RESP 204 - Extended Care for the Cardiopulmonary Patient

1. Evaluate data in the patient record
   1. Patient History (history of present illness (HPI), orders, medication reconciliation, progress notes, DNR status/advanced directives, social/family/medical hx)
   2. 6-minute walk test results
2. Perform clinical assessment by interviewing a patient to assess
   1. Smoking history
   2. Environmental exposures
   3. Activities of daily living
   4. Learning needs (literacy, preferred learning style, culture)
3. Perform procedures to gather clinical information
   1. Oxygen titration with exercise
   2. 6 minute walk test
4. Evaluate procedures results
   1. Oxygen titration with exercise
   2. 6 minute walk test
5. Assemble and troubleshoot long-term oxygen therapy equipment
6. Ensure infection control
   1. Adhering to infection prevention policies and procedures (Standard precautions, donning/doffing, Isolation)
   2. Adhering to disinfection policies and procedures
7. Perform quality control procedures for home mechanical ventilators.
8. Performing airway clearance and lung expansion techniques with inspiratory muscle training.
9. Ensure modifications are made to the respiratory care plan
   1. Starting treatment based on patient response
   2. Discontinuing treatment based on patient response
10. Utilized evidence based medicine principles
    1. Recommendations for changes in the therapeutic plan when indicated
11. Provides respiratory care in high-risk situation
    1. Disaster management
    2. Land/air transport between hospitals
12. Conduct patient and family education
    1. Safety and infection control
    2. Home care and related equipment
    3. Lifestyle changes (smoking cessation and exercise)
    4. Pulmonary rehabilitation
    5. Disease/condition management (asthma, COPD, CF, tracheostomy care, ventilator dependent)
13. Discusses the elements of pulmonary rehabilitation programs
    1. Communicates information relative to pulmonary rehabilitation programs (patient selection, multidisciplinary approach)
    2. Identify educational and exercise components of pulmonary rehabilitation programs
    3. Educates patient/family regarding proper nutrition for pulmonary patients
    4. Recommends appropriate immunizations (pneumovax, influenza) based on protocols
14. Recall indications for and proper use of a variety of home care equipment to include: home ventilators, CPAP/NPPV, apnea monitors, oxygen concentrators, LOX, cylinders, pulse dose/demand systems, portable nebulizers, TTO, trach care, trach change and suctioning
15. Identify the role of the RCP in disaster management
    1. Analyze effects of blast injuries
    2. Evaluate effects of specific agents used in biological, radioactive and chemical warfare (smallpox, anthrax, nerve agents)
    3. Identify appropriate treatment for patients exposed to biological, radioactive and chemical weapons (smallpox, anthrax, nerve gases, etc.)
    4. List personal protective equipment required for biological, radioactive and chemical agents (smallpox, anthrax, nerve gases, etc)
    5. Identify appropriate precautions and treatments for individuals potentially exposed to contagious diseases. (e.g. Ebola)
16. Discuss the RT’s role in providing care for patients that are at the end of life
    1. Discuss hospice care options (hospital based, LTAC, ECF, Home)
    2. Discuss treatment options (NPPV, aerosolized morphine, oxygen, etc.)

• Introduction to home care
• Home care ventilators and equipment
• Home oxygen
• Pulmonary rehabilitation
• Infection control
• Timed walk test, oxygen titration with exercise
• Alternative care settings
• Exercise and biofeedback
• Smoking cessation and preventive care
• Evaluations
• Disease management

 
Course Addendum - Syllabus (Click to expand)