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Effective: Summer 2015
RSPT 70DCLINICAL ROTATION IV8 Unit(s)

Prerequisites: Prerequisite: RSPT 70C.
Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
24 hours clinical laboratory. (288 hours total per quarter)

Student Learning Outcomes -
  • Evaluate and apply advanced diagnostic data to respiratory therapy techniques and the patient's illness.
  • Identify indications, contraindications, hazards, and method of evaluating effectiveness of all therapies administered.
Description -
Continuation of RSPT 70C. Further clinical experience with ventilation and special procedures of surgical, medical, neonatal, and pediatric intensive care, offered as options for remediation. Assignment dependent upon demonstrated student needs. Mini-rotations offered to qualified students, depending on interest. Intended for students in the respiratory therapy program.

Course Objectives -
The student will be able to:
  1. Demonstrate clinical proficiency with ventilation and special procedures for adult patients
  2. Demonstrate clinical proficiency with ventilation and special procedures for pediatric patients
Special Facilities and/or Equipment -
Name tag, watch with second hand, stethoscope.

Course Content (Body of knowledge) -
  1. Adult Surgical/Medical (Respiratory) Intensive Care
    1. Selecting appropriate ventilator.
    2. Establishing initial settings.
    3. Changing settings with changing patient response.
    4. Monitoring patient/ventilator system.
    5. Changing ventilator tubing.
    6. Troubleshooting patient problems.
    7. Troubleshooting ventilator tubing.
    8. Application of PEEP (CPPV).
    9. Application of CPAP (CPPB).
    10. Application of IMV (or SIMV).
    11. Application of pressure support.
    12. Application of pressure control.
    13. Weaning patient.
  2. Neonatal/Pediatric Intensive Care
    1. Selecting appropriate ventilator.
    2. Establishing initial settings.
    3. Changing settings with changing patient response.
    4. Monitoring patient.
    5. Monitoring ventilator.
    6. Changing ventilator tubing.
    7. Troubleshooting patient problems.
    8. Troubleshooting ventilator tubing.
    9. Application of PEEP (CPPV).
    10. Application of CPAP (CPPB)
    11. Application of IMV (or SIMV).
    12. Application of pressure support.
    13. Application of pressure control.
    14. Weaning patient in various combinations.
Methods of Evaluation -
The student will demonstrate proficiency by successfully completing competency checklists and by daily evaluations conducted by clinical preceptors.4
Representative Text(s) -
No text required.

Disciplines -
Respiratory Technologies
 
Method of Instruction -
Clinical observation and performance, and demonstration of clinical skills.
 
Lab Content -
  1. Adult Surgical/Medical (Respiratory) Intensive Care
    1. Selecting appropriate ventilator.
    2. Establishing initial settings.
    3. Changing settings with changing patient response.
    4. Monitoring patient/ventilator system.
    5. Changing ventilator tubing.
    6. Troubleshooting patient problems.
    7. Troubleshooting ventilator tubing.
    8. Application of PEEP (CPPV).
    9. Application of CPAP (CPPB).
    10. Application of IMV (or SIMV).
    11. Application of pressure support.
    12. Application of pressure control.
    13. Weaning patient.
  2. Neonatal/Pediatric Intensive Care
    1. Selecting appropriate ventilator.
    2. Establishing initial settings.
    3. Changing settings with changing patient response.
    4. Monitoring patient.
    5. Monitoring ventilator.
    6. Changing ventilator tubing.
    7. Troubleshooting patient problems.
    8. Troubleshooting ventilator tubing.
    9. Application of PEEP (CPPV).
    10. Application of CPAP (CPPB)
    11. Application of IMV (or SIMV).
    12. Application of pressure support.
    13. Application of pressure control.
    14. Weaning patient in various combinations.
 
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
Students are expected to complete college-developed ICU Worksheets to demonstrate their understanding of each of their patients' conditions and treatments. These worksheets include writing of narratives on the assessment and therapy plan for each patient.