass Lab

OXYGEN THERAPY

Types

Function

Operation

Describe various types ofcommonly used oxygen therepyequipment including oxygenanalyzers.

Contrast the design and functionalcharacteristics of variouscommonly used types of oxygentherapy equipment includingoxygen analyzers.

Operate locally available oxygentherapy equipment.

Generalize operationalprocedures applicable to mostbrands of oxygen therapyequipment.

9 10

AEROSOL AND HUMIDITYTHERAPY 9 20

Types

Function

Describe various types ofcommonly used aerosol andhumidity therapy equipment

Contrast the design and functionalcharacteristics of variouscommonly used types of aerosoland humidity therapy equipment.


CG



Operation Operate locally available aerosoland humidity therapy equipment

Generalize operationalprocedures applicable to mostbrands of aerosol and humiditytherapy equipment.

CHEST PHYSIOTHERAPY

Types

Function

Operation

HYPERINFLATION

Types

Function

Describe various types ofcommonly used chestphysiotherapy equipment

Contrast the design and functionalcharacteristics of variouscommonly used types of chestphysiotherapy equipment.

Operate locally available chestphysiotherapy equipment.

Generalize operationalprocedures applicable to mostbrands of chest physiotherapyequipment

Describe various types ofcommonly used hyperinflationtherapy equipment

Contrast the design and functionalcharacteristics of variouscommonly used types ofhyperinflation therapy equipment

October 1989

G

3 10

10

SPage 2 of 4



HoursClass Lab

Operation

OXIMETRY

Types

Function

Operation

Operate locally availablehyperinflation therapy equipment.

Generalize operationalprocedures applicable to mostbrands of hyperinflation therapyequipment.

Describe various types ofcommonly used oximetryequipment

Contrast the design and functionalcharacteristics of variouscommonly used types of oximetryequipment.

Operate locally available oximetryequipment.

Generalize operationalprocedures applicable to mostbrands of oximetry equipment.

CONCENTRATORS AND COMPRESSORS

Types

Function

Describe various types ofcommonly used concentrators andcompressors equipment

Contrast the design and functionalcharacteristics of variouscommonly used types ofconcentrators and compressorsequipment.

3

1



Operation Operate locally availableconcentrators and compressorsequipment.

Generalize operationalprocedures applicable to mostbrands of concentrators andcompressors equipment.

October 1989

65




Resources


Barnes. (1988). Respiratory therapy equipment (3rd ed.). Chicago: Year Book Medical.

Deshpande, V. M. (1988). Comprehensive respiratory therapy. East Norwalk, CT: Appleton& Lange



McPherson, S. P. (1984). Respiratory therapy equipment (3rd ed.). St. Louis: C. V. Mosby.



SPECIFIC TECHNICAL

RES 104 - Cardiopulmonary Anatomy And Physiology

Course Overview

Course Description

Provides in-depth knowledge of the gross and histologic structure of the heart, lungs, andkidney. The physiology will emphasize function of the cardiopulmonary and renal systemsat the cellular and molecular level. Topics include: embryological cardiopulmonarydevelopment, pulmonary anatomy, cardiac anatomy and hemodynamics, renal anatomy,ventilation, control of ventilation, respiration and carbon dioxide transport, and arterialblood gases.

Competency Areas

Embryological Cardiopulmonary DevelopmentPulmonary AnatomyCardiac Anatomy and HemodynamicsRenal AnatomyVentilationControl of VentilationRespiration/Carbon Dioxide TransportArterial Blood Gases

Prerequisites

AHS 101, RES 101

Credit Hours

5


Lab - 0

Class - 5



SPECIFIC TECHNICAL


Course Outline


EMBRYOLOGICALCARDIOPULMONARYDEVELOPMENT 5 0

Developmental eventsduring fetal life

Define embryonic period.

Describe the pseudoglandular period.

Describe the canalicular period.

Describe the terminal sac period.

Describe placental attachment,function, and components.

Describe fetal circulation,development and function.

Describe fetal fluids such as lung andamniotic fluid.

Describe the surfactant producingsystems and the production ofsurfactant, enzyme systems.

Cardiopulmonary transition Describe the function and structurefrom fetus to neonate of the upper airway.

Describe the histology of the lowerrespiratory tract.


Recommended Outline


After completing thissection, the student will:

HoursClass Lab

PULMONARY ANATOMY

Thoracic actions inbreathing

CARDIAC ANATOMY ANDHEMODYNAMICS

Relationship of theanatomical structures ofthe heart to the body

Explain the function of the lowerrespiratory tract.

Discuss pulmonary defensemechanisms.

List thoracic structures external tothe lung.

Describe the function and structureof thoracic structures external to thelung including lymphatic system, ribs,muscles of respiration, cartilage,mediastinum, nerves and tendons,diaphragm, thoracic pressures,pleuras, and venous return.

Describe the structure and functionof all components of the heart.

Describe the location and functon ofthe components of the conductivesystem of the heart.

Describe the components of thepulmonary and systemic vascularsystems.

Explain blood flow and factorsaffecting blood flow.

4 0

5 0




HoursClass Lab

Relation of pressure to thecardiovascular system

Blood and bloodcomponents

RENAL ANATOMY

Relation of the anatomicalstructures of the renalsystem to the bodyhomeostasis

Function of the kidney

VENTILATION

Definition of ventilation

Identify the types of cardiovascularpressures in the body includingsystemic BP and pulmonarypressures.

Discuss the structure and function ofblood.

Identify cellular and plasmacomponents of blood.

Explain the function of the cellularand plasma components of blood.

Identify the components of the renalanatomy.

Explain the function of thecomponents of the renal anatomy.

Relate blood flow to renal function.

Describe urine formation and acid-base balance.

Explain the physical principles ofventilation.

Relate the principles of complianceand resistance to ventilation.

Describe the muscular physiologyassociated with ventilation.

2 0

S 0




HoursClass Lab

Types of ventilation

Describe intrapleural relationships toventilation.

Differentiate between alveolarventilation and varied types of deadspace.

Calculate total ventilation, deadspaceventilation and alveolar ventilation.

List normal volumes associated withventilation.

Describe varied types of patterns ofventilation.

CONTROL OF VENTHATION

Central nervous systemfunction in ventilation

Function of the peripheralnervous system

Reflexes affectingventilation

Describe the function of the medullaoblongata, respiratory neurons, andpontine respiratory centers.

Relate the function of central andperipheral chemoreceptors to theeffect on ventilation.

Differentiate between the efferentdivision and the afferent division andtheir function.

Describe the effect of H ionconcentration (pH) on the peripheralnervous system.

Explain the Hering-Bruerer,deflation, and irritant reflexes andjuxtapulmonary receptors (Jreceptors).

7 0




HoursClass Lab

RESPIRATION/CARBONTRANSPORT

External respiration

Internal respiration

Plasma transfer of CO2

Describe the aortic and carotid sinusbaroreceptors affects.

List varied stimuli that affectventilation.

DIOXIDE/

Compare respiration to ventilation.

Define gas laws affecting ventilation/respiration.

Define external respiration.

Explain gas diffusion.

Define internal respiration.

Define oxygen transport and describeoxygen transport systems.

Discuss the structure, types, function,and binding of hemoglobin.

Outline the molecular transfer ofoxygen from blood to tissue.

Describe the molecular uptake ofoxygen by tissues.

Explain the molecular diffusion ofCO2 from the cell into plasms.

Explain the transport of CO2 inplasma.

10 0


76



HoursClass Lab

Red blood cell uptake ofCO2

Explain movement of CO2 fromplasma to the red blood cell (RBC).

Explain the methods of CO2transport on the RBC.

Chloride shift Explain the Na+ Cl- exchange invenous blood and arterial blood.

CO2 removal Explain CO2 removal from the bloodto the atmosphere.

ARTERIAL BLOOD GASES 12 0

Ventilation/perfusion and Define ventilation/perfusion (V/Q)gas exchange ratio.

Explain the variation of V/Q in thevaried zones of the lung.

Describe the conditions associatedwith increased and decreased V/Qand their effect on end capillarygases.

Explain Ficks' Law, Henry's Law, andGraham's Law.

Acid/base balance in Define acid, base, and the pH scale.arterial blood gases

Explain chemical production of acidin the body.

Explain the chemical bufferingsystems in the body.

