RSPT 2360 - Clinical Internship 4

Credit Hours: 2.00

Outcome 1: Upon completion of this course, students will be able to 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. 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 xray 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 this course, students will be able to 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 this course, students will be able to 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 this course, students 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 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 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 set up 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 this course, students 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), FlowVolume Loop (FVL), and Mandatory Volume Ventilation (MVV)
3. Determine if a postbronchodilator study is indicated and be able to calculate the percent change between preand postbronchodilator measurements, when given pulmonary function data.

Critical Care Rotation III

Outcome 1: Upon completion of this course, students 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 this course, students 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, the student will consistently demonstrate proper documentation of the intervention and the patient’s response.
2. Given a patient interaction, the student will demonstrate appropriate communication interpersonal skills.
3. Given a clinical situation, the student will indicate proper techniques to maintain privacy in the healthcare setting.

Outcome 3: Upon completion of this course, students will 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 this course, students 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 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 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 set up 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.
5. Interpret a given ABG and implement ventilatory changes to correct the acid/base and oxygenation abnormalities.
6. Demonstrate the correct procedure for determining intracuff pressures.
7. Identify and troubleshoot any abnormal ventilator waveforms.

Outcome 6: Upon completion of this course, students will demonstrate competency in performing tracheostomy care.

Objectives:

1. Demonstrate proper technique for tracheostomy care.

Outcome 7: Upon completion of this course, given an ECG tracing, students will state the dysrhythmia present and list treatment options.

Outcome 8: Upon completion of this course, given hemodynamic data, students will be able to calculate desired hemodynamic indices and differentiate the shock state present.

Pediatric Specialty Rotation

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

Outcome 3: Upon completion of this course, students 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 this course, students 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 this course, students 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 this course, students 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 this course, students will correlate, assess and evaluate the patient’s cardiovascular status using invasive and/or noninvasive monitoring devices.

Outcome 8: Upon completion of this course, students will set up and maintain a pulse oximeter.

• 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.

1. 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
2. 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
3. Critical Care III
   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. Tracheostomy Care
   10. Arrhythmia Recognition