CLUSTER Health Science Education

CONCENTRATION Respiratory Therapy Technician

WVEIS CODE HE0779

National Consortium for Health Science Education Health Care Standards http://www.healthscienceconsortium.org/docs/therapeutic_svcs_pathway.pdf National Board for Respiratory Care http://www.nbrc.org/Pages/default.aspx

Sample of reported job titles upon completion of the Respiratory Therapy Specialization: Respiratory Therapy Therapist, Certified Respiratory Therapy Therapist (CRTT), Respiratory Technician

Sample of reported job titles upon completion of additional education: Registered Pulmonary Function Technologist, Adult Critical Care Specialty Examination (RRT-ACCS), Certified Pulmonary Function Technologist (CPFT), Neonatal/Pediatric Respiratory Care Specialist (CRT-NPS or RRT-NPS), Registered Pulmonary Function Technologist (RPFT), Registered Respiratory Therapist (RRT), Sleep Disorders Testing and Therapeutic Intervention Respiratory Care Specialist (CRT-SDS or RRT-SDS) INDUSTRY CREDENTIALSCertified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT)

RECOMMENDED PREREQUISITE0714 Introduction to Health Care

REQUIRED COURSES Note: A minimum course completion score of 80% is required for progression to next course.

WVEIS Code CourseHE0641 Respiratory Therapy CoreHE0642 Respiratory Therapy Pharmacology and Basic ProceduresHE0643 Respiratory Care Sciences and Application of ProceduresHE0644 Clinical Experience IHE0645 Respiratory Therapy Procedures IIHE0646 Clinical Experience IIHE 0647 Cardiopulmonary Anatomy, Physiology and PathophysiologyHE 0648 Clinical Experience III

ELECTIVE COURSE1060 Essentials of Addiction and Prevention

*Students accepted into this program should have a current CPR and AED for Health Care Provider or Professional Rescuer and First Aid certification.

SKILL SETSCareer Preparation SkillsSafety PracticesLeadership DevelopmentPatient/Client Customer Service Literacy and NumeracyAcademic FoundationSafety and Ethics Technical Skills

Skill sets for Career Preparation Skills, Safety, Leadership Development and Patient/Client Customer Service should be integrated throughout the concentration as remaining skill sets are delivered.

Skill Set Career Preparation SkillsKnowledge Objectives

HE.1

Students will demonstrate knowledge of

career paths. goal development and achievement. attitudes and work habits that support career retention and advancement. personal qualities and abilities needed to be effective with children. communication in varied contexts.

Performance Objectives

HE.2HE.3HE.4HE.5HE.6

HE.7HE.8HE.9

HE.10

Students will

relate skills and abilities to possible career pathways. explain methods of goal development. discuss methods of time management and task coordination. practice professionalism in punctuality, appropriate dress, task completion, etc. investigate methods of supervision such as giving and receiving feedback and

instruction. develop and present a statement of their personal work ethic beliefs. prepare an application, cover letter, resume and thank you letter. create a personal portfolio for use when applying for employment. practice simulated job interviews.

Skill Set Safety PracticesKnowledge Objectives

HE.11

Students will demonstrate knowledge of

infection control. controlling the growth and spread of microorganisms.

Performance Objectives

HE.12HE.13HE.14

Students will

explain principles of infection control. perform hand washing according to Centers for Disease Control regulations. don and remove non-sterile gloves.

Skill Set Leadership DevelopmentKnowledge Objectives

HE.15

Students will demonstrate knowledge of

public speaking. parliamentary law. leadership concepts. characteristics of effective teams and organizations.

Performance Objectives Students will

HE.16HE.17HE.18HE.19HE.20

develop and deliver speeches. participate in meetings using parliamentary procedure. attend leadership conferences and training (local, state and/or national). volunteer in community service opportunities. participate in career development events.

Skill Set Patient/Client Customer ServiceKnowledge Objectives

HE.21

Students will demonstrate knowledge of

customer service. patient/client satisfaction. patient/client needs assessment. quality for services.

