HE0779 Respiratory Therapy Technician - Career and Technical ...

tomatoedgeΒιοτεχνολογία

20 Φεβ 2013 (πριν από 4 χρόνια και 5 μήνες)

142 εμφανίσεις

CLUSTER





Health Science Education


CONCENTRATION



Therapeutic Services


COURSE





Respiratory Therapy HE077
9





National Consortium for Health Science Education


Health Care Standards

http://www.healthscienceconsortium.org/docs/therapeutic_svcs_pathway.pdf


National Board for Respiratory Care
http
://www.nbrc.org/Pages/default.aspx



Sample of reported job titles upon completion of the
Therapeutic Services

cluster:

Respiratory Therapy Technician, Certified Respiratory Therapy Technician (CRTT), Respiratory Technician


Sample of reported job
titles upon completion of additional education:


Registered Pulmonary Function Technologist
,
Adult Critical Care Specialty Examination (RRT
-
ACCS)
,
Certified Pulmonary Function Technologist (CPFT),

Neonatal/Pediatric Respiratory Care Specialist (CRT
-
NPS
or RRT
-
NPS),

Registered Pulmonary Function Te
chnologist (RPFT),
Registered Respiratory Therapist (RRT),
Sleep Disorders Testing and Therapeutic Intervention Respiratory Care Specialist (CRT
-
SDS or RR
T
-
SDS)



INDUSTRY CREDENTIALS

Certified Respiratory Therapist (CRT)
,
Registered Respiratory Therapist (RRT)


PREREQUISITE

HE0621






Introduction to Health Care (Recommended)


COURSES


Note: A

minimum course completion score of 80% is required
for

progress
ion to next course.


WVEIS Code






Course

HE064
1






Respiratory Therapy Core

HE0642







Respiratory Therapy Pharmacology and Basic Procedures

HE0643







Respiratory Care Sciences and Application of Procedures

HE0644







Clinical Experience I

HE0645







Respiratory Therapy Procedures II

HE
0646






Clinical Experience II

HE 0647





Cardiopulmonary Anatomy,

Physiology and Pathophysiology

HE 0648





Clinical Experience III



*Students accepted into this program should
have a current CPR and AED for Health Care Provider or
Professional Rescuer and First Aid certification.









SKILL SETS


Health Care Delivery System

Safety Practices

Environmental Safety

Patient/Client Customer Service

Professional Ethical and Legal
Responsibilities

Leadership Skills

Communication

Health Maintenance

Technical Skills

Information Technology

Anatomy/Physiology

Math

Pharmacology






HE0641










Respiratory Therapy Core

S
kill Set

Academic Foundation

Knowledge Objectives

Students will

demonstrate knowledge of




anatomy and physiology
.



medical terminology
.


Performance Objectives

Students will




describe the organization of the body
.



describe the chemical basis for life
.



describe cells and tissues.



describe
and structure and function of

each of the following body systems.

o

integumentary system

o

skeletal system

o

muscular system

o

nervous system

o

endocrine system

o

cardiovascular
s
ystem

o

respiratory s
ystem

o

l
ymphatic
s
ystem



immune system

o

digestive s
ystem



metabolism

o

urinary system

o

reproductive s
ystem



male



female

o

special senses



eyes



ears



analyze blood as a system of the body
.



identify and apply terms associated with the systems of the human body.



utilize medical t
erminology

related to respiratory therapy
.



apply medical terms in relation to the human b
ody in health and d
isease
.



apply medical terminology related to common diagnostic procedures and
p
harmacology
.



r
ecognize, define and pronounce the terms associated with basic examination
procedures.



i
dentify and describe the basic examination positions.



d
escribe the four vital signs recorded for most patients.



r
ecognize, define and pronounce terms associated with frequently performed
blood and urinalysis laboratory tests.



r
ecognize, define and pronounce terms associated with radiography and other
technique
s.



d
ifferentiate between projection and position

in relation to radiography.



describe basic radiographic projections.



a
nalyze unfamiliar medical terms using your knowledge of word parts.

Skill Set

Leadership Development

Knowledge Objectives

Students will

demonstrate knowledge of




respiratory therapy program requirements.



respiratory therapy as an occupation.



communication techniques.

