STUDENT COURSE INFORMATION FANSHAWE COLLEGE OF APPLIED ARTS AND TECHNOLOGY HEALTH SCIENCES JANUARY 2010 RESP-1005 -- THEORY OF EQUIPMENT 2 Duration: 30 total course hours Credit Units: 2.00 *NOTE: The hours may vary. This course is a prerequisite for: RESP-3001 DIAGNOSTIC PROCEDURES 1 RESP-3002 MECHANICAL VENTILATION 1 RESP-3003 THERAPEUTIC MODALITIES Prerequisite(s) for this course: RESP-1001 THEORY OF EQUIPMENT 1 RESP-1003 LABORATORY PROCEDURES 1 RESP-1011 PHYSICS-RESPIRATORY THERAPY Co-requisite(s) for this course: NO COURSES Course Description: This is the second of a two-part course which introduces the student to the primary equipment used in the field of study. The subject matter includes in-depth analysis of all modes and types of equipment used for the therapeutics as outlined in the Detailed Content section. Vocational Learning Outcomes: Upon successful completion of this course, the student will be able to: 1. Discuss the therapeutic indications for the therapy devices and equipment as outlined in the Detailed Content section. 2. Explain the theory of operation, rationale for use and safety aspects for the therapy devices and equipment as outlined in the Detailed Content section. 3. Discuss the importance for appropriate equipment and procedure selection with regard to the patient's physical condition. Essential Employability Skills Learning Outcomes:
Essential Employability Skills Learning Outcomes Taught Reinforced Assessed or evaluated 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Communicate clearly, concisely and correctly in the written, spoken and visual form that fulfills the purpose and meets the needs of the audience. Respond to written, spoken or visual messages in a manner that ensures effective communication. Execute mathematical operations accurately. Apply a systematic approach to solving problems. Use a variety of thinking skills to anticipate and solve problems. Locate, select, organize and document information using appropriate technology and information systems. Analyze, evaluate and apply relevant information from a variety of sources. Show respect for the diverse opinions, values, belief systems and contributions of others. Interact with others in groups or teams in ways that contribute to effective working relationships and the achievement of goals. Manage the use of time and other resources to complete projects. Take responsibility for one's own actions, decisions and consequences. Detailed Content: OXYGEN ANALYSERS 1. Identify the types of oxygen analysing devices as listed below: i. Physical analyser ii. iii. iv. Thermoconductive analyser Galvanic analyser Polarographic analyser v. Mass spectrometry analyser
2. Describe each of the above analysers with regard to the following: i. Physical description and components ii. iii. iv. Theory of operation Effect of barometric pressure, temperature, heat and other gases of accuracy of reading Advantages and disadvantages of each for clinical application OXYGEN MASK THERAPY Therapeutic Application 1. State the purpose of oxygen therapy 2. State the indications for oxygen therapy 3. State the contraindications for and complications of oxygen therapy 4. Identify and describe the methods utilized for needs assessment for oxygen therapy Oxygen Delivery Systems 1. Identify the types of oxygen therapy devices as listed below: a. Low-Flow Systems: Non-specific Therapy i. Nasal Cannula ii. iii. Nasal Catheter Transtracheal Catheter b. Reservoir Systems: Non-specific Therapy i. Reservoir Cannula: Moustache; Pendant
ii. Reservoir Mask: Simple; Partial-Rebreather; Non-Rebreather c. High-Flow Systems: Specific Therapy i. Air-Entrainment Mask: High Air-Flow with Oxygen Enrichment (HAFOE), Vapotherm, Hi-Ox ii. Air-Entrainment Nebulizer: LVN, MistyOx, with Aerosol Mask or T-piece, or Face Tent or Tracheostomy Mask 2. Describe each of the above delivery devices with regard to the following: a. Physical description and components b. Theory of operation c. Therapeutic value ranges for oxygen flowrates and concentrations d. Safety features e. Clinical applications f. Advantages and disadvantages Oxygen:Air Blenders 1. Identify and describe the oxygen:air blender device 2. Describe the blender with regard to the following: a. Physical description and components b. Theory of operation: Alarm Module, Pressure-balancing Module, Proportioning Module c. Clinical application of the oxygen:air blender ENVIRONMENTAL CONTROL Thermoregulation and Heat Production/Loss
1. State the 3 methods of thermogenesis in neonates 2. Describe thermoregulation of neonates 3. Describe the 4 methods of heat loss in the neonates 4. Define and describe the pathology of cold stress 5. State the physiological consequences of cold stress 6. Describe how to minimize heat loss in the neonate 7. Describe the term Neutral Thermal Environment and its clinical application Environmental Control Devices ECDs 1. Identify and describe the following environmental control devices: a. Incubator: Fully-enclosed or Over-head radiant styles b. Oxygen Hood: With or without incubator c. Croup (Mist) Tent: 2. Describe each of the above devices with regard to: 3. Purpose and clinical applications 4. Theory of operation 5. Set-up and maintenance 6. Safety features ARTIFICIAL AIRWAYS Oropharyngeal Airways
1. Identify the following oropharyngeal airways: a. Guedel d. Brooks b. Berman e. S-Tube c. COPA f. Mouth-to-Mask 2. Describe each of the oropharyngeal airways with regard to: a. Indications for the airway b. Physical description and components c. Sizing and insertion techniques d. Clinical applications e. Advantages and disadvantages Nasopharyngeal Airways 1. Identify the following nasopharyngeal airways: a. Trumpet or flared b. PVC or Latex 2. Describe each of the nasopharyngeal airways with regard to: a. Indications for the airway b. Physical description and components c. Sizing and insertion techniques d. Clinical applications e. Advantages and disadvantages Esophageal Airways 1. Identify the following esophageal airways:
