NBRC Therapist Written RRT Examination - Home - CoARC



NBRC Therapist Combined Detailed Content Outline Comparison with Proposed Curriculum (Program # FORMTEXT ?????)List Course Number(s)I. PATIENT DATAA. Evaluate Data in the Patient RecordPatient history , for example,history of present illness (HPI) ? orders? medication reconciliation? progress notesDNR status / advance directives? social, family, and medical history FORMTEXT ?????2. Physical examination relative to the cardiopulmonary system FORMTEXT ?????Lines, drains, and airways, for example,chest tube? artificial airway ?vascular lines FORMTEXT ?????Laboratory results, for example,CBC? electrolytes? coagulation studiessputum culture and sensitivities? cardiac biomarkers FORMTEXT ?????5. Blood gas analysis and/or hemoximetry (CO-oximetry) results FORMTEXT ?????6. Pulmonary function testing results, for example?spirometry ?lung volumes ?DLCO FORMTEXT ?????7. 6-minute walk test results FORMTEXT ?????Imaging study results, for example,chest radiograph? CT scan? ultrasonography and/or echocardiography? PET scan? ventilation / perfusion scan FORMTEXT ?????Maternal and perinatal / neonatal history, for example,APGAR scores? gestational age? L / S ratio FORMTEXT ?????10. Sleep study results. for example,?apnea-hypopnea index (AHI) FORMTEXT ?????11. Trends in monitoring resultsa. fluid balance FORMTEXT ?????b. vital signs FORMTEXT ?????c. intracranial pressure FORMTEXT ?????d. ventilator liberation parameters FORMTEXT ?????e. pulmonary mechanics FORMTEXT ?????f. noninvasive, for example,pulse oximetry? capnography? transcutaneous FORMTEXT ?????NBRC Therapist Combined Detailed Content Outline Comparison with Proposed Curriculum (Program # FORMTEXT ?????)List Course Number(s)g. cardiac evaluation/monitoring results, for?ECG ?hemodynamic parameters FORMTEXT ?????12. Determination of patient’s pathophysiological state FORMTEXT ?????B. Perform Clinical Assessment1. Interviewing a patient to assessa. level of consciousness and orientation, emotional state, and ability to cooperate FORMTEXT ?????b. level of pain FORMTEXT ?????c. shortness of breath, sputum production, and exercise tolerance FORMTEXT ?????d. smoking history FORMTEXT ?????e. environmental exposures FORMTEXT ?????f. activities of daily living FORMTEXT ?????g. learning needs, for example,literacy? social/culture? preferred learning style FORMTEXT ?????2. Performing inspection to assessa. general appearance FORMTEXT ?????b. characteristics of the airway, for example,patency? Mallampati classification? tracheal shift FORMTEXT ?????c. cough, sputum amount and character FORMTEXT ?????d. status of a neonate, for exampleApgar score? gestational age FORMTEXT ?????e. skin integrity, for example,pressure ulcers ?stoma site FORMTEXT ?????3. Palpating to assessa. pulse, rhythm, intensity FORMTEXT ?????b. accessory muscle activity FORMTEXT ?????NBRC Therapist Combined Detailed Content Outline Comparison with Proposed Curriculum (Program # FORMTEXT ?????)List Course Number(s)c. asymmetrical chest movements, tactile fremitus, crepitus, tenderness, tactile rhonchi, and/or tracheal deviation FORMTEXT ?????4. Performing diagnostic chest percussion FORMTEXT ?????5. Auscultating to assessa. breath sounds FORMTEXT ?????b. heart sounds and rhythm FORMTEXT ?????c. blood pressure FORMTEXT ?????6. Reviewing a chest radiograph to assessa. quality of imaging, for example,patient positioning? penetration ?lung inflation FORMTEXT ?????b. presence and position of airways, lines, and drains FORMTEXT ?????c. presence of foreign bodies FORMTEXT ?????d. heart size and position FORMTEXT ?????e. presence of, or change in,cardiopulmonary abnormalities for example,pneumothorax? pleural effusion?pulmonary edemaconsolidation? pulmonary edema?pulmonary artery size FORMTEXT ?????