| (a) Implementation. The provisions of this section
shall be implemented by school districts beginning with the 2022-2023
school year.
(1) No later than August 31, 2022, the commissioner
of education shall determine whether instructional materials funding
has been made available to Texas public schools for materials that
cover the essential knowledge and skills identified in this section.
(2) If the commissioner makes the determination that
instructional materials funding has been made available, this section
shall be implemented beginning with the 2022-2023 school year and
apply to the 2022-2023 and subsequent school years.
(3) If the commissioner does not make the determination
that instructional materials funding has been made available under
this subsection, the commissioner shall determine no later than August
31 of each subsequent school year whether instructional materials
funding has been made available. If the commissioner determines that
instructional materials funding has been made available, the commissioner
shall notify the State Board of Education and school districts that
this section shall be implemented for the following school year.
(b) General requirements. This course is recommended
for students in Grades 11 and 12. Prerequisite: At least one credit
in a course from the health science career cluster. Students shall
be awarded one credit for successful completion of this course.
(c) Introduction.
(1) Career and technical education instruction provides
content aligned with challenging academic standards, industry-relevant
technical knowledge, and college and career readiness skills for students
to further their education and succeed in current and emerging professions.
(2) The Health Science Career Cluster focuses on planning,
managing, and providing therapeutic services, diagnostic services,
health informatics, support services, and biotechnology research and
development.
(3) Respiratory Therapy I is a technical lab course
that addresses knowledge and skills related to cardiopulmonary medicine.
Respiratory therapists are specialized healthcare practitioners trained
in cardiopulmonary medicine to work therapeutically with people suffering
from cardiopulmonary diseases. Students will learn basic knowledge
and skills performed by respiratory therapists using equipment such
as: stethoscopes, sphygmomanometers, thermometers, pulse oximeters,
oxygen delivery devices (nasal cannula, masks of various types), nebulizers,
and airway clearance and hyperinflation therapy devices.
(4) Students are encouraged to participate in extended
learning experiences such as career and technical student organizations
and other leadership or extracurricular organizations, including:
(A) work-based experiences/learning; and
(B) volunteering/shadowing opportunities.
(5) Statements that contain the word "including" reference
content that must be mastered, while those containing the phrase "such
as" are intended as possible illustrative examples.
(d) Knowledge and skills.
(1) The student demonstrates professional standards
and employability skills required by the respiratory therapy profession.
The student is expected to:
(A) model professionalism associated with respiratory
therapy such as adaptability, time management, punctuality, appreciation
for diversity, decision-making, dedication, and organizational and
leadership skills;
(B) demonstrate effective verbal and non-verbal communication
in a clear and concise manner;
(C) demonstrate therapeutic communication appropriate
to the situation, including communication with individuals with language
differences/barriers and sensory loss;
(D) evaluate the effectiveness of conflict resolution
techniques in various situations; and
(E) demonstrate the ability to cooperate, contribute,
and collaborate as a member of a team.
(2) The student applies mathematics, science, English
language arts, and social studies in respiratory therapy. The student
is expected to:
(A) interpret complex technical material related to
respiratory therapy;
(B) identify how race, culture, and religion impact
patient care;
(C) solve mathematical calculations related to respiratory
therapy; and
(D) summarize biological and chemical processes that
maintain homeostasis.
(3) The student investigates the history and profession
of respiratory therapy, including education and licensure. The student
is expected to:
(A) analyze the advancement of respiratory therapy
practices over time;
(B) summarize the roles of respiratory therapists in
various settings; and
(C) identify academic requirements for respiratory
therapist and professional advancement opportunities such as professional
organizations, credentials, certifications, registrations, licensure,
continuing education, and advanced degrees.
(4) The student applies regulatory and safety standards
in a respiratory therapy setting. The student is expected to:
(A) identify and conform to regulations and guidelines
from entities such as the World Health Organization (WHO), Centers
for Disease Control and Prevention (CDC), Occupational Safety and
Health Administration (OSHA), U.S. Food and Drug Administration (FDA),
The Joint Commission, the National Institute of Health (NIH), Texas
Commission on Environmental Quality (TCEQ), Texas Department of State
and Health Services (DSHS), and American Association for Respiratory
Care (AARC);
(B) identify infection control standard and transmission-based
precautions in the patient care setting, including hand hygiene, equipment
sterilization, and the use of personal protective equipment (PPE);
and
(C) identify industry safety standards, including standards
for body mechanics, fire prevention, electrical safety, oxygen safety,
and the handling of hazardous materials.
(5) The student investigates the structure and function
of cardiopulmonary anatomy. The student is expected to:
(A) analyze the cardiovascular system, including ventricles,
atrium, valves, blood vessels, nerves, blood flow, and cardiac conduction
system;
(B) explain the respiratory system, including airways,
trachea, lungs, and pulmonary vessels that aid the body in the exchange
of gases;
(C) trace the blood flow through the cardiopulmonary
system; and
(D) examine a variety of human diseases and disorders
affecting the cardiopulmonary system such as chronic obstructive pulmonary
disease (COPD), asthma, pneumonia, cystic fibrosis, and lung cancer.
(6) The student develops knowledge pertaining to respiratory
therapy procedures. The student is expected to:
(A) demonstrate the use of breathing exercises for
patients with cardiopulmonary disease such as pursed lipped breathing
and diaphragmatic breathing;
(B) explain the use of hyperinflation and airway clearance
therapies;
(C) explain the use of tracheostomy and endotracheal
tubes and oral and nasal airway devices for assisted breathing;
(D) identify anatomy of the heart and lungs and proper
endotracheal tube placement on X-ray;
(E) explain the use of oximetry and arterial blood-gases
for patient assessment;
(F) identify and explain the use of the equipment for
oxygen therapies such as nasal cannula, high flow nasal cannula, simple
masks, air-entrainment masks, partial rebreather masks, and non-rebreather
masks; and
(G) demonstrate the administration of oxygen therapy
using oxygen concentrators and portable cylinders.
(7) The student recognizes cardiopulmonary pharmaceutical
agents and safety and protocol measures. The student is expected to:
(A) identify medications used in respiratory therapy,
including bronchodilators and inhaled corticosteroids;
(B) summarize indications, contraindications, and side
effects of respiratory medications;
(C) discuss delivery of respiratory medications such
as nebulizers and meter dose inhalers (MDI); and
(D) assess the impact of cardiopulmonary agents on
vital signs.
(8) The student implements the knowledge and skills
of respiratory therapy professionals in a laboratory setting. The
student is expected to:
(A) demonstrate patient assessment of vital signs,
including blood pressure, pulse, respiratory rate, temperature, oxygenation,
and ventilation status;
(B) demonstrate patient positioning for respiratory
comfort and procedures;
(C) demonstrate patient care techniques used in high
stress respiratory therapy situations such as non-compliant, combative,
and distressed patients; and
(D) demonstrate correct cardiopulmonary resuscitation
(CPR) and automated external defibrillator (AED) skills.
(9) The student evaluates ethical behavioral standards
and legal responsibilities in the respiratory therapy profession.
The student is expected to:
(A) examine legal and ethical behavior standards such
as the Patient's Bill of Rights, advanced directives, and the Health
Insurance Portability and Accountability Act (HIPAA);
(B) investigate and discuss the legal and ethical ramifications
of unacceptable behavior in therapeutic practice;
(C) research and describe role of professional associations
and regulatory agencies; and
(D) describe ethical dilemmas in health care.
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