www.saintjohn.nbcc.nb.ca RESPIRATORY THERAPY 2003-2005
RESPIRATORY THERAPY 2003-2005 Page 2 TABLE OF CONTENTS HANDBOOK USAGE...3 INTRODUCTION TO RESPIRATORY THERAPY...4 OVERVIEW...5 CAREER OPPORTUNITIES...6 STAFF LIST...7 PROGRAM TERMINOLOGY...8 CURRICULUM...9 SEMESTER EVALUATION...9 SUPPLEMENTAL EXAMS...10 GETTING DOWN TO STUDY...11 PROGRAM INFORMATION...12 PROGRAM POLICIES...14 GRADING SYSTEM...15 TESTING & EXAMINATIONS...16 PROGRAM OF STUDIES...18 COURSE DESCRIPTIONS FIRST PHASE - DIDACTIC COURSES...21 SECOND PHASE - CLINICAL ROTATIONS...28 CLASS SCHEDULE...32
RESPIRATORY THERAPY 2003-2005 Page 3 HANDBOOK USAGE This handbook is a source of detailed information about the Respiratory Therapy program. Understanding of and compliance with the rules within this handbook are the responsibility of the student. Please see the Department Head for clarification or interpretation of rules as necessary. The college reserves the right to alter the curriculum of any program to keep pace with technological change and the demands of industry. Students who require a longer time period to complete a program than the duration stated for the normal completion of that program must meet the certification requirements (Curriculum Standard) and program handbook regulations in place on the date of their eventual graduation. June MacDonald Department Head Carol E. (Betty) Brown Dean Date Date
RESPIRATORY THERAPY 2003-2005 Page 4 INTRODUCTION TO RESPIRATORY THERAPY We would like to extend a welcome to the Health Department of the New Brunswick Community College - Saint John and, more specifically, to the Respiratory Therapy Program. A special welcome is extended to those students who are returning this year for the completion of their training. The pace and sophistication of resources in hospitals and industry now demand that employees be personally suitable, competent, and of high moral caliber. The level and intensity of our accredited post-secondary diploma program ensures that the successful graduates meet these demands. The combination of theoretical instruction, project work and on-the-job training ensures application of knowledge received. The teaching is presented and evaluated by staff that is both professionally and academically well qualified. Their combined classroom and clinical experience has such scope that the instruction is guaranteed to be practical and academically challenging. Continuous dialogue among students, faculty, and industry partners has resulted in the creation and maintenance of a program that remains both relevant and current. All of the above factors combine to help ensure that the chances of graduates obtaining satisfying and gainful employment are excellent. Historical data indicates a successful record in this regard. Our goal at the New Brunswick Community College - Saint John is to work together to assist you in achieving a successful and rewarding career through an adult educational experience. June MacDonald Department Head Health
RESPIRATORY THERAPY 2003-2005 Page 5 OVERVIEW Respiratory Therapy is an allied health discipline devoted to the scientific application of technology and the application of procedures in order to assist the physician in the diagnosis, treatment, management, and care of patients with respiratory and associated disorders. This program is designed to provide students with the skills needed to function as graduate Respiratory Therapists. The Council on Accreditation of Respiratory Therapy Education nationally accredits the program. Students receive intensive training in the medical sciences. They learn how to properly select, use, and maintain respiratory equipment. They become an integral part of the treatment program for patients with respiratory difficulties within the hospital and home care based settings. Classroom training is coupled with an internship where students become proficient in Respiratory Therapy. Upon successful completion of the program, students are eligible to write the National Registry Examination, as governed by the Canadian Board for Respiratory Care. Following successful completion of this program, the student will be able to: Apply the principles of anatomy and physiology with emphasis on the respiratory system and interrelated systems; Identify specific diseases and suggest and/or render the correct mode of therapy; Carry out basic procedures and testing to assist in the diagnosis of such diseases; Operate and maintain respiratory equipment; Apply the necessary therapeutic treatments as ordered by the physician; Ascertain the success of such treatments on the patient, so that the treatments may be continued or modified.
