Master Syllabus RT2014, RT Clinical Practicum II

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Credits 4 Lab Hours 8 Lecture Hours 2 Clinical Hours 0
Course Description

This course is a two-hour lecture that is a continuation of general clinical practice. The student acquires more critical care experience with emphasis on pulmonary function testing, chest x-rays, physician rounds, blood gas sampling and analysis, non-invasive monitoring, and non-invasive ventilation. The classroom portion of this course introduces the student to advanced procedures that include: fiberoptic bronchoscopy, thoracentesis, chest tube management, and non-invasive ventilation.

For each unit of credit, a minimum of three hours per week with one of the hours for class and two hours for studying/preparation outside of class is expected.

Program and/or Department Mission Statement

The respiratory therapy program of Seward County Community College will provide an educational forum responsive to the needs of the health care community by developing competent and compassionate respiratory care practitioners.

SCCC Outcomes

Outcome #5: Demonstrate the ability to think critically by gathering facts, generating insights, analyzing data, and evaluating information.

Outcome #7: Understand each other, moving beyond simple acceptance to embracing and celebrating the rich dimensions of diversity by working as a team to learn, engaging with community, exhibiting cultural awareness, and creating equity

Course Outcomes

a. Bronchoscopy Assisting

b. Capillary Sampling

c. Chest Compressions

d. Chest Tube Management

e. Chest X-Ray Interpretation

f. Computed Tomography Scan (CT Scan)

g. Cuff Pressure Monitoring

h. Endotracheal Suctioning

i. Extubation

j. In-Line Metered Dose Inhaler

k. In-Line Small Volume Nebulizer

l. Initiation of Mechanical Ventilation

m. Initiation of Neonatal Mechanical Ventilation

n. Initiation of Neonatal Nasal CPAP

o. Intubation

p. Magnetic Resonance Imaging (MRI)

q. Manual Resuscitation

r. Methacholine Challenge

s. Monitoring Mechanical Ventilation

t. Monitoring Neonatal Mechanical Ventilation

u. Monitoring Noninvasive Positive Pressure Ventilation

v. Monitoring of Neonatal CPAP

w. Nasotracheal Suctioning

x. Noninvasive Positive Pressure Ventilation

y. Oxygen Blender

z. Plethysmography

aa. Securing Artificial Airway

bb. Spontaneous Breathing Trial (SBT)

cc. Tracheostomy and Stoma Care

dd. Tracheostomy Tube Change

ee. Transport Ventilator Setup

ff. Ventilator Circuit Change

  1. Evaluate the patient's clinical status and recommend appropriate therapy based on clinical assessment.
  2. Modify therapy to meet current needs as determined by patient assessments.
  3. Initiate appropriate communication skills with physician, health care providers and fellow student and draw these individuals into task focused conversation in patients care.
  4. Compare and contrast rigid and fiberoptic bronchoscopy as used in both therapeutic and diagnostic purposes.
  5. Differentiate between the normal chest film and the abnormal chest film.
  6. Discuss the methodology for pericardiocentesis and thoracentesis and the related pleural disorders which indicated the need for the procedure.
  7. Explain and discuss the clinical indications and appropriate techniques for placement, management, and removal of thoracic chest tubes.
  8. Explain the procedure of tracheal aspiration and tracheal catheter placement.
  9. Describe Intracranial pressures and how they relate in the ICU setting.
  10. Explain the uses of Bi-PAP and how to maintain proper settings.
  11. Describe how to obtain and interpret transcutaneous oxygen and carbon dioxide monitoring.
  12. Identify and discuss arterial blood gas sampling and analysis errors.
  13. Describe methods of ABG quality control.
  14. Compare methods of calibration of ABG equipment.
  15. Identify indications for HFOV.
  16. Define patient strategies for HFOV.
  17. Demonstrate clinical proficiency in the following procedures:
Course Outline
  1. Orientation
  2. Noninvasive Ventilation
  3. X-ray Assessment
  4. Analysis: Monitoring of Gas Application & Exchange
  5. Blood Gas Analyzers
  6. Chest & Pleural Trauma
  7. Disorders of the Pleura
  8. Final Exam
Instructional Methods
  1. Textbooks and journals
  2. Lecture and discussion
  3. Clinical rotation
  4. Out of class assignments
  5. Audiovisuals
  6. eCollege
Instructional Resources and Materials
  1. Textbooks and journals
  2. Audiovisuals material
  3. Laboratory equipment
  4. Clinical sites
  5. Computer tutorials and simulations
  6. eCollege
Methods of Assessment

Outcome 5 will be assessed and measured by the student'�s critical care problem solving and fact gathering.

Outcome 7 will be assessed and measured by the student'�s enrichment and engagement with diverse and culture awareness during clinical rotations and settings.

Outcome 9 will be assessed and measured by the student'�s clinical rotation evaluations and clinical tracking documentation provided by preceptors in the clinical setting

Americans with Disabilities Act (ADA) Statement

Under the Americans with Disabilities Act, Seward County Community College will make reasonable accommodations for students with documented disabilities. If you need support or assistance because of a disability, you may be eligible for academic accommodations. Students should identify themselves to the Mental Health Counselor at 620-417-1106 or go to the Student Success Center in the Hobble Academic building, room A149.