RCP 500 - Advanced Respiratory Therapy

1. Facilitate intubation and extubation techniques
   1. Explain proper positioning of a patient for intubation
   2. List the indications for intubation
   3. Determine factors that may lead to a difficult intubation
   4. List the essential equipment needed for intubation
   5. Explain the use of video laryngoscopy
   6. Describe the methods of assessment for confirmation of endotracheal tube placement
   7. Explain the management of cuff pressure
   8. Assess patient readiness for extubation
   9. Explain the extubation procedure
   10. Troubleshoot artificial airways and intubation equipment
   11. Perform intubation and extubation competencies
2. Discuss the principles of mechanical ventilation
   1. Define the clinical significance of airways resistance, static compliance, and dynamic compliance
   2. Explain how to measure pulmonary compliance and airway resistance, plateau pressure, and auto PEEP.
   3. Describe ventilator waveform analysis and application
   4. List indications for mechanical ventilation
   5. Explain how mechanical ventilators are classified
   6. List risks associated with intubation and mechanical ventilation
3. Summarize modes of mechanical ventilation
   1. Classify modes of mechanical ventilation
   2. Differentiate between spontaneous and mechanical modes of ventilation
   3. Differentiate between invasive and noninvasive modes of ventilation
   4. Describe the characteristics of volume ventilation
   5. Describe the characteristics of pressure ventilation
4. Analyze the initiation of mechanical ventilation
   1. Initiate and adjust invasive mechanical ventilation
   2. Differentiate between hypoxemic respiratory failure and hypercapnic respiratory failure
   3. Identify the goals of mechanical ventilation
   4. Select initial settings for volume and pressure-targeted mechanical ventilation
   5. List indications for noninvasive ventilation
   6. Assemble and troubleshoot CPAP/NiPPV with patient interfaces
   7. Explain quality control in mechanical ventilation
5. Critique patient monitoring in mechanical ventilation
   1. Assess ventilation and oxygenation of a patient receiving mechanical ventilation
   2. Analyze and perform assessments of pulmonary value to evaluate patient ventilatory status and guide clinical decision-making
   3. Explain the effects of mechanical ventilation on organ systems
   4. List indications for capnography
   5. Evaluate capnography waveforms to guide respiratory care interventions and monitor patient outcomes
   6. Discuss the principles and interpretation of hemodynamic monitoring as it relates to the respiratory and cardiovascular systems 
   7. State normal ranges for hemodynamic monitoring values
6. Integrate critical care monitoring data to assess and optimize the management of respiratory patients with neurological and hemodynamic conditions
   1. Evaluate  the management of mechanical ventilation
   2. Discuss modifications to ventilator settings
   3. Describe strategies to improve ventilation and oxygenation
   4. Initiate and adjust ventilator alarms
   5. Troubleshoot mechanical ventilators
   6. Perform ventilator competencies
7. Discuss weaning from mechanical ventilation
   1. Explain how to perform assessments used for weaning readiness
   2. Explain criteria for weaning used to evaluate patient readiness to start the weaning process
   3. Explain the clinical indicators that define successful weaning and identify factors associated with failure to discontinue mechanical ventilation
8. Discuss advanced cardiac care
   1. List indications for ECG
   2. Perform 12 lead ECG
   3. Evaluate ECG results
   4. Compare the management of pulseless ventricular fibrillation/ventricular tachycardia with pulseless electrical activity/asystole cardia arrest
   5. Suggest the most appropriate care given a patient case study focused on ACLS