RESPIRATORY THERAPY 2003-2005 Page 6 CAREER OPPORTUNITIES Graduates of this accredited program may be employed in Respiratory Therapy Departments, Pulmonary Function Laboratories, Department of Anaesthesia and Critical Care Units of hospitals. They may also seek employment in related areas of health care, such as home care services, respiratory equipment sales, paramedical situations, environmental pollution monitoring, and consultative services to industry, government, professional associations and research. Post-graduate specialty training is available in neonatal, anaesthesia, adult critical care, cardiopulmonary technology, asthma education, sleep diagnostics and extracorporeal oxygen perfusion. It should be noted that the hours of work in this occupation are irregular and may include shift work (days, evenings, and nights) and work on weekends and holidays. Good health, a good level of physical fitness, and stamina are required. Also, the nature of this occupation requires a sincere desire on the part of trainees to work with and help other people, at times under trying circumstances. Maturity of outlook is essential. Upon completion of this program, the student is eligible to write the National Registry Examination governed by the Canadian Board for Respiratory Care. Upon successful completion of the National Registry Exam, the Canadian Society of Respiratory Therapists (C.S.R.T.) will issue a certificate of Registry. Registration with the C.S.R.T. qualifies the graduate to seek employment anywhere in Canada, provided that provincial regulations are met. NBCC-Saint John Respiratory Therapy graduates have been successful in finding stimulating and gainful employment in their field either prior to, or following, graduation. Examples of various perspective employers are listed below: Active treatment hospitals Research labs and institutions Commercial enterprises Home care, i.e.: - Extra-mural hospitals - ARS VitalAire Pharmaceutical Sales Educational Institutions
RESPIRATORY THERAPY 2003-2005 Page 7 STAFF LIST DEPARTMENT HEAD TELEPHONE June MacDonald, RN, BN, Med. 658-6673 COORDINATOR INSTRUCTOR VOICE MAIL PAGER Rob Leathley, B.Ed. R.R.T. 648-6023 646-1488 INSTRUCTORS VOICE MAIL PAGER John C. Annear, B.Sc., R.R.T. 648-6023 653-4169 Ray Hubble, M.MEd. R.R.T. 648-6023 648-4358 Carolyn McCoy, R.R.T. 648-6023 653-4170 Denise Hubble, R.R.T. 648-6020 638-5083 David Arbeau, R.R.T. CAE 648-6020 SECRETARY TELEPHONE Trina Godsoe 648-6023
RESPIRATORY THERAPY 2003-2005 Page 8 PROGRAM TERMINOLOGY Course: Used interchangeably with the term subject ; a course is a portion of study, individually numbered, which if successfully completed, provides a credit toward the successful completion of a program. Course is also used to describe clinical rotations in second year. Graduation: A student is deemed to have graduated when he/she has successfully completed all requirements in a particular program of study. Canadian Society of Respiratory Therapists: A national professional society of Respiratory Therapists. The society grants membership, for an annual fee, to those who have fulfilled the training requirements at an accredited school of Respiratory Therapy and successfully passed national certification examinations. Respiratory Therapist: A Registered Respiratory Therapist is a graduate of an accredited school of Respiratory Therapy who has successfully completed the National Registry Examination as governed by the Canadian Board for Respiratory Care. The successful individual will be able to seek employment in those provinces that recognize the CBRC exam.
RESPIRATORY THERAPY 2003-2005 Page 9 CURRICULUM The official curriculum for the program is the property of the New Brunswick Community College. Release of the curriculum document or any part thereof requires the specific authorization of the Principal or Coordinator of Curriculum Services, New Brunswick Community College - Saint John. The New Brunswick Community College reserves the right to alter the curriculum without notice as may be required to refine, update and redistribute content as warranted. The Respiratory Therapy Program follows the Canadian Society of Respiratory Therapists Occupational Profile for teaching and clinical purposes as an accredited program of the Council on Accreditation of Respiratory Therapy Education. SEMESTER EVALUATION 1. To qualify for a diploma/certificate, students must attain a pass mark of 60% in all course requirements of the program of studies. 2. Students who fail three or more courses in semester/term 1 are not eligible to proceed to semester/term 2 and are not eligible to write supplemental exams in the failed courses. Students will receive counseling as it relates to re-applying for entry to semester 1 in the next program offering. 3. Students must have successfully completed all prior courses in their program of studies, or be eligible to write a supplemental exam, to be eligible to participate in the on-the-job training component. 4. Tests, exams and assignments will be evaluated and returned to students within twoweeks unless the instructor indicates an alternate time frame.
RESPIRATORY THERAPY 2003-2005 Page 10 SUPPLEMENTAL EXAMS Students will be permitted to write a supplemental exam in a course when the following conditions have been met: 1. a score of 50% to 59% has been achieved on the course, and 2. a score of at least 60% has been achieved on the term/semester work for the course, and 3. no more than two supplemental exams are permitted over the duration of the program Only one attempt at a supplemental exam for a course will be allowed. The supplemental exam will cover the same material the original exam covered and will be valued the same for scoring. Students who pass a course as a result of writing a supplemental exam will be awarded a score of 60% for that course and the official transcript will indicate that a supplemental was written. Supplemental exams will normally be held within two weeks of posting the marks for a course. Exceptions to this may occur just prior to Christmas vacation and to on-the-job training in June. Students will be permitted to begin a course for which a failed course is a prerequisite pending the result of the supplemental exam. Failure to pass the supplemental will require the student to withdraw from that course immediately.
