RESPIRATORY THERAPIST PROGRAM HANDBOOK 2015-2016 Kirkwood Community College Allied Health 319-398-5566 1-800-332-2055 Welcome to the Respiratory Therapist Program! RT 2015-2016 2 We, the faculty, are happy that you have chosen the Respiratory Therapist Program at Kirkwood. We sincerely hope that your time here will be both productive and enjoyable, as you prepare for an exciting career in Respiratory Care. The Respiratory Therapist faculty stands ready to assist you with any questions or concerns. The next two years will be rigorous and challenging. We realize that attending Kirkwood may have already required changes in your life. We understand that being a student is only part of your life and we hope to be able to assist you in making any necessary adjustments. As you progress through the program and questions or challenges arise, please let us know. If we don't have the answer, we can usually find someone who can help. We are available during posted office hours, just call and schedule an appointment. We want you to grow academically and professionally as you prepare for a new career. This handbook is designed to provide information about our expectations of students and of ourselves as faculty, so that we can work together as a team. Please contact us if you have any questions regarding the materials presented in this handbook. We look forward to working with you. Sincerely, Tamara S. Alt BAS, RRT- NPS, RCP Respiratory Therapy Program Director Office (319) 398-5520 Fax (319) 398-1293 RT 2015-2016 Mel Cerveny BLS, RRT, CPFT Respiratory Therapy Director of Clinical Education Office (319) 398-1289 Fax (319) 398-1293 3 TABLE OF CONTENTS Section I ....................................................................................................................................................... 6 HANDBOOK INFORMATION .................................................................................................................. 6 STUDENT RESPONSIBILITIES ........................................................................................................... 6 KIRKWOOD STUDENT HANDBOOK ................................................................................................... 6 Section II ...................................................................................................................................................... 7 ADMISSION INFORMATION................................................................................................................... 7 ADMISSION REQUIREMENTS ............................................................................................................ 7 TRANSFER CREDIT EVALUATION..................................................................................................... 8 WAIVER OF COURSE REQUIREMENTS/CREDIT BY EXAMINATION ............................................. 8 HIGH SCHOOL HEALTH ACADEMY ARTICULATION ....................................................................... 8 PRE-COURSE WORK .......................................................................................................................... 8 Section IIIA ................................................................................................................................................... 9 PROGRAM INFORMATION .................................................................................................................... 9 PROGRAM PHILOSOPHY ................................................................................................................... 9 HISTORY............................................................................................................................................... 9 GOALS AND STANDARDS ................................................................................................................ 10 LEARNING OUTCOMES .................................................................................................................... 11 EXTERNAL STANDARDS .................................................................................................................. 11 PROGRAM COMPTETENCIES .......................................................................................................... 11 JOB DESCRIPTION ............................................................................................................................ 12 EXPECTATIONS OF A PROFESSIONAL .......................................................................................... 13 PHYSICAL STANDARDS ................................................................................................................... 13 AFFECTIVE / BEHAVIORAL STANDARDS ....................................................................................... 14 ACCREDITATION ............................................................................................................................... 14 ADVISORY COMMITTEE ................................................................................................................... 14 PLANS OF STUDY ............................................................................................................................. 15 COURSE DESCRIPTIONS ................................................................................................................. 16 HUMANITIES REQUIREMENT .......................................................................................................... 18 ESTIMATED PROGRAM COSTS....................................................................................................... 21 ADVISING SHEET .............................................................................................................................. 21 Section IIIB ................................................................................................................................................. 24 CLASSROOM/LAB/CLINIC ................................................................................................................... 24 OUTSIDE EMPLOYMENT .................................................................................................................. 24 ATTENDANCE / PUNCTUALITY ........................................................................................................ 24 STUDENT ORGANIZATIONS ............................................................................................................ 24 CLINICAL ASSIGNMENTS ................................................................................................................. 24 CLASSROOM/LABORATORY/CLINIC POLICIES ............................................................................. 25 CLINICAL COMPETENCIES .............................................................................................................. 26 CLINICAL ATTENDANCE POLICY .................................................................................................... 26 DRESS CODE ..................................................................................................................................... 28 SEMINARS AND CONFERENCES .................................................................................................... 29 RT 2015-2016 4 EXAMINATIONS ................................................................................................................................. 29 UNIFORMS AND SPECIAL REQUIREMENTS .................................................................................. 30 CONFIDENTIALITY ............................................................................................................................ 30 PROFESSIONALISM .......................................................................................................................... 30 CLINICAL COMPLIANCE ................................................................................................................... 30 FELONY/CRIMINAL CHECKS ............................................................................................................ 31 BASIC LIFE SUPPORT (CPR) POLICY ............................................................................................. 31 INFECTION CONTROL/OSHA/EXPOSURE ...................................................................................... 32 ILLNESS/ACCIDENTS ........................................................................................................................ 32 BBP POST-EXPOSURE EVALUATION & FOLLOW-UP ................................................................... 33 HEALTH INSURANCE ........................................................................................................................ 35 WEATHER .......................................................................................................................................... 35 Section IIIC ................................................................................................................................................. 36 REGISTRATION/GRADES .................................................................................................................... 36 REGISTRATION ................................................................................................................................. 36 CHANGE OF REGISTRATION ........................................................................................................... 36 EXTRA-CURRICULAR COLLEGE ACTIVITIES ................................................................................. 36 GRADES ............................................................................................................................................. 37 PHI THETA KAPPA HONOR SOCIETY ............................................................................................. 39 SATISFACTORY PROGRESS ........................................................................................................... 40 WITHDRAWAL FROM THE PROGRAM ............................................................................................ 40 READMISSION TO THE PROGRAM ................................................................................................. 41 PART-TIME STATUS .......................................................................................................................... 41 COMMUNICATIONS ........................................................................................................................... 41 GRIEVANCE & ACADEMIC APPEAL POLICY .................................................................................. 42 EXTRA-CURRICULAR COLLEGE ACTIVITIES ................................................................................. 42 SCHOLARSHIPS ................................................................................................................................ 42 Section IV ................................................................................................................................................... 44 PROGRAM COMPLETION.................................................................................................................... 44 COMPLETION OF THE RESPIRATORY THERAPIST PROGRAM FOR STUDENTS WITH ADVANCED STANDING ..................................................................................................................... 44 ACADEMIC AND GRADUATION REQUIREMENTS ......................................................................... 44 STUDENT/GRADUATE INPUT .......................................................................................................... 45 LICENSURE REQUIREMENTS .......................................................................................................... 45 ARTICULATION OPPORTUNITIES ................................................................................................... 45 Section V .................................................................................................................................................... 47 GENERAL INFORMATION.................................................................................................................... 47 RT 2015-2016 5 Section I HANDBOOK INFORMATION This handbook has been prepared as a special resource containing information pertinent to the program. If you have questions, need assistance or clarification on any policies, procedures, or requirements, you are strongly encouraged to see your program coordinator. No rule or statement in this handbook is intended to discriminate nor will this program knowingly, for the purpose of clinical experience, place students in other agencies which discriminate on the basis of sex, race, color, creed, national origin, religion, age, disability, sexual orientation, or marital status. STUDENT RESPONSIBILITIES Each student is responsible for familiarity and compliance with information appearing in this program handbook as well as the Kirkwood Community College Student Policies via Current Student link, www.kirkwood.edu/students. Failure to read the information will not be considered an excuse for non-compliance. The Kirkwood Student Handbook may be obtained from the Allied Health Department office in Linn Hall 2164. Policies in this program handbook have been adopted by the faculty. If a student finds that an extenuating circumstance might justify a waiver of a particular policy, the student may petition the coordinator of the program. The program reserves the right to change policies or revise curricula as necessary due to unanticipated circumstances. Students registered in technical courses will be informed of curricular changes. Violation of guidelines within this program handbook could ultimately result in dismissal from the program. KIRKWOOD STUDENT HANDBOOK Refer to the Kirkwood Student Handbook www.kirkwood.edu/students for the following policies: via Academic Information American Disabilities Act Cheating and Plagiarism College policies & procedures College Services - Counseling, Personal Achievement Tutoring, Writing Center, etc Confidentiality EEO - http://www.kirkwood.edu/site/index.php?p=31126 Equal Rights Financial Aid General Information Outreach services Sexual Harassment. Student Conduct Student Life RT 2015-2016 6 the Student Policies link, Section II ADMISSION INFORMATION ADMISSION REQUIREMENTS All students seeking admission to this program must complete all of the following: 1. 