Lone Star College - Kingwood
Respiratory Care Program
RSPT 2353: Neonatal/Pediatric Cardiopulmonary Care
Spring 2008
Instructor: Fiona B. Campbell BS, RRT-NPS,
RCP
Office: 20,000 Kingwood Dr.
Kingwood, TX
77339
HSB 202-D
Phone: 281-312-1599
Office Hours: Monday 1:00 – 3:00 pm, Tuesday 10:00am –
2:00pm; All others by appointment
e-mail: fiona.b.campbell@lonestar.edu
Credit: 3 credit
hours with 2 hours lecture /4 hours lab
Prerequisites: Departmental
Approval
Course Description: A study of acute
care, monitoring and management as it applies to the neonatal and pediatric
patient.
Required Textbooks: Whitaker, K. (2001). Comprehensive Perinatal & Pediatric Respiratory Care (3rd ed.). Del Mar - Thompson Learning. ISBN-13: 978-0-7668-1373-1. ISBN-10: 076681373-8
American Academy of Pediatrics. (2006). Textbook of Neonatal Resuscitation (5th ed.). ISBN 13: 978-1-58110-187-4
Learning Outcomes: Compare normal and abnormal neonatal and pediatric anatomy and physiology; and select, adjust, check and modify equipment necessary to manage the high risk neonatal or pediatric patient. Upon satisfactory completion of this course the student will:
1. Describe fetal development.
2. Describe the transition from fetal circulation to adult circulation.
3. Identify pathologic states in the neonatal population,
4. Identify pathologic states in the pediatric population.
5. Utilize various assessment and therapeutics in this patient population.
6. Be able to resuscitate a newborn, by obtaining Neonatal Resuscitation Program certification.
SCANS: The Secretary’s commission on Achieving Necessary Skills (SCANS) has identified (1) reading, (2) writing, (3)mathematics, (4) speaking and listening, (5) thinking skills, (6) personal qualities, (7) workplace competencies, and (8) basic use of computers as competencies required to enter employment.
SCANS Performance Objectives:
1. The student will demonstrate a working knowledge of Scans competency 1(reading) Performance will be satisfactory if the student successfully:
a. Understands assigned pages in the textbooks for this course
b. Understands the scenario format of the unit exam questions
c. Understands the assigned handouts for this course
2. The student will demonstrate a working knowledge of Scans competency 2 (writing). Performance will be satisfactory if the student successfully:
a. composes a three-page research paper on an assigned subject 3. The student will demonstrate a working knowledge of Scans competency 3 (mathematics.) Performance will be satisfactory if the student successfully:
a. Calculates the required formulae used in neonatal & pediatric ventilation
b. Calculates the required formulae used in neonatal & pediatric assessment 3. The student will demonstrate a working knowledge of Scans competency 4 [speaking and listening]. Performance will be satisfactory if the student successfully:
a. Works with other students in small groups to complete lab assignments
b. Understands all oral instructions given in the lab portion of the course c. Works with other students in small groups to complete case studies4. The student will demonstrate a working knowledge of Scans competency 5 [thinking skills]. Performance will be satisfactory if the student successfully:
a. Analyzes and answers the homework questions
b. Analyzes the test questions in the scenario portion of the test
c. Completes the lab stations 5. The student will demonstrate a working knowledge of Scans competency 6 [personal qualities]. Performance will be satisfactory if the student successfully:
a. Interacts with faculty and peers within the classroom and lab social system
b. Monitors and suggests improvements to the experimental model
c. Exhibits personal self-esteem by demonstrating leadership responsibilities in the lab setting. 6. The student will demonstrate a working knowledge of Scans competency 7 [work place competencies]. Performance will be satisfactory if the student successfully:
a. Displays in the lab setting the social skills needed to interact with the neonatal and pediatric staff
b. Displays in the lab setting, the social skills needed to interact with the neonatal and pediatric patient population
c. Performs all performance evaluations in the lab setting in timely 7. The student will demonstrate a working knowledge of Scans competency 8 (computers). Performance will be satisfactory if the student successfully:
a. successfully uses the computer prompts on the various mechanical ventilators
b. uses the word processor to complete the research paper c. accesses the lecture notes and additional internet reading assignments
Attendance: Students are expected to attend all class, lab, and clinical sessions unless they are officially excused. An official absence is granted when such absence is caused by official participation in a college activity, and the instructor is informed in advance. All other absences are unofficial. Absences caused by unavoidable conditions, such as illness, should be reported to the instructor by the start of class (Fiona 281-312-1599). Please be aware that any call-ins will none-the-less count as an absence or tardy.