Discuss the roles of PCO2/HCO3/pH in acid/base balance.


77



Oxygenation of the blood Calculate alveolar air equations, 02content, total 02 delivery, arterial/venous 02 content difference, 02consumption, and 02 extraction ratio.

Explain the significance of alveolarair, 02 content, total 02 delivery,arterial/ venous 02 contentdifference, 03 consumption, and 02extraction ratio values.

Hypoxia

Shunting

Blood gas interpretation

List and define the varied types ofhypoxia.

Define cyanosis.

List and define all shunts.

Calculate shunts.

Assess metabolic disorders,respiratory disorders, andoxygenation disorders.



SPECIFIC TECHNICAL


Resources

Anthony, C. P., & Thibodeau, G. A. (1983). Textbook of anatomy and physiology. St. Louis:C. V. Mosby.

Braun, H. A. (1980). Introduction to respiratory physiology. Boston: Little, Brown.

Des Jardins, T. R. (1988). Cardiopulmonary anatomy and physiology: Essentials forrespiratory care. Albany, NY: Delmar.

Green, J. F. (1987). Fundamental cardiovascular and pulmonary physiology (2nd ed.).Philadelphia: Lee & Febiger.

Marieb, E. N. (1988). Essentials of human anatomy and physiology. (2nd ed.). Menlo Park,CA: Benjamin/Cummings.




SPECIFIC TECHNICAL

RFS 106 - Pharmacology

Course Overview

Course Description

Introduces the basic concepts, measurements, and practices required for use of drugs inrespiratory and related therapies. Topics include: guidelines of pharmacology, central andperipheral nervous system, respiratory drugs, and non-respiratory drugs.

Competency Areas

Guidelines of PharmacologyCentral and Peripheral Nervous SystemRespiratory DrugsNon-Respiratory Drugs

Prerequisltes/Corequisites

MAT 103, RES 104

Credit Hours

5


Lab - 0

Class - 5



SPECIFIC TECHNICAL

RFS 106 - Pharmacology

Course Outline


GUIDELINES OF PHARMACOLOGY

Definition of pharmacology Define the term pharmocology.

Explain the naming of drugs.

Identify sources of drug information.

Systems of measurement Explain the systems of measurement.

Explain metric system conversions.

Explain apothecary systemconversions.

Perform conversions between metric,American, and apothecary systems.

Pharmaceutical phase of list types and sources of medication.drugs

Describe routes of drugadministraton.

list methods of drug administration.

Pharmacokinetic phase ofdrugs

Determine duration of medication viacorrelating routes of administrationwith prescribed forms of medication.

15


Document Number:04-02-02 4)


Pharmacodynamic phase ofdrugs

Collect clinical data necessary toassess patient status, determineappropriateness of prescribedmedications, determine possible druginteraction, and recommendtreatment schedule.

Evaluate clinical data necessary toassess patient status, determineappropriateness of prescribedmedications, determine possible druginteraction, and recommendtreatment schedule.

CENTRAL AND PERIPHERALNERVOUS SYSTEM

Central and peripheral Explain brain anatomy andnervous systems functioning.

Explain spinal cord anatomy andfunction.

Describe the components, function,and anatomy of the somatic division.

Describe the anatomy, components,and functoin of the autonomicdivision.

Neurotransmission Describe neural pathways.

Locate neural transmitters.

Describe absorption, degreditation,excretion, and production of neuraltransmitting substances.

10 0

October 1989 Page 2

Recommended Outline

1

After completing thissection, the student will:


HoursClass Lab

Uses of autonomic nervoussystem drugs

RESPIRATORY DRUGS

Respiratory drugs andmode of action

Describe the use of the neuraltransmitting substances.

Explain the functioning of theseneural transmitters.

Identify the action of sympathetic,parasympathetic, parasympatholytic,and sympatholytic drugs.

Differentiate between the actions ofsympathetic, parasympathetic,parasympatholytic, and sympatholyticdrugs.

Describe the beta receptor theory.

Describe the cyclic 3, 5 GMP cycle.

Identify respiratory drugs includingwetting agents, detergents,proteolytics, mucolytics, bronchialdilators, beta drugs, alpha drugs,xanthines, steroids, antiviral agents,antibiotics, anesthetic agents, andtuberculin agents.

Describe the mode of action ofrespiratory drugs including wettingagents, detergents, proteolytics,mucolytics, bronchial dilators, betadrugs, alpha drugs, xanthines,steroids, antiviral agents, antibiotics,anesthetic agents, and tuberculinagents.

15


U



Relationship of respiratory Explain the use of respiratory drugsdrugs to clinical respiratory in the following clinical respiratorytherapy therapies: hydration, bronchial

dilitation, viral management,secretion management, treatment ofmucosaJ edema, muscular functiontreatment with use of xanthines orbronchial dilators, pulmonary edemamanagement, and AIDSmanagement.

NON-RESPIRATORY DRUGS

Anti-infective agents Describe antibiotics.

Describe antiviral agents.

Skeletal muscle relaxants List depolarizing agents.

Identify the use and function ofdepolarizing agents.

List non-depolarizing agents.

Describe the use and function ofnon-depolarizing agents.

Cardiovascular agents List contractility agents.

Describe the use and function ofcontractility agents.

List vasopressors and vasodilators.

Describe the use and function ofvasopressors and vasodilators.

List beta blockers.

10 0


34



HoursClass Lab

Renal agents

Neuromuscular agents

Anti-inflammatory andanti-fungal agents

Central nervous systemstimulants and depressants

Describe the use and function of betablockers.

list anesthetic agents.

Identify the use and function ofanesthetic agents.

List diuretics.

Describe the use and function ofdiuretics.

Identify the use and function oftension and levodopa.

Describe the use and function ofsteriods and non-steroidal agents.

Describe the use of prostaglandinwith anti-inflammatory agents.

Differentiate narcotics, barbiturates,tranquilizers, analeptics, xanthines,and carbonic anhydrase inhibitors bycomparing their use and function.

October 1989

(f 5

Page 5 of S

1


SPECIFIC TECHNICAL

RES 106 - Pharmacology

Resources



Ganderton, D., & Jones, T. (1988). Drug delivery to the respiratory tract. New York: VCH.

Hollinger, M. A. (1985). Respiratory pharmacology & toxicology. Philadelphia: W. B.Saunders.

Rau, J. L (1989). Respiratory care pharmacology (3rd ed.). Chicago: Year Book Medical.


Spearman, C. B., Sheldon, R. L, & Egan, D. F. (1988). Egan's fimdamentals of respiratorytherapy (5th ed.). St. Louis: C. V. Mosby.

Wilson, J. D. (1987). Drug use in respiratory disease. Baltimore, MD: Wiiliamc & Wilkins.

Woodrow, R. (1987). Essentials of pharmocology for health occupations. New York: JohnWiley & Sons.


8


SPECIFIC TECHNICAL

RFS 107 - Patient Assessment

Course Overview

Course Description

Introduces the fundamental concepts, knowledge, and data interpretation required toaccurately determine the condition of the patient. Topics include: physical exam of chest,arterial blood gases, lab data, and radiology.

Competency Areas

Physical Exam of ChestArterial Blood GasesLab Data (Values)Radiology

Prerequisite/Corequi site

RES 104

Credit Hours

2


D.Lab - 1

Class - 2



SPECIFIC TECHNICAL

RES 107 - Patient Assessment

Course Outline

Recommended Outline After completing thissection, the student with

HoursClass Lab

PHYSICAL EXAM OF CHEST

Physical assessment ofchest

ARTERIAL BLOOD GASES

Techniques for arterialpuncture

Arterial blood gasequipment

Interpretation of arterialblood gas

LAB DATA (VALUES)

Basic lab data

Describe techniques for inspection,palpation, percussion, andauscultation.

Compare normal to abnormalfindings from the physicalexamination of the chest.

Describe various techniques fordrawing arterial blood gases.

Relate hazards of drawing arterialblood gases to potentialcomplications.

Identify commonly used arterialblood gas equipment.

Discuss the use of arterial blood gasequipment.

Relate the condition of arterial bloodgases to assessment of patient status.

Relate blood chemistry values toassessment of patient status.

5 3

6 3

5 2

October 1989

CS

Page 1 of 2



RADIOLOGY

Basic x-ray interpretation Discuss the characteristics of anormal chest x-ray.

Identify abnormalities in chest x-rays.

