RET2877 - Clinical Respiratory Care IV

4 hours Lecture, 4 credit(s)

Lower-Division College Credit

Prerequisite(s): RET 2876

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 is a continuation of the clinical practicum provided within Clinical Respiratory III (RET 2876). During this final semester, students continue to practice skills in intensive care settings. Students apply advanced mechanical ventilation management protocols, airway maintenance techniques, hemodynamics, and advanced respiratory care techniques on all age groups. An overview of clinical practice is offered.

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 degree programs, career certificates, and workforce employment programs, delivered through various modalities and innovative technologies 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 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 provide the student with an opportunity to master skills and techniques associated with the safe practice of respiratory care.
To promote and aid students in developing good study habits which will be a resource for continued personal and professional growth.

Course Objectives:

Given a hospital/clinic site rotation in a Respiratory Care Department/area, the student will be able to state the rationale for and apply the proper procedures to a 100% proficiency in performing:

AGB’s: Student shall become competent in obtaining and interpreting ABG’s, working with the blood gas analyzer and quality control of it, utilizing this information and data gathered to treat the patient population in terms of diagnosis, treatment, and management of disease processes.
Adult Critical Care: Students shall gain experience and confidence in the critical care arena in terms of ventilator management, critical thinking skills, and the role of the RT in the critical care unit through observations and hands on experience as directed.
Adult Emergency Situations: Students shall become more confident and knowledgeable in emergency situations as they arise in terms of care provided during an emergency, critical thinking skills, and the role of the RT in the emergency situation. This will be achieved through observations and hands on experience during the situations that may arise.
Ventilator Management: Students will hone in on their proficiency in managing ventilators, setting up ventilators for new patients, making ventilator parameter changes, assessing patients on a ventilator, and weaning patients off of a mechanical ventilator.

Course Content:

Given a hospital/clinic rotation in a Respiratory Care Department, the student will be able to identify and state the rationale for the following concepts. They additionally may receive hands on experience and, therefore, shall apply the proper procedures to 100% proficiency in the performance of:

I. Adult Intensive Care
        A. Patient Assessment
        B. Care of Patients with Artificial Airways
        C. Patient - Ventilator Assessments and management
        D. Mechanical Ventilator Maintenance
        E. Weaning from Mechanical Ventilation
        F. Diagnostic Procedures
        G. Therapeutic Procedures and applications
        H. X-ray interpretation
        I. Emergency Care Interventions/ Interventions (i.e. cardioversions , conscious sedation protocol, A.C.L.S. protocols,
           Rapid Response Team interventions
        J. Oxygen Therapy
        K. Hemodynamic Monitoring
        L. Mechanical Ventilator initiation
        M. Implementation of patient driven protocols
        N. Discharge and follow up procedures
        O. In line aerosol treatments via the mechanical ventilator
        P. Non invasive ventilation
        Q. Extubation evaluation
        R. Extubation procedure

II. Intubation Procedures
        A. Mannequin Practice
        B. Physician/Nurse Instruction
        C. Application in the critical care units

III. Arterial Blood Gases
        A.    Arterial sticks
        B.    Line draws
        C.    ABG interpretations
        D.    Making changes based on ABG’s

IV. Case Studies: Prepare and present information in the form of case studies to peers, clinical instructors and classroom instructors.
        A. Select a patient
        B. Research data
        C. Sequencing the Case Study
        D. Written preparation
        E. Oral presentation

V. Research Papers:
    Prepare a quality research paper as a summation project for his course to include: abstract, outline, text, MLA style references
        A. Research methodologies
        B. Draft and initial abstract
        C. Develop an outline
        D. Literature review
            1. Text
            2. On-line
        E. Develop the text with proper referencing
        F. Develop a bibliography or reference using correct MLA style
        G. Final product

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 the student is encouraged to seek assistance whenever it is needed. To further the educational process, the Learning Resources Centers, comprised of the campus Teaching/Learning and Computing Centers (TLCCs), JD Alexander (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’s 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, a student may officially withdraw from any course without receiving a grade, provided this is done before 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 each specific program’s handbook.

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, course withdrawal may have on his or her financial-aid status. A student cannot use course withdrawal to avoid academic dishonesty penalties. A student who is engaged in processes related to 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 course repeats that vary from this policy; these guidelines are listed in each specific program’s handbook. 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 College 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 may have on his or her financial-aid status.

Academic Dishonesty

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

Information Technology Access/Use Policy

The information technology resources provided by Polk State College (including, but 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 non-discrimination policies:
Lonnie Thompson
Chief Diversity Officer
999 Avenue H NE
Winter Haven, FL 33881
Office: WAD 227
Telephone: (863) 292-3602
e-mail: l thompson@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.