Performance Objectives

HE.22HE.23HE.24HE.25

HE.26

HE.27HE.28

HE.29

HE.30

HE.31HE.32

HE.33

Students will

demonstrate respectful and empathetic treatment of all patients/clients. hear and work to resolve complaints from patients/clients or the public. check completed work for spelling, punctuation and format. greet visitors or callers and handle their inquiries or direct them to the

appropriate persons according to their needs. answer inquiries pertaining to patient/client care policies and services and

work to resolve patient/client complaints. measure and assess patient/client and employee satisfaction. confer with patients/clients by telephone or in person to provide information

about health care or services, take orders from superiors, obtain details of complaints and forward to instructor/supervisor.

keep records of patient/client interactions, recording details of inquiries, complaints or comments, as well as actions taken per health care institution guidelines.

check to ensure that appropriate changes were made to work toward resolving patient/client problems.

describe points of patient/client safety and respond to questions. investigate and work to resolve complaints regarding food quality, service or

patient/client care within your scope of practice. identify the characteristics of each health care industry’s target market.

Skill Set Literacy and NumeracyKnowledge objectives

HE.34

Students will demonstrate knowledge of

literacy and numeracy skills required to solve complex real-world problems associated with their career/technical content area improve their thinking and reasoning skills.

Performance Objectives

HE.35

HE.36

HE.37

HE.38

Students will

utilize a variety of technical sources (e.g., Internet, manuals, journals, directions, reports, etc.) to complete career/technical assignments and projects

demonstrate writing skills required to complete career/technical assignments and projects

demonstrate accuracy in calculating and measuring graphical work required to complete career/technical assignments and projects

analyze tables, charts, graphs and multiple data sources to complete career/technical assignments and projects

Respiratory Therapy Core WVEIS 0641

Skill Set Academic FoundationKnowledge Objectives

0641.1

Students will demonstrate knowledge of

anatomy and physiology. medical terminology.

Performance Objectives

0641.20641.30641.40641.5

0641.60641.70641.80641.9

0641.10

0641.11

0641.120641.130641.14

0641.150641.160641.17

Students will

describe the organization of the body. describe the chemical basis for life. describe cells and tissues. describe and structure and function of each of the following body systems.

o integumentary systemo skeletal systemo muscular systemo nervous systemo endocrine systemo cardiovascular systemo respiratory systemo lymphatic system

immune systemo digestive system

metabolismo urinary systemo reproductive system

male female

o special senses eyes ears

analyze blood as a system of the body. identify and apply terms associated with the systems of the human body. utilize medical terminology related to respiratory therapy. apply medical terms in relation to the human body in health and disease. apply medical terminology related to common diagnostic procedures and

pharmacology. recognize, define and pronounce the terms associated with basic examination

procedures. identify and describe the basic examination positions. describe the four vital signs recorded for most patients. recognize, define and pronounce terms associated with frequently performed

blood and urinalysis laboratory tests. recognize, define and pronounce terms associated with radiography. differentiate between projection and position in relation to radiography. describe basic radiographic projections.

0641.18 analyze unfamiliar medical terms using your knowledge of word parts.Skill Set Leadership Development

Knowledge Objectives

0641.19

Students will demonstrate knowledge of

respiratory therapy program requirements. respiratory therapy as an occupation. communication techniques.

Performance Objectives

0641.20

0641.210641.220641.230641.24

0641.250641.260641.27

0641.28

0641.29

0641.300641.310641.32

0641.330641.34

0641.350641.36

0641.370641.380641.39

Students will

discuss the philosophy, rules and regulations consistent with the technology center, respiratory care career major.

explore individual learning styles. demonstrate knowledge of basic computer components and programs. classify personal traits or attitudes desirable in a member of the healthcare team summarize basic professional standards of healthcare workers as they apply to

hygiene, dress, language, confidentiality and behavior (i.e. courtesy and self-introductions).

apply employability skills in healthcare. exemplify professional characteristics. engage in continuous self-assessment and career goal modification for personal

and professional growth. compare careers within the health science career pathways (diagnostic services,

therapeutic services, health informatics, support services, or biotechnology research and development).

