Office of the Provost and Vice President for Academic Affairs Department of Health Professions Academic Year 2014-15Assessment Report Note: All areas shaded in gray to be completed by Department. MISSION STATEMENT The faculty of the Health Professions Department is committed to recruiting and developing the highest quality students. These students are provided the resources and the opportunity to become skilled, knowledgeable, competent, entry-level graduates. Because the medical field changes so rapidly, life-time learning is emphasized for both personal and professional development. To meet the University goal of Partnering for Student Success, partnerships with K-12 education and community organizations are imbedded within each healthcare program to meet community needs. The faculty provides dynamic learning environments using modern technology. Students are engaged in didactic, simulated, and clinical experiences to foster the development of the knowledge and skills that allow them to pass national certification examinations. Collaboration with community, regional and national healthcare partners provide for internships and entry-level employment opportunities which allows us to fulfill our goal of discovery and creativity to serve Montana and the world To provide education for the global century, each program inspires an atmosphere of respect for the diversity of individuals, with a focus on culturally sensitive and ethically sound patient care. To ensure high quality health education outcomes, the Health Professions Programs are/have actively sought and secured national accreditation from their specific professional organizations. Faculty recognizes the need to utilize technologies and practices that optimize learning experiences while modeling sustainability. Professional competencies are maintained by all faculty. DEPARTMENT OBJECTIVES 1. Developing academically sound, appropriately rigorous courses that allow the uniting of academic and medical knowledge to clinical practice. 2. Providing an atmosphere supportive of student learning that promotes client safety in both classroom and clinical settings. 3. Promoting the continuing development of critical thinking skills. 4. Offering multiple means for student learning to develop into long-term clinical skills. 5. Modeling professional excellence in communications, skills and ethics. 6. Supporting faculty efforts to develop in both disciplinary and teaching strengths MISSION STATEMENT – Radiologic Technology RADIOLOGIC TECHNOLOGY MISSION STATEMENT The educational mission of the Radiologic Technology Program is to prepare safe, competent and qualified professionals who will enhance the health care of their patients. These entry level professionals will be employed in a variety of hospital and out-patient settings, and will have opportunities to advance in skills that include MRI, CT, and radiation therapy, among others. Radiology students receive scientific and clinical knowledge, skill in applying that knowledge, and an understanding of the human condition on various levels. Respect for, and understanding of diversity and ethics in medical fields is expected in the graduates of the program. The medical field changes so rapidly, lifetime learning is a condition of the profession. Curriculum content is directed by the American Registry of Radiologic Technology (ARRT), which is the certifying body. Curriculum is guided by the American Society of Radiologic Technology (ASRT). The graduates sit for a national certification upon completion of the program. Missoula College Radiologic Technology Program pursues fulfillment of their mission through the five UM Core Themes. DEPARTMENT OBJECTIVES 1. Dynamic Learning Environment: Demonstrate competency, knowledge, and skills to be successful in the profession. 2. Discovery and Creativity to Serve Montana and the World: Express critical thinking skills as they apply knowledge and understanding of scientific principles guiding their practice. 3. Partnering for Student Success: Prove technical competency in all basic radiologic procedures. 4. Education for the Global Century: Relate culture, ethnicity, socioeconomics, and life experiences to the patients and to their practice. 5. Discovery and Creativity to Serve Montana and the World: Respond to ever-changing technology and knowledge in medical care by continuing to seek greater knowledge and skills in the field 6. Education for the Global Century: Demonstrate entry-level knowledge in the field by successfully completing the national registry exam to gain the credential of Registered Radiologic Technologist in Radiography (ARRT (R)). The program graduate will practice their profession in an ethical manner and understand the necessity of lifelong learning to be a contributing and productive member of society. STUDENT LEARNING GOALS AND MEASUREMENT TOOLS Unit Exams Laboratory Skills Clinical Skills Competency Check off National Registry Examination 1. Demonstrate competency, knowledge, and skills to be successful in the profession. 2. Express critical thinking skills as they apply knowledge and understanding of scientific principles guiding their practice. 