WACO, TEXAS COURSE SYLLABUS AND INSTRUCTOR PLAN Respiratory Care Procedures I RSPTL 1410.01 RSPTL 1410.02 Donna Mendoza AN EQUAL OPPORTUNITY INSTITUTION SPRING 2014 1
Procedures I Course Description: Spring 2013 This course provides essential knowledge of the equipment and techniques used in the treatment of cardiopulmonary disease. Content areas include: oxygen therapy, humidity and aerosol therapy, lung expansion therapy, bronchial hygiene therapy, and pulse oximetry. Semester Hours 4 (3 lec/4lab) Prerequisites and/or Corequisites: RSPT 1371 Instructor Information: Instructor Name: Donna Mendoza MCC E-mail: dmendoza@mclennan.edu Office Phone Number: 299-8426 Office Location: HPB #131 Office/Teacher Conference Hours: Monday or Wednesday - by appointment or via e-mail Tuesday: 1:30pm-4:00pm Thursday: 1:30pm-4:00pm By appointment call 254/299-8426 or dmendoza@mclennan.edu to make an appointment Required Text & Materials: 1. Cairo and Pilbeam, Mosby s Respiratory Care Equipment, 8 th ed., St. Louis, Missouri: Mosby Elsevier, 2010. ISBN# 978-0-323-05176-7 2. Kacmarek, Stoller and Heuer, Egan s Fundamentals of Respiratory Care, 10 th ed., St. Louis, Missouri: Mosby Elsevier, 2013. ISBN# 978-0-323-08203-7 MCC Bookstore Website 2
Methods of Teaching and Learning: My lectures are conducted via PowerPoint presentations and handouts in the classroom. In Lab, hands on teaching and demonstrations are used with respiratory care equipment. The methods to evaluate learning in this class include written exams and demonstrating and passing competencies in the laboratory setting. Course Objectives and/or Competencies: The student will learn to: Oxygen Therapy 1. Gas delivery, metering and clinical analyzing devices Manipulate by order or protocol and maintain infection control for gas delivery, metering, and clinical analyzing devices, including gas cylinders, regulators, reducing valves, connectors and flow meters, and air / oxygen blenders; including air compressors Perform quality control for gas metering devices (flow meters) 2. Oxygen therapy administration devices Manipulate oxygen therapy by order or protocol and maintain infection control for oxygen administration devices Low flow devices High flow devices High flow nasal cannula 3. Administering oxygen therapy Achieve respiratory support by administering oxygen therapy Measure the F I O 2 and/or oxygen flow to evaluate and monitor the patient's objective and subjective response to oxygen therapy; independently modify oxygen therapy or recommend changes in oxygen therapy based on the patient s response, including changing the mode of administration, flow, or F I O 2, including setting up or changing an O 2 blender 4. Pulse oximetry Perform pulse oximetry Manipulate and assure infection control for pulse oximetry Monitor, evaluate and interpret the patient s subjective and objective response to oxygen therapy with pulse oximetry; recommend modifications in the patient s oxygen therapy 5. Other therapeutic gases Manipulate by order or protocol and maintain infection control for helium/oxygen therapy (He/O 2 or heliox) Independently modify helium/oxygen therapy based on the patient s response to change the mode of administration or adjust the flow or gas concentration 3
Humidity and Aerosol Therapy 1. Manipulate (operate and control) by order or protocol humidifiers nebulizers 2. Independently modify and alter continuous humidity or aerosol therapy based on the patient s response, according to protocol: change type of equipment and change aerosol output adjust temperature of the aerosol (nebulizer) or humidifier change type of humidification equipment to manage the artificial airway 3. Initiate (administer) and modify aerosol therapy with prescribed drugs Manipulate (operate and control) aerosol therapy with these devices: metered dose inhalers (MDI) and dry powder inhalers (DPI) Communicate results of aerosolized medications and alter therapy according to protocol and independently modify therapy based on the patient s response: modify patient breathing patterns change type of equipment and change aerosol output change dilution of medication Bronchial Hygiene - Airway Clearance 1. Manipulate (operate and control) by order or protocol: percussors and vibrators high frequency chest wall oscillators (HFCWO) positive expiratory pressure (PEP) devices vibratory