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Course Criteria
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3.00 Credits
3 hours lecture per week Prerequisite(s): Acceptance into the Respiratory Care program Comment: Letter grade only. RESP 301 may not be audited. RESP 301 may not be taken credit/no credit. Uniform, school patch, and stethoscope are required. RESP 301 is an introduction to the concepts and principles of neonatal and pediatric respiratory care as they relate to clinical application. Upon successful completion of RESP 301, the student should be able to: Module 1 Describe fetal anatomy and physiology. Identify the landmarks of the maternal-fetal circulation. Explain the maternal-fetal circulation. Describe the path of oxygenated blood from maternal (placenta) through the fetal circulation. List maternal factors that may affect the health of the fetus. Identify the components of the APGAR score. Identify (2) scoring systems used in gestational age assessment. Identify the components of the Silverman score and explain how it is used to assess respiratory distress of the neonate. Explain the physiological changes that immediately occur after a normal birth with respect to: ductus arteriosus, ductus venosus, foramen ovale, PVR, SVR. Explain the following terms with respect to labor and delivery: parturition, cervix, effacement, dilatation, para/ gravida, primigravida, multigravida, breech, placenta previa, abruptio placentae, polyhydramnios, oligohydramnios, meconium. Explain the following terms with respect to normal gestational age: birth weight (premature v. term), respiratory rate, heart rate, blood pressure, vernix, lanugo. Module 2 Identify the following pharmacologic agents used to: inhibit or promote uterine contractions (oxytocin v. tocolysis), affect the immature lung and circulation (indomethacin, N2O, surfactant), treat viral infections, treat pulmonary infections, treat hyperreactive airways. Identify and explain pediatric respiratory care equipment: SPAG, oxygen hood, tents, nasal CPAP, suction (bulb, Deelee). 1 Module 3 Explain the etiology, pathophysiology, and treatment (if any) of the following diseases: pulmonary dysmaturity (Wilson-Mikity syndrome), cystic fibrosis, Reye's syndrome, meconium aspiration, retinopathy of prematurity, transient tachypnea of the newborn, bronchopulmonary dysplasia, laryngotracheobronchitis, epiglottitis, bronchiolitis, respiratory distress syndrome. Explain the etiology, pathophysiology, and treatment (if any) of congenital heart defects: Tetralogy of Fallot, persistent fetal circulation, patent ductus arteriosus, patent foramen ovale. Module 4 Care for the critically ill neonatal/pediatric patient: describe the technique for using a flow inflating resuscitation bag, explain how tube sizes for intubation are selected (size v. weight v. gestational age), explain time cycled pressure limited ventilation (conventional in neonatal/pediatric practice), describe the initial settings used in conventional mechanical ventilation used in the NICU/PICU, explain the ventilator parameter changes that are needed based on ABG values. Explain the purposes of the following special procedures: surfactant replacement Rx, inhaled nitric oxide, high frequency ventilation, HFJV, HFOV, transillumination of the chest. Explain the process used in resuscitation with respect to NRP/PALS. Explain the clinical uses of and limitations of transcutaneous monitoring.
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4.00 Credits
12 hours per week hospital practice Prerequisite(s): Acceptance into the Respiratory Care program. Comment: Letter grade only. RESP 302 may not be audited. RESP 302 may not be taken credit/no credit. Uniform, school patch, and stethoscope are required. RESP 302 is an introductory course in application of neonatal/pediatric respiratory care skills and procedures in the clinical setting. Upon successful completion of RESP 302, the student should be able to: Perform routine physical assessment on premature, full term newborn, and pediatric patients. Perform routine physical assessments on pediatric patients in the medical ward. Interpret and evaluate diagnostic tests such as ABG's, capillary blood stick, and chest x-rays. Document results of the patient's assessment and response to therapy in the patient's record. Monitor and evaluate the patient's response to respiratory therapy. Communicate the patient's respiratory care plan, response to therapy, and progress to other members of the health care team. Collect the necessary supplies, test for equipment function, and administer oxygen, humidification, and aerosol devices. Measure respiratory care medications as ordered and administer using the appropriate devices. Monitor and evaluate the patient's response to respiratory therapy. Perform secretion management techniques such as chest percussion and postural drainage. Document results of the patient's assessment and diagnostic tests in the patient's record. Perform nasotracheal suctioning. Perform manual ventilation with self-inflating and flow-inflating bag. Monitor neonatal/pediatric patients via the HR and EKG monitor, TCM, and ETCO2 monitor. Setup a nasal CPAP. Perform patient-ventilator checks in the NICU/PICU. Assist in patient-ventilator transport. Communicate with the pediatric patient and 2 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 NICU, PICU, medical ward. Apply universal precaution in the patient care setting. Attend rounds, physician and respiratory care departmental inservices.