3. Prove technical competency in all basic radiologic procedures. 4. Relate culture, ethnicity, socioeconomics, and life experiences to the patients and to their practice. 5. Respond to ever-changing technology and knowledge in medical care by continuing to seek greater knowledge and skills in the field. 6. Demonstrate entry-level knowledge in the field by successfully completing the national registry exam to gain the credential of Registered Radiologic Technologist in Radiography (ARRT (R)). The program graduate will practice their profession in an ethical manner and understand the necessity of lifelong learning to be a contributing and productive member of society. RESULTS AND MODIFICATIONS Student Learning Goal Assessment Program Modification Outcome 1. Demonstrate competency, Formative and production Skills are assessed knowledge, and skills to be assessment tools have been through written exams, successful in the profession. redesigned to correlate with the lab simulations and the changes made to ASRT acquisition of ARRT curriculum. designated Results of quizzes, tests, and clinical evaluations have improved. competencies. Site Instructors complete evaluations of students’ abilities and behaviors. Mock Registry exams are administrated. A passing grade of 75% or higher on the National Radiologic Technology Certification exam. 2. Express critical thinking skills as they apply knowledge and understanding of scientific principles guiding their practice. The need to be a critical thinker in routine and stressful situations is assessed throughout the program by the use of clinical observations and evaluations. Special attention to developing these skills takes place during the first semester with simulations in the lab and with summative assessments. Technologist and Radiologist feedback New and different types of simulated scenarios developed and used in lab simulations. Lab practicum final developed to assess student’s abilities to explain and apply critical thinking skills when working with patients. Earlier demonstration by students of their ability to acquire high quality images during exams which prove to be a challenge due to patient condition or other circumstances. Plan Program will continue to adapt assessment tools as updates and changes are made in technology, equipment and the ARRT Competencies. Students will continually be able to acquire high quality images, during stressful or atypical situations and with minimal prompting, in the early part of their clinical education because of lab simulations, testing and feedback. 3. Prove technical competency in all basic radiologic procedures. 4. Relate culture, ethnicity, socioeconomics, and life experiences to the patients and to their practice. 5. Respond to ever-changing technology and knowledge in medical care by continuing to seek greater knowledge and skills in the field Competency in performing the basic radiologic technology procedures is assessed early in curriculum course work. Simulations are performed in lab and summative exams are administered in classes. Continued throughout the program with observations and evaluations of clinical performance. Emphasized early in mandated curriculum course work. Technical papers are assigned, with topics including diversity in radiologic technology. Formative and summative exams are administered. Clinical experiences allow students to become actively involved with a diverse group of patients and health professionals. Observations and evaluations reflect student interactions. Emphasized in the first semester of the Program, particularly in Radiographic Imaging I and Introduction to Diagnostic Imaging. Formative and summative assessments are used, in addition to small and large group discussions of published materials. Skeletal phantom purchased for use in lab during AHXR 140. Clinical evaluation tool was redesigned to better identify student strengths and weaknesses. Instructional session held for Site Instructors on how to implement new evaluation strategies. Image analysis challenges presented in the second, third, and fourth clinical rotations. Completed evaluations are used more constructively by students leading to improvement in clinical performance. Site Instructors able to communicate student competency more succinctly. Participation in the University of Montana Campus Corps AmeriCorps Community Partners Program. This offers students the opportunity to organize and complete volunteer services within the community. Students are able to accommodate the special needs of individuals with a diverse background. They are well prepared to act in a professional and respectful manner as they travel to each of the unique facilities affiliated with the Program. Require first year students to shadow three different modalities during the spring semester. Representatives from various areas of Medical Imaging are invited to speak to students through the Program. Communications between radiology staff and students continue to improve. This provides students a clear understanding of departmental relationships. Students are better able to decide on paths for continuing education. Lab Simulations will continue to be done using the skeletal phantom. Site Instructors will continue to help update clinical evaluation forms in order to provide clear feedback to students on what they already know and what they are still required to know. Develop radiologic physics experiments to be performed in the new Missoula College lab. The ability of the student’s to communicate and interact with diverse populations will continue to be monitored by use of formative, summative and productive assessment tools. Requirements for participation in Campus Corps AmeriCorps Community Partners program will be monitored through the Office for Civic Engagement. Maintain current course curriculum work and clinical education activities. 