Absences: will impact the final average with the first absence counting one (1) point, the second absence two (2) points, the third absence five (5) points, and each absence following a ten (10) point reduction.
Each tardy of less than 30 minutes will result in the deduction of 0.33% from the final grade average for this course. A “tardy” is inclusive of leaving class within thirty minutes before dismissal, as well as, taking leave during class or labs for longer than a reasonable amount of time. The instructor will be the arbitrator of what is ‘reasonable.”
Tardies of 30 minutes or more will be considered a half-day absence. These will be deducted as 0.5% from the final grade average for this course. Leaving a class/lab early or for extended periods will be calculated as a tardy or absence, depending on the amount of time missed. Students shall not schedule conference times with other faculty or counselors during class time and any class time missed due to ‘appointments’ with counselors or faculty will not be treated any differently from other types of tardy or absences.Leave of Absence is NOT given in this
program. Withdrawal is required. Student may not drop this class without
consultation with the instructor.
Policies and Procedures: Student may find
the following information in the Respiratory Care Student Handbook.
- Withdrawal policy
- Attendance policy
- Grading scale
The Respiratory Care
Therapist Program practices a non-discriminatory admissions policy with respect
to race, color, creed, sex, age, or national origin.
Grading: There will be at least 5 unit exams and a final exam. No exam grades
will be dropped.
Unit exams 85%
Procedural exams 10%
Research paper 5%
NRP Certification P/F
A = 100-90
B = 89-80
C = 79-75
D = 74-70
F = 69-0
Exams : multiple choice
with or without case studies. There will
generally be between 25 and 50 questions to be answered on Scantron
forms. (TEST SHEET B # 19641). There will be at least
one test per unit. All tests will start
promptly at the start of the class.
Persons who are late, will
be allowed to start the test but they must finish with the rest of the class.
Persons using the testing center in the SFA building must start the test before
or at the same time as the class and these persons must return to the classroom
as soon as they are finished with the exam.
Make-up Exams: If the student is
absent on the day of an exam, he must make it up on the first day back. The
highest grade he/she can get on a makeup exam is 75%. EXAMPLE:
if he/she makes an 85% this will be 85% of 75 or 64%. If the student, who
knows he/she will be absent, takes the exam early, the grade will be awarded
the same value as the ones done on time.
Remediation: All students
failing exams (less than 75%) must undergo remediation ASAP. Failure to complete all assigned remediation
tasks will result in an incomplete “I” for the course until completed. This remediation will consist of extra
homework assignment & at least one meeting with the instructor
Procedural exams will be averaged
and account for 10% of the final grade in this course. Procedural testing will
be documented in DATA ARC and will be ongoing throughout the semester. Neonatal
Procedures can be found in the DATAARC.
NRP Certification will be administered on a clinical day
(April 30, 2008). Failure to obtain NRP
certification will result in an incomplete “I” for the class until
certification is obtained.
Paper: The student will
write a 2-3 page paper over some aspect of neonatal or pediatric respiratory
care: i.e. monitoring techniques, oxygen delivery or conventional
ventilation or non-conventional ventilation. The paper will discuss the
indications, and hazards of the selected therapy specific to the neonatal
pediatric population, and explain why and how adult modes of therapy must be
altered for infants. Due date for paper is Monday, March 17, 2008. Possible
subjects for study include but are not restricted
to the following:
O2 delivery devices:
nasal cannula modified for infants
specific problems with tracheotomy in infants
nasal CPAP.
