RA 230 - Radiotherapy Technology III

• explain the different etiologic factors that could induce tumors;

• explain the various epidemiologic factors & be able to identify the population groups with tendencies towards certain tumors;

• explain the anticipated spread of disease from the various sites that have been discussed; and

• list and describe the various treatment modalities, e.g. radiation therapy, surgery, chemotherapy or a combination thereof.

RA 240 - Radiotherapy Technology IV Oncology

• explain the different etiologic factors that could induce cancers;

• explain the various epidemiologic factors and thus be able to identify the various population groups with tendencies toward certain tumors;

• explain the anticipated spread of disease from the sites that have been discussed; and

• list and describe the various treatment modalities for each individual site, e.g. radiation therapy, surgery, chemotherapy or a combination thereof.

RA 250 - Summer Clinical II

• demonstrate the ethical and legal responsibilities of radiation therapists;

• deliver a planned course of radiotherapy;

• simulate and plan a prescribed course of treatment;

• create immobilization and beam directional devices for external beam radiotherapy; and

• assist in the preparation of brachytherapy sources, calibration of equipment and the maintenance of quality assurance procedures and records.

RE 104 - Aquatics

• demonstrate skill proficiency in the front crawl, back crawl, elementary backstroke, sidestroke, breaststroke, and butterfly;
• demonstrate and discuss basic water safety techniques as outlined in the American Red Cross (ARC) Basic Water Safety course;
• identify and demonstrate the proper use of required safety equipment found in pools in NYS;
• plan, present, and assess at least two age-appropriate water games and activities for pre-school, elementary, and secondary students; and
• swim 300 yards (12 lengths) without stopping.

 

F/S (C)

RE 111 - Leadership Practicum I

• assist in the planning, organizing, and/or conducting of tournaments, leagues, clubs and/or special events;
• aid in the recruitment and training of volunteers to assist in the tournament, league, club and/or special event; and
• assist in the development of program goals, objectives, and in evaluation of program outcomes for the selected tournament, league, club and/or special event.

 

F/S (C, S)

RE 112 - Leadership Practicum II

• assist in the planning, organizing, and/or conducting of tournaments, leagues, clubs and/or special events;
• aid in the recruitment and training of volunteers to assist in the tournament, league, club and/or special event; and
• assist in the development of program goals, objectives, and in evaluation of program outcomes for the selected tournament, league, club and/or special event.

 

F/S (C, S)

RE 113 - Leadership Practicum III

• assist in the planning, organizing, and/or conducting of tournaments, leagues, clubs and/or special events;
• aid in the recruitment and training of volunteers to assist in the tournament, league, club and/or special event; and
• assist in the development of program goals, objectives, and in evaluation of program outcomes for the selected tournament, league, club and/or special event.

 

F/S (C, S)

RE 114 - Leadership Practicum IV

• assist in the planning, organizing, and/or conducting of tournaments, leagues, clubs and/or special events;
• aid in the recruitment and training of volunteers to assist in the tournament, league, club and/or special event; and
• assist in the development of program goals, objectives, and in evaluation of program outcomes for the selected tournament, league, club and/or special event.

RE 210 - Recreation Program Planning

• analyze a practical frame of reference to effectively design a program;
• explain the process of program development within public, voluntary or therapeutic agencies;
• identify programing needs and interests of a variety of populations;
• design and implement developmentally appropriate activities for an agency or group;
• describe the variety of programs and services to enhance individual, group, and community quality of life;
• develop outcome-oriented goals and objectives; and
• evaluate programs/events.

 

F/S (C, S)

RC 110 - Principles of Respiratory Care I

• demonstrate an understanding of the profession of Respiratory Care and its impact on the health care system;
  • what elements constitute quality respiratory care;
  • what methods are used for monitoring quality of respiratory care delivery;
  • how respiratory care protocols enhance the quality of respiratory care services;
  • what disease management is; and
  • what evidence-based medicine is.
• demonstrate an understanding of the safe and effective storage and delivery of medical gases;
  • which gases and gas mixtures are used clinically and how they are produced;
  • what differences exist between gaseous and liquid storage methods;
  • how to determine the contents of liquid and compressed gas cylinders;
  • how to compute the duration of flow for compressed and liquid gas therapy;
  • how to properly store, transport, and use compressed gas cylinders;
  • how to differentiate gas supply systems;
  • what to do if a bulk oxygen delivery system fails;
  • what safety systems apply to various equipment connections;
  • which device to select to regulate gas pressure and control flow;
  • how to assemble, check for proper function, and identify malfunctions in gas delivery equipment; and
  • how to correct common malfunctions of gas delivery equipment.
• demonstrate an understanding of medical gas therapy;
  • when oxygen therapy is needed;
  • how to assess the need for oxygen therapy;
  • what precautions and complications are associated with oxygen therapy;
  • how to select an oxygen system appropriate for the respiratory care plan;
  • how to administer oxygen to adults, children, and infants;
  • how to check for proper function and to identify and correct malfunctions of oxygen delivery systems;
  • how to evaluate and monitor a patient’s response to oxygen therapy;
  • how to modify and recommend modification of oxygen therapy on the basis of patient response;
  • how to implement protocol-based oxygen therapy;
  • what indications, complications, and hazards apply to hyperbaric oxygen therapy;
  • when and how to provide nitric oxide therapy; and
  • when and how to administer helium-oxygen therapy.
• demonstrate and understanding of the humidity and bland aerosol therapy;
  • how airway heat and moisture exchange normally occur;
  • what effect dry gases have on the respiratory tract;
  • when to humidify and warm inspired gas;
  • how various types of humidifiers work;
  • how to enhance humidifier performance;
  • how to select and safely use humidifier heating and feed systems;
  • what indications, contraindications, and hazards pertain to humidification during mechanical ventilation;
  • how to monitor patients receiving humidity therapy;
  • how to identify and resolve common problems with humidification systems;
  • when to apply bland aerosol therapy;
  • how large-volume aerosol generators work;
  • what delivery systems are used for bland aerosol therapy;
  • how to identify and resolve common problems with aerosol delivery systems;
  • how to perform sputum induction; and
  • how to select or recommend the appropriate therapy to condition a patient’s inspired gas.
• demonstrate an understanding of aerosol therapy;
  • what characterizes an aerosol;
  • how particle size, motion, and airway characteristics affect aerosol deposition;
  • how aerosols are generated;
  • what hazards are associated with aerosol drug therapy;
  • how to select the best aerosol drug delivery system for a given patient;
  • how to initiate and modify aerosol drug therapy;
  • what patients need to know to properly self-administer drug aerosol therapy;
  • how to assess patient response to bronchodilator therapy at the point of care; and
  • how to protect patients and caregivers from exposure to aerosolized drugs.
• demonstrate an understanding of lung expansion therapy;
  • what causes various types of atelectasis;
  • who needs lung expansion therapy;
  • what clinical findings are seen in atelectasis;
  • how lung expansion therapy works;
  • what indications, hazards, and complications are associated with the various modes of lung expansion therapy; and
  • what the primary responsibilities of the registered respiratory therapist (RRT) are in planning, implementing, and evaluating lung expansion therapy.
• demonstrate an understanding of basic patient assessment;
  
  • why patient interviews are necessary and what techniques are used for conducting a patient interview;
  • what abnormalities in lung function are associated with common pulmonary symptoms;
  • wwhat abnormal breathing patterns indicate about underlying pulmonary pathological conditions;
  • what terms are used to describe normal and abnormal lung sounds;
  • what mechanisms are responsible for normal and abnormal lung sounds; and
  • why is it necessary to examine the precordium, abdomen, and extremities in the patient with cardiopulmonary disease.
• demonstrate an understanding of the principles of infection control;
  • why infection control is an important fundamental in respiratory care;
  • how infection spreads between patients and among healthcare personnel;
  • how to select the best method for processing reusable equipment;
  • how and when to pasteurize respiratory care equipment;
  • how to select and apply chemical disinfectants for processing respiratory care equipment;
  • how to select a method and prepare and sterilize respiratory care equipment;
  • how to monitor the effectiveness of sterilization procedures;
  • how to apply barrier and isolation procedures;
  • how to protect yourself and your patients from infection; and
  • what role you play in bacteriologic surveillance and hospital epidemiology.

RC 111 - Laboratory for Principles of Respiratory Care I

• accurately read a pressure gauge;
• identify compressed gas cylinder markings;
• safe and proper handling of medical gas cylinders;
• attach a cylinder regulator and flowmeter;
• safe and effective use of oxygen delivery devices including flowmeters, nasal cannulas, simple mask, partial and nonrebreather devices, air entrainment masks, trach collars, face tents, T-pieces, hoods and tents, transtracheal and oxygen concentrators;
• proper technique for oxygen calibration and analyzation;
• assess and change oxygen therapy based on patient response;
• safe and effective setup and use of various humidity devices;
• assess and change humidity device based on patient response;
• identify and describe various types of aerosol generators;
• safe and effective use of non-medicated and medicated liquid aerosol devices;
• safe and effective use of metered dose inhalers and dry powder inhalers;
• safe and effective use of holding chambers;
• safe and effective use of manual resuscitation devices;
• effective patient assessment maneuvers including chest inspection palpation, percussion, and auscultation;
• ability to measure patient vital signs including heart rate, blood pressure, respiratory rate, and oxygen saturation;
• ability to measure basic lung volumes such as tidal volume, minute volume, and vital capacity;
• safe and effective use of hyperinflation therapy including incentive spirometry and intermittent positive pressure breathing (IPPB) and cough assist maneuvers; and
• apply general infection control policies.

RC 112 - Respiratory Care Sciences

• demonstrate an understanding of the gas behavior under changing conditions;
  • what are the gas laws; and
  • how to predict gas behavior under changing conditions including extremes temperature and pressure.
• demonstrate an understanding of basic cardiopulmonary anatomy and physiology.
  • what constitutes upper and lower airway anatomy and how each functions;
  • what are the defense mechanisms of the lung;
  • what are the various lung volumes;
  • how the anatomy of the heart and vascular systems relate to their function;
  • what key properties are characteristic of cardiac tissue;
  • how local and central control mechanisms regulate the heart and vascular systems;
  • how the cardiovascular system coordinates its functions under normal and abnormal conditions; and
  • how the electrical and mechanical events of the heart relate to a normal cardiac cycle.
• demonstrate an understanding of the mechanics of ventilation;
  • what physiological purposes ventilation serves;
  • what pressure gradients are responsible for gas movement and lung inflation;
  • what forces oppose gas movement into and out of the lungs;
  • how surface tension contributes to lung recoil;
  • how lung, chest wall, and total compliance are related;
  • what factors affect airway resistance;
  • how various lung diseases affect the work of breathing;
  • why ventilation is not evenly distributed throughout the lung;
  • how the time constants affect alveolar filling and emptying;
  • what factors affect alveolar ventilation and why they are important; and
  • how to calculate alveolar ventilation, dead space, and the VD/VT.
• demonstrate an understanding of gas exchange and transport;
  • how oxygen and carbon dioxide move between the atmosphere and tissues;
  • what determines alveolar oxygen and carbon dioxide pressures;
  • how to compute the alveolar partial pressure of oxygen;
  • what effect normal regional variations in ventilation and perfusion have on gas exchange;
  • how to compute total oxygen contents for arterial blood;
  • what causes the arteriovenous oxygen content difference to change;
  • what factors affect oxygen loading and unloading from hemoglobin;
  • how carbon dioxide is carried in the blood;
  • how oxygen and carbon dioxide transport are interrelated;
  • what factors impair oxygen delivery to the tissues and how to distinguish among them; and
  • what factors impair carbon dioxide removal.
• demonstrate an understanding of the regulation of breathing;
  • where the structures regulating breathing are located;
  • how the inspiratory and expiratory neurons in the medulla establish the basic pattern of breathing;
  • what effect the impulses from the pneumotaxic and apneustic centers in the pons have on the medullary centers of breathing;
  • the effect various reflexes have on breathing;
  • how the central and peripheral chemoreceptors differ in the way they regulate breathing;
  • why the central chemoreceptors respond differently to respiratory and nonrespiratory acid-based conditions;
  • how the regulation of breathing in individuals with chronic hypercapia differs from the regulation of breathing in healthy persons;
  • why administering oxygen to patients with chronic hypercapnia poses a special risk that is not present in healthy individuals;
  • why ascending to a high altitude has different immediate and long-term effects of ventilation;
  • why mechanically ventilated patients with head injuries may benefit from deliberate hyperventilation; and
  • how to characterize abnormal breathing problems.
• demonstrate an understanding of basic solutions, electrolytes, and acid-base balance;
  • what the characteristics of solutions are, including concentrations of solutes;
  • how osmotic pressure functions and what its action is in relation to cell membranes;
  • where fluid compartments are located in the body and what their volumes are;
  • how water loss and replacement occur;
  • what roles are played by osmotic and hydrostatic pressure in edema;
  • what clinical findings are associated with excess or deficiency of the seven basic electrolytes;
  • how the lungs and kidneys regulate volatile and fixed acids;
  • how to use the Henderson-Hasselbalch equation in hypothetical clinical situations;
  • how the kidneys and lungs compensate for each other when the function of one is abnormal;
  • how renal absorption and excretion of electrolytes affect acid-base balance;
  • how to classify and interpret arterial blood and acid-base status;
  • how to use arterial acid-base information to decide on a clinical course of action;
  • why acute changes in the blood’s carbon dioxide level affect the blood’s bicarbonate ion concentration;
  • how to calculate the anion gap and use it to determine the cause of metabolic acidosis; and
  • how standard bicarbonate and base excess measurements are used to identify the non-respiratory component of acid-based imbalances.