6. Demonstrate entry-level knowledge in the field by successfully completing the national registry exam to gain the credential of Registered Radiologic Technologist in Radiography (ARRT (R). The program graduate will practice their profession in an ethical manner and understand the necessity of lifelong learning to be a contributing and productive member of society 88 -100% of the graduating students passed the ARRT credentialing exam. Average scaled score for the examinees was between 85 - 90% for the last 4 years. These results surpass the national averages in 3 out of the last 4 years. Clinic technologists continue to remind students that they must follow textbook procedures instead of utilizing seasoned technologist’s modified procedures. Image analysis challenges are more frequent during clinical experiences. National test scores from graduates of this program will be compared to the published national test scores. Pass rates for the Program students Test scores in radiographic procedures portion of the test have improved. The adoption of the summer clinical textbook has helped focus the students on executing precise imaging procedures during the intense summer clinical rotation. UM Curriculum Mapping Template Radiologic Technology Express critical thinking skills Demonstrate as they apply competency, knowledge knowledge, and yequired Course and skills to understanding (dame and dumber) be successful of scientific in the principles profession guiding their practice. AHXy 100 AHXy 121 AHXy 140 AHXy 221 AHXy 225 AHXy 240 AHXy 270 AHXy 295 yelate culture, Prove ethnicity, socioeconomics, technical competency and life in all basic experiences to radiologic the patients and procedures. to their practice. yespond to everchanging technology and knowledge in medical care by continuing to seek greater knowledge and skills in the field Demonstrate entry-level knowledge in the field by successfully completing the national registry exam to gain the credential of yegistered yadiologic Technologist in yadiography (AyyT (y). The program graduate will practice their profession in an ethical manner and understand the necessity of lifelong learning to be a contributing and productive member of society I, D I I I,D I,D,c I, D I,D I I I,D I, D I,D I,D I,D I.D I, D I,D I,D I,D I,D D,c D,c D,c D,c I,D,c D,c I,D,c I,D I,D I,D c, A c,A c,A c,A c,A A c, A c,A c,A c,A c,A A MISSION STATEMENT-RESPIRATORY THERAPY RESPIRATORY THERAPY DEPARTMENT MISSION STATEMENT The faculty of the Respiratory Therapy program is committed to developing skilled, knowledgeable, safe entry level graduates who will improve the quality of health care as they implement the critical thinking skills developed during their progression our program. Our primary focus at all times is ensure that our graduates are capable of providing patient care of the highest caliber and that they do so in a caring, sensitive, compassionate, and above all a technically competent fashion. We provide access to the knowledge and skills that will allow students to successfully pass national licensure examinations. Commitment to life-long learning as an imperative to maintaining professional competency is stressed. Recognition of the implications diversity holds for ethical, effective health care is common to all aspects of our curriculum. The faculty role includes modeling respect for individual worth, diversity, and lifelong learning. Faculty recognizes the need to remain technically competent in their fields as well as the need to develop as teachers. STUDENT LEARNING GOALS 1. Demonstrate competency in fundamental knowledge of the application of respiratory care to adult, pediatric and neonatal population based on science, research, and clinical practice guidelines. 2. Be certified to perform emergency measures in life-threatening situations. Basic Provider (BLS) as well as Advanced Cardiac Life Support (ACLS) are mandatory requirements of the program. Pediatric Emergency Assessment, Recognition and Stabilization (PEARS) and the theory of Neonatal Resuscitation (NRP) will be provided as program resources permit. 3. Relate clients’, culture, ethnicity, socioeconomics, and life experiences to their acceptance and compliance with care. 4. Demonstrate technical proficiency in all skills in providing patient care. 5. Exhibit critical thinking skills in providing patient care. 6. Demonstrate ethical professional behavior. 