(ii) diaphragm, mediastinum, and/or trachea FORMTEXT ?????C. Perform Procedures to Gather Clinical Information1. 12-lead ECG FORMTEXT ?????Noninvasive monitoring, for example,pulse oximetry? capnography? transcutaneous FORMTEXT ?????3. Peak flow FORMTEXT ?????4. Mechanics of spontaneous ventilation linked to tidal volume, minute volume, and maximal inspiratory pressure, and vital capacity FORMTEXT ?????5. Blood gas sample collection FORMTEXT ?????NBRC Therapist Combined Detailed Content Outline Comparison with Proposed Curriculum (Program # FORMTEXT ?????)List Course Number(s)6. Blood gas analysis and/or hemoximetry (CO-oximetry) FORMTEXT ?????7. Oxygen titration with exercise FORMTEXT ?????Cardiopulmonary calculations, for example,P(A-a)O2? VD / VT? P / F? OI FORMTEXT ?????9. Hemodynamic monitoring FORMTEXT ?????10. Pulmonary compliance and airways resistance FORMTEXT ?????11. Plateau pressure FORMTEXT ?????12. Auto-PEEP determination FORMTEXT ?????13. Spontaneous breathing trial (SBT) FORMTEXT ?????14. Apnea monitoring FORMTEXT ?????15. Apnea test (brain death determination) FORMTEXT ?????16. Overnight pulse oximetry FORMTEXT ?????17. CPAP / NPPV titration during sleep FORMTEXT ?????Cuff management, for example,tracheal ?laryngeal FORMTEXT ?????19. Sputum induction FORMTEXT ?????20. Cardiopulmonary stress testing FORMTEXT ?????21. 6-minute walk test FORMTEXT ?????22. Spirometry outside or inside a pulmonary function laboratory FORMTEXT ?????23. DLCO inside a pulmonary function laboratory FORMTEXT ?????24. Lung volumes inside a pulmonary function laboratory FORMTEXT ?????25. Tests of respiratory muscle strength- MIP and MEP FORMTEXT ?????26. Therapeutic bronchoscopy FORMTEXT ?????NBRC Therapist Combined Detailed Content Outline Comparison with Proposed Curriculum (Program # FORMTEXT ?????)List Course Number(s)D. Evaluate Procedure Results1. 12-lead ECG FORMTEXT ?????Noninvasive monitoring, for example,pulse oximetry? capnography? transcutaneous FORMTEXT ?????3. Peak flow FORMTEXT ?????4. Mechanics of spontaneous ventilation linked to tidal volume, minute volume, maximal inspiratory pressure, and vital capacity FORMTEXT ?????5. Blood gas analysis and/or hemoximetry (CO-oximetry) FORMTEXT ?????6. Oxygen titration with exercise FORMTEXT ?????Cardiopulmonary calculations, for example,P(A-a)O2? VD / VT? P / F? OI FORMTEXT ?????8. Hemodynamic monitoring FORMTEXT ?????9. Pulmonary compliance and airways resistance FORMTEXT ?????10. Plateau pressure FORMTEXT ?????11. Auto-PEEP FORMTEXT ?????12. Spontaneous breathing trial (SBT) FORMTEXT ?????13. Apnea monitoring FORMTEXT ?????14. Apnea test (brain death determination) FORMTEXT ?????15. Overnight pulse oximetry FORMTEXT ?????16. CPAP / NPPV titration during sleep FORMTEXT ?????Cuff status, for example,laryngeal ?tracheal FORMTEXT ?????18. Cardiopulmonary stress testing FORMTEXT ?????19. 