May 11 2017
Angelina College
Health Careers Division
RSPT 2353 Neonatal/Pediatric Cardiopulmonary Care
General Syllabus
I. COURSE DESCRIPTION:
RESPIRATORY CARE 2353: NEONATAL AND PEDIATRIC CARDIOPULMONARY CARE:
Forty-eight contact hours.
A study of acute care, monitoring, and management of the neonate/pediatric patient.
Prerequisite: Director's approval and RSPT 2314, 1411, 2210 and 1362.
Corequisites: RSPT 1261
Learning Outcomes: Describe fetal development and transition to extra uterine life; assess material and fetal history; select, apply and modify therapy to neonatal/pediatric patients; describe the etiology, pathophysiology, clinical manifestations and management of neonatal/pediatric disorders; analyze, interpret and apply patient data in selective patient care settings.
INTENDED AUDIENCE: First-Year students already enrolled in the Respiratory Care Program.
INSTRUCTOR:
Instructor’s Name: D Henson, BS RRT, RPFT, PPS, CHT; HCII, room 222C
Office Hours: 1:00 to 3:00 PM on Monday Wednesday by appointment
Phone: (936) 633-5418
E-mail Address:
II. INTENDED STUDENT OUTCOMES
A. Core Competencies (Basic Intellectual Competencies)
1. Reading: Reading at the college level means the ability to analyze and interpret a variety of printed materials B books, articles, and documents. A core curriculum should offer students the opportunity to master both general methods of analyzing printed materials and specific methods for analyzing the subject matter of individual disciplines.
2. Writing: Competency in writing is the ability to produce clear, correct, and coherent prose adapted to purpose, occasion, and audience. Although correct grammar, spelling, and punctuation are each a sine qua non in any composition, they do not automatically ensure that the composition itself makes sense or that the writer has much of anything to say. Students need to be familiar with the writing process including how to discover a topic and how to develop and organize it, how to phrase it effectively for their audience. These abilities can be acquired only through practice and reflection.
3. Speaking: Competence in speaking is the ability to communicate orally in clear, coherent, and persuasive language appropriate to purpose, occasion, and audience. Developing this competency includes acquiring poise and developing control of the language through experience in making presentations to small groups, to large groups, and through the media.
4. Listening: Listening at the college level means the ability to analyze and interpret various forms of spoken communication.
5. Critical Thinking: Critical thinking embraces methods for applying both qualitative and quantitative skills analytically and creatively to subject matter in order to evaluate arguments and to construct alternative strategies. Problem solving is one of the applications of critical thinking, used to address an identified task.
6. Computer Literacy: Computer literacy at the college level means the ability to use computer-based technology in communicating, solving problems, and acquiring information. Core-educated students should have an understanding of the limits, problems, and possibilities associated with the use of technology, and should have the tools necessary to evaluate and learn new technologies as they become available. (The Texas Higher Education Coordinating Board. (Report of Subcommittee on Core Curriculum, March 1, 1989).
B. Exemplary Objectives (Found in the Texas Higher Education Coordinating Board Document. Titled: CORE CURRICULUM: ASSUMPTIONS AND DEFINING CHARACTERISTICS Dated: April 1998)
(Not applicable for Respiratory Care Program)
C. Course Objectives (common to all sections)
1. To introduce the student to the basics of neonatal assessment and anatomy/physiology.
2. To promote proper understanding of the therapeutic techniques and procedures involving the care of the neonatal patient.
3. To gain basic knowledge and understanding of the role of diseases in the neonatal and pediatric patient.
4. To introduce the student to the various diagnostic procedures used in the care of the neonatal and pediatric patient.
III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES
A. Assessments for the Core Intellectual Competencies-
1. Reading- Competency in reading will be assessed through the student’s reading and understanding of course materials and critical-thinking patient case study exercises.
2. Writing- Competency in writing will be assessed through written responses to the critical-thinking patient case studies
3. Speaking- Competency in speaking will be assessed through oral responses and participation on small and large group oral discussions of the critical thinking patient case studies.