7. Understand and act upon the need for life-long learning in Respiratory Care. STUDENT LEARNING GOALS AND MEASUREMENT TOOLS Demonstrate competency in fundamental knowledge of the application of respiratory care to adult, pediatric and neonatal population based on science, research, and clinical practice guidelines. 2. Be certified to perform emergency measures in life-threatening situations. Basic Provider (BLS) as well as Advanced Cardiac Life Support (ACLS) are mandatory components of the program. Pediatric Emergency Assessment, Recognition and Stabilization (PEARS) and the theory of Neonatal Resuscitation (NRP) will be provided as program resources permit. 3. Relate clients’, culture, ethnicity, socioeconomics, and life experiences to their acceptance and compliance with care. Clinical Skills Competency Check off National Registry Examination Unit Exams Laboratory Skills 1 4. Demonstrate technical proficiency in all skills in providing patient care. 5. Exhibit critical thinking skills in providing patient care. 6. Demonstrate ethical professional behavior. 7. Understand and act upon the need for life-long learning in Respiratory Care. Student Learning Goal 1. Demonstrate competency in fundamental knowledge of the application of respiratory care to adult, pediatric and neonatal population based on science, research, and clinical practice guidelines. Assessment Students attend an out-sourced national exam review. Subsequently, students take three mock national examinations, CRT, WRRT, and CSE. Students must demonstrate proficiency in all applicable clinical competencies both in laboratory and the bedside during clinical rotations. 2. Demonstrate competency to Students may either present perform emergency measures in their current BLS card upon life-threatening situations such as program entry, or complete a Basic Life Support, BLS, and as program brought in from required by clinical affiliates. outside the Missoula College. 3. Relate clients’, culture, ethnicity, Emphasized in all 100 level first socioeconomics, and life semester courses. experiences to their acceptance Classroom case study reviews and compliance with care. in RES 232 Pathology & Disease. Clinical experience. Clinical case study preparations and presentations. 4. Demonstrate technical Assessed in all course work proficiency in all skills in providing unit exams, laboratory skill patient care. stations, task proficiency competencies both in laboratory and clinical settings. Mock national board exam. Program Modification New edition text books on mechanical ventilation and disease management reflect latest science and research based patient assessment methods and practices. Outcome & Plan Students have met or exceeded the cut score on all national credentialing exams for the past five years. Continue to require written selfassessment and clinical simulation examinations prior to graduation as well as continue to offer outsourced national exam review. Currently the program is providing resources for PEARS and ACLS certifications. Maintain BLS and ACLS requirement. Program has fully implemented PEARS certification. Continue to identify diverse Maintain current course and populations and discuss clinical work. various aspects and challenges in the delivery of Respiratory Care to these populations. Introduce new procedures and equipment being utilized in the delivery of Respiratory Care both in the classroom and laboratory experience. Very high measure of success on clinical evaluations and task competencies. Cut scores met or exceeded on both mock (practice) as well as national board exams. Program graduate success on national credentialing examinations far exceeds national program mean success rates. Student Learning Goal 5. Exhibit critical thinking skills in providing patient care. Assessment Unit examinations. Laboratory proficiency skill stations and assessments, including SimMan scenarios in conjunction with the Nursing lab. Clinical proficiency skill assessment and evaluations. Mock and actual board exams. Program Modification Continue to develop clinical scenario based exercises and activities in both the classroom and laboratory settings. Utilize case study coursework to strengthen critical thinking skills required for effective clinicianpatient interaction and positive clinical outcomes. Outcome & Plan Students continue to rise above national credentialing cut scores on both mock and actual national credentialing exams. 6. Demonstrate ethical professional behavior. Affective domain is monitored in classroom and laboratory activities as well as clinical evaluations. Emphasized first semester, especially in AHRC 101, Communication & Management. Students are exposed to the breadth and rapid change experienced in medicine today. None indicated. Continue to monitor. Adjust as national ethical guidelines change. No adverse outcomes. Will continue to stringently monitor. AHRC 101 is continually revised to offer a current, focused examination of ethics, education, communication, and legal implications of healthcare practice. Very favorable feedback and evaluation of student performance received by program from clinical affiliates and employers. Will continue to develop and improve course offerings. 