RET1534 - Special Topics in Respiratory Care

3 hours Lecture, 3 credit(s)

Lower-Division College Credit

Prerequisite(s): RET 1293

AA Elective: No

Academic Dean’s Contact Information

LAKELAND DEAN’S OFFICE: LLC 2255 PHONE: (863) 297-1024
WINTER HAVEN DEAN’S OFFICE: WSC 101 PHONE: (863) 297-1020

Course Description:
This course provides a continuation of the study of mechanical ventilation. Other topics include the use of special procedures in respiratory care, the study of in-patient and out-patient pulmonary rehabilitation, the application of home care techniques for patients with chronic cardiopulmonary diseases, and an in-depth study of chronic cardiopulmonary diseases.

Polk State College Mission and Program Outcomes

Polk State College, a quality-driven institution serving Polk County and beyond, transforms students’ lives through the power of teaching and lifelong learning by providing access to affordable associate and baccalaureate degrees, career certificates, and workforce employment programs, delivered through various modalities and innovative technologies and by diverse, qualified faculty and staff. In line with this purpose, Polk State’s Associate in Science and baccalaureate degree programs develop competence in various career-related skills. This course focuses on the development of competencies related to the following program outcomes:

To acquaint the student with the normal and abnormal states of cardiopulmonary physiology which are observed and/or treated in the clinical setting.
To develop within the student a clear idea of his/her role, responsibilities, ethics and professional conduct to the patient, the physician and other members of the health care team.
To promote and aid students in developing good study habits which will be a resource for continued personal and professional growth.

Course Objectives:

The student will (be)

Identify, describe and discuss invasive and non-invasive mechanical ventilation techniques/adjuncts and basic ventilator graphics to 78% proficiency on a written test.
Define, describe and identify special procedures in respiratory care to 78% proficiency on a written test.
Identify, discuss and demonstrate techniques and equipment used in helping patients with chronic lung disease maintain a functional lifestyle as well as an increased quality of life to a 78% proficiency on a written exam.

Course Content:

I.             Continuation of Mechanical Ventilation and adjuncts
         A.    Home care equipment/therapies; oxygen therapy; aerosol therapy;CPAP ; adjunctive care
         B.    Non-invasive Ventilation, BIPAP;CPAP
         C.    Contrast non-invasive ventilation and invasive ventilation
         D.    Intermittent Positive Pressure Breathing (IPPB)/hyperinflation therapies

II      Oxygenation Assessments
         A.    Review oxygenation indices
              1.    Alveolar-Arterial Oxygen tension P (A-a) O2
              2.    Oxygen saturation and content based indices; CaO2
              3.    Total Oxygen Delivery; DO2
              4.    Oxygen Consumption ; VO2
              5.    Oxygen extraction ratio ; O2ER
              6.    Mixed Venous Oxygen Saturation ; SvO2
              7.    Pulmonary Shunting ; Qs/Qt
         B.    Hemodynamics
              1.    Non-invasive Monitoring assessments
              2.    Invasive Monitoring assessments; pulmonary artery catheter, arterial catheter, central venous pressure
              3.    Hemodynamic Monitoring in Respiratory Diseases

III.    Review of Chronic Lung Diseases
         A.    Chronic Bronchitis
         B.    Emphysema
         C.    Asthma

IV.         Psychosocial, Ethical and Legal Factors
         A.    Psychological Aspects of Pulmonary Diseases
         B.    Sociological Aspects of Pulmonary Diseases
         C.    Gaining the Patient’s Confidence and Cooperation
         D.    Current Guidelines for Rehabilitative Care
         E.    Impairment Versus Disability

V.           The Components of Pulmonary Rehabilitation (outpatient)
         A.    Criteria for application/Interview (Family support))
         B.    Pulmonary Stress Test
         C.    Goal(s) of the patient
         D.    Program Goals
         E.    Education (inpatient and outpatient)
         F.     Exercise(individualized)- client monitoring
         G.    Activities of Daily Living (ADL’S)
         H.    Nutrition
         I.     Follow-up Program (Mary Sand Clinic) exercise and support group
         J.     Team Approach
         K.    Long –term advantages