RC 114 - Cardiopulmonary Pharmacology

• demonstrate an understanding of the scope of pharmacology and the processes involved in the development of new pharmacological products;
  • define the terms pharmacology, pharmacodynamics and pharmcotherapeutics;
  • define the term “drug” as identified by the FDA;
  • list and describe important 20th century drug legislation;
  • list and differentiate between various sources of drug information;
  • describe the process involved in the development of a new drug;
  • differentiate between chemical, generic, official, and trade names of drugs; and
  • list 5 origins of drugs.
• demonstrate an understanding of the principles of drug action;
  • define the terms “pharmaceutical phase”, “pharmacokinetic phase”, and pharmacodynamic phase”;
  • list the various routes of administration for medications and discuss the advantages, disadvantages, rates of absorption, contraindications, etc. for each:
    • oral (PO);
    • parenteral (intradermal, subcutaneous, intramuscular, intravenous, intra-arterial, intreapinal, epidural, intraperitoneal); and
    • inhalation.
• the student will demonstrate an understanding of the relationship between drug dosage and effect manifested;
  • diagram a typical dose-effect curve;
  • discuss the concepts of potency, variability, maximal effect, and slope as they relate to a typical dose-effect relationship;
  • explain the concept of therapeutic index and how one drug may have several therapeutic indexes depending upon its dosage and its intended usage;
  • discuss the concept of drug sensitivity;
  • define median lethal dose and therapeutic index as they pertain to safety of a drug;
  • describe the various factors which may act to alter the dose-effect relationship; and
  • discuss the terms “hypersensitivity”, “tolerance”, “idiosyncrasy”, “biological half-life”, “teratogen”, “carcinogen”, and “drug allergy”.
• demonstrate an understanding of multiple aspects involved in the administration of medications;
  • discuss the legal implications inherent in the administration of medications;
  • relate responsibility for the safety of the patient to the role of the respiratory practitioner;
  • differentiate between written, oral, and telephone orders for medication administration;
  • list the necessary components of an acceptable drug order or prescription; and
    • Identify basic guidelines that can ensure correct drug administration.
• demonstrate an understanding of calculating drug dosages;
  • understand the metric system and be able to perform conversions to other units of measure;
  • calculate dosages where the strength is expressed as a ratio;
  • calculate dosages from percentage-strength solutions;
  • calculate the number of milligrams in a drug-solute solution;
  • calculate the strength of a drug solution;
  • perform dilution calculations; and
  • define solute, solvent, solution, isotonic solutions, and buffer solutions.
• demonstrate an understanding of the following drugs which he/she will have occasion to administer by the inhalation route;
  • list and discuss the actions, indications, contraindications, precautions, hazards, adverse reactions, dosages, and various names of the following drug categories:
    • diluents and bland solutions;
    • mucolytics/proteolytics;
    • expectorants;
    • antihistimines;
    • antitussives;
    • bronchodilators;
    • asthma preventive;
    • surface active agents (antifoaming agents and surfactants); and
    • cardiac drugs.
• demonstrate an understanding of bronchodilating medications;
  • discuss the basic anatomy and physiology of the autonomic nervous system (sympathetic and parasympathetic);
  • list the different receptors found in the sympathetic nervous system, and indicate the locations and effects of stimulation for each;
  • discuss the normal biochemical physiologic mechanisms which control airway muscle tone;
  • list the various sympathomimetic and parasympatholytic bronchodilators and for each discuss the mechanism of action, relative strength and duration of action, clinical indications, contraindications, precautions, hazards, adverse reactions, recommended dosage, and route of administration; and
  • given several drugs indicate which can be delivered together or require a specific sequence of delivery, providing explanations as to why this is necessary.
• demonstrate a basic understanding of and the clinical utilization for corticosteroids and anti-microbial agents;
  • identify and discuss the pharmacologic actions, adverse effects, precautions/contraindications, precautions, hazards, adverse reactions, recommended dosage, and rout of administration;
  • identify the names, side effects, and actions of primary, secondary, and tertiary anti-tuberculosis medications;
  • identify instances when antibiotics are aerosolized and identify hazards associated with this route of antibiotic therapy; and
  • identify and discuss an antiviral drug and anti-protozal drugs commonly used to treat RSV and PCP infections, including dosages, side effects, and special precautions necessary when aerosolizing these drugs.
• demonstrate an understanding of the medications utilized in the treatment of COPD (Asthma, Chronic Bronchitis, and Emphysema);
• demonstrate a basic understanding of the various medications used to maintain cardiac and circulatory function during a resuscitation attempt; and
  • identify and discuss the ACLS goals of medications delivered during CPR; and
  • discuss the administration, effects/purpose, and names of common primary medications used during resuscitation attempts.
• Demonstrate an understanding of neuromuscular blocking agents, sedatives, and drugs used for anesthesia and pain relief.

RC 120 - Principles of Respiratory Care II

• demonstrate an understanding of arterial blood gas samples;
  • identify various components of an arterial blood gas;
  • identify the cause of changes in arterial blood gas parameters;
  • classify arterial blood gas samples; and
  • recognize how to correct changes using mechanical ventilation.
• demonstrate an understanding of the physiology of ventilatory support;
  • what are the effects of mechanical ventilation on oxygenation, ventilation, and lung mechanics;
  • what are the effects of positive pressure ventilation on other body systems;
  • what are complications and hazards of providing mechanical ventilatory support; and
  • how to minimize the adverse effects of mechanical ventilation.
• demonstrate a basic understanding of mechanical ventilators;
  • the basic design features of ventilators;
  • how to classify ventilators and how they work;
  • what constitutes a mode of ventilation;
  • how to classify and understand modes of ventilation;
  • when to use the basic modes of ventilatory support;
  • how selected modes of ventilatory support are applied;
  • identify and interpret various ventilator waveform graphics;
  • describe the theory behind the use of high frequency ventilation; and
  • describe indications for high frequency ventilation.
• demonstrate and understand the initiation and adjustment of ventilatory support; 
  • what are the indications for mechanical ventilation;
  • how to identify and assess patients who need ventilatory support;
  • how to choose an appropriate ventilator to begin ventilatory support;
  • how to select an appropriate mode of ventilation given a patient’s specific condition and ventilatory requirements;
  • what are the appropriate initial ventilator settings, based on a patient assessment, for beginning mechanical ventilation;
  • how to assess a patient after initiation of ventilation; and
  • how to adjust the ventilator on the basis of the patient’s response.
• demonstrate an understanding of non-invasive positive pressure ventilation; and
  • how noninvasive positive pressure ventilation (NPPV) is defined;
  • what are the goals of and indications for NPPV;
  • how to select patients for NPPV;
  • what factors are predictive of success during NPPV;
  • how to differentiate patient interfaces, types of ventilators, and their modes of ventilation;
  • how to initiate and manage NPPV in the acute care setting; and
  • what complications are associated with NPPV and the possible solutions.

RC 121 - Lab for Respiratory Care II

• identify components of mechanical ventilation;
• identify and describe all ventilator settings;
• identify components of the ventilator circuit and humidifier systems;
• perform initial setup with circuit;
• perform system pre-check;
• appropriately add circuit components such as oxygen analyzers, in-line suctioning systems, holding chambers, aerosol generators, HME’s, and ventilator monitoring devices;
• troubleshoot system to identify leaks in circuit vs airway;
• identify various modes of ventilation;
• perform initial patient setup;
• modify ventilation settings based on patient need;
• identify various patient generated graphic waveform patterns;
• troubleshoot all mechanical ventilation alarm systems;
• wean patient from mechanical ventilator;
• set up and initiate non-invasive PPV based on patient’s need; and
• troubleshoot problems associated with the application of PPV.

RC 122 - Special Procedures I

• demonstrate an understanding of and provide basic cardiopulmonary resuscitation as described by the American Heart Association’s latest standards;
• demonstrate an understanding of and provide airway management;
  • how to safely perform endotracheal and nasotracheal suctioning;
  • how to properly obtain sputum samples;
  • how to assess the need for and select an artificial airway;
  • what complications and hazards are associated with insertion of artificial airways;
  • how to perform orotracheal and nasotracheal intubation of an adult;
  • how to assess and confirm proper endotracheal tube placement;
  • how and why tracheotomy is performed;
  • what types of damage artificial airways can cause;
  • how to properly maintain and troubleshoot artificial airways;
  • how to measure and adjust tracheal tube cuff pressures;
  • when and how to extubate or decannulate a patient;
  • how to use alternative airway devices; and
  • how to assist a physician in setting up and performing bronchoscopy.
• demonstrate an understanding of and provide lung expansion therapy;
  • what causes the various types of atelectasis;
  • who needs lung expansion therapy;
  • what clinical finding are seen in atelectasis;
  • how lung expansion therapy works;
  • what indications, hazards, and complications are associated with the various modes of lung expansion therapy; and
  • what the primary responsibilities of the registered respiratory therapist (RRT) are in planning, implement, and evaluating lung expansion therapy.
• demonstrate an understanding of and provide bronchial hygiene therapy;
  • how normal airway clearance mechanisms work and what can impair their function;
  • what diseases are associated with abnormal clearance secretions;
  • what goals and indications apply to bronchial hygiene therapy;
  • how to assess the need for bronchial hygiene therapy;
  • how to select and perform various bronchial hygiene therapies, including:
    • postural drainage therapy;
    • directed coughing and related expulsion techniques;
    • positive expiratory pressure (PEP) therapy;
    • high-frequency compression/oscillation methods;
    • mobilization and exercise; and
    • cough assist.
  • how to monitor and evaluate a patient’s response to bronchial hygiene; and
  • how to modify bronchial hygiene therapies on the basis of patient response.
• demonstrate a basic understanding of thoracic imaging studies; and
  • how thoracic imaging assists in the diagnosis of pulmonary disease;
  • what steps are used to interpret thoracic imaging studies;
  • how to identify the more commonly encountered abnormalities seen in thoracic imaging studies; and
  • how to apply some rules of thumb about imaging in the practice of respiratory care
• demonstrate an understanding of the skills necessary for inter-hospital and land/air transports of patients.

RC 124 - Clinical Practice I

• General Objectives
  • demonstrate an understanding of the role of the respiratory therapist in the clinical setting;
  • demonstrate good working relations in functioning as a member of the health care team;
  • demonstrate professional behavior and judgment in terms of appearance, attitudes and conduct with staff and patients;
  • demonstrate professional responsibility in terms of attendance and punctuality;
  • demonstrate effective communication skills in dealing with staff and patients;
  • demonstrate good patient care skills and rapport in establishing and maintaining therapeutic relationships with patients;
  • describe the structure and function of a respiratory care department;
  • describe the organization of patient care areas and function of equipment observed; and
  • follow infection control guidelines as outlined in our professional clinical guidelines as well as hospital regulations.
• Performance and Knowledge Objectives
  • demonstrate appropriate use of compressed gas cylinders including air, oxygen, heliox, nitric oxide, and any other medical gases used as a therapy;
  • demonstrate appropriate use of oxygen delivery devices including air/oxygen blenders, regulators and flowmeters, masks, cannulas, and enclosures;
  • demonstrate appropriate use of liquid oxygen systems;
  • demonstrate appropriate use of oxygen delivery during patient transport;
  • demonstrate an understanding of basic assessment for need of oxygen or other medically therapeutic gas;
  • demonstrate an understanding for the need and appropriate use of hyperinflation therapy;
  • demonstrate appropriate documentation of therapy; and
  • maintain asepsis regarding the above stated skills and clean, disinfect, and/or sterilize equipment.

RC 128 - Clinical Practice II

• General Objectives:
  • demonstrate an understanding of the role of the respiratory therapist in the clinical setting;
  • demonstrate good working relations in functioning as a member of the health care team;
  • demonstrate professional behavior and judgment in terms of appearance, attitudes and conduct with staff and patients;
  • demonstrate professional responsibility in terms of attendance and punctuality;
  • demonstrate effective communication skills in dealing with staff and patients;
  • demonstrate good patient care skills and rapport in establishing and maintaining therapeutic relationships with patients;
  • describe the structure and function of a respiratory care department;
  • describe the organization of patient care areas and function of equipment observed; and
  • follow infection control guidelines as outlined in our professional clinical guidelines as well as hospital regulations.

The student will be expected to demonstrate continued competence in all Clinical Practice I objectives:

• Performance and Knowledge Objectives for Clinical Practice I:
  • demonstrate appropriate use of compressed gas cylinders including air, oxygen, heliox, nitric oxide, and any other medical gases used as a therapy;
  • demonstrate appropriate use of oxygen delivery devices including air/oxygen blenders, regulators and flowmeters, masks, cannulas, and enclosures;
  • demonstrate appropriate use of liquid oxygen systems;
  • demonstrate appropriate use of oxygen delivery during patient transport;
  • demonstrate an understanding of basic assessment for need of oxygen or other medically therapeutic gas;
  • demonstrate an understanding for the need and appropriate use of hyperinflation therapy;
  • demonstrate appropriate documentation of therapy; and
  • maintain asepsis regarding the above stated skills and clean, disinfect, and/or sterilize equipment.
• Performance and Knowledge Objectives for Clinical Practice II:
  • assemble a circuit and humidifier system for a mechanical ventilator;
  • demonstrate appropriate ability to set up and insure proper function of a mechanical ventilator;
  • demonstrate appropriate ability to place initial ventilator settings on the mechanical ventilator;
  • demonstrate appropriate ability to troubleshoot ventilator;
  • demonstrate and understand how to assess a patient for the need of bronchopulmonary hygiene;
  • demonstrate appropriate use of the various bronchopulmonary hygiene techniques currently used;
  • select and appropriate bronchopulmonary hygiene device based on patient need/desire;
  • demonstrate ability to appropriately suction a patient using both open and closed system methods; and
  • demonstrate ability in assisting an intubation procedure.

