Respiratory Care Procedures II

Set up equipment; conduct airway care; initiate mechanical ventilation; troubleshoot equipment; maintain patient records; and communicate relevant information to members of the health care team.

I. Identify how gas exchange is analyzed and monitored and demonstrate ability of
ABG interpretation (F1, 2, 8, C7, 18, 19, 20)
A. Differentiate and describe the characteristics of various types of oxygen
analyzers
B. Identify techniques used to assess gas exchange and when they are indicated
C. Select equipment for monitoring procedures and ensure its proper function
D. Explain how to measure inspired oxygen concentration
E. Obtain, process and analyze blood gas samples
F. Describe when and how to perform co-oximetry
G. Interpret pulse oximetry results
H. Explain the use of capnograms
I. Interpret blood gas results
II. Describe the function and application of manual resuscitators (F1, C18, C19, C20)
A. Identify resuscitator valve types
B. Discuss various type of manual resuscitators and discuss common hazards
associated with using these devices
C. Describe the difference between flow-inflating and self-inflating manual
resuscitators
D. Select different types of masks used on manual resuscitators
E. Identify devices on manual resuscitators and explain their function
F. Provide adequate manual resuscitation
III. Determine proper equipment utilized for airway management (F1, F3, F8, C18, C19,
C20)
A. Describe the indications for artificial airways
B. List the various types of airways
C. Determine usage of each airway
D. Demonstrate correct technique of airway insertion
E. Identify markings on different airways
F. Demonstrate correct care of each airway
G. Identify common indications, contraindication and hazards associated with
various airways
IV. Demonstrate proficiency in the technique for endotracheal intubation (F1, F3, F8,
C18, C19, C20)
A. Identify indications for endotracheal intubation
B. Determine how the route of intubation is determined
C. Describe the technique for oral and nasal intubations
D. Describe how to assess and confirm proper ET tube placement
E. Describe the procedure for a tracheotomy
F. List and describe the complications associated with airways and long term
intubation
V. Explain the importance of the RCP in maintenance of the airway (F1, F3, F8, C18,
C19, C20)
A. Demonstrate proper technique in securing the artificial airway
B. Determine methods for providing for patient communication
C. Ensure adequate humidification to the artificial airway
D. Understand the importance of cuff care in the intubated patient
E. Troubleshoot airway emergencies
VI. Explain the function of the equipment and proper technique of suctioning (F1,F3,
F8, C18, C19, C20)
A. Describe the use of various suction catheters
B. Identify the indications for suctioning
C. Identify and minimize the hazards associated with suctioning
D. Demonstrate proper technique for suctioning
E. Determine appropriate suction catheter size
F. Determine appropriate suction pressure
VII. Describe the process of extubation (F1,F3, F8, C18, C19, C20)
A. Demonstrate procedure of orotracheal and nasotracheal extubation
B. Understand removal of tracheostomy tubes
C. Identify hazards associated with extubation
D. Explain the rationale of applying appropriate oxygen, humidity therapy, and
medication therapy post extubation
VIII. Identify indications and contraindications of mechanical ventilation (F1,F3, F8, C18,
C19, C20)
A. Define respiratory failure and distinguish between its two primary types
B. Compare and contrast acute and chronic respiratory failure
C. Identify causes of respiratory failure
D. Justify ventilatory support in special circumstances
IX. Demonstrate proficiency in initiating mechanical ventilation (F1, F5, F8, F10, C18,
C19, C20)
A. Differentiate between physician ordered and therapist controlled parameters
B. Differentiate between pressure ventilation and volume ventilation
C. Establish an appropriate minute volume for initial ventilator settings
D. Establish appropriate FiO2 setting for initial mechanical ventilation
E. Explain the relationship between flow, inspiratory time, and expiratory time
X. Differentiate between common modes of mechanical ventilation
A. Define the terms trigger, limit, and cycle as they pertain to modes of mechanical
ventilation
B. Differentiate between ventilator breaths and spontaneous breaths as they
relate to modes of mechanical ventilation
C. Produce graphic representations of different modes of mechanical ventilation
D. Describe controlled mandatory ventilation (CMV)
E. Describe assist control ventilation
F. Differentiate between intermittent mandatory ventilation and synchronized
intermittent mandatory ventilation
G. Differentiate between pressure control and volume control ventilation
H. Describe pressure support mode (PSV)
I. Describe continuous positive airway pressure (CPAP) mode of ventilation
J. Differentiate between PSV and CPAP