RESP 322 - Clinical Practice VI

Institution:

Kapiolani Community College

Subject:

Description:

12 hours clinical per week (hospital practice) Prerequisite(s): Acceptance into the Respiratory Care program. Comment: Letter grade only. RESP 322 may not be audited. RESP 322 may not be taken credit/no credit. Uniform, school patch, and stethoscope are required. RESP 322 is a hospital-based course in application of advanced respiratory care skills and procedures. Students are expected to consistently perform at an advanced level all skills learned in previous Respiratory Care courses. Upon successful completion of RESP 322, the student should be able to: Perform routine physical assessment on the critically ill patient in the intensive care unit. Interpret and evaluate diagnostic tests such as ABG's, electrolytes, and chest x-rays. Calculate shunt, deadspace, static compliance and airway resistance. Evaluate hemodynamic parameters such as CVP, SVR, PVR, MAP, PCWP, CO, and CI. Identify basic abnormal and life-threatening EKG patterns. Document results of the patient's assessment and diagnostic tests in the patient's record. Communicate the patient's respiratory care plan, response to therapy, and progress to other members of the health care team. Perform suctioning through tracheostomy and endotracheal tubes (ETT). Perform tracheostomy care. Perform manual ventilation with self-inflating bag. Select and insert oral and nasal airways to maintain airway patency. Inflate and measure endotracheal and tracheostomy tube cuff pressures. Secure the ETT with cloth tape or other appropriate devices. Perform bedside ventilatory assessment such as NIF, TV, VC, and minute volume. Set-up and test for function the mechanical ventilator prior to patient use. Initiate and manage a new ventilator patient in the intensive care unit (ICU). Manage at least (3) ventilator patients in the ICU. Adjust ventilator settings per ABG's. Make clinical recommendations based on various patient data. Identify and troubleshoot common ventilator problems. Wean patient off the ventilator following weaning protocols. Perform ABG stick and draw arterial blood from an arterial line. Check and document ventilator-patient interface. 4 Administer respiratory care medications to mechanically ventilated patients. Monitor and evaluate the patient's response to respiratory therapy. Identify the actions of common medications used in the ICU: antimicrobial agents, paralyzing agents, respiratory stimulants/depressants, and analgesics/anesthetics. Communicate with mechanically ventilated patient and relay his or her needs to other members of the health care team. Discuss the role of the respiratory care practitioner as part of the health care team in the ICU. Apply universal precaution in the patient care setting. Attend ICU rounds and physician and respiratory care departmental inservices.

Credits:

4.00

Credit Hours:

Prerequisites:

Corequisites:

Exclusions:

Level:

Instructional Type:

Lecture

Notes:

Additional Information:

Historical Version(s):

Institution Website:

kapiolani.hawaii.edu/page/home

Phone Number:

(808) 734-9000

Regional Accreditation:

Western Association of Schools and Colleges

Calendar System:

Semester

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