PEP devices 2. Initiate and modify bronchial hygiene procedures to remove bronchopulmonary secretions: postural drainage, percussion and vibration airway clearance using mechanical devices such as HFCWO and vibratory PEP 3. Assess a patient's overall cardiopulmonary status by inspection to determine cough, sputum amount and character 4. Instruct and encourage the patient to cooperate with bronchopulmonary hygiene techniques 5. Independently modify bronchial hygiene therapy, based on the patient s response 6. Recommend modifications of the respiratory care plan based on the patient s response to the institution of bronchopulmonary hygiene procedures; consider altering the patient s position and frequency and duration of therapy and techniques; coordinate sequence of therapies, e.g., chest percussion, postural drainage, PEP 4
Procedures I Deep Breathing and Incentive Spirometry Techniques 1. Achieve adequate respiratory support by deep breathing and incentive spirometry techniques; instruct the patient in deep breathing and incentive spirometry techniques 2. Manipulate incentive breathing devices by order or protocol, assuring infection control 3. Independently modify incentive spirometry techniques, based on the patient s response Intermittent Positive Pressure Breathing IPPB 1. Manipulate (operate and control) by order or protocol the IPPB breathing circuit 2. Initiate, adjust and modify IPPB therapy to achieve adequate respiratory support 3. Independently modify IPPB therapy, based on the patient s response Course Outline: Unit I Oxygen Therapy Unit II Humidity and Aerosol Therapy Unit III Lung Expansion Devices Unit IV Bronchial Hygiene Airway Clearance Devices 5
RSPT 1410 Course Schedule: Tentative Course Spring Schedule, 2014 Wk 1 Jan 14 & 16 Orientation and Mosby Ch. 2 and Egan Ch. 37 Manufacture, Storage and Transport of Medical Gases Wk 2 Jan 21 & 23 Mosby Ch. 3 Regulators and Flowmeters Wk 3 Jan 28 & 30 Mosby Ch. 3 and Egan Ch. 38 Devices for Administering Medical Gases, Part 1 Wk 4 Feb 4 Mosby Ch. 3 and Egan Ch. 38 Devices for Administering Medical Gases, Part 2 and Review for Exam 1 Exam 1 Feb 6 Wk 5 Feb 11 & 13 Mosby Ch. 4 and Egan Ch. 35 and 36 Humidity and Aerosol Therapy Wk 6 Feb 18 & 20 Mosby Ch. 4 and Egan Ch. 35 & 36 Aerosol Drug Therapy, Aerosol Drug Delivery Systems Wk 7 Feb 25 Mosby Ch. 4 and Egan Ch. 35 & 36 Aerosol Drug Delivery Systems Review for Exam 2 Exam 2 Feb 27 Wk 8 March 4 & 6 Mosby Ch. 7 and Egan Ch. 39 & 40 Incentive Spirometer and General Principals of IPPB Wk 9 March 10 14 th SPRING BREAK!! Wk 10 March 18 Mosby Ch. 7 and Egan Ch. 39 & 40 General Principals of IPPB Review for Exam 3 Exam 3 March 20 6
Procedures I Wk 11 March 25 & 27 Mosby Ch. 7 and Egan Ch. 39 & 40 IPPB Equipment Bennett and Bird Mark Series Wk 12 April 1 Mosby Ch. 7 and Egan Ch. 39 Positive Airway Pressure (PAP) Review for Exam 4 Exam 4 April 3 Wk 13 April 8 & 10 Mosby Ch. 7 and Egan Ch. 40 Bronchial Hygiene, Airway Clearance, Postural Drainage and Postural Drainage with Percussion Wk 14 April 15 & 17 Mosby Ch. 7 and Egan Ch. 40 Postural Drainage, Postural Drainage with Percussion and Directed Cough and Expulsion Techniques Wk 15 April 22 & 24 Mosby Ch. 7 and Egan Ch. 40 PEP Therapy, High Frequency Compression/Oscillation and Flutter Valve Therapy Review for Exam 5 Exam 5 April 29 Wk 16 May 1 Final Exam Review Tuesday, May 6 th COMPREHENSIVE FINAL EXAM 9:35 am 11:35 am Dates are subject to change. You will be notified in class and on Blackboard. 7
RSPTL 1410.01 and.02 Spring 2014 LABORATORY SCHEDULE: Dates Topic/Assignment Notes January 17 th Gas Cylinder Initiation Gas Cylinder Initiation January 24 and 31 st Oxygen Therapy Nasal Cannula Simple Mask Partial Rebreather Mask Non-Rebreather Mask Air Entrainment Mask February 7 and 14 th Continuous Aerosol Therapy Face tent Face mask Trach collar T-piece February 21 and March 7 th Small Volume Nebulizer Small Volume Nebulizer February 28 th Spring Professional Development Day No Lab March 10 14 th Spring Break No Lab Metered Dose Inhaler March 21 st MDI and DPI administration Dry Powder Inhaler March 28 th Incentive Spirometer Incentive Spirometer April 4 and 11 th IPPB IPPB April 18 th Good Friday - Holiday No Lab April 25 th and May 2 nd Chest Physiotherapy Chest Physiotherapy SCANS COMPETENCIES: The Secretary s Commission for Achieving Necessary Skills, (SCANS), are incorporated into the learning outcomes and activities for the course. Acquires and evaluates information. (C5) Selects and analyzes information and communicates results. (C7) Locates, understands, and interprets written information. (F1) Performs basic computations. (F3) Approaches practical problems by choosing appropriately, mathematical techniques. (F4) Evaluates and chooses best alternative. (F8) Uses logic to draw conclusions. (F12) 8