6-minute walk stress testing FORMTEXT ?????20. Spirometry outside or inside a pulmonary function laboratory FORMTEXT ?????NBRC Therapist Combined Detailed Content Outline Comparison with Proposed Curriculum (Program # FORMTEXT ?????)List Course Number(s)22. DLCO inside a pulmonary function laboratory FORMTEXT ?????23.Tests of respiratory muscle strength-MIP and MEP FORMTEXT ?????E. Recommend Diagnostic Procedures1. Testing for tuberculosis FORMTEXT ?????Laboratory tests, for example,electrolytes? CBC?coagulation studies ?sputum culture and sensitives ?cardiac biomarkers FORMTEXT ?????3. Imaging studies FORMTEXT ?????4. Bronchoscopy FORMTEXT ?????a.diagnostic FORMTEXT ?????b.therapeutic FORMTEXT ?????5. Bronchoalveolar lavage (BAL) FORMTEXT ?????6. Pulmonary function testing FORMTEXT ?????Noninvasive monitoring, for example,pulse oximetry? capnography? transcutaneous FORMTEXT ?????8. Blood gas and/or hemoximetry (CO-oximetry) FORMTEXT ?????9. ECG FORMTEXT ?????Exhaled gas analysis, for example,CO2? CO? FENO FORMTEXT ?????11. Hemodynamic monitoring FORMTEXT ?????12. Sleep studies FORMTEXT ?????13. Thoracentesis FORMTEXT ?????II. TROUBLESHOOTING AND QUALITY CONTROL OF DEVICES, AND INFECTION CONTROLA. Assemble and Troubleshoot EquipmentMedical gas delivery interfaces, for example,mask ?cannula ?heated high-flow nasal cannula FORMTEXT ?????NBRC Therapist Combined Detailed Content Outline Comparison with Proposed Curriculum (Program # FORMTEXT ?????)List Course Number(s)2. Long-term oxygen therapy FORMTEXT ?????Medical gas delivery, metering, and/or clinical analyzing devices, for example,concentrator ?liquid system ?flowmeter ?regulatorgas cylinder ?blender ?air compressor ?gas analyzers FORMTEXT ?????4. CPAP/NPPV with patient interfaces FORMTEXT ?????5. Humidifiers FORMTEXT ?????6. Nebulizers FORMTEXT ?????7. Metered-dose inhalers, spacers, and valved holding chambers FORMTEXT ?????8. Dry powder inhalers (DPI) FORMTEXT ?????Resuscitation equipment, for example,self-inflating resuscitator?flow-inflating resuscitator?AED FORMTEXT ?????10. Mechanical ventilators FORMTEXT ?????11. Intubation equipment FORMTEXT ?????10. Artificial airways FORMTEXT ?????Suctioning equipment, for example,regulator? canister? tubing? catheter FORMTEXT ?????Blood analyzer. for example,hemoximetry (CO-oximetry)? point-of-care? blood gas FORMTEXT ?????15. Patient breathing circuits FORMTEXT ?????16. Hyperinflation devices FORMTEXT ?????17. Secretion clearance devices FORMTEXT ?????18. Heliox delivery device FORMTEXT ?????19. Portable spirometer FORMTEXT ?????20. Testing equipment in a pulmonary function laboratory FORMTEXT ?????21. Pleural drainage FORMTEXT ?????NBRC Therapist Combined Detailed Content Outline Comparison with Proposed Curriculum (Program # FORMTEXT ?????)List Course Number(s)22.. Noninvasive monitoring, for example,pulse oximeter? capnometer? transcutaneous FORMTEXT ?????23. Bronchoscopes and light sources FORMTEXT ?????24. Hemodynamic monitoring devicesa. pressure transducers FORMTEXT ?????b. catheters, for example,arterial? pulmonary artery FORMTEXT ?????B. Ensure Infection PreventionAdhering to infection prevention policies and procedures, for example,Standard Precautions? isolation?donning/doffing FORMTEXT ?????2. Adhering to disinfection policies and procedures FORMTEXT ?????3. Proper handling of biohazardous materials FORMTEXT ?????C. Perform Quality Control Procedures1. Blood analyzers FORMTEXT ?????2. Gas analyzers FORMTEXT ?????3. Pulmonary function equipment for testing FORMTEXT ?????a.spirometry results FORMTEXT ?????b.lung volumes FORMTEXT ?????c.diffusing capacity (DLCO) FORMTEXT ?????4. Mechanical ventilators FORMTEXT ?????5. Noninvasive monitors FORMTEXT ?????III. INITIATION AND MODIFICATION OF INTERVENTIONSA. Maintain a Patient Airway Including the Care of Artificial Airways1. Proper positioning of a patient FORMTEXT ?????NBRC Therapist Combined Detailed Content Outline Comparison with Proposed Curriculum (Program # FORMTEXT ?????)List Course Number(s)2. Recognition of a difficult airway FORMTEXT ?????3. Establishing and managing a patient’s airwaya. nasopharyngeal airway FORMTEXT ?????b. oropharyngeal airway FORMTEXT ?????c. esophagealtracheal tubes / supraglottic airways FORMTEXT ?????d. endotracheal tube FORMTEXT ?????e. tracheostomy tube FORMTEXT ?????f. laryngectomy tube FORMTEXT ?????g. speaking valves FORMTEXT ?????h. devices that assist with intubation, for example,endotracheal tube exchanger ?video laryngoscopy FORMTEXT ?????4. Performing tracheostomy care FORMTEXT ?????5. Exchanging artificial airways FORMTEXT ?????6. Maintaining adequate humidification FORMTEXT ?????7. Initiating protocols to prevent ventilator-associated infections FORMTEXT ?????8. Performing extubation FORMTEXT ?????B. Perform Airway Clearance and Lung Expansion Techniques1. Postural drainage, percussion, or vibration FORMTEXT ?????Suctioning, for example,nasotracheal? oropharyngeal FORMTEXT ?????Mechanical devices, for example,high-frequency chest wall oscillation? vibratory PEPintrapulmonary percussive ventilation? insufflation / exsufflation FORMTEXT ?????Assisted cough, for example,huff? abdominal thrust FORMTEXT ?????NBRC Therapist Combined Detailed Content Outline Comparison with Proposed Curriculum (Program # FORMTEXT ?????)List Course Number(s)5. Hyperinflation therapy FORMTEXT ?????6. Inspiratory muscle training FORMTEXT ?????C. Support Oxygenation and Ventilation1. Initiating and adjusting oxygen therapy FORMTEXT ?????Minimizing hypoxemia, for example,patient positioning? secretion removal FORMTEXT ?????3. Initiating and adjusting mask or nasal CPAP FORMTEXT ?????4. Initiating and adjusting mechanical ventilation settingsa. continuous mechanical ventilation FORMTEXT ?????b. noninvasive ventilation FORMTEXT ?????c. high-frequency ventilation FORMTEXT ?????d. alarms FORMTEXT ?????5. Recognizing and correcting patient-ventilator dyssynchrony FORMTEXT ?????6. Utilizing ventilator graphics FORMTEXT ?????7. Performing lung recruitment maneuvers FORMTEXT ?????8. Liberating patient from mechanical ventilation FORMTEXT ?????D. Administer Medications and Specialty Gases1. Aerosolized preparations FORMTEXT ?????a.antimicrobials FORMTEXT ?????b.pulmonary vasodilators FORMTEXT ?????c.brochodilators FORMTEXT ?????d.mucolytics/proteolytics FORMTEXT ?????NBRC Therapist Combined Detailed Content Outline Comparison with Proposed Curriculum (Program # FORMTEXT ?????)List Course Number(s)e.steroids FORMTEXT ?????2.. Endotracheal instillation FORMTEXT ?????Specialty gases, for example,heliox? inhaled NO FORMTEXT ?????E. Ensure Modifications are Made to the Respiratory Care PlanTreatment termination, for example,life-threatening adverse