Respiratory Life Support | Madison College Outline of Instruction

10-515-113Respiratory Life Support

Course Information

Description

Focuses on management of adult ventilatory support. Emphasis is placed on promotion of evidence-based practice using established clinical practice guidelines and published research for its relevance to patient care.

Total Credits

Course Competencies

Assess the need for mechanical ventilation

Assessment Strategies

given various patient scenarios

by answering questions in an oral or written format

in a laboratory setting with mechanical ventilation equipment

Criteria

assessment includes results of non-invasive monitoring

assessment includes recognition of impending ventilatory and/or oxygenation failure

assessment includes results of cardiopulmonary assessment

assessment includes recommendation for gathering further data as needed
Explain general principles of mechanical ventilation

Assessment Strategies

by answering questions in an oral or written format

in a laboratory setting with mechanical ventilation equipment

Criteria

you classify ventilators

you compare ventilator modes

you discuss the patient-ventilator interface

you calculate simple pulmonary mechanics to determine ventilator settings
Apply non-invasive mechanical ventilation

Assessment Strategies

given various patient scenarios

by answering questions in an oral or written format

in a laboratory setting with mechanical ventilation equipment

Criteria

you identify candidates for non-invasive mechanical ventilation

you select appropriate mode and ventilator parameters

you select, assemble, use and troubleshoot equipment

you select, assemble, use, and troubleshoot the patient interface

you modify therapy based on patient response

you evaluate and monitor patient's objective and subjective responses to therapy
Apply invasive mechanical ventilation

Assessment Strategies

given various patient scenarios

by answering questions in an oral or written format

in a laboratory setting with mechanical ventilation equipment

Criteria

you identify candidates for invasive mechanical ventilation

you select appropriate mode and ventilator parameters

you select, assemble, use and troubleshoot equipment

you modify therapy based on patient response

you evaluate and monitor patient's objective and subjective responses to therapy
Apply invasive mechanical ventilation

Assessment Strategies

given various patient scenarios

by answering questions in an oral or written format

in a laboratory setting with mechanical ventilation equipment

Criteria

identify candidates for invasive mechanical ventilation

select appropriate mode and ventilator parameters

select, assemble, use and troubleshoot equipment

evaluate and monitor patient's objective and subjective responses to therapy
Operate various ventilators

Assessment Strategies

by operating a variety of ventilators in the lab

Criteria

you select appropriate ventilator for patient situation

you assemble and configure operation

you correctly operate ventilator according to specifications

you troubleshoot ventilator
Manage patients requiring mechanical ventilation

Assessment Strategies

by operating a variety of ventilators in the lab

Criteria

select appropriate ventilator settings for patient situation

assemble and configure operation

operate ventilator correctly according to patient response

troubleshoot ventilator and circuit

modify therapy based on patient response and patient/ventilator synchrony
Interpret waveforms and graphics

Assessment Strategies

by interpreting waveforms and graphics

Criteria

interpretation includes selection of the appropriate graphics

interpretation includes recognition of the mode being delivered

interpretation includes triggering of the ventilator

interpretation includes identification of waveform components

interpretation includes association of waveforms with clinical abnormalities such as excessive work, insufficient time, auto PEEP, over-distension

interpretation includes modification of ventilator based on waveform analysis
Evaluate patient response to mechanical ventilation

Assessment Strategies

by evaluating patient responses

Criteria

you calibrate the capnography equipment

you demonstrate proper use of the capnography equipment

you interpret arterial blood gases and make recommendations for ventilator adjustments

you interpret capnography and make recommendations for ventilator adjustments

you correlate capnography with arterial blood gases

you correlate pulse oximetry with arterial blood gases
Evaluate patient response to mechanical ventilation

Assessment Strategies

by evaluating patient responses

Criteria

you calibrate the capnography equipment

you demonstrate proper use of the capnography equipment

you interpret arterial blood gases and make recommendations for ventilator adjustments including adjuncts such as high frequency ventilation and recruitment maneuvers

you interpret capnography and make recommendations for ventilator adjustments

you correlate capnography with arterial blood gases

you correlate pulse oximetry with arterial blood gases
Apply weaning techniques to mechanically ventilated patients

Assessment Strategies

given various patient scenarios

by answering questions in an oral or written format

in a laboratory setting with mechanical ventilation equipment

Criteria

you assess patient's readiness for weaning to include MIP, MEP, VC, RSBI

you select appropriate weaning strategy

you monitor the weaning process

you select, assemble, use and troubleshoot equipment used during the weaning process

you recommend modification and/or termination of the weaning process
Apply weaning/liberation strategies to mechanically ventilated patients

Assessment Strategies

given various patient scenarios

by answering questions in an oral or written format

in a laboratory setting with mechanical ventilation equipment

Criteria

assess patient's readiness for weaning to include MIP, MEP, VC, RSBI and nutritional status

select appropriate weaning strategy

monitor the weaning process

select, assemble, use and troubleshoot equipment used during the weaning process

recommend modification and/or termination of the weaning process
Analyze the legal and ethical implications of initiation, continuation, and withdrawal of life support

Assessment Strategies

by responding to case scenarios and situations involving legal and ethical situations

Criteria

you identify clinical situations in which life support would be initiated, continued, and/or withdrawn

you explain the procedures to assess for termination of life support (i.e. apnea testing, neurologic assessment)

you describe legal implications involved in initiation, continuation, and withdrawal of life support

you describe ethical implications involved in initiation, continuation, and withdrawal of life support

you examine the process for surge planning and triage for mass casualties
Analyze the legal and ethical implications of initiation, continuation, and end of life situations/scenarios

Assessment Strategies

by responding to case scenarios and situations involving legal and ethical situations

Criteria

identify clinical situations in which life support would be initiated, continued, and/or withdrawn

explain the procedures to assess for termination of life support (i.e. apnea testing, neurologic assessment)

describe legal implications involved in initiation, continuation, and withdrawal of life support

describe ethical implications involved in initiation, continuation, and withdrawal of life support

examine the process for surge planning and triage for mass casualties
Correlate mechanical ventilation strategies to various disease states

Assessment Strategies

given various patient scenarios

by answering questions in an oral or written format

in a laboratory setting with mechanical ventilation equipment

Criteria

you identify candidates for nonconventional ventilation strategies (i.e. ARDS, asthma, COPD)

you select appropriate mode and ventilator parameters

you modify therapy based on patient situation and response (i.e. VAP, lung protective strategies)

you evaluate and monitor patient's objective and subjective responses to therapy
Implement mechanical ventilation strategies to various disease states according to evidenced based practice

Assessment Strategies

given various patient scenarios

by answering questions in an oral or written format

in a laboratory setting with mechanical ventilation equipment

Criteria

identify candidates for nonconventional ventilation strategies (i.e. ARDS, asthma, COPD)

select appropriate mode and ventilator parameters

modify therapy based on patient situation and response (i.e. VAI, VAE, lung protective strategies)

evaluate and monitor patient's objective and subjective responses to therapy
Apply strategies to prevent ventilator associated events

Assessment Strategies

Oral, Written and/or Skill Assessment

Criteria

position the patient

provide appropriate oral care

monitor parameters for the ventilator bundle

confirm compliance with the VAE prevention methods