Relate abnormal findings in chest x-rays to patient assessment.

October 1989

4 2

Page 2 of 2 40


SPECIFIC TECHNICAL

RES 107 - Patient Assessment

Resources

Burton, G. G., & Hodgkin, J. E. (1984). Respiratory care: A guide to clinical practice (2nded.). Philadelphia: Lippincott.


Op't, Holt, T. B. (1986). Assessment-based inspiratory owe. New York: Wiley.


Wilkins, R. L (1985). Clinical assessmen: »r respiratory care. St. Louis: C. V. Mosby.


Document Number.04-04-01

SPECIFIC TECHNICAL

RES 108 - Patient Monitoring

Course Overview

Course Description

Utilizes the information derived from patient assessment and introduces methods ofmonitoring the condition of the patient. This course provides instruction appropriate to theneeds of respiratory therapy technicians. Topics include: electrocardiographs (EKG), anintroduction to basic hemodynamic monitoring, and respiratory monitoring.

Competency Areas

Electrocardiographs (EKGs)Basic hemodynamic monitoringRespiratory monitoring

Prerequisite/Corequisite

RES 107

Credit Hours

2


D.Lab - 1

Class - 2



SPECIFIC TECHNICAL


Course Outline


ELECTROCARDIOGRAPHS(EKGS)

Introduction to EKG's Differentiate between normal EKG'sand arrhythmias.

BASIC HEMODYNAMIC MONITORING

Introduction tohemodynamic monitoring

Discuss the relevance ofhemodynamic monitoring torespiratory therapy.

Differentiate between normal andabnormal hemodynamic values.

Discuss commonly used methods ofhemodynamic monitoring.

Describe the procedures required forcommonly used methods ofhemodynamic monitoring.

Describe commonly used equipmentfor hemodynamic monitoring.

RESPIRATORY MONITORING

Procedures for respiratory Discuss the relevance of respiratorymonitoring monitoring to respiratory therapy.

111101.-

3 2

7 3

to 5




Differentiate between normal andabnormal respiratory values.

Discuss commonly used methods ofrespiratory monitoring.

Describe the procedures required forcommonly used methods ofrespiratory monitoring.

Describe commonly used equipmentfor respiratory monitoring.

Compare normal and abnormalvalues resulting from respiratorymonitoring procedures.



SPECIFIC TECHNICAL


Resources

Burton, G. G., & Hodgkin, J. E. (1984). Respiratory care: A guide to clinical practice (2nded.). Philadelphia: Lippincott.


Op't, Holt, T. B. (1986). Assessment-based respiratory care. New York: Wiley.


Wilkins, R. L (1985). Clinical assessment in respiratory care. St. Louis: C. V. Mosby.



SPECIFIC TECHNICAL

RES 109 - Airway Management

Course Overview

Course Description

Introduces techniques for emergency and long term airway management. Proper placementand care of artificial airways will be emphasized. Topics include: artificial airways,principles of airway suctioning, and manual resuscitators.

Competency Areas

Artificial AirwaysPrinciples of Airway SuctioningManual Resuscitators


RES 104

Credit Hours

2


D.I.ab - 1

Class - 2



SPECIFIC TECHNICAL


Course Outline


HoursClass Lab

ARTIFICIAL AIRWAYS

Types of Artificial Airways Explain the rational for using artificial airways.

Differentiate between the types of artificial airways.Techniques for airway Describe the proper techniques formanagement inserting and removing artificial

airways.

Complications of artificialairways

PRINCIPLES OF AIRWAYSUCTIONING

Techniques for suctioning

Complications ofsuctioning

Discuss the role of the clinician inairway management.

Compare the hazards to thecomplications associated withartificial airways.

Describe a functional suctioningsystem.

Perform sterile suctioning accordingto recommended procedures.

Compare the hazards to thecomplications associated withsuctioning.

10 8

S 2




HoursClass Lab

MANUAL RESUSCITATORS

Types of manualresuscitators

Techniques for manualresuscitation

Complications ai manualresuscitators

Differentiate between types ofmanual resuscitators.

Identify JAM.A. standards formanual resuscitators.

Describe the proper techniques forusing manual resuscitators.

Relate the hazards to thecomplications of manualresuscitation.

5 0



SPECIFIC TECHNICAL


Resources




Finucane, B. T., & Santora, A. H. (1988). Principles of airway management. Philadelphia:F. A. Davis.

ICacmerek, R. (1979). The essentials of respiratory therapy. Chicago: Year Book Medical.



ioOctober 1989 Page 1 of 1


SPECIFIC TECHNICAL

RES 110 - Microbiology

Course Overview

Course Description

Applies the basic principles of microbiology to the field of respiratory therapy. Emphasiswill be placed on the role of the respiratory care practitioner in various hospital functions.Topics include: microbial identification, microbial growth and transmission, host defensemechanisms, hospital infection control, aseptic techniques, and disinfection and sterilization.

Competency Areas

Microbial IdentificationMicrobial Growth and TransmissionHost Defense MechanismsHospital Infection Control

Prerequisites

AHS 109, RES 103

Credit Hours

3


Lab - 0

Class - 3



SPECIFIC TECHNICAL

RES 110 - Microbiology

Course Outline


MICROBIAL IDENTIFICATION

Major groups of Describe the characteristics of fungi,microorganisms protozoa, algae, bacteria, and viruses.

Identify examples of the five majorgroups of microorganisms includingfungi, protozoa, algae, bacteria, andviruses.

Common microbes Identify examples of staphlococci;streptococci, including streptococcuspneumoneae; neisseria; spirochetes;tuberculin bacillus; clostridium;mycobacteria; hemophilus; entericand related - gram negative bacilli;opportunistic pathogens; fungi;protozoa; and herpes, hepatitis;influenza, and respiratory syncytialviruses.

Describes characteristics ofstaphlococci; streptococci, includingstreptococcus pneumoneae; neisseria;spirochetes; bacillus; clostridium;mycobacteria; hemophilus; entericand related - gram negative bacilli;opportunistic pathogens; fungi;protozoa; and herpes, hepatitis;influenza, and respiratory synsitialviruses.

10




MICROBIAL mown; ANDTRANSMISSION

Growth Describe the growth of microbes.

Identify the nutrients needed for thegrowth of microbes.

Transmission Discuss host-parasite relationships.

Describe normal microbial flora.

Discuss transmission ofmicroorganisms.

HOST DEFENSE MECHANISMS

Nonspecific defense Discuss nonspecific, external hostmechanisms defense mechanisms.

Discuss nonspecific, internal hostdefense mechanisms.

Acquired immune response Describe acquired immunedresponses.

Describe the application of theimmune response.

HOSPITAL INFECI1ONCONTROL

Terminology Define the terms applicable to thecontrol of microorganisms.

5

10

I October 1989

1

Page 2 of 3

101



Physical control Discuss physical procedures formicrobial control including moistheat under pressure, moist heat notunder pressure, dry heat, ultravioletlight, ionizing radiation, andfiltration.

Chemical control Discuss chemical factors affectingdisinfectants.

Quality control

Describe the characteristics of majorgroups of chemical disinfectants.

Outline the quality control practicesperformed in hospitals andrespiratory therapy departments.

illOctober 1989 Page 3 of 3


SPECIFIC TECHNICAL

RFS 110 - Microbiology

Resources

Ferris, E. B., & Fong, E. (1982). Microbiology for health careers (2nd ed.). Albany, NY:Delmar.

Jensen, M. M., & Wright, D. W. (1989). Introduction to medical microbiology (2nd ed.).Englewood, NJ: Prentice Hall.

McLaughlin, A. J. (1983). Manual of infection control in respiratory care. Boston: Little,Brown.

Tortora, G. J., Funke, B. R., & Case, C. L (1986). Microbiology: An introduction (2nd ed.).Boston: Benjamin/Cummings.



SPECIFIC TECHNICAL

RES 111 - Pathophysiology

Course Overview

Course Description

Investigates the causes and effects of respiratory disease, failure, and trauma. This courseprovides an essential theoretical basis for understanding respiratory therapy methodologies.i'opics include: obstructive pulmonary disease, restrictive lung disease, neuromusculardisease, infections, and respiratory failure/trauma.

