COURSE SYLLABUS AND INSTRUCTOR PLAN

Transcription

1 WACO, TEXAS COURSE SYLLABUS AND INSTRUCTOR PLAN Respiratory Care Procedures I RSPT Donna Mendoza Spring 2011

2 Procedures I RSPT Course Description: This course provides essential knowledge of the equipment and techniques used in the treatment of cardiopulmonary disease. Content areas include: oxygen therapy, humidity and aerosol therapy, lung expansion therapy, bronchial hygiene therapy, and pulse oximetry. Semester Hours 4 (3 lec/4lab) Prerequisites and/or Corequisites: RSPT 1371 Instructor Information: Instructor Name: Donna Mendoza MCC dmendoza@mclennan.edu Office Phone Number: Office Location: HC #120 Office/Teacher Conference Hours: Monday or Wednesday - by appointment or via Tuesday: 1:30pm-4:00pm Thursday: 1:30pm-4:00pm By appointment call 254/ or dmendoza@mclennan.edu to make an appointment Required Text & Materials: 1. Wilkins, Robert/Stoller, James K. /Kacmarek, Robert M., Egan s Fundamentals of Respiratory Care 9 th Edition St. Louis, Missouri: Mosby Inc., an affiliate of Elsevier ISBN# Cairo, J. M. /Pilbeam, Susan P., Mosby s Respiratory Equipment 8 th Edition St. Louis, Missouri: Mosby ISBN# MCC Bookstore Website 2

3 Methods of Teaching and Learning: My lectures are conducted via PowerPoint presentations and handouts in the classroom. In Lab, hands on teaching and demonstrations are used with respiratory care equipment. The methods to evaluate learning in this class include written exams and demonstrating and passing competencies in the laboratory setting. Course Objectives and/or Competencies: The student will learn to: Oxygen Therapy 1. Gas delivery, metering and clinical analyzing devices Manipulate by order or protocol and maintain infection control for gas delivery, metering, and clinical analyzing devices, including gas cylinders, regulators, reducing valves, connectors and flow meters, and air / oxygen blenders; including air compressors Perform quality control for gas metering devices (flow meters) 2. Oxygen therapy administration devices Manipulate oxygen therapy by order or protocol and maintain infection control for oxygen administration devices Low flow devices High flow devices High flow nasal cannula 3. Administering oxygen therapy Achieve respiratory support by administering oxygen therapy Measure the FIO 2 and/or oxygen flow to evaluate and monitor the patient's objective and subjective response to oxygen therapy; independently modify oxygen therapy or recommend changes in oxygen therapy based on the patient s response, including changing the mode of administration, flow, or FIO 2, including setting up or changing an O 2 blender 4. Pulse oximetry Perform pulse oximetry Manipulate and assure infection control for pulse oximetry Monitor, evaluate and interpret the patient s subjective and objective response to oxygen therapy with pulse oximetry; recommend modifications in the patient s oxygen therapy 5. Other therapeutic gases Manipulate by order or protocol and maintain infection control for helium/oxygen therapy (He/O 2 or heliox) Independently modify helium/oxygen therapy based on the patient s response to change the mode of administration or adjust the flow or gas concentration

4 Humidity and Aerosol Therapy 1. Manipulate (operate and control) by order or protocol humidifiers nebulizers 2. Independently modify and alter continuous humidity or aerosol therapy based on the patient s response, according to protocol: change type of equipment and change aerosol output adjust temperature of the aerosol (nebulizer) or humidifier change type of humidification equipment to manage the artificial airway 3. Initiate (administer) and modify aerosol therapy with prescribed drugs Manipulate (operate and control) aerosol therapy with these devices: metered dose inhalers (MDI) and dry powder inhalers (DPI) Communicate results of aerosolized medications and alter therapy according to protocol and independently modify therapy based on the patient s response: modify patient breathing patterns change type of equipment and change aerosol output change dilution of medication Bronchial Hygiene - Airway Clearance 1. Manipulate (operate and control) by order or protocol: percussors and vibrators high frequency chest wall oscillators (HFCWO) positive expiratory pressure (PEP) devices vibratory PEP devices 2. Initiate and modify bronchial hygiene procedures to remove bronchopulmonary secretions: postural drainage, percussion and vibration airway clearance using mechanical devices such as HFCWO and vibratory PEP 3. Assess a patient's overall cardiopulmonary status by inspection to determine cough, sputum amount and character 4. Instruct and encourage the patient to cooperate with bronchopulmonary hygiene techniques 5. Independently modify bronchial hygiene therapy, based on the patient s response 6. Recommend modifications of the respiratory care plan based on the patient s response to the institution of bronchopulmonary hygiene procedures; consider altering the patient s position and frequency and duration of therapy and techniques; coordinate sequence of therapies, e.g., chest percussion, postural drainage, PEP