Performance Objectives

Students will




discuss

the philosophy, rules and regulations consistent with the technology
center, respiratory care career major.



explore individual learning styles.



demonstrate knowledge of basic computer components and programs.



classify personal traits or attitudes
desirable in a member of the healthcare team



summarize basic professional standards of healthcare workers as they apply to
hygiene, dress, language, confidentiality and behavior (i.e. courtesy and self
-
introductions)
.



apply employability skills in healthca
re
.



exemplify professional characteristics
.



engage in continuous self
-
assessment and career goal modification for personal
and professional growth
.



compare careers within the health science career pathways (diagnostic services,
therapeutic services, health

informatics, support services, or biotechnology
research

and development)
.



recognize levels of education, credentialing requirements, employment
opport
unities, workplace environments

and career growth potential

in the field
of respiratory therapy.



d
evelop

components of a personal portfolio
.



d
emonstrate process for obtaining employment
.



i
dentify various functions of professional organizations and relate their
significance to the field of
respiratory care
.



discuss
and describe common leadership skills needed

in the hospital.



d
iscuss a
nd describe the development of respiratory c
are, including the roles of

o

American Association
of Respiratory Care (AARC)

o

National Board for Respiratory

Care (NBRC)

o

The Joint Review Committee for Respira
tory Therapy Education
(JRCRTE)

o

Committee on Accreditation fo
r Respiratory Care (CoARC)

o

Commission on

Accreditation of Allied Health
Education Programs
(CAAHEP)



e
xplain the importance of credentialing in the field of
respiratory care
.



identify
legal and ethical responsibilities of the
respiratory therapy technologist
.



d
efine the scope of practice for the
respiratory therapy technologist



a
pply concepts of effective communication techniques.



d
iscuss and describe the importance of good commu
nicatio
n in healthcare
delivery.

Skill Set

Safety and Ethics


Knowledge Objectives

Students will demonstrate knowledge of




safety
.



medical ethics for respiratory therapy
.



blood borne pathogens and disease transmission
.

Performance Objectives

Students will




identify general safety knowledge and procedur
es in the classroom, laboratory

and clinical facilities.



identify and perform proper body mechanics when lifting or moving any heavy
object or patient.



identify the di
fferent types of fires and describe

the proper operation of a fire
extinguisher
.



d
efine hazardous communication and MSDS
(material safety data sheets).



define Standard Precautions (Universal P
recautions
)
.



d
efine OSHA (Occupational Safety & Health Administration) and discuss
OSHA guidelines
for laboratories and healthcare workers.



i
dent
ify bloodborne pathogens and describe

how to prevent exposure and
transmission.



i
dentify the proper procedure to use for accidents and or incidents.



r
ecognize emerging diseases and disorders.



d
ist
inguish betwee
n fact and fiction

about the transmission and treatment of
diseases caused by bloodborne pathogens including Hepatitis B.



i
dentify community resource
s and services available to
individual
s with diseases
caused by blood
borne pathogens.



i
dentify "at risk" be
haviors which promote the spread of diseases caused by
bloodborne pathogens and the public education necessary to combat the spread
of these diseases.



a
pply infection control techniques designed to prevent the spr
ead of diseases
caused by blood
borne pathog
ens to the care of
all

patients following Centers for
Disease Control (CDC) guidelines.



d
emonstrate knowledge o
f the legal aspects of HIV/AIDS

including
the
following:

o

testing



key medical/legal terms as related to respiratory care.



d
iscuss

legal issues and cases which have influenced or will influence
how patients and practitioners view life support,

and their relationship to
the Right to D
ie question.



provide

relevant examples of medical ethics as related to patient care,
respirator
y care,

the AARC code of Ethics

and the stages of death and
dying.



d
emonstrate competency and achieve certif
ication in Healthcare Provider
cardiopulmonary r
esuscitation.

HE0642






Respiratory Therapy Pharmacology and Basic Procedures


Skill Set

Academic

Foundation

Knowledge Objectives

Students will demonstrate knowledge of




p
harmacology for the respiratory therapist
.

