Official Course Description: MCCCD Approval: 12/14/99
RES220 20002-20075	LEC LAB	3 Credit(s) 2 Credit(s)	3 Period(s) 6 Period(s)
Respiratory Care Fundamentals III
Advanced respiratory care therapy and assessment techniques to include, ventilator set-up and management. Diagnostic testing specific to assessment of oxygenation and ventilation. Performance and interpretation of pulmonary function testing. Performance of specific respiratory care procedures. Prerequisites: RES140. Corequisites: RES226.

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MCCCD Official Course Competencies:
RES220   20002-20075	Respiratory Care Fundamentals III

1.	Determine appropriateness of prescribed respiratory care plan based on clinical data. (I)
2.	Participate in development of respiratory care plan based on clinical data. (I, II)
3.	Recommend modifications of respiratory care plan based on clinical data when indicated. (I, II)
4.	Select appropriate equipment for therapeutic procedures. (III, V)
5.	Correct respiratory care equipment malfunctions. (III, V, VII)
6.	Describe procedures used to maintain cleanliness and disinfection of equipment. (III, V, VII)
7.	Assemble equipment selected for therapeutic procedures. (III, V, VIII)
8.	Describe principles of operation for equipment used in respiratory care procedures. (III,V,VII, VIII)
9.	Check respiratory equipment for proper function and operation. (III, IV, V, VII, VIII)
10.	Identify malfunctions of respiratory equipment. (III, V, VII, VIII)
11.	Utilizing respiratory care equipment and patient data, initiate and conduct prescribed basic. (IV,V)
12.	Utilizing respiratory care equipment and patient data, initiate and conduct prescribed basic therapeutic procedures to achieve one or more specific therapeutic objectives. (V, VI, VII)
13.	Utilizing respiratory care equipment and patient data, modify prescribed basic therapeutic procedure to achieve specific therapeutic objectives. (V, VI, VII )
14.	Perform procedures for specific diagnostic testing. (VI, VII)
15.	Interpret results of specific diagnostic testing. (VI, VII)
16.	Perform quality control on diagnostic testing equipment. (VII)

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MCCCD Official Course Outline:
RES220   20002-20075	Respiratory Care Fundamentals III

I. Appropriateness of Prescribed Respiratory Care Plan A. Patient medical record B. Patient lab data C. Patient vital signs and physical findings D. Interview data E Data related to patient learning needs II. Vital Signs and Physical Findings A. Changes in sputum B. Vital signs C. Effects of therapy D. Adverse reactions E. Subjective response F Auscultatory findings G. Pulse oximetry, capnography III. Equipment Operation A. Select and obtain equipment B. Assemble equipment C. Check equipment operation D. Correct equipment malfunction E. Perform quality control procedures F. Assure equipment cleanliness IV. Therapeutic Procedures A. Therapeutic objectives B. Administration C. Removal of bronchopulmonary secretions D. Maintain adequate ventilation and oxygenation E. Monitoring F. Maintain records and communication G. Modify therapy as indicated H. Infection control I. Terminate therapy based upon patient response J. Respiratory care protocols V. Advanced Mechanical Ventilation A. Initiating and adjusting ventilator support B. Discontinuing mechanical ventilation VI. Results of Diagnostic Testing A. Ventilation B. Pulse oximetry C. Transcutaneous O2/CO2 D. Ventilation parameters ( Vt, Ve, Va, I: E ratio) E. P(A-a)O2 F. CaO2 G. CvO2 H. C (a-v) O2 I. Vd/Vt J. Qs/Qt K. Capnography L. Co-oximeter VII. Pulmonary Function Tests A. Peak flow B. Maximum inspiratory/expiratory pressure C. Forced vital capacity D. Timed forced vital capacity E. Lung compliance F. Airway resistance G. Lung mechanics H. Spirometry before and after bronchodilator I. Maximum voluntary ventilation J. Diffusing capacity K. Functional residual capacity L. Flow-volume loops M. Body plethysmography N. Nitrogen washout distribution test O. Total lung capacity P. CO2 response curve Q. Closing volume VIII. Manometers and Gauges A. Water, mercury and aneroid manometers B. Inspiratory/expiratory pressure meters C. Pressure transducers D. Respirometers

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