Procedures I Course Grading Information: COURSE REQUIREMENTS: In order to satisfy laboratory assignments, the student must receive a satisfactory for each competency. All students must meet the course requirements to be successful in this course and continue within the program. GRADING SYSTEM: Grading is based on a percentile system. Each examination will be graded on a scale of 100 % according to the following scale: 90-100% = A 80-89% = B 70-79% = C 60-69% = D 59% or less = F The semester grade will be determined by: 1. An average of the unit examinations and final exam = 100% of course grade. (Reminder: a course grade of 88.5 = 89, is a B. A course grade of 89.4 is also a B.) 2. Competency evaluations Phase II of the competencies will be evaluated as Pass or Fail (Needs Remediation). If a student requires remediation on two Phase II attempts to complete a competency (student will not be allowed more than two attempts during their lab), then they will be required to contact Mrs. Dutton, lab specialist, to complete the competency the following week, Monday or Wednesday. Mrs. Dutton s contact information is mdutton@mclennan.edu or 299-8132. The student will observe the remainder of the lab. If student is unable to complete the competency during the remediation session, the student may be advised to withdraw from the course. 3. Completion of competencies Completion of each competency will be evaluated as satisfactory, based on the satisfactory completion of the steps outlined on the E-Value competency. To satisfy grading requirements, students must complete and receive a Summary Performance Evaluation of satisfactory on all the competencies. Failure to complete all competencies will result in an Incomplete in the course. Persistent remediation will prompt a meeting with the instructors to discuss whether or not the student will be able to complete the course, resulting in withdrawal of the student from the course. 4. Course Evaluation: The student evaluation of faculty is an important part of your course participation at McLennan Community College. Your participation will give us valuable insights and help us to understand what we are doing well and what we need to improve. Identifying information, such as name, student ID, or email address, will not be shared with your instructor. Student participation is a mandatory part of the course. Students who do not provide an evaluation of the instructor will receive an Incomplete in their course until the evaluation is complete. 9
Late Work, Attendance, and Make Up Work Policies: Make-up work: Students are responsible for all material presented or assigned in class and lab. Students will be held accountable for such materials in the determination of course grades. If a student misses an exam, the student must notify the instructor, provide proof of illness, or illness of a family member for whom the student is a caretaker (e.g., single parent), death in the family or approved college activity. Otherwise the student will receive a zero for that exam. Exams will be made up in the MCC testing center within one week following the date the exam was administered. If a student fails to follow these instructions for making up an exam, the student will receive a zero for that exam. Call the Testing Center or email Michelle Johnson at mjohnson@mclennan.edu in order to schedule an appointment to take the test. The Testing Center s number is 299-8453. Students must set up their appointments at least 48 business hours in advance. The Testing Center is concerned with the security of the test environment and students personal belongings. Students are not allowed to keep personal belongings such as backpacks, purses, shopping bags, and electronic devices with them when they are testing. Please inform your students to bring with them only the items they need to test including a photo ID. Hours for Instructional