a. Esophageal Obturator Airway - EOA b. Esophageal Gastric Tube Airway - EGTA c. Pharyngeal Tracheal Lumen Airway PTLA d. Combi-Tube Airway e. King LT Airway f. Laryngeal Mask Airway - LMA 2. Describe each of the esophageal airways with regard to: a. Indications for the airway b. Physical description and components c. Sizing and insertion techniques d. Clinical applications e. Advantages and disadvantages Oral Endotracheal Tube Airways - OETT 1. Describe the oroendotracheal airway with regard to: a. Indications for the airway b. Physical description and components c. Sizing and insertion techniques d. Clinical applications e. Advantages and disadvantages Nasal Endotracheal Tube Airways - NETT 1. Identify and describe the various styles of nasoendotracheal airways with regard to: a. Indications for the airway
b. Physical description and components c. Sizing and insertion techniques d. Clinical applications e. Advantages and disadvantages Specialty Endotracheal`Airways 1. Identify the following speciality endotracheal airways: a. Endobronchial g. LanzR b. EndotrolR h. Laser c. ColeR i. RAER d. Hi/Lo JetR j. Reinforced e. Foam-cuffed k. Larygectomy f. EVAC Tub 2. Describe each of the speciality airways with regard to: a. Indications for the airway b. Physical description and components c. Sizing and insertion techniques d. Clinical applications e. Advantages and disadvantages Tracheostomy Tubes
1. Identify the following tracheostomy airways: a. Double-lumen e. Laryngectomy b. Fenestrated f. Double-cuff (SalpeckerR) c. Jackson g. Speaking d. Trach Button h. Passy-Muir Speaking Valve 2. Describe each of the tracheostomy airways with regard to: a. Indications for the airway b. Physical description and components c. Sizing and insertion techniques d. Clinical applications e. Advantages and disadvantages 3. Describe the procedure for care of the tracheostomy tube and inner cannula 4. Describe the procedure for changing the tracheostomy tube. Airway Cuffs 1. State the purpose of airway cuffs 2. State the complications of airway cuffs 3. Describe the low-volume, high-pressure cuff 4. Describe the high-volume, low-pressure cuff 5. Describe the minimal occluding volume (MOV) technique for cuff inflation 6. Describe the minimal leak technique 7. State the importance of monitoring cuff pressures 8. Describe the technique for cuff deflation Testing and Tube markings
1. Describe the construction and materials of various artificial airways 2. Describe the methods used in testing the material of artificial airway 3. Describe all markings found on artificial airways 4. State the regulating agencies and their identification for artificial airways MANUAL RESUSCITATOR SYSTEMS Self-Inflating Resuscitator Systems 1. State the purpose of the self-inflating resuscitator system. 2. Identify and describe the following components - a. Bag body (size): Infant, Child or Adult b. Bag refill system c. Patient valve system d. Exhalation valve assembly 3. Identify and describe the oxygen reservoir system with regard to: a. Style: Open or Closed 4. List the oxygen flowrate ranges and concentrations with and without the oxygen reservoir system 5. Describe the safety features of the self-inflating bags and oxygen reservoir systems 6. Describe the method of spontaneous breathing with regard to self-inflating bags 7. Describe the factors that affect tidal volume and oxygen concentration duringmanual bag ventilation 8. List advantages and disadvantages of a self-inflating manual resuscitator 9. Ventilate a mannequin using the self-inflating resuscitator with a face-mask attached
Flow-Inflating Resuscitator Systems 1. State the purpose of the flow-inflating resuscitator system 2. Identify the components 3. Describe the safety features as incorporated into the system 4. Describe the method of spontaneous breathing 5. List advantages and disadvantages of the gas-powered resuscitator 6. Ventilate a mannequin using the gas-powered resuscitator with a face-mask attached Gas-Powered Resuscitator Systems 1. State the purpose of the gas-powered resuscitator 2. Describe the components of this resuscitator 3. Describe the safety features incorporated into this resuscitator 4. List advantages and disadvantages of the gas-powered resuscitator 5. Ventilate a mannequin using the gas-powered resuscitator with a face-mask attached Week Topic Assignments 1 Nasal Oxygen Therapy 2 Mask Oxygen Therapy 3 Cont& 4 Environmental Control Devices Assignment 1 5 Cont& 6 Family Day Holiday no class 7 TEST 1, Assignment 2
8 Pharyngeal Airways, Esophageal Airways 9 Cont& 10 Endotracheal Airways 11 Speciality & Pediatric Endotracheal Airways Assignment 3 12 Tracheostomy Tubes, Tracheostomy Care 13 Resuscitation Bags: Self-inflating, Flow-inflating Assignment 4 14 Review 15 Exam Week no Labs Required Learning Resources: 1. Cairo, J.M., Pilbeam, S.P., Mosby's Respiratory Care Equipment, 8th ed., 2010; Elsevier 2. Wilkins, R.L., Stoller, J.K., Kacmarek R.M., Egan's Fundamentals of Respiratory Care, 9th ed. 2009; Elsevier. Method Of Evaluation: The final mark/grade for this course will be determined as follows: The student must achieve a minimum final average course grade of 60% (C) in order to pass this course. Written examinations: Method Percentage Test 1 40% Test 2 40% Assignments, quizzes 20% TOTAL 100% NOTE: Test and assignment due dates, etc. will be provided by the professor at the beginning of the course. Consult the Program Division Policy for additional information on course evaluation and progression.