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4.00 Credits
12 hours clinical per week for 15 weeks Prerequisite(s): Acceptance into the Respiratory Care program. Comment: Letter grade only. RESP 312 may not be audited. RESP 312 may not be taken credit/no credit. Uniform, school patch, and stethoscope are required. RESP 312 consists of diagnostic laboratory observation and supervised experiences with emphasis on performing diagnostic tests correctly and safely. Upon successful completion of RESP 312, the student should be able to: Perform routine pulmonary function tests. Perform advanced pulmonary function tests under supervision. Observe diagnostic bronchoscopy and, under supervision, assist with procedure. Observe and assist, under supervision, with cardiopulmonary exercise testing. Observe and assist, under supervision, with polysomnographic examinations. Observe and assist, under supervision, with neurodiagnostic examinations. Perform preventive maintenance and calibrations of cardiopulmonary diagnostic equipment. Correlate anatomy and physiology of the cardiopulmonary system with procedures and techniques. Recognize, describe, and change factors that affect the quality of a diagnostic test.
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3.00 Credits
3 hours lecture per week Prerequisite(s): Acceptance into the Respiratory Care program. Comment: Letter grade only. RESP 316 may not be audited. RESP 316 may not be taken credit/no credit. RESP 316 introduces students to pulmonary laboratory procedures and techniques including the Blood Gas Laboratory, Bronchoscopic Lung examination, Pulmonary Function Laboratory, Sleep Laboratory, and Neurodiagnostic examinations. RESP 316 emphasizes testing methods and protocols, interpretation of test results and correlation to disease states and appropriate therapeutic intervention. Upon successful completion of RESP 316, the student should be able to: Define the role of cardiopulmonary diagnostics in patient care. Describe, evaluate, and interpret arterial blood gas analysis, pulmonary function tests, polysomnographic tests, cardiopulmonary exercise tests, and neurodiagnostic exams. Describe and discuss the fundamentals of a lung bronchoscopic exam. Describe and discuss arterial blood gas sampling procedures, including the care and maintenance of analyzers, cooximeters, and blood gas electrodes. Explain methods to diagnose lung volumes, capacities, diffusion. Explain methods and protocols to diagnose sleep related disorders. Explain methods and protocols to diagnose neurodiagnostic disorders. Explains methods and protocols for cardiopulmonary exercise testing.
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4.00 Credits
4 hours lecture per week Prerequisite(s): Acceptance into the Respiratory Care program. Comment: Letter grade only. RESP 320 may not be audited. RESP 320 may not be taken credit/no credit. Fees are required for RESP 320 for practice examinations. The current cost is $150.3 RESP 320 reviews the field of respiratory care in preparation for board examinations upon graduation. This course enables the advanced student to appropriately gather information and make clinical decisions in the entire spectrum of patient care using computer and problem-based learning. Upon successful completion of RESP 320, the student should be able to: Complete 30 computerized clinical simulations covering 10 major content areas. Complete the National Board for Respiratory Care on-line Entry-Level Self-Assessment Examination. Complete the National Board for Respiratory Care on-line Written Registry Self-Assessment Examination. Complete the National Board for Respiratory Care on-line Clinical Simulation Self-Assessment Examination. Develop a study plan for the Entry-Level Certified Therapist Examination. Complete 3 practice entry-level and written registry examinations. Relate diagnosis, clinical condition, physical findings, therapeutic interventions and modifications per the Examination Matrices of the National Board for Respiratory Care. Select, assemble, and maintain equipment per the Examination Matrices of the National Board for Respiratory Care.
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4.00 Credits
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.
