Official Course Description: MCCCD Approval: 12/14/99
RES230 20002-20075	LEC LAB	3 Credit(s) 1 Credit(s)	15 Period(s) 3 Period(s)
Respiratory Care Fundamentals IV
Advanced respiratory care therapy and assessment techniques to include hemodynamic monitoring and assisting physicians during special procedures. Development of advanced respiratory care plans and clinical research techniques. Equipment operation, quality assurance, and maintenance. Use of effective communication skills with members of the health care team and patients. Prerequisites: RES220. Corequisites: RES232.

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MCCCD Official Course Competencies:
RES230   20002-20075	Respiratory Care Fundamentals IV

1.	Recommend special procedures to obtain additional data. (I)
2.	Determine appropriateness of prescribed respiratory care plan based on clinical data. (I, II)
3.	Monitor patient response to special procedures. (II)
4.	Select appropriate equipment for therapeutic procedures. (III)
5.	Assemble equipment selected for therapeutic procedures. (III)
6.	Describe principle of operation for equipment used in pulmonary diagnostics. (III)
7.	Check equipment for proper function and operation. (III)
8.	Identify malfunctions of equipment. (III)
9.	Take action to correct equipment malfunctions. (III)
10.	Describe procedures used in cleanliness and disinfection of equipment. (III)
11.	Perform procedures of diagnostic testing. (IV)
12.	Interpret results of diagnostic testing. (IV)
13.	Demonstrate the skills necessary to perform day-to-day interactions and communication in written and verbal language with patients. (IV)
14.	Demonstrate the skills necessary to perform day-to-day interactions and communication in written and verbal language with physicians. (IV)
15.	Demonstrate the skills necessary to perform day-to-day interactions and communications in written and verbal language with other healthcare practitioners. (IV)
16.	Perform quality control on diagnostic testing equipment. (IV)
17.	Act as assistant to the physician performing special procedures. (V)
18.	Participate in development of respiratory care plan based on clinical data. (VI)
19.	Recommend modifications of respiratory care plan based on clinical data. (VI)
20.	Critically evaluate clinical research in respiratory care. (VII)
21.	Identify the steps in designing a clinical research project in respiratory care. (VII)

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MCCCD Official Course Outline:
RES230   20002-20075	Respiratory Care Fundamentals IV

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 procedure 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. Diagnostic 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. Perform diagnostic procedures H. Interpret results of diagnostic procedures I. Modify therapy as indicated J. Infection control K. Terminate diagnostic procedure based upon patient response V. Assisting Physician A. Bronchoscopy B. Thoracentesis C. Transtracheal aspiration D. Tracheostomy E. Cardiopulmonary stress testing F. Percutaneous needle biopsies of the lung G. Sleep studies H. Cardioversion I. Intubation J. Insertion of chest tube K. Insertion of lines for invasive monitoring (e.g. central venous pressure, pulmonary artery catheters, Swan-ganz, arterial lines) L. Conscious sedation VI. Development of Respiratory Care Plans A. Develop protocols B. Case Management C. Disease management VII. Clinical Research A. Analyze the content of a clinical research article B. Steps in clinical research design 1. research question 2. sampling 3. experimental controls 4. experimental design

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