Seward County Community College
Course Syllabus

1. TITLE OF COURSE: RT1137 - Respiratory Therapy Procedures II - Spring 2009
2. COURSE DESCRIPTION: Seven credit hours. This is a four-hour theory, one-hour laboratory, and two-hour clinical course. Through classroom discussion and laboratory/clinical experiences, the student will develop an appropriate knowledge base of respiratory care protocols utilized when providing care to critically ill patients. Respiratory care is delivered through the application of the respiratory care process. Course content includes arterial blood gases, airway management, suctioning, intubation, extubation, and IPPB therapy. This course has a theory, laboratory and clinical component. The clinical component and laboratory is graded pass/fail and the theory with a letter grade. If either component is failed, the concurrent component is also failed. Prerequisite: Admission to the Respiratory Therapy Program and successful completion of Respiratory Therapy Procedures I.
3. DIVISION/DEPT/PROGRAM MISSION STATEMENT: The respiratory therapy program will provide an educational forum responsive to the needs of the health care community, focusing on cost-effectiveness and emphasis to maximize professional potential and contribute to quality patient care.
4. TEXTBOOK AND MATERIALS:
   • Required:
     • Wilkins, R.L., Stoller, J.K., and Scanlan, C.L. (2009). Egan's fundamentals of respiratory care. (9th ed). St. Louis: Mosby.
     • Cairo, J.M., and Pilbeam, S.P. (2004). Mosby's respiratory care equipment. (7th ed). St. Louis: Elsevier.
     • Wilkins, R.L., Sheldon, R.L., and Krider, S.J. (2005). Clinical assessment in respiratory care. (5th ed). St. Louis: Mosby.
     • AARC Clinical Practice Guidelines -- Internet
     • RT, Respiratory Care Journal
5. SCCC OUTCOMES: Students who successfully complete this course will demonstrate the ability to do the following SCCC Outcomes.
   • Outcome #2 Communicate ideas clearly and proficiently in writing, appropriately adjusting content and arrangement for varying audiences, purposes, and situations.
   • Outcome #6 Exhibit skills in information and technological literacy.
6. GENERAL COURSE OUTCOMES: Upon completion of this course each student should be able to:
   • Evaluate the clinical need for artificial airways.
   • Compare and contrast the different techniques used to maintain patent airways in patients with airway obstruction.
   • Describe the circumstances requiring airway suctioning.
   • Demonstrate appropriate communication skills and behaviors when working with fellow students, physicians, instructors, and other health care providers.
   • Identify major structures of the upper airway.
   • Recommend appropriate therapy based on the patient assessment.
   • Evaluate patient outcome and recommend modification to respiratory care plan, as indicated.
   • Compare and contrast the various infection control methods used in respiratory care equipment.
   • Differentiate the special categories of patient isolation, including acceptable modification of these precautions.
   • Apply basic physics to the practice of respiratory care.
   • Analyze arterial blood gas results and make appropriate ventilatory changes.
   • Identify, describe, and recommend appropriate respiratory care procedures and equipment to be used in the support and treatment of cardiopulmonary disorders.
   • Demonstrate laboratory and clinical proficiency in selection, assembly, application, monitoring, and troubleshooting various pieces of respiratory therapy equipment.
   • Demonstrate laboratory competency by successfully completing the following performance evaluations:
     • Arterial Blood Gas
     • Intubation
     • Extubation
     • Nasotracheal Suctioning
     • Endotracheal Suctioning
     • Tracheostomy Suctioning
     • Oxygen Analyzer
     • Oxygen Tent
     • Oxyhood
     • Ultrasonic Nebulizer Therapy
     • Oxygen Administration using Heated Nebulizers, via T-Tube and Trach mask
   • Demonstrate Clinical Competency by successfully completing the following performance evaluations:
     • Adult Floor Therapy Competencies:
       • Nasal Cannula
       • Simple Mask
       • Partial Rebreathing
       • Non-Rebreathing
       • Air Entrainment
       • Transport with Oxygen
       • Aerosol Face Tent
       • Aerosol Face Mask
       • Ultrasonic Nebulizer
       • Incentive Spirometry
       • Chest Physiotherapy
       • Coughing
       • Breathing Exercises
       • Mucous Clearing (Flutter, PEP)
     • Adult Diagnostics
       • Spirometry
       • Diffusion Study
       • Arterial Blood Gas Sampling
       • Arterial Blood Gas Analysis
     • Pediatric Floor Competencies:
       • Incentive Spirometry
       • Chest Physiotherapy
       • Mucous Clearances Adjunct (Flutter, PEP)
       • Nasal Cannula
       • Simple Mask
       • Non-Rebreathing Mask
       • Air Entrainment Mask
       • Transport with Oxygen
       • Aerosol Tent
       • Aerosol Face Mask
       • Ultrasonic Nebulizer
     • Adult Generic Floor Competencies
       • Oxygen Analyzer
     • Physician Contact Hours - 20
   • Demonstrate laboratory and clinical proficiency in selection, assembly, application, monitoring, and troubleshooting various pieces of respiratory therapy equipment.
7. COURSE COMPETENCIES: Clinical Course Competency Exam
   A minimum of 75% must be scored on clinical course competency exam.
8. TOPICAL COURSE OUTLINE:
   • Arterial Blood Gas Technique
   • Airway Management
     • Simple Artificial Airways and Manual Airway Techniques
     • Endotracheal Tubes, Tracheostomy Tubes, Endotracheal Intubation
     • Airway Suctioning
     • Patient Assessment and Endotracheal Extubation
   • Intermittent Positive Pressure Breathing
   • CPAP
   • Pediatric/Neonatal Mechanical Ventilation
   • Final
9. INSTRUCTIONAL METHODS:
   • Textbooks and Journals
   • Lecture and Discussion
   • Laboratory and Clinical Assignments
   • Out of Class Assignment
   • Overheads
   • Audiovisuals
10. INSTRUCTIONAL AND RESOURCE MATERIALS:
    • Textbooks and Journals
    • Audiovisual Materials
    • Laboratory Equipment
    • Laboratory and/or Clinical Assignments
    • Computer Tutorials and Simulations
    • Internet Resources
11. METHODS OF ASSESSMENT:
    • 65% - Unit Exams
    • 15% - Quizzes, Homework, Article Reviews
    • 05% - Attendance Clinicals
    • 15% - Final
      
      In addition to the minimum of a grade "C" obtained in each required class, an average of at least 75% is required on unit exams in each respiratory therapy course to receive a passing grade. Failure to achieve an end semester average of less than 75% the student will be ineligible to continue with the program.
      
      
    • SCCC Outcome #2 will be assessed and measured by written assignments and student presentations throughout the course.
      SCCC Outcome #6 will be assessed and measured by completion of respiratory laboratory skills, clinical performance evaluations and student demonstrations of respiratory equipment.
      
12. ADA STATEMENT: If you believe that you are entitled to special accommodations under the Americans with Disabilities Act, please contact the Dean of Student Services at 620-417-1016 or visit the office located in the Hobble Academic Building.
    
    
    01/05; 12/05; 12/06; 11/07; 12/08