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4.00 Credits
3 hours lecture, 2 hours lab per week RUS 101 focuses on development of listening, speaking, reading and writing skills in Russian. Independent lab work is required. Upon successful completion of RUS 101, the student should be able to: Recognize and produce the sounds of Russian; understand the concepts of voiced and voiceless sounds, "hard" and "soft sounds" and the environments where these sounds occur; observe the reduction of the pronunciation of "o" and "e" in unstressed syll Recognize and correctly use the first 5 sentence intonational constructions of Russian (IC-1, 2, 3, 4 and 5). Recognize and correctly produce the Russian script used for writing by hand and recognize the Russian system of printed letters used in all printed materials (books, magazines, newspapers). Understand and read aloud with correct pronunciation and intonation sentences and complete texts that contain words familiar to them. Recognize the grammatical form and sound of the intonation of the four basic types of Russian questions: questions with a question word, formal questions, yes-no questions, either-or questions; be able to answer these questions with the correct form and to orally create such questions to obtain needed information. Understand and participate in conversations that use the basic grammatical structures and words that they have learned. Conjugate verbs in the present and past tenses, to know the basic difference in meaning between imperfective and perfective verbs, to have an elementary knowledge of two of the basic verbs of motion and an elementary knowledge of the differences in expressing location and direction in Russian. Form and use the singular forms of the nominative, inanimate accusative, prepositional and dative cases and the plural forms of the nominative and inanimate accusative. Correctly use or omit the Russian verb "to be" in the three types of sentences where the use of this verb is problematical.
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4.00 Credits
3 hours lecture, 2 hours lab per week Prerequisite(s): RUS 101 or equivalent. RUS 102 is a continuation of RUS 101. Further development of listening, speaking, reading and writing skills in Russian. Independent lab work is required. 5 Upon successful completion of RUS 102, the student should be able to: Understand and participate in conversations that use the basic grammatical structures and words that they have learned. Make suggestions using the imperative and other means. Express their state of physical comfort or discomfort, whether or not they are ill. Express the absence or non-existence of something. Recognize and use the basic verbs for teaching and learning in Russian. Express and use time and date constructions that include the names of the months. Conjugate verbs in the future tense. Request, give and deny permission. Form and use the forms for the prepositional plural, genitive singular, animate accusative singular, and instrumental singular of nouns and modifiers.
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4.00 Credits
3 hours lecture, 2 hours lab per week Prerequisite(s): RUS 102 or equivalent. RUS 201 is a continuation of RUS 102. Further development of listening, speaking, reading and writing skills in Russian. Independent lab work is required. Upon successful completion of RUS 201, the student should be able to: Improve the quality of their speech with respect to pronunciation and intonation, have increased their ability to use the words they know and have increased their oral comprehension skills. Recognize and understand participial and verbal adverb constructions that are common in Russian newspaper texts and formal writing. Know and use all of the singular and plural case endings of Russian nouns and adjectives. Read with comprehension texts that contain familiar words as well as a number of words unfamiliar to them. The meanings of the unfamiliar words should be obtained from the surrounding context, word-building principles as well as the judicious use of a separate dictionary. Enlarge the number of Russian lexical units that they know actively by about 600. Gain an increased ability to act and react correctly with respect to certain speech functions and speech situations in Russian: greeting other persons, beginning a conversation, getting the attention of a stranger, expressing apologies and regrets, introducing one's self, and making other introductions. Know more about Russian culture from the situations presented in texts and dialogues. Compose paragraphs in Russian on suggested topics.
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4.00 Credits
3 hours lecture, 2 hours lab per week Prerequisite(s): RUS 201 or equivalent. RUS 202 is a continuation of RUS 201. Further development of listening, speaking, reading and writing skills in Russian. Independent lab work is required. Upon successful completion of RUS 202, the student should be able to: Improve the quality of their speech with respect to pronunciation and intonation, have increased their ability to use the words they know and have increased their oral comprehension skills. Read with comprehension texts that contain familiar words as well as a significant number of words unfamiliar to them. The meanings of the unfamiliar words should be obtained 6 from the surrounding context, word-building principles as well as the judicious use of a separate dictionary. Write correctly short original compositions. Enlarge the number of Russian lexical units that they know actively by about 600. Gain an increased ability to act and react correctly with respect to the following speech functions and speech situations in Russian: using public transportation; using the public telephone and postal service; making a request or asking a favor; requesting permission; granting or refusing permission; expressing congratulations and greetings (birthday greetings, holiday greetings, congratulations, expressing best wishes of good luck, toasts, expressions of gratitude and responses); expressing distress, anxiety, and agitation; expressing sympathy and reassurance; expressing compliments; expressing approval; responding to compliments. Recognize the meaning of verbal prefixes. Know more about Russian classical and everyday culture from the situations presented in texts and dialogues.
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