recognize levels of education, credentialing requirements, employment opportunities, workplace environments and career growth potential in the field of respiratory therapy.

develop components of a personal portfolio. demonstrate process for obtaining employment. identify various functions of professional organizations and relate their

significance to the field of respiratory care. discuss and describe common leadership skills needed in the hospital. discuss and describe the development of respiratory care, including the roles of

o American Association of Respiratory Care (AARC)o National Board for Respiratory Care (NBRC)o The Joint Review Committee for Respiratory Therapy Education

(JRCRTE)o Committee on Accreditation for Respiratory Care (CoARC)o Commission on Accreditation of Allied Health Education Programs

(CAAHEP) explain the importance of credentialing in the field of respiratory care. identify legal and ethical responsibilities of the respiratory therapy technologist.

define the scope of practice for the respiratory therapy technologist apply concepts of effective communication techniques. discuss and describe the importance of good communication in healthcare

delivery.Skill Set Safety and Ethics

Knowledge Objectives

0641.40

Students will demonstrate knowledge of

safety. medical ethics for respiratory therapy. blood borne pathogens and disease transmission.

Performance Objectives

0641.41

0641.42

0641.43

0641.440641.450641.46

0641.47

0641.480641.490641.50

0641.51

0641.52

0641.53

0641.54

Students will

identify general safety knowledge and procedures in the classroom, laboratory and clinical facilities.

identify and perform proper body mechanics when lifting or moving any heavy object or patient.

identify the different types of fires and describe the proper operation of a fire extinguisher.

define hazardous communication and MSDS (material safety data sheets). define Standard Precautions (Universal Precautions). define OSHA (Occupational Safety & Health Administration) and discuss

OSHA guidelines for laboratories and healthcare workers. identify bloodborne pathogens and describe how to prevent exposure and

transmission. identify the proper procedure to use for accidents and or incidents. recognize emerging diseases and disorders. distinguish between fact and fiction about the transmission and treatment of

diseases caused by bloodborne pathogens including Hepatitis B. identify community resources and services available to individuals with diseases

caused by bloodborne pathogens. identify "at risk" behaviors which promote the spread of diseases caused by

bloodborne pathogens and the public education necessary to combat the spread of these diseases.

apply infection control techniques designed to prevent the spread of diseases caused by bloodborne pathogens to the care of all patients following Centers for Disease Control (CDC) guidelines.

demonstrate knowledge of the legal aspects of HIV/AIDS including the following:

o testingo key medical/legal terms as related to respiratory care.o discuss legal issues and cases which have influenced or will influence

how patients and practitioners view life support, and their relationship to the Right to Die question.

o provide relevant examples of medical ethics as related to patient care, respiratory care, the AARC code of Ethics and the stages of death and dying.

o demonstrate competency and achieve certification in Healthcare Provider cardiopulmonary resuscitation.

Respiratory Therapy Pharmacology and Basic Procedures WVEIS 0642

Skill Set Academic Foundation

Knowledge Objectives

0642.1

Students will demonstrate knowledge of

pharmacology for the respiratory therapist.Performance Objectives

0642.2

0642.3

0642.40642.5

0642.6

0642.7

0642.8

0642.90642.10

0642.11

0642.12

0642.13

0642.14

0642.15

0642.16

0642.170642.18

0642.19

0642.200642.21

Students will

describe the various routes by which drugs are administered and the advantages and disadvantages of each.

define select terms and medical abbreviations which describe drug interactions and safety.

describe the components of a medication order and a prescription. outline the divisions of the central nervous system and state the general function

of each. define terms relating to the actions of drugs affecting the autonomic nervous

system. describe the actions of the sympathetic and parasympathetic nervous systems on

specific smooth muscles and glands. describe the classification of drugs acting on the autonomic nervous system as

bronchodilators. categorize and define the action of sympathomimetic drugs. describe how simple changes in the chemical structure of bronchodilators alters

drug performance. discuss steroid release in the human body, causes of inflammation and side

effects of steroids. compare and contrast intrinsic and extrinsic asthma and the associated

pharmacological treatment. discuss gases used in respiratory care, indications, methods of administration

and possible side effects. describe the composition of the mucociliary escalator and glands which produce

mucus. identify the various wetting and surface-active agents along with their uses, side

effects and hazards. explain the divisions and functions of the brain and spinal cord and how they

affect respiration. describe the classification of anti-infectives and Gram's staining technique. describe the functions of the major body electrolytes and the structure and

functions of the kidney. briefly describe the electrophysiology of the heart, as well as normal

hemodynamic parameters. describe the actions, indications and dosage of the primary resuscitation drugs. list the mechanism of action, indications, contraindications, precautions,

classification, adverse reactions, generic and trade names, route of administration and dosage of the most commonly used drugs from the following categories:

o bronchodilatorso corticosteroidso anti-asthmaticso mucokineticso surface-active agentso cholinergic muscle stimulantso neuromuscular blockerso ventilatory stimulants

0642.22

o ventilatory depressantso anti-infective agentso diureticso cardiovascular agents

given a patient/client scenario, calculate drug dosages and recommend respiratory care modalities to provide optimal care.

Skill Set Technical SkillsKnowledge Objectives

0642.23

Students will demonstrate knowledge of

basic respiratory care skills.Performance Objectives

0642.24

0642.25

0642.260642.270642.28

Students will

demonstrate the principles of operation and ability to set up equipment used to provide various respiratory therapies including medical gases, aerosol, humidity, lung expansion and airway clearance.

explain the goals, indications, contraindications and hazards of respiratory therapies including medical gases, humidity, aerosol, lung expansion and airway clearance.

perform physical assessment using correct terminology and procedures. identify normal and abnormal findings on chest radiographs. explain the principles and goals of therapist driven protocols and the knowledge

base required for successful use of protocols.

Respiratory Care Sciences and Application of Procedures WVEIS 0643

Skill Set Academic FoundationKnowledge Objectives

0643.1

Students will demonstrate knowledge of

physics, chemistry, biology and microbiology necessary for the understanding and application of respiratory care.

Performance Objectives

0643.20643.30643.4

0643.5

0643.6

0643.7

0643.8

Students will

perform conversions within the metric system. perform conversions between the metric and U.S. standard units of measure. discuss the basic principles of atomic structure, states of matter, ion formation

and bonding. explain the concepts of density and specific gravity, as well as calculating these

values. discuss the factors that affect solubility and calculate solubility and content of

gases in solution. discuss and apply the laws of physics related to fluid dynamics, flow and surface

tension. discuss basic principles of organic chemistry as relates to respiratory care.

Skill Set Technical SkillsKnowledge Objectives

0643.9

Students will demonstrate knowledge of

gas laws and calculations. laws of physics. microbiology.

Performance Objectives

0643.10

0643.110643.12

Students will

demonstrate knowledge concerning the Gas Laws and their use in calculations related to respiratory care to include:

o Charleso Boyleso Gay Lussaco Henry and Grahamo Combined Gas Lawo Dalton's

apply the laws of physics to human ventilation and perfusion. demonstrate knowledge of basic microbiology, microbial disease and their

application to respiratory care.

Clinical Experience IWVEIS 0644

Skill Set Technical SkillsKnowledge Objectives

0644.1

Students will demonstrate knowledge of

classroom theory related to respiratory therapy.

Performance Objectives

0644.20644.3

0644.40644.50644.60644.70644.80644.9

0644.100644.11

0644.12

0644.13

0644.140644.15

0644.16

0644.170644.180644.190644.20

0644.210644.22

Students will

participate by asking appropriate questions. exhibit dependability, be punctual, attend clinical rotations according to program

policies and complete assigned objectives. respond positively to supervision and guidance. exhibit an ability to communicate patient information. perform procedures competently and attend to details. recognize limitations and boundaries of role; seek assistance when necessary. evaluate appropriateness of therapy; maximize efficacy of therapy. apply didactic knowledge to patient care to include the following:

o indications of therapyo hazards of therapyo contraindications of therapyo goals of therapy

perform correct infection control procedures for different isolation protocols. assess the respiratory status of the patient to include auscultation, respiratory rate

and pattern. assess the vital signs of a patient/client to include radial and apical heart rate,

blood pressure and temperature. observe and assist (to degree possible) in an emergency CPR/ Code Blue

procedure. perform incentive breathing therapy. coach patient/client in an effective cough technique based on patient/client

situation and disease process. apply and adjust supplemental oxygen devices to achieve a given oxygen

percentage. perform CPT using pneumatic devices, vest and PEP/Flutter devices. obtain sputum specimen from patient/client in the prescribed manner. apply and adjust humidity therapy in specified manner. administer small volume nebulizer, metered dose inhaler and dry powder inhaler

to patient/client in a specified manner. disinfect and prepare respiratory care equipment for sterilization. apply knowledge concerning indications, contraindications, hazards and benefits

concerning the following:o diaphragmatic breathingo pursed lip breathingo incentive spirometryo oxygen therapyo basic ventilatory assessment

0644.230644.240644.250644.260644.270644.280644.290644.300644.310644.320644.33

o chest percussion and postural drainageo aerosol therapyo aerosol medication delivery: MDI, SVN, DPIo pulse oximetry

identify the most common respiratory medications. calculate a basic drug dosage. state indications and possible side effects of the common respiratory drugs. identify the sections of a patient/client chart. review a patient/client chart to collect information pertinent to therapy ordered. identify the bulk oxygen storage system used at the clinical facility. locate zone valves. perform E cylinder connection and handling. calculate the duration of flow for various sizes of oxygen cylinders. evaluate arterial blood gas (ABG) results. make appropriate recommendations based on ABG evaluation.

Respiratory Therapy Procedures II WVEIS 0645

Skill Set Academic FoundationKnowledge Objectives

0645.1

Students will demonstrate knowledge of

airway suctioning pulmonary function testing artificial airways intubation ventilator settings

Performance Objectives

0645.20645.30645.40645.50645.6

0645.70645.80645.9

0645.100645.110645.12

0645.130645.14

0645.150645.16

Students will

explain indications, contraindications and hazards of airway suctioning. explain the purpose of pulmonary function testing. identify specific uses of pulmonary function testing. perform pulmonary function testing. perform pulmonary function testing to distinguish between major patterns of

pulmonary disease and their severity. describe various artificial airways. perform proper insertion of the various airways. explain the indications for and hazards of intubation. explain the difference between pressure and volume ventilation. describe the various modes, settings and alarms on mechanical ventilators. make recommendations for changes in ventilator settings based on arterial blood

gas results, physical assessment and radiographs. explain the indications for BiLevel ventilation. explain the goals of patient/client education and the evaluation process for

determining the success of patient/client education. explain the goals of health promotion. explain the various special procedures related to respiratory therapy including

the following: o bronchoscopy, o chest tube insertiono air transport of patientso cardiopulmonary stress testingo cardioversiono conscious sedationo sleep studyo thoracentesiso percutaneous needle biopsyo transtracheal aspiration

Skill Set Technical SkillsKnowledge Objectives

0645.17

Students will demonstrate knowledge of

suctioning. arterial blood gases. ECG tracings and rhythms. ventilators. intubation.

Performance Objectives

0645.180645.190645.20

0645.210645.220645.23

0645.24

Students will

demonstrate proper procedure for airway suctioning. demonstrate the ability to properly perform and interpret arterial blood gases. demonstrate proper placement of electrocardiography leads and interpret normal

and various arrhythmias on rhythm strips. demonstrate proper tracheostomy care. demonstrate the proper procedures for intubation and extubation. demonstrate proper set-up and make appropriate changes regarding BiLevel

ventilation. demonstrate the ability to set-up, operate and maintain a mechanical ventilator.

Clinical Experience II WVEIS 0646

Skill Set Technical SkillsKnowledge Objectives

0646.1

Students will demonstrate knowledge of

classroom theory related to respiratory therapy. Performance Objectives

0646.20646.3

0646.40646.50646.60646.70646.80646.9

0646.100646.11

0646.12

0646.130646.140646.150646.160646.170646.18

0646.190646.200646.210646.22

Students will

participate by asking appropriate questions. exhibit dependability, be punctual, attend clinical rotations according to program

policies and complete assigned objectives. respond positively to supervision and guidance. exhibit an ability to communicate patient information. perform procedures competently and attend to details. recognize limitations and boundaries of role; seek assistance when necessary. evaluate appropriateness of therapy; maximize efficacy of therapy. apply didactic knowledge to patient/client care to include the following:

o indications of therapyo hazards of therapyo contraindications of therapyo goals of therapy.

perform correct infection control procedures for different isolation protocols. assess the respiratory status of the patient to include auscultation, respiratory rate

and pattern. assess the vital signs of a patient to include radial and apical heart rate, blood

pressure and temperature. observe and assist in an emergency CPR/Code Blue procedure. evaluate arterial blood gas (ABG) results. make appropriate recommendations based on ABG evaluation. perform proper procedure for airway suctioning. perform and interpret arterial blood gases. perform electrocardiographs and interpret normal and various arrhythmias on

rhythm strips. preform tracheostomy care. observe proper procedures for intubation and assist in extubation. assist with set-up and make appropriate changes regarding BiLevel ventilation. perform the set-up, operation and maintenance of a mechanical ventilator.

Cardiopulmonary Anatomy, Physiology and Pathophysiology WVEIS 0647

Skill Set Academic FoundationKnowledge Objectives

0647.1

Students will demonstrate knowledge of

cardiopulomonary anatomy, physiology and pathophysiology.Performance Objectives

0647.2

0647.3

Students will

analyze and compare the normal anatomy and physiology of the cardiac and respiratory systems to abnormal anatomy and physiology.

demonstrate in-depth knowledge of cardiopulmonary physiology to include the following:

o ventilationo diffusion and gas exchangeo gas transporto ventilation-perfusion relationshipo control of ventilationo renal effects on respiratory function

Skill Set Technical SkillsKnowledge Objectives

0647.4

Students will demonstrate knowledge of

signs and symptoms of respiratory abnormalities. cardiopulmonary diseases.

Performance Objectives

0647.50647.6

Students will

assess and interpret signs and symptoms of respiratory abnormalities. demonstrate and apply knowledge of the following cardiopulmonary diseases to

include etiology, pathophysiology, signs and symptoms, diagnostic tests and indicated respiratory treatments:

o chronic obstructive pulmonary diseaseo asthmao respiratory failureo pulmonary thrombotic diseaseo pulmonary edemao heart failureo traumatic lung injuryo smoke inhalation and burnso near drowningo respiratory distress syndromeo neuromuscular diseaseso interstitial lung diseaseso sleep apneao pneumonia and tuberculosiso lung cancer

Clinical Experience III WVEIS 0648

Skill Set Technical SkillsKnowledge Objectives

0648.1

Students will demonstrate knowledge of

classroom theory related to respiratory therapy. practice and refinement of respiratory therapeutics and clinical skills.

Performance Objectives

0648.20648.3

0648.40648.50648.60648.70648.8

0648.90648.100648.11

0648.12

Students will

participate by asking appropriate questions. exhibit dependability, be punctual, attend clinical rotations according to program

policies and complete assigned objectives. respond positively to supervision and guidance. exhibit an ability to assess and communicate patient information. perform procedures competently and attend to details. evaluate appropriateness of therapy; maximize efficacy of therapy. apply didactic knowledge to patient care to include the following:

o indications of therapyo hazards of therapyo contraindications of therapyo goals of therapy

perform correct infection control procedures for different isolation protocols. observe and assist in an emergency CPR/ Code Blue procedure. continue practice, performance and application of clinical knowledge and skills

performed in Clinical I and II. perform the following procedures/skills:

o oxygen therapy administrationo chest percussion and postural drainageo aerosol medication deliveryo pulse oximetryo analyze oxygen efficacyo physical assessmento isolation techniques, infection controlo ABG sticks and analysiso ventilatory assessmento emergency equipment use, manual resuscitatorso airway managemento airway care of the intubated patiento airway care of the tracheotomized patient