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d. Status of a neonate (apgar score, gestational age)RESP 101RESP 102RESP 103RESP 104RESP 105RESP 106RESP 107RESP 108RESP 201RESP 202RESP 203RESP 204RESP 205RESP 208RESP 209APHY 101/102ENGL 111MATH 123CHEMBIOLCOMM 101/102PSYC/SOCI
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Patient Data
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Demonstrate Knowledge of and Competency in the Evaluation of Data in the Patient Record
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1. Patient History (history of present illness (HPI), orders, medication reconcilation, progress notes, DNR status/advanced directives, social/family/medical hx)XXXXXXX
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2. Physical exam relative to the cardiopulmonary systemXXXXX
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3. Lines, drains and airways (chest tube, vascular lines, artificial airways)XXXXX
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4. Laboratory results (CBC, electrolytes, coagulation studies, Sputum C&S, cardiac biomarkers)XXXXXXXXXXX
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5. Blood Gas Analysis and/or hemoximetry (CO-oximetry) resultsXXXXXXX
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6. PFT results (spirometry, lung volumes, DLCO)XXXXXX
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7. 6 minute walk test resultsXX
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8. Imaging study results (chest radiographs, CT scan, Ultrasonography and/or echocardiography, PET scan, Ventilation/Perfusion scan)XXXXXX
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9. Maternal and perinatal/neonatal history (Apgar, gestational age, L/S ratio)XXX
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10. Sleep study results (apnea-hypopnea index (AHI)XXX
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11. Trends in Monitoring results
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a. fluid balanceXXXXXXX
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b. Vital signsXXXX
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c. Intracranial pressure monitoringXX
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d. Ventilator liberation parametersXX
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e. pulmonary mechanicsXXXXXXXX
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f. Noninvasive (pulse oximetry, capnography, transcutaneous)XXXXXXX
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g. Cardiac evaluation/monitoring results (ECG, hemodynamic parameters)XXXXXX
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12. Determination of a patient's pathophysiological stateXXXXXX
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Demonstrate Knowledge of and Competency in Performing Clinical Assessment
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1. Interviewing a patient to assess
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a. Level of consciousness and orientation, emotional state, and ability to cooperateXXXXX
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b. Level of painXXX
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c. Shortness of breath, sputum production, and exercise toleranceXXXX
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d. Smoking historyXXXX
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e. Environmental exposuresXXXXX
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f. Activities of daily livingXXXXXX
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g. learning needs (literacy, preferred learning style, culture)XXXX
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2. Performing inspection to assess
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a. General appearanceXXXXX
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b. Characteristics of the airway (patency, Mallampati classification, tracheal shift)XXXX
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c. Cough, sputum amount and characterXXXXX
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XXX
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e. skin integrity (pressure ulcers, stoma site)XXXX
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3. Palpating to assess
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a. Pulse, rhythm, intensityXXXXX
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b. Accessory muscle activityXXXX
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c. Asymetrical chest movements, tactile fremitus, crepitus, tenderness, tactile rhonchi, and/or tracheal deviationXXXX
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4. Performing diagnostic chest percussionXXXX
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5. Auscultating to assess
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a. Breath soundsXXXXXXX
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b. Heart sounds and rhythmXXXXX
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c. Blood pressureXXXXX
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6. Reviewing a chest radiograph to assess
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a. Quality of imaging (patient positioining, penetration, lung inflation)XXXX
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b. Presence and position of airways, lines and drainsXXXX
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c. Presence of foreign bodiesXXXXX
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d. Heart size and positionXXX
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e. Presence of or change in …….
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i. Cardiopulmonary abnoramalities (pneumothorax, pleural effusion, consolidation, pulmonary edema, pulmonary artery size)XXXX
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ii. Ddiaphgram, mediastinum or tracheaXXX
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Demonstrate knowledge of and competency in Performing Procedures to Gather Clinical Information
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1. 12 Lead ECGXXXX
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2. Noninvasive monitoring (pulse oximetry, capnography, transcutaneous)XXXXXXX
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3. Peak flowXXXXX
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4. Mechanics of spontaneous ventilation linked to tidal volume, minute volume, maximal inspiratory pressure and vital capacityXXXX
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5. Blood gas sample collectionXXXXXX
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6. Blood gas analysis and/or hemoximetry (Co-oximetry)XX
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7. Oxygen titration with exerciseXX
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8. Cardiopulmonary calculations (PA-aO2, Vd/Vt, P/F, OI)XXXXX
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9. Hemodynamic monitoringXXX
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10. Pulmonary compliance and airways resistanceXXXX
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11. Plateau pressureXXX
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12. Auto-PEEP determinationXX
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13. Spontaneous Breathing Trial (SBT)XX
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14. Apnea monitoringXX
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15. Apnea test (brain death determination)XXX
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16. Overnight pulse oximetryXX
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17. CPAP/NPPV titration during sleepXX
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18. Cuff management (tracheal, laryngeal)XXX
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19. Sputum InductionXXX
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20. Cardiopulmonary stress testingXX
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21. 6-minute walk testXX
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22. Spirometry outside or inside a pulmonary function laboratoryXXX
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23. DLCO inside a pulmonary function laboratoryX
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24. Lung volumes inside a pulmonary function laboratoryXXX
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25. Test of respiratory muscle strength (MIP, MEP)XX
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26. Therapeutic BronchoscopyX
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Demonstrate Knowledge of and Competency in Evaluating Procedure Results
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1. 12 Lead ECGXXXXX
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2. Noninvasive monitoring (pulse oximetry, capnography, transcutaneous)XXXXXXXX
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3. Peak flowXXXXXX
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4. Mechanics of spontaneous ventilation linked to tidal volume, minute volume, maximal inspiratory pressure and vital capacityXXXXX
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5. Blood gas analysis and/or hemoximetry (Co-oximetry)XXXXX
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6. Oxygen titration with exerciseXXX
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7. Cardiopulmonary calculations (PA-aO2, Vd/Vt, P/F, OI)XXXX
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8. Hemodynamic monitoringXXXX
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9. Pulmonary compliance and airways resistanceXXXXXX
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10. Plateau pressureXX
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11, Auto-PEEP determinationXX
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12. Spontaneous breathing trial (SBT)XX
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13. Apnea monitoringXXX
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14. Apnea test (brain death determination)XXX
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15. Overnight pulse oximetryXXXX
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16. CPAP/NPPV titration during sleepXXX
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17. Cuff management (tracheal, laryngeal)XXXX
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18. Cardiopulmonary stress testingXX
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