Official Course Description: MCCCD Approval: 05/25/04
RES232 20046-20085	LAB	3 Credit(s)	15 Period(s)
Respiratory Care Clinical IV
Clinical application of all prerequisite respiratory care course work with emphasis on adult critical care and neonatal/pediatric care. Basic and critical care therapeutics, advanced patient assessment and monitoring. Assisting physician during special procedures. Increased responsibility for total patient care, work organization and time management. Prerequisites: RES226. Corequisites: RES230.

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MCCCD Official Course Competencies:
RES232   20046-20085	Respiratory Care Clinical IV

1.	Adhere to agency policies and procedures including Health Information Portability and Accountability Act (HIPAA) guidelines. (I)
2.	Evaluate chart for existing data related to patient history. (I)
3.	Evaluate chart for existing laboratory data. (I)
4.	Evaluate chart for existing patient data pertaining to vital signs and physical findings. (I)
5.	Perform patient assessment techniques required to meet therapeutic objectives. (II)
6.	Perform general floor care under minimal supervision (II)
7.	Perform critical care skills under minimal supervision. (III)
8.	Perform basic neonatal general care. (IV)
9.	Observe and aid in delivery of neonatal critical care. (IV)
10.	Perform basic pediatric general care. (IV)
11.	Observe and aid in delivery of pediatric critical care. (IV)
12.	Observe and aid in performance pulmonary diagnostic tests. (IV)
13.	Observe and assist physician in performance of special procedures. (V)
14.	Manage routine general floor work assignment. (VI)
15.	Manage routine critical care work assignment. (VI)

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MCCCD Official Course Outline:
RES232   20046-20085	Respiratory Care Clinical IV

I. Subjective/Objective/Assessment/Plan (SOAP) Procedure A. Review patient record B. Therapeutic objectives C. Suggest therapy modification as indicated D. Maintain confidentiality following HIPAA guidelines II. Re-assessment of Clinical Skills A. Oxygen therapy B. Aerosol therapy C. Secretion mobilization and management D. Hyperinflation therapy E. Airway management F. Ventilator management III. Critical Care Skills A. Airway management and removal of secretions B. Maintain adequate oxygenation and ventilation C. Modify therapy as indicated D. Maintain records and communication IV. Specialty Areas A. Neonatal intensive care B. Pediatric general floor C. Pediatric intensive care D. Hemodynamic monitoring V. Assisting Physician during Special Procedures. A. Bronchoscopy B. Thoracentesis C. Tracheostomy D. Cardiopulmonary Stress Testing E. Cardioversion F. Intubation G. Insertion of chest tube H. Insertion of invasive monitoring lines VI. Managing Routine Workload A. General floor assignments B. Intensive care assignments

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