Lone Star College Systems-Kingwood Respiratory Care Program:
RSPT 2414 Mechanical Ventilation
Summer 2008 Evening class
Created April 18, 2008 by EKB
Instructor: Elizabeth Kelley Buzbee AAS, RRT-NPS, RCP
20,000 Kingwood Drive
HPB 118 V
Kingwood, Texas 77339
281.312.1605
Credit: 4 Credit Hours
Prerequisites: Departmental Approval
Course Description:
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[per WECM] In-depth coverage and application of therapeutic procedures to achieve adequate, spontaneous, and artificial ventilation with emphasis on ventilator classification, methods, principles, and operational characteristics.
Includes indications, complications, and physiologic effects/principles of mechanical ventilation. Emphasizes initiation, management, and weaning of ventilatory support. |
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Outcomes:
[ per WECM] Describe procedures for mechanical ventilation; identify and assemble necessary equipment for mechanical ventilation; state clinical goals for mechanical ventilation.
SCANS:
1. The student will demonstrate a working knowledge of SCANS competency 1 (reading). Performance will be satisfactory if the student successfully:
a. Demonstrates the ability to read and comprehend reading assignments
b. Demonstrates the ability to read and comprehend test questions
2. The student will demonstrate a working knowledge of SCANS competency 2 (writing). Performance will be satisfactory if the student successfully:
a. completes homework assignments
b. summarizes laboratory experiments
3. The student will demonstrate a working knowledge of SCANS competency 3 (mathematics). Performance will be satisfactory if the student successfully:
a. Performs & explains physiologic calculations
b. Applies physiologic calculations
c. Assessment of laboratory data
4. The student will demonstrate a working knowledge of SCANS competency 4 (speaking and listening). Performance will be satisfactory if the student successfully:
a. Contributes to classroom discussions
b. Contributes to Case study discussions
c. Contributes to laboratory experiments
5. The student will demonstrate a working knowledge of SCANS competency 5 (thinking skills). Performance will be satisfactory if the student successfully:
a. Evaluates experimental data
b. Demonstrates problem-solving skills in case studies
c. Demonstrates decision-making skills in case studies
d. Demonstrates problem-solving skills in ABG analysis
6. The student will demonstrate a working knowledge of SCANS competency 6 (personal qualities). Performance will be satisfactory if the student successfully:
a. Interacts professionally with their peers in the classroom and laboratory setting
b. Interacts professionally with faculty in the classroom and laboratory setting
7. The student will demonstrate a working knowledge of SCANS competency 7 (workplace competencies). Performance will be satisfactory if the student successfully:
a. Performs all assignments in a timely manner
b. Organizes research information
c. Arrives at class / laboratory on time
d. works well with groups
8. The student will demonstrate a working knowledge of SCANS competency 8 (basic use of computers). Performance will be satisfactory if the student successfully:
a. accesses lecture notes and other documents via the internet
b. obtains research articles on mechanical ventilation topics from the internet
Required Materials: The following textbooks are required for this course:
· Cairo, J.M. and Susan P. Pilbeam, Mosby’s Respiratory Care Equipment, Mosby,7th ed.
· Chang, David W., Clinical Application of Mechanical Ventilation, Thomson-Delmar Learning, 3rd ed.
· Wilkins, Robert L., EGAN’s Fundamentals of Respiratory Care, Mosby Elsevier 8th ed.
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PLEASE NOTE: simple 4 function calculators will generally be used during testing but that will be addressed prior to each test.....so bring the calculator. |
At least 7 Scantron forms for multiple-choice, multiple-multiple-choice tests [answer sheet B] should be purchased for unit exams. This form has 1-50 answers on the front side and 51-100 answers on the reverse. They are available in the bookstore as loose, single sheets.
