Kingwood College Respiratory Care Therapist Program

RSPT 1429: Respiratory Care Fundamentals I

Fall 2009 - Evening Program

Instructor:

William R. Scott, BS, R.R.T., R.C.P.

20,000 Kingwood Drive, HSB Suite 118-X

Kingwood, Texas 77339

Office Phone: 281-312-1635

E-mail: william.scott@lonestar.edu

 

Credit:   4 Credit Hours

 

Prerequisites:   Department Approval

 

Course Descriptions: Provides an introduction to the knowledge and skills for respiratory care including history, medical terms/symbols, medical/legal, infection control, vital signs, physical assessment, chest x-ray interpretation, medical gas therapy, oxygen analyzers, and humidity/aerosol therapy.

 

End-of-Course Outcomes:  Select, review, obtain, and interpret data related to history, medical terms/symbols, medical/legal, infection control, vital signs, physical assessment, chest x-ray interpretation, medical gas therapy, oxygen analyzers, and humidity/aerosol therapy in an introductory respiratory care patient setting; select, assemble, and check equipment for function, operation, and cleanliness; identify equipment malfunctions; maintain patient records; and apply therapeutic procedures.  Demonstrate the ability to Subjectively and Objectively Assess a patient and recommend a medical Plan (SOAP) for their treatment.

 

Course Structure:  Lecture and laboratory.

 

Required Textbooks:

The following textbooks are required for this course:

      Wilkins, R.L., Stoller, J.K. & Kacmarek, R.M., (2009) Egan’s fundamentals of respiratory

            care, 9th ed. St. Lewis: Mosby. [ISBN: 978-0-323-03657-3]

      Wehrman, S.F. (2009) Study guide to Egan's fundamentals of respiratory care, 8th ed., St. Louis: Mosby. [ISBN: 9780323051880]

 

Gylys, B.A. (2004). Medical terminology: a systems approach (6th ed.). Philadelphia: F.A.

            Davis.

      Cairo, J.M. & Pilbeam, S.P. (2005) Respiratory care equipment, 8th ed. St.

            Louis: Mosby.

      Respiratory Care Kits;  RT-KIT040708 ($ 209.00)

 

 

 

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 textbook reading assignments for this course

b. understands the scenario format of the unit exam questions

c. understands handout reading assignments 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. writes lab reports and answers essay questions on written unit exams

b. completes written homework assignments

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 oxygen therapy

b. calculates the required formulae to operate tanks

c. calculates the required formulae used in assessment of bedside PFT

d. calculates formulae for determining IBW

4. 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 oral instructions given in the lab portion of this course

5. The student will demonstrate a working knowledge of Scans competency 5 [thinking skills].

     Performance will be satisfactory if the student successfully:

a. analyzes homework questions

b. analyzes scenario test questions

c. completes analysis lab stations

6. 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.

7. 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 staff

b. displays in the lab setting the social skills needed to interact with student peers

c. performs all interactive performance evaluations in the lab setting

8. The student will demonstrate a working knowledge of Scans competency 8 [basic use of

     computers].  Performance will be satisfactory if the student successfully:

a. uses the computer e-mail to communicate with the instructor

b. uses the internet to access DataArc to print up clinical competencies

 

Class Schedule:

                        Tuesday & Thursday:

                                    Lecture            05:00 p.m. - 05:50 p.m. (1700 - 1750)

                                    Lab                  06:00 p.m. - 08:50 p.m. (1800 - 2050)

                        Tuesday, Thursday & Friday:  Pre-Clinical Laboratory (on campus)

 

Required Supplies:

·         At least 4 Scantron forms for Multiple choice tests [Answer Sheet B form # 19641.] must be purchased for test taking.  This form has 1-50 answers on the front side and 51-100 answers on the reverse.  They are available in the bookstore as loose single sheets.

·         A 4-function calculator may be used during lab/class time for mathematical calculations.  However, calculators are NOT allowed during examinations.

 

Attendance:

Students are expected to attend all class, lab, and clinical sessions unless they are officially excused.  An official absence is granted by the instructor 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 (281-312-1635).

 

Absences:

Absences will impact the final average with the first absence counting minus one [-1%] point, the second absence an additional minus two [-2%] points, the third absence an additional minus five [-5%] points, and each absence following with an additional ten [-10%] point reduction. 

