Course Outline

School: Department: Program: Course Title: Course Code: Total Course Hours: Prerequisites/Co-requisites: Eligible for Prior Learning Assessment and Recognition: Originated by: Revised by: Date: Effective Semester: Approved by:
________________________________________ Chairperson/Dean Students are expected to review the course outline and to discuss with the professor any areas where clarification is required. Students should keep all course outlines for each course taken at Centennial College. These may be used to apply for transfer of credit to other educational institutions. A fee may be charged for additional or replacement copies.

School of Engineering Technology and Applied Science Information and Communication Engineering Technology Biomedical Engineering Technology Dialysis and Water Treatment BTEC222 60 ANAT106, BTEC211, BTEC212

Yes Mukesh Gajaria, Nina Jagaric Meenakshi Sudarshan January 2012 Winter 2012

Dialysis and Water Treatment

CENTENNIAL COLLEGE

BTEC222

Course Description
In Dialysis and Water Treatment, students will gain a fundamental understanding of clinical dialysis and the associated water purification technology. The emphasis of BTEC222 is on the main components of the dialysis machines, hands-on calibration, maintenance and technical troubleshooting. Students will learn the importance of the renal dialysis technologist within the hospital, home clinic care team, as well as the various opportunities in industry.

Course Learning Outcomes

Upon successful completion of this course, the student will have reliably demonstrated the ability to: 1. Clarify what the kidney does in a human body. 2. Classify the common types of kidney failure. 3. State the types of kidney-failure treatment modalities commonly used. 4. Demonstrate the inter-phase between kidney-failure blood and the dialysis machine. 5. Identify the various components of a dialysis machine and their location, within the machine, and their respective uses. 6. Calibrate the dialysis machine. 7. Analyze precautions and consequences of the machine calibration and its impact on the patients blood and body. 8. Explore what a dialyzer is and its main functions as an artificial kidney. 9. Investigate what dialyzer clearance means and its relation to the kidney-failure blood. 10. Compile the various components that constitute the dialysate and their respective mixing ratios. 11. Articulate the basics of the dialysis therapy and the role of the dialysis technologist. 12. Explain the need for water purification (of municipal water) for dialysis. 13. Analyze the various components of the water treatment system and their uses. 14. Explain the need for periodic testing of the water treatment unit and take necessary action. 15. Incorporate the cleaning and disinfecting of a water treatment system.

Essential Employability Skills (EES)

This course supports the students ability to: 1. Apply a systematic approach to solve problems. 2. Locate, select, organize, and document information using appropriate technology and information systems. 3. Analyze, evaluate, and apply relevant information from a variety of sources. 4. Show respect for the diverse opinions, values, belief systems, and contributions of others. 5. Interact with others in groups or teams in ways that contribute to effective working relationships and the achievement of goals. 6. Take responsibility for ones own actions, decisions, and consequences.

Prior Learning Assessment & Recognition (PLAR) Process (es)

This course is eligible for PLAR through the Registrar and SETAS offices. Assessment of portfolio and/or testing may be discussed with faculty.

Text and Other Instructional/Learning Materials

Curtis, J.,& Varughese, P. 2003. Dialysis Technology: a Manual for Dialysis Technicians.3rd Ed. . National Association of Nephrology Technicians/Technologists(NANT). ISBN 13: 978-0983508809

Rev. COLT: May 2010 THIS COURSE ADHERES TO ALL COLLEGE POLICIES (See College Calendar)

Dialysis and Water Treatment

CENTENNIAL COLLEGE

BTEC222

Supplemental References: Daugirdas, J., Blake, P., & Ing, T. 1999. Handbook of Dialysis. 4rd Edition. Lippincott Williams and Wilkins. ISBN 13: 978-0781752534 Gutch, C., Stoner, M., & Correa, A. 1999. Review of Hemodialysis for Nurses and Dialysis Personnel. Mosby. ISBN 10: 0898384141 Nissenson, A., & Fine, R. 1993. Dialysis Therapy, 2nd Edition. Hanley and Belfus. Philadelphia. ISBN 10: 1560530588 Instructors will also give students regular handouts and appropriate reading reference material.

Evaluation and Grading System

Evaluation Description*
Class Quiz Midterm Test Class Project Final Exam Lab Mid term Test Lab Assignment Lab Final Test

Weight /100
7 10 13 20 15 15 20

*The evaluation is based on the lecture and laboratory components; carrying equal weight (i.e. 50%). It is necessary to obtain 30% (out of 50%) in each component to attain a passing mark in this course. The lecture portion comprises of a quiz, followed by the midterm examination, a project topic given very early in the semester and due in week 12, and the final theory examination. The laboratory portion includes a lab quiz, a lab assignment, and the final practicum examination. In consultation with the Chair or Dean, a faculty member or instructor may administer additional or alternative evaluations to fully assess the capability of a student. When writing a test or examination, students must put their official College photo-ID cards in full view for review by the invigilator. Students who do not have official photo-ID will be permitted to write the examination with a substitute photo-ID, but they will be required to produce photo-ID at the program or department office within 24 hours or the next business day following the examination, or else the examination results will be void.