Competency Areas

Obstructive Pulmonary DiseaseRestrictive Lung DiseaseNeuromuscular DiseaseInfectionsRespiratory Failure/Trauma


RES 106, RFS 108, RES 110

Credit Hours

6


Lab - 0

Class - 6


104


SPECIFIC TECHNICAL


Course Outline


HoursClass Lab

OBSTRUCTIVE PULMONARYDISEASE

Clinical data for chronic Define chronic obstructive pulmonaryobstructive pulmonary disease.disease (COPD)

Disease classified asCOPD

Relate pulmonary functioning tests tochronic obstructive pulmonarydisease.

Relate arterial blood gas values tochronic obstructive pulmonarydisease.

Describe pathologic and histologicchanges resultant from chronicobstructive pulmonary disease.

Relate ventilation /perfusion (V/Q),diffusion effects, to obstructive lungdisease.

Describe cardiovascular effectsresultant from obstructive lungdisease.

Describe asthma, bronchitis,bronchiectasis, mucoviscidosis, andemphysema.

15 0


1 0 1

A



HoursClass Lab

RESTRICTIVE LUNG DISEASE

Clinical data for Define restrictive lung disease.restrictive lung disease

Causes of and therapy forrestrictive lung disease

October 1989

Relate pulmonary function tests torestrictive lung diseases.

Relate arterial blood gas values torestrictive lung diseases.

Relate ventilation/perfusion (V/Q),diffusion effects, to restrictive lungdisease.

Describe cardiovascular effectsresultant from restrictive lungdisease.

List clinical conditions producingrestrictive pulmonary disease.

Describe the relationship betweenrestrictive lung disease and thefollowing: pneumoconiosis,sarcoidosis, collagen diseases, obesity,liver disease, pregnancy, anatomicalanomolies, pneumonia, aspiration,tumors, and hernias.

Describe the therapy to improverespiratory function in cases involvingpneumoconiosis, sarcoidosis, collagendiseases, obesity, liver disease,pregnancy, anatomical anomolies,pneumonia, aspiration, tumors, andhernias.

15 0

106

Page 2 of 6 0


Recommended Outline After completing this Fourssection, the student will: Class Lab

NEUROMUSCULAR DISEASE

Clinical data for Relate pulmonary function tests torespiratory function in respiratory function in neuromuscularneuromuscular conditions conditions.

Causes of and respiratorytherapy for neuromusculardisease

INFECHONS

Describe pathologic changes thatoccur in neuromuscular diseases.

Describe pathologic changes thatoccur in neuromuscular conditions.

List clinical conditions producingneuromuscular disease.

Describe the relationship betweenrespiratory function and polio,myesthenia gravis, guillian barre,muscular dystrophy, spinal cordtrauma, drug overdose, and pleuraldisease.

Describe the therapy to improverespiratory function in cases involvingpolio, myesthenia gravis, guillianbarre, muscular dystrophy, spinalcord trauma, drug overdose, andpleural disease.

Infectious diseases Identify microorganisms associatedwith infectious diseases.

10 0

5 0

Describe respiratory implications ofinfectious diseases.

ii October 1989 Page 3 of 6

1 0 7

1



Describe cardiac and renalimplications of infectious diseasessuch as histoplasmosis,coccidioidomycosis, blastomycosis,cryptococcus, candida albicans, andaspergillosis.

Prevention and treatment Describe the prevention andof infectious clinical treatment of the following conditionsconditions mycobacteria infections, fungal

infections, AIDS, pneumocystosis,cytomegalovirus (CMV), neoplasms,hepatitis, and tetanus.

RESPIRATORY FAILURE/TRAUMA 15 0

Clinical data for Define respiratory failure.respiratory failure

Identify the pathological changesassociated with respiratory failure.

Describe clinical data associated withrespiratory failure.

Conditions producing Define arrhythmias, left heart failure,cardiogenic pulmonary right heart failure, valve disease, MI,edema hypertension, pulmonary embolism,

and renal failure.

Explain the way in whicharrhythmias, left heart failure, rightheart failure, valve disease, Ml,hypertension, pulmonary embolism,and renal failure produce cardiogenicpulmonary edema.


1 0 b



ARDS Define ARDS.

List the clinical manifestations ofARDS.

Describe treatment for ARDS.

Effects of renal system Describe the effect of renal systemfailure on the pulmonary failure on the pulmonary system.system

Identify causes of renal failure.

Explain acid/base balance in renalsystem failure.

Discuss respiratory treatment in casesof renal system failure.

Effects of drowning on the List the effects of salt water on thepulmonary system pulmonary system.

List the effects of fresh water on thepulmonary system.

Explain the treatment/prognosis incases of drowning.

Effects of pulmonarytoxicants on the pulmonarysystem

Describe the effects of carbonmonoxide on the pulmonary system.

Describe the effects of paraquat onthe pulmonary system.

Describe the effects of oxygen on thepulmonary system.

Describe the effect. of cyanide onthe pulmonary system.


109

Recommended Outline Alter completing thissection, the student will:


HoursClass Lab

Effects of chest trauma onpulmonary system

Describe the effects of chest injuries,such as flail, on the pulmonarysystem.

Describe the effects of diaphragmaticinjuries on the pulmonary system.

Describe the effects of chest wounds,pneumothorax, on the pulmonarysystem.


e Document Number:04-07-03

SPECIFIC TECHNICAL


Resources

Bates, D. V. (1989). Respiratory function in disease. (3rd ed.). Philadelphia: W. B.Saunders.

Des Jardins, T. (1987). Clinical manifestations of respiratory disease. Chicago: Year BookMedical.

Farzan & Sattar. (1988). A concise handbook of respiratory diseases (2nd ed.). EastNorwalk, CI': Appleton and Lange.

Montenegro, IL D. (Ed.). (1984). Chronic obstructive pulmonary disease. New York:Churchill Livingston.

West, J. B. (1987). Pulmonary pathophysiology: The essentials. Baltimore, MD: Williams& Wilkins.

Will, J. A. (Ed.). (1987). The pulmonary circulation in health and &sears. Orlando, FL:Academic Press.



SPECIFIC TECHNICAL

RES 113 - Mechanical Ventilation

Course Overview

Course Description

Develops an understanding of the concepts of positive pressure breathing and the principlesof mechanical ventilator design and operation. Topics include: concepts of mechanicalventilation; classification of ventilators; indications, effects, and hazards of mechanicalventilation; and monitoring/weaning.

Competency Areas

Concepts of Mechanical VentilationClassification of VentilatorsIndications, Effects, and Hazards

of Mechanical VentilationMonitoring/Weaning

Prerequisite

RES 103


RES 108, RES 109

Credit Hours

4


Lab - 0

Class - 4


1 1


SPECIFIC TECHNICAL


Course Outline


CONCEPTS OF MECHANICALVENTILATION

Methods of ventilation Describe normal spontaneousventilation.

Compare positive and negativeventilation.

CLASSIFICATION OFVENTILATORS

Design and functional Discuss various power/drivecharacteristics of mechanisms of mechanicalmechanical ventilators ventilators.

Describe triggering and cycling ofmechanical ventilators.

Classify mechanical ventilatorsaccording to design and functionalcharacteristics.

Modes of ventilation Differentiate between various modesof ventilation.

Describe inspiratory/expiratorymaneuvers.

Discuss specialized modes ofventilation.

10

10


113


Recommended Outline After completing this Hourssection,. the student will: Class Lab

INDICATIONS, EFFECTS,AND HAZARDS OFMECHANICAL VENTILATION 10 0

Indications for mechanicalventilation

Discuss causes of respiratory failureleading to the need for mechanicalventilation.

Describe criteria for initiatingmechanical ventilation.

Effects and hazards of Explain the effects and complicationsmechanical ventilation of mechanical ventilation.

MONITORING/WEANING 10 0

Techniques for ventilator Explain techniques for ventilatormonitoring monitoring.

Discuss the role of the clinician inventilator management.

Techniques for patient Explain techniques for patientweaning weaning.

Discuss the role of the clinician inventilator weaning.

Describe criteria for initiating patientweaning from mechanical ventilation.

October 1989 Page 2 o


SPECIFIC TECHNICAL


Resources


Barnes. (1988). Respiratory therapy equipment (3rd ed.). Chicago: Year Book MedicaL

Burton, G. G., & Hodgkin, J. E., (Eds.). (1984). Respiratory care: A guide to clinicalpractice (2nd ed.). Philadelphia: Lippincott.


