MCCCD Program Description

Ventilator Management for Nurses

Course: NCE118

First Term: 2005 Spring

Lecture 0.5 Credit(s) 0.5 Period(s) 0.5 Load
Subject Type: Occupational
Load Formula: S

Description: Nursing care and management of the mechanically ventilated patient. Adjuncts to airway management including types and indications for use. Initiation, management and weaning of mechanical ventilation

MCCCD Official Course Competencies
1. Define mechanical ventilation. (I, II,VII) 2. Describe the roles of the nurse and respiratory therapist in the management of mechanical ventilation. (I) 3. List the types of artificial airways and the indications for use. (II) 4. Describe the proper care of patients with endotracheal tubes and tracheostomy tubes. (II, VIII) 5. Describe the different ventilator settings and modes. (III, IV,V) 6. Define ventilator weaning. (III, V, VIII) 7. Explain proper post-extubation care. (III, VIII) 8. List potential causes of a ventilator alarming. (IV, VI) 9. Describe the correct procedure for sterile suctioning. (VIII) 10. List the types of medications used for paralysis of the mechanically ventilated patient and the related complications. (IX) 11. Demonstrate proper assessment of the mechanically ventilated patient. (X)
MCCCD Official Course Competencies must be coordinated with the content outline so that each major point in the outline serves one or more competencies. MCCCD faculty retains authority in determining the pedagogical approach, methodology, content sequencing, and assessment metrics for student work. Please see individual course syllabi for additional information, including specific course requirements.

MCCCD Official Course Outline
I. Airway Management and Mechanical Ventilation Basics A. Indications for Mechanical Ventilation B. Role of the Nurse C. Role of the Respiratory Therapist II. Artificial Airways A. Combitube B. Laryngeal Mask Airway C. Oropharygeal D. Endotrachael Tube 1. Securing 2. Placement checks E. Trachestomy III. Ventilators A. Negative Pressure B. Positive Pressure C. Operation and Maintenance IV. Ventilator Settings A. Respiratory Rate B. Tidal Volume C. Fractional Inspired Oxygen D. Inspiratory-Expiratory Ratio E. Pressure Limit F. Flow Rate G. Sensitivity Trigger H. Sigh V. Ventilator Modes A. Control Ventilation B. Assist-Control Ventilation C. Synchronous Intermittent Mandatory Ventilation D. Pressure Support Ventilation E. Positive End Expiratory F. Positive End Expiratory Pressure G. Constant Positive Airway Pressure H. Independent Lung Ventilation I. High Frequency Ventilation J. Inverse Ratio Ventilation VI. Alarms and Common Causes A. High Pressure Limits B. Low Pressure C. High Respiratory Pressure D. Low Exhaled Volume VII. Noninvasive Forms of Mechanical Ventilation A. Continuous Positive Airway Pressure (CPAP) B. Bi-level Positive Airway Pressure (BiPAP) C. Intermittent positive pressure breathing (IPPB) VIII. Nursing Care of the Mechanically Ventilated Patient A. Patients with Endotracheal Tubes B. Patients with Trachestomy Tubes C. Sterile Suctioning D. Weaning E. Post-extubation Care IX. Sedation and Neuromuscular Blockade A. Common Medications B. Medication Complications X. Assessment A. Breath Sounds B. Spontaneous Respiratory Rate and Tidal Volume C. Pulse Oximetry D. End Tidal Volume E. Arterial Blood Gases

MCCCD Governing Board Approval Date: 10/26/2004

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.