RESPIRATORY THERAPY 2003-2005 Page 11 GETTING DOWN TO STUDY Many students, especially those just beginning to take the Respiratory Therapy program, find a great deal of difficulty in getting down to study. The following tips should be of some help. - Make studying a habit. Plan your study times. Study at the same time and place each day. - Concentrate during study time. Be strict with yourself when your thoughts wander. - Listen carefully in class. Attentiveness pays big dividends. Make notes about key ideas, but don't try to take everything down. You'll miss the main ideas if you do. - When reading, do a fast once-over; then a more detailed reading. Check for summaries, or an author's listing of key points. Question yourself about the work. - Note items you can't remember. Make a list or file card of these. If you own the book you're reading, mark it up. That's part of studying. - Do read some of the suggested extra readings. - Think about how you can use the knowledge you are acquiring. Then, use it. - Memorize key ideas and facts. Before doing so, have a clear picture of what you intend to memorize. - Participate in classroom discussions. Ask questions of the instructor -- and other students.
RESPIRATORY THERAPY 2003-2005 Page 12 PROGRAM INFORMATION A. THE COLLEGE YEAR - Semester dates are as follows: Class of 2005 Semester I: September 02, 2003* - December 19, 2003 Semester II: January 05, 2004 - April 23, 2004 Semester III: April 26, 2004 - June 18, 2004, September 6, 2004 - October 29, 2004 Semester IV: November 1, 2004 - June 24, 2005, August 29, 2005 - December 16, 2005 *REGISTRATION DAY - On Registration day the following should be available or already on file in Student Services: 1) Medical certificate 2) Educational documents 3) Birth certificate 4) Social Insurance number B. COSTS (Prices are approximate and subject to change.) Tuition...$2,400- $2,800/year Books...$1,200 (Note: Facilities are not provided for the repurchase of textbooks. Texts and prices are subject to change from year to year) Uniforms x 2...$ 70 Stethoscope...$ 65 Hepatitis B Vaccination...$ 95 Lab Coats x 2...$ 40 NBCC-Saint John Off Site Student Fee...$20/year C.S.R.T. Student Fee...$175.00 (Includes membership to CSRT, subscription to Canadian Journal of RT. Must be student member to apply for CBRC exam.) Registry Examination Fee approx....$600.00 (Subject to change yearly by C.B.R.C. and applies only to graduates who have paid CSRT student fee.) Parking (SJRH)...approx. $35.00/month Advanced Life Saving Courses...approx. $1000.00 Note: It is strongly recommended that students have at least a Microsoft Windows 98 compatible computer with CD-ROM, Microsoft Office 97 and access to the Internet.
RESPIRATORY THERAPY 2003-2005 Page 13 C. ABSENTEEISM, MISSED TESTS, TARDINESS Students have a responsibility to maintain contact with the College and explain their reason for any absence or lateness. Total absenteeism will not normally exceed 5%. This includes casual illnesses, but may not include extended periods of illness. Students whose absence reaches or exceeds 5% of program time may have their status reviewed by a College Assessment Committee with a possibility of the termination of training. Students are required to attend all classes, labs, and tutorials designed for each of their courses. Tardiness: a. Instructors may, at their discretion, refuse latecomers entrance to class; b. Instructors may, at their discretion, refuse acceptance of late assignments, etc; c. Assignments must be turned in no later than 8:15 a.m. on the due date unless the instructor gives permission.