RC 230 - Cardiopulmonary Disease

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

• describe the pathogenesis of and current classification scheme for pneumonia;
• recognize the common causes of lower respiratory tract infection in specific clinical settings;
• describe how the respiratory therapist aides in diagnosis and management of patients with suspected pneumonia;
• identify the latest recommendations regarding what antibiotic regimens are used to treat various types of pneumonia, both empirical and pathogen specific; and
• describe what strategies can be used to prevent pneumonia.

Unit II: Obstructive Lung Disease: COPD, Asthma, and Related Diseases

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

• identify how many Americans are diagnosed with chronic obstructive pulmonary disease (COPD) and how many deaths from COPD occur each year;
• describe what two major risk factors are associated with the onset of COPD;
• identify what common signs and symptoms are associated with COPD;
• develop a treatment plan for the patient with stable COPD and for the patient with an acute exacerbation;
• identify what factors are associated with the onset of asthma;
• describe what clinical presentation is typical for the patient with asthma;
• describe what treatment is typical for the patient with asthma;
• identify what treatment is currently available for the patient with acute asthma; and
• identify what treatment is currently available for patients with bronchiectasis.

Unit III: Interstitial Lung Disease

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

• describe how to classify the wide variety of pulmonary disorders grouped under the term interstitial lung disease (ILD);
• describe how to interpret the common clinical signs and symptoms of ILD;
• describe how to interpret common pulmonary function testing abnormalities in patients with ILD;
• identify what specific characteristics are associated with some of the more common types of ILD; and
• describe how some specific ILDs can be managed.

Unit IV: Pleural Diseases

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

• describe why diagnostic thoracentesis is an important tool for the assessment of pleural effusion;
• describe why spirometric improvements after thoracentesis usually are modest;
• describe why it is important to know the physiology of ventilation and oxygenation when treating patients with pleural effusion or pneumothorax;
• describe how to properly manage chest tubes and water-seal chambers; and
• describe how to manage ventilators for patients with bronchopleural fistulas.

Unit V: Pulmonary Vascular Disease

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

• describe how many patients will develop venous thromboembolism each year;
• describe how and where thromboemboli originate;
• describe how pulmonary emboli alter lung and cardiac function;
• identify what clinical features, electrocardiographic, chest x-ray, and arterial blood gas findings are associated with pulmonary embolism;
• describe how pulmonary embolism is diagnosed and managed;
• describe what characteristics are associated with primary pulmonary hypertension (PPH);
• describe what possible mechanisms are believed to be responsible for the onset of PPH;
• identify who is at risk of development of PPH;
• describe the clinical features that are associated with PPH;
• describe the treatment used to care for patients with PPH; and
• describe the pathogenesis and management of pulmonary hypertension associated with COPD.

Unit VI: Acute Lung Injury, Pulmonary Edema, and Multiple System Organ Failure

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

• describe what clinical conditions lead to hydrostatic pulmonary edema (congestive heart failure [CHF]);
• describe what criteria are considered for the diagnosis of CJF, ARDS, and multiple organ dysfunction syndrome (MODS);
• describe how hydrostatic and non hydrostatic pulmonary edema are differentiated from one another in the clinical setting;
• describe what principles of supportive care are followed for patients with ARDS;
• describe how ventilator settings (e.g., tidal volume, positive end-respiratory pressure) are adjusted for patients with ARDS and MODS;
• describe how mechanical ventilation can cause lung injury and how ventilator-induced lung injury can be avoided; and
• identify what approaches to the management of ARDS and MODS are being implemented.

Unit VII: Lung Neoplasms

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

• identify what incidence of lung cancer in the United States is;
• describe what relationship exists between smoking and lung cancer;
• describe the major histopathologic types of cancer;
• identify how lung cancer is staged;
• describe what current approaches are being implemented in lung cancer treatment; and
• describe how lung cancer can be prevented.

Unit VIII: Neuromuscular and Other Diseases of the Chest Wall

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

• describe what major components make up the respiratory neuromuscular system and how their dysfunction can affect ventilation;
• describe what major effects neuromuscular disease has on the respiratory system;
• describe how to assess patients for signs and symptoms of neuromuscular weakness of the ventilatory muscles;
• describe what common pulmonary function abnormalities appear in patients with neuromuscular weakness of the respiratory muscles;
• describe abnormalities of respiration wit spinal cord injury; and
• describe thoracic cage deformities such as flail chest and scoliosis and their effects on the respiratory system.

RC 232 - Respiratory Care Special Procedures II

• describe the purpose of arterial puncture;
• list arterial blood gas sample requirements;
• identify the radical, brachial, ulnar, and femoral artery;
• describe the advantages, disadvantages, and order of preference associated with the site arterial blood can be drawn from;
• describe the significance of and properly perform the modified Allen’s test;
• describe hazards associated with an arterial puncture;
• list equipment needed to perform an arterial puncture;
• properly perform an arterial puncture on a laboratory practice arm;
• describe common errors associated with arterial blood gas sampling;
• describe the chemical principles which are utilized in the operation of the following: pH electrode, PCO2 electrode, PO2 electrode;
• describe the importance of calibrating a blood gas machine;
• describe arterial line insertion and point of care;
• describe quality control in ABG analysis;
• list normal blood and body fluid values used in assessment and the significance associated with each value. Included in this would be, but not limited to: ABG, CBC, urinalysis and electrolytes;
• state the indications for pulse oximetry (single and overnight use), co-oximetry, capnography, transcutaneous PO2 and PCO2 and apnea monitors;
• safely setup, use and troubleshoot various devices including capnography, transcutaneous monitoring, and apnea monitoring;
• determine how to interpret the complete blood count and other hematology tests; and
• determine how to interpret blood chemistry tests such as electrolytes, renal function, serum enzymes, and serum glucose.

Part II: Hemodynamic Monitoring

• describe the roles of arteries, arterioles, capillaries, and veins in contributing to vascular resistance, cardiac output, oxygen delivery and cardiac function;
• calculate vascular resistance in the pulmonary and central circulation;
• list the normals for pulmonary and systemic vascular resistance;
• list the normals of pulmonary vascular pressures; compare to systemic circulation;
• correlate elevated pulmonary vascular pressure with left or right heart failure;
• describe the procedures involved for each of the invasive cardiac function tests:
  • arterial mixed venous samples;
  • arterial pressure monitoring;
  • central venous pressures;
  • pulmonary artery pressures; and
  • cardiac output.
• describe normal and abnormal values, indications, contraindications and complications of the above texts;
• calculate the following given the appropriate variables:
  • cardiac output;
  • cardiac index;
  • stroke volume;
  • stroke index;
  • C_aO₂, C_vO₂, CaO2-C_vO₂ ; and
  • Q_s / Q_T.

Part III: Pulmonary Function Testing (PFT)

• describe the value of pulmonary function testing;
• identify and define the following volumes and capacities: VT, IRV, ERV, RV, TLC, VC, IC, and FRC;
• use a nomogram to obtain normal predicted values;
• perform and calculate percent predicted for the following tests of pulmonary function via spirometry: FVC FEV₁, FEV₁ / FVC, FEF 25 – 75;
• demonstrate correction of volume measurements from ATPS to BTPS and describe the purpose for this;
• perform calibration of the laboratory spirometers using a 3 liter calibration syringe;
• explain reasons why PFT may need to be postponed;
• recognize specific details of improper performance technique;
• describe the criteria for acceptable trials of the FVC and FEV₁;
• identify normal, obstructive, restrictive, and mixed ventilatory patterns from a spirogram and spirogram values;
• determine the degree of obstruction and restriction;
• state the effort dependent and independent portions of the spirogram;
• describe the nitrogen wash out, helium dilution, and body plethysmography methods for determining FRC;
• describe the plethysmographic method for determining Raw;
• list advantages of the flow volume loop curve;
• describe the significance of the Viso V;
• describe the single breath nitrogen elimination test;
• discuss the clinical significance of closing volume;
• describe the diffusion capacity test;
• list the factors that affect diffusion capacity;
• state normal values for Viso V, CV, Raw, and DLCO;
• describe the analyzers used in PFT: nitrogen, helium, and CO; and
• describe quality control in PFT.

Part IV: Electrocardiography

• describe the clinical uses of the EKG;
• describe the structure and function of the following anatomical components of the heart: sinoatrial node, altrioventricular node, bundle of His, bundle branches, purkinje fibers;
• describe the electrochemical and mechanical events that occur during a single cardiac cycle as seen on an EKG;
• describe the significance of the following: P wave, PR interval, QRS complex, ST segment, and T wave;
• define the items listed on the EKG terminology handout;
• state what the horizontal and vertical axis on the EKG paper represent;
• determine the following: PR interval, QRS interval, and cardiac rate and rhythm from an EKG tracing;
• describe the function EKG machine controls;
• demonstrate electrode placement and EKG performance;
• list common causes of artifact; and
• identify and state the treatment of the following arrhythmias: sinus arrhythmia, atrial fibrillation, PAC, PNC, unit and multi-focal PVC, bigeminy, trigeminy, quadrigeminy, SVT, PVT, atrial flutter, ventricular flutter, atrial fibrillation, ventricular fibrillation, and heart blocks.

Part V: Chest Drainage Systems and Thoracentesis

• describe the main reason for chest drainage;
• identify normal intrapleural pressures;
• write two reasons why air, blood, or pus in the pleural space causes the lung to collapse;
• define the following terms: pneumothorax, hemothorax, empyema, subcutaneous emphysema, thoracentesis, transudate, exudates;
• list physical findings in pneumothorax and pleural effusion;
• state the proper location for chest tubes to drain air or fluid;
• describe the functions and drawbacks of one, two, and three bottle chest drainage systems;
• describe the proper care of chest drainage tubing;
• describe normal findings in a postoperative thoracotomy patient;
• explain findings in the water seal chamber that indicate presence or absence of a leak in the chest drainage system;
• explain the proper set-up of chest drainage suction;
• describe the proper actions to take if chest drainage becomes disrupted;
• state the indications for thoracentesis; and
• describe the technique for performing a thoracentesis.

RC 234 - Neonatal and Pediatric Respiratory Care

• describe the intrauterine growth and development in relation to gestational age;
• describe and explain how the placenta acts as the metabolic interchange between fetus and mother; and
• describe techniques used to determine fetal age and maturity.

Part B: Assessing the Fetus

• describe the term “high risk birth”;
• describe those factors which place mother and fetus in a high risk category;
• describe fetal heart rate monitoring;
• describe the difference between normal and abnormal heart rate patterns;
• describe the purpose of fetal ultrasound and amniocentesis; and
• describe the L/S ration and its usefulness in fetal assessment.

Part C: Fetal Circulation and the Transition at Birth

• describe fetal circulation;
• describe the process of circulation changing from fetal to adult; and
• explain how fetal lung fluid dissipates.

Part D: Assessing the Newborn

• describe the stages of labor;
• list and describe the components to the Apgar score;
• describe what an Apgar score indicates;
• describe the components of the Silverman-Anderson Index;
• describe the Dubowitz & Ballard Gestational Age Assessment tools; and
• describe normal vital signs of the newborn.

Part E: Thermoregulation of the Newborn

• describe how heat may be lost
• describe how a premature infant is susceptible to heat loss
• describe how heat loss is protected
• describe what a neutral thermal environment is; and
• describe the importance of monitoring temperature of oxygen given to a newborn;
  

Part F: Assessment of Oxygenation and Ventilation of the Infant

• identify the various methods of obtaining blood samples to analyze oxygenation and ventilation;
• identify the indications and hazards of using the various blood sample sites;
• describe the use of transcutantous monitoring of oxygenation and ventilation;
• describe how to calibrate and troubleshoot transcutaneal monitors;
• discuss the advantages and disadvantages of pulse oximetry in newborns; and
• describe the use of capnographic in newborns.

Part G: Neonatal Resuscitation

• describe the overview and principles of neonatal resuscitation;
• describe the initial steps in resuscitation;
• describe how to use a resuscitation bag and mask;
• describe how to perform chest compressions; and
• describe medications used in neonatal resuscitation.
  

Part H: Respiratory Distress Syndrome (RDS)

• identify the risk factors associated with the development RDS;
• define RDS;
• state the signs and symptoms of RDS;
• identify the changes of an x-ray of a newborn with RDS; and
• produce a basic course of respiratory therapy for a newborn with RDS.

Part I: Additional Neonatal Disorders

Identify the signs and symptoms of and provide treatment for the following disorders including:

• meconium aspiration;
• persistent pulmonary hypertension of the newborn;
• bronchopulmonary dysplasia / chronic lung disease of the newborn;
• transient tachypnea of the newborn;
• retinotherapy of prematurity;
• diaphragmatic hernia; and
• necrotizing enterocolitis.

Part J: Upper Airway Obstruction in Childre

• describe the pathophysiology of croup and epilottitis;
• recognize signs and symptoms of each;
• describe the importance in determining the difference between croup and epiglottitis;
• describe the treatment for each; and
• recognize and treat foreign body aspiration in the child.