Video and/or Audio Recording

Video and/or audio recording in a college class are strictly regulated by State and Federal law, in addition to Polk State College Policy. Improper video and/or audio recordings made in a college classroom, or the improper sharing of such recordings, exposes the recording student to serious potential legal liability. Students are strongly cautioned to make informed choices in compliance with State and Federal law, as well as College Policy, when debating whether to make audio and/or video recordings in class.

An enrolled student may record video and/or audio of a class lecture for personal educational use, including in support of disability accommodations. A lecture is defined as: a formal or methodical oral presentation, given by the instructor as part of a college course, that is intended to present information or teach enrolled students about a particular subject. A lecture may be presented live, online, or in-person by the course professor.

A lecture recording may not be shared or published without the written permission of the professor. All supportive disability accommodation-based audio and/or video lecture recording activity must receive prior written approval from the Polk State College Office of Disability Services and the course professor.

It is important to be respectful of students’ rights to privacy; with this in mind, College policy stipulates that students should not record peers during lectures, class discussions, student presentations, labs, group work, and private conversations. Recording a student without his or her consent could have legal consequences, including a possible violation of State and/or Federal law and the Polk State College Student Code of Conduct.

If a professor becomes aware of a violation of the student recording policy, he or she is able to address this through the College, including the assignment of sanctions (District Board of Trustees Rule 4.01 and Polk State Procedure 5028: Student Code of Conduct: Sanctions and Assignment of Penalties for Violations). This is in addition to other liabilities, as aforementioned.

COVID-19

Polk State College is committed to the health and safety of students, faculty, and staff. Members of the College community are expected to assume personal responsibility to keep themselves and others healthy and safe. Before coming to campus each day:

Each student must self-screen for COVID-19 symptoms. The Centers for Disease Control and Prevention (CDC) provides a list of COVID-19 symptoms (www.cdc.gov/coronavirus).
A student who is experiencing illness or symptoms of COVID-19 should not come to campus. The student must notify his or her professor by email within one business day of the absence and should notify a healthcare provider if symptoms worsen.
A student must self-report if he or she becomes ill with COVID-19, has COVID-19 symptoms, or has been in contact with someone who has tested positive for COVID-19. The student must also notify the College directly through the self-reporting tool on the Polk State webpage. The student is responsible for communicating his or her status with the professor should there be a need for isolation or quarantine similar to how they would address other illnesses and unforeseen conditions.

When on campus:

The College strongly recommends that each student, whether vaccinated or unvaccinated, wear a mask or face covering while indoors on campus. A professor may offer office hours in various formats including face-to-face meetings, video conferencing, email, or telephone. The professor may require the student to wear a mask or cloth face covering during an office meeting. Any student who does not feel comfortable complying with this requirement may use other modes of communication to connect with the professor.
Each student is strongly encouraged to practice social distancing while on campus, keeping at least six feet of separation from others when possible and avoiding crowded hallways, stairwells, and other enclosed spaces.
Any student who is unvaccinated (or who has health concerns) should maintain six feet of social distance in classroom and lab settings, or work with the professor to arrange for special seating arrangements or accommodations (as possible).
A student who is currently unvaccinated is strongly encouraged to get vaccinated. The College website lists information regarding on-campus vaccination events (polk.edu/vaccine). An unvaccinated student is also encouraged to follow the CDC’s guidance regarding protection from COVID-19 infection (www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html).
Any student who begins to feel ill or who experiences symptoms such as sneezing, coughing, or fever while on campus should immediately return home, notify his or her professor(s), and call a healthcare provider if symptoms worsen. Additionally, any student exhibiting these symptoms may be sent home by his or her professor and instructed to complete the COVID Reporting Tool.

In the interest of health and safety, an instructor has the right to ask any student who fails to comply with these requirements to leave class. If a student refuses to comply, per Polk State College Rule 4.01: Code of Student Conduct for Students and Student Organizations, the professor has the right to refer the non-compliant student to a Student Services administrator for disciplinary action and to cancel class for the day.

Guidance about how to prevent the spread of COVID-19 is available through the Centers for Disease Control and Prevention (www.cdc.gov/coronavirus). Additionally, Be the Solution: Polk State College’s Return to Campus Plan is available online and provides information about the College’s response to the public health crisis (www.polk.edu/campus-safety-security/covid-19). Each student is encouraged to direct questions about these requirements to a campus-based associate dean or a professor. The Executive Dean of Student Services, Dr. Pakowski, may be reached by email at lpakowski@polk.edu.

Evaluative Criteria:

Students will be graded and evaluated on the following criteria: Attendance, behavior, clinical assignments, clinical paperwork, and evaluations. The clinical notebook and syllabus for this course further outlines the evaluative criteria.

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