RESPIRATORY THERAPY 2003-2005 Page 14 PROGRAM POLICIES A. MEDICAL FORMS - A completed NBCC medical form will be provided to Student Services at a cost to the student following notification that they have been accepted to the program. B. PARKING - Students will utilize assigned student parking when at the New Brunswick Community College - Saint John. Students will utilize assigned staff parking when at the Saint John Regional Hospital and St. Joseph's Hospital. Parking cards are available from the cashier of the Saint John Regional Hospital for a standard fee, which can be purchased to allow 1 month of parking. There will be parking charges for Dr. Everett Chalmers Hospital, the Moncton Hospital and Chaleur Regional Hospital when the students are at these clinical sites. C. FIRE & DISASTER - Students must strictly adhere to all fire and disaster orders according to the facility they are in. D. CONDUCT - Each student is expected to display a high level of professionalism in his/her classroom conduct and execution of assigned clinical tasks. Breach of professional ethics will constitute an immediate assessment of the student. The students must honour patient confidentiality at all times and behave in a professional manner representing themselves, the Community College, and the profession of Respiratory Therapy. Inappropriate behaviour during classroom lectures and clinical rotations will not be tolerated. Inappropriate behaviour will be brought to the student's attention and recorded on the student's file. E CLASSROOM RESPONSIBILITY - Students are responsible for leaving the classroom and/or lab in a neat and tidy fashion. F. UNIFORMS - Students must purchase approved uniforms and lab coats which are to be worn during all clinical aspects of the program, with the exception of the operating room rotation where operating room greens will be supplied (see College Policies, Section B, Costs, page 9). G. HOURS OF PROGRAM - 8:15 a.m. to 4:00 p.m. for Semester I, II and III. Scheduled hours for Semester IV during Clinical rotations can include all types of shifts (days, evenings, nights, weekends and 4, 6, 8, 10 and 12 hour shifts).
RESPIRATORY THERAPY 2003-2005 Page 15 H. CANCELLATION OF CLASSES - Cancellation of classes due to weather conditions will be made at the discretion of the college administration. Instructors and student body will be advised. Students will make every reasonable attempt to attend all classes and shifts. I. TRANSPORTATION/ACCOMMODATION - Students are responsible to provide all transportation from their residence to site of lecture or clinical site. Any cost incurred for accommodations will remain the sole responsibility of the student J. SCHOOL DRESS AND UNIFORM POLICY - During the first three (3) semesters of the program, the student shall wear suitable street clothes, and if required, white lab coats. The student must wear the identification badge as issued by the Hospital Security Department at all times when in the hospital setting. The adopted uniform, Operating Room blues, shall be worn during Semester IV. The clinical supervisor will govern dress code for the lectures during Semester IV. K. HEALTH REQUIREMENTS - The student must have a complete physical examination and required immunization/screening (Hepatitis B, Tuberculosis screening). The student should be in sound medical health to meet the professional and academic demands of the program. GRADING SYSTEM To obtain a Diploma, students must successfully complete four (4) semesters of study in the program including all required subjects and clinical rotations. Time Limit on Testing: A time limit of 1.5 minutes per question will be allotted during Semester 1 on all tests. Thereafter, a time limit of 1 minute per question will be allotted for all tests and examinations. Variances may exist at the discretion of the course Instructor. Once the allotted time for an examination has expired, all writing - including the completion of the answer sheet - will cease and the exams will be handed in to the instructor or invigilator. The instructor or invigilator will only accept the exams, which are passed in within the time limit.
RESPIRATORY THERAPY 2003-2005 Page 16 TESTING & EXAMINATIONS Frequency of Tests/Quizzes: Written 1) Semesters I, II & III - average 1-2 tests per week after initial 4 weeks 2) Semester IV - at the end of most clinical rotation Practical Testing 1) Semesters I, II & III Completion of each lab assignment with some lab tests to be determined by instructor. 2) Semester IV Throughout the clinical practicum period the students will be tested on clinical competency based skills by program instructors and staff R.T. s of participating hospitals. Reviewing Tests: Tests are the property of the Program and will remain on file for the students to review at a time that is mutually convenient with the individual student and the course Instructor. Frequency of Exams: 1) Semesters I, II & III a) Mid and Final examinations for all Semester Courses b) At the discretion of the instructor, frequency may be altered 2) Semester IV a) Exams for all Clinical Rotations are written on the first program day following the completion of the rotation unless noted otherwise b) Comprehensive Exam 1 - approximately in 4 th month of Semester IV c) Comprehensive Exam 2 - approximately in 8 th month of Semester IV d) Graduate Comprehensive Exam - end of Semester IV e) A Clinical Summative Rotation evaluation is completed and reviewed with the student within a week of the end of each rotation. Note: i. ii. iii. Students will not write supplemental exams for failed Comprehensive exams. A student must successfully pass the Semester IV graduate comprehensive exam to graduate. A pass is a grade of 60% or greater on the comprehensive exam. A maximum of two (2) Supplementary Examinations will be allowed for the program.
RESPIRATORY THERAPY 2003-2005 Page 17 iv. vi. vii. Clinical skills must be successfully completed to qualify to challenge the graduate exam. Test and exam questions will be reviewed by faculty for validity. There are lab simulation tests that are scored that make up a part of the students rotation/course grade which involve both practical and theoretical knowledge. Missed tests, assignments, exams, etc. If a test or any evaluation of a student s work is missed, the instructors may, at their discretion: a. Average a zero into cumulative test mark; b. Give a make-up test; or c. Substitute another mark For any particular course there should be a minimum of two tests (excluding the final exam) per semester. No test or single assignment will be worth more than 40% of the total course mark.
