RCP 601 - Neonatal/Ped Resp Therapy

1. Describe the fetal development of the cardiopulmonary system
   1. Describe the fetal development of the cardiac and pulmonary systems.
   2. Describe the blood flow and oxygenation of the fetus
   3. Explain the cardiopulmonary changes that take place from fetus to neonate
2. Explain how to assess the potential for cardiopulmonary problems at and after birth
   1. Identify some of the risk factors involved in making a delivery, a high-risk delivery.
   2. Explain some of the neonatal scoring systems including APGAR, Silverman and Dubowitz scoring systems
   3. Describe some of the assessment techniques and how to assess neonates and pediatric patients
3. Explain the etiology, pathophysiology, clinical manifestations and treatment for neonatal parenchymal diseases
   1. Discuss the etiology, pathophysiology, clinical manifestations and treatment for Respiratory Distress Syndrome
   2. Explain the etiology, pathophysiology, clinical manifestations and treatment for Meconium Aspiration Syndrome
   3. Summarize the etiology, pathophysiology, clinical manifestations and treatment for bronchopulmonary Dysplasia
   4. Explain the etiology, pathophysiology, clinical manifestations and treatment for Transient Tachypnea of the Newborn
   5. Describe the etiology, pathophysiology, clinical manifestations and treatment for Neonatal Hemorrhage
   6. Explain the etiology, pathophysiology, clinical manifestations and treatment for Neonatal Pneumonias
4. Discuss the neonatal pathologies
   1. Identify Pulmonary barotrauma (PIE, pneumothorax, pneumomediastinum)
   2. Describe Pierre Robin syndrome
   3. Explain T-E fistula
   4. Identify Diaphragmatic hernia
   5. Describe Pulmonary agenesis
   6. Explain Choanal atresia
   7. Identify Tracheomalacia
   8. Describe Congenital lobar emphysema
   9. Explain Gastroschisis
   10. Identify Intraventricular hemorrhage
   11. Describe Retinopathy of prematurity
   12. Explain Necrotizing enterocolitis
5. Describe congenital heart defects and describe the pathophysiology, clinical manifestations, any descriptive X-ray findings, and treatment for each disease process
   1. Describe the pathophysiology, clinical manifestations, any descriptive X-ray findings, and treatment of Tetralogy of Fallot
   2. Describe the pathophysiology, clinical manifestations, any descriptive X-ray findings, and treatment of Tricuspid atresia
   3. Describe the pathophysiology, clinical manifestations, any descriptive X-ray findings, and treatment of Ventricular septal defect
   4. Describe the pathophysiology, clinical manifestations, any descriptive X-ray findings, and treatment of Atrial septal defect
   5. Describe the pathophysiology, clinical manifestations, any descriptive X-ray findings, and treatment of Patent ductus arteriosus.
   6. Describe the pathophysiology, clinical manifestations, any descriptive X-ray findings, and treatment of Hypoplastic left heart syndrome
   7. Describe the pathophysiology, clinical manifestations, any descriptive X-ray findings, and treatment of Total anomalous venous return
   8. Describe the pathophysiology, clinical manifestations, any descriptive X-ray findings, and treatment of Transposition of the great vessels.
6. Describe the etiology, clinical manifestations, diagnosis and treatment for pediatric diseases
   1. Describe the etiology, clinical manifestations, diagnosis and treatment for Acute Croup
   2. Describe the etiology, clinical manifestations, diagnosis and treatment for Acute Epiglottitis
   3. Describe the etiology, clinical manifestations, diagnosis and treatment for Bronchiolitis
   4. Describe the etiology, clinical manifestations, diagnosis and treatment for Asthma
   5. Describe the etiology, clinical manifestations, diagnosis and treatment for Cystic Fibrosis.
7. Describe how to utilize the Babylog infant ventilator
   1. Classify the Babylog ventilator
   2. Explain the function of all the controls on the Babylog ventilator
   3. Describe how to set proper settings on the Babylog ventilator as prescribed by a physician
   4. Assemble the circuit for the Babylog ventilator
8. Describe how to utilize the Drager Evita XL ventilator in the neonatal population
   1. Classify the Drager Evita XL ventilator
   2. Explain the function of all the controls on the Evita XL ventilator
   3. Describe how to set proper settings on the Evita XL ventilators as prescribed by a physician
   4. Assemble the circuit for the Evita XL ventilator
9. Describe how to utilize the Servo´ventilator in the neonatal population
   1. Classify the Servo´ventilator
   2. Explain the function of all the controls on the Servo´ventilator
   3. Describe how to set proper settings on the Servo’ ventilator as prescribed by a physician
   4. Assemble the circuit for the Servo´ventilator
10. Describe how to utilize the Sensor medics 3100 ventilator in the neonatal population.
    1. Classify the Sensormedics 3100 ventilator
    2. Explain the function of all the controls on the Sensormedics 3100 ventilator
    3. Describe how to set proper settings on the Sensormedics 3100 ventilator as prescribed by a physician
    4. Assemble the circuit for the Sensormedics 3100 ventilator
11. Administer respiratory therapy to the neonatal and pediatric population
    1. Describe proper methods of delivering oxygen to pediatric and neonatal patients
    2. Identify the purpose of and be able to assemble a small particle aerosol generator.
    3. Explain some of the special considerations when doing respiratory therapy procedures on the neonatal and pediatric population
    4. Describe the proper usage of the Vaoptherm
12. Explain the theory of mechanical ventilation as it applies to neonatal and pediatric patients
    1. Demonstrate an understanding of the principles of CPAP therapy as it pertains to the neonatal population
    2. Exhibit knowledge of the proper endotracheal tube sizes for neonates
    3. Perform calculations involving I:E ration, inspiratory time, expiratory time, and respiratory cycle
    4. Demonstrate an understanding of the techniques for weaning neonates off of the ventilator.
    5. Suggest ventilator changes for a give clinical situation and relate how the changes would affect arterial blood gases
13. Monitor oxygenation and carbon dioxide status in the neonate by non-evasive techniques
    1. Explain the theory and physiology behind transcutaneous monitoring and continuous pulse oximetry
    2. Calibrate and apply a transcutaneous oxygen monitor
14. Describe the respiratory care practitioners role on the neonatal transport and high-risk delivery team.