2. 3. Complete a Kirkwood Community College Application, listing Respiratory Therapist as your major. This can be done online or mail to One Stop/Enrollment Services 216 Kirkwood Hall. Students may apply to one Kirkwood program at any time. The newest application automatically cancels any previous application. View Admissions Video and Attend a Program Conference. These are scheduled as one-hour program conferences monthly. Dates of upcoming program conferences can be found on the department website, www.kirkwood.edu/alliedhealth. Please sign up to attend on the website. Provide Evidence of Academic Readiness. The COMPASS placement test, ACT, or SAT may be accepted. The test must have been completed within the last three years. To begin the program, all students must have the following minimum placement scores: COMPASS OR ACT OR Course Option Writing / English Reading 32 71 15 16 Elements of Writing Higher level writing course 4. 5. (Pre-Algebra) 18 Intermediate Algebra Microbiology Or Math 50 Or Higher level math course Submit Admissions Criteria Checklist: Students MUST submit their admissions criteria checklist to the Allied Health office when all admission requirements are completed. Applicants meeting requirements are accepted in order of checklist submission date. Twenty-five students are accepted each fall semester. After the program is full, students are accepted to a numbered waiting list. The first 25 on the waiting list will be accepted for the following fall. Complete an observation in a Respiratory Care Clinic. This is recommended but is optional. It is to be arranged through the Respiratory Therapy Program Director. RT 2015-2016 7 TRANSFER CREDIT EVALUATION College courses taken prior to beginning the program at Kirkwood may be evaluated for possible transfer credit. To have a transcript evaluated, the student must request an official transcript from each college be sent to: Kirkwood Community College Enrollment Services 6301 Kirkwood Blvd. SW Cedar Rapids, IA 52406-9973 Students wishing to have previous respiratory care coursework evaluated should send a copy of their current college catalogue or detailed course descriptions to the program director at Kirkwood. Transcripts sent directly to the program faculty are not acceptable. Your transcripts will be evaluated based on the Kirkwood major you have declared. You can run a Degree Audit in EagleNet to see how your credits were awarded. Additionally, students who are transferring from another respiratory care program must submit a letter of recommendation from the faculty at the originating college and/or program. Transferring students must be in good standing in their current program. WAIVER OF COURSE REQUIREMENTS/CREDIT BY EXAMINATION The program faculty will review credits awarded by the Credit by Examination process. This may be done either through the College Level Examination Program (CLEP) or by department examinations where available. Please refer to the college catalog for additional information. Questions regarding waiver of course requirements and/or credit by exam should be directed to the program director. HIGH SCHOOL HEALTH ACADEMY ARTICULATION Course work earned while a student in the High School Health Academy program is on the student's Kirkwood transcript and may meet specific program requirements. PRE-COURSE WORK Students are encouraged to begin taking selected courses prior to beginning their program. Students should refer to the program web page at www.kirkwood.edu/alliedhealth for current registration and curriculum information. There will be no substitution of courses in the curriculum unless approved by the program director. RT 2015-2016 8 Section IIIA PROGRAM INFORMATION PROGRAM PHILOSOPHY The Respiratory Therapist Program seeks to educate any person desiring a professional career in Respiratory Care, without regard to race, color, creed, gender, or educational background. As educators in the health care field, we seek to improve health care delivery by producing educated personnel who display excellence in both performance and professional representation. We believe the specialized nature of Respiratory Care requires not only technical expertise, but also humane, empathetic and professional behavior directed toward patient care. We expect students to strive for excellence, not only in the classroom and laboratory, but also in clinical practice. Our primary goal is education; but within this framework, our first priority is always the health and safety of the patient. HISTORY The Respiratory Therapist Program was established in 1972 through the joint efforts of Dr. John Kasik and the faculty and administration of Kirkwood Community College. Dr. Kasik, a specialist in pulmonary medicine, saw a need for trained respiratory therapists in the local area hospitals and organized a joint effort between the Veterans Administration and Kirkwood Community College in funding and operating a formal training program in Respiratory Therapy. The program started in the Fall of 1972 with classes held at the Community College and clinical practice at the Veterans Affairs Medical Center in Iowa City. The program was supported by the Joint Review Committee for Respiratory Care Education and received full accreditation status in 1975 through the Council on Medical Education of the American Medical Association. Dr. Kasik retired in 1996. He was succeeded as Medical Director for the program by Dr. Jeffery Wilson, a pulmonologist at the University of Iowa Hospital and Clinics. Dr. Wilson resigned in the spring of 2001 and has been succeeded by Dr. Michael J. (Shane) Moan, a pulmonologist from Iowa City. Dr. Moan resigned in 2004 to return to his native Ireland and was succeeded by Dr Lois Geist, a pulmonologist whom is the Chief of Medical Service at the Veterans Affairs Hospital, Iowa City and Associate Professor at the University Of Iowa College Of Medicine, and the Dean of Pulmonary Academic Medicine. Dr. Lois Geist resigned from the board fall of 2012 and Dr. Michael Eberlein accepted the open position on the board. Dr. Eberlein graduated with high honors from John Hopkins University and is currently head of Pulmonary Lung Transplant and research at the University of Iowa. Dr. Eberlein is a significant partner in curriculum development, enhancement, and more importantly, student interaction and teaching. The curriculum is competency-based and supports many different learning styles including but not limited to; kinesthetic, visual, auditory, and tactile. RT 2015-2016 9 GOALS AND STANDARDS Drawing on the philosophy and background of this program, our program mission stands: Program Goal: To prepare graduates with demonstrated competence in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains of respiratory care practice as performed by registered respiratory therapists (RRT). Program Outcomes based upon mission: The curriculum is competency based and thereby students are evaluated by the educators as it relates to the program standards, outcomes (competencies), external standards, by way of course objectives and course materials. Standard #1-A: Upon completion of the Respiratory Therapy program, each graduate will demonstrate the ability to perform competently in the cognitive, psychomotor, technological, and affective practicing domains with the ability to apply and perform the information relevant to critical thinking skills at an advanced level Respiratory Care Practitioner. Standard #1-B: Upon completion of the Respiratory Therapy program, each graduate will demonstrate technical proficiency in skills consistent with program goals and objectives reflective of current periodic job analysis as it relates to the community, society of healthcare, relevant to the workplace at the advanced level Respiratory Care Practitioner. Standard #1-C: Upon completion of the Respiratory Therapy program, each graduate will demonstrate personal behaviors consistent with professionalism that values opportunities for lifelong learning while honoring employer expectations for an advanced level Respiratory Care practitioner. Standard #1-D: Upon completion of the Respiratory Therapy program, each graduate will demonstrate strength in the following areas: oral and written communication skills, fundamental science, math, biomedical principles, and understanding cross-cultural variations, including an appreciation for everyday expression of the human condition as expressed in the healthcare setting with prospective that applies to an advanced level Respiratory Care practitioner. Standard #1-E: Upon completion of the Respiratory Therapy program, each graduate’s learning will have been continually assessed by program faculty, as well as program administrative functions and outcomes. The process will include, but is not limited to both quantitative and qualitative performance data collected and critically analyzed by the Respiratory Therapy program. Standard #1-F: Upon completion of the Respiratory Therapy program, each graduate’s student performance will have been evaluated with consistent, expected individual student learning outcomes. Grading criteria will be clearly defined for each course, communicated to students, and applied consistently. Each student’s progress will be communicated to the students at the time of the evaluation. Student performance will be evaluated by faculty. Standard #1-G Upon completion of the Respiratory Therapy program, written criteria will be provided to all students indicating the criteria for passing, failing, academic progression in the Respiratory Therapy program. Evaluation systems will be in place, providing the student with frequent progress reports, supporting student and faculty with timely indications of student academic standing and progress, and to serve as a reliable indicator of the effectiveness of instruction and course design. Student assessment of student learning is both described and applied based on clear parallels between what is expected, taught, and assessed. RT 2015-2016 10 LEARNING OUTCOMES A. Acquire, evaluate, and report clinical data. B. Assess, evaluate, and communicate recommendations in a professional manner including but not limited to; pharmacological, physiological, and pathophysiological needs. C. Initiate, manage, and modify therapeutic procedures for the cardiopulmonary patient. D. Consistently demonstrates infection control practices and maintains quality control. E. Monitor, evaluate, and modify patient's objective and subjective responses to therapeutic procedures while communicating ethically with professional communication. F. Assist physicians to perform special procedures. Initiate and modify pulmonary rehabilitation and home care. EXTERNAL STANDARDS • • • • • • Graduates will manage data collection competently and to an advanced level. Graduates will communicate in an ethical and professional manner while demonstrating an understanding at an advanced level. Graduates will manipulate and manage respiratory equipment competently to an advanced level. Graduates will adhere to the standards and practices set forth by; JACHO, OSHA, HIPAA, and CoARC to an advanced level. Graduates will initiate, evaluate, and modify respiratory therapeutic procedures in an ethical and professional manner to an advanced level. Graduates will be competent in the application of problem solving strategies in the patient care setting to an advanced level. PROGRAM COMPTETENCIES 1. 2. 3. Manage and Communicate Clinical Data a. Linked Program Outcomes i. Acquire, evaluate, and report clinical data b. Linked External Standards i. Graduates will manage data collection competently and to an advanced level Assess and Evaluate Clinical Data and Make Recommendations a. Linked Program Outcomes i. Assess, evaluate, and communicate recommendations in a professional manner including but not limited to; pharmacological, physiological, and pathophysiological needs b. Linked External Standards Graduates will communicate in an ethical and professional manner while demonstrating an understanding at an advanced level Manipulate and manage Respiratory Equipment a. Linked Program Outcomes i. Initiate, manage, and modify therapeutic procedures for the cardiopulmonary patient b. Linked External Standards RT 2015-2016 11 i. 4. 5. 