Part K: Pediatric Disorders

Describe signs, symptoms, and treatment for the following pediatric disorders:

• asthma;
• bronchiolitis;
• cystic fibrosis; and
• neuromuscular disease.

RC 238 - Clinical Practice III

• demonstrate an understanding of the role of the respiratory therapist in the clinical setting;
• demonstrate good working relations in functioning as a member of the health care team;
• demonstrate professional behavior and judgment in terms of appearance, attitudes and conduct with staff and patients;
• demonstrate professional responsibility in terms of attendance and punctuality;
• demonstrate effective communication skills in dealing with staff and patients;
• demonstrate good patient care skills and rapport in establishing and maintaining therapeutic relationships with patients;
• describe the structure and function of a respiratory care department;
• describe the organization of patient care areas and function of equipment observed; and
• follow infection control guidelines as outlined in our professional clinical guidelines as well as hospital regulations.

The student will be expected to demonstrate continued competence in all Clinical Practice I & II objectives:

Performance and Knowledge Objectives for Clinical Practice I:

• demonstrate appropriate use of compressed gas cylinders including air, oxygen, heliox, nitric oxide, and any other medical gases used as a therapy;
• demonstrate appropriate use of oxygen delivery devices including air/oxygen blenders, regulators and flowmeters, masks, cannulas, and enclosures;
• demonstrate appropriate use of liquid oxygen systems;
• demonstrate appropriate use of oxygen delivery during patient transport;
• demonstrate an understanding of basic assessment for need of oxygen or other medically therapeutic gas;
• demonstrate an understanding for the need and appropriate use of hyperinflation therapy;
• demonstrate appropriate documentation of therapy; and
• maintain asepsis regarding the above stated skills and clean, disinfect, and/or sterilize equipment.

Performance and Knowledge Objectives for Clinical Practice II:

• assemble a circuit and humidifier system for a mechanical ventilator;
• demonstrate appropriate ability to set up and insure proper function of a mechanical ventilator;
• demonstrate appropriate ability to place initial ventilator settings on the mechanical ventilator;
• demonstrate appropriate ability to troubleshoot ventilator;
• demonstrate and understand how to assess a patient for the need of bronchopulmonary hygiene;
• demonstrate appropriate use of the various bronchopulmonary hygiene techniques currently used;
• select and appropriate bronchopulmonary hygiene device based on patient need/desire;
• demonstrate ability to appropriately suction a patient using both open and closed system methods; and
• demonstrate ability in assisting an intubation procedure.

Performance and Knowledge Objectives for Clinical Practice III:

• demonstrate ability to make appropriate changes in mechanical ventilation settings based on a changing patient condition;
• demonstrate how to assess a patient for their ability to wean from the mechanical ventilator;
• demonstrate an ability to assist in extubation of a patient;
• demonstrate ability to draw and analyze an arterial blood gas sample;
• demonstrate an understanding of and interpret arterial, venous, and capillary blood gas results;
• demonstrate an ability to use advanced cardiopulmonary assessment techniques such as capnography, apnea monitoring, and transcutaneous monitoring and transillumination;
• demonstrate ability to perform pulmonary function testing;
• demonstrate ability to perform electrocardiograms (EKG);
• demonstrate an ability to apply hospital base protocols for the delivery of care to a patient;
• demonstrate an ability to place a patient on non-invasive positive pressure ventilation;
• demonstrate an ability to adjust the settings and mask based on patient response to non-invasive positive pressure ventilation;
• demonstrate an ability to safely transport a patient within a hospital; and
• demonstrate an ability to initiate and conduct home Respiratory Care.

RC 240 - Respiratory Care Review Seminar

Patient Data Evaluation and Recommendations

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

• Review Existing Data in the Patient Record including:
  • patient history;
  • physical examination relative to the cardiopulmonary system;
  • lab data;
  • pulmonary function results;
  • blood gas results;
  • imaging studies;
  • monitoring data; and
  • maternal and paternal/neonatal history and data.
• Collect and Evaluate Additional Pertinent Clinical Information
  • assess patient’s overall cardiopulmonary status by inspection determine;
    • general appearance;
    • cough, amount and character of sputum; and
    • transillumination of chest, Apgar score, gestational age.
  • assess patient’s overall cardiopulonary status by palpation to determine;
    • heart rate, rhythm, and force; and
    • asymmetrical chest movements, tactile fremitus, crepitus, tenderness, secretions in the airway, tracheal deviation.
  • assess patient’s overall cardiopulmonary status by auscultation to determine presence of;
    • breath sounds;
    • heart sounds and rhythms; and
    • blood pressure.
  • interview patient to determine;
    • level of consciousness/sedation, orientation to time, place and person, emotional state, ability to cooperate, level of pain;
    • presence of dyspnea and/or orthopnea, work of breathing, sputum production, exercise tolerance and activities of daily living;
    • social history; and
    • advance directives.
  • assess patient’s learning needs;
  • review chest radiograph to determine;
    • quality of imaging;
    • position of endotracheal or tracheostomy tube;
    • presence of or change in pneumothorax or subcutaneous emphysema, othere extrapulmonary air, consolidation and/or atelectasis, pulmonary infiltrates;
    • position of chest tube(s), nasogastric and/or feeding tube, pulmonary artery catheter, pacemaker, and other catheters;
    • presence and position of foreign bodies; and
    • position of or change in hemidiaphragms, hyperinflation, pleural fluid, pulmonary edema, mediastinal shift, patency and size of major airways.
  • perform procedures including;
    
    • 12-lead ECG;
    • pulse osimetry, capnography;
    • tidal volume, minute volume, peak flow, vital capacity;
    • bedside spirometry;
    • arterial sampling – percutaneous or line;
    • blood gas/hemoximetry analysis;
    • lung mechanics;
    • ventilator pressure-volume and flow-volume loops;
    • apnea monitoring;
    • overnight pulse oximetry;
    • tracheal tube cuff pressure and/or volume;
    • tracheal intubation;
    • pulmonary function laboratory studies; and
    • auto-PEEP detection.
  • interpret procedure results including;
    • transcutaneous O2/CO2 monitoring;
    • pulse oximetry, capnography;
    • tidal volume, minute volume, peak flow, vital capacity;
    • bedside spirometry;
    • blood gas/hemoximetry analysis;
    • lung mechanics;
    • apnea monitoring;
    • overnight pulse oximetry;
    • tracheal tube cuff pressure and/or volume;
    • pulmonary function laboratory studies;
    • ventilator pressure-volume and flow-volume loops; and
    • auto-PEEP.
• Recommend Procedures to Obtain Additional Data Including:
  • radiographic and other imaging studies;
  • lung mechanics; and
  • blood gas analysis, pulse oximetry, transcutaneous O2/CO2 monitoring.
    

Equipment Application and Cleanliness

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

• Select, Assemble, Use, and Troubleshoot Equipment Including:
  • oxygen administration devices;
  • CPAP devices;
  • humidifiers;
  • pneumatic aerosol generator;
  • resuscitation devices;
  • ventilators;
  • artificial airways;
  • suctioning devices;
  • gas delivery, metering, and clinical analyzing devices;
  • point-of-care blood gas analyzers;
  • patient breathing circuits;
  • aerosol (mist) tents;
  • incentive breathing devices;
  • percussors and vibrators;
  • high Frequency Chest Wall Oscillation (HFCWO);
  • positive expiratory pressure (PEP) devices;
  • vibratory PEP;
  • He/O₂ therapeutic gas;
  • manometers;
  • respirometers;
  • ECG machines;
  • arterial catheters;
  • vacuum systems;
  • oximetry monitoring devices;
  • metered dose inhalers (MDI), MDI spacers;
  • dry powder inhalers;
  • spirometry screening equipment for bedside;
  • speaking tubes and valves;
  • CO, He, O₂, and specialty gas analyzers; and
  • bronchoscopes.
• Insure Infection Control:
  • Assure selected equipment cleanliness; and
  • Assure proper handling of biohazardous materials.
• Perform Quality Control Procedures For:
  • blood gas analyzers, co-oximeters, and sampling devices;
  • oxygen analyzers;
  • pulmonary function equipment;
  • mechanical ventilators;
  • gas metering devices;
  • noninvasive monitors; and
  • record and monitor QC data using accepted statistical methods.

Therapeutic Procedure Initiation And Modification

• Maintain Records and Communicate Information:
  • record therapy and results using conventional terminology as required in the health care setting and/or by regulatory agencies;
  • verify computations and note erroneous data;
  • communicate information;
  • apply computer technology to;
    • document patient management; and
    • monitor workload assignments.
  • communicate results of therapy and alter therapy per protocol(s);
  • explain planned therapy and goals to patient in understandable terms to achieve optimal therapeutic outcome; and
  • counsel patient and family concerning smoking cessation and disease management education.
• Maintain a Patent Airway Including the Care of Artificial Airways:
  • properly position patient;
  • insert oro- and nasoparyngeal airways;
  • perform endotracheal intubation;
  • identify tube placement by available means;
  • change trachestomy tubes;
  • maintain; and
    
    • proper cuff inflation; and
    • adequate humidification.
  • perform extubation procedure.
• Remove Bronchopulmonary Secretions:
  • perform;
    • postural drainage and percussion and/or vibration;
    • nasotracheal suctioning; and
    • oropharyngeal suctioning.
  • suction artificial airways;
  • administer aerosol therapy, administer prescribed agents; and
  • instruct and encourage bronchopulmonary hygiene techniques.
• Achieve Adequate Respiratory Support:
  • Instruct in;
    • proper breathing technique, encourage deep breathing, instruct and monitor techniques of incentive spirometry; and
    • inspiratory muscle training techniques.
  • Initiate and adjust;
    • IPPB Therapy;
    • continuous mechanical ventilation settings;
    • noninvasive ventilation;
    • elevated baseline pressure; and
    • combinations of ventilatory techniques.
  • select ventilator graphics;
  • administer;
    • aerosolized drugs; and
    • oxygen – on or off a ventilator.
  • initiate and modify weaning procedures;
  • position patient to minimize hypoxemia;
  • prevent procedure-associated hypoxemia; and
  • adhere to infection control policies and procedures.
• Evaluate and Monitor Patient’s Objective and Subjective Responses to Respiratory Care:
  • recommend and review chest radiograph;
  • obtain a blood gas sample;
  • perform;
    • pulse oximetry;
    • blood gas and co-oximetry analysis;
    • capnography;
    • Interpret blood gas and co-oximetry results;
    • Observe changes in sputum characteristics;
    • Observe for signs of patient-ventilator dysynchrony;
    • Measure and record vita signs, monitor cardiac rhythm, evaluate fluid balance – intake and output;
    • Perform spirometry, determine vital capacity, measure pulmonary compliance and airways resistance, interpret airway graphics, measure peak flow;
    • Monitor mean airway pressure, adjust and check alarm systems, measure tidal volume, respiratory rate, airway pressures, I:E, and maximum inspiratory pressure;
    • Measure F_IO₂ and/or liter flow;
    • Monitor endotracheal or tracheostomy tube cuff pressure; and
    • Auscultate chest and interpret changes in breath sounds.
• Independently Modify Therapeutic Procedures Based on the Patient’s Response:
  • terminate treatment based on patient’s response to therapy;
  • modify treatment techniques including;
    • IPPB;
    • Incentive breathing devices;
    • aerosol therapy;
    • oxygen therapy;
    • specialty gas;
    • bronchial hygiene therapy;
    • management of artificial aiways;
    • suctioning;
    • mechanical ventilation; and
    • procedures for weaning from mechanical ventilation.
• Recommend Modifications in the ‘Respiratory Care Plan Based on the Patient’s Response:
  • recommend;
    • institution of bronchopulmonary hygiene procedures;
    • sedation and/or use of muscle relaxant(s);
    • insertion or change of artificial airway;
    • procedures for weaning from mechanical ventilation;
    • extubation; and
    • discontinuing treatment based on patient response.
  • recommend changes in;
    • patient position;
    • aerosol drug dosage or concentration; and
    •  F_IO₂ and oxygen flow.
  • recommend changes in mechanical ventilation to;
    • improve patient synchrony;
    • enhance oxygenation;
    • improve alveolar ventilation;
    • adjust I:E settings;
    • modify ventilator techniques;
    • adjust noninvasive positive pressure ventilation;
    • monitor and adjust alarm settings;
    • adjust ventilator settings based on ventilator graphics;
    • change type of ventilator, change patient breathing circuitry;
    • alter mechanical dead space;
    • modify ventilator settings to;
      • eliminate auto-PEEP; and
      • reduce plateau pressure.
  • recommend use of pharmacologic interventions including;
    • bronchodilators;
    • anti-inflammatory drugs;
    • mucolytics/proteolytics;
    • sedatives;
    • analgesics;
    • diuretics; and
    • surfactants.
• Determine and Appropriateness of the Prescribed Respiratory Care Plan and Recommend Modification When Indicated:
  • analyze available data to determine pathophysiological state;
  • review;
    • planned therapy to establish therapeutic plan; and
    • interdisciplinary patient and family plan.
  • determined appropriateness of prescribed therapy and goals for identified pathophysiological state;
  • recommend changes in the therapeutic plan when indicated based on data;
  • perform respiratory care quality assurance;
  • develop outcomes of;
    • quality improvement programs; and
    • respiratory care protocols.
  • monitor outcomes of;
    • quality improvement programs; and
    • respiratory care protocols.
  • apply respiratory care protocols; and
  • conduct disease management education.
• Initiate, Conduct, or Modify Respiratory Care Techniques in an Emergency Setting:
  • treat cardiopulmonary collapse according to;
    • BCLS;
    • ACLS;
    • Pediatric Advanced Life Support (PALS); and
    • Neonatal Resusciation Program (NRP).
  • treat tension pneumothorax;
  • participate in;
    • land/air patient transport outside the hospital;
    • intra-hospital patient transport; and
    • disaster management.
• Act as an Assistant to the Physician Performing Special Respiratory Care Procedures Including:
  • Bronchoscopy;
  • Tracheostomy;
  • Cardioversion; and
  • Intubation.
• Initiate and Conduct Pulmonary Rehabilitation and Home Care Within the Prescription:
  • explain planned therapy and goals to patient in understandable terms to achieve optimal therapeutic outcome;
  • educate patient and family in disease management;
  • counsel patient and family concerning smoking cessation; and
  • instruct patient and family to assure safety and infection control.

RC 242 - Introduction to Sleep Medicine

• describe the types of sleep disturbances present in the general population (sleep apnea, insomnia, narcolepsy, PLM’s, and restless leg syndrome);
• describe the importance of sleep in our daily lives and how sleep problems can lead to medical and psychosocial problems;
• list and describe evaluations and tests employed in the field of sleep medicine;
• describe physiology of sleep including control of breathing and sleep studies;
• describe the different treatment options available in sleep medicine (CPAP, behavioral therapy, pharmacology);
• describe the process for patient selection for sleep testing; and
• describe the process for patient preparation performed prior to a sleep test.

RC 244 - Principles of Respiratory Care III

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

• determine what goals and objectives pulmonary rehabilitation aims to achieve;
• determine what scientific evidence supports rehabilitation programming for patients with pulmonary disease;
• determine why psychosocial support is an essential component of pulmonary rehabilitation;
• determine what specific benefits patients can expect from pulmonary rehabilitation activity;
• determine what indications, contraindications, and hazards are associated with pulmonary rehabilitation;
• determine how to evaluate and select patients for pulmonary rehabilitation;
• determine how to assist in exercise evaluation and distinguish between cardiac and ventilatory exercise limits;
• determine what educational content needs to be addressed in a pulmonary rehabilitation program;
• determine which health professionals make up the rehabilitation team; and
• determine what equipment and facilities are needed to run a pulmonary rehabilitation program.

Smoking Cessation

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

• describe the importance of smoking cessation as it relates to the reduction in pulmonary disease;
• describe the components of a smoking cessation program;
• identify the need for smoking cessation programs;
• describe the factors associated with the unsuccessful completion of smoking cessation programs; and
• describe patient monitoring and treatment for smoking cessation.

Patient Education and Health Promotion

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

• describe learning objectives in the cognitive, affective, and psychomotor domain;
• describe how the adult and child learner are different;
• describe how to evaluate patient education;
• describe why health education is important;
• describe which settings may be appropriate for implementation of health promotion activities; and
• describe how health promotion and disease prevention affect medical costs.

Ethical and Legal Implications of Practice

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

• identify philosophical foundations of ethics;
• describe what constitutes an ethical dilemma and how they arise in healthcare;
• describe how professional codes of ethics apply to ethical decision making;
• describe how traditional ethical principles are useful in resolving ethical dilemmas;
• identify what information should be gathered before making an ethical decision;
• describe how the systems of civil and criminal law differ;
• describe what constitutes professional malpractice and negligence;
• describe how a respiratory therapist can become liable for wrongful acts;
• describe what elements constitute a practice act;
• describe how licensing affects legal responsibility and liability;
• describe how changes in healthcare delivery have shaped the ethical and legal aspects of practice; and
• describe the importance of advanced directives relative to the practice of Respiratory Care.

Quality and Evidence-Based Respiratory Care

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

• describe what elements constitute quality respiratory care;
• describe what methods are sued for monitoring quality of respiratory care delivery;
• describe how respiratory care protocols enhance the quality of respiratory care services;
• describe what disease management is;
• describe what evidence-based medicine is; and
• describe how to perform continual quality improvement.

Professionalism

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

• define professionalism as it relates to health care;
• list characteristics of a profession;
• describe the role of a respiratory therapist as a member of the health care team;
• list and describe traits associated with professional behavior;
• describe the importance of credentialing and licensure as it relates to professionalism;
• describe the preparation needed for an employment interview; and
• successfully develop a resume and cover letter.

RC 246 - Clinical Practice IV

General Objectives

• demonstrate an understanding of the role of the respiratory therapist in the clinical setting;
• demonstrate good working relations in functioning as a member of the health care team;
• demonstrate professional behavior and judgment in terms of appearance, attitudes and conduct with staff and patients;
• demonstrate professional responsibility in terms of attendance and punctuality;
• demonstrate effective communication skills in dealing with staff and patients;
• demonstrate good patient care skills and rapport in establishing and maintaining therapeutic relationships with patients;
• describe the structure and function of a respiratory care department;
• describe the organization of patient care areas and function of equipment observed; and
• follow infection control guidelines as outlined in our professional clinical guidelines as well as hospital regulations.

The student will be expected to demonstrate continued competence in all Clinical Practice I, II, and III objectives:

Performance and Knowledge Objectives for Clinical Practice I:

• demonstrate appropriate use of compressed gas cylinders including air, oxygen, heliox, nitric oxide, and any other medical gases used as a therapy;
• demonstrate appropriate use of oxygen delivery devices including air/oxygen blenders, regulators and flowmeters, masks, cannulas, and enclosures;
• demonstrate appropriate use of liquid oxygen systems;
• demonstrate appropriate use of oxygen delivery during patient transport;
• demonstrate an understanding of basic assessment for need of oxygen or other medically therapeutic gas;
• demonstrate an understanding for the need and appropriate use of hyperinflation therapy;
• demonstrate appropriate documentation of therapy;
• maintain asepsis regarding the above stated skills and clean, disinfect, and/or sterilize equipment;

Performance and Knowledge Objectives for Clinical Practice II

• assemble a circuit and humidifier system for a mechanical ventilator;
• demonstrate appropriate ability to set up and insure proper function of a mechanical ventilator;
• demonstrate appropriate ability to place initial ventilator settings on the mechanical ventilator;
• demonstrate appropriate ability to troubleshoot ventilator;
• demonstrate and understand how to assess a patient for the need of bronchopulmonary hygiene;
• demonstrate appropriate use of the various bronchopulmonary hygiene techniques currently used;
• select and appropriate bronchopulmonary hygiene device based on patient need/desire;
• demonstrate ability to appropriately suction a patient using both open and closed system methods; and
• demonstrate ability in assisting an intubation procedure.

Performance and Knowledge Objectives for Clinical Practice III & Clinical Practice IV:

• demonstrate ability to make appropriate changes in mechanical ventilation settings based on a changing patient condition;
• demonstrate how to assess a patient for their ability to wean from the mechanical ventilator;
• demonstrate an ability to assist in extubation of a patient;
• demonstrate ability to draw and analyze an arterial blood gas sample;
• demonstrate an understanding of and interpret arterial, venous, and capillary blood gas results;
• demonstrate an ability to use advanced cardiopulmonary assessment techniques such as capnography, apnea monitoring, and transcutaneous monitoring;
• demonstrate ability to perform pulmonary function testing;
• demonstrate ability to perform electrocardiograms (EKG);
• demonstrate an ability to apply hospital base protocols for the delivery of care to a patient;
• demonstrate an ability to place a patient on non-invasive positive pressure ventilation;
• demonstrate an ability to adjust the settings and mask based on patient response to non-invasive positive pressure ventilation;
• demonstrate an ability to safely transport a patient within a hospital; and
• demonstrate an ability to initiate and conduct home Respiratory Care.

SL 110 - Beginning Sign Language Communication I (ASL)

Fulfills SUNY General Education – Foreign Language.

Note: As a SUNY General Education course SL110 may only be used by students in programs leading to certification in elementary and secondary education or in programs leading to careers where there is likely to be significant contact with the hearing-impaired.

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

• demonstrate a working sign language vocabulary of approximately 400 signs;
• demonstrate the ability to produce and comprehend conversation in sign language employing semantically correct American Sign Language (ASL);
• demonstrate a basic understanding of language, American deaf people, their history, and culture;
• demonstrate a rudimentary ability to match facial expression and body language to the tone of the English message; and
• demonstrate the ability to sign and comprehend numbers 1-30.

SL 111 - Beginning Sign Language Communication II (ASL)

Fulfills SUNY General Education – Foreign Language.

Note: As a SUNY General Education course SL111 may only be used by students in programs leading to certification in elementary and secondary education or in programs leading to careers where there is likely to be significant contact with the hearing-impaired.

Course Outcomes
At the end of the course the student should be able to:

• demonstrate a working sign language vocabulary of approximately 650 signs, numbers and classifiers in conversation topics relating to daily routines, writing terms, education, deaf education, daily conversation, etc.;
• demonstrate the ability to produce and comprehend conversation in using sign language by employing semantically correct American Sign Language (ASL) Signs and English concepts while utilizing appropriate ASL classifiers;
• demonstrate a basic understanding of language, American deaf people, their history, education, language and culture;
• demonstrate the ability to use American Sign Language and explain the contents of variety of written material from paragraphs to short stories or song lyrics using the appropriate ASL signs, classifiers and facial expressions; and
• demonstrate a rudimentary ability to match facial expressions, gestures and body language to the tone of the English message.

 

F/S, SS (C, N, S)

SS 102 - Social Problems

Fulfills SUNY General Education – Social Sciences.

Course Outcomes
Upon completion of a Social Problems course focused on social gerontology, the student will be able to:

• define social gerontology and discuss its origins and current area of focus;
• discuss the reasons for and explain the research methods used to study social gerontology;
• summarize biological and physiological changes related to aging;
• discuss ways in which the environment can be modified to help accommodate biological changes;
• distinguish chronic diseases that occur most frequently in older adults;
• explain the cognitive changes that are linked to aging as well as the theories that explain such changes and adaptations;
• discuss attitudes and beliefs about sex and love in old age;
• explain the relationship between chronic illnesses and sexuality;
• demonstrate an understanding of the social context older adults live in, such as living arrangements and employment;
• discuss the social policies and social problems affecting older adults in the U. S.;
• summarize attitudes toward death in our culture;
• discuss conditions for the care of dying people and pain management;
• define bereavement, grief and mourning; and
• define and discuss acute and long-term care and the growing need for home care.

SS 103 - Technology and Society

Fulfills SUNY General Education – Social Sciences.

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

• define technology and technological activity;
• describe various theoretical models of technological transfers;
• identify the major periods of technological change;
• critically analyze the impact of technological change;
• articulate clear ideas about technology and culture;
• understand the relationship between technology and the environment;
• identify the ways in which technology affects work and community;
• learn about historical narrative and political responsibility; and
• explore the interplay between new communication technologies and society.

SS 203 - Human Sexualities

Fulfills SUNY General Education – Social Sciences.

Course Outcomes
Upon successful completion of this course, the student will:

• have an understanding of psychological, sociological, and physiological perspectives of sexuality;
• be able to discuss biological and social variables of physical attraction, sexual arousal, and sexual interaction; and
• recognize how societal norms, cross-cultural perspectives, class, economics, and public policy affect human sexuality.

SS 205 - Aging, Dying and Death

Fulfills SUNY General Education – Social Sciences.

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

• explain the term “ageism” and identify the outcomes of ageism;
• differentiate primary aging and secondary aging;
• name the major theories of aging and summarize the essence of each of the theories;
• discuss the reasons for age-related cognitive changes;
• identify the changes in age-related information processing;
• provide examples of positive age-related cognitive development;
• differentiate the following social theories of aging: A. Stratification Theory, B. Self Theory, and C. Dynamic Theory;
• explain the concept “social convoy” and provide examples of the role it plays in the life of the elderly;
• explain the impact self-efficacy has on quality of life for the elderly;
• identify the factors affecting our familiarity with death;
• explain the historical attributions regarding the origins and causes of death;
• explain the variety of perspectives on death in western cultures;
• compare Native American, Mexican and Asian perspectives on death;
• explain the idea of a mature concept of death;
• identify and explain the sociological Influences on our understanding of death;
• explain the following with regard to Hospice and Palliative Care: A. the origins, B. the principles, and C. the challenges;
• discuss the problems implicit in financing of health care for the dying;
• state and explain the four definitions and determinations of death;
• differentiate between a coroner and a medical examiner;
• identify the ways a dying person copes with their life-threatening illness;
• discuss the treatment options for individuals who are facing life-threatening illness;
• discuss the role of pain management with dying patients;
• explain the “social role” of the dying patient;
• discuss the options for the patient in choosing death;
• describe the experience of grief with focus on the following: A. the course of grief, B. Mental and Emotional responses, and C. complications of grief;
• explain William Worden’s Tasks of Mourning (survivors);
• explain “narrative approach” as a model of grief (survivors);
• state the options for the disposition of the body;
• state the psychosocial benefits to last rites;
• discuss how to help children cope with change and loss brought about by a death of someone close to them;
• identify and explain a child’s coping mechanisms with their own life-threatening illness;
• describe adult coping skills on the death of their parent;
• describe adult coping skills on the death of their child;
• list and explain childbearing losses;
• state and explain the reasons for attempting suicide;
• explain the theories of suicide from the following perspectives: A. social context, B. psychological;
• state the risk factors that influence suicide;
• develop a plan for suicide prevention and intervention;
• identify coping mechanisms with the aftermath of war;
• identify coping mechanisms with the aftermath of disasters;
• identify coping mechanisms with the aftermath of violence;
• identify steps to reduce violence;
• compare and contrast the Jewish, Christian and Islamic concepts regarding death and afterlife; and
• compare and contrast the Buddhist and Hindu concepts regarding death and afterlife.