5 Procedures I RSPT Deep Breathing and Incentive Spirometry Techniques 1. Achieve adequate respiratory support by deep breathing and incentive spirometry techniques; instruct the patient in deep breathing and incentive spirometry techniques 2. Manipulate incentive breathing devices by order or protocol, assuring infection control 3. Independently modify incentive spirometry techniques, based on the patient s response Intermittent Positive Pressure Breathing IPPB 1. Manipulate (operate and control) by order or protocol the IPPB breathing circuit 2. Initiate, adjust and modify IPPB therapy to achieve adequate respiratory support 3. Independently modify IPPB therapy, based on the patient s response Course Outline: Unit I Oxygen Therapy Unit II Humidity and Aerosol Therapy Unit III Lung Expansion Devices Unit IV Bronchial Hygiene Airway Clearance Devices 5

6 Procedures I RSPT Course Schedule: Spring 2011 Date Topic Notes January 11, 13, 18, 20, 25 and 27 Manufacture, Storage and Transport of Medical Gases Regulators and Flowmeters Devices for Administering Medical Gases Ch. 2 Mosby s Ch. 37 Egan s Ch. 3 Mosby s Ch. 3 Mosby s Ch. 38 Egan s February 1 st Exam1 Date Topic Notes Feb. 3, 8, 10, 15, 17 and 22 Humidity and Aerosol Therapy Aerosol Drug Therapy February 24th Exam 2 Ch.4 Mosby s Ch. 35 & 36 Egan s Date Topic Notes March 1, 3, 15, 22, 24 and 29 Lung Expansion Devices Incentive Spirometer Intermittent Positive Pressure Breathing- General Principles IPPB equipment and troubleshooting Positive Airway Pressure Ch. 7 Mosby s Ch. 39 & 40 Egan s March 17th Exam #3 Incentive Spirometry and General Principles of IPPB March 31 th Exam #4 IPPB equipment, troubleshooting IPPB and PAP Spring Break March 7-11 th 6

7 Date Topic Notes April 5, 7, 12, 14, 19, 21, and 26 Bronchial Hygiene Airway Clearance Postural Drainage Postural Drainage with percussion Directed Cough and Expulsion techniques Pep Therapy High Frequency Compression/ Oscillation and Flutter valve therapy Egan s Ch. 40 Mosby s Ch. 7 April 28 st Exam 5 Comprehensive Final Exam Tuesday May 3 rd Dates are subject to change. You will be notified in class and on Blackboard.

8 RSPT and.02 Spring 2011 LABORATORY SCHEDULE: Dates Topic/Assignment Notes January 14 Cylinder change out E and H cylinder S09. Nasal-Cannula January 21 and 28 Oxygen Therapy S10. Simple Mask S11. Partial Rebreather Mask S12. Non-Rebreather Mask S13. Air Entrainment Mask February 4 and 11 Small Volume Nebulizer S23. Small Volume Nebulizer February 18 MDI and DPI administration S21. Metered Dose Inhaler S22. Dry Powder Inhaler February 25 and March 4 Continuous Aerosol S16. Face tent S17. Face mask S18. Trach collar S19. T-piece March 7 11 Spring Break March 25 Incentive Spirometry S24. Incentive-Spirometry April 1 and 8 IPPB S25. IPPB April 15 and 29 Chest Physiotherapy (CPT) S26. Chest Physiotherapy April 22 Good Friday Holiday SCANS COMPETENCIES: ** The Secretary s Commission for Achieving Necessary Skills, (SCANS), are incorporated into the learning outcomes and activities for the course. Acquires and evaluates information. (C5) Selects and analyzes information and communicates results. (C7) Locates, understands, and interprets written information. (F1) Performs basic computations. (F3) Approaches practical problems by choosing appropriately, mathematical techniques. (F4) Evaluates and chooses best alternative. (F8) Uses logic to draw conclusions. (F12)

9 Procedures I RSPT Course Grading Information: COURSE REQUIREMENTS: In order to satisfy laboratory assignments, the student must receive a satisfactory for each competency. All students must meet the course requirements to be successful in this course and continue within the program. GRADING SYSTEM: Grading is based on a percentile system. Each examination will be graded on a scale of 100 % according to the following scale: % = A 80-89% = B 70-79% = C 60-69% = D 59% or less = F The semester grade will be determined by 1. Exams, including final exam = 85% of the course grade 2. Competency evaluations 15% of the course grade Phase II of the competencies will be graded using a rubric. The rubric scale consists of 5 specialized areas which includes the following: Cognitive skills-the ability of the student to implement the therapy with the understanding of indications, contraindications and hazards of therapy based on the AARC Clinical Practice Guidelines, where applicable. Psychomotor skills- Able to assemble and adjust equipment to achieve the goals of the respiratory therapy without hesitation or help. Terminology/Affect-able to use correct terminology and proper English grammar throughout the preparation, implementation, and follow up phases. Time Management- Time to complete the competency meets an accepted time limit. A grade less than 80 will require the student to repeat the competency. Each attempt will be graded and count toward the course grade. If a student requires more than 2 attempts at successfully completing a Phase II, the student must meet with the instructor to resolve the problem areas and the student may be advised to withdraw from the course. 3. Completion of competencies Completion of each competency, noted on the DataArc form as Summary Performance Evaluation, will be evaluated as satisfactory, based on the satisfactory completion of the steps outlined on the DataArc competency. To satisfy grading requirements, students must complete and receive a Summary Performance Evaluation of satisfactory on all the competencies. Failure to complete all competencies will result in an Incomplete in the course. RSPT 1411 Syllabus 2010 Page 9