Performance Objectives

Students will




describe

the various routes by which drugs are administered and the advantages
and disadvantages of each.



define select terms and medical abbreviations which describe drug interactions
and safety.



describe the components of
a medication order and

a

prescription.



outline the divisions of the central nervous system and state the general function
of each.



define terms relating to the actions of drugs affecting the autonomic nervous
system.



describe

the actions of the sympathetic and parasympathetic nervous systems on

specific
smooth muscles and glands.



describe the classification

of drugs acting on the autonomic nervous system as
bronchodilators.



categorize and define the action of sympathomimetic drugs.



describe how simple changes in the chemical structure of broncho
dilators alters
drug performance.



discuss
steroid release in the human body, causes of inflammation and side
effects

of steroids
.



c
ompare and contrast intrinsi
c and extrinsic asthma and the associated

pharmacological treatment.



discuss gases used in

respiratory care,
indicat
ions, methods of administration

and
possible
side effects.



describe the composition of the mucociliary escalator and glands which produce
mucus.



identify the various wetting and surface
-
active agents along with their uses, side
e
ffect
s

and hazards.



explain the divisions and functions of the brain and spinal cord and how they
affect respiration.



d
escribe the classification of anti
-
infectives and Gram's staining technique.



d
escribe

the functions of the major body electrolytes and the structure and
functions of the kidney.



b
riefly describe the electrophysiology of the heart
,

as well as normal
hemodynamic parameters.



d
escribe the actions, indications and dosage of the primary resuscit
ation drugs.



l
ist the mechanism of action, indications, contraindications, precautions,
classification, adverse reactions, generic and trade

names, route of
administration

and dosage of the most commonly used drugs from the following
categories:

o

bronchodil
ators

o

corticosteroids

o

anti
-
asthmatics

o

mucokinetics

o

surface
-
active agents

o

cholinergic muscle stimulants

o

neuromuscular blockers

o

ventilatory stimulants

o

ventilatory depressants

o

anti
-
infective agents

o

diuretics

o

cardiovascular
agents



given

a patient/client scenario, c
alculate drug dosages and recommend
respiratory care modalities to provide optimal care
.

Skill Set

Technical Skills

Knowledge Objectives

Students will demonstrate knowledge of




basic respiratory care
skills
.

Performance
Objectives

Students will




demonstrate the principles of operation and ability to set up equipment used to
provide various respiratory therapies including medical gases, aerosol, humidity,
lung expansion and airway clearance.



explain the goals, indications,

contraindications and hazards of respiratory
therapies including medical gases, hum
idity, aerosol, lung expansion
and airway
clearance.



p
erform physical assessment using correct terminology and procedures.



i
dentify

normal and abnormal findings on chest radiographs.



explain
the principles and goals of therapist driven protocols and the knowledge
base required for successful use of protocols.




HE0643






Respiratory Care Sciences and Application of Procedures


Skill Set

Academic Foundation

Knowledge Objectives

Students will demonstrate knowledge of




physics, chemistry, biology and microbiology necessary for the understanding
and application of respiratory care.

Performance Objectives

Students will




perform

conversions within the metric system
.



perform

conversions between the metric and U.S.

standard units of measure.



discuss the basic principles of atomic structure, states of matter, ion formation
and bonding.



explain the concept
s

of density and specific gr
avity
,

as well as calculating these
values.



discuss the factors that affect solubility and calculate solubility and content of
gases in solution.



discuss and apply the laws of physics related to fluid dynamics, flow and surface
tension.



discuss basic
principles of organic chemistry as relates to respiratory care.

Skill Set

Technical Skills

Knowledge Objectives

Students will demonstrate knowledge of




g
as
l
aws and calculations
.



l
aws of physics
.



microbiology
.

Performance Objectives

Students will




d
emonstrate knowledge concerning the Gas Laws and their use in calculations
related to respiratory care to include:

o

Charles

o

Boyles

o

Gay Lussac

o

Henry and Graham

o

Combined Gas Law

o

Dalton's



a
pply the laws of physics to human ventilation and perfusion.



d
emonstrate knowledge of basic microbiology, microbial disease and their
application to respiratory care.




HE0644











Clinical Experience I


Skill Set

Technical Skills

Knowledge Objectives

Students will demonstrate knowledge of




c
lassroom theory
related to respiratory therapy.