Student Accommodation
All students have the right to study in an environment that is free from discrimination and/or harassment. It is College Policy to provide accommodation based on grounds defined in the Ontario Human Rights Code. Accommodation may include changes or modifications to standard practices. This document is available in alternative formats upon request. Please contact the originating department or school of study.

Rev. COLT: May 2010 THIS COURSE ADHERES TO ALL COLLEGE POLICIES (See College Calendar)

Dialysis and Water Treatment

CENTENNIAL COLLEGE

BTEC222

Students with disabilities who require academic accommodations must register with the Centre for Student with Disabilities. Please see the Centre for Students with Disabilities for details. Students requiring accommodation based on human rights grounds should talk with their professors as early as possible. Details are available on the Centennial College website (www.centennialcollege.ca ). If students are unable to write an examination due to a medical problem or unforeseen family problems, they should immediately contact their professor or program Chair for advice. In exceptional and well-documented circumstances (e.g. unexpected family problems, serious illness, or death of a close family member), students should be able to write a make-up examination to replace an examination missed.

Use of Dictionaries
Any dictionary (hard copy or electronic) may be used in regular class work; Dictionary use is not permitted in test or examination settings; English-Additional Language (e.g. English-Mandarin) or Additional Language-English (e.g. Russian-English) dictionaries may be used in regular class work; Dictionaries may be used in tests and examinations, or in portions of tests and examinations, as long as they are non-electronic (not capable of storing information) and hard copy (reviewed by the invigilator to ensure notes are not incorporated that would affect test or examination integrity).

Course, Program or School Policies

N/A

Student Rights and Responsibilities

Students should familiarize themselves with all College Policies that cover students rights and responsibilities. For more information on the following and other policies, please visit www.centennialcollege.ca/aboutus/respect or consult the Academic Matters Section in the full-time and Continuing Education catalogues. Respect at Centennial At Centennial College, we are committed to providing a safe and respectful learning, teaching and working environment for all students, faculty, and staff that promotes equity. Policies have been put in place to ensure that Centennial is a place that demonstrates respect and consistency with the Ontario Human Rights Code. All incidents of harassment, discrimination, bullying, and violence will be addressed and responded to. As a college, we take the position that all forms of harassment, including personal harassment and bullying, must be stopped. Please refer to www.centennialcollege.ca/aboutus/respect and www.stopbullyingnow.ca. Academic Honesty Academic honesty is integral to the learning process and a necessary ingredient of academic integrity. Students have a responsibility to be aware of and comply with College standards of academic conduct. Academic dishonesty includes cheating, plagiarism, and impersonation. All of these occur when the work of others is presented by a student as their own and/or without citing sources of information. Breaches of academic honesty will be investigated and if warranted, appropriate remedies and penalties will be applied, which may include a failing grade on the assignment/course, suspension, or expulsion from the college.

Rev. COLT: May 2010 THIS COURSE ADHERES TO ALL COLLEGE POLICIES (See College Calendar)

Dialysis and Water Treatment

CENTENNIAL COLLEGE

BTEC222

Grades Appeal Students and faculty have rights and responsibilities in the Grades Appeal process. Students who need to appeal a grade should consult the Grades Appeal policy and procedures. Progression and Academic Standing Students are expected to meet the academic standards of their School or program. The academic standing of each Centennial student is monitored during, as well as at the end of, each semester. Any student not demonstrating satisfactory progress will be informed of his/her standing in the College and will receive academic advising within their School. Unsatisfactory academic performance may result in conditional academic standing, probation, or suspension.

Faculty Support
Professors are available to see students outside of class time. Students can contact professors via voice mail, email, or through their program or department office. Information regarding how to contact teachers will be provided at the beginning of the course and is also available in the program or department office.

Campus Safety
As part of our efforts to maintain a safe and secure teaching, learning and working environment, professors, and instructors will review emergency procedures for fire, evacuations, emergency lockdowns, and safe exit for those with disabilities at the beginning of each course. Students must produce official photo identification when requested to do so by any college staff at any time during the semester.

