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Effective: Summer 2011
RSPT 50ARESPIRATORY THERAPY PROCEDURES4.5 Unit(s)

Prerequisites: Prerequisite: Admission to the Respiratory Therapy Program.
Advisory: Advisory: Demonstrated proficiency in English by placement as determined by score on the English placement test OR through an equivalent placement process OR completion of ESLL 25 & ESLL 249.
Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
3 hours lecture, 5 hours laboratory (96 hours total per quarter)

Student Learning Outcomes -
  • The student will be able to explain basic respiratory therapy concepts and procedures related to the fundamentals of respiratory therapy.
  • The student will perform lab competencies with a lab partner or solo and must complete all lab competencies with a score of 70% or higher.
Description -
Basic hospital and respiratory therapy procedures. Vital signs, compressed gas equipment, oxygen therapy, medical asepsis, bedside pulmonary function testing, disaster and emergency procedures, back safety. Intended for students in the respiratory therapy program.

Course Objectives -
The student will be able to:
  1. monitor vital signs and breath sounds.
  2. perform basic pulmonary function tests.
  3. handle compressed gas equipment safely.
  4. calculate duration of cylinder life.
  5. maintain, calibrate, troubleshoot and use oxygen analyzers..
  6. evaluate patient, review physicians orders to administer oxygen therapy and aerosol drug therapy, use a therapist driven protocol to assess the patient's need for oxygen therapy and troubleshoot oxygen therapy.
  7. demonstrate use of pulse oximeter.
  8. state indications and hazards of carbon dioxide and helium therapy
  9. demonstrate medical aseptic techniques
  10. demonstrate proper body mechanics when moving patients
  11. describe standard fire and disaster procedures
  12. interpret clinical laboratory data
  13. demonstrate use of humidity and bland aerosol therapy
  14. discuss the use of aerosol drug therapy
Special Facilities and/or Equipment -
Stethoscopes, blood pressure cuffs, water, piped in compressed medical oxygen and air, oxygen equipment, compressed gas control equipment, H and E sized oxygen tanks, oxygen therapy equipment, oxygen analyzers, infection control equipment. Student needs internet access.

Course Content (Body of knowledge) -
  1. Vital signs and breath sounds
    1. Temperature
    2. Heart rate
    3. Blood Pressure
    4. Use of sphygmomanometer
    5. Use of stethoscopes
  2. Basic pulmonary functions tests
    1. Forced vital capacity test
    2. Peak flow test
    3. Use of pulmonary function screener
    4. Use peak flowmeters
  3. Compressed gas equipment
    1. Compressed gas tanks
    2. Compressed gas piping systems
    3. Liquid oxygen storage systems
    4. Oxygen concentrators
    5. Safe handling of compressed gases
    6. Maintenance of oxygen manifold system
  4. Compressed gas regulation equipment
    1. Reducing valves
    2. Bourdon gauges
    3. Thorpe tubes
    4. Regulators
    5. Safety devices
  5. Oxygen analyzers
    1. Calibration of analyzers
    2. Maintenance of analyzers
    3. Use of analyzers
  6. Oxygen therapy
    1. Indication for therapy
    2. Select proper oxygen device
    3. Deliver oxygen therapy per physician's order and therapy driven protocols
    4. Complication of therapy
    5. Evaluating effectiveness of therapy
    6. Oxygen therapy equipment
    7. Variable performance vs fixed performance devices
    8. Low flow devices(with and without reservoirs)
    9. High flow devices
    10. Enclosures
    11. Oxygen rounds
    12. Hyperbaric oxygen therapy
  7. Pulse oximetry
    1. Use of pulse oximetry
    2. Limitations of pulse oximeters.
  8. Carbon dioxide and helium therapy
    1. Indications/contraindications
    2. Complications/Hazards
    3. Evaluating effectiveness
    4. Equipment used
  9. Medical asepsis
    1. Handwashing
    2. Regular isolation
    3. Reverse isolation
    4. Universal precautions
    5. AIDS/hepatitis/TB
    6. Techniques applicable to respiratory therapy
  10. Body mechanics
    1. Positioning patients
    2. Moving patients
    3. Emergency carries
    4. Prevention of back injuries
  11. Fire and disaster procedures
    1. Responding to fires and disasters
    2. Medical triage
    3. Patient evacuation
    4. Respiratory therapy in emergency situations
    5. Obtain CPR certification (Health Provider C)
  12. Blood chemistry and laboratory data
    1. Complete blood count
    2. Blood chemistry tests
    3. Serum glucose
    4. Microbiology tests
  13. Humidity and bland aerosol therapy
    1. Heat and moisture exchange
    2. Humidification of inspired gas
    3. Bland aerosol delivery devices
    4. Selection of appropriate device
    5. Troubleshooting humidity and bland aerosol devices
  14. Aerosol drug therapy
    1. Selection of best drug delivery device
    2. Hazards of aerosol therapy
    3. Assessing patient's response to therapy
    4. Controlling environmental contamination
Methods of Evaluation -
  1. quizzes
  2. midterm
  3. final exam
  4. laboratory performance
  5. laboratory final
Representative Text(s) -
Tiffany Rush, Respiratory Therapy Lab Manual.
Wilkins, Stoller and Kacmarek, Egan's Fundamentals of Respiratory Care. 9th edition. St Louis: C.V. Mosby Co., 2009. ISBN 9781437742336 (text and workbook)
Wilkins and Wehrman, Workbook for Egan's Fundamentals of Respiratory Care. 9th edition. St. Louis: C.V. Mosby Co., 2009. ISBN 9781437742336 (text and workbook)
Butler, Laboratory Exercises for Competency in Respiratory Care. Second Edition. F.A. Davis Company, 2009. ISBN 9780803613782

Disciplines -
Respiratory Therapy
 
Method of Instruction -
  1. Lecture
  2. Discussion
  3. Laboratory
  4. Demonstration
  5. Lab competencies demonstrated in skills
 
Lab Content -
A.Respiratory therapy procedures
  1. Vital signs
  2. Compressed gas equipment
  3. Oxygen therapy
  4. Medical asepsis
5.Bedside pulmonary function testing
  • Humidity and bland aerosol therapy
  • Aerosol drug therapy
  • Disaster and emergency procedures
    1. Back safety
    2. Rescue carries
     
    Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
    1. Reading assignments
    2. workbook assignments
    3. competencies related to course content.