testing are: The Testing Center is open: Monday Thursday from 8:00 AM 8:00 PM and Friday from 8 AM 5:00 PM (Note: The last appointment scheduled for the day will be two hours prior to the end of the day. All tests will be collected at 7:45 pm Monday - Thursday, and at 4:45 pm on Friday.) LAB Make up: If a student misses a lab, the student must notify the instructor and provide documentation of illness, or illness of a family member for whom the student is a caretaker (e.g., single parent), death in the family or approved college activity. The student must make up the lab the following week during their lab time. If the student cannot provide documentation to meet the class requirements for absences from lab or the student doesn t make up the lab during the week following the absence from lab, the student will be withdrawn from the course. 10
ATTENDANCE POLICY Regular and punctual attendance is expected of all students, and a complete record of attendance will be maintained for the entire length of each course. Students will be counted absent from class meetings missed, beginning with the first official day of classes. Students, whether present or absent, are responsible for all material presented or assigned for this course and will be held accountable for such materials in the determination of course grades. Absence from 25 percent of scheduled lecture meetings (8) or labs (3) meetings will be taken as evidence that a student does not intend to complete the course, and the student will be withdrawn from the course with a grade of W. The instructor may reinstate the student if satisfied that the student will resume regular attendance and will complete the course. If the student s 25 percent absences from lecture classes (8) or labs (3) meetings are reached after the official drop date, the instructor may assign a W, if the student is passing and requests to be withdrawn. However, if a student who is not passing reaches the 25 percent point after the official drop date, the student will receive an F. In extenuating circumstances, the instructor may assign a W to a student who is not passing. Each absence will count toward attendance requirements in this course. Students will be permitted to make up class work and assignments missed due to absences caused by (1) authorized participation in official College functions, (2) personal illness, (3) an illness or a death in the immediate family, or (4) the observance of a religious holy day. Also, the instructor has the prerogative of determining whether a student may make up work missed due to absences for other reasons. It is the student s responsibility to inform the instructor of the reason for an absence and to do so in a timely fashion. Students are expected to be in class, on time. For security reasons, the doors to the classroom and lab will be locked from the outside and the doors will remain locked after class starts. If you can't be in the classroom or lab by the time class starts, do not expect to be let in; go to the library and study or make that time productive some other way. If you must leave the classroom or lab for an emergency, quietly pick up your course materials and leave the classroom or lab and, since the doors are locked from the outside, you won t be able to come back into the class or lab. Lab absences - will be monitored the same as above. counted as an absence. Leaving early will be Please refer to the Highlander Guide for the complete policy. 11
Procedures I Student Behavioral Expectations or Conduct Policy: Students are expected to maintain classroom decorum that includes respect for other students and the instructor, prompt and regular attendance, and an attitude that seeks to take full advantage of the education opportunity. Cell phones and other electronic devices, and PERSONAL TELEPHONE CALLS: All cellular phones must be turned off at the beginning of class. Under extraordinary circumstances and with permission, the student may receive emergency phone calls if placed on vibrate. Responding to emergency phone calls must be conducted outside the classroom. Take your books and personal items with you when you leave to answer the call. You won't be able to return to the classroom. No personal phone calls (nonemergency) will be allowed during class. Texting during class not pertaining to classwork will result in withdrawal of