RSPT 2335 - Mechanical Ventilation Credit Hours: 5.00 Prerequisites: Admission into the Respiratory Therapy Program; RSPT 1260 with grade Pass
Corequisites: RSPT 2250 and RSPT 2350
(replaces RSPT 2331 and RSPT 2341)
RSPT 2335 reviews the effects of mechanical ventilation on cardiopulmonary physiology. The course will evaluate the capabilities and limitations of the most commonly used mechanical ventilators. Students will develop cognitive and psychomotor skills necessary for initiating, assessing, maintaining, monitoring, adjusting, problem solving, discontinuing, documenting, and applying protocols to mechanical ventilation on infant, pediatric, and adult patients.
Location: Center Campus
When Offered: Fall semester only
Contact Hours: 6 Billable Contact Hours: 6 OUTCOMES AND OBJECTIVES Outcome 1: Upon completion of this course, the student will be able to determine when and how mechanical ventilation should be initiated and discontinued based on patient assessment and diagnostic information.
Objectives:
- Recognize situations where mechanical ventilation is needed.
- Given a patient scenario, initiate the proper form of ventilation and input the initial parameters to begin ventilation.
- Assess weaning readiness and wean a patient from mechanical ventilation.
- Disassemble and process the ventilators presented in this course.
Outcome 2: Upon completion of this course, the student will be able to discuss the physiologic and pathologic consequences of mechanical ventilation.
Objectives:
- List the hazards and complications of mechanical ventilation.
- Describe the methods used to decrease or eliminate the hazards and complications.
- Use critical thinking skills to detect and solve problems associated with ventilator patients.
Outcome 3: Upon completion of this course, students will be able to identify and demonstrate the use of monitoring and diagnostic techniques and equipment used with mechanical ventilator patients.
Objectives:
- Describe the purpose of, set up, maintain, and interpret noninvasive monitors such as pulse oximetry, capnography, and electrocardiography (ECG) on a simulated ventilator patient.
- Set up and interpret ventilator graphics.
- Obtain and interpret respiratory mechanics and weaning data.
- Given a clinical scenario, determine the appropriate action to be taken for a ventilator patient based on assessment and diagnostic information.
Outcome 4: Upon completion of this course, the student will be able to compare and contrast the different features available on mechanical ventilators and the clinical indications for their use.
Objectives:
- Describe the different modes of ventilation available on the newer ventilators and the situations where their use is most appropriate.
- Explain the features available to make triggering and cycling of the ventilator easier for the patient.
- Describe the latest features available to improve patient-ventilator synchrony.
Outcome 5: Upon completion of this course, the student will be able to utilize assessment and ventilator protocols in the management of ventilator patients.
Objectives:
- Given a patient scenario, demonstrate the ability to follow a protocol to:
- Improve oxygenation
- Improve ventilation
- Wean a patient from ventilation
- Demonstrate the ability to correct ventilator associated complications.
- Given a patient scenario, demonstrate the ability to follow a protocol in the treatment of specific conditions such as:
- Acute Respiratory Distress Syndrome (A.R.D.S.)
- Chronic Obstructive Pulmonary Disease (C.O.P.D.)
- Closed head injury
- Asthma
- Apply adjunct therapy to a ventilator patient such as medication delivery and airway management.
Outcome 6: Upon completion of this course, the student will be able to demonstrate proper documentation of ventilator patient care.
Objectives:
- Demonstrate the ability to document via:
- Traditional charting
- Computerized charting
- S.O.A.P.I.E.R. (Subjective, Objective, Assessment, Plan, Intervention, Evaluation, and Revision) Notes
- Explain the medical and legal issues associated with documentation.
COMMON DEGREE OUTCOMES (Bulleted outcomes apply to the course)
- 1. The graduate can integrate the knowledge and technological skills necessary to be a successful learner.
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- 2. The graduate can demonstrate how to think competently.
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- The graduate can demonstrate how to employ mathematical knowledge.
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- 4. The graduate can demonstrate how to communicate competently.
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- The graduate is sensitive to issues relating to a diverse, global society.
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COURSE CONTENT OUTLINE MODULE A: AIRWAY MANAGEMENT
Lesson #1 - Pharyngeal, laryngeal and esophageal airways
Lesson #2 - Tracheal airways
Lesson #3 - Airway clearance
Lesson #4 - Advanced airways
Lesson #5 - Airway complications and emergencies
MODULE B: MONITORING DURING MECHANICAL VENTILATION
Lesson #1 Ventilator waveforms
Lesson #2 - Ventilator mechanics
Lesson #3 Loops
MODULE C: MANAGEMENT OF THE VENTILATOR PATIENT
Lesson #1 - COPD
Lesson #2 - Asthma
Lesson #3 ARDS
MODULE D: NEWBORN AND PEDIATRIC VENTILATION
Lesson #1 Use of CPAP
Lesson #2 Neonatal Time Cycled, Pressure-Limited Ventilation
Lesson #3 Pediatric Volume ventilation
Lesson #4 High frequency ventilation
Lesson #5 Adjuncts to conventional mechanical ventilator support
MODULE E: DISCONTINUATION FROM VENTILATION AND LONG TERM CARE
Lesson #1 Assessment of weaning readiness
Lesson #2 Methods of weaning
Lesson #3 Accessories (Passy-Muir valves…)
Lesson #4 Special considerations in the home or ECF environment
Lesson #5 - Transport Primary Faculty Zahodnic, Richard Secondary Faculty Niemer, Laurie Associate Dean Shaw, Andrea Dean Mirijanian, Narine
Official Course Syllabus - Macomb Community College, 14500 E 12 Mile Road, Warren, MI 48088
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