RCP 704 - Respiratory Care Clinic IV

1. Promote professionalism.
   1. Promote the respiratory therapy profession.
   2. Display professionalism through attitude, communication, appearance and dependability.
   3. Develop confidence in abilities, exercises good judgement, & maintains composure in stressful situations.
   4. Manage time effectively and develop a workflow.
2. Evaluate infection control.
   1. Practice infection control by properly donning & doffing personal protective equipment, using the appropriate personal protective equipment when appropriate, & washing/sanitizing hands.
   2. Clean & disinfect equipment properly.
3. Evaluate ethics in the healthcare setting.
4. Support accurate use of the electronic medical record.
   1. Document thoroughly in the in the patient’s medical record.
   2. Navigate an electronic medical record to obtain patient’s pertinent medical & therapeutic history. 
5. Maintain confidentiality.
   1. Abide by all state & federal laws
   2. Abide by all policies at each clinical site.
6. Assess patients before & after therapies and suggest modifications to therapeutic plan or discontinue treatment based on patient response.
   1. Recommend treatment based on patient diagnosis.
   2. Recommend adjustments in fluid balance and electrolyte therapy.
   3. Recommend changes for patient positioning, oxygen therapy, humidification, airway clearance, and hyperinflation.
   4. Recommend pharmacological interventions and changes to drug, administration, frequency mode or concentration for medications such as bronchodilators, anti-inflammatory drugs, mucolytics, aerosolized antibiotics, cardiovascular, antimicrobials, sedatives and hypnotics, analgesics, narcotic antagonists, benzodiazepine antagonists and diuretics.
   5. Provide respiratory care in high risk situations such as medical emergency team/rapid response calls. 
   6. Recommend changes for patient positioning, oxygen therapy, humidification, airway clearance, hyperinflation and mechanical ventilation.
7. Conduct family and patient education regarding safety and infection control, home care and related equipment, lifestyle changes, disease/condition management.
8. Perform routine respiratory care under direct supervision of an instructor.
   1. Perform vital signs assessment efficiently and effectively to determine accurate values.
   2. Perform oxygen therapy.
   3. Perform airway clearance techniques.
   4. Perform suctioning of the airway
   5. Administer aerosolized medications.
   6. Provide adequate humidification.
   7. Draw an arterial blood gas correctly.
   8. Classify arterial blood gas results.
9. Assist a physician/provider in performing intubation, bronchoscopy (EBUS and ENB), thoracentesis, tracheotomy, chest tube insertion, insertion of arterial or venous catheter, conscious sedation, cardioversion and withdraw life support.
10. Perform adult critical care under direct supervision of an instructor.
    1. Assist with intubation.
    2. Recommend insertion or change in artificial airways.
    3. Demonstrate the ability to troubleshoot artificial airways.
    4. Demonstrate techniques for measuring and adjusting tracheal tube cuff pressure.
    5. Identify various abnormal EKG recordings and treatments for these abnormalities.
    6. Demonstrate knowledge of ACLS drugs, protocol, & application.
    7. Identify patients who display indications for ventilatory support.
    8. Decide when treatment termination is appropriate.
11. Select appropriate mechanical ventilation strategies.
    1. Display competency in making ventilator changes based on oxygenation and ventilation status.
    2. Troubleshoot mechanical ventilation and patient synchrony.
    3. Wean appropriate patients from mechanical ventilation.
    4. Extubate when appropriate.
12. Reinforce appropriate use of critical care equipment.
    1. Change ventilator circuits with supervision and assistance.
    2. Explain equipment used in adult critical care.
13. Choose a treatment using data obtained from critically ill adult patients.
    1. Interpret critical care data.
    2. Recommend changes for patient positioning, oxygen therapy, humidification, airway clearance, hyperinflation and mechanical ventilation.
    3. Interpret information from physiologic monitors used in critical care settings.
14. Determine therapy for neonatal and pediatric conditions.
    1. Assess neonatal and pediatric patients.
    2. Summarize the role of the respiratory therapist during high-risk deliveries.
    3. Identify signs, symptoms, & severity of respiratory distress in the newborn
15. Evaluate oxygenation and ventilation strategies used in the neonatal and pediatric population.
    1. Demonstrate the proper methods used to apply devices to deliver oxygen to neonates, infants, and children.
    2. Demonstrate proper administration of bronchodilator therapy to neonatal and pediatric patients.
16. Assess ways to monitor neonatal and pediatric patients.
    1. Observe proper use of transcutaneous monitoring.
    2. Observe capillary gas sampling.
17. Defend critical care in the neonatal and pediatric populations.
    1. Demonstrate a knowledge of mechanical ventilation in neonates, infants and children.  
    2. Observe the set-up and use of nitric oxide in neonates.