Eubanks, D. H., & Bone, it (1985). Comprehensive respiratory care. St Louis: C. V.Mosby.

ICacmerek, R. (1979). The essentials of respiratory therapy. Chicago: Year Book Medical.

McPherson, S. P. (1984). Respiratory therapy equipment (3rd ed). St Louis: C. V. Mosby.


Spearman, C. B., Sheldon, R. L, & Egan, D. F. (1988). Egan's fundamentals of respiratorytherapy (5th ed.). St Louis: C V. Mosby.

ipOctober 1989 Page 1 of 1

.115


SPECIFIC TECHNICAL

RES 114 - Mechanical Ventilators

Course Overview

Course Description

Applies the concepts from Mechanical Ventilation. Emphasis during this course will beplaced on the monitoring and management of the patient/ventilator system. Additionally,there will be instruction in ventilation L Topics include: operation of adult ventilators,operation of neonatal/pediatric ventilators, and maintenance and troubleshooting.

Competency Areas

Operation of Adult VentilatorsOperation of Neonatal/Pediatric VentilatorsMaintenance and Troubleshooting


RES 113

Credit Hours

3


D.Lab - 6

Class - 0


11


SPECIFIC TECHNICAL

RFS 114 - Mechanical Ventilators

Course Outline


HoursClass Lab

OPERATION OF ADULTVENTILATORS

Adult bellow-drivenventilators

Adult pneumatic andpiston-driven ventilators

Compare the design and functionalcharacteristics of various bellow-driven ventilators.

Compare the design and functionalcharacteristics of various pneumaticand piston-driven ventilators.

OPERATION OF NEONATAL/PEDIATRIC VENTILATORS

Pediatric/neonatal time-limited ventilators

Pediatric/neonatalpneumatic and piston-driven ventilators

MAINTENANCE ANDTROUBLESHOOTING

Principles of ventilatormaintenance

Compare the design and functionalcharacteristics of various pediatric/neonatal time-limited ventilators.

Compare the design and functionalcharacteristics of variouspediatric/neonatal pneumatic andpiston-driven ventilators.

Explain principles of ventilatormaintenance.

Explain principles of troubleshooting.

0 30

0 10

0 20


117



Describe the role of the clinician inventilator maintenance/troubleshooting.


1 16


SPECIFIC TECHNICAL

RES 114 - Mechanical Ventilators

Resources


Barnes. (1988). Respiratory therapy, equipment (3rd ed.). Chicago: Year Book Medical.


Deshpande, V. M. (1988). Comprehensive respiratory therapy. East Norwalk, Cr: Appleton& Lange.



McPherson, S. P. (1984). Respiratory therapy equipment (37:.' 1 St. Louis: C. V. Mosby.





SPECIFIC TECHNICAL

RES 115 - Introduction To Pulmonary Function Testing

Course Overview

Course Description

Provides students with the basic concepts and technology involved in pulmonary functiontesting. This course provides instruction appropriate to the needs of respiratory therapytechnicians. Topics include: value of pulmonary function testing, measurements, equipment,and interpretation.

Competency Areas

Value of Pulmonary Function TestingMeasurementsEquipmentInterpretation

Prerequisites

RES 102, RES 111

Credit Hours

1


D.Lab - 1

aass - 1

October 1989 Page 1 o

120


SPECIFIC TECHNICAL


Course Outline


HoursClass Lab

VALUE OF PULMONARYFUNCTION TESTING

Clinical use of pulmonaryfunction testing

MEASUREMENTS

Volumes and flows

Specialized studies

EQUIPMENT

Equipment used inpulmonary function testing

October 1989

2 0

Classify lung disease.

Explain the rational for pulmonaryfunction testing.

4 4

Contrast flow volume loops andspirometry tracings.

Discuss lung volume measurements,SVC, FVC, FEVt, FEFx-y, FER,PEFR, MVV, and diffusion studies.

Describe specialized pulmonaryfunction tests (PFTs).

1 3

Compare pulmonary function testingequipment including Hp seal, dry-roll seal, and bellows spirometers andvalve/gear, pressure-drop, heattransfer, and vortex sheddingpneumotachometers.

1

Page 1 of 2



HoursClass Lab

Accessory equipment usedin pulmonary functiontesting

INTERPRETATION

Pulmonary function testingresults

October 1989

Describe accessory equipment usedin pulmonary function testingincluding giesler tube, thermalconductivity mass specrometer,infared pulmonary gas analyzers; PH,P02, and PCO2 blood gas electrodes;transcutaneous monitors; andoximeters.

3 3

Discuss interpretation of pulmonaryfunction test results concerning thedisease process, gas diffusion, and preand post bronchodialators.

Differentiate between variouspulmonary function test resultsincluding restrictive and obstructive.

1 !?

Page 2 of 2 (I)


SPECIFIC TECHNICAL


Resources

Gibson, G. J. (1984). Clinical tests of respiratory function. New York: Raven.

Miller, A. (1987). A student's guide to pulmonary function tests. Wilkinsonville, MA: Grune& Stratton.

RuppeL (1986). Manual for pulmonary function testing (4th ed.). St. Louis: C. V. Mosby.

Witkowski. (1984). Pulmonary assessment: A clinical guide. Philadelphia: Lippincott.


1 2 0


SPECIFIC TECHNICAL

RES 116 - Neonatal/Pediatric Respiratory Care

Course Overview

Course Description

Introduces the basic modes of respiratory care for neonatal and pediatric patients. Suchareas as normal growth and development, normal anatomy and physiology, pathophysiology,therapy, and equipment will be covered. Topics include: normal growth and development,transition to extrauterine life, assessment of the newborn, normal neonatal anatomy andphysiology, common neonatal and pediatric pathophysiology, and treatment methods.

Competency Areas

Normal Growth and DevelopmentTransition to Extrauterine LifeAssessment of the NewbornNormal Neonatal Anatomy and PhysiologyCommon Neonatal and Pediatric PathophysiologyTreatment Methods


RES 113

Credit Hours

4


Lab - 0

Class - 4

October 1989

if4,)., 't

Page 1 of 1

1


SPECIFIC TECHNICAL


Course Outline


HoursClass Lab

NORMAL GROWTH ANDDEVELOPMENT

Fertilization

Embryologicaldevelopment

Fetal assessment

October 1989

2 0

Describe the process of fertilization.

Differentiate between meiosis andmitosis.

Describe DNA and RNA.

Describe implantation.

Explain the events of the firsttrimester of embryologicaldevelopment.

Explain the events of the secondtrimester of embryologicaldevelopment.

Explain the events of the thirdtrimester of embryologicaldevelopment.

List fetal assessment procedures and/of techniques.

Assess fetal maturation byexamination of chemical and cellularconstituients.

Page 1 of 6



HoursClass Lab

TRANSITION TOEXTRAUTERINE LIFE

Birth process

Cardiopulmonarytransitions

ASSESSMENT OF THENEWBORN

APGAR

Relate fetal assessment toasphyxiation.

Contrast the vaginal and cesarean'seffects on delivery of the neonate.

Contrast pulmonary vascularresistance and systemic vascularresistances prior to and after birth.

Describe pulmonary blood flowchanges at birth.

Describe cardiac blood flow changesat birth.

List the five parameters considered inan APGAR assessment.

Describe specific APGAR evaluationvalues.

Calculate APGAR scores.

4 0

4 0




HoursClass Lab

Normal and abnormalphysiological or anatomicaltraits

Explain the following normal andabnormal parameters that must beevaluated in assessment of thenewborn: meconium stain; gesationalage; narcotic depression; herpes;AIDS; maternal history; deliveryassessment; blood volume evaluation;muscoloskeletal, urinary, andneurologic evaluation, and bodytemperature.

NORMAL NEONATAL ANATOMYAND PHYSIOLOGY

Neonatal and pediatricanatomy

Lung volumes forneonates, children, andadults

Neonatal and pediatricblood gases

Compare the airway location andlaryneal variances in neonatal andpediatric anatomy.

Compare the uppper airwayventilation in neonatal and pediatricanatomy.

Describe the growth of the lung frombirth to adulthood.

Describe changes in lung volumesassociated with growth.

Identify normal neonatal values forhemoglobin (HgB) and carryingcapacity and transition of fetalhemoglobin (FHgB) to adulthemoglobin (AHgB).