Attendance:
Students are expected to attend all class, lab, and clinical sessions unless they are officially excused. An official absence is granted when such absence is caused by official participation in a college activity, and the instructor is informed in advance. All other absences are unofficial. Absences caused by unavoidable conditions, such as illness, should be reported to the instructor by the start of class (Kelley 281.312.1605 or Missy 281. 312.1596). Please be aware that any call-ins will none-the-less count as an absence or tardy.
Absences: will impact the final average with the first absence counting one [1] point, the second absence two [2] points, the third absence five [5] points, and each absence following a ten [10] point reduction.
Each tardy of less than 30 minutes will result in the deduction of 0.33% from the final grade average for this course. A “tardy” is inclusive of leaving class within thirty minutes before dismissal, as well as, taking leave during class or labs for longer than a reasonable amount of time. The instructor will be the arbitrator of what is ‘reasonable.”
Tardies of 30 minutes or more will be considered a half-day absence. These will be deducted as 0.5% from the final grade average for this course. Leaving a class/lab early or for extended periods will be calculated as a tardy or absence, depending on the amount of time missed. Students are to notify the instructor prior to walking out of class early.
Students shall not schedule conference times with other faculty or councilors during class time and any class time missed due to ‘appointments’ with councilors or other faculty will not be treated any differently from other types of tardy or absences.
Leave of Absence is NOT given in this program. Withdrawal is required. Student may not drop this class without consultation with the instructor.
Academic Integrity (from NHMCCD Catalogue):
NHMCCD is committed to a high standard of academic integrity in the academic community. In becoming a part of the academic community, students are responsible for honesty and independent effort. Failure to uphold these standards includes, but is not limited to, the following: plagiarizing written work or projects, cheating on exams or assignments, collusion on an exam or project, and misrepresentation of credentials or prerequisites when registering for a course. Cheating includes looking at or copying from another student’s exam, orally communicating or receiving answers during an exam, having another person take an exam or complete a project or assignment, using unauthorized notes, texts, or other materials for an exam, and obtaining or distributing an unauthorized copy of an exam or any part of an exam.
Plagiarism means passing off as one’s own the ideas or writings of another (that is, without giving proper credit by documenting sources). Plagiarism includes submitting a paper, report or project that someone else has prepared, in whole or in part. Collusion is inappropriately collaborating on assignments designed to be completed individually. These definitions are not exhaustive.
When there is clear evidence of cheating, plagiarism, collusion, or misrepresentation, a faculty member will take disciplinary action including but not limited to: requiring the student to retake or resubmit an exam or assignment, assigning a grade of zero or “F” for an exam or assignment, or assigning a grade of “F” for the course. Additional sanctions including being withdrawn from the course/program or being expelled from school may be imposed on a student who violates the standards of academic integrity.
Unit Exams: Please, note that due to the nature of this course exams may be comprehensive and might include information from earlier courses. Each unit exams will consist of 30-50 multiple and multiple-multiple choice questions. Many of these questions may be linked to case studies. These exams will start promptly within the first 5 minutes of class.
Students who are scheduled to do their written tests in the testing center in the SFA building shall present at the testing center before or at the time the test starts. Exams in the testing center will not be allowed to continue past the usual time of the class that day. The student will return to the classroom as soon as he/she finishes so that he/she can participate in the rest of the day’s activities. It is the student’s responsibility to learn the testing center’s schedule for evenings.
Students who complete the exam in the classroom may exit the classroom but must move away from the doors until everyone has completed the test. No one leaving the classroom before completing the test shall speak to any student who has completed the exam.
Cell Phones & Pagers:
All cell phones and pagers must be turned off during class time. No cell phone speakers are to be worn in the ears during lectures or exams. If an emergency situation exists and only with instructor’s approval, cell phones may be placed in “vibrate” mode. However, leaving the classroom to answer an emergency call MUST be an infrequent occurrence.
Remediation: All students will be required to remediate any exam not passed with a 75%. This remediation will consist of extra homework assignments & at least one meeting with the instructor. This remediation will not change the grade. Remediation must be turned in prior to Finals Week. Single quizzes don’t need to be remediated, but consistently low quiz grades may be reason for remediation.