SS 206 - Spiritual Diversity

• a knowledge of spiritual groups throughout history;
• a knowledge of the principles taught by these spiritual groups;
• a comparative understanding of the spiritual principles from various spiritual groups;
• a knowledge of how such spiritual principles can be found; and
• a general knowledge of the explanations of spirituality.

SS 210 - The Para educator as a Member of the Educational Team

• demonstrate knowledge of key terms that relate to Para educators;
• demonstrate knowledge of the advantages to using Para educators in the schools;
• identify issues affecting Para educators today;
• demonstrate knowledge of the history of Para educators in the U.S.;
• demonstrate knowledge of the roles and responsibilities of administrators, teachers, and Para educators as members of the educational team;
• demonstrate knowledge of essential qualities a Para educator should possess;
• demonstrate knowledge of major educational philosophies, theories of child development, approaches for successful classroom behavior management and approaches for effective instructional practices;
• demonstrate knowledge of some of the legal rights of Para educators, students, and parents of students;
• understand the importance of the job interview and how to prepare for it; and
• demonstrate knowledge of keys to a successful start as a Para educator and keys to a successful career as a Para educator.

SS 212 - Introduction to the Teaching Profession

• identify the nature of the teaching profession;
• demonstrate knowledge of the development of the distinctive features of the history of education in the United States;
• demonstrate knowledge of the major educational concepts, models and issues;
• identify educational trends and leaders in curriculum and instruction;
• understand developmentally appropriate practices;
• design instruction and assessment consistent with the New York State Learning Standards;
• develop a philosophy of education to use in the classroom;
• understand diversity and the impact of this in the classroom;
• analyze a variety of classroom organization and management techniques;
• evaluate technology and its appropriate uses for education; and
• enhance his/her written communication performance.

SS 213 - School and Society

• identify and describe the historical development of America’s public school system;
• analyze and distinguish between schooling and education;
• identify and apply basic educational philosophies;
• identify, describe, and analyze diversity in education including students and staff;
• understand how schools are financed;
• understand the No Child Left Behind Act and how it relates to increased standardized testing;
• identify issues relating to problems and possibilities in education relating to issues of globalization; and
• understand how modern day school board meetings are run and how teachers and parents relate to them.

SS 214 - Exceptional Education

• define exceptionality;
• describe the history and treatment of individuals who are exceptional;
• explore the legislation related to exceptional education, including the No Child Left Behind Act;
• explore the family and community issues regarding exceptional education;
• describe the types of assessment instruments, strengths and weaknesses of various instruments and how they relate to the education of exceptional students;
• describe the types and characteristics of special education programs;
• explore the educational programs available to students with mental retardation, hearing loss, vision loss and students with other exceptional circumstances;
• describe the Theory of Multiple Intelligences (Gardner), how this theory can be used in the classrooms and how these relate to the academically gifted students as well as other students;
• explore administrative arrangements for, and educational management of, individuals who are academically gifted and talented;
• discuss the classroom management techniques for dealing with students who are exceptional;
• discuss the social concerns surrounding students with disabilities and who are exceptional; and
• discuss the multicultural and diversity issues surrounding students with disabilities in the preschool, school-age and adult populations.

SS 250 - Theory and Methods in the Social Sciences

• value the nature of social sciences as a scientific discipline;
• apply different research methods used by social scientists;
• justify the appropriateness of conclusions derived from social science research;
• evaluate the design of studies to address social science questions and the effectiveness of appropriate research methods;
• recognize the APA Code of Ethics in the treatment of human and nonhuman participants in the design, data collection, interpretation, and reporting of research;
• present research conclusions appropriately based on the parameters of specific research methods;
• demonstrate critical reasoning to recognize, develop, defend, and criticize arguments and other persuasive appeals; and
• evaluate appropriate information for an assignment, locate and access information and apply information to answer questions effectively.

SO 100 - Introduction to Sociology

Fulfills SUNY General Education – Social Sciences.

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

• explain and appraise Sociology as a science and correct common misconceptions about the field;
• describe and compare the scientific methods used in sociological research (evidenced-based-sociology);
• define, name and describe sociological terminology, recognize researchers/theorists who have shaped the field and current research (Emile Durkheim, Karl Marx, Max Weber);
• develop critical thinking skills and scientific literacy;
• explain the basic concepts of social structure, social institutions, and cultural processes underling behavior;
• name and describe the basic concepts of social forces, social interaction, social groups, sociological thinking, intelligence, the sociological imagination, and the applied approaches to problem-solving and policy approaches to social problems;
• recognize and have an appreciation for the complexity and diversity of human-social behavior;
• apply sociolgical concepts and findings to everyday life.

SO 101 - Social Institutions

Fulfills SUNY General Education – Social Sciences.

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

• explain what a social institution is;
• demonstrate knowledge of the functionalist and conflict approaches to social institutions;
• demonstrate knowledge, in broad outline, of the development of the family, education, government, the economic system, and religion as social institutions;
• explain the linkages existing among the family, education, government, the economic system and religion as social institutions;
• apply, compare, and contrast both the conflict and the functionalist approaches to the institution of the family;
• compare and contrast the conflict and functionalist approaches to the institution of education;
• compare and contrast the conflict and functionalist approaches to the institution of government;
• compare and contrast the conflict and functionalist approaches to the institution of the economy;
• compare and contrast the conflict and functionalist approaches to the institution of religion;
• compare and contrast social solidarity and social crisis as reflected in the family;
• compare and contrast social solidarity and social crisis as reflected in the government;
• compare and contrast social solidarity and social crisis as reflected in the economic system; and
• compare and contrast social solidarity and social crisis as reflected in religion.

SO 201 - Urban Sociology

Fulfills SUNY General Education – Social Sciences.

Course Outcomes
At the completion of this course, students will be able to:

• describe and compare the new urban sociology to mainstream approaches;
• describe and compare primary and applied approaches used in urban sociology;
• demonstrate an awareness of the triangular relationship between social change, the city, and personal identity;
• uncover the complexities of urban life through sociological theory;
• offer new ideas about the role of economics, politics, and culture in urban – metropolitan socio-spatial analysis;
• apply the socio-spatial perspective (SSP) to current events, especially as it relates to metropolitan policy and the environment;
• describe the impact of the urban experience on individual behavior; and
• describe the rise of cities historically and the advantages of the urban form.

SO 202 - Sociology of the Family

Fulfills SUNY General Education – Social Sciences.

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

• define the family and marriage;
• explain sociological theories in relation to the study of marriage and family;
• identify how societal changes have affected families, changes in role expectations, relationships, etc.;
• make the distinction between love and sexual expression;
• identify the role of communication in the family and marriage;
• describe what factors must be considered in making a decision to be a parent;
• define what family violence is and why it occurs;
• explain the affects of separation and divorce on adults and children; and
• how remarriage and stepfamilies differ from first marriages.

SO 203 - Capital: Origins of the Modern World System

Fulfills SUNY General Education – Social Sciences.

Course Outcomes
At the end of the course, the student should be able to explain:

• categories such as exchange-value, use-value, value, and surplus value as distinguished from more commonsensical or mainstream terms such as worth, value, and price;
• the historical development of exchange and money in the context of and as a consequence of major social transformations;
• the development of the modern world system as a result of the decay of feudal social relations;
• the role of historical periodization in social scientific thought;
• the origins of the industrial and scientific/technological revolutions in the context of the modern world system;
• the distinction between the characteristics of generalized commodity production from all previous historical periods in which commodities were produced;
• why capitalism may be viewed as the most revolutionary social system in world history;
• the relationship between capital accumulation and the development of 17th to 19th century colonialism;
• a dialectical materialist approach to the development of knowledge and real relations;
• the application of such concepts as negation and negation of the negation as they apply to social forces;
• the role of abstraction in the development of new knowledge;
• alienation in modern society;
• commodity fetishism in modern society; and
• historical materialist methodology as it applies to the analyses of social transformations.

SP 110 - Elementary Spanish I

Fulfills SUNY General Education – Foreign Language.

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

• comprehend and utilize fundamental vocabulary in speech, reading and writing;
• utilize basic grammatical structures of the language;
• understand, read and write basic Spanish;
• converse in the language on a basic level;
• recognize the cultural diversity of the people who speak the language; and
• acquire knowledge of the areas of the world where the language is spoken.

SP 111 - Elementary Spanish II

Fulfills SUNY General Education – Foreign Language.

 

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

• comprehend and utilize fundamental vocabulary in speech, reading and writing;
• utilize basic grammatical structures of the language;
• understand, read and write basic Spanish;
• converse in the language on a basic level;
• recognize the cultural diversity of the people who speak the language; and
• acquire knowledge of the areas of the world where the language is spoken.

SP 112 - Intermediate Spanish I

Fulfills SUNY General Education – Foreign Language.

 

Course Outcomes
Upon completion of this course, the student will:

• comprehend and utilize fundamental vocabulary in speech, reading and writing;
• utilize grammatical structures of the language;
• understand, read and write basic to intermediate Spanish;
• converse in the language on a basic to intermediate level;
• recognize the cultural diversity of the people who speak the language; and
• acquire knowledge of the areas of the world where the language is spoken.

SP 201 - Spanish Composition I

Fulfills SUNY General Education – Foreign Language.

 

Course Outcomes
Upon completion of this course, the student will :

• demonstrate intermediate to advanced proficiency in oral communication in Spanish;
• demonstrate intermediate to advanced proficiency in written communication in Spanish, including
  • the ability to analyze a problem and synthesize a solution through appropriate research;
  • the ability to integrate emerging technologies into research and communication; and
  • the ability to demonstrate an understanding of core concepts and research methods.
• demonstrate the ability to engage in critical thinking; and
• demonstrate a global awareness of the target culture’s presence in the world.

SP 202 - Spanish Composition II

Fulfills SUNY General Education – Foreign Language.

 

Course Outcomes
Upon completion of this course, the student will :

• demonstrate advanced proficiency in oral communication in Spanish;
• demonstrate advanced proficiency in written communication in Spanish, including
  • the ability to analyze a problem and synthesize a solution through appropriate research;
  • the ability to integrate emerging technologies into research and communication; and
  • the ability to demonstrate an understanding of core concepts and research methods.
• demonstrate the ability to engage in critical thinking; and
• demonstrate a global awareness of the target culture’s presence in the world.

SP 205 - Introduction to Spanish Literature

Fulfills SUNY General Education – Foreign Language.

Course Outcomes
Upon completion of this course, the student will:

• comprehend and utilize fundamental vocabulary in speech, reading and writing;
• utilize grammatical structures of the language;
• understand, read and write basic to intermediate Spanish;
• converse in the language on a basic to intermediate level;
• recognize the cultural diversity of the people who speak the language; and
• acquire knowledge of the areas of the world where the language is spoken.

SP 206 - Spanish Literature in Translation

• become familiar with particular works of Spanish literature;
• be acquainted with general principles of translation;
• translate parts of novels and short stories from Spanish into English;
• be able to analyze critically from a literary perspective; and
• be able to do basic research of literary works.

TE 101 - Computer Applications in Telecommunications

• explain the differences between operating system software and application software;
• explain how to view, organize, move and rename files using the current Microsoft operating systems;
• use various software packages to create documents, spreadsheets, graphs, databases and presentations;
• recognize the procedure to obtain help and online help for Microsoft Word, Microsoft Excel and Microsoft PowerPoint software;
• describe the procedure to cut, copy and paste text using Microsoft Word software;
• describe the procedure to create and insert a table into a using Microsoft Word document;
• understand and explain the difference between relative and absolute cell references in Microsoft Excel;
• explain how to produce a chart from data using Microsoft Excel;
• describe the procedure for creating a presentation using Microsoft PowerPoint; and
• explain how to insert text, clip art, pictures and charts into a Microsoft PowerPoint presentation;
• present current and emerging technologies in telecommunications to a residential or commercial client; and  
• address fair use of copyrighted materials and media in an academic environment.

TE 110 - Intro to Telecommunications

• articulate the fundamental concepts of telecommunications such as bandwidth, capacity and data rates;
• use the various color codes for cable and component recognition;
• be proficient at terminating wire connections using solderless-type connectors;
• describe basic communications concepts including networks, telephone equipment, multiplexing, switching, and transmissions media;
• express concepts in language appropriate to the telecommunications field;
• read and understand subject related literature;
• calculate communications parameters such as decibels, frequency, signal bandwidth and channel capacity;
• be proficient using basic telecommunications test equipment; and
• be familiar with installation of structured cabling.

The student will further develop the following course competencies: problem solving, teamwork, project leadership, quality, contextual learning, technology and service delivery, and customer focus.

