(a) Implementation. The provisions of this section
shall be implemented by school districts beginning with the 2023-2024
school year.
(1) No later than August 31, 2023, 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 2023-2024 school year and
apply to the 2023-2024 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 Grade 12. Prerequisite: Respiratory Therapy I. Students
shall be awarded one credit for successful completion of this course.
(c) Introduction.
(1) Career and technical education 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 Cluster focuses on planning,
managing, and providing therapeutic services, diagnostic services,
health informatics, support services, and biotechnology research and
development.
(3) Respiratory Therapy II is a technical lab course
that addresses knowledge and skills related to critical care and cardiopulmonary
medicine. Respiratory therapists are specialized healthcare practitioners
trained in cardiopulmonary medicine to work therapeutically with people
suffering from cardiopulmonary diseases. Students will learn advanced
knowledge and skills performed by respiratory therapists using equipment
such as stethoscopes, sphygmomanometers, thermometers, pulse oximeters
and monitors, oxygen delivery devices (nasal cannula, masks of various
types), nebulizers, airway clearance and hyperinflation therapy devices,
spirometers, and intubation mannequin heads and equipment (endotracheal
tubes, laryngoscopes, stylets).
(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 or barriers and sensory loss;
(D) evaluate the effectiveness of conflict resolution
techniques in various situations;
(E) demonstrate the ability to cooperate, contribute,
and collaborate as a member of a team; and
(F) explore career options for respiratory therapy
and preparation necessary for employment such as creating a cover
letter and resume, completing an application, and conducting mock
interviews.
(2) The student applies mathematics, science, English
language arts, and social studies in respiratory therapy. The student
is expected to:
(A) analyze complex technical material related to respiratory
therapy;
(B) analyze how race, culture, and religion impact
patient care;
(C) apply mathematical calculations related to respiratory
therapy; and
(D) analyze biological and chemical processes that
affect homeostasis in relation to cardiopulmonary diseases.
(3) The student applies safety standards for a respiratory
therapy setting. The student is expected to:
(A) evaluate and apply standards and guidelines from
entities, including the American Association for Respiratory Care
(AARC), World Health Organization (WHO), Centers for Disease Control
and Prevention (CDC), U.S. Food and Drug Administration (FDA), and
Texas Commission on Environmental Quality (TCEQ), as they apply to
cardiopulmonary diseases;
(B) demonstrate infection control standard and transmission-based
precautions in the laboratory setting, including hand hygiene, equipment
sterilization, and the use of personal protective equipment (PPE);
and
(C) model industry safety standards, including standards
for body mechanics, fire prevention, electrical safety, oxygen safety,
and the handling of hazardous materials.
(4) The student explains the interactions between the
cardiopulmonary and other body systems as they relate to wellness
and diseases. The student is expected to:
(A) analyze the role of the autonomic nervous system
in the regulation of the cardiopulmonary system as it pertains to
health and illness;
(B) analyze the role of the urinary system in the regulation
of the acid-base and fluid balance and in cardiopulmonary health and
illness;
(C) investigate the interactions between body systems
and cardiopulmonary diseases and disorders such as Guillain-Barré
syndrome, Myasthenia Gravis, SARS-CoV-2 (Covid), Idiopathic Pulmonary
Fibrosis (IPF), adult respiratory distress syndrome (ARDS), and congestive
heart failure (CHF);
(D) differentiate between normal heart rhythms and
common cardiac dysrhythmias such as ventricular fibrillation, ventricular
tachycardia, and asystole attributed to malfunctions in other body
systems; and
(E) discuss the role of respiratory therapists in the
use of mechanical systems, including non-invasive and invasive mechanical
ventilators and extracorporeal membrane oxygenation (ECMO), when the
cardiopulmonary system fails.
(5) The student implements the knowledge and skills
of a respiratory therapy professional used in a laboratory setting.
The student is expected to:
(A) demonstrate breathing exercises commonly used for
patients with cardiopulmonary disease;
(B) demonstrate airway management skills in a laboratory
setting using equipment for intubation and airway maintenance such
as endotracheal and tracheostomy tubes, endotracheal/tracheal suction
catheters, laryngoscopes, bag valve mask devices, oral and nasal airways,
tube fasteners, or tape;
(C) demonstrate airway clearance and hyperinflation
therapies in a laboratory setting using equipment such as oscillating
positive end pressure devices, high frequency chest wall oscillation
devices, and an incentive spirometer;
(D) differentiate between normal lung and pathology
in a chest X-ray;
(E) recognize typical and atypical arterial blood-gas
values related to patient oxygenation and ventilation status;
(F) demonstrate the use of the oxygen therapy equipment
such as nasal cannula, high flow nasal cannula, simple masks, air-entrainment
masks, partial rebreather masks, non-rebreather masks, and non-invasive
ventilators;
(G) demonstrate patient assessment methods, including
inspection, auscultation, palpitation, and percussion;
(H) interpret and create a basic care plan for asthma
and chronic obstructive pulmonary disease (COPD);
(I) demonstrate the role of a respiratory therapist
during simulated emergency situations such as situations requiring
a rapid response team and advanced cardiac life support; and
(J) describe the respiratory therapists' role in patient
education regarding the disease process and proper use of medication
and respiratory equipment.
(6) The student understands cardiopulmonary pharmaceutical
agents and safety. The student is expected to:
(A) research and identify the application of medications
used in respiratory therapy, including bronchodilators, inhaled corticosteroids,
mucolytics, biologics, inhaled antibiotics, inhaled pulmonary vasodilators,
and antivirals;
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