RSPT 1429: Respiratory Care Fundamentals I
Evenings: Fall 2007
Revised
August 20, 2007 by E.K. Buzbee
Under construction
Instructors:
Melissa D. Dearing, A.A.S.R.T., RRT-N.P.S., R.C.P.
Kingwood College Respiratory Department
Office Phone: 281-312-1596
E-mail: melissa.dearing@nhmccd.edu
Elizabeth
Kelley Buzbee A. A. S., R.R.T. –N.P.S., R.C.P.
Kingwood College Respiratory Department
20,000 Kingwood Drive, HSB 118V
Kingwood, Texas 77339
Office phone: 281. 312.1605
E-mail: kelley.buzbee@nhmccd.edu
Office hours: HPB 118V every day between 4:00 PM and 5:00 PM except for remediation days when instructor will be in class room between 4-6PM. Other times by appointment.
Credit:
4 Credit Hours
Prerequisites:
Department
Approval
Basic skill levels: to
take this course includes TSI complete in Math and English. Student should be able to access notes, case
study and homework keys on-line and should be able to operate a four function
calculator.
Course Descriptions per WECM: http://www.thecb.state.tx.us/AAR/UndergraduateEd/WorkforceEd/wecm2000/search_pub/default.cfm
“Provides a foundation for the development of 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.”
Learning Outcomes per WECM:
“Select, review, obtain, and interpret data in a selected respiratory care patient setting; select, assemble, and check equipment for proper function, operation, and cleanliness; identify equipment malfunctions; maintain patient records; and demonstrate knowledge of therapeutic procedures.”
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.
Course Structure: Lecture and laboratory.
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 handouts assigned 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
c. uses the internet to access DataArc to clock in on clinical days. [Fridays]
Class Schedule:
Tuesday & Thursday: Lecture 5:00PM-5:50PM
Lab 6:00PM- 8:50PM
Pre-Clinical Laboratory 9:00 PM-9:50PM
Friday: Pre-Clinical Laboratory (on campus) 500 PM-950 PM
Required Textbooks:
The following textbooks are required for this course:
·
Louis: Mosby. [IBSN 0-323-02215-4]
· Wilkins, R. L., Stoller, J.L. & Scanlon, C.L., (2003) Egan’s Fundamentals of Respiratory Care, 8th ed. St. Lewis: Mosby. [ISBN 0-323-01813-0]
·
Wehrman, S.F. (2003) Study guide to Egan's
Fundamentals of Respiratory Care, 8th ed.,
Required Supplies:
· At least 6 Scantron forms for multiple-choice, multiple-multiple-choice tests [answer sheet B] should be purchased for unit exams. 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. A scientific calculator that has ability to calculate log is recommended. Use of calculators during examinations will be discussed at the time of the exam.
· No programmable devices, nor cell phones may be used during exams in this course.
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 (Kelley 281.312.1605 or Missy 281. 312.1596). 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.
NOTE: Because Friday is the clinical day, the absence or tardiness occurring on a preclinical day [Friday] will be applied only to the clinical grade not to this course.
Leave of Absence is NOT given in this program. Withdrawal is required.
Any student wishing to withdraw from this, or any course, must first interview with the professor.
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.
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.
Make up Exams:
Missed exams/quizzes MUST be promptly made up following the absence. These exams will be found in the Test Taking Lab in the SFA building. Please call the lab for their schedule. No exam or homework grades will be dropped in the computation of the final grade for this course.
All Late exam scores will be multiplied by 75 % thus reducing the score used for final course grade averaging (i.e.: an exam score of 85 % will be recalculated and recorded as a 64 % grade.)
Remediation:
Any examination not passed with a 75% MUST be remediated within two weeks. The purpose of remediation is to be sure that the student does not have a gap in his/her academic learning. Students must speak with their instructor in order to schedule a meeting time for an interview. Failure to remediate all failed exams will result in an Incomplete for the course.
The student should bring completed homework assignments to the interview. After identifying problem areas in the failed exam, the instructor will prescribe additional assignments to be completed by the student thus remediating areas of incomplete understanding. Please understand that remediation does not change the grade!
Additionally, all students are welcome to request a tutoring remediation session if they feel they need some help understanding a topic of study. Remediation will be scheduled between 500PM and 700 PM each Wednesday in 30-minute blocks.
Homework:
The faculty feels that proper preparation for an exam includes completion of homework assignments. Not all homework will be graded; however, failure to complete homework assignments will reflect on the test grades, and a large part of remediation will include a closer look at all homework until the grades improve.
Semester Schedule for Medical Terminology
Each week, a chapter from the terminology textbook will be competed and a quiz will be regularly scheduled for every Friday at 500 PM. See attached Terminology schedule for quizzes, tests and assignments.