that student from this course. Students may use lap top computers or smart phones to access class work with permission during class. Please send me an email stating that you will be using one of these devices to access your class work. Accessing other material or web sites during class will result in withdrawal of that student for this course. NO EXCEPTIONS. MCC Academic Integrity Statement: The Center for Academic Integrity, of which McLennan Community College is a member, defines academic integrity as a commitment, even in the face of adversity, to five fundamental values: honesty, trust, fairness, respect, and responsibility. From these values flow principles of behavior that enable academic communities to translate ideals into action. Individual faculty members determine their class policies and behavioral expectations for students. Students who commit violations of academic integrity should expect serious consequences. For further information about student responsibilities and rights, please consult the McLennan website and your Highlander Student Guide. Students who cheat or plagiarize will receive a zero for the assignment and are subject to suspension. The term cheating includes, but is not limited to: (1) use of any unauthorized assistance in taking quizzes, tests or examinations; (2) dependence upon the aid of sources beyond those authorized by the instructor in writing papers, preparing reports, solving problems or carrying out other assignments; or (3) the acquisition, without permission, of tests or other academic material belonging to a member of the MCC faculty or staff. The term plagiarism includes, but is not limited to, the use, by paraphrase or direct quotation, of the published or unpublished work of another person without full and clear acknowledgment. It also includes the unacknowledged use of materials prepared by another person or agency engaged in the selling of term papers or other academic materials. 12
Procedures I ADA Statement: In accordance with the requirements of the Americans with Disabilities Act (ADA), and the regulations published by the United States Department of Justice 28 C.F.R. 35.107(a), MCC s designated ADA coordinators, Dr. Drew Canham Vice President, Student Success and Mr. Gene Gooch - Vice President, Finance and Administration shall be responsible for coordinating the College s efforts to comply with and carry out its responsibilities under ADA. Students with disabilities requiring physical, classroom, or testing accommodations should contact Ms. Renee Jacinto, Disabilities Specialist, Student Services Center, Student Development Department, Room 227 or at 299-8122 or rrjacinto@mclennan.edu TITLE IX No person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity receiving Federal financial assistance. Legal Citation: Title IX of the Education Amendments of 1972, and its implementing regulation at 34 C. F. R. Part 106 (Title IX) In accordance with the requirements of the Title IX Education Amendments of 1972 MCC s designated Title IX Coordinator, Al Pollard Vice President, Program Development/EEO Officer and Deputy Coordinator, Phyllis Blackwood Director of Human Resources shall be responsible for coordinating the College s effort to comply with and carry out its responsibilities under Title IX. Contact information Al Pollard, Title IX Coordinator Phyllis Blackwood, Title IX Deputy Coordinator Vice President, Program Development Director, Human Resources McLennan Community College McLennan Community College Administration Building, Room 417 Administration Building, Room 101 1400 College Drive 1400 College Drive 254-299-8669 254-299-8659 FAX 254-299-8654 FAX 254-299-8592 apollard@mclennan.edu pblackwood@mclennan.edu Subject to Change Disclaimer The policies, regulations, procedures, and fees associated with this program are subject to change without prior notice, if necessary, to keep College and program policies in compliance with State and Federal laws and/or with rules related to the program's accrediting agency. The College and the program reserve the right to change curricula, rules, fees, and other requirements, of whatever kind, affecting students in any way. The provisions of this document do not constitute a contract, express or implied, between any applicant, student, faculty or staff member and McLennan Community College or this program. 13