RESPIRATORY THERAPY 2003-2005 Page 18 SEMESTER 1 COURSE TITLE General Anatomy & Physiology Diagnostic Procedures 1 Pharmacology Professionalism Respiratory Anatomy & Physiology PROGRAM OF STUDIES FIRST PHASE Respiratory Equipment & Therapeutic Procedures 1 Medical Terminology *First Aid and CPR Clinical exposure/laboratory exercises** *Exemptions may be granted if student produces sufficient documentation (completion of course equivalency). ** Every Tuesday P.M. is a dedicated time for clinical exposure and/or laboratory exercises
RESPIRATORY THERAPY 2003-2005 Page 19 FIRST PHASE SEMESTER 2 TITLE Blood Gases Anaesthesia Diagnostic Procedures 2 Pathophysiology 1 Mechanical Ventilation 1 Respiratory Equipment & Therapeutic Procedures 2 Clinical Exposure/Laboratory SEMESTER 3 TITLE Mechanical Ventilation 2 Neonatal/Paediatrics Pathophysiology 2 Patient Assessment/Advanced Life Savings Protocols Respiratory Equipment & Therapeutic Procedures 3 Introduction to Research & Research Project Clinical Exposure/Laboratory
RESPIRATORY THERAPY 2003-2005 Page 20 SEMESTER 4 SECOND PHASE TITLE Clinical Rotations (Five) Critical Care Rotation Anaesthesia Diagnostics Neonatal & Paediatric Care General Therapeutics/Research * All marks assigned to each of the clinical courses will be weighted according to the total # of hours spent in the clinical rotation. Comprehensive Examinations TITLE Preparation for National Credentialing in Respiratory Therapy **The rules governing supplemental examination writings (see page 13) will pertain to the comprehensive examinations as a course. All students are expected to obtain a final mark of at least 60% in this course in order to graduate. All comprehensive examinations are developed on the same matrix as the National Registry examination.
RESPIRATORY THERAPY 2003-2005 Page 21 ANAESTHESIA COURSE DESCRIPTIONS FIRST PHASE - DIDACTIC COURSES This course will provide the student with the opportunity to learn the skills needed to be an assistant to the anaesthetist. In particular, the material will include general anaesthesia, O.R. equipment, anaesthetic gas machine, pharmacology of anaesthetics, pre-op and post-op complications, and pre-op assessment. Particular emphasis will be given to airway care, airway maintenance including tracheobronchial hygiene, and the associated medical devices necessary to conduct these procedures. Practical exercises with simulators will form the basis of practice for airway management procedures. ANATOMY & PHYSIOLOGY OF THE RESPIRATORY SYSTEM This course is designed to introduce the student to the basic foundation of human anatomy and to utilize such information to build and comprehend the Respiratory System as a major component of the human body. The initial sections of this course will be used in many other courses in this program, thus making this an essential foundation of pertinent data that will be referred to for the entire training format and establish a permanent knowledge base for the student's career. The study of the Respiratory System will be expanded beyond the intent of this course as the program continues, but materials received will be regarded as fundamental and essential. BLOOD GASES This course is designed to upgrade the established knowledge base and extend the student s ability to appreciate the Biochemical effects interacting with the Respiratory System. The full content of the discipline of Blood Gases will be explored through didactic instruction and lab procedures so as to prepare the student for the Clinical aspect of their training.
RESPIRATORY THERAPY 2003-2005 Page 22 The course will create a broader appreciation of the important role chemical reactions play in stabilization of the human body. This appreciation will be necessary to apply throughout the learning process so that abnormalities can be readily recognized and the alternative modes of correction can be rationalized. CLINICAL EXPOSURE 1 This course is designed to introduce the student to the actual clinical practices in Respiratory Therapy. All year 1 students will be paired with senior level students or staff Respiratory Therapists to participate and perform real and simulated tasks in the clinical setting. Both actual bedside practice and laboratory simulations may be utilized to enhance the learning experiences of the students. CLINICAL EXPOSURE 2 This course is designed to enhance the student s introduction to the actual clinical practices in Respiratory Therapy. All year 1 students will be paired with senior level students or staff Respiratory Therapists to participate and perform real and simulated tasks in the clinical setting. Both actual bedside practice and laboratory simulations may be utilized to enhance the learning experiences of the students. CLINICAL EXPOSURE 3 This course is designed to enhance the student s comprehension of actual clinical practices in Respiratory Therapy and to allow hands on experiences as their theory base expands. All year 1 students will be paired with senior level students or staff Respiratory Therapists to participate and perform real and simulated tasks in the clinical setting. Both actual bedside practice and laboratory simulations may be utilized to enhance the learning experiences of the students. DIAGNOSTIC PROCEDURES 1 This course is the student s introduction to lung function measurements and electrocardiography. Anatomy and physiology of the heart will form the basis of electrocardiography while theoretical and practical demonstrations will provide the students with introductory basics of lung function measurements. Future clinical rotations will enhance the base structures developed in diagnostic techniques in this course.