Grade Range Comment Grade Point A+ 90-100 Distinguished 4.2 A 80-89 4.0 B+ 75-79 3.5 B 70-74 3.0 C+ 65-69 2.5 C 60-64 2.0 D+ 55-59 1.5 D 50-54 Marginal 1.0 F 0-49 Unsatisfactory 0 P greater than 50 Pass N/A I N/A Incomplete N/A N N/A No Credit Achieved N/A W N/A Withdrawn N/A X N/A Audit N/A CHEATING - All forms of cheating are considered an academic offence and the College has a clear policy on cheating. Please refer to Policy 2-G-04 on Fanshawe Online or in the Student Handbook. PLAGIARISM - Plagiarism is cheating and an appropriate penalty will be applied and a report will be placed in the student's file in conformance with College Policy 2-G-04 on cheating. Plagiarism (the intellectual dishonesty resulting from a student's failure to acknowledge indebtedness to sources used) is a serious academic offence that shall result in appropriate penalties, to be determined at the discretion of the course professor in consultation with the Divisional Chair. Plagiarism includes, but is not limited to, submitting the same work to more than one professor for credit in different courses without prior written permission from the professors. Penalties shall range from failure of an assignment to possible failure of the course. REWRITES - Students cannot make the assumption that any provision will be made by the professor to permit a student to rewrite failed assignments or tests. Turnitin.com As part of Fanshawe College's commitment to fostering excellence in student assignments, this course may require students to submit their papers to Turnitin.com. This Web service is designed to help students understand the importance of identifying borrowed work in their essays, and how to correctly cite research sources. Instructions for how to use Turnitin.com will be provided by the professor, and additional information is available at www.turnitin.com. Additional Information: Consult your Program Outline for information concerning the minimum passing grade needed for this course. Prepared By: Sandy Annett RRT The following applies for course offerings consistent with the Standard Academic Calendar: Internal/External Course Credit Application Deadline Applications for Internal/External Course Credit are available from the Office of the Registrar. Check
college calendar for deadlines. Course Add/Drop Deadline You may withdraw from a course without academic penalty during the first 70% of the course duration. Application is made through the Office of the Registrar. Academic Assistance The primary resource for students experiencing difficulty with course material is the course professor. In addition, students who wish to attend study skills workshops or who require further assistance, can contact the Learning Centre in A2019 (519 452 4265) for one-to-one tutoring from staff in math, physics, chemistry and english, or they can contact Counselling and Student Life in F2010 (519 452 4282) for information about receiving peer tutoring. Student Success Advisors are available to assist students with academic concerns or other problems they may face while at Fanshawe. They can either assist you directly, or refer you to the appropriate resource on campus to get the help you need. Contact information for your Student Success Advisor can be found on the Web at http://www.fanshawec.ca/en/ssa/14317/advisors.asp. Students who have been identified as having (or who wish to be assessed for) a specific learning disability, should contact Disability Services F2010 (519 452 4282) in Counselling and Student Life for information about available support services. Re-taking a Course: Subject to meeting any pre-requisite or co-requisite requirements, a student may retake a course. The second re-take must be approved by the Academic Manager or designate and will be granted based on extenuating circumstances and with recommended interventions such as counselling or a learning contract. Subsequent re-take opportunities will only be available as part of an overall success strategy developed in consultation with the student, program co-ordinator and the Academic Manager. The best grade achieved will be used in calculating the cumulative GPA. Related Policies Course Grade System - See College Policy 2-C-04 Prior Learning Assessment and Recognition - See College Policy 2-A-10 Evaluations - See College Policy 2-C-02 Academic Standing - See College Policy 2-C-05 Student Appeal of a Grade or Other Academic Decision - See College Policy 2-G-02 Academic Withdrawal and Termination - See College Policy 2-C-06 Academic Offences - See College Policy 2-G-04 Student Code of Conduct Policy - See College Policy 2-G-01 Respectful College Community Policy - See College Policy 1-B-46 Authorized By: Date: JANUARY 2010