A student must remediate all unit exams that were missed because of an absence. Under these circumstances, the best grade he/she can get is a 75%. For example, the student answers 85% of the questions correctly. His grade will only be 85% of 75%-- which is only 64%. The retake will be on the first day back from the absence. If the student knows he/she will be absent on a testing day, the student may ask to take the test early and the exam will be left in the testing center for completion during the time frame established by instructor and student. A test taken early will accumulate full credit.
Homework:
Homework will be assigned at the start of each unit. The function of homework is to help the student clarify the information in the unit. While it is possible to pass this course without doing homework, we strongly recommend the student do each homework assignment as if it was being graded. Exam questions will be based on review, homework and case study questions assigned with each unit.
Selected homework will be due at the end of the lab day on Tuesdays. The student should be prepared to completing and turning in 1-2 page homework assignments every Tuesday.
· Unit review sheets: will be passed out at the start of each unit. Keys for each of these reviews can be found online. These are not for credit and need not be turned in.
· Case studies: patient care situations in which the RCP must decide on the treatment based on assessment of the patient. The RCP will also be expected to alter treatment based on the patient’s reactions. Keys for each of these case studies can be found online. These are usually not for credit.
· Other homework will be assigned: generally any formula the student is expected to perform in clinical will be included in a separate homework assignment. These will be assessed for credit as homework. Selected homework will be due at the end of the lab day on Tuesdays.
Schedule:
· Monday 7pm – 10PM lecture and lab
· Tuesday 5 PM- 6:50 PM lecture and lab [lab assignments due at the end of the lab]
· Wednesday 7 PM – 10 PM Lab
Policies and Procedures: Student may find the following information in the Respiratory Care Student Handbook.
- Withdrawal policy
- Attendance policy
- Grading scale
The Respiratory Care Therapist Program practices a non-discriminatory admissions policy with respect to race, color, creed, sex, age, or national origin.
Course Structure: Didactic and Laboratory
Other Information: Lecture Schedule and Reading Assignments (Schedule is tentative)
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topic |
Reading assignment |
Keys, other links |
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Unit 1 Basic Concepts of Mechanical Ventilation
Note: if you cannot access these links by clicking on them- try right clicking it and opening from the drop-down menu. EKB |
Chang, Ch. 1
Egan’s Ch. 38
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Unit 2 Physiologic Effects of Mechanical Ventilation
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PPV Chang chapter 2 Egan’s, Ch. 40: pp. 964-978
Negative pressure ventilation Chang: pp. 82-85 Egan’s pp. 966-967, 994
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Unit 3 Ventilator Classification |
Chang’s pp. 54-79 Egan’s pp 930-939, 1032 Mosby’s chapter 11
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Unit
4 Operating Modes of Ventilation- Go here for
notes |
Chang’s pp. Operating modes of ventilation Chapter 4 Egan’s Fundamentals pp 930-939, 939-948 Cairo’s pp. 299-313 |
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Unit
5 Management strategies –waveform I and II Lung protection strategies |
TBA Will
hand out Chang’s
chapter 11
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Unit
6 Monitoring the patient & weaning |
TBA
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Note. ABG Quality Control and Maintenance is ongoing throughout the semester and will require extra time in the lab. All students are required to participate. Participation will be averaged into the homework grade.
Grading: Grades will be weighted as per the following:
Lecture Exams 85%
Lab Notebook 5%
Daily quiz 5%
Homework 5%
The final grade will be based on the following:
A = 90 - 100
B = 80 - 89
C = 75 - 79
D = 65 – 74 failure
ACKNOWLEDGMENT
I have received a copy and have read the course document for RSPT 2414, Mechanical Ventilation. By signing, I indicate my understanding and willingness to comply with these regulations and requirements.
Student Signature_____________________ Date______________________________