RESPIRATORY THERAPY 2003-2005 Page 23 DIAGNOSTIC PROCEDURES 2 This course is a continuation of the principles learned in Diagnostic Procedures 1 with further emphasis on interpretation of ECG s, Holter monitoring techniques, non-invasive cardiology, diagnostic imaging and principles and practices of bronchoscopy. Students will have an opportunity to practice skills and techniques used in the field. FIRST AID AND CPR First Aid The overall course objective is to qualify each student for certification to the standard First Aid level. The course provides students with specific knowledge and skills that will enable them to: 1) Recognize when First Aid is needed; 2) Give First Aid at the scene of an accident or sudden illness; 3) Recognize when more qualified help or medical aid is required; 4) Prevent accidents through the development of a safety-oriented life style. CPR This course is designed to aid the student in identifying and reducing the risks of heart attacks; recognizing the signals of heart attack and taking appropriate actions; recognizing and responding to sudden and unexpected death; recognizing and assisting a choking victim (adult, child, or infant); gaining early access to emergency medical services (EMS); performing one and two-rescuer CPR; performing infant and child CPR. The content of this course includes: Emergency cardiac care; emergency medical services systems; legal consideration; risk factors; normal heart and lungs; atherosclerosis; something is wrong, heart attack, stroke; adult skills, CPR, choking; infant-child skills, CPR, choking; special circumstances; keeping in shape; follow-up. The student may request an exemption from this course if adequate documentation can be provided. GENERAL ANATOMY & PHYSIOLOGY This course is designed to review the various body systems and provide an overview of the functional systems within the human body. Concepts in this course form the core for all interrelationships developed in subsequent anatomy and physiology topics.
RESPIRATORY THERAPY 2003-2005 Page 24 INTRODUCTION TO RESEARCH & RESEARCH PROJECT This course is an introductory course to the principles of research. Basics of statistics, research design, literature review and presentation formats will be reviewed with a component dedicated to the initial formulation of a research proposal. Students will be assigned a faculty advisor for a research project that will be carried through to the clinical component for field research, data collection and final submission. MECHANICAL VENTILATION 1 This course is designed to introduce the student to the concept of mechanical assistance with breathing. Historical perspectives, indications, contraindications and physiologic interactions will form the basis of this course. Practical laboratory demonstrations will introduce the student to mechanical ventilators through hands on procedures and exercises designed to complement classroom theory. MECHANICAL VENTILATION 2 This course is designed to build upon the concepts associated with the mechanical assistance with breathing developed in Part 1. Classification systems of mechanical ventilators including the phases of a breath, monitoring of patient machine interfaces, complications and withdrawal of support will all be reviewed. Further practical exercises in the laboratory will help to support classroom discussions. MEDICAL TERMINOLOGY One of the primary essentials of the student database is to have a basic understanding of medical terminology. This section interrelates with most other courses and therefore early training is stressed so that the student can competently utilize these skills. Medical terminology is efficient, saves space, is factual and explains entire situations, phrases and terms in as brief a manner as possible. This is a self-study course with challenge exams scheduled for the student to demonstrate their mastery of the subject matter. NEONATAL AND PEDIATRIC RESPIRATORY THERAPY This course will cover the following: fetal lung growth and development, pediatric lung growth and development, neonatal/pediatric physical assessment, respiratory pathophysiology, mechanical ventilation specific to neonatal/pediatric disorders,
RESPIRATORY THERAPY 2003-2005 Page 25 pharmacological agents unique to neonatal/pediatric patients and respiratory equipment used in the treatment of neonatal/pediatric patients. Life saving techniques specific to this patient population will also be reviewed as a precursor to formal certification in the clinical term PATHOPHYSIOLOGY 1 This course is designed to acquaint the student with the study of changes caused by diseases affecting the Respiratory System. The student will apply the knowledge base formatted in earlier courses to produce the comparison required between normal tissue and that altered by pathogens and/or pre-developed process. Distinctions between obstructive and restrictive disorders will form the comparative analysis in this course of study. PATHOPHYSIOLOGY 2 This course is designed to stress the interaction of major body systems to the Respiratory System, during the disease process. It will continue to build upon the foundation established in Pathophysiology 1, with the interactions between systems investigated for the student to gain a fuller appreciation of the complexity of disease processes encountered in the clinical setting. PATIENT ASSESSMENT/ADVANCED LIFE SAVING PROTOCOLS This course is designed to start to hone the student s ability to look, listen and feel for changes in the condition of the patient. Basics of assessment findings will be focused on in the initial part of the course with the progression through to advanced life saving techniques in the adult population. A practical assessment will form a comprehensive component of knowledge and skills learned in the body of the course. PHARMACOLOGY This course is structured to render a comprehensive study of pharmaceutical compounds and their interactions and reactions to the Systems of the Human Body, with emphasis on the Respiratory System, Central and Autonomic Nervous Systems and Cardiovascular System. Practical exercises in Respiratory drug delivery systems will also be emphasized.
