RESP 2390 - Practicum III

Academic Division:

Health Sciences

Academic Discipline:

Respiratory Care

Assistant Dean: Leesa Cox, MBA, PTA

2.5 Credit(s)
This is a practicum course. The student will be assigned to a hospital 16 hours per week for 10 week (160 total hours) to work under the direct supervision of a practicum instructor. This is a continuation of RESP 1290. This course provides practicum experience for the student to the practice respiratory care skills the student obtained in RESP 1220. The student will perform direct patient care in an ICU setting evaluating patients’ medical records, assessing patients’ oxygen therapy needs, practice administration/assessment of medical gas therapy, humidity/aerosol therapy, perform oxygen analysis, perform sterilization/infection control procedures, perform hyperinflation therapy, bronchopulmonary hygiene techniques on patients, airway management, bronchopulmonary hygiene, lung expansion therapy, intermittent aerosolize therapy via different modalities, dispensing respiratory pharmacologic agents, arterial blood gas punctures and analysis, mechanical ventilation, and airway management techniques including extubation. The student may be involved in emergency medical procedures include cardiopulmonary resuscitation and the use of manual resuscitators. Seminar time is provided at campus. Semesters available: Day - Su UG

1 Lecture Hour(s);

10 Practicum Hour(s);

Required Prerequisite Course(s): Take RESP 1220 , RESP 1290

Required as Prerequisite or Concurrent Course(s): Take RESP 2310 and RESP 2330

College Wide Outcomes

College-Wide Learning Outcome	Assessments - - How it is met & When it is met
Communication – Written
Communication – Speech
Intercultural Knowledge and Competence
Critical Thinking
Information Literacy
Quantitative Literacy

Student Learning Outcomes for Course

Outcomes	Assessments – How it is met & When it is met
1. Collect, evaluate, and review existing data in the patients’record to assess the patient’s cardiopulmonary system and make recommendations to initiate or modify therapy.	S.O.A.P. rubric, daily beginning week 2 Practical Final examination week 10
2. Perform the following procedures: a. Patient data: vital signs, chest assessment, patient assessment, x-ray interpretation b. Oxygen therapy: nasal cannula, simple mask, partial rebreather, non-rebreather, air entrainment mask, pulse oximetry, transport with oxygen, high flow nasal cannula c. Aerosol and humidity therapy: face tent, face mask, trach collar, t-piece, ultrasonic nebulizer d. Charting e. Aerosol drug administration : metered dose inhaler, dry powder inhaler, small volume nebulizer, in-line metered dose inhaler, in-line small volume nebulizer f. Hyperinflation therapy: incentive spirometry, intermittent positive pressure breathing g. Bronchial hygiene: chest physiotherapy, coughing, breathing exercises, mucous clearance adjuncts, MetaNeb, intrapulmonary percussive ventilation, h. Ventilatory care: ventilator setup, routine ventilator check, ventilator parameter change, ventilator graphics analysis, capnography i. Weaning from mechanical ventilation: weaning parameters, weaning j. Noninvasive positive pressure ventilation: noninvasive ventilator setup, noninvasive ventilator check k. Manual ventilation during transport, transport ventilation setup l. Suctioning procedures: endotracheal suctioning, nasotracheal suctioning, tracheal suctioning, in-line suctioning m. Endotracheal tube/tracheostomy care: securing artificial airway, cuff management, heat/moisture exchanger, extubation n. Arterial Blood Gasses: ABG Sampling, ABG Analysis, ABG Analyzer Quality Assurance	SOAP rubric, daily beginning week 2 Practical final examination week 10 Procedure check-off daily week 10 Student practicum evaluation, week 5 & 10
3. Evaluate patient response to oxygen therapy and intermittent therapy (objective and/or subjective), mechanical ventilation, and make recommendations to modify therapy.	S.O.A.P. rubric, daily beginning week 2
4. Select, assemble, and troubleshoot all oxygen delivery systems, intermittent therapy devices and/or setups, and mechanical ventilators	Direct observation by instructor, daily. Procedure check-off beginning week 2 Practical Final week 10
5. Document oxygen, intermittent therapy, and mechanical ventilation in the patient medical record.	Direct observation by practicum instructor, daily. Procedure check-off beginning week 2.

Standard Grading Scale
93-100 A

90 - 92 A-

87- 89 B+

83 - 86 B

80 -82 B-

77- 79 C+

73 - 76 C

70 -72 C-

67- 69 D+

63 - 66 D

60 -62 D-

00- 59 F

Statement on Diversity
North Central State College believes that every student is a valued and equal member of the community.* Every student brings different experiences to the College, and all are important in enriching academic life and developing greater understanding and appreciation of one another. Therefore, NC State College creates an inclusive culture in which students feel comfortable sharing their experiences. Discrimination and prejudice have no place on the campus, and the College takes any complaint in this regard seriously. Students encountering aspects of the instruction that result in barriers to their sense of being included and respected should contact the instructor, assistant dean, or dean without fear of reprisal.

*Inclusive of race, color, religion, gender, gender identity or expression, national origin (ancestry), military status (past, present or future), disability, age (40 years or older), status as a parent during pregnancy and immediately after the birth of a child, status as a parent of a young child, status as a foster parent, genetic information, or sexual orientation,

Standard NCSC Course Policies
Important information regarding College Procedures and Policies can be found on the syllabus supplement located at this link