 

Tardy:

Each tardy will result in the deduction of 0.33% from the final grade average for this course.  A “tardy” is inclusive of leaving class less than thirty minutes before dismissal, as well as taking leave during class or labs for longer than a reasonable amount of time.  

 

Tardies of more than thirty minutes will be considered a half-day absence. These will be deducted 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.

 

Missed exams/quizzes must be made-up (see policy below: Make-up Exams/Quizzes).   Per program guidelines, no grades will be dropped in the computation of the final grade for this course. 

 

Students shall not schedule conference times with other faculty or councilors during class time.   Any class time missed due to ‘appointments’ with councilors or other 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.

 

                        Make-up Exams/Quizzes:    

Make-up exams (i.e.: missed exams/quizzes because of unavoidable absence) are mandatory and MUST be promptly made up on the first remediation day following the miss.  Remediation time and place shall be at 1600 hours (04:00 pm) in the faculty workroom; notify your instructor when you are present.  Make-up exam/quiz scores (missed) will be multiplied by 75 % thus reducing the score for final grade averaging (i.e.: a score of 85 % will be recorded as 64 % for final course grade averaging).

 

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.

 

Remediation:

Any examination not passed with a 75% MUST be remediated ASAP following the scheduled test.  Remediation day shall be announced.  The purpose of remediation is to be sure that the student does not have a gap in their academic learning.  Students must speak with their instructor if they have a personal conflict with the date/time.  Remediation shall consist of an interview and a checking of the homework assignment.  The student must bring completed homework assignments to the interview.  During the conference and after identifying problem areas in the failed exam, your instructor may prescribe additional assignments to be completed by the student thus remediating areas of incomplete understanding.

 

Additionally, all students are welcome to request a tutoring interview session if they feel they need some help understanding a topic of study.

 

Homework:

The faculty feels that proper preparation for an exam includes completion of homework assignments.   Not all homework will be graded; however, a significant amount of course examinations will include homework styled questions.  

 

Semester Schedule for Medical Terminology

            Week  Date    Chapters/ Lectures/Homework/Exams

               1       08-25   First day of class

                                    Medical Terminology lecture on Chapter #1

                                    Abbreviations handed out

                                    Abbreviations #1 reviewed

               2       09-01   Medical Terminology Hmwk study Abbreviations

                                    #1 Quiz/ Abbreviations #1

                                    Medical Terminology lecture Chapter #1

                                    Abbreviations #2 reviewed

               3       09-08   Medical Terminology Hmwk-chap #1

                                    #2 Quiz/ Medical Terminology chap #1 & Abbr. # 2

                                    Medical Terminology lecture Chapter #2 (exclude Table 2-5)

               4       09-15   Medical Terminology Hmwk-chap #2

                                    #3 Quiz/ Medical Terminology chap #2; Exclude Table 2-5

                                    Medical Terminology lecture Table 2-5

                                    Abbreviations #3 reviewed

 