2 0




HoursClass Lab

Identify normal pediatric values forhemoglobin (HgB) and carryingcapacity and transition of fetalhemoglobin (FHgB) to adulthemoglobin (AHgB.)

COMMON NEONATAL ANDPEDIATRIC PATHOPHYSIOLOGY

Neonatal disorders

Results of medicalintervention and infectiousdisease in neonates

Explain the physiologicalcomplications associated withasphyxia neonatorum.

Explain the complications associatedwith prematurity.

Describe transient tacbypnea inneonates.

Describe anatomic anomalies inneonates.

Describe apnea in neonates.

Describe conditions that may resultfrom pneumonia in neonates.

Describe conditions that may resultfrom respiratory syncytial virus inneonates.

Describe conditions that may resultfrom aspiration in neonates.

Describe conditions that may resultfrom oxygen toxicity in neonates.

22 0




Pediatric diseases

TREATMENT METHODS

Describe conditions that may resultin broncho-pulmonary dysplasia(BPD) in neonates.

Describe bronchiolotis in pediatriccases.

Describe asthma in pediatric cases.

Describe airway obstruction inpediatric cases.

Describe epiglottis in pediatric cases.

Describe croup in pediatric cases.

Describe bordetella pertussis inpediatric cases.

Describe Reyes syndrome in pediatriccases.

Describe cystic fibrosis in pediatriccases.

6 0

Neonatal resuscitation Describe the effects of shock onneonatal resuscitation.

Describe the implications ofmeconium staining, APGAR, andmaturity in neonatal resuscitation.

Explain airway and fluidsmanagement in neonatalresuscitation.

illOctober 1989 Page 5 of 6



HoursClass Lab

Neonatal/pediatric aerosoltherapy

Neonatal/pediatric oxygentherapy

Neonatal/pediatric physicaltherapy

Neonatal/pediatricventilation

October 1989

Identify administration* methods usedin neonatal/pediatric aerosol therapy.

Describe the disease states thatindicate neonatal/pediatric aerosoltherapy.

Describe the fluid overload and otherconditions that contraindicateneonatal/pediatric aerosol therapy.

Identify methods of adminstration forneonatal/pediatric oxygen therapy.

Intepret neonatal blood gas values.

Discuss the indications andcontraindications of neonatal/pediatric oxygen therapy.

Explain the role of continuouspositive airway pressure (CPAP) inneonatal/pediatric oxygen therapy.

Discuss the role of neonatal/pediatricchest physical therapy.

Describe neonatal/pediatricintubation.

Describe neonatal/pediatricventilator set-up.

Describe use of pressure or time-cycled ventilators for neonatal/pediatric cases.

130

Page 6 of 6


SPECIFIC TECHNICAL


Resources

Burgess, W. R., & Chemiack, N. S. (1986). Respiratory therapy in newborn children andinfants (2nd ed.). New York: Thieme Medical.

Hirn le, R. W. (1982). Clinical simulations in neonatal respiratory therapy. New York:John Wiley & Sons.

Lough, M. D. (1979). Newborn respiratory care. Chicago: Year Book Medic.

Milner, A. D., & Martin, R. (1985). Neonatal and pediatric respiratory medicine.Stoneham, MA: Butterworth's Medical.

Nussbaum, E. (Ed.). (1983). Pediatric respiratory disorders: Clinical approaches.Orlando, FL Grune & Stratton.

Sansone, D. M., & Grundy, E. E. (1985). Newborn respiratory care: An equipment labmanual. East Norwalk, CT: Appleton & Lange.

Slonium, N. B., Schneider, S. N., Wing, & Fields. (1974). Introduction to pediatricrespiratory therapy. Chicago: Year Book Medical.


1 ii


SPECIFIC TECHNICAL

RES 117 - Pulmonary Rehabilitation

Course Overview

Course Description

Presents the techniques involved in caring for chronically ill patients and teaches theskills needed for direct patient care in the home or rehabilitation setting. Topicsinclude: concepts of pulmonary rehabilitation, pulmonary rehabilitation education, andtherapeutic modalities.

Competency Areas

Concepts of Pulmonary RehabilitationPulmonary Rehabilitation EducationTherapeutic Modalities

Prerequisites

RES 114, RES 115

Credit Hours

1


D.Lab - 1

Class - 1


132


SPECIFIC TECHNICAL


Course Outline


CONCEPTS OF PULMONARYREHABILITATION

Significance of pulmonary Describe the financial benefits ofrehabilitation pulmonary rehabilitation.

Describe the limitations and costs ofpulmonary rehabilitation.

Identify providers of pulmonaryrehabilitation programs

Purpose of pulmonary Identify the purpose of pulmonaryrehabilitation rehabilitation.

Describe diagnosis related groups(DRG's).

PULMONARY REHABILITATIONEDUCATION

Psychological view Characterize the patient's view ofpulmonary rehabilitation.

Characterize the family's view ofpulmonary rehabilitation.

Disability levels Describe various conditions thatrequire pulmonary rehabilitation.

Discuss levels of pulmonaryrehabilitation.

5 0

4 1


13



Relate the roles and responsibilitesof the patient and patient's family tovarious levels of pulmonaryrehabilitation.

THERAPEUTIC MODALITIES

Adult rehabilitation Describe 02, aerosol, and ventilationtherapy modalities for adults.

Pediatric rehabilitation Describe electronic monitoring and02, aerosol, ventilation, and phototherapy modalities for children.

1 9


13

Document Number:/04-12-03

SPECIFIC TECHNICAL


Resources

Bell, C. W., & Blodgett, D. E. (1984). Home care & rehabilitation in respiratory medicine.Philadelphia: Lippincott

Moser, K. M., Archibald, C., Flansen, P., Ellis, B., & Whelan, D. (1983). Shortness ofbreath: A guide to better living and breathing. St. Louis: C. V. Mosby.

O'Ryan, J., & Burns, D. (1984). Pulmonary rehabilitation: From hospital to home. Chicago:Year Book Medical.

Petty, T. L (1982). Intensive & rehabilitative respiratory care: A practical approach to themanagement of acute & chronic respiratory failure. Philadelphia: Lea & Febiger.

41) October 1989

135

Page 1 of 1


SPECIFIC TECHNICAL

RES 120 - Respiratory Therapy Seminar

Course Overview

Course Description

Provides students with an opportunity to prepare for the respiratory therapy techniciancertification examination. This course is a culminating review that helps students to gainprofessional credentials Topics include: test-taking skills and test content preparation.

Competency Areas

Test-Taking SkillsTest Content Preparation


All didactic and clinical courses required for graduation

Credit Hours

1


Lab - 0

Class - 1

October 1989

136

Page 1 of 1


SPECIFIC TECHNICAL

RFS 120 - Respiratory Therapy Seminar

Course Outline


TEST-TAKING SKILLS

(How to review) Identify effective review skills.

Assimilate effective review skills.

(How to take tests) Identify steps in solving objective testitems.

Sequence steps in solving objectivetest items.

Identify critical cues in objective testitems.

Adopt effective test item attackstrategies.

Identify strateg.:4% for effective testapplication, psychology, andconcentration.

TEST CONTENTPREPARATION

Content review Analyze the content of a nationalexamination.

Identify resources to review inpreparation for a nationalexamination.


13';



October 1989

Internalize the form and content of aself-assessment examination.

Synthesize results of a self-assessmentexamination.

Assimilate information fromdeficiencies that appeared on a self-assessment examination.

Page 2 of 2

13,


SPECIFIC TECHNICAL

RES 120 - Respiratory Therapy Seminar

Resources

Brainard, C. A., & Wirth, M. (1984). Respiratory care: National board review. EastNorwalk, CT: Appleton & Lange.

Deshpande, V. M. (1989). Comprehensive examination review manual for respiratory carepractitioners. East Norwalk, CT: Appleton & Lange.

Edge, R. S., & Forrette, T. L (1986). Respiratory care examination review. East Norwalk,CT: Appleton & Lange.

National Board for Respiratory Care. (1988). Self-assessment examination. Shawnee Mission,KS: Author.

Wojciechowsld, W. V., & Neff, P. E. (1987). Comprehensive review of respiratory care. NewYork: John Wiley & Sons.

iiOctober 1989 Page 1 of 1

1°0 Zi


SPECIFIC TECHNICAL

RES 121 - Respiratory Clinical Orientation

Course Overview

Course Description

Prepares respiratory students for intense active participation during future clinicalapplication courses. Emphasis is placed on orientation to hospital facilities, policies, andprocedures. Topics include: cardiopulmonary resuscitation (CPR) certification, orientationto the hospital, and observation.

