RESP 2205 – Critical Care I
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I.COURSE TITLE: Critical Care I
COURSE NUMBER: 2205CATALOG PREFIX: RESP
II.PREREQUISITE(S): RESP 1107,RESP1110,RESP1115, and MATH 1135
COREQUISITE(S): RESP 2204 and ENGL 1101
III.CREDIT HOURS: 6 LECTURE HOURS: 4
LABORATORY HOURS: 1 (3 contact) +1(8 directed practice) OBSERVATION HOURS: 0
IV.COURSE DESCRIPTION:
This course will further student’s knowledge of artificial airway management and the implementation of mechanical ventilation. Various modes and types of ventilation will be discussed. The course will conclude with the process of weaning or terminating the use of mechanical ventilation support.
The directed practice (clinical) will provide students with the hands-on experience to patients receiving respiratory therapy. Students will actively perform patient assessment and therapeutic skills acquired through lab skills evaluations, under the supervision of staff respiratory therapist at local medical facilities. Students will observe therapists performing more advanced levels of respiratory therapy.
V.GRADING:
A = 93 – 100
B = 85 – 92
C = 77 – 84
F = 0 – 76
A final grade of at least 77% is required to pass this course.
Please note that the student must achieve at least a satisfactory in each lab and clinical evaluation to pass this course. If a student fails to achieve a satisfactory in lab or clinical practice, regardless of lecture grade, the student will receive a grade of F for the course.
VI.ADOPTED TEXT(S):
Pilbeam’s Mechanical Ventilation, Physiological and Clinical Applications
6th edition
Cairo
Elsevier
ISBN (textbook and workbook combo): 9780323475945
VII.COURSE OBJECTIVES:
Upon successful completion of the lecture and lab portion of the course, the student will have demonstrated:
- Demonstrate the application and placement of artificial airways
- Recognize the indications, contraindications, and complications/hazardsassociated with mechanical ventilation
- Identify the different modes of mechanical ventilation
- Classify ventilators according to their functions
- Utilization of respiratory formulas to calculate appropriate settings
- Ventilatory Graphics
- Demonstrate application of noninvasive CPAP and BIPAP
- Perform techniques and understand placement of artificial airways
- Modify therapeutics applicable for patients receiving mechanical ventilation
- Perform and understand principles of cuff management and securing an artificial airway
- Demonstrate implementation of In-line MDI and NEB treatments
- Understand and perform techniques associated with trach collar, t-piece and In-line suction with the artificial airway
- Documenting and performing ventilator changes along with weaning parameters
Upon successful completion of the directed practice portion of the course, the student will have demonstrated:
1.A continuance of all Course Objectives required within RESP1101, and 1110
2.Initiating and managing mechanical ventilation via artificial airways.
3.Managing a ventilator patient in transport.
4.Initiating and managing non-invasive ventilation.
5.Assessment for mechanical ventilation removal.
6.Establish and maintain freestanding and fixed CPAP setups.
7.Competence in patient assessment utilizing the SOAP format
8.Analyze ventilator waveforms
9.Perform dynamic and static compliance calculations
10.Utilize oxygen transport calculations
11.Set up an end tidal CO2 monitor and analyze the waveform
12.Establish and maintain freestanding and fixed CPAP setups.
VIII.COURSE METHODOLOGY:
Students will be required to participate in traditional lectures, role-playing, group discussion, assignments, interactive proceedings, critical thinking exercises, role-playing in the human patient simulation lab, written examinations, and clinical practice. The instructor will demonstrate skills and students will be expected to return the demonstration. Competency evaluations will be utilized in the lab and clinical settings.
IX.COURSE OUTLINE:
Terms and Concepts of Mechanical Ventilation
Introduction of mechanical ventilation concepts
Indications, contraindications, hazards and complications
Types of ventilators
Modes of ventilation
Noninvasive Ventilation
Ventilator Settings
Ventilator setup
Ventilator management per protocol
Monitoring the patient on Mechanical Ventilation
Troubleshooting and Problem Solving
Weaning from Mechanical Ventilation
Conscious sedation
Sample Course Schedule
Week 1- O2 and Acid Base Evaluation, Basic Terms/Concepts of MV, How Ventilators Work, How a breath is delivered
Week 2- Establishing the Need for MV, Trach Insertion/Cleaning/O2 adjuncts Selecting the Ventilator, Capnography
Week 3- Basic Concepts of Noninvasive Positive, Pressure Ventilation
BiPAP/CPAP
Week 4- Initial Ventilator Settings AC/SIMV/CPAP, Altering Mechanical Dead
Space
Week 5- Considerations in Ventilator Setup
Week 6 - Initial Assessment of the MV patient, Ventilator Graphics
Week 7- Ventilator Calculations, Patient Transport
Week 8- Noninvasive Assessment of Respiratory Function
Week 9- Therapeutic Interventions, Airway clearance during mechanical
Ventilation, Effects of Positive Pressure Ventilation
Week 10- Improving Oxygenation and Management of ARDS
Week 11- Contraindications and Physiological effects of PEEP
Week 12- Acute Respiratory Distress Syndrome, Pathophysiology
Lung protective strategies
Week 13- Recruitment maneuvers, Troubleshooting and Problem Solving
Week 14- Bilevel and Pressure Control, Considerations with Hemodynamics
Week 15- Weaning and Mechanical Vitals (MV/MEP/MIP/NIF/RSBI)
Week 16 Final Exam (Comprehensive)
X.OTHER REQUIRED TEXTS, SOFTWARE, AND MATERIALS:
Stethoscope, wrist watch with a secondhand, scissors, and calculator.
Required materials and uniform for the Directed Practice portion of this course
are listed in the Respiratory Care Student Handbook (distributed at RESP New
Student Orientation).
XI.EVALUATION:
Knowledge is evaluated through performance evaluation of student’s ability to meet objectives related to clinical component of course; other specific grading/evaluation requirements as per instructor will be given to the student the first day of class.
Clinical practice is evaluated by student knowledge and application of that knowledge in the clinical setting. Students are to demonstrate progress toward course objectives as evidenced by specific behaviors noted in the clinical evaluation tool for this course.
XII.SPECIFIC MANAGEMENT REQUIREMENTS:
At the discretion of the instructor
XIII.OTHER INFORMATION
FERPA: Students need to understand that your work may be seen by others. Others may see your work when being distributed, during group project work, or if it is chosen for demonstration purposes. Students also need to know that there is a strong possibility that your work may be submitted to other entities for the purpose of plagiarism checks.
DISABILITIES: Students with disabilities may contact the Disabilities Service Office, Central Campus, at 800-628-7722 or 937-393-3431.