              Week Date   Chapters/ Lectures/Homework/Exams

                 5     09-22   Medical Terminology Hmwk-study all previous words

                                    #4 Quiz/ Medical Terminology Table 2-5 & Abbr. #3

                                    Medical Terminology lecture Chapter #3

                                    Abbreviations #4 reviewed

                 6     09-29   Medical Terminology Hmwk-chap #3

                                    #5 Quiz/ Medical Terminology chap # 3 & Abbr. # 4

                                    Medical Terminology lecture Chapter #4

                 7     10-06   Medical Terminology Hmwk-chap #4

                                    #6 Quiz/ Medical Terminology chap #4

                                    Medical Terminology lecture Chapter #5

                                    Abbreviations #1, 2 , 3 & 4 reviewed

                 8     10-13   Medical Terminology Hmwk-chap #5

                                    #7 Quiz/ Medical Terminology chap #5 & Abbr. #1, 2, 3 & 4

                                    Medical Terminology lecture Chapter #6

                 9     10-20   Medical Terminology Hmwk-chap #6

                                    #8 Quiz/ Medical Terminology chap #6

                                    Medical Terminology lecture Chapter #7 & 8                       

               10     10-27   Medical Terminology Hmwk-chap #7 & 8

                                    #9 Quiz/ Medical Terminology chap #7 & 8

                                    Medical Terminology lecture Chapter #9

               11     11-03   Medical Terminology Hmwk-chap #9

                                    #10 Quiz/ Medical Terminology chap #9 & Abbrev 1, 2, 3 & 4

                                    Medical Terminology lecture Chapter #10 & 11

               12     11-10 Medical Terminology Hmwk-chap #10 & 11

                                    #11 Quiz/ Medical Terminology chap #10 & 11

                                    Medical Terminology lecture Chapter #12 & 13

               13     11-17   Medical Terminology Hmwk-chap #12 & 13

                                    #12 Quiz/ Medical Terminology chap #12, 13

                                    Medical Terminology lecture Chapter #14 & 15

               14     11-24   Medical Terminology Hmwk-chap #14 & 15

                                    #13 Quiz/ Medical Terminology chap # 14 & 15

                                    Review for Final Exam          

               15     12-01   Medical Terminology Final Exam: Chapters # 1 through 15

-The above schedule is tentative-

 

 

General Course Outline: 

Unit 1:  Medical Gas Therapy I                                                       Eagan,  Ch. 38,  pp. 867-877;

  • Assessment of Patient for Supplementary O2 Therapy              879-887, 891-895; 897-900

                  [pulse oximeter & physical assessment, X-ray]            Cairo, TBA

  • Low Flow O2 Devices
  • High Flow O2 Devices                                                           
  • Entrainment Devices
  • Protocol-Based Oxygen Therapy
  • Hyperbaric Oxygen Therapy
  • Helium-Oxygen Therapy

 

Unit 2: Humidity and Bland Aerosol Therapy                               Eagan,  Ch. 35, 

  • Assessment of Patient for Humidity Therapy                                    Cairo,  TBA

                  [physical assessment, VS, pulse-ox, sputum & auscultation]

  • Types of Cool Humidifiers
  • Types of Heated Humidifiers
  • Types of Cool/ Heated Bland Aerosols

Pediatric O2 Delivery Devices

 

Unit 3: Aerosol Drug Therapy - An Introduction              Eagan, Ch. 36

 

Unit 4: Medical Gas Therapy II                                          

  • Tanks & Regulators                                                    Egan, Ch. 37;

                                                                                                Cairo, TBA

O2 analyzers                                                                Egan, p. 365-367

  • Pulse Oximeters                                                          Egan, p. 387-391

 

Unit 5: Lung Expansion Therapy                                       Eagan, Ch. 39

  • Assessment of Patient for Hyperinflation Therapy
  • IS
  • IPPB

 

Unit 6: Introduction to CXR and Lab Values

  • Introduction to the Chest X-ray                                   Wilkins: Chapter # 9

  Egan: Chapter # 20

  • Lab values                                                                     Egan: Ch. 16

                                                                                      Wilkins: Chapter # 6

 

Unit 7:  Foundations of Respiratory Care

  • Quality and Evidence - Based Respiratory Care          Eagan,   Ch. 2
  • Patient Safety, Communication and Record Keeping              Eagan,   Ch. 3
  • Preparing for the Patient Encounter                             Wilkins, Ch. 1
  • Interviewing and Respiratory History                                      Wilkins, Ch. 2
  • SOAP Format Charting                                                Egan, pp. 50-51

 

Lab Exercises:

Completed lab assignments will be due at the conclusion of a lab, unless otherwise directed.   Preclinical labs will require completed lab assignments saved and filed in the RSPT 1166 clinical notebook.

 

Test Taking:               Prior to taking an exam or test, all books, papers, food, drinks and

personal items must be removed from all desk tops.   Also, students

will sit at opposite ends of tables.   No calculators will be allowed during

test taking unless the instructor waves this requirement.

 

Calendar and Holidays:

                                    August      25   First day of class

                                    November 06  Last day to drop and receive a "W"

                                    November 26  Thanksgiving Holiday (no classes)

                                    December 08   Final Examination (Tuesday)

 

Cell Phones & Pagers:

All cell phones and pagers MUST be turned off during class time.   If an emergency situation exists and ONLY with instructor approval, these devices may be placed in “vibrate” mode.  However, leaving the classroom to answer an emergency call MUST be an infrequent occurrence.

