BS Respiratory Therapy is now becoming a popular career choice for anyone who is wishing to enter the health care profession and for those who wants to work at once in any health care facilities after graduating in this four year program without necessarily taking any licensure examination in the Philippines. The Respiratory Therapy Program in Lorma Colleges prepare students for a bachelor’s degree in Respiratory Therapy and from there, graduates can work in both home care, private and public health care settings, assisting patients with cardiopulmonary abnormalities or deficiencies.
The four year program offered by Lorma Colleges consists of general health science education subjects and professional subjects. The fourth year level is the internship program where student are assigned in accredited training hospitals in La Union, Baguio and in the National Capital Region. The students are on rotational duties in different sections of one or more hospitals such as Pulmonary Diagnostics, General Respiratory Care, Adult Intensive Care Unit & Pediatric Care unit, and Sleep Laboratory. Aside from the trainings that our students experienced from our base hospital, the Lorma Medical Center, students enrolled in BS Respiratory Therapy will be expose to other hospitals including Saint Louis University- Hospital of the Sacred Heart in Baguio City and the prestigious Lung Center of the Philippines located in Quezon City, Metro Manila.
COURSE DESCRIPTION OF PROFESSIONAL SUBJECTS
This course is offered to the first years BS Respiratory Therapy students. The students are introduced to the basic terms used by the paramedical courses. They are taught to analyze the different word parts, build medical terms and pronounce it correctly. This will help them relate to or understand other paramedical courses using the medical language.
Human Anatomy and Physiology
This course will include instruction on basic structure and function of the body; basic chemistry; description of cells and tissues; function of each body system: Integumentary, skeletal, muscular, nervous, endocrine, circulatory, lymphatic, respiratory, digestive, urinary, and reproductive; The three units lecture provides three hours of class discussion and presentations and a two unit laboratory that includes six hours of interactive and multi modal learning that incorporates library work and technologically-based presentations with group work and individual student participation. Basic medical terminology will also be introduced so that the student is better prepared to understand and communicate with other health care professionals. This course will also serve as the student’s foundation in the study of more advance topics in anatomy and physiology.
Cardiopulmonary Anatomy & Pathophysiology
An in-depth presentation of the cardiopulmonary system, its abnormalities, and corrective techniques as related to respiratory therapy. Study of concepts and theory of selected cardiopulmonary diseases, to include: definition, clinical manifestations, etiology, pathologic, radiological and laboratory findings; prevention, prognosis, and treatment.
Neuromuscular Anatomy & Pathophysiology
The subject provides knowledge on normal and medical-surgical conditions that may lead to transient or permanent respiratory impairment which affects the neuromuscular system. Topics included are: (a) thoracic cage and spinal column deformities (b) effects of abdominal/thoracic incision on thoracic excursions and ventilation (c) neuromuscular disorders.
Fundamentals of Respiratory Therapy
The course is designed to provide basic background knowledge in the following: Respiratory Therapy history, principles, techniques; physical and physiological bases for the following procedures: oxygen therapy, humidity and aerosol therapy, lung expansion therapy, environmental therapy, pulmonary function testing, pulmonary rehabilitation, mechanical ventilation, blood gas extraction and analysis.
The subject offers basic learning experience in patient history-taking, initial evaluation methods. Special emphasis is given on normal and adventitious breath sounds; chest physical examination employing the techniques of (a) Inspection (b) Palpation (c) Percussion and (d) Auscultation. Emphasizes the analytical and observational skills necessary to perform respiratory assessment. Topics include: interviewing the patient and physical examination.
Principles of Pulmonary Rehabilitation
The subject deals with rehabilitation techniques and procedures related and l to the practice of Respiratory Care: (a) chest expansion measurements and assessment (b) chest percussion and vibration (c) postural drainage (d) chest mobility exercises (e) diaphragm retraining and breathing exercises and (f) create a respiratory home care plan and follow-up. The roles of a Respiratory Care Practitioners in the elderly and procedures for homecare and nursing homes are also discussed.
Airway Management & Cardiopulmonary Resuscitation
The subject deals with the following: (a) definition and causes of clinical death (b) physiology during cardio-pulmonary arrest and resuscitation (c) procedures for one- rescuer and double-rescuer CPR (d) role of a respiratory therapist in airway management (e) anatomical structures of the upper/lower airways (f) common causes of airway obstruction and techniques how to relieve such obstruction (g) artificial airways (h) intubation equipment and procedures (I) oropharyngeal, endotracheal suctioning and tracheostomy care.
Presents the general principles of pharmacology and action of the major respiratory drugs. In addition, the anatomy and physiology of the autonomic nervous system and its role in drug action will be covered. Drugs will be studied as groups and individually for site and mechanism of action, contraindications and side effects, clinical uses and routes of administration. Focuses on the drugs and drug groups that are administered by respiratory therapy personnel, or those that play a role in the care of cardiopulmonary patients.