Performance Objectives

Students will




participate by asking appropriate questions.



exhibit dependability, be punctual, attend clinical

rotations according to program
policies
and complete assigned objectives.



respond

positively to supervision and guidance.



exhibit an ability to communicate patient information.



perform procedures competently and attend to details.



recognize lim
itations and boundaries of role;

seek assistance when necessary.



evaluate
appropriateness of
therapy; maximize efficacy of therapy.



a
pply didactic knowledge to patient care to include

the following
:

o

indications of therapy

o

hazards of therapy

o

co
ntraindications of therapy

o

goals of therapy



p
erform

correct infection control procedures for different isolation protocols.



a
ssess the respiratory status of the patient to include auscultation, respiratory rate
and pattern.



a
ssess the vital signs of a patient
/client

to include radial and apical heart rate,

blood pressure and temperature.



o
bserve a
nd assist (to degree possible) in an emergency CPR/ C
ode

B
lue
procedure.



p
erform incentive breathing therapy.



c
oach patient
/client

in an effective cough technique based on patient
/client

situation and disease proce
ss.



a
pply and adjust supple
mental oxygen devices
to achieve a given oxygen
percentage
.



p
erform CPT us
ing pneumatic devices, vest and

PEP/Flutter devices.



o
btai
n sputum specimen from patient/client

in the prescribed manner.



a
pply and adj
ust humidity
therapy in

specified manner.



administer small volume nebulizer, metered dose inhaler and dry p
o
wder inhaler
to patient/client in a

specified manner.



d
isinfect and prepare respiratory care equipment for sterilization.



a
pply knowledge concerning indications,

contraindications, hazards and benefits
concerning the following:

o

diaphragmatic breathing

o

pursed lip breathing

o

incentive spirometry

o

oxygen therapy

o

basic ventilatory assessment



o

chest percussion and postural drainage

o

aerosol therapy

o

aerosol m
edication
delivery: MDI, SVN, DPI

o

pulse o
ximetry



identify the most common respiratory medications.



calculate a basic drug dosage.



state indications and possible side effects of the common respiratory drugs.



identify the sections of a patient
/client

chart.



review a p
atient
/client

chart to collect information pertinent to therapy ordered.



identify the bulk oxygen storage system used at the clinical facility.



locate zone valves.



perform
E cylinder connection and handling.



c
alculate the duration of flow for various sizes

of oxygen cylinders.



evaluate arterial blood g
as (ABG) results.



m
ake appropriate recommendations based on ABG evaluation.




HE0645









Respiratory Therapy Procedures II


Skill Set

Academic

Knowledge Objectives

Students will demonstrate knowledge
of




airway suctioning



pulmonary function testing



artificial airways



intubation



ventilator settings

Performance Objectives

Students will




explain indications, contraindications and hazards of airway suctioning.



explain
the purpose of pulmonary function
testing.



identify spec
ific uses of pulmonary function
testing.



perform pulmonary function testing
.



perform pulmonary function testing
to distinguish between
major patterns of
pulmonary disease and their severity
.



describe various artificial airways.



perform proper insertion of the various airways
.



explain the indications for and hazards of intubation.



explain the difference between pressure and volume ventilation.



describe the various modes, settings and alarms on mechanical ventilators.



make recommen
dations
for changes in ventilator settings based on arterial blood

gas results, physical assessment and radiographs.



e
xplain the indications for BiLevel ventilation
.



e
xplain the goals of patient
/client

education and the eva
luation process for
determining
t
he success of patient
/client

education.



e
xplain the goals of health promotion
.




e
xplain the

various special procedures

relate
d

to respiratory
therapy
including
the following:

o

bronchoscopy,

o

chest tube insertion

o

air

transport of patients

o

cardiopulmonary s
tress testing

o

cardioversion

o

conscious sedation

o

sleep study

o

thoracentesis

o

percutaneous needle biopsy

o

transtracheal
aspiration



Skill Set

Technical Skills

Knowledge Objectives

Students will demonstrate knowledge of




suctioning
.



arter
ial blood gases
.



ECG
tracings and rhythms
.



v
entilators
.



intubation
.

Performance Objectives

Students will




demonstrate proper procedure for airway suctioning.



demonstrate the ability to properly perform and interpret arterial blood gases.



demonstrate

proper placement of electrocardiography leads and interpret normal
and

various arrhythmias on rhythm strips.



demonstrate proper tracheostomy care.



demonstrate the proper procedures for intubation and extubation.



demonstrate
proper set
-
up and make appropr
iate changes regarding BiLevel
ventilation.



d
emonstrate the ability to set
-
up, operate and maintain a mechanical ventilator.




HE0646










Clinical Experience II

Skill Set

Technical Skills

Knowledge Objectives

Students will demonstrate knowledge of




cl
assroom theory
related to respiratory therapy.

