RCP 710 - Resp Therapy Practicum III

1. Continue to demonstrate competency in the skills learned in RESP 352 and RESP 362. In addition these new competencies will be achieved.
2. Summarize duties performed by a respiratory care practitioner in subacute settings.
   1. Discuss the use of various systems from which oxygen may be delivered.
   2. Explain important issues regarding the payment for services of a respiratory care practitioner in subacute settings.
   3. Differentiate between the equipment and techniques of mechanical ventilation in the hospital and subacute settings.
   4. Describe monitoring systems which are used in the subacute setting.
   5. Explain the use of CPAP in subacute settings.
   6. Explain the use of Bi-PAP in subacute settings.
3. Demonstrate proper use of transcutaneous monitoring.
   1. Describe the rationale for transcutaneous monitoring.
   2. Calibrate transcutaneous monitors.
   3. Apply transcutaneous monitoring electrodes to patients as indicated.
   4. Change site of transcutaneous monitors according to protocol.
   5. Document transcutaneous P02 and PCO2 according to institutional protocol.
   6. Correlate readings of transcutaneous P02 and PCO2 with arterial P02 and PCO2.
   7. Perform needed maintenance and troubleshooting of transcutaneous monitors and their electrodes.
4. Demonstrate proper use of pulse oximetry.
   1. Explain the function of a pulse oximeter.
   2. Discuss the clinical usefulness of data from pulse oximetry.
   3. Identify the limitations of pulse oximetry.
   4. State normal ranges for pulse oximetry and corresponding arterial PO2 values.
   5. Identify proper sites on which pulse oximetry may be monitored.
   6. Perform pulse oximeter spot checks.
   7. Perform continuous pulse oximetry.
   8. Document pulse oximetry saturations according to institutional policy.
   9. Perform maintenance and troubleshooting on pulse oximeters and their probes.
   10. Recommend changes in oxygen therapy based on information from pulse oximetry.
5. Demonstrate a working knowledge of ventilators used for infants.
   1. Identify the clinical indications for mechanical ventilation.
   2. Explain advantages and limitations of various infant ventilators.
   3. Compare the advantages and limitations of pressure cycled, time cycled and volume cycled ventilators.
   4. Explain which parameters may be used to affect ventilation and oxygenation.
   5. Explain indications for mechanical ventilation.
   6. Recommend initial ventilator settings based on patient situation.
   7. Evaluate effectiveness of mechanical ventilation based on arterial blood gas ? pH data and clinical information.
   8. Recommend changes in ventilation based on ABG/pH data and patient condition.
   9. Monitor patient on mechanical ventilators.
6. Describe diagnosis and treatment of various neonatal and pediatric diseases.
   1. Describe differences between normal vital signs between infants, children and adults.
   2. Explain the changes in anatomy and physiology which normally occur between neonatal, perinatal and postnatal periods.
   3. Describe the pathophysiology of diseases which are specific to neonatal and pediatric age groups.
   4. Describe clinical manifestations of diseases which are specific to neonatal and pediatric age groups.
   5. Describe the treatment of neonatal and pediatric diseases.
   6. Explain which respiratory care procedures are indicated in treatment of pediatric and neonatal diseases.
   7. Describe the unique needs of pediatric and neonatal patient groups.
   8. Explain the emergency treatment of neonatal congenital abnormalities.