 

Excused Medical Terminology Final Exam:          

Any student earning an “A” (89.45% or higher) average in the medical terminology (MT) portion of this course will be given the option of not taking the MT final exam (excused).   Students should compute their final course average with the help of their instructor, to be certain that not taking the MT final exam will not hurt their final course grade average.   In an excused MT final exam scenario, the quiz average will count a total of 25% of the final course grade score verses only 13% (see: “Grading” below).

 

Any student with an 89.44 % average or less in the medical terminology portion of this course MUST take the MT final exam and this exam score will not be dropped from the final grade averaging.  A missed MT final exam that was not “excused,” will count as zero percent

(0 %) and this zero will be averaged into the final course grade averaging.  The lecture portion of this course has a separate final exam and MUST be taken; it can NOT be excused.

 

Disability Support Services:            

Any student who needs any type of services because of a disability must meet with LeeAnn

Coulson before they will be approved for accommodations.  LeeAnn’s office is located in the

Student Fine Arts Building – Room 116 (Counseling and Advising Office).  In order to approve a student, she must have official and recent documentation which proves that a disability exists.  At that time, Ms. Coulson will issue a “Support Services Checklist” to the student who will then submit that to the instructor. 

 

 

 

Eating/Drinking in Class:

College policy states that there is no food allowed in the classroom or labs.  A covered drink will be allowed and empty disposable containers are discarded in a proper trash receptacle outside of the classroom.

 

Course Drop:

Students are required to talk with their instructor before attempting to drop this or any other course.

 

Grading:

Medical terminology quizzes plus the medical terminology final exam will be weighed equally, averaged and count twenty-five percent (25 %) of the final grade for this course.

 

There will be a minimum of three lecture examinations plus one comprehensive final exam.   These will be weighted equally, averaged and comprise 100% of the final score for this course.  The MT final exam may be excused if an 89.45 % MT quiz average is earned; otherwise the final exam is mandatory.   Lecture quizzes and homework will count (maximally) as two (2%) and one (1%) percentage points respectively.   These points will be applied towards the exam grade for their respective unit.   For example: 2 quizzes (4%), plus 2 homework assignments (2%), plus the unit exam (94%).

 

The final grade will be based on the following example:

                 Medical Terminology……………...…...25.00%

                        Quizzes…………………………….13 %

                        Final MT Exam…………………….12%

                 Unit Exams plus Final Exam….…......…75.00%

                 Less absence / tardiness:

                        (i.e.: 2 absence and 2 tardies)            -3.67%_

                 Final Grade……………… ………….... 96.33%

The following numerical ranges correspond to letter grades within

the respiratory therapist program:

            A         =          90 - 100

                                                B         =          80 -   89

                                                C         =          75 -   79

                                                D         =          65 -   74

                                                F          =          < 65

 

All RSPT courses must be completed with a “C” average or greater to continue in the Respiratory Care Program.   An overall GPA of 2.5 or greater must be maintained.

 

Six Drop Rule:

Texas imposes penalties on students who drop courses excessively. Students are limited to no more than SIX total course withdrawals throughout their educational career at a Texas public college or university.  Under section 51.907 of the Texas Education Code, "an institution of higher education may not permit a student to drop (withdraw with a grade of "W") more than six courses, including any course a transfer student has dropped at another Texas public institution of higher education." Once the limit has been reached, the student no longer be eligible to receive a grade of “W” and will receive the grade that is earned in that class.

This statute was enacted by the State of Texas in Spring 2007 and applies to students who enroll in a public institution of higher education as first-time freshmen in Fall 2007 or later.  Students enrolled prior to Fall 2007 are not subject to the law.  After the withdrawal deadline has passed, the student will receive the grade that would have been earned. Any course that a student drops is counted toward the six-course limit unless the student is completely withdrawing from the institution or meets one of the eligible criteria for a waiver.

 

 

 

 

ACKNOWLEDGMENT

 

I have received a copy and have read the course document for RSPT 1429, Respiratory Care Fundamentals I.  By signing, I indicate my understanding and willingness to comply with these regulations and requirements.

 

 

            Print Name: _____________________________________

 

Student Signature: ___________________________________

 

                        Date: _____________________________________