6. Graduates will manipulate and manage respiratory equipment competently to an advanced level Ensure Infection and Quality Control Practices. a. Linked Program Outcomes i. Consistently demonstrates infection control practices and maintains quality control. b. Linked External Standards i. Graduates will adhere to the standards and practices set forth by; JACHO, OSHA, HIPAA, and CoARC to an advanced level. Initiate, Evaluate, and Modify Respiratory Therapeutic Procedures. a. Linked Program Outcomes i. Monitor, evaluate, and modify patient’s objective and subjective responses to therapeutic procedures while communicated ethically with professional communication. b. Linked External Standards i. Graduates will initiate, evaluate, and modify respiratory therapeutic procedures in an ethical and professional manner to an advanced level. Initiate, Conduct, or Modify Respiratory Care Techniques in an Emergency Setting or Home Care Setting. a. Linked Program Outcomes i. Assist physicians to perform special procedures. Initiate and modify pulmonary rehabilitation and home care b. Linked External Standards i. Graduates will be competent in the application of problem solving strategies in the patient care setting to an advanced level. *All course competencies and objectives are tested in a variety of venues. The venues included but not limited to are; laboratory, clinical practice, lecture, and clinical simulations. JOB DESCRIPTION The following represents the knowledge and skills required of the advanced level graduate respiratory therapist, working under the supervision of a physician: • • • • • • • • Applies scientific principles for the identification, prevention, remediation, and rehabilitation of acute and chronic cardiopulmonary disorders. Reviews existing data, collects additional data, and recommends additional tests to evaluate the respiratory status of patients. Uses the above data to develop a respiratory care plan and determine the appropriateness of the prescribed therapy. Initiates, conducts, and modifies prescribed therapeutic and diagnostic procedures including but not limited to administering medical gases, providing humidification, delivering therapeutic aerosols and airway clearance modalities; initiating CPR, providing mechanical ventilator support; maintaining artificial and natural airways; performing pulmonary function studies, hemodynamic and other physiologic monitoring; and collecting specimens of blood and sputum for analysis. Documents necessary information in the patient’s medical record and on other forms. Communicates necessary information to the other members of the health care team while adhering to the rules and laws respecting confidentiality and privacy. Obtains, assembles, operates, and checks necessary equipment. Uses problem solving to identify and correct malfunctions of respiratory care equipment. RT 2015-2016 12 • • Demonstrates appropriate interpersonal skills to work productively with patients, families, staff and co-workers. Accepts directives, does not discriminate, and upholds the ethical standards of the profession. EXPECTATIONS OF A PROFESSIONAL As a student representing the Respiratory Therapist program at Kirkwood you are expected to behave in a professional and courteous manner at all times. Any student, who behaves in a manner that embarrasses a patient (i.e. clinical site), the program (i.e. classroom and/or simulation experiences), or at any clinical affiliate, you will be instructed to refer to the Clinical Code of Conduct and/or Kirkwood’s Student Policies via Current Student link, www.kirkwood.edu/students. The student clinical code of conduct specifically outlines expected student behaviors at the clinical site and uses Kirkwood’s Student Policies under the Current Student link, www.kirkwood.edu/students for any further professionalism behaviors. For further reference refer to each course syllabus that provides expectations and explanations that support the clinical code of conduct and the Kirkwood Student Policies under the Current Student link, www.kirkwood.edu/students. PHYSICAL STANDARDS ACTIVITY LIFT: Up to 50 pounds to assist moving patients and / or equipment. STOOP: To adjust equipment KNEEL: To perform CPR CROUCH: To locate and plug in electrical equipment REACH: Five feet above the floor to attach oxygen devices to wall outlets. HANDLE: Small and large equipment to store, retrieve and move. GRASP: Syringes, laryngoscopes and endotracheal tubes STAND: For prolonged periods of time. FEEL: To palpate pulses, to palpate arteries for puncture and to check skin temperature PUSH / PULL: Large wheeled equipment, e.g. ventilators WALK: For extended periods of time to all areas of the hospital. MANIPULATE: Knobs, dials associated with diagnostic / therapeutic devices. HEAR: Verbal directions, gas flow through equipment, lung and heart sound through a stethoscope. SEE: Patient conditions such as skin color, work of breathing or mist flowing through aerosol tubing. TALK: To communicate in English goals and procedures to patients. READ: Typed, written, and computer information in English. WRITE: To communicate in English pertinent information (e.g. patient evaluation data or therapy outcomes. RT 2015-2016 13 FREQUENCY F C O C C C C C C C C C C C C C C AFFECTIVE / BEHAVIORAL STANDARDS Display emotional maturity to approach highly stressful situations in a calm and rational manner. Maintain composure while managing multiple tasks. Prioritize multiple tasks Interact effectively with patients, their families, physicians, colleagues, other health care providers and the public. Maintain personal hygiene consistent with the standards for a health care professional. Adheres to ethical and legal standards of conduct for healthcare professionals. C C C C C C * FREQUENCY KEY: O = Occasionally 1-33%; F= Frequently 34-66%; C = Constantly 67-100% ACCREDITATION The program is nationally accredited by CoARC (Committee on Accreditation for Respiratory Care). The program is responsible for maintaining an ongoing self-evaluation process. Reaccreditation occurs every 10 years. The Commission on Accreditation for Respiratory Care can be contacted at: 1248 Harwood Rd. Bedford, Texas 76021-4244 817-283-2835 www.coarc.com ADVISORY COMMITTEE The Respiratory Therapist Program maintains an Advisory Committee of representatives from the community to guide and assist in curriculum development and other program matters. The committee meets at least annually to assist the program and sponsoring institutional personnel in reviewing and evaluating any changes to any educational goals, program outcomes, instructional effectiveness, and programs response to change. The communities of interest that are served by the program must include, but are not limited to; students, graduates, faculty, adjunct faculty, college administration, employers, physicians, and the public. This program will have two student representatives from each class serve on this committee representing the views of fellow current students. RT 2015-2016 14 PLANS OF STUDY RESPIRATORY THERAPIST DEGREE Term New Course # Course Name Lecture Hours Lab Hours Clinic Hours Total Credit Hours Pre-Req Pre-Req Pre-Req BIO-161 CHM-110 BIO-186 Basic Anatomy & Physiology* Introduction to Chemistry* Microbiology* Term totals 32 48 48 128 32 0 32 64 0 0 0 0 3.0 3.0 4.0 10.0 Fall Fall Fall Fall Fall Fall Fall HSC-107 HSC-210 RCP-120 RCP-210 MAT-102 ENG-105 HSC-115 Professionals in Health* Health Skills I* Cardiopulmonary Assessment Intro to Respiratory Care Intermediate Algebra* Composition I* Medical Terminology* Term totals 32 8 8 24 64 48 64 248 0 16 16 32 0 0 0 64 0 0 0 0 0 0 0 0 2.0 1.0 1.0 2.5 4.0 3.0 4.0 17.5 Spring Spring Spring Spring Spring RCP-220 RCP-300 RCP-730 PSY-111 SPC-101 Respiratory Care I Respiratory Physiology Respiratory Care Clinic I Intro to Psychology* Fundamentals of Oral Comm* Term totals 32 64 0 48 48 192 32 0 16 0 0 48 0 0 96 0 0 96 3.0 4.0 2.5 3.0 3.0 15.5 Summer Summer Summer RCP-510 RCP-370 RCP-420 Respiratory Care II Respiratory Pathology I Pulmonary Function Testing Term totals 64 32 16 112 64 0 16 80 0 0 24 24 6.0 2.0 2.0 10.0 Fall Fall Fall Fall Fall RCP-470 RCP-850 RCP-735 RCP-380 RCP-610 Cardiac Monitoring Respiratory Care III Respiratory Care Clinic II Respiratory Pathology II Perinatology Term totals 24 32 0 40 32 128 0 16 16 0 16 48 0 0 288 0 0 288 1.5 2.5 6.5 2.5 2.5 15.5 Spring Spring Spring Spring RCP-740 RCP-890 RCP-480 ELECT Respiratory Care Clinic III Respiratory Care Applications Advanced Cardiac Care Humanities Elective* Term totals 0 16 32 48 96 16 32 16 0 64 288 0 0 0 288 6.5 2.0 2.5 3.0 14.0 PROGRAM TOTALS CREDIT AVERAGE PER TERM 904 368 696 82.5 13.8 *Courses may have been taken before beginning the technical portion of the program and do not need to be retaken. All (*) items MUST be completed either before or during the given semester and passed with a C- or higher to be able to enroll into subsequent semester course work. Lab ratio 1:15. RT 2015-2016 15 COURSE DESCRIPTIONS The following are course descriptions for the Respiratory Therapist technical courses. For descriptions of other courses, please access online at www.kirkwood.edu/catalog RCP-120 Cardiopulmonary Assessment (1) Provides the student with the necessary competencies to conduct a general head-to-toe integumentary assessment as well as a more detailed cardiovascular and chest/pulmonary assessment, enabling the student to identify and document any abnormalities. Credits: 1, Hours: (0.5/1/0/0), Coreq: BIO-161; Arts & Sciences Elective Code: B RCP-210 Introduction to Respiratory Care (2.5) Provides the theory, equipment operation and application with laboratory exercises in airway management techniques, humidity therapy and bland aerosol therapy. Credits: 2.5, Hours: (1.5/2/0/0), Prereq: minimum grade C- in both BIO-186 and CHM-110; Arts & Sciences Elective Code: B RCP-220 Respiratory Care I (3) Provides the theory, equipment operation and application with laboratory exercises in oxygen and other gas therapy; and aerosol drug therapy, with an introduction to respiratory pharmacology and airway clearance modalities. Credits: 3, Hours: (2/2/0/0), Prereq: HSC-107, HSC-210, RCP-210, minimum grade C- in HSC-115; Arts & Sciences Elective Code: B RCP-300 Respiratory Physiology (4) Provides the essential concepts of cardiopulmonary anatomy and physiology with an emphasis on pulmonary homeostasis. Credits: 4, Hours: (4/0/0/0), Prereq: BIO-161 or BIO-168/173 or BIO-177/180, and earn minimum grade C- in HSC-115; Arts & Sciences Elective Code: B RCP-370 Respiratory Pathology I (2) Provides an introduction to the study of disease with an emphasis on terminology and basic disease processes. Examines common infectious diseases, acute and chronic respiratory diseases, and cardiovascular disorders. Concentrates on etiology, pathophysiology, signs and symptoms. Provides an overview of respiratory care for the surgical patient, as well as specific management of traumatic chest injury and head trauma. Credits: 2, Hours: (2/0/0/0), Prereq: BIO-186, RCP-300; Arts & Sciences Elective Code: B RCP-380 Respiratory Pathology II (2.5) Offers an in-depth study of pulmonary disorders relating the respiratory therapist's role in diagnosis, treatment, pharmacologic management and support; provides practice in gathering appropriate information and making prompt and correct patient care decisions. Credits: 2.5, Hours: (2.5/0/0/0), Prereq: minimum grade C- in RCP-370; Arts & Sciences Elective Code: B RCP-420 Pulmonary Function Testing (2) Provides theory and operation of equipment in pulmonary function testing with interpretation of test results. Laboratory exercises include gathering data from bedside spirometry, measuring weaning parameters, as well as standard pulmonary function laboratory testing. Credits: 2, Hours: (1/1/1.5/0), Prereq: RCP-220, RCP-300; Arts & Sciences Elective Code: B RCP-470 Cardiac Monitoring (1.5) Surveys the theory and application of specialized diagnostic procedures, equipment and monitoring techniques in cardiac medicine. Includes ECG and monitoring leads, basic interpretation and dysrhythmia recognition, thermodilution cardiac output and oxymetrix-mixed venous oxygen measurements, pulmonary artery catheters, hemodynamics and clinical RT 2015-2016 16 application. Credits: 1.5, Hours: (1.5/0/0/0), Prereq: RCP-300, minimum C- grade in RCP-220, and either BIO-161 or BIO-168/173 or BIO-177/180; Arts & Sciences Elec-tive Code: B RCP-480 Advanced Cardiac Care (2.5) Provides theory and laboratory practice in managing specific life-threatening cardiac dysrhythmias resulting from myocardial infarction. Includes review of basic life support, use of mechanical aids to establish an airway and maintain ventilation, ECG monitoring and recognition of life-threatening dysrhythmias, cardiac defibrillation, establishing an intravenous drug access, and initiating appropriate cardiac drug therapy. Credits: 2.5, Hours: (2/1/0/0), Prereq: RCP-735, and minimum grade C- in RCP-470; Arts & Sciences Elective Code: B RCP-510 Respiratory Care II (6) Explores the theory, equipment operation and application with laboratory exercises in adult and pediatric/neonatal mechanical ventilation, IPPB and arterial blood gas analysis. Examines the effect of mechanical ventilation on acid base balance. Laboratory emphasis on the operation and application of adult and pediatric/neonatal ventilators. Credits: 6, Hours: (4/4/0/0), Prereq: CHM-110, RCP-220; Arts & Sciences Elective Code: B RCP-610 Perinatology (2.5) Explores fetal growth and development, assessment of the high-risk newborn and respiratory care of the perinatal/pediatric patient. Reviews specific medical/surgical pathology in the newborn and pediatric patient. Credits: 2.5, Hours: (2/1/0/0), Prereq: minimum grade C- in both RCP-370 and RCP-510; Arts & Sciences Elective Code: B RCP-730 Respiratory Care Clinic I (2.5) Provides students with clinical practice in order to demonstrate proficiency in physical assessment, oxygen therapy, airway care and IPPB skills. Students observe and practice mechanical ventilation and arterial blood gas analysis skills. Credits: 2.5, Hours: (0/1/6/0), Prereq: RCP-210; Coreq: RCP-220; Arts & Sciences Elective Code: B RCP-735 Respiratory Care Clinic II (6.5) Provides students an opportunity to maintain proficiency in RC Clinic I skills and demonstrate proficiency in ventilation and arterial blood gas analysis. Provides an opportunity to practice pediatric respiratory care, hemodynamic monitoring and demonstrate proficiency in pulmonary function testing. Students observe diagnostic techniques in ECG, cardiac catheterization lab and bronchoscopy lab. Credits: 6.5, Hours: (0/1/18/0), Prereq: RCP-510, RCP-730; Arts & Sciences Elective Code: B RCP-740 Respiratory Care Clinic III (6.5) Provides students an opportunity to maintain proficiency in RC Clinics I and II skills, demonstrate proficiency in pediatric/perinatal respiratory care, practice clinical education techniques and observe management skills. Credits: 6.5, Hours: (0/1/18/0), Prereq: RCP-735; Arts & Sciences Elective Code: B RCP-850 Respiratory Care III (2.5) Surveys the theory and application of specialized diagnostic procedures, equipment and monitoring techniques in pulmonary medicine and critical care. Includes bronchoscopy, oximetry, capnography and transcutaneous monitoring. Explores the elements of pulmonary rehabilitation with laboratory