7. Understand and act upon the need for life-long learning in Respiratory Care. Curriculum Mapping Respiratory Therapy Program Intended Student Learning Outcomes Courses AHRC 101 Communication and Management AHRC 115 Blood Gas Analysis AHRC 129 Patient Care and Assessment AHRC 130 Respiratory Care Lab 1B AHRC 131 Respiratory Care Fundamentals AHRC 133 Respiratory Care Pharmacology AHRC 231 Respiratory Critical Care AHRC 232 Respiratory Pathology and Disease AHRC 235 Cardiopulmonary Anatomy and Physiology AHRC 250 Respiratory Care Laboratory II AHRC 255 Clinical Experience I Demonstrate competency in fundamental knowledge of the application of respiratory care to adult, pediatric and neonatal population based on science, research, and clinical practice guidelines. Relate clients’, culture, ethnicity, socioeconomics, and life experiences to their acceptance and compliance with care. Demonstrate technical proficiency in all skills in providing patient care. Exhibit critical thinking skills in providing patient care. I, D I, D I, D I, D I, D I, D I, D, A I, D I, D I, D I, D I, D I, D, A D I, D I, D I, D I, D, M I, D, M I, D Understand and act upon the need for life-long learning in Respiratory Care. D D D I, D D D, M D D, M D, M D, M, A D D, M D, M D AHRC 260 Respiratory Care Laboratory III AHRC 265 Clinical Experience II AHRC 243 Prenatal and Pediatric Respiratory Care AHRC 252 Respiratory Care Review AHRC 270 Respiratory Care Laboratory IV AHRC 275 Clinical Experience III D, M D, M, A D, M D, M D, M D D D, M, A D I, D D D, M D, M, A D D, M, A D, M D D, M D, M D, M, A D D, M D, M MISSION STATEMENT-PHARMACY TECHNOLOGY PHARMACY TECHNOLOGY DEPARTMENT MISSION STATEMENT The educational mission of the Pharmacy Technology Program is to develop professional pharmacy technicians who will provide assistance to pharmacists. The practice of pharmacy encompasses a complex set of tasks in a wide array of environments, some of which require the knowledge and judgment of a pharmacist but many others that do not. Increased utilization of well-trained and appropriately supervised technicians is a key component of pharmacy’s strategy for moving beyond its traditional functions. By delegating routine tasks to adequately trained technicians, pharmacists have more time to help patients solve medication-related problems. The long-term development of a well-defined group of technical personnel in pharmacy depends on appropriate training for technicians. To achieve this mission, the Pharmacy Technology graduate will have the knowledge, skills, attitudes, and values to: • Provide distributive tasks in a variety of practice settings • Communicate effectively and appropriately with patients, families, caregivers, and health care professionals • Work effectively within a multidisciplinary team • Manage and use resources of the health care system for the benefit of individual patients and the public • Promote patient and public safety • Efficiently utilize information resources and technology in one’s practice The Pharmacy Technology Program follows all standards set by the accrediting agencies, the American Society of Health-System Pharmacists and the Accreditation Council for Pharmacy Education. STUDENT LEARNING GOALS 1. Demonstrate understanding of the pharmacy technician’s role in the medication distribution and use processes. 2. Demonstrate the ability to process and handle all aspects of medications and medication orders. 3. Compare and contrast the roles of pharmacists and pharmacy technicians in ensuring pharmacy department compliance with professional standards and relevant legal, regulatory, formulary, contractual, and safety requirements. 4. Demonstrate ethical conduct in all job-related activities. 5. Demonstrate a respectful attitude when interacting with diverse patient populations. 6. Demonstrate knowledge in all aspects of training by successfully passing the national Pharmacy Technician Certification Exam. Demonstrate understanding of the pharmacy technician’s role in the medication distribution and use processes. Didactic Exams Lab Skills Internship 1. 2. Demonstrate the ability to process and handle all aspects of medications and medication orders. 3. Compare and contrast the roles of pharmacists and pharmacy technicians in ensuring pharmacy department compliance with professional standards and relevant legal, regulatory, formulary, contractual, and safety requirements. 4. Demonstrate ethical conduct in all job-related activities. 5. Demonstrate a respectful attitude when interacting with diverse patient populations. 6. Demonstrate knowledge in all aspects of training by successfully passing the national Pharmacy Technician Certification Exam. Student Learning Goal 1. Demonstrate understanding of the pharmacy technician’s role in the medication distribution and use Assessment In didactic, lab, and experiential settings, students demonstrate understanding the difference between their role and the pharmacist’s role in pharmacy. Program Modification Augment lab exercises to include more customer/situational opportunities for learning. Outcome & Plan Continue to teach and assess students’ abilities to fulfill their roles and to ask for assistance from pharmacist as appropriate. processes. 