Rev. COLT: May 2010 THIS COURSE ADHERES TO ALL COLLEGE POLICIES (See College Calendar)

Dialysis and Water Treatment

CENTENNIAL COLLEGE

BTEC222

Topical Outline
WEE K
1

TOPICS
Introduction to Dialysis and Water Treatment

READINGS/ MATERIALS
Course outline and Learning outcomes for the entire course handout. Principles of Dialysis handout. Project topics handout.(Project mark: 13%)

WEEKLY LEARNING OUTCOMES

Define what dialysis entails.

INSTRUCTIONAL STRATEGIES
Class: Power point slides, quizzing students to gain insight on their knowledge base. Lab: Handout outline of what each lab will cover. Show HD machine and water treatment unit. Power point slides. Lab: HD machine block diagram

COURSE EVALUATIONS

Types of renal failure. Various treatment modalities. Principles of Dialysis

Renal physiology and pathology handout

Dialyzers and dialysates. Priming of dialyzer

Quiz. Dialysis adequacy

KDOQI handout

Identify why the particular treatment modality was chosen. Understand the need of priming the extracorporeal circuit. . Explore: dialyzer membrane quality, clearance concepts, structure, form, function, selection, first use syndrome. Aseptic set-up techniques. Explore: the necessity, types, importance of, and hazards of improper dialysate. Classify dry and wet concentrates, advantages and disadvantages. Understand thoroughly the concept and relevance of dialysate conductivity and its importance; and the alarms thereof. Discuss what the goal of dialysis is. Justify why adequacy guidelines need to be met. Demonstrate how adequacy is measured. Determine what controls Ultrafiltration.

Cross section of a real artificial kidney. Formulae

Power point slides. Formulae. Examples.

Class Quiz( 7% mark) LOs 1,2&3 Lab assignment # 1 Due

Rev. COLT: May 2010 THIS COURSE ADHERES TO ALL COLLEGE POLICIES (See College Calendar)

Dialysis and Water Treatment

CENTENNIAL COLLEGE

BTEC222

WEE K
5

TOPICS
Hemodialysis machine Comparison with Peritoneal Dialysis cycler

READINGS/ MATERIALS
Block diagram Inter-phase of dialysate and dialyzer

WEEKLY LEARNING OUTCOMES

Explore the essentials of hemodialysis dialysate delivery; and safeties thereof. Factor the differences between HD machine and PD cycler understood. Breakdown the functions of each module separately and when integrated. Integrate patient-safety explained in detail, vis--vis each module.

INSTRUCTIONAL STRATEGIES
Power point slides.

COURSE EVALUATIONS

Hemodialysis components

Handouts of various machines pictures

Module shown.

Lab: Mid term quiz: 15% mark.

Mid-term test (10% mark) HD machine hydraulics HD machine calibrations

Handout of HD machine function Handouts Evaluate the absolute need for calibration Demonstrate good work habits Analyze the consequence of improper calibration Explain why municipal water needs to be treated for dialysis use. Recognize the consequence of contaminants to human body. Students will discuss the main course components and their usefulness to patient-care outcomes. Classify the common materials used. Breakdown the water system design Identify potential pitfalls in the water system Explore the rationale of cleaning and disinfecting water systems. Classify the safety (personal and patient-related) precautions needed

Mid-term test (10% mark) LOs1,2,3,4,5&6 Lab assignment # 2 Due

9 Tap water contaminants: where do they come from?

10

Water filters. Recapping dialyzer, HD machine and treated water integration Treated water distribution system

Handouts

11

Handouts

PP slides Class discussion Lab: hands-on calibration of HD machine PP slides Lab: See inside of water filters. Common UFs. Class discussion.

Lab assignment # 3 Due

12

Water system: Cleaning and Disinfection All projects due

Handouts

PP slides. Class discussion. FIELD TRIPS TO TORONTO GEN. HOSPITAL and HOSPITAL FOR SICK CHILDREN On Saturday

Lecture portion project : 13% mark

Rev. COLT: May 2010 THIS COURSE ADHERES TO ALL COLLEGE POLICIES (See College Calendar)

Dialysis and Water Treatment

CENTENNIAL COLLEGE

BTEC222

WEE K
13

TOPICS
Review of all material covered

READINGS/ MATERIALS
Give out handouts as necessary

WEEKLY LEARNING OUTCOMES

Investigate by queries and clarifications/answers Assess the overall subject matter.

INSTRUCTIONAL STRATEGIES
Questions from class; some common quizzing to establish confidence

COURSE EVALUATIONS

14, 15

Final Exam (Lab.) Final Exam (Lecture)

Theory Exam. 20% mark (All LOs) Practical Exam.20%

Rev. COLT: May 2010 THIS COURSE ADHERES TO ALL COLLEGE POLICIES (See College Calendar)