exercises in breathing retraining. Examines the theory and operation of pleural drain-age systems. Credits: 2.5, Hours: (2/1/0/0), Prereq: RCP-510; Arts & Sciences Elective Code: B RT 2015-2016 17 RCP-890 Respiratory Care Applications (2) Culminates the learning activities of the previous five semesters of study in respiratory care. Integrates the theory and application of respiratory care to focus on case management, clinical problem solving and clinical simulation. Case discussions will selectively cover the spectrum of cardiopulmonary disorders for both pediatric and adult patients. Credits: 2, Hours: (1/2/0/0), Prereq: RCP-380, RCP-610, RCP-735; Arts & Sciences Elective Code: B; Comments: Must pass RCP-735 with a C- or better to enroll in RCP-890 RCP-924 Honors Project (1) Allows a qualified honors student to pursue a special concentration of study under the guidance of a faculty member. Requires completion of an honors project contract. May be taken more than once. Credits: 1, Hours: (1/0/0/0), Prereq: none; Coreq: none; Arts & Sciences Elective Code: A; Comments: Requires approval of supervising professor and dean RCP-928 Independent Study (1-3) Provides readings, papers and basic research or other projects under the individual guidance of a staff member. Credits: 1, Hours: (1/0/0/0), Prereq: none; Coreq: none; Arts & Sciences Elective Code: A; Comments: Permission of instructor, dean ASSOCIATE OF APPLIED SCIENCE DEGREE HUMANITIES REQUIREMENT Students may select from the following courses to meet the 3-semester credit hour requirement. Courses in italics are also Associate of Arts core courses. Courses with a (D) are approved Diversity courses. ART ART-101 Art Appreciation ART-203 Art History I ART-204 Art History II ART-173 Ceramics ART-133 Drawing ART-143 Painting ART-157 Printmaking ART-163 Sculpture ART-184 Photography ART-186 Digital Photography ART-301 Design Fundamentals ART-420 Intro to Glass COMMUNICATION ENG-221 Creative Writing DRAMA DRA-101 Introduction to Theatre DRA-130 Acting I DRA-162 Technical Theatre FOREIGN LANGUAGES ASL-141 or ASL-171 American Sign Lanaguage I or II (D) FLS-118 Spanish for Professionals: Hospitality FLS-128 Conversational Spanish RT 2015-2016 18 FLC-141 or FLC-142 Elementary Chinese I or II FLF-141 or FLF-142 Elementary French I or II (all 4 credits) FLS-141 or FLS-142 Elementary Spanish I or II (D) FLG-141 or FLG-142 Elementary German I or II (D) HUMANITIES HUM-116 Encounters in Humanities CLS-180 American Pluralism ANT-105 Introduction to Cultural Anthropology (D) HUM-105 Working in America CLS-190 Culture and Technology CLS-192 Communication & Culture DRA-116 Film Analysis DRA-117 Film Topics DRA-125 Introduction to Play Analysis HUM-123 U.S. Film History HUM-124 World Film History HUM-142 Popular Culture INTERDISCIPLINARY STUDIES BUS-223 Perspectives in International Studies GLS120 Education Experience Abroad MKT-187 Perspectives in International Marketing CLS-140 Understanding Cultures: The Mideast (D) CLS-151 Understanding Cultures: Latin America (D) CLS-159 Understanding Cultures: Indigenous Central America (D) CLS-167 Understanding Cultures: Modern China (D) CLS-165 Understanding Cultures: Modern Japan (D) CLS-171 Understanding Cultures: Sub-Saharan Africa (D) LITERATURE (note: most LIT courses have a pre-requisite of ENG-105 Composition I) LIT-203 Forms of Literature: The Story Cycle LIT-204 Forms of Literature: Nonfiction LIT-205 Forms of Literature: Drama LIT-206 Forms of Literature: Fiction LIT-207 Forms of Literature: Poetry LIT-208 Forms of Literature: New Media LIT-209 Forms of Literature: Film Adaptation LIT-222 Literature & Culture: American Dreams (D) LIT-226 Literary Themes: Search for Identity LIT-224 Literature and Culture: Women and Work (D) LIT-225 Literary Themes: Beyond Bartelby LIT-227 World Poetry LIT-105 Children's Literature LIT-158 Literature of the African Peoples (D) LIT-945 Selected Topics MUSIC MUA-101- Applied Voice (lower level 1 or 2 credit*) MUA-119- Class Piano- 1 credit* MUA-147- Applied Instrument** (private music lessons for beginning students, 1 or 2 credits*) MUA-300–MUA-319 Applied Music (private music lessons for advanced students, 1 or 2 credits*) MUS-100 Music Appreciation MUS-127 Great Composers RT 2015-2016 19 MUS-140 Concert Choir* MUS-157 Vocal Jazz Ensemble* MUS-145 Concert Band * MUS-150 Chamber Ensemble - 1 credit/semester* MUS-163 Instrumental Jazz Ensemble* MUS-165 Jazz Combo - 1 credit/semester* MUS-207 Intro to Film Music MUS-208 American Popular Music & Jazz MUS-209 Topics in Western Music History *(A total of 3 credit hours are required) PHILOSOPHY AND RELIGION PHI-101 Introduction to Philosophy PHI-111 Basic Reasoning PHI-105 Introduction to Ethics PHI-125 Native American Philosophies (D) PHI-126 Chinese Philosophies (D) PHI-130 Philosophy of Human Nature PHI-135 Multicultural Ethics (D) PHI-150 Social and Political Philosophy PHI-160 Environmental Ethics REL-101 Survey of World Religions REL-120 Judaism, Christianity, and Islam (D) REL-125 Introduction to Islam (D) REL-130 Introduction to Religions of the East (D) REL-140 Religions in the United States REL-145 Introduction to Christianity HISTORY HIS-121 Ancient Mediterranean World HIS-122 Europe in the Age of Monarchy HIS-123 Europe in the Age of Revolution HIS-124 Europe in the Age of Nationalism HIS-135 Modern World Military History HIS-151 U.S. History to 1877 HIS-152 U.S. History since 1877 HIS-221 Holocaust and Genocide in Memory and Literature (D) HIS-254 American Indian History (D) HIS-291 History of Science **Instrument choices: Baritone, Bassoon, Cello, Clarinet, Drum Set, Flute, French Horn, Guitar, Oboe, Organ, Piano, Saxophone, String Bass, Synthesizer, Trombone, Trumpet, Tuba, Viola, Violin RT 2015-2016 20 ESTIMATED PROGRAM COSTS SEMESTER Credit hours per semester PREREQS Respiratory Therapist Entry: Fall FALL SPRING SUMMER FALL SPRING TOTAL 10 17.5 15.5 10 15.5 14 82.5 $1,480.00 $2,590.00 $2,294.00 $1,480.00 $2,294.00 $2,072.00 $12,210.00 College Fees: Tuition Health exams/X-ray HepB Vac. Program Fees: Textbooks ACLS Certification Instruction Supplies Uniform/Name Tag Clinic Travel Clinic Parking Clinic Background Check U of I Conference (2 days) State Conference (3 days) Lindsey Jones Seminar (3 days) $350.00 $190.00 $275.00 $2,303.00 $65.00 $318.00 $115.00 $420.00 $840.00 $75.00 $140.00 $380.00 $275.00 National Certification Exam & State fees (Required) $480.00 $480.00 Written Registry Exam (highly recommended) $400.00 $400.00 $190.00 $4,372.00 $190.00 $18,561.00 Iowa State Licensure TOTALS: • • • • • • • $500.00 $350.00 $710.00 $560.00 $213.00 $120.00 $150.00 $115.00 $48.00 $40.00 $40.00 $200.00 $65.00 $40.00 $180.00 $280.00 $180.00 $280.00 $60.00 $280.00 $75.00 $70.00 $70.00 $190.00 $1,980.00 $4,060.00 $3,432.00 $1,733.00 $2,984.00 Health insurance is required for this program. It is estimated to cost approximately $800 per semester Travel, parking and housing expenses for clinic courses will vary depending on the location of the clinical Tuition is based on Fall 2014 at $145*/credit hour Textbook prices are subject to change Health exams are estimated costs Tuition based on Fall 2014 for non-resident students is $175*/credit hour Tuition based on Fall 2014 for international students is $290*/credit hour ADVISING SHEET To be eligible for acceptance into the program you must do three (3) things: 1. Complete an Application for Admission 2. Take the Compass Test (or ACT). Students with degrees are exempt but we must have proof of your degree. 3. Attend a Program Conference 4. Complete all Prerequisite Course Work RT 2015-2016 21 Before we can properly advise you, it is essential that you take the COMPASS placement test or that we have a record of your current ACT scores. If your ACT math score is 17 or less, you must take the math portion of the COMPASS test. To help you succeed in the Respiratory Therapist Program you will receive a strong foundation in basic science. Your knowledge and skills in math will better prepare you to understand the science. Intermediate Algebra or Survey of Math (4 credit hrs) are our required math courses. In order to register for Survey of Math (4 credit hrs), you must score at least 50 on the COMPASS pre-algebra math test. In order to register for Intermediate Algebra (4 credit hrs), you must score at least 50 on the COMPASS algebra math test. If you score lower than 50 on the COMPASS math test, you have several options: 1. If you are only a few points away from 50, you can review basic algebra on your own, and retake the COMPASS math test. 2. If you have had some algebra but need a thorough review, take Prep for College Math to upgrade your math skills. 3. Better math students can substitute Intermediate College Algebra or College Survey to Math (4.0 credit hrs), Finite Math or a higher level math course. Help yourself by taking some courses ahead of time. Following is a list of the first semester courses in the Respiratory Therapist Program. The (**) items are Prerequisite Course work (Required to be completed before entering into the R.T. program). All other (*) course work can be completed within the designated semester or prior to that given semester. All (*) items MUST be completed either before or during the given semester and passed with a C- or higher to be able to enroll into subsequent semester course work. • • • • • • • • • • **Basic Anatomy and Physiology (3.0 credit hrs) **Introduction to Chemistry (3.0 credit hrs) **Microbiology (4.0 credit hrs) *Health Skills I (1.0 credit hr) *Professionals in Health (2.0 credit hrs) *Medical Terminology (4.0 credit hrs.) *Survey of Math or Intermediate Algebra (4.0 credit hrs.) *Introduction to Psychology (3.0 credit hrs.) *Fundamentals of Oral Communication (3.0 credit hrs.) *Humanities Elective (3.0 credit hrs.) **All are mandatory prerequisites to get into the Respiratory Therapist Program. You may also take any of the other courses on the curriculum sheet in the Program Handbook that are marked with an asterisk (*). MINIMUM GRADE REQUIREMENTS Please note that a minimum grade of C minus (C-) is required in the following courses: • • • Basic Anatomy & Physiology Intro to Chemistry Microbiology RT 2015-2016 22 All core RT classes must be passed with a minimum grade of C minus (C-) or you will be removed from the program and asked to return in the given semester a year from the time of drop out. All Respiratory courses need to be taken in successive curricular order. If a student does not pass an R.T. course with a C- or better within that given semester, they will be asked to stop out of the program. A studies in Health Science may be created as a means for student success. Studies in Health Science may only be granted at the discretion of Kirkwood Community College and the R.T. Program Director. Kirkwood’s Respiratory Therapy program assists with providing Registered Respiratory Therapists in Tutoring Services 2071 Cedar Hall (main campus) and 112 Credit Center (Iowa City campus). This is a FREE service for you! Please utilize!! Other recommendations for new Respiratory Therapist Students: CPR must be taken before you begin your first clinical course. The following CPR courses are acceptable for the Allied Health programs at Kirkwood. ORGANIZATION American Heart Association (2 yr certification) CPR COURSE BLS Healthcare Provider or Healthcare Provider CPR American Red Cross CPR for Professional Rescuer or CPR Instructor EMP Course BLSPRO Includes First Aid Call Kirkwood Continuing Education at (319) 398-5529 for CPR course information. Contact the Program Director, in 2164 Linn Hall, to help you plan course work. Call (319) 398-5520 RT 2015-2016 23 Section IIIB CLASSROOM/LAB/CLINIC OUTSIDE EMPLOYMENT The faculty recognizes that students may need to work part-time to help support themselves while in school. The burden of work on top of studies can be very tiring and stressful. If a student can afford not to work, this is the best option to maintain physical and emotional wellbeing. Scheduling work around classes becomes more difficult when students begin clinical rotations. Students are scheduled for both day and evening clinics with an occasional night rotation for added experiences. It is impossible for the program to alter clinical assignments to fit the work schedules of students. Please don't ask! ATTENDANCE / PUNCTUALITY Students are expected to attend all sessions of classes for which they are enrolled. Absences shall in no way lessen student responsibility for meeting the requirements of any class. Students should call and/or e-mail in the event of unavoidable absence, prior to the start of class time. Attendance and punctuality in all courses will be assessed based upon a program competency. Each instructor will determine the extent to which dependability will be assessed for his/her particular course. Please refer to the attendance policy for further expected conduct. This documentation will be signed every semester as a means of clear communication to this expectation. STUDENT ORGANIZATIONS Besides college wide organizations, each Respiratory Therapist class has the option to form a club in order to raise funds for state respiratory care conferences, for service projects, and for extracurricular activities. Usually each class will elect a class president and treasurer, and collect dues. Clubs requesting official recognition (by the Executive Board of the Student Association) must have a faculty advisor and will have a representative on the Inter-Club Council. CLINICAL ASSIGNMENTS Clinical assignments will be determined by the Clinical Coordinator. Students will rotate among the following affiliate hospitals: • • • • • • Marshalltown Medical Center, Marshalltown, Ia. Virginia Gay Medical Center, Vinton, Ia. CarePro Home Health Care, Cedar Rapids, Ia. University of Iowa Hospital and clinics, Iowa City, Ia. Veterans Affairs Hospital, Iowa City, Ia. Mercy Hospital, Iowa City, Ia. RT 2015-2016 24 • • • • • • • • St. Luke’s Hospital, Cedar Rapids, Ia. Dubois Long Term Acute Care Center, St. Luke’ Hospital, Cedar Rapids, Ia. Mercy Medical Center, Cedar Rapids, Ia. Sleep Lab (EISC) Cedar Rapids, Ia. Hammer Medical Coralville, Ia. Direct physician clinical rounding (As assigned per given semester) Direct Medical Director Collaboration (as assigned per each given semester) Mercy Medical Clinton; Clinton, Ia Our goal is to provide approximately the same experience for all students. The majority of clinical assignments will be in Iowa City. During clinics the expense of commuting plus parking fees can be significant; $20.00 for a 12-hour shift. Please, be prepared for this added expense. Car-pooling is strongly encouraged. Clinic can be both an enjoyable as well as a richly productive learning experience. To get the most out of this experience, please be open to a variety of learning opportunities. CLASSROOM/LABORATORY/CLINIC POLICIES Children are not allowed in the classroom, lab or clinic sites at any time. Cellular phones and audible pagers must be turned off during class time and are not allowed in the clinic settings. Students may not operate laboratory equipment or participate in any activity that has a potential for injury without an instructor present. Materials utilized in the classroom, lab or clinic may not be removed and are to be returned to their proper location. Students must comply with the hazardous waste policies presented in lab and in the syllabus. If student is excessively absent a success contract may be required for the student to continue in the program. **Please note; Respiratory Therapy students must NEVER be substituted or utilized as paid staff! This is a CoARC and Kirkwood Respiratory Therapy policy that must always be followed. Should you be confronted with this request please call the designated paid clinical faculty immediately. All numbers and contact information are located in your clinical handbooks and clinical schedules. CLINICAL GRADING CRITERIA Respiratory Care Clinic Carries a Pass (P)/No Pass (F) A Pass grade requires completion of all assignments as noted in the Clinical Guidelines and compliance with the stated Attendance Policy for this rotation. This compliance is measured by the adjunct faculty, clinical faculty appointees (CFA’s) and staff therapists in our clinical affiliates. A Pass grade also requires satisfactory compliance with the objectives as stated in the course syllabus. No Pass (F) will severely limit the ability of a student to continue on in the program and will require waiting a year to reenter clinics. It should be understood by each student that while in clinic the CFA (Clinical Faculty Appointee) or staff therapist to whom the student is assigned is the primary clinical preceptor for the day. As such, it is expected that the student will accord this person the same professional consideration, courtesy, and respect which is granted to any other classroom instructor or clinical faculty member. RT 2015-2016 25 It is the philosophy of the program that clinical resource is primarily for the benefit and growth of the student. To this end the following policy has been instituted for the rare occasion in which a student receives an unsatisfactory evaluation by a clinical instructor, CFA, or assigned staff therapist. If a student receives an unsatisfactory evaluation during the course of the semester, the student will meet with the Director of Clinical Education and Program Director to discuss the evaluation and develop a remediation plan. Should the unsatisfactory evaluation be deemed harmful and/or violate the clinical contract signed, one could be dismissed upon the receipt of one unsatisfactory evaluation based upon the violation. If an “F” (No Pass) is earned the student will be dismissed from the Respiratory Therapy Program with re-entry to occur at the beginning of the fall semester, starting with the freshmen semester curriculum. CLINICAL COMPETENCIES All clinical competencies must be documented in DataArc. It is the students responsibility to complete all Clinical Competencies assigned for the semester or they will earn an Incomplete (IC) as their clinical course grade. This means that you will not be able to advance to the next given semester until they are completed. Program completion for on time graduation will be in question should this occur. *Please reference the Clinical Code of Conduct for further details* If a student receives an additional (meaning (1) or more) unsatisfactory evaluations during the course of the semester, the student will receive a No Pass (F) for that clinical semester. An earned “F” ensures the student will be dismissed from the Respiratory Therapy Program with reentry to occur at the beginning of the fall semester, starting with the freshmen semester curriculum. CLINICAL ATTENDANCE POLICY Each student is expected to follow the established clinical schedule each semester. • • • All traded days must be made 24 hours in advance of the clinical day or the trade will not be granted All traded days must be granted by the Director of Clinical Education or the Program Director only All participants of any traded days must have verbal or written communication to validate awareness of the trade before a trade will be granted. Sick Days (1) day per semester will be allowed for sick leave; unless it is summer clinicals in which NO missed days are allowed. Any additional missed clinic days will be required to be made up within the clinical scheduled time frame. The clinical day (s) needing to be made up will be facilitated through the Director of Clinical Education or Program Director. The made of day (s) will be facilitated through the missed clinical site of the occurrence. REPORTING ABSENCES RT 2015-2016 26 All absences must be reported to the Director of Clinical Education or Program Director respective of their clinically assigned day. a. If you are going to miss clinic, call the appropriate clinical site, along with the Kirkwood Clinical Faculty member to report your absence. First failure to call will result in a written warning; second failure to call will result in an earned “F” for that clinical semester. This means dismissal from the Respiratory Therapy Program with re-entry to occur at the beginning of the fall semester, beginning with the freshmen semester. PROCEDURE PROCESS REPORTING ABSENCES and TARDINESS All absences must be reported to the Director of Clinical Education or Program Director respective of their clinically assigned day. a. If you are going to miss clinic, call the appropriate clinical site, along with the Kirkwood Clinical Faculty member to report your absence. First failure to call will result in a written warning; second failure to call will result in an earned “F” for that clinical semester. This means dismissal from the Respiratory Therapy Program with re-entry to occur at the beginning of the fall semester, beginning with the freshmen semester. b. If you are going to be late/tardy to a clinical site the following steps must be followed; • Call clinical cell phone first to report late/tardiness. The Program Director/Director of Clinical Education (which ever faculty member is on that day) will direct you as to your next steps. (ie; continue on to clinical site or not to attend clinical) • Call clinical site to report your tardiness/late arrival AFTER communicating with the person carrying the clinical cell phones (ie; PD or DCE) to report your attendance or absence of. c. PD or DCE will follow up with an e-mail and/or e-mail to the clinical site affected by tardiness/absence after direct communication has taken place prior to your arrival at the clinical site. d. In the event of an automobile breakdown en route to clinic the student should call the clinic site and Clinical Faculty on for that day as soon as possible to report the situation and to inquire if they may still attend that clinic. *Refer to the Clinical Code of Conduct for further reference* Clinical Resource Sheets a. Turn in all clinical paperwork on time Ex. You will be granted a one week grace period should you forget to turn in your clinical sheets from the prior week’s clinical rotation. (The clinical sheets can be scanned, e-mailed, faxed or brought in my fellow classmates should your absence be unavoidable for Respiratory Care Clinic Discussion class). Any additional occurrences of this action in that given semester will require a makeup of that clinical day. b. Complete ALL DataARC requirements for that given day on time! *Refer to the Clinical Code of Conduct for further Reference* RT 2015-2016 27 Clinical Absenteeism a. If you are going to miss clinic, call the appropriate clinical site, along with the Kirkwood Clinical Faculty member to report your absence. First failure to call will result in a written warning; second failure to call will result in an earned “F” for that clinical semester. This means dismissal from the Respiratory Therapy Program with re-entry to occur at the beginning of the fall semester, beginning with the freshmen semester. b. Do not leave the assigned clinical site, assigned clinic unit, or assigned clinical facility early. If you the student leave the clinical site, assigned unit, or facility early without prior discussion with the clinical faculty an earned “F” will be awarded for that clinical semester. c. The Kirkwood Clinical Faculty member needs to be called for prior approval before leaving a clinical site, assigned clinic unit, or assigned clinical facility. IF this does not occur an earned “F” for that clinical semester will occur, for this is viewed as abandonment of a site. This action will result in dismissal from the Respiratory Therapy Program with re-entry to occur at the beginning of the fall semester, beginning with the freshmen semester curriculum. d. Do not have the adjunct or faculty preceptor sign your student sheets until you have filled in the procedures for the day, and completed the expected clinically assigned day. Any falsification of documentation will result in an earned “F” for that clinical semester. This means dismissal from the Respiratory Therapy Program with re-entry to occur at the beginning of the fall semester, beginning with the freshmen semester. *Refer to the Clinical Code of Conduct for further Reference CLINICAL PREPAREDNESS FOR A Clinical Site a. Arrive at your clinical site dressed and ready to receive report on time • This means have your notepad and pen ready to take report • Refer to the Clinical Code of Conduct for Reference *Please reference the Clinical Code of Conduct for further details* DRESS CODE 1. 2. 3. 4. 5. All students are expected to wear professional attire and be well groomed. Students must purchase a lab jacket if required by the clinic facility. Students may wear scrubs if the facility authorizes it, the student may be responsible for purchasing scrubs or they may be provided by the site. Each day of clinic the student must wear a Kirkwood nametag identifying you as a student. The facility may require an additional facility nametag (i.e. University of Iowa) Should the student not have the proper name tag on, given the site, the student will be asked to leave and that clinical day will be made up, and the student will receive a written warning. Any further violations will result in a No Pass “F” with re-entry to occur fall semester of the freshmen year. All students must meet the following general standards, in addition to any additional requirements of the assigned clinical facility. a. No gum chewing or chewing tobacco allowed. b. Fingernails must be neatly trimmed. No false nails or acrylic overlays are permissible at any clinic site. No decals or nail art permissible. c. Make-up and cologne should be applied minimally. d. Facial hair must be short and neatly trimmed. RT 2015-2016 28 e. f. g. h. i. j. k. l. m. n. A single neck chain may be worn. One conservative earring per ear is permissible (no larger than the size of a nickel). Earrings in visible places other than the ear are NOT permissible. No jewelry is allowed in or on the mouth, lips, or eyes. One ring per hand is permissible, others should be removed (a wedding set is counted as one ring) Dangle necklaces, earrings and bracelets are not permitted. Hair should be clean and neatly groomed, long hair should be secured away from the face. Dreadlocks or unnatural hair colors are not allowed. A watch with a second hand is required for all facilities. No open toed shoes or high heeled shoes allowed. Tennis shoes are ONLY allowed if the facility encourages wearing them. If tennis shoes are worn they must be neat and clean in appearance and have no holes. Shorts, sweatshirts or T-shirts are not allowed, SCRUBS WILL BE WORN AT ALL TIMES. At no time should student’s undergarments be visible. No visible tattoos are allowed. If present they must be covered at all times so they are not visible. No kinds of body art is permissible, must be covered at all times. SEMINARS AND CONFERENCES Students may earn clinic credit by attending respiratory care seminars/conferences or participating in other approved community events. NOTE: Prospective future attendance at a conference/seminar will not erase a failing grade already earned for that semester. Verification of attendance or participation is required. Written synopses of lectures attended or participation in community activities must be submitted to the Director of Clinical Education and Program Director for credit to be given. If a conference or seminar is missed due to unavoidable circumstances and is communicated to the respective faculty member and/or lack of communication on the students behalf with the Program Director and Director of clinical Education, a 25 page 10 sourced research paper will be earned by the student should they decide seminars and conferences are not an important component of their education. The paper must be properly cited and must comply with all plagiarism standards as cited by Kirkwood Community College. There are a minimum of two conferences/seminars that require participation by the student. The two minimum required conferences are the University of Iowa Conference and