Foothill CollegeApproved Course Outlines

Biological and Health Sciences Division
3 hours lecture, 6.5 hours laboratory, 4 hours clinic.6 Units

Total Quarter Learning Hours: 162 (Total of All Lecture, Lecture/Lab, and Lab hours X 12)
 Lecture Hours: 3 Lab Hours: 10.5 Lecture/Lab:
 Note: If Lab hours are specified, see item 10. Lab Content below.

Repeatability -
Statement: Not Repeatable.

Status -
 Course Status: ActiveGrading: Letter Grade Only
 Degree Status: ApplicableCredit Status: Credit
 Degree or Certificate Requirement: AS Degree
 GE Status: Non-GE

Articulation Office Information -
 Transferability: CSUValidation: 1/31/11

1. Description -
Introduction to hospital and patient care, administration of hyperinflation therapy, airway pharmacology, bronchial hygiene therapy with chest physiotherapy techniques, introduction to non-invasive ventilation, basic and advanced airway care, infection control procedures of equipment, nutrition assessment. Intended for students in the respiratory therapy program.
Prerequisites: RSPT 50A and 54; CPR certification (Health Provider C).
Co-requisite: None
Advisory: RSPT 51A.

2. Course Objectives -
The student will be able to:
  1. Describe how to safely perform endotracheal and nasotracheal suctioning
  2. Assess the need for and select an artificial airway
  3. Indications for a tracheostomy and bronchoscopy
  4. Perform hyperinflation therapy
  5. Perform bronchial hygiene and chest physiotherapy
  6. Discuss aerosol drug therapy and medications used for airway pharmacology
  7. Explain the indications for non-invasive ventilation
  8. Discuss the effects on nutrition on the body from a respiratory standpoint

3. Special Facilities and/or Equipment -
Hyperinflation therapy equipment, humidity and aerosol therapy equipment, MDI's and spacers, adult intubation models, intubation equipment, suctioning equipment, hospital bed, disinfection equipment.

4. Course Content (Body of knowledge) -
  1. Endotracheal and nasotracheal suctioning
    1. Causes of secretion retention
    2. Indication for a suctioning
    3. Hazards of suctioning
    4. Methods of evaluating effectiveness
    5. Oropharyngeal, nasopharyngeal, endotracheal and tracheostomy suctioning procedures
    6. Adult vs child vs infant suctioning
  2. Selecting an artificial airway
    1. Endotracheal tube
    2. Tracheostomy tube
    3. Hazards and complications
  3. Tracheostomy and bronchoscopy
    1. Prolonged intubation
    2. Aspiration of secretions
    3. Tissue and secretion samples
  4. Hyperinflation Therapy
    1. Incentive spirometry equipment
    2. Incentive spirometry administration procedure
    3. CPAP therapy
    4. Indications, contraindications, and hazards for therapy
    5. Methods of evaluating therapy effectiveness
  5. Perform bronchial hygiene and CPT
    1. Normal airway clearance mechanisms
    2. Pulmonary diseases and abnormal clearance of secretions
    3. Goals of bronchial hygiene therapy
    4. Bronchial hygiene techniques
      1. postural drainage
      2. directed cough and expulsion techniques
      3. PEP therapy
      4. high frequency and oscillation methods
      5. mobilization and exercise
    5. Patient's response to bronchial hygiene therapy
  6. Aerosol drug therapy and medications used for airway pharmacology
    1. Definition of aerosol
    2. Aerosol deposition
    3. Drug delivery systems
    4. Bronchodilator therapy
    5. Exposure to aerosolized drugs
    6. Classes of drugs
    7. Aerosol route
    8. Mode of action
    9. Indication
    10. Dosages
    11. Outcome of each drug therapy
  7. Indications for non-invasive ventilation
    1. Concept of non-invasive positive pressure ventilation
    2. Goals of NPPV
    3. Selecting patients for NPPV
    4. Types of ventilators used and modes to deliver NPPV
    5. Complications associated with NPPV
  8. Effects of nutrition
    1. Malnutrition
    2. Observation of malnourished patient
    3. Calorimetry
    4. Energy expenditure
    5. Effects of malnutrition on respiratory system
    6. Nutritional guidelines and pulmonary diseases
    7. Effects of respiratory medications on nutrition

5. Repeatability - Moved to header area.
6. Methods of Evaluation -
Methods of evaluation may include quizzes, midterm, final exam, clinical evaluation, lab performance, lab competencies, and lab final.
7. Representative Text(s) -
Tiffany Rush. Introduction to Procedures and Hospital Orientation Lab Manual
Wilkins, Stoller and Kacmarek. Egan's Fundamentals of Respiratory Care. 9th edition. St Louis: Mosby Year Book, Inc., 2009. ISBN 9781437742336
Wilkins and Wehrman. Workbook for Egan's Fundamentals of Respiratory Care. 9th edition. St Louis: Mosby Year Book, Inc., 2009. ISBN 9781437742336 (bundle)
Butler. Laboratory Exercises for Competency in Respiratory Care. Second Edition. F.A. Davis Company, 2009. ISBN 9780803613782

8. Disciplines -
Respiratory Therapy
9. Method of Instruction -
  1. Lecture
  2. Laboratory
  3. Clinicals
10. Lab Content -
  1. Aerosol drug therapy
    1. MDI
    2. DPI
    3. Spacers
    4. SVN
    5. Aerosolized medication
  2. Providing and maintaining artificial airways
    1. Endotracheal tubes
    2. Tracheostomy tubes
    3. Intubation models and equipment
    4. Resuscitation bags/masks
    5. Suction equipment
    6. Endotracheal and tracheostomy care
  3. Infection control
    1. Sterilization procedures
    2. Sterilization equipment
  4. Hyperinflation therapy
    1. Hyperinflation equipment
    2. Bronchial hygiene procedures
  5. Arterial blood gases
    1. Perform arterial blood gas sampling

11. Honors Description - No longer used. Integrated into main description section.
12. Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Chapter reading assignments
  2. workbook competencies related to course content.
13. Need/Justification -
This course is required core course for the A.S. degree in Respiratory Therapy.

Course status: Active
Last updated: 2014-03-20 17:11:26

Foothill CollegeApproved Course Outlines