2024-2025 Archived Catalog
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RTAD-227 Respiratory Clinical Care Practice IIICredits 5 / 15 Contact Hours
Pre-requisite: Division signature required; Program eligibility requirements; Placement into College Level Reading, completion of ELAP-120 with a 2.0 or higher, or successful completion of ACRD-090, ACRD-091 or ACRD-092. Co-requisite: RTAD-221, RTAD-222 and RTAD-225. Pre- or Co-requisite: RTAD-150, RTAD-154 and RTAD-155.
Provides a more in-depth exposure to the practice of critical care and specialty care. Directed clinical practice includes adult, pediatric and neonatal intensive care, home care, pulmonary rehabilitation, and diagnostic testing.
BILLABLE CONTACT HOURS: 15
Course Outcomes
Upon completion of this course, the respiratory therapy student will achieve the following objectives as evaluated by written examination and clinical simulation. An overall score of at least 75% is required for satisfactory course completion.
Topic: Advanced Mechanical Ventilation Objectives:
1. Apply age specific mechanical ventilation.
2. List the indications and hazards of continuous mechanical ventilation.
3. Perform the tasks necessary to initiate mechanical ventilation for patient use.
4. Conduct therapeutic procedures to achieve adequate spontaneous and artificial ventilation.
5. Conduct therapeutic procedures to achieve adequate arterial and tissue oxygenation.
6. Evaluate and monitor patient’s response to continuous mechanical ventilation procedures.
7 Make necessary modifications during continuous mechanical ventilation based on patient’s response.
8. Recommend modifications in the respiratory care plan based on the patient’s response.
9. Perform the tasks necessary to discontinue mechanical ventilation.
10. Perform critical care diagnostic procedures and interpret data.
11. Apply NIPPV
Topic: Neonatal & Pediatric Care Objectives:
1. Respond to respiratory distress/respiratory failure in the neonatal and pediatric population.
2. Demonstrate set up and monitoring of clinic specific neonatal/pediatric mechanical ventilators.
3. List and explain the conditions that indicate the use of continuous mechanical ventilation.
4. List and describe the potential hazards associated with continuous mechanical ventilation.
5. Recommend therapeutic modification to ensure oxygenation and ventilation for infant receiving mechanical ventilation.
6. Demonstrate the use of blenders in the neonatal intensive care units.
7. List and explain the conditions that indicate the use of nasal / mask CPAP.
8. List and describe the potential hazards of nasal / mask CPAP.
9. Administer and monitor nasal / mask CPAP.
10. Identify the need and describe the technique of surfactant administration.
11. Explain the purpose and describe the technique of transillumination.
12. Observe additional neonatal/pediatric interventions (Neopuff, surgical intervention, etc.).
Topic: Cardiac Diagnostics, Surgical, and Physician Interactions Objectives:
1. Demonstrate appropriate placement of electrocardiogram leads for 12 lead ECG.
2. Perform ECG testing and processing of electrocardiogram.
3. Identify ECG-arrhythmias and treatment.
4. Identify and contrast various differential diagnostic cardiac testing procedures.
5. Identify and if applicable demonstrate the procedure for oral intubation.
6. Identify key points during physician/patient interaction in the acute care, extended care, and or the physician office setting.
Topic: Advanced PFT’s Objectives:
1. Demonstrate and evaluate spirometry before and or after bronchodilator.
2. Differentiate between spirometry and full PFT testing.
3. Demonstrate and evaluate diffusing capacity tests.
4. Demonstrate and evaluate FRC by plethysmography.
5. Demonstrate and evaluate flow volume loop tests.
6. Interpret and classify PFT finding (obstructive, restrictive, diffusion impairment, bronchodilator responsiveness).
Topic: Advance Hemodynamic Monitoring Objectives:
1. Observe hemodynamic monitoring interventions.
2. Demonstrate ABG sampling from the radial artery.
3. Demonstrate ABG sampling from an arterial line catheter (A-line).
4. Demonstrate ability to analyze an ABG sample.
5. Describe and demonstrate the procedure for cardiac output measurement.
6. Recommend possible modifications in respiratory care plan based on hemodynamic data.
7. Identify the need for heart catheterization and describe the process.
8. Non-invasive hemodynamic monitoring.
Topic: Pulmonary Rehabilitation Objectives:
1. Monitor and evaluate patients during exercise sessions.
2. List criteria used to identify patients that will qualify for a pulmonary rehabilitation program.
3. Describe the interventions that occur in a pulmonary rehabilitation program.
4. Explain the goals of pulmonary rehabilitation.
Topic: Respiratory Home Care Objectives:
1. Explain the criteria for a patient to receive respiratory home care.
2. Describe the equipment used in respiratory home care.
3. Demonstrate and explain the procedures for monitoring a patient on home oxygen / CPAP.
4. Identify the information that is required prior to home equipment set up.
5. List the educational information that must be provided to the home care patient regarding equipment usage and safety.
6. Describe the processing of equipment.
Topic: Sleep Objectives:
1. Describe the patient population requiring sleep studies.
2. Differentiate between obstructive sleep apnea and central sleep apnea.
3. Identify the hazards associated with a sleep disorder.
4. Participate in gathering “sleep hygiene” history of the patient prior to study.
5. Describe the process of patient preparation for a sleep study.
6. Describe and explain the significance of the parameters monitored during a sleep study.
7. Describe trouble-shooting techniques during sleep testing.
8. Identify normal and abnormal parameters.
Topic: Emergency Care (ER) optional Objectives:
1. Identify the role of the respiratory therapist in emergency care.
2. Perform diagnostic procedures and interpret results.
3. Perform therapeutic intervention for the emergent patient.
4. Respond to life threatening situations.
5. Apply mechanical ventilation in the ER.
Topic: LTACH (Long Term Acute Care Hospital Objectives:
1. Perform routine tracheostomy care.
2. Perform weaning parameters on the extended care patient.
3. Perform bronchial hygiene on the extended care patient.
4. Apply mechanical ventilation for the extended care patient.
5. Perform day-to-day care of the mechanical ventilated extended care patient.
6. Passy Muir Valve
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