-The following schedule is tentative-
General Course Outline:
|
unit |
Subject |
Reading assignments, Handouts, keys |
|
1 |
Foundations of Respiratory Care Kelley Buzbee
· legal issues with charting: G:\respcare\charting.doc · General patient safety: fire, electrical safety: G:\respcare\gen_care.doc · Record keeping: SOAP Charting; Therapist-driven Protocols, G:\respcare\TDP.doc · Communication: the interview &
collecting the respiratory history from the chart: G:\respcare\chart_
interview.doc Slide
show for questions to ask patient during interview · The physical exam: inspection, palpation, auscultation, percussion.G:\respcare\PE_handwashing.doc · Infection control with above lecture
|
Patient safety Egan’s pp. 22-28. Communication Wilkin pp. 1-7 Record-Keeping: Egan’s pp. 34-39 The interview and history: Wilkin pp. 9-23 The physical exam: Wilkin pp. 63-89
Communication case studies: includes SOAP charting
|
|
2 |
Medical Gas Therapy I Missy Dearing Assessment of Patient for Supplementary O2 Therapy [pulse oximeter & physical assessment, X-ray] · Low Flow O2 Devices · High Flow O2 Devices · Entrainment Devices · Enclosure devices [pediatric patients]
Click here for notes
|
Slide show entrainment tutorial
Slideshow
02 therapy case study
Egan, Chapter 35, pp. 827-847
|
|
3 |
Small Volume Nebulizer Kelley Buzbee Assessment the Patient for SVN by peak flow meter, X-ray, auscultation & inspection · Medications · Types of SVN
Notes: http://wwwappskc.lonestar.edu/programs/respcare/1348_6.html
|
|
|
3.2 |
Unit 3.2 : Bagging & Incentive Spirometry |
Bagging
comprehensive review questions KEY *** Incentive
spirometry slide show IS
and bagging extra case studies |
|
4 |
Bland Aerosol and Humidity Missy Dearing
Assessment of Patient for Humidity Therapy [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
|
Egan, Chp 32,
HUMIDITY AND BLAND AEROSOL Review for Chapter 32
|
|
5 |
Medical Gas Therapy II Missy Dearing Introduction to Heliox & Inhaled nitric oxide iNO · Medical gases: http://wwwappskc.lonestar.edu/programs/respcare/1438_42.html
· compressed gas/ piping systems/ cylinders: http://wwwappskc.lonestar.edu/programs/respcare/1438_71.html ****************************************************************************
· Gas regulators: http://wwwappskc.lonestar.edu/programs/respcare/1438_72.html
· O2 analyzers: G:\respcare\02ana_Kel.doc
·
|
|
|
6 |
Hyperinflation
Therapy Kelley Buzbee Assessment
of Patient for the need for Hyperinflation Therapy and the safe and effective
use of this therapy Monitoring the Pulse Oximetry & PEFR: http://wwwappskc.lonestar.edu/programs/respcare/1438_32l.html
******************************************** IPPB Part I and II: G:\respcare\IPPB_ lect_ part i .doc ************************************************** G:\respcare\IPPB_
lec_part ii.doc Gas flow through the Bird and the PRII: G:\respcare\bird pr2.doc
|
Key
review for PEFR & pulse oximetry Egan, Chp
36 Pulse
oximetry slide show: includes PEFR ************************************************ Case study IPPB part I indications
********************************************
|
|
7
|
Clinical Application of the Chest Radiograph Missy Dearing
· Chest x-rays · Lab values
Lecture: Patient Assessment by Lab values and Chest films: G:\respcare\missy_lab.htm
|
Wilkins Pg. 161-163 Egan’s Pg. 347-351
Wilkins Pg. 97-118
|
Each unit covering equipment or techniques in this class and in RSPT 1201 Introduction course will be augmented by a laboratory each Friday.
Completed lab assignments will be due at the conclusion of a lab, unless otherwise directed. These will be collected and kept as the Clinical Notebook which forms 30% of the RSPT 1166 Clinical Practicum grade. Please refer to the RSPT 1166 course document for details.
Test Taking:
Prior to taking
an exam or test, homework will be passed in then all books, papers, food,
drinks and personal items must be removed from all desk tops.
Students will be seated by instructors for the exam. If a student is taking his
exam in the
Calendar: Important dates & Holidays:
Cell Phones & Pagers:
All cell phones and pagers must be turned off during class time. No cell phone speakers are to be worn in the ears during lectures or exams. If an emergency situation exists and only with instructor approval, cell phones may be placed in “vibrate” mode. However, leaving the classroom to answer an emergency call MUST be an infrequent occurrence.
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 6 lecture examinations and written comprehensive final exam as well as a practical comprehensive final exam. These will be weighted equally, averaged and comprise 70% of the final score for this course.
The final grade will be based on the following:
The following numerical ranges correspond to letter grades within
the respiratory therapist program:
A = 90 - 100
B = 80 - 89
C = 75 - 79 passing
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.
ACKNOWLEDGMENT
I, ________________ [print name] 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 & requirements.
________________________________________________
Student Signature:
__________________/_______________/2007
Date: