Adult Critical Care

Course Details

Course Number: 3543  Spring 2014

Days & Times:

 

Adult Critical Care

RESP 3543-X2

Spring 2014

 

 

Instructor

Erica Judie MA, RRT

Phone

940-397-4642

Office

Bridwell Hall 301G

E-mail

erica.judie@mwsu.edu

Office Hours

By appointment

 

 

Weekly Meeting Pattern:

On-line Course

Suggested Text:

DesJardins T, Burton GG. Clinical Manifestations and Assessment of Respiratory Disease, Sixth Edition, Mosby 2011.

Kacmarek, RM, Wilkens RL, Stoller JK. Egan’s Fundamentals of Respiratory Care, Tenth Edition, Mosby 2013.

Course Description:

The focus of this on-line course is a thorough review of ventilatory support techniques. Emphasis is placed on adult applications; however some neonatal and pediatric support techniques may be covered. Topics include etiology of respiratory failure, physical implications of positive pressure ventilation, methods of providing support, prescribing machine settings and managing the patient-ventilator system, hemodynamic and gas exchange monitoring, weaning techniques and non-invasive applications.

Credits:

3 Credits

Objectives:

Upon completion of this course, the student will be able to:

               

1. Define basic modes utilized in mechanical ventilation of the adult patient.

2. Describe advanced modes utilized with mechanical ventilation.

3. Describe the utilization of inhaled aerosols in the critical care patient.

4. Describe current strategies utilized in the monitoring of the critically ill patient.

5. Discuss the ethical aspects of advanced directives and mechanical ventilation.

 

Audience:

 

Distance Respiratory Care Students

Attendance Policy:

Regular class attendance is expected, and is used for grading purposes. Attendance may be evaluated on the basis of the student’s frequency of log-in’s or participation in course postings. There is a direct correlation between grades and class participation. Students who check the site regularly and participate typically do better in the course. Although the syllabus includes an approximate calendar, changes can occur during the year. If changes are made it is the student’s responsibility to check the site for any changes posted by the instructor. It is also the student’s responsibility to keep up with material as it is posted on the site.

American with Disabilities Act (ADA):

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, 397-4140.

Please see the instructor outside of class to make any arrangements involving special accommodations. It is the student’s responsibility to declare any disabilities. After declaration, preferably at the beginning of each semester, the student needs to contact individual instructors to determine any reasonable accommodations that may be required.

Student Honor Creed:                                                                              

"As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all studentwork is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.

Approximate Grading Scale:

 

A

90-100%

B

81-89%

C

75-80%

D

61-74%

F

< 60%

A minimum grade of 75 (C) is required in all respiratory courses. Failure to attain a minimum grade of C will prevent the student from progressing in the program.

 

Grade Items and Grade Determination:

 

Hot Topic Assignments

30%

Discussion

10%

Dialectical Journals (3)

20%

PowerPoint Project

40%

 

HOT TOPIC ASSIGNMENTS

Each week a hot topic assignment will be posted asking the student to research a specific subject currently on the forefront of respiratory care. Each student is required to locate one peer-reviewed journal article published within the past five years pertaining to the question posed and post either that article or a link to that article on the discussion board. The student should provide a brief summary (300 words), of the posted article. The student is encouraged to include personal opinions and insight as appropriate to the subject matter. This summary should be well written and should utilize proper grammar. The summary should be posted on the discussion board along with the referenced article.

            DISCUSSION

 

Each student is expected to review and comment on a minimum of two hot topic assignments. The student is expected to have reviewed the posted article and the summary. Feedback should be well thought out and constructive in nature. Feedback should be posted under the Dialogue and Discussion Link associated with the Weekly Hot Topic.

 

SUGGESTIONS FOR FEEDBACK:

  • Did the student clearly demonstrate all learning objectives?
  • Did the student hold the learners interests?
  • Was this paper adequate for the criteria outlined in the course?
  • Did the student close the paper effectively by summarizing the major points?
  • What did you learn from reading this article and summary?

 

DIALECTICAL JOURNALS

 

Each student will be asked to review and provide feedback to three articles posted as part of their hot topic assignment in the format of a dialectical journal. A dialectical journal is a double-entry note taking system that helps one to read critically and encourages the habit of reflective questioning. Students may choose any three articles, not necessarily their own. The student should have a minimum of 15 entries with comments for each. Dialectical journals are due Week 5 (2/16), Week 9 (3/16), and Week 14 (4/20). These journals should be submitted under the Dropbox Icon.

 

POWERPOINT PROJECT

 

The intent of this project is to share ideas and advance student knowledge of modalities utilized for the management of the critically ill respiratory patient. You will be required to submit a power point presentation on a specific adult critical care therapeutic technique that you are interested in. Power points should be around 20-25 slides. Examples of advance practice techniques include advanced ventilator modes, Nitric Oxide, jet ventilation, optimal PEEP, or other innovative strategies incorporated in the critical care setting. This may be a strategy recently adopted by your facility or a modality you consider cutting edge in the world of respiratory care. The project should include indications, contraindications, hazards, and desired outcomes. You must cite your references at the end of your project. The project must have at least 5 references. References must be current (within the last 5 years). Use scholarly sources; cite according to APA style. Please refer to the following description and specifics:

 

Project Format Description and Specifications:

 

Each student will submit their project in a PowerPoint presentation.

 

 

Sections that must be addressed:

 

Title slide: Title of your project, your name, course name and number, instructor’s name, and date.

 

Introduction:  This section introduces background information about the modality being presented.

 

Description:  This section allows for in-depth description of chosen modality.

 

Indications: List indications associated with utilization of modality.

 

Contraindications/Hazards: List contraindications associated with utilization of modality.

 

Desired Outcomes: This section provides detailed information in reference to outcomes associated with utilization of proposed intervention.

 

Reference slide: References should be in alphabetical order and conform to the APA format.

 

Evaluation Criteria:  Each presentation will be graded on the following:

 

  1. Professional appearance of the presentation
  2. Ease of reading/viewing and understanding information
  3. Logical organization of material presented
  4. Critical thinking in the analysis and synthesis of the research articles used
  5. Accuracy of information reflected
  6. Title slide included
  7. Introduction:
    • Gives adequate background information to problem being addressed?
    • Stated clearly?
  8. Well focused (Not too broadly conceived?)
  9. Includes topic sections and headings?
  10. All required sections noted and complete.
  11. References cited correctly?

Power point topics are due Week 2 (1/26) and should be submitted in the Power Point Topic Drop Box. Completed projects are due Week 15 (4/27) and should be submitted in the Power Point Project Drop Box.

Missed Homework/Exam Policy:

Late or missed work is not accepted.

Honor System: 

All components of RESP 3543 are designed to represent the efforts of each student INDIVIDUALLY and are NOT to be shared, copied or plagiarized from other sources. When students submit their efforts for grading, they are attesting that abided by this rule.

Cheating includes, but is not limited to, (1) use of any unauthorized assistance in taking quizzes, tests or examinations; (2) dependence upon the aid of sources beyond those authorized by the instructor in writing papers, preparing reports, solving problems or completing other assignments; or (3) the acquisition of tests or other academic materials belonging to the university faculty or staff without permission.

 

Plagiarism includes, but is not limited to, the use of, by paraphrase or direct quotation without correct citation in the text and on the reference list, the published and unpublished works of another person. Students may NOT submit papers and assignments that they have previously submitted for this or other courses. The use of materials generated by agencies engaged in “selling” term papers is also plagiarism.

 

Academic dishonesty (cheating, plagiarism, etc.) will not be tolerated in this class. Whenever a student is unsure of whether a particular situation will be interpreted as academic dishonesty, he/she should ask the instructor for clarification. If students are guilty of academic dishonesty, a grade of “0” will be given for the quiz, assignment, etc. Cases may also be referred to the Dean of Students for possible dismissal from the university.

 

Syllabus outlines assignments and due dates:

 

Date

Topic

Text Reference

Week 1

Jan 13-19

Review Syllabus

Post Introductions on the Discussion Board

 

Week 2

Jan 20-26

Complete Hot Topic Assignment # 1

Post discussion related to the topic.

 

***PowerPoint Topic Due***

Submit in Power Point Topic Drop Box

Review Egan's 10th Edition, Chapter 42- Mechanical Ventilation, pg 1018-1025, Ch. 43 – 1059-1071.

Week 3

Jan 27-Feb2

Complete Hot Topic Assignment # 2

Post discussion related to the topic.

Review Egan's 10th Edition, Chapter 44-Initiating and Adjusting Ventilatory Support, pg. 1088-1127.

Week 4

Feb 3-9

Complete Hot Topic Assignment # 3

Post discussion related to the topic.

Review Egan's 10th Edition, Chapter 46- Monitoring and Management of the Patient in the Intensive Care Unit, pg. 1159-1197.

Week 5

Feb 10-16

*** Dialectical Journal Assignment #1 due***

Submit in drop box Journal #1

 

Week 6

Feb 17-23

Complete Hot Topic Assignment #4.

Post discussion associated with topic.

Review Egan's 10th Edition, Chapter 32-Airway Pharmacology, pg. 707-729; Chapter 36-Aerosol Drug Therapy, pg. 844-883.

Week 7

Feb 24-Mar2

Complete Hot Topic Assignment # 5.

Post discussion associated with topic.

Review Egan's 10th Edition, Chapter 27-Acute Lung Injury, Pulmonary Edema, and Multiple System Organ Failure, pg. 599-619.

Week 8

Mar 3-9

Complete Hot Topic Assignment #6.

Post discussion associated with topic.

Review Egan's 10th Edition, Chapter 5-Ethical and Legal Implications of Practice, pg. 83-101.

Week 9

Mar 10-16

*** Dialectical Journal Assignment #2 due***

Submit in drop box under Journal #2

 

Week 10

Mar 17-23

Spring Break Enjoy J

 

Week 11

Mar 24-30

Complete Hot Topic Assignment # 7.

Post discussion on associated topic.

Review Egan’s 10th Edition, Chapter 33-Airway

Management, pg. 732-785.

Week 12

Mar 31-Apr 6

Complete Hot Topic Assignment # 8.

Post discussion associated with topic.

Review Egan's 10th Edition, Chapter 47- Discontinuing Ventilatory Support, pg. 1199-1225

Week 13

Apr 7-13

Complete Hot Topic Assignment # 9.

Post discussion associated with topic.

Review Clinical Manifestations and Assessment of Respiratory Disease Sixth Edition, Chapter 11 pg. 164-185

Week 14

Apr 14-20

*** Dialectical Journal Assignment #3 due***

Submit in drop box under Journal #3

 

Week 15

Apr 21-27

***PowerPoint Project Due***

Submit in drop box under PowerPoint Project

 

Week 16

Apr 28-May 4

Post what you found most interesting about this course and any improvements that are needed.

***Complete Course Evaluations***

Week 17

May 5-9

All Final grades will be posted.

***Complete Course Evaluations***

 



Course Attachments

Textbooks

MSU Faculty Member
Erica Judie MA, RRT   
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Submission Format PolicyNote: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Plagiarism Policy Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception. Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters. We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student. We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed. Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, 397-4140.

Safe Zones Statement The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Writing Proficiency Requirement All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed English 1113 and English 1123 and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at http://academics.mwsu.edu/wpr, or call 397-4131.