2. Demonstrate the ability to process and handle all aspects of medications and medication orders. 3. Compare and contrast the roles of pharmacists and pharmacy technicians in ensuring pharmacy department compliance with professional standards and relevant legal, regulatory, formulary, contractual, and safety requirements. 4. Demonstrate ethical conduct in all job-related activities. Student Learning Goal 5. Demonstrate a respectful attitude when interacting with diverse patient populations. 6. Demonstrate knowledge in all aspects of training by successfully passing the national Pharmacy Students demonstrate medication order literacy, calculations necessary to complete orders, and technical ability to prepare medications. Students demonstrate ability to comply and support professional standards and relevant legal, regulatory, formulary, contractual, and safety requirements. Obtain enough computers so that students may all practice order entry at one time during class. Continue lab exercises that are situational which provide students opportunities demonstrate their knowledge gained in the didactic portion of program. Continue with current computers and continue to request more computers for student practice. Students demonstrate ability to evaluate situations and provide ethical solutions. Continue all aspects of training in all three realms (didactic, lab, experiential) Continue all aspects of training in all three realms (didactic, lab, experiential) Assessment Program Modification Students demonstrate a respectful attitude when interacting with diverse patient populations. Continue to model a respectful environment and continue to educate about diversity Continue all aspects of training in all three realms (didactic, lab, experiential Data has been captured in a scattered fashion but should captured as a course requirement. Add successful completion of PTCE as criteria for student success. Work with advisory committee to make this change and then collect data to see how retention in program is affected. Maintain current course and lab work. Outcome & Plan Technician Certification Exam. Curriculum Mapping Pharmacy Technology Program Student Learning Outcomes Key: "I"=Introduced; "D"= developed/reinforced, with opportunities to practice; "M"=mastery that is demonstrated (often at the senior or exit level); "A"=assessment evidence collected Courses PHAR 100 Intro to Pharm Practice PHAR 101 Pharm Calculations PHAR 102 Pharmacology PHAR 104 Pharmacy Lab AHMS 144 Medical Terminology PHAR 120 Medication Safety PHAR 198 Pharmacy Internships Demonstrate understanding of the pharmacy technician’s role in the medication distribution and use processes. Demonstrate the ability to process and handle all aspects of medications and medication orders. I, D Compare and contrast the roles of pharmacists and pharmacy technicians in ensuring pharmacy department compliance with professional standards and relevant legal, regulatory, formulary, contractual, and safety requirements. Demonstrate ethical conduct in all job-related activities. Demonstrate a respectful attitude when interacting with diverse patient populations. I, D I,D I,D I,D, M I I, D I, D I, D I, D, M I, D, M, A I, D, M I I, D I, D D D M D D, M D, M D, M I, D I, D D, M D D, M Demonstrate knowledge in all aspects of training by successfully passing the national Pharmacy Technician Certification Exam. MISSION STATEMENT – Surgical Technology The mission of the Surgical Technology program is to prepare safe, competent professionals who will enhance the health care of Missoula and Montana. Partnering for student success is a milestone of the program as it continues with its collaboration with other campuses across the state in offering the program. These entry-level professionals will be employed in a variety of settings in Montana and across the nation. This involves preparing individuals who have scientific and clinical knowledge, skill in applying the knowledge, and an understanding of the human condition. The program emphasizes excellence over perfection as this provides the compass students need in their quest for success. Respect for and understanding of diversity and ethics in medical fields is expected in graduates of the program. Because the medical field changes so rapidly, lifetime learning is emphasized for both personal and professional development. Curriculum content is guided by the Association of Surgical Technologists’ Core Curriculum for Surgical Technology 6th ed. PROGRAM VISION The Surgical Technology program vision is to become the leader of quality student-centered surgical technology education while meeting the needs of the community and state of Montana. This would be accomplished by unifying and expanding program content to be available on various campuses throughout the state. By doing so, we are: • Demonstrating transferability of credits among colleges in the university system • Demonstrating the importance of partnering for student success • Contributing to work-force development by creating program access across Montana • Assisting to