RSPT 1260 - Clinical Internship 1

Credit Hours: 4.00

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.

• 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. 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