Sep 28, 2022  
College Catalog 2021-2022 
    
College Catalog 2021-2022 [ARCHIVED CATALOG]

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RSPT 1260 - Clinical Internship 1

Credit Hours: 4.00


Prerequisites: Admission into the Respiratory Therapy Program; RSPT 1115 , RSPT 1140 , RSPT 1200 , and RSPT 1210  all with grade C or better

This course introduces the student to clinical practice by providing 32 hours/week of clinical training in a hospital setting. Students perform basic respiratory therapy procedures learned in the procedures laboratory (RSPT 1090 and RSPT 1120). The laboratory portion of the course includes an eight‑hour/week workshop held at the college. The lab is designed to introduce the student to the concepts and psychomotor skills necessary to care for patients on mechanical ventilators. This course is graded on a pass/fail basis. Students are required to pass this course to progress in the program.

Billable Contact Hours: 7

When Offered: Spring/Summer semester only

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OUTCOMES AND OBJECTIVES
Outcome 1: Upon completion of this course, students will develop professional behaviors and attitudes that contribute to satisfactory clinical practice.

Objectives:

  1. Consistently arrive at the clinical site at the assigned time and prepared for the day’s activities.
  2. Have the following in their possession at all times:
    1. Results of personal physical examination.
    2. Verification of Hepatitis vaccine or waiver.
    3. Titers for communicable diseases or verification of recent vaccination.
    4. Result of TB skin test or chest x-ray result.
    5. BLS Healthcare Provider card.
    6. Drug cards for medications commonly used in clinical practice.
  3. Consistently demonstrate appropriate work appearance as outlined in the student handbook.

Outcome 2: Upon completion of this course, students will effectively and accurately communicate, orally and through written documentation, to patients and other members of the health care team.

Objectives:

  1. Given a clinical situation, consistently demonstrate proper documentation of the intervention and the patient’s response.
  2. Given a patient interaction, demonstrate appropriate communication interpersonal skills.
  3. Given a clinical situation, indicate proper techniques to maintain privacy in the healthcare setting.

Outcome 3: Upon completion of this course, students will adequately demonstrate patient assessment skills through inspection, palpation, percussion, and auscultation and correlate the results to the patient’s pathophysiology.

Objectives:

  1. Given a clinical situation, consistently identify the proper assessment techniques required.
  2. Given a clinical situation, consistently state the anticipated outcomes of the assessment intervention.
  3. Given a clinical situation, consistently demonstrate proper technique of assessment intervention.

Outcome 4: Upon completion of this course, students will correlate assessment data and patients pathophysiology to implement and evaluate a safe and appropriate treatment plan.

Objectives:

  1. Given a clinical situation, consistently identify pathophysiological changes that are present.
  2. Given a clinical situation, consistently identify clinical signs and symptoms that are emergent in nature and recommend appropriate steps to resolve.
  3. Given a clinical situation and appropriate patient information, consistently identify the correct protocol or treatment plan to improve the patient’s cardiopulmonary status.

Outcome 5: Upon completion of this course, students will develop psychomotor skills in performing basic respiratory therapy procedures according to the acceptable treatment protocol.

Objectives:

  1. The student will demonstrate successful completion of the following performance evaluations:
    1. Hand Washing. (#1)
    2. Oxygen Supply Systems. (#2)
    3. Oxygen Delivery Devices. (#3)
    4. Oxygen Tent. (#4)
    5. Oxygen Therapy. (#5)
    6. Oxygen Rounds. (#6)
    7. Aerosol Therapy. (#7)
    8. Metered Dose Inhaler. (#8)
    9. Incentive Spirometry. (#9)
    10. IPPB. (#11)
    11. Chest Physical Therapy. (#12)
    12. Suctioning. (#13)
    13. Manual Resuscitation - Adult. (#14)
    14. Manual Resuscitation - Infant. (#15)
    15. Intubation and Alternate Airways. (#16)
    16. Arterial Blood-Gas Sampling. (#18 Optional)
    17. Pulse Oximetry. (#29)

Outcome 6: Upon completion of this course, students will compare and contrast the different modes of mechanical ventilation and demonstrate proficiency in ventilating lung models in the laboratory setting.

Objectives:

  1. Demonstrate the ability to disassemble, process, reassemble, and perform a self-test on a ventilator to ascertain proper function prior to placement on a patient.
  2. Demonstrate the ability to prepare a mechanical ventilator in the assist/control (A/C) mode.
  3. Demonstrate the ability to make ventilator changes and to troubleshoot when problems arise.
  4. Demonstrate proper documentation of the patient-ventilator interface.

COMMON DEGREE OUTCOMES (CDO)
• Communication: The graduate can communicate effectively for the intended purpose and audience.
• Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
• Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
• Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
• Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
• Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.

CDO marked YES apply to this course:
Communication: YES
Critical Thinking: YES
Global Literacy: YES
Information Literacy: YES
Quantitative Reasoning: YES
Scientific Literacy: YES

COURSE CONTENT OUTLINE

  1. Airway Resistance
  2. Lung Compliance
  3. Deadspace Ventilation
  4. Ventilatory Failure
  5. Oxygenation Failure
  6. Indications for Mechanical Ventilation
  7. Pulmonary Considerations
  8. Cardiovascular Considerations
  9. Hemodynamic Considerations
  10. Renal Considerations
  11. Ventilatory Work
  12. Input Power
  13. Drive Mechanism
  14. Control Circuit
  15. Control Variables
  16. Phase Variables
  17. Output Waveforms
  18. Alarm Systems
  19. Negative and Positive Pressure Ventilation
  20. Operating Modes of Ventilation
  21. Positive End Expiratory Pressure (PEEP)
  22. Continuous Positive Airway Pressure (CPAP)
  23. Controlled Ventilation
  24. Assist-Control Ventilation
  25. Synchronized Intermittent Mandatory Ventilation
  26. Pressure Support Ventilation
  27. Tube Compensation
  28. Dual-Control Mode Ventilation
  29. Physiologic Effects of Noninvasive Positive Pressure Ventilation (NIPPV)
  30. Continuous Positive Airway Pressure (CPAP)
  31. Bi-level Positive Airway Pressure (BiPAP)
  32. Common Interfaces for CPAP and Bi-PAP
  33. Interface Problems
  34. CPAP/BiPAP Titration
  35. Indication for Mechanical Ventilation
  36. Contraindications for Mechanical Ventilation
  37. Initial Ventilator Settings
  38. Ventilator Alarm Settings
  39. Hazards and Complications of Mechanical Ventilation
  40. Patient Assessment
  41. Fluid Balance
  42. Anion Gap
  43. Arterial Blood Assessment
  44. Oxygen Saturation
  45. Flow Waveforms
  46. Pressure Waveforms
  47. Volume Waveforms

Primary Faculty
Niemer, Laurie
Secondary Faculty
Zahodnic, Richard
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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