the Iowa Lung State Conference. This information was discussed at the program conference prior to admission into the program and should be understood that it is required for graduation success from Kirkwood Community College’s Respiratory Therapy program. Conference attendance is reflected in your professionalism grade and community involvement expectation of this program. EXAMINATIONS Examinations will be scheduled in advance. If you are unable to attend a class on an exam day, you are expected to contact the instructor before the exam is given to arrange an alternate time. A student is allowed one (1) missed exam per semester, per course; all other missed exams will be a zero (0). Any missed exam in a given semester must be made up within 48 hours of the original test date or the missed test will be granted a zero (0). An additional point value of 1-5 % of overall final course grade will be awarded for taking ALL exams on time in any given Respiratory Therapy course. The exact % will be determined by the faculty member teaching the course, and may differ in each Respiratory Therapy course. The RT 2015-2016 29 % used will depend on total course point availability from distribution in homework, labs, exams, conferences, attendance, and professionalism. UNIFORMS AND SPECIAL REQUIREMENTS During the spring semester of the first year, students will start attending clinical sites. A long white lab coat (mid-thigh length) is required. The student must also purchase a minimum of 2 sets (tops & bottoms) of scrub uniforms to be worn under the lab coat. The color is pewter grey and will have to match according to the color that is provided to you in the Book Store. Each student is responsible for having a clean uniform and lab coat each clinic day. Additionally, a nametag stating name and Respiratory Therapist Student must be worn on breast pocket. While in clinic, you will be expected to carry a stethoscope and a watch (with second hand). Tennis shoes are required. Students are asked to refrain from wearing any perfumes or colognes which might be offensive to patients and/or staff. CONFIDENTIALITY Students in clinic will maintain strict confidentiality of patient information. This includes oral, written and computerized information. This is an important attribute of professionalism. A student violating this policy may be asked to leave the clinic site, jeopardizing continuation in the program. Students in health care facilities may be asked to sign a confidentiality statement. In accordance with provisions of public law 93-380 as amended (P.L. 935668), the Family Educational Rights and Privacy Act 1974, commonly known as the “Buckley Amendment”, all faculty and staff have the responsibility to maintain confidentiality pertaining to student records. 1. No information will be released about student grades to a third party unless the student has given written consent. “Third party” includes parents, family members, and potential employers. 2. It is the policy of this program and the Allied Health Department not to release directory information (phone numbers & addresses) without prior consent. PROFESSIONALISM Students are representatives of their programs and future professions, and as such, are expected to be professional in the classroom and at the clinic sites. The conditions of patients should be discussed only with the professional personnel directly connected with the care of the patient. A discussion of personal information of patients in public places is a violation of the code of ethics. Professional relations must be observed during clinic. Students are not to leave their assigned clinic area without permission from their instructor. All accidents or errors that occur during clinic must be reported to the instructor. Students are NOT to sign or witness the signature of patients at any time. Misconduct or negligence in complying with the rules and regulations of the program will be considered unethical practice. If a clinic asks a student to leave due to inappropriate behavior or unsafe practice, the student will be granted a verbal and/or written warning depending on the severity of the misconduct, upwards of dismissal from the program. CLINICAL COMPLIANCE RT 2015-2016 30 Students within Allied Health programs must complete compliance variables in order to participate in clinical experiences. The compliance process is comprised of variables in three general areas. These areas are Background Checks, Health Records and Immunizations and Additional Compliance Certifications. All three areas of the Compliance process are now housed through an online vendor called Certified Background. The website for Certified Background is www.certifiedbackground.com. Students set up, pay for, and use a certified background account to house all variables of the compliance process. On your program website, you will find information on each general area of the compliance process. Specific information and directions to complete the process are listed on the Compliance website. It is the responsibility of you as the student to complete the processes by the due dates listed. Below are steps on how to find these directions: • • • • Go to www.kirkwood.edu/alliedhealth Find your Program link on the Allied Health Homepage Find the Current Students link on your Program Homepage Find the Compliance Guide line on the Current Students homepage You will want to familiarize yourself with the content on this website and use it as your first resource when looking for answers to your clinical compliance questions. All information regarding the Compliance process will be discussed during your Technical Program Orientation. If you have any questions please make sure you work with your Program Director and Allied Health Department personnel. Complete up-to-date information on all requirements for clinic compliance is on your program website at www.kirkwood.edu/alliedhealth. It is the student’s responsibility to read and follow and meet all requirements and deadlines listed. FELONY/CRIMINAL CHECKS If a student has a felony conviction, it may prevent them from being eligible for licensure or certification and it may adversely affect employment opportunities. Student with a felony conviction are advised to contact the respective licensing/certification board immediately. Many clinical agencies require background/criminal checks of all their employees and therefore will require such checks on all students before respective clinical sites. All Respiratory Therapy students will be required to complete a criminal background check prior to starting the program. IF the student’s background check reveals incidents not acceptable to the clinical agency, it will be necessary for the student to withdraw from the program. The student will receive information about the criminal check process during the program conference (prior to admission into the program), at registration, and program orientation. It will be the student’s responsibility to complete the process. Please refer to the clinical compliance section on the Respiratory Therapy Program website for further details. BASIC LIFE SUPPORT (CPR) POLICY 1. All students involved in direct patient care will be required to show documentation of completion of CPR for Health Care Provider training prior to any patient contact and RT 2015-2016 31 2. maintain a current card for the duration of their program. Each student will need to provide the required documentation each semester. Students who fail to provide documentation of current CPR training will not be permitted in clinical areas. Medical exceptions to this requirement may be considered by the program. INFECTION CONTROL/OSHA/EXPOSURE All students must attend an annual OSHA training session on Standard Precautions in preventing the spread of bloodborne pathogens and tuberculosis. The initial training is provided in the Professionals in Health course. Students who do not complete this initial training must see their program coordinator to schedule the training. Failure to maintain current OSHA training will result in being dismissed from any course with this requirement. Students may be participating in activities within courses that have potential for exposure to infectious diseases including, but not limited to, Hepatitis B and HIV. All measures must be exercised to minimize risk. Students who fail to comply, jeopardizing the safety of others or themselves, may be asked to withdraw from the course. In the event of a significant exposure; punctured by contaminated needles or instruments or exposed to blood or body fluids (e.g., an occupational incident involving eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious material, including saliva), the student must report the incident immediately to the instructor or clinical supervisor and file an incident report with the college. Follow-up evaluation will be required consistent with Federal regulations. A portion of the medical expenses may be covered by Kirkwood. Students must be practicing standard precautions to collect insurance payment for the fees involved. ILLNESS/ACCIDENTS Kirkwood Security, 319-389-1774, should be contacted immediately after an accident has occurred or been reported so they can respond and create an accident report. LATEX ALLERGIES: Students reporting a latex or powder allergy must see the Campus Health Nurse. Campus Health is located in Iowa Hall. It is the student’s responsibility to follow appropriate protocol for documentation and accommodations. If a student in a High Risk on-campus program is injured: 1. An Illness and injury report must be filled out and turned into campus health within 24 hrs. 2. He/she must be seen by his/her primary care physician or walk-in clinic of his/her choice. 3. Bills for the student’s visit should be sent to Risk Management Specialist, 2nd Floor Kirkwood Hall. We do not tell the student that the bill will be taken care of by Kirkwood. We only can say that a claim will be filed. The High Risk policy has a $10 deductible which is the responsibility of the student. If a student is injured off campus in a non-paid clinical /internship: 1. In the event of a significant exposure or injury during clinic experience, the student must report the incident immediately to their clinic/practicum instructor and the clinical agency. 2. An Illness injury report must be filled out and turned into campus health within 24 hours. This form is available at www.kirkwood.edu/campushealth. RT 2015-2016 32 3. He/she must been seen by his/her primary care physician or walk-in clinic of his/her choice. 4. Kirkwood Community College will not pay medical bills unless they are found legally liable to do so. If a student or Visitor is injured on campus and is NOT in a High Risk on Campus Program: 1. An Illness/Injury report must be filled out and turned in within 24 hours. 2. If further medical attention is needed, he/she must be seen by his/her primary care physician or walk –in clinic of his/her choice. 3. Kirkwood Community College will not pay medical bills unless they are found legally liable to do so. BBP POST-EXPOSURE EVALUATION & FOLLOW-UP Bloodborne pathogen exposure is defined as contact (skin, eye, mucous membrane or parenteral) with: • • • • • • • • • • Blood Body tissues or organs Semen Vaginal secretions Amniotic fluid Cerebral spinal fluid Pericardial fluid Peritoneal fluid Pleural fluid Synovial fluid or other body fluids containing visible blood through injuries from contaminated sharps, breaks in the skin, skin conditions or mucous membranes. OSHA requires documentation of the route of exposure, circumstances in which it occurred, identification and documentation of the source individual (if feasible), testing of the source individual’s blood for HBV and HIV infectivity if feasible and unknown upon exposure, notification of results of the source HBV and HIV status to the exposed employee (within applicable state laws / regulations), collection and testing of the exposed employees blood for HIV and HBV, documentation of follow-up treatment including test results, prophylactic medications, counseling and evaluation of reported illnesses. At KCC, Campus Health is responsible for retaining all of the above documentation as part of the employee’s medical file. Communication with the exposed employee about testing, vaccination and medical conditions resulting from exposure should be discussed and instructions provided in writing within 15 days of exposure. Procedures Following an Exposure: Low risk BBP exposure: When the potential for transmission of infectious agents is unlikely or non-existent. This includes contact with urine, saliva, tears, sweat, sputum and stool which contain no obvious blood, puncture or laceration from sharps not contaminated with blood or body fluid, exposure of blood to intact skin, or puncture from a hollow point needle used to administer fluids or medications into an IV line if no blood is visible in the IV tubing. RT 2015-2016 33 Treatment: For these exposures, wash the affected area immediately. Your intact skin is a protective barrier and follow up care is not necessary. Complete the Kirkwood Community College Illness and Injury Report form and notify Campus Health of your low risk exposure. High risk BBP exposure: When the incident poses a significant potential for the transmission of infectious agents. This includes a break in the skin from any kind of a sharp (needle, lancet, glass, surgical instrument) that is contaminated or likely contaminated with blood or body fluid / tissue, contact with blood or body fluid into an open skin lesion, splashes of blood or bloody material into or very near the eyes, nose, or mouth, CPR with direct mouth to blood contact, and any other situation where there is a high probability of contamination. Treatment: • • • • • • Wash the affected area immediately and thoroughly with soap and water. Report the incident to a clinical instructor or supervisor after cleaning the area. For students, the clinical instructor will notify the clinical area supervisor of the