Conventional mechanical
ventilation:
pressure limited vs. volume ventilation
demand valves vs. bias flow or blow by ventilation
problems unique to ventilation of the patient with an uncuffed
ET-tube
pressure-cycled vs. flow-cycled ventilation
The role of PSV in the newborn population
The significant of inspiratory times during mechanical ventilation of the
newborn (see time constants and Paw.)
Non-conventional mechanical
ventilation:
High frequency ventilation vs. oscillation
Inhaled Nitric oxide
ECMO (partial vs. full)
Monitoring modalities:
TcPaO2
vs. pulse oximetry.
Capnography
Capillary blood gases vs. arterial blood
gases
Umbilical artery
catheters vs. radial or femoral sites for ABG.
The
paper must have at least three references other than assigned textbooks. These
can be ACADEMIC on-line references, journals or books. If an on-line reference
is used, only peer-reviewed or official association may be used. IF there are any questions regarding on-line
references see the instructor.
Paper must be written in APA
format with proper reference documentation..
Academic Integrity (from NHMCCD
Catalogue): NHMCCD is committed to a high standard of academic integrity in
the academic community. In becoming a
part of the academic community, students are responsible for honesty and
independent effort. Failure to uphold
these standards includes, but is not limited to, the following: plagiarizing
written work or projects, cheating on exams or assignments, collusion on an
exam or project, and misrepresentation of credentials or prerequisites when
registering for a course. Cheating
includes looking at or copying from another student’s exam, orally
communicating or receiving answers during an exam, having another person take
an exam or complete a project or assignment, using unauthorized notes, texts,
or other materials for an exam, and obtaining or distributing an unauthorized
copy of an exam or any part of an exam.
Plagiarism means passing off as one’s own the
ideas or writings of another (that is, without giving proper credit by
documenting sources). Plagiarism
includes submitting a paper, report or project that someone else has prepared,
in whole or in part. Collusion is
inappropriately collaborating on assignments designed to be completed
individually. These definitions are not
exhaustive.
When there is clear evidence of cheating,
plagiarism, collusion, or misrepresentation, a faculty member will take disciplinary action including but not limited to: requiring
the student to retake or resubmit an exam or assignment, assigning a grade of
zero or “F” for an exam or assignment, or assigning a grade of “F” for the
course. Additional sanctions including
being withdrawn from the course/program or being expelled from school may be
imposed on a student who violates the standards of academic integrity
Schedule: Tentative & subject to change
|
Unit 1 |
Fetal development, Changes at birth &
Assessment of the Neonate |
Ch 1-3 & 5 |
|
Unit 2 |
Neonatal Resuscitation Program |
NRP
Book |
|
Unit 3 |
Neonatal & Pediatric Pathology Lung Disease & Problems with prematurity, Cardiac & Congenital Anomalies, Pediatric Pathology |
Ch
10-12 |
|
Unit 4 |
Caring for the Newborn & Pediatric Patient |
Ch
6-9 |
|
Unit 5 |
Ventilation of the Neonate & Pediatric Patient CPAP, Airway Maintenance, Mechanical Ventilation, Drager, & Servo 300 |
Ch 14-16 |
|
Unit 6 |
Specialty Ventilation in Neonatal & Pediatric Patients HFOV, ECMO, & Nitric Oxide |
Ch
17 |
Scheduling
Monday 8:00 AM-12:20 PM
Friday
2:30 PM-3:50 PM
Dates to be noted:
Classes begin:
January 14, 2008
MLK Holiday:
January 21, 2008
Midterm break:
March 10-14, 2008
Due date for
paper: March 17, 2008
Spring
holiday: March 21, 2008
NRP
Certification: April 30, 2008
Final Exam: May 5
or 9, 2008
ACKNOWLEDGMENT
I have received a copy and have read the course document for
RSPT 2353, Neonatal/Pediatric Cardiopulmonary Care. By signing, I
indicate my understanding and willingness to comply with these regulations and
requirements.
Student Signature: ________________________________________________
Date: __________________________________________________________