RESPIRATORY THERAPY 2003-2005 Page 26 PROFESSIONALISM This course is designed to introduce the student to the concepts of professional conduct and the structure of the Health Discipline of Respiratory Therapy. The Canadian Healthcare system will be discussed including pertinent legislation. Medical, legal and ethical issues will be presented to explore the diversity of issues present in healthcare. It is also designed to increase the student's awareness of the patient's chart as a usable record and legal document, and the established standards by which the students must conduct themselves. Communication, ethics, and resume writing will be discussed. RESPIRATORY EQUIPMENT, THERAPEUTICS AND PROCEDURES 1 This course is Part 1 of 3 related to the utilization of equipment, performance of therapeutic procedures and the delivery of gaseous therapies in the management of the cardio-respiratory patient. The first component of this course is designed to acquaint the student with fixed laws, approved measures and certified principles that he/she will utilize during both the training program and his/her professional career. This second component of this course is designed to instruct the student in the standardization of gas systems used as the basis of patient therapy. From the data gathered during this course, the student will have the knowledge base from which to draw in choosing the mode of therapy best designed to meet the needs of the patient and/or patient setting. RESPIRATORY EQUIPMENT, THERAPEUTICS AND PROCEDURES 2 This course is Part 2 of 3 related to the utilization of equipment, performance of therapeutic procedures and the delivery of gaseous therapies in the management of the cardio-respiratory patient. The second component of this course is designed to acquaint the student with principles of oxygen delivery systems from the wall to the patient. Application of scientific principles learned in part 1 will be emphasized during the investigation of equipment theory and operation including practical laboratory exercises designed to enhance classroom learning.
RESPIRATORY THERAPY 2003-2005 Page 27 RESPIRATORY EQUIPMENT, THERAPEUTICS AND PROCEDURES 3 This course is Part 3 of 3 related to the utilization of equipment, performance of therapeutic procedures and the delivery of gaseous therapies in the management of the cardio-respiratory patient. The third component of this course is designed to acquaint the student with therapeutic procedures performed in the clinical setting. Aerosol delivery devices, closed drainage systems, health and safety awareness, body mechanics and other adjunctive procedures will form the basis of this course.
