RSPT 2335 - Mechanical Ventilation

Credit Hours: 5.00

Objectives:

1. Recognize situations where mechanical ventilation is needed.
2. Given a patient scenario, initiate the proper form of ventilation and input the initial parameters to begin ventilation.
3. Assess weaning readiness and wean a patient from mechanical ventilation.
4. 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:

1. List the hazards and complications of mechanical ventilation.
2. Describe the methods used to decrease or eliminate the hazards and complications.
3. 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:

1. Describe the purpose of, set up, maintain, and interpret noninvasive monitors such as pulse oximetry, capnography, and electrocardiography (ECG) on a simulated ventilator patient.
2. Set up and interpret ventilator graphics.
3. Obtain and interpret respiratory mechanics and weaning data.
4. 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:

1. Describe the different modes of ventilation available on the newer ventilators and the situations where their use is most appropriate.
2. Explain the features available to make triggering and cycling of the ventilator easier for the patient.
3. 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:

1. Given a patient scenario, demonstrate the ability to follow a protocol to:
   1. Improve oxygenation
   2. Improve ventilation
   3. Wean a patient from ventilation
   4. Demonstrate the ability to correct ventilator associated complications.
2. Given a patient scenario, demonstrate the ability to follow a protocol in the treatment of specific conditions such as:
   1. Acute Respiratory Distress Syndrome (A.R.D.S.)
   2. Chronic Obstructive Pulmonary Disease (C.O.P.D.)
   3. Closed head injury
   4. Asthma
3. 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:

1. Demonstrate the ability to document via:
   1. Traditional charting
   2. Computerized charting
   3. S.O.A.P.I.E.R. (Subjective, Objective, Assessment, Plan, Intervention, Evaluation, and Revision) Notes
2. Explain the medical and legal issues associated with documentation.

• 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.

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