Prerequisites: TE 101 or permission of the instructor.
F/S (S)

TE 130 - Electrical Circuits

• explain voltage, current and resistance as individual electrical concepts;
• apply voltage, current, resistance values into Ohm’s/Kirchoff’s Laws to describe circuit behavior;
• analyze dc and ac circuits to solve for unknown quantities of current, voltage resistance, impedance and/or reactance;
• explain the use of physical devices including resistors, capacitors, inductors and transformers in practical circuits;
• identify common electrical hardware components/systems and their values;
• read electrical schematics proficiently;
• assemble hardware devices using proper connections and the appropriate supply power;
• use measurement techniques of common electrical test equipment;
• wire, test and analyze electrical circuits using an industry standard software package;
• recognize series, parallel and combination circuit relationships;
• understand and explain how power is generated, measured and used in an electrical circuit;
• show competence in discussing ac circuit concepts such as reactance, impedance, resonance and power relationships; and
• select reactive components for power factor correction.

TE 135 - Electronics I

• describe the operation of transformers applied to power supplies;
• understand and explain in general how semiconductors operate and how they differ from traditional electrical components;
• describe the operation and applications of diodes applied to linear power supplies;
• build, design and test half-wave and full-wave linear power supplies;
• observe and describe source and load voltage regulation;
• use hardware and computer simulation software to wire and test electronic circuits;
• describe switching power supply operation;
• analyze and design inverting and non-inverting IC Op Amp circuits for a specified gain;
• identify, describe, and calculate the behavior of specialty Op Amp circuits such as comparators, window comparators, summing amps, scaling amps, averaging amps circuits;
• explain frequency concepts in electronics;
• describe the characteristics of light radiation and the operation of special purpose diodes such as LEDs and lasers; and
• explain amplifier concepts, input and output impedance, gain in ratio and in decibels.

TE 145 - Digital I

• design, construct and test digital logic circuits to meet the demands of any four input logic circuits;
• simulate simple logic circuits using application software;
• describe the relationship between digital and analog quantities;
• describe digital computer organization and operation including the CPU, motherboard, and memory; and
• explain different types of primary and secondary storage devices. 

 

Prerequisites: TE 101 or permission of instructor
S (S)

TE 180 - IT Essentials I

• identify types and characteristics of PC components, including motherboard, CPU, memory, and storage, input, and output devices;
• install and configure peripheral devices;
• identify types and characteristics of portable computers;
• analyze and trouble-shoot digital systems used in the creation and transport of digital information and conversion to analog output;
• install and configure current Microsoft Windows operating systems;
• perform basic PC hardware maintenance and troubleshooting;
• demonstrate fundamental principles of securing IT systems and working safely;
• communicate effectively with customers; and
• implement fundamental principles of connection to LANs and Internet access.

TE 181 - IT Essentials II

• install, configure and maintain personal computer components;
• detect problems, troubleshoot and repair/replace personal computer and laptop components;
• analyze and trouble-shoot digital systems used in the creation and transport of digital information and conversion to analog output;
• select and use the proper tools;
• detect and resolve common printer issues;
• select the appropriate commands and options to troubleshoot and resolve problems;
• differentiate between Windows Operating System directory structures;
• select and use system utilities / tools and evaluate the results;
• troubleshoot client-side network connectivity issues using appropriate tools;
• install and configure a small office home office (SOHO) network;
• prevent, troubleshoot and remove viruses and malware; and
• implement security and troubleshoot common issues.

TE 185 - Network Fundamentals

Course topics include, but are not limited to, focus on IP Networks, Network Devices, OSI, TCP/IP and IP Addressing, LAN/WAN Topology and Design, and Router and Switch IOS Basics.

Course Outcomes
Upon successful completion of this course the student will be able to:

• understand and describe the devices and services used to support communications in data networks and the Internet;
• understand and describe the importance of addressing and naming schemes at various layers of data networks in IPv4 and IPv6 environments;
• design, calculate, and apply subnet masks and addresses to fulfill given requirements in IPv4 and IPv6 networks;
• explain fundamental Ethernet concepts such as media, services, and operations;
• build a simple Ethernet network using routers and switches;
• use Cisco command-line interface (CLI) commands to perform basic router and switch configurations; and 
• utilize common network utilities to verify small network operations and analyze data traffic.

TE 212 - Telecommunications IV

• explain Asynchronous Transfer Mode (ATM) transmission and cell structure;
• describe Synchronous Optical Network (SONET) transport and frame structure;
• demonstrate the Digital Subscriber Line (xDSL) access technology;
• analyze Frame Relay access;
• clarify modern modulation techniques and applications;
• illustrate fiber optic access technologies (FTTx) and fiber networks;
• define wireless telecommunications methods and systems;
• compare services over IP;
• explain cryptography;
• understand computer and network security; and
• research and present details of a new communications technology;
• analyze and trouble-shoot digital systems used in the creation and transport of digital information and conversion to analog output;
• use various software packages to create documents, spreadsheets, graphs, databases and presentations;
• design voice, data, LAN and WAN telecommunications networks;
• demonstrate proficiency in the installation of telecommunication end-user equipment, switching and transmission equipment;
• be proficient in the use of various topologies, transmission media, network interfaces and shared resources to interconnect telecommunications networks; and
• present current and emerging technologies in telecommunications to a residential or commercial client.

TE 218 - Help Desk Professional

• define Help Desk and its role in organizations and how it can improve business;
• recognize technologies that impact the Help Desk when used to collect information and deliver support; and
• communicate technical instructions effectively for non-technicians.

TE 232 - Electronics II

• use software and hardware to build, measure, and troubleshoot electronic communication circuits;
• analyze the operation of low pass, high pass, band pass and band stop filters;
• become proficient in constructing and testing filter circuits;
• demonstrate capability in explaining oscillator concepts as they apply to communications;
• gain proficiency in traditional electronic modulation techniques including AM, FM and pulse modulation;
• assemble a simple amplitude modulator;
• understand high level digital modulation techniques for contemporary communications;
• possess knowledge of multiplexing and timing concepts;
• demonstrate an understanding of the principles and applications of phase locked loops, oscillators, AtoD/DtoA converters and mixers;
• build a phase locked loop to match Instructor specifications;
• specify transmission lines by application;and
• select antennas based on signal radio frequency characteristics.

TE 240 - Digital II

• analyze the difference and similarities from personal computers to notebooks, tablets, PDAs and other handheld devices;
• demonstrate a basic understanding of networks;
• show how to manage and support Windows security, registry, and recovery methods;
• demonstrate how to customize the computer for each individual customer use; and
• explain how to work with support services.

TE 270 - Routing and Switching I

• understand and describe basic switching concepts and the operation of Cisco switches;
• understand and describe enhanced switching technologies such as VLANs, VLAN Trunking Protocol (VTP), Spanning Tree Protocol (STP) and 802.1q;
• configure and troubleshoot basic operations of a small switched network;
• understand and describe the purpose, nature, and operations of a router, routing tables, and the route lookup process;
• configure and verify static routing and default routing;
• understand and describe how VLANs create logically separate networks and how routing occurs between them;
• understand and describe dynamic routing protocols, distance vector routing protocols, and link-state routing protocols;
• configure and troubleshoot basic operations of routers in a small routed network, like:
• a. Routing Information Protocol (RIPv1 and RIPv2)
• b. Open Shortest Path First (OSPF) protocol (single-area OSPF)
• c. VLANs and inter-VLAN routing
• configure, monitor, and troubleshoot ACLs for IPv4 and IPv6.
• configure and troubleshoot Dynamic Host Configuration Protocol (DHCP) and Domain Name System (DNS) for IPv4 and IPv6; and
• configure and troubleshoot Network Address Translation (NAT) operations.

TE 271 - Routing and Switching II

• configure and troubleshoot DHCP and DNS operations for IPv4 and IPv6;
• understand and describe the operations and benefits of the Spanning Tree Protocol (STP);
• configure and troubleshoot STP operations;
• understand and describe the operations and benefits of link aggregation and Cisco VLAN Trunk Protocol (VTP);
• configure and troubleshoot VTP, STP, and RSTP;
• configure and troubleshoot basic operations of routers in a complex routed network for IPv4 and IPv6;
• configure and troubleshoot Open Shortest Path First (OSPF) protocol (single-area OSPF and multi-area OSPF);
• configure and troubleshoot Enhanced Interior Gateway Routing Protocol (EIGRP);
• configure and troubleshoot advanced operations of routers and implement RIP, OSPF, and EIGRP routing protocols for IPv4 and IPv6; and
• manage Cisco IOS^® Software licensing and configuration files.

 

Prerequisites: TE 270
F/S (S)

TE 272 - Accessing the WAN

• understand and describe different WAN technologies and their benefits;
• understand and describe the operations and benefits of virtual private networks (VPNs) and tunneling;
• configure and troubleshoot serial connections;
• configure and troubleshoot broadband connections;
• configure and troubleshoot IPSec tunneling operations;
• monitor and troubleshoot network operations using syslog, SNMP, and NetFlow;
• design network architectures;
• understand, describe, and design borderless networks; and
• understand, describe, and design data centers and virtualization.

TE 275 - CCNA Security

• explain the importance of data networks and the Internet in supporting business. communications and everyday activities;
• explain how communication works in data networks and the Internet;
• describe the security threats facing modern network infrastructures;
• secure network device access;
• implement AAA on network devices;
• mitigate threats to networks using ACLs;
• implement secure network management and reporting;
• mitigate common Layer 2 attacks;
• implement the Cisco IOS firewall feature set;
• implement the Cisco IOS IPS feature set;
• implement site-to-site IPSec VPNs; and
• administer effective security policies.

TE 276 - CCNP I:Implementing IP Switching

• implement, monitor, and maintain switching in an enterprise campus network;
• implement VLANs in campus networks;
• configure and optimize high availability and redundancy on switches;
• describe and implement LAN security features; and
• plan and prepare for advanced services in a campus infrastructure.

TE 277 - CCNP II:Implementing IP Routing

• explain complex network requirements and design models for implementing advanced routing services in an enterprise network;
• implement EIGRP and OSPF in an enterprise network;
• implement various mechanisms for controlling routing updates and traffic;
• implement path control using IP SLA and PBR;
• implement BGP to allow an enterprise network to connect to an ISP;
• describe a basic implementation for branch office and mobile worker connectivity; and
• describe and configure IPv6 in an enterprise network.

TE 278 - CCNP III:Maintaining and Troubleshooting IP Networks

• plan and document the most common maintenance functions in complex enterprise networks;
• develop a troubleshooting process to identify and solve problems in complex enterprise networks;
• select tools that best support specific troubleshooting and maintenance processes in large, complex enterprise networks;
• practice maintenance procedures and fault resolution in routing and switched environments;
• troubleshoot NAT/PAT, DHCP, and other services;
• troubleshoot wireless connectivity, VoIP, and video; and
• practice maintenance procedures and fault resolution in a secure infrastructure and complex environment.

TE 279 - CCNA Voice

• describe the components of a Cisco Unified Communications solution and identify call signaling and media stream flows;
• provide an overview of administrator and end-user interface options with Cisco Unified Communications products and perform endpoint and end-user administration tasks;
• understand call flows in Cisco Unified Communications Manager and Cisco Unified Communications Manager Express;
• describe the telephony features supported in Cisco Unified Communications Manager and Cisco Unified Communications Manager Express;
• administer users in Cisco Unity Connection and Cisco Unified Presence, and enable the most commonly used features for both applications; and
• describe how to maintain a Cisco Unified Communications solution.

TE 291 - Internship

• perform the tasks related to their job assignment;
• be proficient in the use of various topologies, transmission media, network interfaces and shared resources to interconnect telecommunications networks;
• present current and emerging technologies in telecommunications to a residential or commercial client; and
• demonstrate an ability to accomplish with others assigned job tasks in a work environment provided by the internship program.

 

S (S)

TE 292 - Internship

• perform the tasks related to their job assignment;
• be proficient in the use of various topologies, transmission media, network interfaces and shared resources to interconnect telecommunications networks;
• present current and emerging technologies in telecommunications to a residential or commercial client; and
• demonstrate an ability to accomplish with others assigned job tasks in a work environment provided by the internship program.

TE 293 - Internship

• perform the tasks related to their job assignment;
• be proficient in the use of various topologies, transmission media, network interfaces and shared resources to interconnect telecommunications networks;
• present current and emerging technologies in telecommunications to a residential or commercial client; and
• demonstrate an ability to accomplish with others assigned job tasks in a work environment provided by the internship program.

 

S (S)

TE 294 - Internship

• perform the tasks related to their job assignment;
• be proficient in the use of various topologies, transmission media, network interfaces and shared resources to interconnect telecommunications networks;
• present current and emerging technologies in telecommunications to a residential or commercial client; and
• demonstrate an ability to accomplish with others assigned job tasks in a work environment provided by the internship program.

 

S (S)

TH 100 - Orientation to Disability Groups

• describe common disabilities and their associated illnesses;
• define basic medical and psychiatric terminology relating to disabilities;
• describe programming techniques used to modify and conduct recreational and physical education activities for individuals with disabilities; and
• identify agencies in the community which service individuals with disabilities.

 

F/S (C, S)

VC 100 - Ophthalmic Dispensing I

• list and identify historical and evolutionary developments related to opticianry;
• list laws governing opticianry in New York State;
• list and identify anatomical and physiological functions of the human eye;
• analyze eye planes and interocular distances related to ophthalmic lenses;
• list and discuss visual acuity testing systems; and
• list and identify refractive abnormalities of the eye.

VC 110 - Ophthalmic Lenses I

• distinguish and list the components of the electromagnetic spectrum;
• describe the action of light rays through refracting mediums;
• distinguish between various single vision lens forms;
• identify and describe basic and advance lens forms;
• apply correct formulas that relate to lens function; and
• describe various lens materials and identify specific characteristics of each.

