RT 126 - Clinical Education I

1. Demonstrate an understanding of medical gasses, gas delivery devices, and O2 Analyzers.
   1. State the indications for O2 Therapy.
   2. Define the goals for O2 Therapy.
   3. List the hazards of O2 Therapy.
   4. Calculate O2 Content.
   5. State recommended liter flows and concentrations for the following O2 delivery devices:
      1. Simple O2 mask
      2. Cannula
      3. Venturi mask
      4. Partial rebreathing mask
      5. Non-rebreathing mask
      6. Aerosol mask
      7. Face tent
      8. Croupette
      9. Transtracheal catheter
   6. Demonstrate the proper procedure for the setup of the various O2 devices listed above.
   7. Demonstrate proper procedure for checking, inspecting, and correcting malfunctions of the various O2 devices listed above.
   8. Demonstrate proper procedure for changing the equipment listed above.
   9. Demonstrate proper procedure for assessing:
      1. Pulse
      2. Blood pressure
      3. FiO2 with O2 analyzer
      4. O2 saturation with a pulse oximeter
   10. Differentiate departmental priorities.
   11. Describe how equipment and patient variables affect the oxygen concentrations delivered by O2 devices.
   12. Describe the methods for determining the effectiveness of O2 devices.
   13. Explain the difference between low and high flow systems
   14. Explain the principle of operation for the following types of oxygen analyzers:
       1. Physical
       2. Electrical
       3. Electrochemical  (Galvanic and Polarographic)
   15. State any advantages or disadvantages for the oxygen analyzers listed above.
   16. State any hazards of the oxygen analyzers listed above.
   17. Identify the types most commonly used in respiratory care today.
   18. 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 O2 storage devices and O2 safety systems.
   1. Describe the principles of operation of the following equipment:
      1. Single-stage regulator
      2. Multi-stage regulator
      3. Compensated flowmeter
   2. Demonstrate safe and appropriate use, monitor, and correct malfunctions of the equipment listed above.
   3. Describe the various safety systems used with regulator, cylinders, and flowmeters.
   4. Calculate duration of flow for the following cylinders:
      1. E
      2. H
      3. K
   5. Demonstrate safe and proper transport of the above-mentioned cylinders.
   6. Demonstrate the proper procedure for shut off of oxygen zone valves.
   7. Demonstrate safe transport of a patient with an appropriate cylinder.
   8. Demonstrate the ability to locate the hospital's:
      1. Bulk O2 supply
      2. Reserve supply
   9. 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 the principles of humidity therapy vs aerosol therapy and the effectiveness of each.
   1. Identify clinical applications for the use of humidity therapy.
   2. Identify and describe the principles of operation of humidity devices.
   3. Describe the principles of operation of various aerosol devices.
   4. Compute entrainment ratios and total output of aerosol devices and relate to patient’s insp. flows.
   5. Describe those factors that affect the penetration and deposition of particles in the tracheobronchial tree.
   6. State the therapeutic particle range of aerosol therapy.
   7. Explain the goals and hazards of aerosol therapy.
   8. Describe the methods for determining the effectiveness of aerosol therapy.
   9. Set up, monitor, correct malfunctions, and maintain while in use the various aerosol and humidity devices used in respiratory care.
   10. 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 how to decontaminate and sterilize equipment.
   1. Explain the difference between decontamination and sterilization.
   2. Describe the following sterilization/decontamination techniques:
      1. Cold liquid sterilizing agents
      2. Autoclave
      3. Ethylene oxide
      4. Pasteurization
   3. Demonstrate the proper procedure for processing dirty equipment via cold liquid sterilization.
   4. Select the proper mode of sterilization/decontamination for various types of equipment.
   5. Display the appropriate professional mannerisms, as described in the clinical performance evaluation, while performing the clinical duties associated with this unit.
5. Demonstrate an understanding of universal precautions.
   1. Demonstrate the proper use of the following equipment according to the Universal Precautions for Infection Control:
      1. Gloves
      2. Gown
      3. Mask
      4. Goggles
   2. Demonstrate the proper removal and handling of contaminated equipment according to the Universal Precautions for Infection Control.
   3. Demonstrate the ability to gown aseptically using:
      1. Gown
      2. Gloves
      3. Mask
      4. Booties
   4. Display the appropriate professional mannerisms, as described in the clinical performance evaluation, while performing the clinical duties associated with this unit.
6. Demonstrate an understanding of patient assessment.
   1. Identify the various parts of a stethoscope and explain their function.
   2. Demonstrate the following physical assessment techniques:
      1. Inspection
      2. Palpation
      3. Percussion
      4. Auscultation
   3. Explain the significance of the following in terms of patient assessment:
      1. Breath sounds (Normal and Adventitious)
      2. Tactile fremitus
      3. Vocal fremitus
      4. Brochophony
      5. Euphony
      6. Whispered pectoriloquy
   4. Recognize the clinical signs of respiratory distress.
   5. Explain the following terms:
      1. Eupnea
      2. Bradypnea
      3. Tachypnea
      4. Hyperpnea
      5. Hypopnea
      6. Apnea
   6. Identify the following abnormal breathing patterns:
      1. Kussmaul
      2. Cheyne-Stokes
      3. Biot’s (ataxic)
   7. Relate the following to your patient assessment:
      1. PaO2
      2. O2 content
      3. C&S
      4. WBC
      5. CXR
      6. Sputum
      7. Temperature