Principles of Neonatal/Pediatric Respiratory Care
This course provides an introduction to neonatal and pediatric respiratory care. Topics include fetal development and continuing through assessments of infants including, gestational age, APGAR scoring, and Silverman scoring neonatal and pediatric assessment, airway care and ventilation. Various heart/lung deficiencies will also be discussed as well as treatment modalities.
Principles of Pulmonary Physiology in the ICU
Focuses on patient management and increases the application of problem base learning through the use of selected case studies in respiratory disease. Critical thinking and decision making skills are reinforced. Provides units on electrocardiography, critical care drugs, cardiac disease, and respiratory intensive care.
Emphasis on the technical components of mechanical ventilators, their classification, principles of operation, attachments, and the flow/pressure/volume curves generated by various ventilators, compliance, and resistance. An introduction to the management of patients receiving mechanical ventilation will be presented.
Ventilation & Gas Exchange Monitoring
This course will present concepts of ventilation and gas exchange monitoring which the respiratory therapist performs or assists physicians in performing. Theory, application, and equipment for diagnosing respiratory pathologies through the diagnostic concepts used in respiratory therapy are part of this course.
This subject deals with basic principles of microbiology and the different types of pathogens related to pulmonary medicine. Focus is given to mode of entry of these pathogens and the body’s natural defense mechanism. Special emphasis is given to different decontamination procedures related to respiratory care.
ICU Crisis Management
The subject deals with respiratory emergencies and their corresponding course of action to correct/alleviate patient status in the intensive care unit. Invasive and noninvasive techniques of patient monitoring are also discussed.
Test of Pulmonary Function & Structure
This course will present concepts of pulmonary function testing and other cardiopulmonary diagnostic procedures which the respiratory therapist performs or assists physicians in performing. Theory, application, and equipment for diagnosing respiratory pathologies through the diagnostic concepts used in respiratory therapy.
Management & Health Care Ethics
The subject provides information regarding the following: (a) different organizational structures of Respiratory Care Department (b) different management and supervision styles (c) personnel selection and staff education (d) inter-departmental relationships (e) evaluation and maintenance of respiratory care quality standards (f) departmental resources management (g) ethical standards
Respiratory Care Seminar 1
The subject covers the topics regarding the application of the most recent innovations in Respiratory Care in the treatment cardiopulmonary impaired patients focusing on cases commonly encountered in the hospitals. Special emphasis is given on the different respiratory care protocols.
Clinical Education 1
This practicum applies knowledge and skills learned in co-requisite courses to patients in the clinical setting. It continues to build on competencies and skills acquired in previous semesters. Emphasis is placed on airway care, ventilator management, and a rotation through a pulmonary function lab. Presented at one or more of the program’s clinical affiliates.
Advanced Mechanical Ventilation
A continuation of the Mechanical Ventilation course. In-depth study of ventilator management in critical care, long-term care, and the home environment utilizing case studies, and clinical problem based learning sessions. The subject deals with the study of the following: (a) modifications of Inspiratory and expiratory flow patterns (b) reversal of Inspiratory : Expiratory (I:E) ratio during mechanical ventilation (c) nonconventional techniques/methods of ventilatory support- high frequency ventilation and ultra-high-frequency ventilation (d) new generation of mechanical ventilators.
The subject deals with the basic principles of pressure measurement in the different major veins/arteries and heart chambers, the basic technological principles in the apparatus and cardiac catheters, the principle of indirect cardiac output measurements, the hazards/complications of cardiac catheterization and it’s corresponding preventive aspects, assessment of the patients pulmonary capillary wedge pressure and it’s correlation with other hemodynamics parameter.
Respiratory Care Seminar 2
The subject covers the topics regarding the application of the most recent innovations in Respiratory Care in the treatment of cardiopulmonary impaired patients focusing on special cases encountered in the hospitals. Respiratory care protocols lecture & discussion is a major part of this subject.
Clinical Education 2
This practicum applies knowledge and skills learned in co-requisite courses and continue to build on competencies and skills acquired in previous semesters. Emphasis is placed on respiratory intensive care. Specialty rotations are established in neonatal/pediatric facilities. Presented at one or more of the program’s clinical affiliates.
Teaching in HealthCare Setting
Theoretical aspects of providing respiratory therapy at alternate sites. Includes components of home respiratory therapy, extended care units, long term care facilities, ventilator rehabilitation centers, physician offices, land/air transport, and outpatient diagnostic clinics. Introduces the fundamentals of teaching and learning
Clinical Internship Program (Total of 1500 hours)
The Respiratory Therapy Internship is in the fourth year level of Bachelor of Science in Respiratory Therapy course. It is an intensive practical and theoretical training in the different sections in the clinical laboratory namely: Pulmonary Diagnostics, General Respiratory Care, Adult Intensive Care Unit, Neonatal & Pediatric Critical Care Unit, and Sleep Laboratory.