Competency Areas

Cardiopulmonary Resuscitation (CPR) CertificationOrientation to the HospitalObservation

Prerequisites

Program admission, RES 101

Credit Hours

2


OBI - 8

Class - 0


140


SPECIFIC TECHNICAL


Course Outline

Recommended Outline After completing this Hourssection, the student will: Class OBI

CARDIOPULMONARYRESUSCITATION(CPR) CERTIFICATION 0 24

Obtain BCLS certification.

ORIENTATION TOTHE HOSPITAL 0 16

Explain hospital and respiratorytherapy department polices.

Describe hospital and respiratorytherapy department procedures.

Utilize hospital and respiratory therapydepartment infection control measures.

Relate hospital and respiratory therapydepartment personnel to their roles.

OP SERVAT1ON 0 40

Observe patient care involving avariety of respiratory modalities.


14i


SPECIFIC TECHNICAL


Resources

Beckham, R. (1983). Clinical simulations in respiratory care: Workbook & study guide.Philadelphia: Lippincott.

De Pietro, J. S., & Mustard, M. N. (1987). Clinical guide for respiratory care practitioners.East Norwalk, CP. Appleton & Lange.

White, G. C. (1988). Basic clinical lab competencies for respiratory care: An integratedapproach. Albany, NY: Delmar.



SPECIFIC TECHNICAL

RES 122 - Respiratory Care I

Course Overview

Course Description

Provides the student with hands-on clinical experience in the basics of respiratory therapy.Topics include: clinical patient assessment, humidity/aerosol therapy, oxygen therapy,hyperinflation therapy, and bronchial hygiene.

Competency Areas

Clinical Patient AssessmentHumidity/Aerosol TherapyOxygen TherapyHyperinflation TherapyBronchial Hygiene


RES 103, RES 107, RES 121

Credit Hours

2


OBI - 8

Class - 0



SPECIFIC TECHNICAL


Course Outline


CLINICAL PATIENTASSESSMENT 0 40

Review the patents' chart andrespiratory care plan.

Assist with inspection of the patient.

Assist with physical examination ofthe chest.

Assist with arterial blood gassampling and interpretation ofresults.

Relate radiological and laboratorydata to patient condition.

Conform to hospital and respiratorytherapy department infection controlpolicies.

Prepare case presentations.

HUMIDITY/AEROSOL THERAPY 0 10

Assist with aerosol and humiditytherapy.

OXYGEN THERAPY 0 10

Assist with oxygen therapy.


144



HYPERINFLATION THERAPY 0 10

BRONCHIAL. HYGIENE

Assist with hyperinflation therapy.

Assist with bronchial hygiene therapy.

0 10


145


SPECIFIC TECHNICAL


Resources

Beckham, R. (1983). Clinical simulations in. respiratory care: Workbook & study guide.Philadelphia: Lippincott.

DePietro, J. S., & Mustard, M. N. (1987). Clinical guide for respiratory care praditioners.East Norwalk, CT: Appleton & Lange.


4" October 1989 Page 1 of 1

146


SPECIFIC TECHNICAL

RES 123 - Respiratory Care II

Course Overview

Course Description

Provides in-depth clinical exposure to diagnostic and therapeutic modalities. Topics include:humidity/aerosol therapy, oxygen therapy, hyperinflation therapy, bronchial hygiene, patientassessment and monitoring, and pulmonary diagnostics.

Competency Areas

Humidity/Aerosol TherapyOxygen TherapyHyperinflation TherapyBronchial HygienePatient Assessment and MonitoringPulmonary Diagnostics


RES 106, RES 108, RES 122

Credit Hours

2


OBI - 8

Class - 0



SPECIFIC TECHNICAL

RES 123 - Respiratory Care II

Course Outline


HUMIDITY/AEROSOL THERAPY 0 15

Participate in administration ofmedications for aerosol and humiditytherapy.

Participate in providing supplementalhumidity for oxygen therapy.

Participate in providing high humidityfor treatment of the by-passed upperairway.

Participate in providing humiditytherapy for treatment of drysecretions.

Participate in providing largeenvironment humidifiers.

OXYGEN THERAPY 0 15

Participate in equipment changingand oxygen rounds.

Participate in the therapeutic use ofbulk gas systems and medical gascylinders.

Participate in use of oxygenanalyzers.


1 4



Participate in treatments requiringoxygen administration.

Participate in oxygen therapyequipment surveillance andmaintenance.

HYPERINFLATION THERAPY

BRONCHIAL HYGIENE

Participate in treatments requiringincentive spirometry.

Participate in treatments requiringpositive pressure breathing.

Participate in treatments requiringpostural drainage, percussion andvibration of the chest.

Participate in endotracheal lavageand suction therapy.

0 15

0 15

PATIENT ASSESSMENT ANDMONITORING 0 IS

Participate in patient assessment andmonitoring including inspection ofthe patient, physical examination ofthe chest, sampling and interpretationof arterial blood gases, considerationof radiologic and laboratory data, andpulmonary function testing.

Conform to hospital and respiratorytherapy department infection controlpolicies and procedures.


14 b



PULMONARY DIAGNOSTICS

Participate in utilization of results ofpatient assessment and monitoring toreach diagnoses.

Discuss case studies relating patientdata to clinical diagnosis.


150


SPECIFIC TECHNICAL

RFS 123 - Respiratory Care II

Resources

Di Pietro, J. S., & Mustard, M. N. (1987). Clinical guide for respiratory care practitioners.East Norma% Cr: Appleton & Lange.

McFadden, E. R. (1986). Inhaled aerosol bronchodilators. Baltimore, MD: Williams &Wilkins.



151


SPECIFIC TECHNICAL

RES 124 - Respiratory Critical Care I

Course Overview

Course Description

Utilizes clinical opportunities to allow students to apply mechanical ventilation to patientcare. This clinical experience emphasizes student initiation, maintenance, monitoring, andweaning of the patient requiring mechanical ventilation. Topics include: ventilatorymanagement and basic hemodynamics.

Competency Areas

Ventilatory Manager IntBasic Hemodynamics


RES 109, RES 111, RES 114, RES 123

Credit Hours

5


OBI - 16

Class - 0



SPECIFIC TECHNICAL


Course Outline

Recommended Outline After completing thissection; the student will:

HoursClass OBI

VENTILATORY MANAGEMENT 0 120

Assist with providing airway cue/bronchial hygiene.

Assist with delivery of respiratorymodalities such as aerosol treatmentsand chest physiotherapy for ventilatorpatients.

Assist with ventilator checks, ventilatorcharges, and ventilator patient circuitchanges.

BASIC HEMODYNAMICS 0 40

Assist with evaluation of pulmonaryand cardiac functions in the IntensiveCare Unit.



SPECIFIC TECHNICAL


Resources

Bustin, D. (1986). Hemodynarnic monitoring for critical care. East Norwalk, CT: Appleton-Century-Crofts.

DePietro, J. S., & Mustard, M. N. (1987). Clinical guide for respiratory care practitioners.East Norwalk, CT: Appleton & Lange.

Petty, T. L (1982). Intensive & rehabilitative respiratory care: A practical approach to themanagement of acute & chronic respiratory failure. Philadelphia: Lea & Febiger.


4. October 1989 Page 1 of 1

154


SPECIFIC TECHNICAL

RES 125 - Respiratory Critical Care II

Course Overview

Course Description

Allows the student to continue working in the hospital and homecare setting. Emphasis isplaced on specialty rotations and ventilator management. Time will be set aside to ensurecompletion of all required clinical competencies. Topics include: ventilator management,specialty rotations, and completion of all required clinical competencies.

Competency Areas

Ventilator ManagementSpecialty RotationsCompletion of all Required Clinical Competencies

Prerequisfte/Corequisite

All courses required for gaduation except RES 120

Credit Hours

10


OBI - 32

Class - 0


15L


SPECIFIC TECHNICAL


Course Outline


VENTILATOR MANAGEMENT 0 100

Participate in providing airway care/bronchial hygiene.

Participate in delivery of respiratorymodalities such as aerosol treatmentsand chest physiotherapy for ventilatorpatients.