eliminate the shortage of health-care workers across Montana’s rural areas PROGRAM ACCREDITATION The collaborating organizations of the American College of Surgeons (ACS) and the Association of Surgical Technologists (AST) establish, maintain and promote appropriate Standards of quality for educational programs in surgical technology. The Accreditation Review Committee on education in Surgical Technology (ARC-ST) assesses program compliance of Standards. The extent to which a program complies with the Standards determines its accreditation status; therefore, the Standards constitute the minimum requirements to which an accredited program is held accountable. On the basis of compliance with the Standards and recommendation of the ARC-ST, accreditation is granted by CAAHEP, Commission on Accreditation of Allied Health Educational Programs. In cooperation with the ARC-ST, CAAHEP is recognized by the Council for Higher Education Accreditation (CHEA), a non-governmental body which reviews and recognizes accrediting agencies. The Surgical Technology program, including the Outreach campuses, is accredited through CAAHEP, 1361 Park Street, Clearwater, Florida 33756. You may contact CAAHEP by calling (727) 210-2350 or visiting caahep.org DEPARTMENT OBJECTIVES Students who successfully complete this program will be able to: 1. Function as a competent entry-level Surgical Technologist in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains. 2. Apply knowledge and skills from the biological sciences during the preoperative, intraoperative and postoperative phases of patient care. 3. Communicate clearly and effectively utilizing spoken, written, and technical skills. 4. Employ appropriate ethical, professional and respectful values while interacting with diverse populations within the educational and healthcare settings. 5. Demonstrate surgical conscience and accountability; possess the ability to recognize the legal implications of an individual’s actions within the educational and healthcare settings. 6. Demonstrate his/her role as a cooperative team member in a variety of situations in the educational and healthcare settings. 7. Apply necessary activities to prepare patients for surgery utilizing the principles of aseptic technique, critical thinking and problem solving in order to adapt to the ever-changing surgical environment. 8. Demonstrate the ability to prioritize and organize the surgical field, while considering the physiology and urgency of the patient care needs. 9. Integrate learned competencies to assemble and operate instruments, equipment and supplies for the delivery of patient care as an entry-level practitioner during basic surgical procedures. 10. Demonstrate an entry-level knowledge base by successfully completing the national certification exam to gain the credential of Certified Surgical Technologist. The graduate will recognize the importance of maintaining certification and the necessity of life-long learning as a contribution to society. STUDENT LEARNING GOALS AND MEASUREMENT TOOLS Unit Exams Laboratory Skills Clinical Skills Portfolio of Cases National Certification Examination 1. Function as a competent entry-level Surgical Technologist in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains. 2. Apply knowledge and skills from the biological sciences during the preoperative, intraoperative and postoperative phases of patient care. 3. Communicate clearly and effectively utilizing spoken, written, and technical skills. 4. Employ appropriate ethical, professional and respectful values while interacting with diverse populations within the educational and healthcare settings. 5. Demonstrate surgical conscience and accountability; possess the ability to recognize the legal implications of an individual’s actions within the educational and healthcare settings. 6. Demonstrate his/her role as a cooperative team member in a variety of situations in the educational and healthcare settings. 7. Apply necessary activities to prepare patients for surgery utilizing the principles of aseptic technique, critical thinking and problem solving in order to adapt to the ever-changing surgical environment. 8. Demonstrate the ability to prioritize and organize the surgical field, while considering the physiology and urgency of the patient care needs. 9. Incorporate learned competencies to assemble and operate instruments, equipment and supplies for the delivery of patient care as an entry-level practitioner during basic surgical procedures. 