event FORMTEXT ?????2. Recommendationsa. starting treatment based on patient response FORMTEXT ?????b. treatment of pneumothorax FORMTEXT ?????c. adjustment of fluid balance FORMTEXT ?????d. adjustment of electrolyte therapy FORMTEXT ?????e. insertion or change of artificial airway FORMTEXT ?????f. liberating from mechanical ventilation FORMTEXT ?????g. extubation FORMTEXT ?????h. discontinuing treatment based on patient response FORMTEXT ?????i. consultation from a physician specialist FORMTEXT ?????3. Recommendations for changesa. patient position FORMTEXT ?????b. oxygen therapy FORMTEXT ?????c. humidification FORMTEXT ?????d. airway clearance FORMTEXT ?????e. hyperinflation FORMTEXT ?????NBRC Therapist Combined Detailed Content Outline Comparison with Proposed Curriculum (Program # )List Course Number(s)f. mechanical ventilation FORMTEXT ?????4. Recommendations for pharmacologic interventionsa. bronchodilators FORMTEXT ?????b. anti-inflammatory drugs FORMTEXT ?????c. mucolytics and proteolytics FORMTEXT ?????d.Aerosolized antibiotics FORMTEXT ?????e.Inhaled pulmonary vasodilators FORMTEXT ?????f. cardiovascular FORMTEXT ?????g. antimicrobials FORMTEXT ?????h. sedatives and hypnotics FORMTEXT ?????i.analgesics FORMTEXT ?????i.narcotic antagonists FORMTEXT ?????j.benzodiazepine antagonists FORMTEXT ?????l. neuromuscular blocking agents FORMTEXT ?????m. diuretics FORMTEXT ?????n. surfactants FORMTEXT ?????o. changes to drug, dosage, administration, frequency, mode, or concentration FORMTEXT ?????F. Utilize Evidence-Based Practice1. Classification of disease severity FORMTEXT ?????2. Recommendations for changes in a therapeutic plan when indicated FORMTEXT ?????Application of guidelines, for example,ARDSNet? NAEPP?GOLD FORMTEXT ?????G. Provide Respiratory Care in High-Risk SituationsNBRC Therapist Combined Detailed Content Outline Comparison with Proposed Curriculum (Program # FORMTEXT ?????)List Course Number(s)1. Emergencya. cardiopulmonary emergencies, excluding CPR FORMTEXT ?????b. disaster management FORMTEXT ?????c. medical emergency team (MET) / rapid response team FORMTEXT ?????2. Interprofessional communication FORMTEXT ?????3. Patient transporta. land / air between hospitals FORMTEXT ?????b. within a hospital FORMTEXT ?????H. Assist a Physician / Provider in Performing Procedures1. Intubation FORMTEXT ?????2. Bronchoscopy FORMTEXT ?????Specialized bronchoscopy, for example,endobronchial ultrasound (EBUS) ?navigational bronchoscopy (ENB) FORMTEXT ?????4. Thoracentesis FORMTEXT ?????5. Tracheostomy FORMTEXT ?????6. Chest tube insertion FORMTEXT ?????7. Insertion of arterial or venous catheters FORMTEXT ?????8. Moderate (conscious) sedation FORMTEXT ?????9. Cardioversion FORMTEXT ?????10. Withdrawal of life support FORMTEXT ?????I. Conduct Patient and Family Education1. Safety and infection control FORMTEXT ?????NBRC Therapist Combined Detailed Content Outline Comparison with Proposed Curriculum (Program # FORMTEXT ?????)List Course Number(s)2. Home care and related equipment FORMTEXT ?????3. Lifestyle changes, for example,?smoking cessation ?exercise FORMTEXT ?????4. Pulmonary rehabilitation FORMTEXT ?????5. Disease/ condition management, for example,?asthma ?COPD?CF ?tracheostomy care ?ventilator dependent FORMTEXT ????? ................
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