Participate in ventilator checks,ventilator changes, and ventilatorpatient circuit changes.

SPECIALTY ROTATIONS 0 100

Observe/assist with pulmonaryfunction testing.

Observe/assist withneonatal/pediatric intensive care.

Observe/assist with cardiopulmonarydiagnostics, such as stress testing,echocardiography, bronchoscopy, andother procedure.


J



HoursClass OBI

COMPLETION OF ALL REQUIREDCLINICAL COMPETENCIES 0 120

Develop patient care plans foroxygen therapy, humidity/aerosoltherapy, ventilatory management andassessment, chest physicalmanagement, and airwaymanagement.

Implement individualized care forpatients that require oxygen therapy,humidity/aerosol therapy, ventilatorymanagement and assessment, chestphysical management, and airwaymanagement.



SPECIFIC TECHNICAL


Resources

Bustin, D. (1986). Hemodynamic monitoring for critical care. East Norwalk, CT: Appleton-Century-Crofts.

DePietra, J. S., & Mustard, M. N. (1987). Clinical guide for respiratory care practitioners.East Norwalk, CT: Appleton & Lange.

Petty, T. L (1982). Intensive & rehabilitative respiratory cane: A practical approach to themanagement of acute & chronic respiratory failure. Philadelphia: Lea & Febiger.

Weber, K. T., & Janicki, J. S. (1989). Cardiopulmonary exercise testing: Phyologic principles& clinical applications. Philadelphia: W. B. Saunders.


IIIOctober 1989 Page 1 of 1

100


APPENDIX A

RESPIRATORY THERAPY

EQUIPMENT SUPPLY LIST

Adhesive bandages in first aid kitAerosol tee (Brigg's Adaptor)Aerosol tent deviceAir compressorAir delivery device/systemAir filterAlarm, low pressure disconnectAlcohol prep padAntibiotic ointment in first aid kitApplicators, cotton, sterile, in first aid kitArm board, disposable, in first aid kitArterial blood gas kitArterial line with flush solution in pressurized set-up (tubing) [optional]Arterial puncture training armAtomizer jarBacterial test indicator [optional]BasinBed, hospitalBeeper/pager/telephone (beeper range: 50 miles)Betadine prepBlanketBlood gas analyzer [optional]BrushCalculatorCannula, nasalCatheter, nasalCatheter, suction, sterileCircuit and connectors, new or sterile (IPPB, breathing)Collection container, sterile (sputum)Computer/typewriterContainer for ice [optional]CPAP deviceCPR mannequinCroupette with canopyCuff pressure manometerCulturing broth in container, sterile [optional]Culturing plate with growth medium, sterile [optional]


155


Cup, disposableCylinder bank manifold system [optional]Cylinder cartCylinder, CO2/0; (5-95% or 10-90%)Cylinder, E, medical gasCylinder, H, medical gasDead-ender caps for stopcocks, sterileDelivery device (face mask, face tent, track collar, T-piece)Demand valve unit with maskDetergentDrawsheetEmesis basinEndotracheal suction equipment and suppliesEndotracheal tube (all sizes)Ethylene oxide canister [optional]Ethylene oxide indicator tape [optional]Ethylene oxide permeable packaging [optional]Facial tissueFile cabinetsFlashlightFlowmeter, airFlowmeter, peakFlowmeter, oxygen, with nipple adapterFunnel, sterileGas sterilizerGauze pads, 4" x 4", sterileGauze pads, 2" x 2" sterileGauze, sterileGauze pads, unsterileGloves, disposable, sterileGowns (disposable)HemostatHose, high pressure, oxygenHumidifierHumidifier, heatedHumidifier with reservoir system connected to a one-way valveHydrogen peroxideIMF' assembly with reservoir bagIncentive spirometerIncubator, infantIntubation equipmentIntubation mannequin



lPPB circuitIPPB machineLaryngoscope and blades, handles, suppliesLubricant, water solubleLukens tubeLung analogMainflow bacterial filterMaintenance stickers/labels (office supplies)Manometer (NIF)MAnuaLs, manufacturer's for equipmentManuals, policy and procedureMask, high-flow entrainment with humidity adapterMask, mouthpiece with nose clip or tracheal tube adaptorMask, non-breathingMask, partial rebreathingMedication cupMonitor, EKG [optional]Monitor, physiologic pressure with calibrated transducer [optional]Monitor, transcutaneous oxygen, with membraned electrode cable [optional]MouthpieceNasal device for CPAPNasopharyngeal airwayNebulizer, Babinton-typeNebulizer, hand-held (with accessories)Nebulizer, jet, heatedNebulizer, jet, large reservoirNebulizer, spinning discNebulizer, ultrasonicNeedle, sterile, 14 and 16 gaugeNeedle, sterile (5/8-1 1/2, 21 to 25 gauge)Needle, sterile (Short 25 or 26 gauge)Normal saline, sterileNose clips0 cannulaObturatorOropharyngeal airwayOximeter, pulse, and cableOxygen (02) analyzerOxygen blenderOxygen controlling device (flowmeter or blender)Oxygen hoodOxygen, liquid, portable device


1 6 1


Oxygen, liquid, storage syvtem with reserve unitOxygen (02) maskOxygen reservoirOxygen source, 50 psiPaper towelingPEEP attachment, externalPens, assorted colors, ink [optional]Percussor, mechanicalPillowsPipe cleanersPressure administration cuff or devicePressure manometer (D.I.S.S. for oxygen)Pressure reducing aidsPressure transducerProximal airway temperature indicatorPulmonary function machine and accessories [optional]Regulator, American Standard Safety SystemRegulator, CO2/02, with flowmeter [optional]Regulator, Pin Index Safety SystemRegulator with Bourdon gaugeReoxygenation equipment (resuscitator bag with oxygen)Reservoir bag assembly (pressure relief valve, one-way valve, and reservoir bag)RespirometerResuscitation bag with pressure manometerResuscitator bag, manualResuscitator, manual, with maskSalineScissors, bandageScrewdriverScrub brushSheetSigns, "No Smoking"Sink/handwashing facilitiesSolution, flush [optional]Solution, IV, sterile [optional]Solution, lavage [optional]Solution, zeroing [optional]Sphygmomanometer (aneroid, mercury)Sputum container (cup)Stabilizer ring/stand for high pressure cylinderSterile solution, in isotonic, hypertonic, hypotonic saline and/or distilled waterSterilization solution


Stethoscope, regular and instructionalStopcocks, sterileStopper, rubberStop watchSty let for ET tubeSuctioning equipment and suppliesSurgical hatSurgical maskSyringeSyringe, iccSyringe, 3c.cSyringe with 3-way stopcockSyringe, 5 ml heparinized samplingSyringe, 10 ml sterile aspiratingSyringe, pre-heparinizedSyringe (Tuberculin-type)Tape, adhesive, 1/2" and 1"Tape, cloth, one inch wideTape (hypoallergenic)Tape, twillTest lung, trainingThermometerTongue depressorTracheostomy dressing, prepackagedTracheostomy tubes, buttonsTransducer domes, disposable, sterile [optional]Tube adaptor, 15 mmTubing, large boreTubing, complete pressurized set-up with heparinized flush solution [optional]Tubing, connecting, with fast flush device, sterile [optional]Tubing, oxygen connectingTubing, suction connectingTubing, vacuum connectingUnit dose diluentsVacuum regulator and apparatusVacuum source (with connecting tubing)Valve, one-way assemblyVentilator, infant, mechanicalVentilator, mechanical, and accessoriesWaste containerWater, sterileWater, sterile distilled



Water, tapWrenches for E and H cylindersWriting/typing suppliesYankauer tonsillectomy tip


1 C 4


For information concerning equipment, facilities, and supplies required for programaccreditation consult the Joint Review Committee for Respiratory Therapy Education,Description of Current Standards for Essential 111,13,1: Respiratory care laboratory facilities,and supplies, including equipment list.

The Joint Review Committeefor Respiratory Therapy Education1701 W. Euless Boulevard, Suite 200

Euless, Texas 76040


105

The Georgia Board of Technical and Adult Education does not discriminateon the basis of age, sex, race, color, religion, national origin, or handicap

in its educational programs, activities, or employment policies.

1 C6

ed 350 455 ce 062 137 title respiratory therapy … · respiratory therapy technology prcgram...

Documents