4. Listening- Competency in listening will be assessed through the student’s verbal response to questions and following instructions for the large and small group critical thinking activities
5. Critical Thinking-Competency in critical thinking will be demonstrated through their participation in critical-thinking patient case studies which involves both oral discussion and written activities.
6. Computer Literacy-Competency in computer literacy will be assessed through in computer clinical simulations and required internet research assignments.
B. Assessments for the Exemplary Objectives Specific to the Course-
(Not Applicable for the Respiratory Care Program)
C. Assessments for Objectives Specific to the Course-
CORE COMPETENCIES: SCANS (Secretary’s Commission on Academic Necessary Skills)
Students are expected to demonstrate basic competency in academic and workforce skills. The following are competencies with evaluation are included in RSPT 2461.
SCAN Skills Assessments
Foundation Skills Written Assignments
Oral Presentations
Required Readings
Critical Thinking Case Studies
Demonstrated Competency in Clinical
Workplace Competencies Computer Assisted Instruction
Critical Thinking Case Study Assessments
Demonstrated Competency in Clinical
D. Assessments for the Objectives of the Course as determined by the Instructor-
Non-applicable
IV. INSTRUCTIONAL PROCEDURES-
The methods of instruction used in this course includes but not limited to the following: Lecture, lab, discussion, performance, audiovisual, computer assisted instruction and critical-thinking patient case studies.
The student will need a basic calculator (no use of cell phones)
Use of Cell Phones or texting not permitted during class. Warnings will be given then points deducted
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V. COURSE REQUIREMENTS AND POLICIES-
A. Required Textbooks, Materials and Equipment-
Walsh, Brian 2015 K. Neonatal and Pediatric Respiratory Care, Elsevier Publishers
Clinical Skills: Respiratory Care Collection 4th edition Elsevier Publishers
Instructor lecture notes and Homework posted on Blackboard.
The student will need a basic calculator (no use of cell phones)
Use of Cell Phones or texting not permitted during class.
B. Assignments- Class meets Monday and Wednesdays: 9:00 am till 12:00 noon
(1)Read chapters; (2) Answer assigned homework questions; (3) Define key terms designated for each UNIT. Each unit assignments are to be turned in for an ASSIGNMENT GRADE on date as directed by instructor.
Week 1 (May 29 & May 31) Memorial Day - Syllabus Review, Chapters 2 & 3
Week 2 (June 5 & 7) Chap 4 / Unit Test I / Start Unit II Chap 6 & 8
Week 3 (June 12 &14) Chap 9 & 10 / Unit Test II / Start Unit III Chap 13
Week 4 (June 19 & 21) Chapter 13 & 15 / Chap 17 & 14
Week 5 (June 26 & 28) Chap 19 & 18 / Chap 24
Week 6 (July 3 & 5) Unit Test III / Final Exam
C. Course Policies- (This course conforms to the policies of Angelina College as stated in the Angelina College Handbook and the Respiratory Care Program Handbook)
1. Academic Assistance Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should see Sellestine Hunt Associate Dean of Student Services, Student Center, Room 200. At a post-secondary institution, you must self-identify as a person with a disability; Ms. Hunt will assist you with the necessary information to do so. To report any complaints of discrimination related to disability, you should contact Mr. Steve Hudman, Dean of Student Affairs, in Student Center, Room 101, (936) 633-5292 or by email ." Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should see Sellestine Hunt Associate Dean of Student Services, Student Center, Room 200. At a post-secondary institution, you must self-identify as a person with a disability; Ms. Hunt will assist you with the necessary information to do so. To report any complaints of discrimination related to disability, you should contact Mr. Steve Hudman, Dean of Student Affairs, in Student Center, Room 101, (936) 633-5292 or by email ."
Attendance- This course will follow the guidelines as prescribed in the AC Respiratory Handbook.
Additional Specific Requirements for this Course- When a student does not officially withdraw in the Office of Admissions, an F will appear on the transcript for the course (s) in progress at that time.
All exams and written assignments become the property of the Angelina College Respiratory Care Program.