Performance Objectives

Students will




participate by asking appropriate questions.



exhibit dependability, be punctual, attend clinical
rotations
according to program
policies

and complete assigned
objectives.



respond positively to supervision and guidance.



exhibit an ability to communicate patient information.



perform procedures competently and attend to details.



recognize lim
itations and boundaries of role;
seek assistance when necessary.



evaluate
appropriateness of therapy; maximize efficacy of therapy.



a
pply didactic knowledge to patient
/clien
t care to include the following:


o

indications of therapy

o

hazards of therapy

o

co
ntraindications of therapy

o

goals of therapy.



perform

correct infection control procedures for different isolation protocols.



assess the respiratory status of the patient to include auscultation, respiratory rate
and pattern.



assess
the vital signs of a patient to include radial and apical heart rate, blood
pressure and temperature.



observ
e and assist in an emergency CPR/Code B
lue procedure.



evaluate arterial blood gas (ABG
) results.



make appropri
ate recommendations based on ABG

evaluation.



perform

proper procedure for airway suctioning.



p
erform

and interpret arterial blood gases.



perform electrocardiographs
and interpret normal and

various arrhythmias on
rhythm strips.



preform

tracheostomy care.



observe

proper procedures for intubation and
assist in
extubation.



assist
with

set
-
up and make appro
priate changes regarding BiLevel ventilation.



p
erform the set
-
up, operation and maintenance of

a mechanical ventilator.




HE 0647





Cardiopulmonary Anatomy, Physiology and Pathophysiology


Skill Set

Academic Foundation

Knowledge Objectives

Students
will demonstrate knowledge of




c
ardiopulomonary anatomy, physiology and pathophysiology
.

Performance Objectives

Students will




analyze and compare

the normal anatomy and physiology of the
cardiac and
respiratory systems to abnormal anatomy and physiology.



demonstrate in
-
depth knowledge of cardiopulmonary physiology to include

the
following
:

o

ventilation

o

diffusion and gas exchange

o

gas transport

o

ventilation
-
perfusion relationship

o

control of ventilation

o

renal effects
on respiratory function

Skill Set

Technical Skills

Knowledge Objectives

Students will demonstrate knowledge of




signs and symptoms of respiratory abnormalities.



cardiopulmonary diseases.

Performance Objectives

Students will




assess

and interpret signs and symptoms of respiratory abnormalities.



demonstrate and apply knowledge of the following cardiopulmonary diseases to
include
etiology, pathophysiology, signs and symptoms, diagnostic tests and
i
ndicated respiratory treatments:

o

chron
i
c obstructive pulmonary disease

o

asthma

o

respiratory failure

o

p
ulmonary thrombotic disease

o

pulmonary edema

o

heart failure

o

traumatic lung injury

o

smoke inhalation and burns

o

near drowning

o

respiratory distress syndrome

o

neuromuscular diseases

o

interstitial lung
diseases

o

sleep apnea

o

pneumonia and tuberculosis

o

lung cancer




HE 0648










Clinical Experience III

Skill Set

Technical Skills

Knowledge Objectives

Students will demonstrate knowledge of




c
lassroom theory

related to respiratory therapy.



p
ractice

and refinement of respiratory therapeutics and clinical skills.

Performance Objectives

Students will




participate by asking appropriate questions.



exhibit dependability, be punctual, attend clinical
rotations according to program
policies
and complete
assigned objectives.



respond positively to supervision and guidance.



exhibit an ability to assess and communicate patient information.



perform procedures competently and attend to details.



evaluate appropriateness of therapy; maximize efficacy of therapy.



apply didactic knowledge to patient care to include

the following
:

o

indications of therapy

o

hazards of therapy

o

co
ntraindications of therapy

o

goals of therapy



perform
correct infection control procedures for different isolation protocols.



o
bserve

and assist in an emergency C
PR/ Code B
lue procedure.



c
ontinue practice, performance and application of clinical knowledge and skills

performed in Clinical I and II.



p
erform the following procedures/skills:

o

oxygen therapy administration

o

chest percussion an
d postural drainage

o

aerosol medication delivery

o

pulse oximetry

o

analyze oxygen efficacy

o

physical assessment

o

isolation techniques, infection control

o

ABG
sticks and analysis

o

ventilatory assessment

o

emergency equipment use, manual resuscitators

o

airway managemen
t

o

airway care of the intubated patient

o

airway
care of the tracheotomized patient