RT 226 - Clinical Education III

1. Demonstrate an understanding of positive pressure ventilation.
   1. Demonstrate the ability to set up and check for proper function the following ventilators:
      1. Bennett PR Series
      2. Bird Mark Series
      3. Bird 8400ST
      4. Siemen Servo Series
      5. Bennett 7200 Series
   2. Classify the above mentioned ventilators by:
      1. Power mechanism
      2. Drive mechanism
      3. Number of circuits
      4. Modes of operation
      5. Cycling mechanism
      6. Limits
      7. Flow pattern
   3. Identify and explain the function of all of the controls and alarms on the above mentioned ventilators.
   4. Given a clinical situation, make appropriate recommendations regarding initial ventilator settings.
   5. Explain the concept of mechanical dead space.
   6. Demonstrate the proper technique for changing a ventilator circuit
   7. Demonstrate the proper technique for administering:
      1. IMV - ambient and pressurized
      2. CPAP
      3. PEEP
   8. Demonstrate the proper technique for performing routine ventilator monitoring
   9. Demonstrate a systematic technique for trouble shooting ventilators for pressure leaks or loss of volume.
   10. Explain the relationship between flow rate, tidal volume, and time for both pressure and volume cycled ventilators.
   11. Given a clinical situation, make appropriate recommendations for pressure versus volume- cycled ventilators.
   12. Explain the goals of IPPB therapy and the criteria for its use.
   13. Demonstrate the proper procedure for administering IPPB therapy.
   14. Demonstrate the ability to identify and correct malfunctioning IPPB devices.
   15. Demonstrate the ability to modify IPPB therapy to meet the individual need of the patient.
   16. Recognize the clinical signs of hazards or contraindications to IPPB.
   17. Display the appropriate professional mannerisms, as described in the clinical performance evaluation, while performing the clinical duties associated with this unit.
2. Demonstrate an understanding of various waveforms and measurements.
   1. Identify and explain the function of the following patient monitors:
      1. ECG
      2. Systemic arterial pressure
      3. Pulmonary artery pressure
      4. Ventilatory parameters
      5. Oximeter
   2. Identify the following ECG patterns:
      1. Normal sinus rhythm
      2. Bradycardia
      3. Tachycardia
      4. Premature ventricular contraction
      5. Ventricular fibrillation
      6. Ventricular flutter
   3. State normal values for the following:
      1. Systemic blood pressure
      2. Pulmonary artery pressure
      3. Mixed venous saturation
   4. Compute the following:
      1. Volume lost to tubing compliance
      2. Minute ventilation (VE)
      3. Effective static compliance (CES)
      4. Effective dynamic compliance (CED)
      5. Required flow rate (V)
      6. Alveolar-arterial oxygen difference (A-a DO2
   5. Demonstrate the proper technique for measuring the following:
      1. Tidal volume (VT)
      2. Exhaled minute volume (VE)
      3. Negative inspiratory force (NIF)
      4. Effective static compliance (CES)
      5. Effective dynamic compliance (CED)
   6. Display the appropriate professional mannerisms, as described in the clinical performance evaluation, while performing the clinical duties associated with this unit.
3. Demonstrate an understanding of diagnostic imaging results and the related pathophysiology.
   1. Explain and identify uses for the following types of special radiologic procedures:
      1. Fluoroscopy
      2. Computerized tomography
      3. Magnetic resonance imaging
      4. Bronchography
      5. Angiography
      6. Lung scan
   2. Demonstrate the ability to identify the following abnormalities via chest x-ray:
      1. Pneumothorax
      2. Atelectasis
      3. Consolidation
      4. Pleural effusion
      5. Enlarged heart
      6. Emphysematous chest
   3. Display the appropriate professional mannerisms, as described in the clinical performance evaluation, while performing the clinical duties associated with this unit.
4. Demonstrate an understanding of equations and related pathophysiology. 
   1. Given the appropriate information, calculate:
      1. PAO2
      2. O2 content
      3. PaCO2
      4. PECO2
      5. VD/VT
      6. A-a DO2
      7. a-v DO2
      8. VO2
      9. QT
      10. QS/QT
   2. Using the information from above, as well as information from the following sources, make appropriate recommendations or modifications for a patient care plan:
      1. Patient history
      2. Progress notes
      3. Physical assessment
      4. Arterial blood gases
      5. Mixed venous blood gases
      6. Systemic vascular resistance
      7. Pulmonary vascular resistance
      8. Chest x-ray
      9. Electrolytes
      10. CBC
      11. C&S
      12. Other lab data
   3. Display the appropriate professional mannerisms, as described in the clinical performance evaluation, while performing the clinical duties with this unit.
5. Demonstrate an understanding of rehabilitation equipment or services.
   1. Explain the role of the respiratory therapist in a rehabilitation or home care program.
   2. Given a clinical situation, make appropriate suggestions or modifications for a rehabilitation or home care program (including smoking cessation), based upon laboratory (including sleep lab) and physical assessment findings.
   3. Demonstrate the ability to set up and check for proper function the following home care equipment:
      1. Oxygen tanks (liquid and gas)
      2. Oxygen concentrators
      3. Apnea monitors
      4. Portable mechanical ventilatorsa. LP 5 or 6
      5. CPAP/BiPAP
   4. Demonstrate the ability to provide routine maintenance to the above listed equipment.
   5. Display the appropriate professional mannerisms, as described in the clinical performance while performing the clinical duites associated with this unit.