incident. The student should go to the ER of the facility in which the exposure occurred EXCEPT for UIHC for testing. If at UIHC between the hours of 7:30 am – 4:30 pm M – F the student needs to contact UEHC at 353-8753 to report exposure. If the exposure occurs outside of these clinic times the student will need to contact UIHC Emergency Department at 356-8753 to report exposure. If a student is at a facility that does not have an ER they should go to the nearest ER that their personal insurance is covered by. The clinical instructor or supervisor will start the following paperwork and send this with the student / staff to the emergency room: A copy of the Kirkwood Community College Illness and Injury Report form. Body Fluid Exposure - Risk Management Form Name, address and phone of the source person (person who's blood or body fluid you came in contact with, as they will be tested as well) Student and / or source testing should be billed to the student with copies sent to: Lara Buckles, Risk Management Specialist Kirkwood Community College Kirkwood Hall, 2nd Floor 6301 Kirkwood Blvd SW Cedar Rapids, IA 52404 • • The exposed student must submit the above information to Campus Health at 132 Iowa Hall via fax 319-398-7114 or e-mail fhealth@kirkwood.edu within 24 hours of the exposure. Failure to submit these forms to Campus Health may cause the student to be billed individually for the costs of the emergency room visit and lab fees. If additional follow-up care and lab testing is necessary, the student should coordinate follow-up visits with a health care provider of their choice. For students in qualified high risk programs, Kirkwood carries a limited medical coverage policy with limits of $1,000 per student with a $10 deductible that is the student’s responsibility. The paperwork must be submitted and accepted before Kirkwood becomes responsible for any payment of bills. We do not guarantee the bills will be taken care of. OSHA requires all evaluations, follow-up, prophylactic treatment and testing be made available at no cost to the employee. RT 2015-2016 34 HEALTH INSURANCE Some clinics require students to provide proof of medical insurance coverage prior to enrollment in specific courses. Forms verifying coverage may be obtained from the program director or in the Allied Health Department Office. The information provided will be sent to clinical agencies requiring proof of health insurance. WEATHER The college may cancel or postpone classes due to weather conditions. This will be announced on local Cedar Rapids, Iowa City, and Waterloo radio and TV stations. (Listen for Kirkwood Community College NOT College Community Schools) Classes will not normally be made-up. Any test or activities scheduled that day will be held on the next regular class day. If the college delays the start time, classes will begin at that time, [even if it is in the middle of the normal class time]. Faculty will provide instructions in the course syllabi for clinic courses and unusual circumstances. If students decide they cannot come to class or due to weather conditions in their area, the appropriate faculty must be notified. Students are expected to make appropriate judgments based on their situation. Each student situation will be evaluated individually by faculty. Kirkwood campus closing due to weather or other unforeseen circumstances does NOT affect the students’ ability to attend clinic and shall NOT be reason to miss clinic. Students will be responsible for attending their clinic assignment. If you are commuting and weather forecasts indicate a possible problem, please try to plan ahead and make arrangements to stay within a minimal distance to the facility to minimize travel and missed clinic days. RT 2015-2016 35 Section IIIC REGISTRATION/GRADES REGISTRATION The sequence of courses in the program has been carefully planned to ensure the most effective and efficient presentation of curriculum. Program advisors will assist students in following the curriculum and registering for the proper course sections. Students, who plan to transfer to a 4-year college, should meet with their advisor regarding transfer courses where appropriate. Students will be notified of preregistration times. Students are responsible for successful completion of prerequisite courses. 1. Registration is on-line via EagleNet. 2. The student must have no registration holds. Holds may be due to parking fines, library fines, incomplete health physical or immunizations or outstanding financial obligations to the college. 3. Students on academic probation or with an academic warning must meet with a counselor in Student Development (115 Iowa Hall) before their registration can be processed. 4. Complete all prerequisite course work. CHANGE OF REGISTRATION If it becomes necessary to drop or add a course after registration, the student must see their advisor, complete a change of registration form and personally take it to the Enrollment Services office (216 Kirkwood Hall). If circumstances prevent a student from continued attendance in a course, a change of registration form must be completed. If a student does not continue to attend a course, but fails to withdraw from the course, the instructor will have no choice but to assign a failing grade. Each semester has a last day to drop classes indicated on the academic calendar. The last day to drop is 75% through a course. See the academic calendar or course syllabus for specific information. Refer to the Kirkwood Student Policies via the Current Student link, www.kirkwood.edu/students for information regarding tuition reimbursement. Students who do not complete the program in the recommended timeframe will be asked to retake or review pre-clinical course in preparation for clinic. EXTRA-CURRICULAR COLLEGE ACTIVITIES Students are encouraged to inform instructors well in advance of absences for extra-curricular college activities. It is the student’s responsibility to make prior arrangements with all affected faculty of expected course work. The student must complete all homework, study assignments, reading assignments, quizzes, tests, and any other assignments, including all laboratory expectations etc. within the time frame assigned by the given faculty member. No exceptions will be granted from this expectation for the success of each student is our interest and following through on this expectation represents workplace readiness and academic excellence. RT 2015-2016 36 GRADES Kirkwood uses a 4.0 grading system. Kirkwood grades and their meanings are given below: A AB+ B BC+ C CD+ D DF 4.0 3.67 3.33 3.00 2.67 2.33 2.00 1.67 1.33 1.00 0.67 0 P Q IC E T N W X O Passing-credit No credit Incomplete Excused Without Credit Credit by Examination Audit Withdrew from Course Course repeated Original grade removed The grades A, B, C, D, F, and FW are included in the computation of grade point average [see college handbook for computing grade point average] Grading scales for individual courses are found in each course syllabus. GRADING PROGRAM POLICY: Course grades will be based on the percent of total points achieved from exams, quizzes, homework, discussion and/or lab assignments during a semester. The value of points achieved from each area will be weighted at the discretion of the instructor. A = A- = B+ = B = B- = C+ = C = C- = D+ = D = D- = F = 93 - 100% 90 - 92.99% 87 - 89.99% 83 - 86.99% 80 - 82.99% 77.5 - 79.99% 75 - 77.49% 72.5 - 74.99% 70 - 72.49% 67.5 - 69.99% 65 – 67.49% Less than 65% Performance evaluations will be based on 100% proficiency in the specified task. Courses with performance evaluations as part of the grade will require passing all performance aspects of the course. Clinical courses will be graded according to the P = Pass, Q = No Credit criteria **Some written exams may be given during the course of the program. All written exams will be given on the main campus in the Testing Center.** CLINICAL GRADING CRITERIA RT 2015-2016 37 Respiratory Care Clinic Carries a Pass (P)/No Pass (F) A Pass grade requires completion of all assignments as noted in the Clinical Guidelines and compliance with the stated Attendance Policy for this rotation. This compliance is measured by the adjunct faculty, clinical faculty appointees (CFA’s) and staff therapists in our clinical affiliates. A Pass grade also requires satisfactory compliance with the objectives as stated in the course syllabus. No Pass (F) will severely limit the ability of a student to continue on in the program and will require waiting a year to reenter clinics. It should be understood by each student that while in clinic the CFA (Clinical Faculty Appointee) or staff therapist to whom the student is assigned is the primary clinical preceptor for the day. As such, it is expected that the student will accord this person the same professional consideration, courtesy, and respect which is granted to any other classroom instructor or clinical faculty member. It is the philosophy of the program that clinical resource is primarily for the benefit and growth of the student. To this end the following policy has been instituted for the rare occasion in which a student receives an unsatisfactory evaluation by a clinical instructor, CFA, or assigned staff therapist. If a student receives an unsatisfactory evaluation during the course of the semester, the student will meet with the Program Director and Director of Clinical Education to discuss the evaluation and develop a remediation plan for success. Should the unsatisfactory evaluation be deemed harmful and/or violate the clinical contract signed, one could be dismissed upon the receipt of one unsatisfactory evaluation based upon the violation. If an “F” (No Pass) is earned the student will be dismissed from up to no re-entry will be granted at all based upon severity of dismissal and harm deemed. *Please reference the Clinical Code of Conduct for further details* P Pass F Fail Clinical Competencies: All clinical competencies must be documented in DataArc. It is the students responsibility to complete all Clinical Competencies assigned for the semester or they will earn an Incomplete (IC) as their clinical course grade. This means that you will not be able to advance to the next given semester until they are completed. Program completion for on time graduation will be in question should this occur. *Please reference the Clinical Code of Conduct for further details* 1. If a student receives an additional (meaning (1) or more) unsatisfactory evaluations during the course of the semester, the student will receive a No Pass (F) for that clinical semester. An earned “F” ensures the student will be dismissed from the Respiratory Therapy Program with re- entry to occur at the beginning of the semester they were dismissed. *Please reference the Clinical Code of Conduct for further details* FINAL SEMESTER CAPSTONE CLASS GRADING CRITERIA AND PROCESS RT 2015-2016 38 How final grades are determined: 100% of the final grade is based on the accrued percentage of the total possible points on written examinations, quizzes, writing/lab assignments, competencies, workshops, field trips, conferences, and projects as may pertain to course material this includes but is not limited to; chapter posttests/assigned homework. Punctuality and dependability (attendance) are considered course expectations as preparation for career readiness. **TMC Exam must be passed with a 78% or higher consistently by the instructed given date at the beginning of the semester or an incomplete will be awarded to the student for the course. The student will maintain an incomplete until the above percentage is met consistently on the TMC exam. Student will be able to graduate formally from Kirkwood after passing the TMC with the listed %. A student success plan will be created should the student not be able to obtain the listed percentage at the given date provided by the instructor at the beginning of the course. **Simulation Testing will be done consistently throughout this course. The desired result is to be passing all instructed simulations by the end of the term. Course Grading: Pass Fail IC Incomplete PHI THETA KAPPA HONOR SOCIETY What is Phi Theta Kappa? Phi Theta Kappa is an international honor society for students in two-year colleges. Kirkwood Community College has an active chapter, named Alpha Eta Rho, headquartered in the Arts and Humanities Department, 337 Cedar Hall. What are the benefits? • • • • • • • Members are eligible for more than $37 million in scholarships at four-year institutions nationwide when they transfer from Kirkwood. A complete list of scholarships can be found on the PTK web site: www.ptk.org. Members wear a gold honors stole and tassel at Commencement. Members receive a gold PTK key lapel pin, membership certificate, and ID card. Members are automatically recommended for the National Dean’s List. Members may compete for other honors. Phi Theta Kappa membership is noted on the Kirkwood transcript and the Phi Theta Kappa seal appears on members’ Kirkwood diploma. Best of all, members may join with other Alpha Eta Rho members in the activities of a thriving local chapter, and may qualify to attend regional or national meetings. What are the eligibility requirements? RT 2015-2016 39 • • • • You must be enrolled in a regionally accredited institution pursuing an associate degree You must have completed at least 12 transferable credit hours of coursework that may be applied to an associate degree (part-time students may be eligible) You must have a cumulative GPA of 3.5 to be a member and maintain a GPA of 3.3 You must adhere to the moral standards of the society Both part-time and full-time students who have met all of the academic requirements are invited to become members. International students are welcome to become members. They must achieve the required GPA, have accumulated the number of hours required by the college to designate full-time status, and possess all rights of citizenship in their native land. How much does membership cost? As of fall semester 2013, membership