10 Late Work, Attendance, and Make Up Work Policies: Make-up work: Students are responsible for all material presented or assigned in class and lab. Students will be held accountable for such materials in the determination of course grades. If a student misses an exam, the student must provide proof of illness, or illness of a family member for whom the student is a caretaker (e.g., single parent), death in the family or approved college activity. Otherwise the student will receive a zero for that exam. Exams will be made up in the MCC testing center within one week following the date the exam was administered. If a student fails to follow these instructions for making up an exam, the student will receive a zero for that exam. Call the Testing Center or Michelle Johnson at mjohnson@mclennan.edu in order to schedule an appointment to take the test. The Testing Center s number is Students must set up their appointments at least 24 business hours in advance. The Testing Center is concerned with the security of the test environment and students personal belongings. Students are not allowed to keep personal belongings such as backpacks, purses, shopping bags, and electronic devices with them when they are testing. Please inform your students to bring with them only the items they need to test including a photo ID. Hours for Instructional testing are: The Testing Center is open Monday Thursday from 8 am 7:00 pm and Fridays from 8 am 4:00 pm. If a student misses a lab and provides documentation of illness, or illness of a family member for whom the student is a caretaker (e.g., single parent), death in the family or approved college activity, the student must make up the lab the following week. If the student cannot provide documentation to meet the class requirements for absences from lab or the student doesn t make up the lab during the week following the absence from lab, the student will be withdrawn from the course. ATTENDANCE POLICY Regular and punctual attendance is expected of all students, and a complete record of attendance will be maintained for the entire length of each course. Students will be counted absent from class meetings missed, beginning with the first official day of classes. Students, whether present or absent, are responsible for all material presented or assigned for this course and will be held accountable for such materials in the determination of course grades. Absence from 25 percent of scheduled lecture meetings (8) or labs (4) meetings will be taken as evidence that a student does not intend to complete the course, and the student will be withdrawn from the course with a grade of W. The instructor may reinstate the student if satisfied that the student will resume regular attendance and will complete the course. If the student s 25 percent absences from lecture classes (8) or labs (4) meetings are reached after the official drop date, the instructor may assign a W, if the student is passing and requests to be withdrawn. However, if a student who is not passing reaches the 25 percent point after the official drop date, the student will receive an F. In

11 Procedures I RSPT extenuating circumstances, the instructor may assign a W to a student who is not passing. Each absence will count toward attendance requirements in this course. Students will be permitted to make up class work and assignments missed due to absences caused by (1) authorized participation in official College functions, (2) personal illness, (3) an illness or a death in the immediate family, or (4) the observance of a religious holy day. Also, the instructor has the prerogative of determining whether a student may make up work missed due to absences for other reasons. It is the student s responsibility to inform the instructor of the reason for an absence and to do so in a timely fashion. Students are expected to be in class, on time. If a student is tardy 3 times, it will be counted as 1 absence. Attendance will be taken at each class meeting. Lab absences will be monitored the same as above. Coming tardy or leaving early will not be permitted without consequences. Three tardies will be counted as one absence and leaving early will be counted as an absence. Please refer to the Highlander Guide for the complete policy. Note: A student may be exempt from the final exam if there are no tardies and no more than 3 absences. Student Behavioral Expectations or Conduct Policy: Students are expected to maintain classroom decorum that includes respect for other students and the instructor, prompt and regular attendance, and an attitude that seeks to take full advantage of the education opportunity. Cell phones and other electronic devices, and PERSONAL TELEPHONE CALLS: All cellular phones and other electronic devices must be turned off at the beginning of class. The student will be notified of an emergency telephone call by the health careers secretary at (254) No personal phone calls (non-emergency) will be accepted. Texting during class will result in withdrawal of that student from this course. Students may use lap top computers to access class work during class. Accessing other material or web sites during class will result in withdrawal of that student for this course. NO EXCEPTIONS. RSPT 1411 Syllabus 2010 Page 11

12 MCC Academic Integrity Statement: The Center for Academic Integrity, of which McLennan Community College is a member, defines academic integrity as a commitment, even in the face of adversity, to five fundamental values: honesty, trust, fairness, respect, and responsibility. From these values flow principles of behavior that enable academic communities to translate ideals into action. Individual faculty members determine their class policies and behavioral expectations for students. Students who commit violations of academic integrity should expect serious consequences. For further information about student responsibilities and rights, please consult the McLennan website and your Highlander Student Guide. ADA Statement: In accordance with the requirements of the Americans with Disabilities Act (ADA), and the regulations published by the United States Department of Justice 28 C.F.R (a), MCC s designated ADA co-coordinators, Mr. Gene Gooch - Vice President, Finance and Administration and Dr. Santos Martinez Vice President, Student Services shall be responsible for coordinating the College s efforts to comply with and carry out its responsibilities under ADA. Students with disabilities requiring physical, classroom, or testing accommodations should contact Mr. Marcus Sweatt, Disabilities Specialist, at or msweatt@mclennan.edu.