MCCCD Official Course Competencies:

RES230  2007 Fall – 2009 Summer II

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.

Identify the responsibility of the role of assistant to the physician performing special procedures. (V)

18.

Perform Pulmonary Function Testing procedures. (VI)

19.

Evaluate Pulmonary Function Testing results. (VI)

MCCCD Official Course Outline:

RES230  2007 Fall – 2009 Summer II

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. 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