VI.         Breathing Exercises
         A.    Relaxation Training and Positioning
         B.    Pursed lip breathing / Panic control
         C.    Diaphragmatic breathing
         D.    Segmental breathing
         E.    Use of breathing “exerciser”, i.e. “inspiratory trainer”

VII.   Effective Cough Techniques
         A.    “Huff” cough technique
         B.    Inspiratory/expiratory trainer

VIII. Body Mechanics for the Pulmonary Patient
         A.    Energy-saving techniques for ADL’s
         B.    Occupational Therapy

IX.        Pulmonary Drainage and Clearance Procedures
         A.    Postural Drainage
              1.    Tilt tables
              2.    Beds
         B.    Percussion and Vibration
              1.    Mechanical
                   a.     Mechanical percussors
                   b.    The Vest
              2.    Manual (Hand-cupping)

X.            Rehabilitative Exercises
         A.    Six minute walk
         B.    Stationery bicycle (Air-dyne)
         C.    Treadmill
         D.    Therabands (upper body strength exercises)
         E.    Monitoring of exercise (SpO2, cardiac)
         F.     Follow-up exercise program

XI.         Home Care
         A.    Specialized Equipment needs and infection control
         B.    Patient assessment; Therapeutic Procedures (small volume nebulizers, MDI, etc.)
         C.    Monitoring and Follow-up
         D.    Mechanical Ventilation
         E.    Family Education

XII.      Long Term Care
         A.    Sub Acute Care
         B.    CORF (Comprehensive Outpatient Rehabilitative Facility)
         C.    Skilled Nursing Facilities

Textbook and Other Requirements

Textbook information is provided in the course syllabus, at the campus bookstore, on the campus bookstore website (www.polk.bncollege.com), or via the “Shop Textbooks” button on the PASSPORT schedule of classes.

College-Level Communication and Computation Skills

State Rule 6A-10.030 does not apply to this course.

Student Help

The professor is available for help during posted hours and by appointment during other non-class hours. Each student is encouraged to seek assistance from the professor. To further the educational process, the Learning Resources Centers, comprised of the campus Teaching/Learning and Computing Centers (TLCCs), JDA Student Success Center, and campus libraries, are available for student use. Each resource provides qualified staff and up-to-date equipment and facilities to promote academic success. The TLCCs and JDA Student Success Center provide tutoring services, computing resources, and other instructional support. The library provides information resources, individual and group study space, research assistance, information literacy instruction, and computing resources. Each facility provides free wireless access to the Internet. The Polk State College Library, Student Success Center, and TLCC hours of operation and tutoring schedules are posted at each facility and on the College website.

Withdrawing From a Course

A student may officially withdraw from a course during any given term, provided he or she follows the appropriate policy and procedure. Following the conclusion of the Drop period, students may officially withdraw without receiving a grade from any course, provided they do so no later than the published withdrawal deadline. The published deadline reflects approximately (but no more than) 70% of the term, based upon the course’s scheduled duration. It is the student’s responsibility to submit these withdrawal forms; failure to do so may result in a grade of F in the course. Under the Forgiveness Policy, a student is allowed only three attempts in any one course: one initial enrollment and two repeats. A student is not allowed to withdraw from a third course attempt. Limited admission programs may have specific guidelines regarding course withdrawal that vary from this policy; these guidelines are listed in the specific program handbooks. If a student stops attending class, the grade earned, usually an F, is assigned and posted. Prior to withdrawing from a course, the student should consult with the Financial Aid Office to determine what impact, if any, withdrawal from the course will have on his or her financial aid status. A student cannot use course withdrawal to avoid academic dishonesty penalties. A student who has been penalized for academic dishonesty in a course is not eligible to withdraw from the course.