VI. COURSE CONTENT-
A. Content/ Topics-
Unit 1 Fetal Development, Assessment, and Delivery
Walsh Chapters 2, 3 and 4
After completion of this unit, the student will be able to:
8. Name the fetal shunts (3) and discuss their role during fetal circulation
9. Explain direction of blood flow and various pressures
10. Identify various high risk conditions and adverse effects during pregnancy
11. Explain preterm labor and post-term pregnancy management
12. List initial assessment for newborn for determination of cardiopulmonary resuscitation
13. List medications, their purpose and route of delivery during newborn resuscitation
13. Describe care given to infants born with meconium staining
14. Explain Apgar scoring system and its purpose
Unit 2 Basic Assessment and Monitoring Newborn and Pediatric Patient
Walsh Chapters 6, 8, 9 and 10
After completion of this unit the student will be able to:
1. Name the factors that influence neonatal outcome
2. List the factors that determine if an infant is small, normal, or large for gestational age
3. Identify critical vital signs with normal values
4. Identify signs and symptoms of respiratory distress
5. Name common structural abnormalities
6. Discuss the laboratory tests with normal values commonly performed for newborn
7. Identify physical findings to differential diagnosis of a child’s respiratory condition
8. Communication of physical findings concerning a child’s respiratory condition
9. Discuss the evaluation and planning for management of care
10. Identify normal chest structures
11. Differentiate between bacterial and viral infections concerning upper airway symptoms
12. Differentiate between atelectasis, pneumonia, asthma, cystic fibrosis, acute respiratory distress syndrome and chest trauma
13. Identify indications for obtaining blood gas samples
14. Discuss invasive, semi-invasive and noninvasive monitoring techniques for cardiopulmonary needs
15. Identify the principles of operation of pulse oximeter, transcutaneous monitoring, and capnometry
16. Explain the indications and complications of oxygen administration
Unit 3 Basic Therapeutic Procedures for treatment of the Neonatal / Pediatric
Walsh Chapters 13, 14, 15, 17, 18, 19 and 24
After completion of this unit, the student will be able to:
1. Describe indications and contraindications of CPAP
2. Compare and contrast the indications for intubation and extubation procedures for airway management
3. Explain the function of surfactant physiology
4. Identify the clinical applications and replacement of surfactant
5. Identify the ventilation classification system
6. Discuss the principle modes of operation and specific features used for infant and pediatric ventilators
7. Describe the different special gas use such as Nitric Oxide, Helium and Anesthetic mixes
8. Describe use and application of these special gases
9. Describe what Extracorporeal Membrane Oxygenation is
10. Describe ECMO use in treatment of PPHN, Meconium Aspiration and Sepsis
11. Describe the complication of respiratory Care with Patient Ductus Arteriosus
12. Choose treatment options to prevent Retinopathy of Prematurity
13. Describe different types of congenital cardiac defects such as PDA, ASD, VSD and LV outflow tracts
14. Describe SIDS it identification and effective monitoring and prophylactic methods for prevention
15. Describe the difference between non-Life threatening events and Apparent Life Threatening Events
16. Understand the treatment of and monitoring for ALTE
17. Describe Cardiac anatomy and physiology
18. Describe Congenital Cardiac anomalies
19. Describe Shuts and LVOF obstructions
20. Describe other congenital cyanotic heart lesions
A. Additional Content Student Must Score 75 Questions Correct on the TMC LJ Exam
VII. EVALUATION AND GRADING
A. Grading Criteria-
1. Lecture: Computer Lab Assignment 10%
Assignments/Quiz(s) 30%
Unit Examinations 40%
Final Examination 20%
100%
2. Laboratory: Performance Evaluation (as needed).
B. Determination of Grade -
The alphabetic grading for this course is as follows:
A = 92 - 100
B = 83 - 91
C = 75 - 82
D = 70 - 74
F = 69 & below
C. Exam and Quiz Policy
Students must be present and on time for all examinations. If the student misses an exam, the studentmay apply to the Instructor for a makeup exam. The makeup exam will be at a time determined by the instructor and will not be the same exam others have taken. Daily quizzes will have no makeup. The student will
receive an 'O' for that quiz.Usually one Quiz is dropped for the semester which is the lowest grade. All
exams (and written assignments) become the property of the Respiratory Care Program.
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VIII. SYLLABUS MODIFICATION -
The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class in advance as to the changes being made.
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