 

F (N)

VC 133 - Introduction to Contact Lens Laboratory

• identify New York State laws governing the contact lens field;
• list individuals who made contributions to the contact lens field;
• identify anatomical structures related to contact lens wear;
• discuss contact lens materials and designs;
• explain indications, contraindications, advantages and disadvantages of contact lenses;
• discuss the use of contact lens solutions; and 
• demonstrate psychomotor skills using the keratometer, radiuscope, diameter gauge, and thickness gauge.

VC 140 - Ophthalmic Assisting

• demonstrate knowledge of and ability to take a relevant, concise ophthalmic history;
• identify basic anatomy and physiology of the eye;
• demonstrate knowledge of the basic concept of the field of vision and instrument use;
• demonstrate knowledge of ophthalmic ointments and understand the advantages and disadvantages of each;
• demonstrate knowledge of and instrument use;
• distinguish between objective and subjective autorefraction;
• demonstrate basic knowledge of and ability to perform color vision test and use of Amsler grid;
• identify basic ophthalmic emergencies and procedures;
• demonstrate basic knowledge of microbial control, sanitation, disinfection, sterilization and contamination;
• identify basic ophthalmic instrumentation and their uses, and perform basic maintenance; and
• demonstrate knowledge of HIPAA and how it influences policy, procedure and duties in the ophthalmic health care setting.

 

F (N)

VC 141 - Assisting and Refraction Lab

• capture, save and retrieve high resolution digital retinal images utilizing the fundus camera;
• measure and record intraocular pressure with use of a non-contact tonometer;
• determine refractive error with automated refraction testing utilizing simultaneous cross cylinders;
• conduct auto lensometry; and
• perform standard white/white kinetic perimetry using an automated visual field system.

VC 142 - Contact Lenses I

• determine the proper type and prescription for soft contact lenses;
• discuss the aspects of fitting rigid and soft contact lenses and the follow-up care;
• know the indications and contraindications to contact lens wear;
• design spherical rigid lenses; and
• identify different types of edema.

 

Prerequisites: VC 133
Concurrent Registration: VC 143
S (N)

VC 143 - Lab for VC 142

• demonstrate the usage of instruments needed in the fitting of contact lenses;
• discuss the aspects of fitting rigid and soft lenses and the follow-up care;
• express the terminology of contact lens fitting;
• fit soft contact lenses;
• evaluate corneal topography;
• insert and remove soft contact lenses;
• obtain a contact lens history;
• verify contact lens parameters; and
• perform a visual acuity check.

 

Prerequisites: VC 133
Concurrent Registration: VC 142
S (N)

VC 150 - Ophthalmic Dispensing II

• distinguish between different frame construction and materials;
• identify frame components, frame mounting systems and their applications;
• determine uses of specialty frame products including sport/safety and other specialty frame designs;
• define boxing system terminology and frame and lens measurements including application;
• calculate lens decentration and minimum blank size as it correlates to the boxing system;
• apply formulas used in spherical and cylinder lenses;
• perform prescription transposition, optical cross, nominal power and lens curvature formulas;
• perform an analysis of ophthalmic prisms which will include descriptions of prisms, classification of prismatic effects and measurements, splitting, and combining of ophthalmic prisms;
• the proper use of Prentice’s Rule in decentering single vision lenses to create prism; and
• identify the proper functions of multifocal lenses including lens decentration/inset and proper segment placement.

VC 160 - Ophthalmic Lenses II

• identify and record the information necessary to duplicate lenses covered in class;
• apply formulas that relate to functions of spectacle lenses;
• measure and apply appropriate formula to determine proper base curve of a given lens;
• conduct analysis of varying lens product enhancements of all ophthalmic lens materials;
• identify and describe various single vision, multifocal and specialty lens forms;
• distinguish and describe various lens tints and their appropriate uses; and
• describe different lens aberrations and proper methods for limiting their unwanted characteristics.

 

Prerequisites: VC 110
S (N)

VC 232 - Contact Lenses II

• fit all makes of contact lenses;
• discuss the aspects of fitting rigid and soft lenses and the follow up care;
• express the terminology of contact lens fitting;
• assess how to fit special lenses; and
• participate in National Contact Lens Certification Examination and the New York State Contact Lens Licensing Examination.

 

Prerequisites: VC 142
Concurrent Registration: VC 233
F (N)

VC 233 - Lab for VC 232

• demonstrate the usage of instruments needed in the fitting of contact lenses;
• discuss the aspects of fitting rigid and soft lenses and the follow-up care;
• express the terminology of contact lens fitting;
• assess how to fit special lenses;
• evaluate fluorescein patterns; and
• participate in the National Contact Lens Certification Examination and the New York State Contact Lens Licensing Examination.

 

Prerequisites: VC 142
Concurrent Registration: VC 232
F (N)

VC 240 - Ophthalmic Dispensing III

• determine the effects of presbyopia and select appropriate lens for its correction;
• evaluate difference lens styles;
• compare and contrast the multitude of lens styles available;
• manipulate patients prescription to meet differing visual requirements;
• distinguish proper segment placement of varying multifocal styles;
• identify anisometropic prescriptions leading to vertical imbalance;
• determine proper method for the correction of vertical imbalance;
• conduct use of proper formulas for calculating vertical imbalance;
• identify the concept and early design of progressive addition lenses;
• analyze the current technology used in the creation of modern progressive lenses;
• identify the proper methods used in the fitting and dispensing of progressive lenses;
• determine design characteristics and proper uses of specialty progressive lenses;
• evaluate effect of digital surfacing principles with evolving progressive lens design;
• distinguish between the different forms of glare and proper lens selection for their management;
• identify differing forms of radiant energy and its effect on the eye;
• identify differing absorptive lenses and their appropriate uses; and
• evaluate the effects of different lens coatings on ophthalmic lens surfaces including scratch resistant, anti-reflective and mirror.

VC 243 - Contact Lens Clinic Practice

• demonstrate the usage of instruments needed in the fitting of contact lenses;
• discuss the aspects of fitting rigid and soft lenses and the follow-up care;
• take a contact lens history;
• educate patients in the proper insertion, removal and care of contact lenses;
• evaluate the fit of soft contact lenses;
• communicate effectively with patients; and
• participate in the National Contact Lens Certification Examination and the New York State Contact Lens Licensing Examination.

VC 245 - Ophthalmic Fabrication I

• demonstrate the proper use of lensometer;
• perform neutralization of spherical and cylindrical lenses;
• demonstrate proper techniques of hand beveling ophthalmic lenses;
• identify and properly use common ophthalmic hand tools and measuring devices;
• develop proper bench alignment skills;
• perform basic ophthalmic frame repair;
• demonstrate proper layout of single vision and multifocal lenses;
• learn and complete job work ticket;
• edge, assemble and verify completed single vision and multifocal eyewear; and
• demonstrate application of ANSI standards.

 

F (N)

VC 246 - Ophthalmic Dispensing Lab I

• demonstrate lens neutralization techniques;
• analyze single vision and multifocal prescriptions;
• interpret prescription ordering terminology;
• develop effective ophthalmic record keeping;
• demonstrate visual axis measurement theory;
• apply dispensing procedure theory;
• dispense basic plastic and metal eyewear;
• perform basic facial measurements;
• utilize all required hand tools for frame adjustments;
• employ standard order form; and
• interact courteously and calmly with student/patient.

VC 250 - Ophthalmic Dispensing IV

• distinguish between the multiple tests done in the preliminary eye examination;
• identify microbes which cause eye infections, ocular conditions and anatomy affected by the particular microbe and methods of reducing their spread in eye practices;
• distinguish between different ocular pharmacology agents and the application methods of these agents;
• identify cataract terminology, formation and surgical techniques used for the removal of cataracts;
• conduct an analysis of the different methods of aphakic correction including spectacles, contact lenses and intraocular lens implants;
• evaluate refractive surgical techniques with emphasis on most current technology and special challenges and concerns in fitting post refractive surgical patients with contact lenses and spectacles;
• identify the most common eye diseases and their treatments including macular degeneration, glaucoma, diabetic retinopathy along with test and treatment of these diseases;
• develop proper techniques for identifying and correcting complex and unusual vision prescriptions including aniseikonic, high minus and high plus; and
• apply knowledge of low vision problems to determine appropriate device for its management.

VC 255 - Ophthalmic Fabrication II

• fabricate and evaluate bifocal and progressive multifocal lenses;
• demonstrate ability to tint and polish spectacle lenses;
• demonstrate ability to work with different ophthalmic frame materials;
• create prism in finished vision eyewear;
• repair hidden hinges in zyl frames;
• demonstrate ability to solder frames;
• repair frames with broken eye wire and temple screws;
• groove and insert lenses into nylon rimless frame; and
• demonstrate application of ANSI standards.

VC 256 - Ophthalmic Dispensing Lab II

• dispense all plastic, combination, rimless and metal eyewear;
• analyze and interpret special and extraordinary prescriptions, including presbyopic, cataract, prism, and high powers;
• perform dispensing skills;
• identify and apply components of a electronic based recording and ordering systems; and
• perform the various requirements needed in off-campus clinic operations and replicated dispensing scenarios.

VC 261 - General Dispensing Practice

• complete minor repairs to customers eyewear;
• readjust eyewear to customers satisfaction in a normal period of time;
• interact courteously with co-workers and customers alike;
• apply skills learned in Ophthalmic Dispensing Lab to situations encountered in actual business practice;
• suggest appropriate eyewear to the public regarding frame compatibility with the customer prescription;
• describe benefits accruable to the customer based on frames, size, color, type, and/or material;
• take all required facial and anatomical measurements to correctly fabricate the customer’s prescription;
• deliver the completed eyewear to the customer, making all necessary adjustments beyond the basic bench adjustment, including directions to the customer on proper handling, maintenance and pitfalls concerning adjustment to the new optical power of the lenses and prescription;
• document and place order, transmit specifications and record appropriate laboratory information;
• maintain price and product lists by monitoring price and product availability;
• determine patient’s participation in a third party program and complete appropriate documentation; and
• establish rapport with patient and demonstrate professional and ethical conduct.

VC 264 - Ophthalmic Practice Management

• describe the skills and licensure requirements necessary to obtain an entry level position as a dispensing optician;
• utilize successful communications skill with patients including special needs strategies;
• address the needs of a culturally diverse patient base;
• demonstrate application of HIPAA regulations as they pertain to patients in the ophthalmic practice;
• contrast present day marketing strategies of various dispensing practices adopting or rejecting favorable position;
• calculate markup procedures for a dispensing practice;
• evaluate capture rate and chair cost as critical benchmarks for practice; and
• prepare and present a research report stating support or opposition of a practice management topic.

VC 283 - Advanced Contact Lens Lab

• demonstrate the usage of instruments needed in the fitting of contact lenses;
• discuss the aspects of fitting rigid and soft lenses and the follow-up care;
• express the terminology of contact lens fitting;
• fit rigid and soft contact lenses;
• assess how to fit special lenses;
• understand the management of a contact lens practice;
• design contact lenses; and
• participate in the National Contact Lens Certification Examination and the New York State Contact Lens Licensing Examination.

GA 101 - Orientation to Graphics

• identify basic terminology used in the printing industry;
• recognize major individuals and dates in history who contributed to the invention of the printing process;
• identify various products such as advertising/ads, posters, calendars, brochures, newsletters, books, product labels & packaging, music industry products, postcards, etc. as viable products for printing; their varied uses and appearances;
• recognize products from the past that are examples of fine communication/printing craftsmanship and beauty;
• understand the basic process used to produce a product in the printing industry as well as identify basic equipment;
• measure in points and picas, compare and convert point and picas to other measurement systems;
• understand, be able to decipher and apply mark-up codes to rough copy;
• identify the fundamentals of typography;
• identify basic components and principles of good layout and design;
• identify the differences between thumbnails, roughs, comprehensives and how to render a basic rough;
• correctly measure and mark-up specified projects using points and picas; and
• be able to utilize a sketch/note book as a means for collecting and organizing related ideas, data, information, etc. as part of the process involved in designing products for printing.

GA 102 - Publishing I Basics

• navigate through the operation system of the Apple computer;
• proficiently use various Apple software tools;
• describe the importance of page layout programs in the graphic arts industry, as well as identify different types of software programs;
• apply design principles and typography in a pleasing layout;
• understand the steps in the creative process and utilize them during class;
• utilize the page layout software application; and
• use hardware in conjunction with class requirements.

GA 103 - Electronic Imaging I

• recognize standard graphic formats, color spaces and documents;
• produce and convert basic graphic documents into a PDF workflow;
• solve imposition calculations for page creep, ganging and step and repeat;
• modify quality control devices and marks relevant to specific outputs;
• classify Imposition layouts for books and flat sheet layouts;
• apply Impositions to specific binding and Workstyles utilizing a digital workflow; and
• modify output device dependent settings to achieve predictable results.

GA 105 - Lithographic Press I

• explain the operations required to produce a printed product;
• explain the role of the graphic arts technician and their relationship with the members of the print production team;
• demonstrate the ability to operate and maintain a variety of printing/bindery equipment;
• present ideas verbally, demonstrating craftsmanship and confidence in a commercial print shop environment;
• demonstrate safe working habits and practices in an industrial environment;
• demonstrate proper material handling abilities; and
• demonstrate increased verbal and visual communication skills in presenting one’s ability to apply standard practices in a printing production environment.