Repeating a Course

Under the Forgiveness Policy, a student is allowed only three attempts in any one college credit course: one initial enrollment and two repeats. Under certain circumstances, a student may petition to repeat a credit course beyond the third attempt. Limited admission programs may have specific guidelines regarding repeating courses that vary from this policy; these guidelines are listed in the specific handbooks. The student should be aware that repeating a course may result in a higher course cost. A course cannot be repeated unless the previously earned grade is a D, F, or W (the Polk State Catalog provides further details regarding this process). Prior to repeating a course, the student should consult with the Financial Aid Office to determine what impact, if any, repeating the course will have on his or her financial aid status.

Academic Dishonesty

Each student is responsible for his or her work. It is assumed that each student is honest and will abide by this standard; however, in the event that there is an indication or suspicion of cheating or plagiarism, the situation shall be dealt with in accordance with the published College policy. Copies of this policy are available in the Student Services Office. More specific information can be found in the Course Syllabus.

Information Technology Access/Use Policy

The information technology resources provided by Polk State College (this includes, but is not limited to, telephones, computers, the Polk State Local Area and Wide Area Networks, and the Internet) must be used for academic purposes only. Use of these resources is a privilege, not a right. Inappropriate use can result in revocation or suspension of this privilege.

Equal Access/Opportunity

Polk State College is an equal access/equal opportunity institution committed to excellence through diversity in education and employment. The College complies with all state and federal laws granting rights to students, employees, and applicants for employment or admission to the College. Polk State College does not discriminate on the basis of race, color, national origin, ethnicity, sex, age, religion, sexual orientation, marital status, veteran status, genetic information, disability, or pregnancy in its programs, activities, or employment.

The following person has been designated to handle inquiries regarding the non-discrimination policies:
Valparisa Baker
Director, Equity and Diversity (Title IX Coordinator)
999 Avenue H NE
Winter Haven, FL 33881
Office: WAD 227
Telephone: (863) 292-3602
e-mail: vbaker@polk.edu

Equal Opportunity For Students With Disabilities

The College complies with The Americans with Disabilities Act and provides equal educational opportunity for qualified individuals. A student with a disability who requires special accommodations or auxiliary aids under The Americans with Disabilities Act (ADA) should contact the Coordinator or Director of Disability Services. Note: Limited admission programs may have performance restrictions that apply. Restrictions (where applicable) are outlined in each program’s student handbook.

Evaluative Criteria:

Multiple choice tests, take-home and scheduled in class, quizzes, equipment/procedure check-offs, individual projects and assignments, group activities and professional behaviors.

Assignments and/or projects that may be assigned are to be submitted on the designated date, during the class period. No assignments or projects will be accepted after the class has adjourned, unless arrangements have been made between the student and the instructor. Students failing to submit assignments on time and not following procedures will get a zero (0). Final Course grade will be determined as an average of tests, quizzes, and the final comprehensive exam. A grade of “C” or 78% must be made to satisfactorily complete this course. Professional behavior will be 15% of the final grade. This will include behavior(see the AARC Statement of Ethics and Professional Conduct) as well as participation in assigned activities .

Grading Scale:
92.5 - 100              A
88.5 - 92.4             B+
83.5 - 88.4             B
80.5 - 83.4             C+
77.5 - 80.4             C
70.5 - 77.4           D+
65.5 - 70.4             D
Below 65.4             F

Attendance:

Regular attendance in the classroom and laboratory sessions is mandatory. When three (3) unexcused absences are accumulated, the student may be issued a written warning. If an additional absence occurs, the student may be dropped from the program in accordance with the attendance policies outlined in the general college catalog. In no case will a student receive a passing grade for a course if more than twenty-percent (20%) of scheduled lectures is missed.

Work Missed:

No Make-ups will be given for missed exams, quizzes, assignments, or projects unless the condition falls under extended medical, military leave, or family emergency. If any of these work items are missed, the grade assigned will be a zero (0). Students who need to be on extended medical, military leave and/or family emergency must submit copies of official documents to the program manager.

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