in the local, regional, and national association will total $70.00. A typical transfer scholarship to a Phi Theta Kappa member from a four-year college or university will be from $500 - $5000—a good return on a $70 investment! Is this only for arts and sciences students? Definitely not. Members include students from all programs, all Kirkwood locations, daytime and evening, full-time and part-time students. A non-active (registered) membership, also $70, is available for students who cannot participate in chapter meetings or activities. FOR MORE INFORMATION CONTACT THE ARTS & HUMANITIES DEPARTMENT, 319-398-4913 SATISFACTORY PROGRESS College regulations require a minimum cumulative grade point average of 2.0 to graduate with a diploma or an AAS degree. Academic probation may be given for either a grade point average of less than 2.0 in any given term, or for failure to maintain satisfactory progress. In light of requirements for completion, failure to maintain satisfactory progress will be considered as a GPA below 2.00 in any given semester, and/or a grade of "F" in any prerequisite course work. A student on academic probation must maintain a GPA of 2.00 or greater the next semester. Continuation in the program is contingent upon maintaining satisfactory progress during "probationary status". Our curriculum is sequenced and developed so that succeeding courses inherently require successful completion of all preceding courses. When a student finds it impossible to complete a course as scheduled in the curriculum, it generally means he or she must wait one year until he or she can fit into the proper course sequencing again. Failure in any course will usually prohibit registering for succeeding courses if prerequisites are not satisfied. Please do all you can to keep up with the work. If you’re having trouble, let us know as soon as possible so we may assist. We all want you to achieve your goal in the shortest possible time. WITHDRAWAL FROM THE PROGRAM RT 2015-2016 40 A student who finds it necessary to withdraw from the program may do so either through the program director or Student Development (115 Iowa Hall). Please inform the program director of your intent. The program reserves the right to request the withdrawal of any student whose health, work, or conduct is determined to be detrimental to the health and safety of themselves, other students or patients. READMISSION TO THE PROGRAM Any student who drops out, stops out, or fails to complete the program in normal sequence may apply for re-admission. Candidates for re-admission must present oral or written arguments in support of their re-admission. A committee of program faculty will review each application for re-admission. The faculty committee may recommend re-admission, denial of re-admission or conditional re-admission. If readmission is sought after exiting the program, the student will be required to fulfill the current curriculum and program requirements for graduation. Readmission is contingent upon available space in the class and completion of admission requirements. See Kirkwood Student Policies under the Current Student link, www.kirkwood.edu/students for other withdrawal and readmission policies, such as readmission following academic suspension. PART-TIME STATUS Students who are unable to complete the program in the normal sequence of courses must: • • • • Meet with their program director and plan the sequence of courses. Reapply for the next program start if they have not completed the first semester courses. These students do not have priority over new applicants If numerous students request to re-enter the program, the date of the application will be used to select students accepted to register. Registration in classes on a part-time basis is not guaranteed. Registration is on a space available basis. Priority is given to students enrolled full-time with the intention of completing the program requirements within the curriculum plan. COMMUNICATIONS Open, honest communication between students and faculty is extremely important. If students encounter difficulty with the content and/or methods used in a particular course, it is the student’s responsibility to make an appointment with the instructor during regular office hours. If a conflict arises between the student and instructor and they are unable to resolve an issue, the student should request a meeting with the program director. Students are encouraged to carefully read their course syllabi for specific requirements and policies applicable to specific courses. RT 2015-2016 41 GRIEVANCE & ACADEMIC APPEAL POLICY For concerns or appeals, students should first meet with the course instructor and then, if necessary, the program director, then department dean. These concerns should be addressed as soon as possible. Grade appeals must be presented within 60 days from the date of which the grade was assigned. Refer to the Kirkwood Student Policies under the Current Student link, www.kirkwood.edu/students for additional information. EXTRA-CURRICULAR COLLEGE ACTIVITIES Students are encouraged to inform instructors well in advance of absences for extra-curricular college activities. It is the student’s responsibility to make prior arrangements with all affected faculty of expected course work. The student must complete all homework, study assignments, reading assignments, quizzes, tests, and any other assignments, including all laboratory expectations etc. within the time frame assigned by the given faculty member. No exceptions will be granted from this expectation for the success of each student is our interest and following through on this expectation represents workplace readiness and academic excellence. SCHOLARSHIPS Students are strongly encouraged to take full advantage of scholarships and student loans to offset the cost of college. For more information about general scholarships, contact Kirkwood's Financial Aid Office, 205 Kirkwood Hall. A.A.R.C. - American Association for Respiratory Care is the professional organization for respiratory care practitioners. Its purpose is to promote the field of respiratory therapy and provide education and professional services to its members. Student membership is encouraged. I.S.R.C. - Iowa Society for Respiratory Care. The Iowa Society provides a means for sharing events and concerns that affect respiratory therapy within the State. Membership is automatic if a member of A.A.R.C. The I.S.R.C. also maintains a scholarship fund for respiratory therapy students. Two $500 scholarships are available beginning each fall. Contact the program director for information and an application. This scholarship is renewable for the 2nd year of the program. I.L.A. - Iowa Lung Association. The Iowa Lung Association is a subsidiary of the American Lung Association. The I.L.A. also maintains a scholarship fund for Respiratory Care students. A.R.C.F. - American Respiratory Care Foundation. This association offers several different scholarships. ST.LUKE’S ALLIED HEALTH / NURSING SCHOLARSHIP. For students enrolled in program technical courses who have an average program GPA of 2.5 or above. Students will receive a $500 award applied to the summer term. Applications open in January with a March 15th deadline. An application form is available at the Financial Aid Office, 205 Kirkwood Hall. ST. LUKE'S HEALTH CARE FOUNDATION SCHOLARSHIP. For non-traditional students currently enrolled in the program who have an average GPA of 2.5 or above. Application must provide evidence of a permanent address in an area within approximately a 50 mile radius of St. Luke's Hospital in Cedar Rapids, Iowa. Awards provide RT 2015-2016 42 tuition assistance for the following Fall and Spring semesters. Applications open in early spring with a mid-March deadline. An application form is available at the Allied Health office, 221 Linn Hall. For further scholarship opportunities resource www.kirkwood.edu/currentstudents RT 2015-2016 43 Section IV PROGRAM COMPLETION COMPLETION OF THE RESPIRATORY THERAPIST PROGRAM FOR STUDENTS WITH ADVANCED STANDING Students who have graduated from a technician level program or are transferring from a therapist program have the opportunity of gaining "registry eligible" status. Students transferring from an accredited technician level or therapist program will be admitted on a space available basis if the following criteria are met: 1. 2. 3. Application for Admission to Kirkwood. Transcripts and ACT or COMPASS scores forwarded to the program director. Minimum overall GPA of 2.25 in the program courses previously taken. All technician transfer students must complete a minimum of 5 semester hours of clinical experience required in our second year. Additional clinical experience may be required based upon mutually agreed upon clinical needs. ACADEMIC AND GRADUATION REQUIREMENTS Students are expected to achieve and maintain a 2.0 grade point average. All students graduating from this program must successfully complete all required program courses and achieve a 2.0 cumulative grade - point average. Beginning with the Class of 2014, a comprehensive exam will be given prior to graduation as part of the course, RC Applications. Graduating students will be required to pass this exam at a minimum proficiency of 78% (108 out of 140 questions). Any student who does not satisfy this requirement will be required to remediate those content areas identified as “needing improvement”. Furthermore, should the student not pass with a minimum proficiency of 78% (108 out of 140 questions) an IC grade will be granted until the test is passed with minimum proficiency. **Simulation Testing will be done consistently throughout this course. The desired result is to be passing all instructed simulations by the end of the term. No “D” developmental level courses are accepted as course substitutions in this program. These courses have a "D" as an Elective Code in the course description. All students must complete an “Application to Graduate” by the following application deadlines: Graduation Spring Summer Fall Deadline February 1 February 1 September 1 Students in this program must achieve a minimum grade of “C-” in the following courses to continue in the program: Basic Anatomy and Physiology (3 credit hours) RT 2015-2016 44 Introduction to Chemistry (3 credit hours) Microbiology (4 credit hours) Students achieving less than a C- in either of these courses must retake that course before continuing in the program. Courses in the curriculum are sequential. For this reason, students who do not pass a prerequisite course must successfully complete that course before continuing in the curriculum. Refer to the course descriptions in the college catalog for prerequisites. All core Respiratory Therapy coursework must be completed with a minimum of a C minus (C-) or the students will be removed from the program, with a chance of reentry the following year. Students may not graduate: • • • With an incomplete, “F” or no pass grade in any program course. If they have any registration holds such as outstanding fines. With a cumulative grade point average below 2.00 for program courses. Students successfully completing the program requirements are awarded Associate of Applied Science degree. STUDENT/GRADUATE INPUT Students will be asked for input and suggestions in most courses. Given the diverse learning styles and backgrounds of a class, it is always challenging for faculty to find methods to satisfy the learning needs of each student. Students are encouraged to be open and honest in providing feedback to faculty. Students are entitled to anonymity when providing feedback. Any intimidation or retribution resulting from feedback should be reported to the Dean of the Allied Health Department. Near the end of the program, students will be asked to complete a survey assessing program strengths and areas for improvement. A follow up survey will be sent to all graduates to obtain feedback related to the program curriculum. Graduate feedback is viewed as an extremely valuable resource for curriculum review and revision. Additional informal suggestions are encouraged. Graduates are asked to inform the program director of all professional accomplishments including awards, promotions and publications. LICENSURE REQUIREMENTS All 52 states currently license respiratory care practitioners. Each state has somewhat different licensure requirements. The minimum requirement for licensure in most states is successful completion of the Entry Level Examination for Certified Respiratory Therapists. This is the minimum requirement in Iowa. In addition, licensed RCPs (Respiratory Care Practitioners) in Iowa must complete 24 hours of continuing education every two years. ARTICULATION OPPORTUNITIES RT 2015-2016 45 WEBER STATE UNIVERSITY Bachelors of Respiratory Care (ON-LINE). The Program Director of Kirkwood’s R.T. program is the advisor for required course work before admittance into the Bachelor’s Degree completion program. http://weber.edu/resptherapy APPLIED BUSINESS/APPLIED Management - Bachelor's degree Mount Mercy University will accept 63 credit hours toward a bachelor of applied science degree. HEALTH SERVICES ADMINISTRATION - Bachelor's degree Mount Mercy University will accept 63 credit hours toward a bachelor of Applied Science degree. BACHELOR OF ARTS IN SPECIAL STUDIES – St. Ambrose University, Davenport, Iowa for registered nurses and allied health graduates. UNIVERSITY OF IOWA—Bachelors of Liberal Arts, Bachelors of Science, Bachelors in Business Management RT 2015-2016 46 Section V GENERAL INFORMATION For Further Information, contact us at: Kirkwood Community College 6301 Kirkwood Blvd. SW Cedar Rapids, IA 52406 www.kirkwood.edu/alliedhealth Allied Health Department 2164 Linn Hall 319-398-5566 FAX: 319-398-1293 1-800-363-2220 Program Faculty: Tamara S. Alt BAS, RRT- NPS, RCP Program Director/Faculty 319-398-5520 Email: tamara.alt@kirkwood.edu Mel Cerveny BLS, RRT, CPFT, Director of Clinical Education/Faculty 319-398-1289 Email: mel.cerveny@kirkwood.edu RT 2015-2016 47