RESPIRATORY THERAPY 2003-2005 Page 28 SECOND PHASE - CLINICAL ROTATIONS CLINICAL ROTATIONS (see individual student schedule) Critical Care Rotation... Duration: 590 hours Anaesthesia... Duration: 195 hours - Saint John Regional Hospital or Chaleur Regional Hospital Diagnostics... Duration: 140 hours Neonatal & Paediatric Care... Duration: 195 hours General Therapeutics... Duration: 520 hours - Saint John Regional Hospital and Sussex Health Centre or Moncton Hospital. Community Care... Duration: 56 hours - New Brunswick Extramural Hospital and VitalAire Related Departments... Duration: 34 hours Research Project... Duration: 70 hours The clinical rotations will occur in the student's Second Year of the program once the didactic courses have been successfully completed. CRITICAL CARE ROTATION This Rotation is designed to allow the student to observe and practice acquired skills specifically utilized in an Intensive Care setting by a Respiratory Therapist. It will include experience in the following ICU's: - Surgical - Neurosurgery - Medical - Burns and Plastics - Coronary Care Locations: Saint John Regional Hospital (Primary Site) The Moncton Hospital (Secondary Site) The Dr. Everett Chalmers Hospital (Secondary Site)
RESPIRATORY THERAPY 2003-2005 Page 29 ANAESTHESIA DEPARTMENT ROTATION This Rotation is designed to acquaint the student with actual clinical techniques and procedures utilized in the Operating and Recovery Room, such as checking anaesthetic gas machines and setting up hemodynamic lines. The rotation will also allow the student to acquire and demonstrate the essential skills of Intubation, Airway Management, and Patient Transport. An introduction to bronchoscopy will also occur during this rotation. Location: Saint John Regional Hospital (Primary Site) Chaleur Regional Hospital (Secondary Site) DIAGNOSTICS (Pulmonary Function & Blood Gas Analysis) During part of this rotation the student will have time to observe and analyse the correct procedures performed within a Blood Gas Laboratory and to apply the knowledge received in the didactic aspect of the program concerning this laboratory science. In addition, the student will be able to perform the maintenance and operation of a blood gas analyzer and co-oximeter. Principles of Quality Assurance will also be reviewed. The other component of this rotation is designed to give the student time to observe and perform the procedures carried out within a Pulmonary Function Laboratory. The student will be given an opportunity to apply the knowledge received in the didactic aspect of the program concerning these diagnostic procedures. Location: Saint John Regional Hospital NEONATAL & PAEDIATRIC ROTATION This rotation is designed to allow the student to observe and acquire skills specifically related to the care and management of neonate and paediatric patients. Locations: Saint John Regional Hospital (Primary Site) The Moncton Hospital (Secondary Site) The Dr. Everett Chalmers Hospital (Secondary Site) GENERAL THERAPEUTICS ROTATION This rotation is designed to allow the student to observe and practice therapeutic techniques and procedures outside the confines of an Intensive Care setting. This rotation will encompass both medical and surgical floors, and community care. Locations: Saint John Regional Hospital (Primary Site) Sussex Health Centre (Secondary Site) *See Related Department and Community Care Visits.
RESPIRATORY THERAPY 2003-2005 Page 30 RELATED DEPARTMENT VISITS LOCATION: All Related Department visits occur at the Saint John Regional Hospital unless specified otherwise. PHYSIOTHERAPY DEPARTMENT This Rotation will provide an appreciation of 1) techniques utilized in rehabilitation of Chronic Obstructive Lung Disease, 2) post-operative breathing exercises, and 3) techniques utilized in postural drainage, vibration and chest percussion. CARDIAC STRESS LABORATORY This Rotation will allow observation of techniques utilized in determining the presence or degree of cardiac dysfunction. COMPUTER SERVICES This exposure will provide an appreciation of 1) the role that clinical computers play in the documentation of pertinent patient data, 2) how computers can be utilized to enhance productivity of a Respiratory Therapist, and 3) its role as a statistic bank of medical research. COMMUNITY CARE, EXTRA MURAL PROGRAM, HOME VISITATIONS This Rotation is designed to give the student a practical insight into the discipline of management of the Respiratory patient in a home setting with emphasis on respiratory patient assessment and developing respiratory care plans. Location: Saint John Unit Kennebecasis Valley Division VITAL AIRE This rotation is designed to give the student a practical insight into the commercial aspect of managing and serving the Respiratory Therapy patient in a home or enterprise setting. The rotation will have a strong emphasis on respiratory therapy equipment such as oxygen systems home non-invasive ventilation devices, home ventilators, hypo-allergenic devices, and other devices. Location: Saint John
RESPIRATORY THERAPY 2003-2005 Page 31 PHYSICIAN VISIT This rotation is designed to give the student insight for detailed assessment, diagnosis, and treatment of respiratory disorders. A portion of this visit will involve attending bronchoscopies with the physician and visiting the pulmonary rehabilitation program. RESEARCH This rotation is meant to give the student dedicated time to perform field research and data collection on the research project formulated in Semester 3. Students will work with their faculty advisor and have scheduled deadlines to meet in the formulation of the final project presentation. CERTIFICATION IN ADVANCE LIFE SAVING COURSES The program will arrange during the second year to have the students certified in Advanced Cardiac Life Saving (ACLS), Pediatric Advanced Life Saving (PALS), and Neonatal Resuscitation Protocols (NRP) through the local certifying agent. The cost for these certification courses is the responsibility of the student. (Approximately $1000.00). Course dates depending on the providing agents schedule (TBA is second year).
RESPIRATORY THERAPY 2003-2005 Page 32 CLASS SCHEDULE Time Monday Tuesday Wednesday Thursday Friday 8:15-9:05 9:15-10:00 10:15-11:05 11:15-12:05 12:15-1:05 Lunch Lunch Lunch Lunch Lunch 1:15-2:05 2:15-3:05 3:15-4:00