May 20, 2022  
College Catalog 2021-2022 
    
College Catalog 2021-2022 [ARCHIVED CATALOG]

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RSPT 2260 - Clinical Internship 3

Credit Hours: 2.00


Prerequisites: Admission into the Respiratory Therapy Program

Corequisites: RSPT 2335  and RSPT 2350 

This course requires respiratory therapy students to complete 160 additional hours of clinical training experience in an affiliated hospital. Objectives focus on pulmonary function testing, critical care pharmacology, arterial blood gases, and mechanical ventilation. This course is graded on a pass/fail basis. Students are required to pass this course to progress in the program.

Billable Contact Hours: 5

When Offered: Fall semester only

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OUTCOMES AND OBJECTIVES
CRITICAL CARE ROTATION I

Outcome 1: Upon completion of the course, the student 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.
    1. Consistently 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.
    2. Consistently demonstrate appropriate work appearance as outlined in the student handbook.

Outcome 2: Upon completion of the course, the student 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 the course, the student 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 the course, the student will correlate assessment data and patients pathophysiology to determine 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 the course, the student will demonstrate an arterial blood draw from an arterial line, interpret results of an arterial blood gas and recommend appropriate treatment.

Objectives:

  1. State the normal values associated with blood-gas analysis.
  2. Given a clinical situation and appropriate patient information, make appropriate recommendations to correct the acid-base and oxygenation status.
  3. Demonstrate the proper procedure for drawing blood from an arterial line.

Outcome 6: Upon completion of the course, the student will develop psychomotor skills in performing respiratory therapy procedures safely and according to the acceptable treatment protocol.

Objectives:

  1. Demonstrate the proper procedure of suctioning with a 24-hour suction catheter.
  2. Demonstrate the ability to setup a mechanical ventilator for patient use.
  3. Perform a routine ventilator check, according to department policy and procedure.
  4. Perform an assessment of the patient’s readiness to be liberated from mechanical ventilation.

CRITICAL CARE ROTATION II

Outcome 1: Upon completion of the course, the student will demonstrate further development of 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.
    1. 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.
    2. Consistently demonstrate appropriate work appearance as outlined in the student handbook.

Outcome 2: Upon completion of the course, the student will demonstrate growth in effective and accurate communication skills, demonstrated thorough oral and 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 the course, the student will demonstrate continued improvement of adequate 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 the course, the student will demonstrate continued competency in correlating assessment data and patients pathophysiology to determine 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, consistently identify the correct protocol or treatment plan to improve the patient’s cardiopulmonary status, given appropriate patient information.

Outcome 5: Upon completion of the course, the student will demonstrate further development of psychomotor skills used in performing respiratory therapy procedures safely and according to the acceptable treatment protocol.

Objectives:

  1. Demonstrate the proper procedure of suctioning with a 24hour suction catheter.
  2. Demonstrate the ability to setup a mechanical ventilator for patient use.
  3. Perform a routine ventilator check, according to department policy and procedure.
  4. Perform an assessment of the patient’s readiness to be liberated from mechanical ventilation.

Outcome 6: Upon completion of the course, the student will demonstrate competency in performing bedside pulmonary function measurements.

Objectives:

  1. Demonstrate proper calibration of a bedside pulmonary function device.
  2. Instruct a patient on how to perform a Forced Vital Capacity (FVC), Flow-Volume Loop (FVL), and Mandatory Volume Ventilation. (MVV)
  3. When given pulmonary function data, will determine if a post-bronchodilator study is indicated and be able to calculate the percent change between pre- and post-bronchodilator measurements.

PEDIATRIC SPECIALTY ROTATION

Outcome 1: Upon completion of the course, the student 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.
    1. 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.
    2. Demonstrate appropriate work appearance as outlined in the student handbook.

Outcome 2: Upon completion of the course, the student 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 the course, the student will correlate assessment data and patients pathophysiology to determine 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, consistently identify the correct protocol or treatment plan to improve the patient’s cardiopulmonary status, given appropriate patient information.

Outcome 4: Upon completion of the course, the student will The student will develop psychomotor skills in performing capillary and arterial blood sampling, and will be able to interpret results and recommend an appropriate treatment plan.

Objectives:

  1. Identify and list normal capillary/arterial blood-gas values.
  2. Observe the proper procedure for performing a capillary blood gas.
  3. Given a capillary or arterial blood gas,:
    1. Interpret the CBG/ABG.
    2. Make recommendations to treat the acid base and/or oxygenation abnormality.

Outcome 5: Upon completion of the course, the student will be able to initiate, monitor and recommend an appropriate treatment plan for patients receiving ventilatory life support and be able to evaluate patient’s response.

Objectives:

  1. Set up a mechanical ventilator for patient use.
  2. Perform a routine ventilator check, according to department policy and procedure.
  3. Calculate appropriate values used to assess the pediatric or neonatal patient during mechanical ventilation.
  4. Complete patient assessment forms as designated by the clinical instructor.

Outcome 6: Upon completion of the course, the student will demonstrate safe administration of all respiratory therapy procedures.

Objectives:

  1. Set up and maintain an oxygen hood.
  2. Observe endotracheal suctioning utilizing sterile technique.
  3. Demonstrate the proper procedure of bag/mask or bag/tube ventilation.
  4. Demonstrate the proper procedure for administering aerosolized medications.

Outcome 7: Upon completion of the course, the student will correlate, assess and evaluate the patient’s cardiovascular status using invasive and/or noninvasive monitoring devices.

Objectives:

  1. Set up and maintain a pulse oximeter.

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. Critical Care I
    1. Arterial Blood Gas Sampling
    2. Arterial Blood Gas Analysis (OPTIONAL)
    3. Ventilatory Assessment
    4. 24-hour Suction Catheter
    5. Ventilator Set-Up
    6. Routine Ventilator Check
    7. Non-Invasive Ventilation
  2. Pediatric/Neonatal
    1. Ventilator Set up
    2. Ventilator Circuit Change
    3. Routine Ventilator Check
    4. Neonatal/Pediatric Ventilator
    5. Manual Ventilation
    6. Capillary Blood Gas
  3. Critical Care II
    1. Arterial Blood Gas Sampling
    2. Arterial Blood Gas Analysis
    3. Ventilatory Assessment
    4. 24hour Suction Catheter
    5. Ventilator Set-Up
    6. Ventilator Circuit Change
    7. Routine Ventilator Check
    8. Non-Invasive Ventilation
    9. Bedside Pulmonary Function

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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