10. Demonstrate an entry-level knowledge base by successfully completing the national certification exam to gain the credential of Certified Surgical Technologist. The graduate will recognize the importance of maintaining certification and the necessity of life-long learning as a contribution to society. RESULTS AND MODIFICATIONS Student Learning Goal 1. Function as a competent entry-level surgical technologist in the cognitive (knowledge), psychomotor (skills) and affective (behavior) learning domains 2. Apply knowledge and skills from the biological sciences during the preoperative, intraoperative and postoperative phases of patient care. Assessment Knowledge base is assessed throughout curriculum; skills are assessed in both lab and clinical components of the curriculum; behavior is assessed throughout curriculum, especially in clinical settings where professionalism is measured. Finally, knowledge base is measured on the Certification Exam administered prior to graduation. Final assessment, however, is performed by the employer hiring the graduate. Assessed in Procedures courses and on patient case studies. For example, the case study assignment requires the student describe regional anatomy for each surgical case assigned during clinical rotations. Program Modification Based on data collected and submitted in annual report to Accreditation Review Committee on Education in Surgical Technology (ARC-ST), no modification is required at this time. Program follows suggested Core Curriculum recommended by ARC-ST. No modification is required at this time. Outcome Through collection and examination of data from the Employer Satisfaction surveys, the satisfaction rating has been between 91100% for the last 5 years. This exceeds the benchmark established by ARC-ST. Plan Continue with current curriculum and assessment methods. Program will continue to assess student knowledge base in the biological sciences and program compliance with Core Curriculum 6th ed. 3. Communicate clearly and effectively utilizing spoken, written, and technical skills. Assessed throughout curriculum with assignments that include speaking in front of the class, writing research papers and communicating via email. General Education courses are in place to establish the knowledge bases for speaking, writing and computer work. 4. Employ appropriate ethical, professional and respectful values while interacting with diverse populations within the educational and healthcare settings. Emphasized in early coursework in curriculum and continued during clinical portion where students become more involved with stressful situations with a variety of patient populations in a wide range of settings. Assessed weekly and through input from advisory committee members. 5. Demonstrate surgical conscience and accountability; possess the ability to recognize the legal implications of an individual’s actions within the educational and healthcare settings and as they relate to the Joint Commission’s National Patient Safety Goals. Assessed early in curriculum through unit exams. Observed and evaluated in clinical setting with knowledge also assessed on Certification Exam. No modification in the curriculum is necessary at this time. Written work, particularly research papers, demonstrates a weakness in writing skills. No modification in curriculum is necessary at this time. Written work, particularly research papers, will improve through implementation of writing assignments across curriculum. Program will continue consultation with Writing faculty for ideas to encourage student writing, and methods to improve student writing skills. Graduates represent the program well with a high level of professionalism and respect as evidence by: • Weekly assessment of professionalism during clinical rotations • Employer satisfaction ratings. Students/graduates will continue to perform with a strong surgical conscience and be able to recognize legal limitations in role. Again, measured with Employer Satisfaction survey (among other measurement tools) with results exceeding ARC-ST threshold. Continue to monitor student performance in clinical settings through weekly evaluations and input from advisory committee. Continue to stress importance of surgical conscience and accountability as they relate to the Joint Commission National Patient Safety Goals. 6. Demonstrate his/her role as a cooperative team member in a variety of situations in the educational and healthcare settings. Assessed throughout curriculum; emphasized in lab and clinical settings. No modification in curriculum is necessary at this time. Students/graduates will continue to perform well as team members as measured with the Employer Satisfaction survey and weekly clinical evaluations. Continue with assessment schedule. 7. Perform necessary activities to prepare patients for surgery utilizing the principles of aseptic technique, critical thinking and problem solving in order to adapt to the everchanging surgical environment. Assessed throughout curriculum but particularly emphasized in lab and clinical settings. Program follows prescribed Core Curriculum as recommended by ARC-ST. Students/graduates will continue to perform well utilizing proper principles, critical thinking and problem solving included during “real world” scenarios such as Emergency Preparedness. Assess student knowledge as it relates to “real-world” situations involving critical thinking and problem solving. 8. Demonstrate the ability to prioritize and organize the surgical field, while considering the physiology and urgency of the patient care needs. Assessed early in curriculum particularly in labs. Further and more critical assessment performed during clinical rotations and internship with addition of “being on call”. No modification in curriculum is necessary at this time. Continue with curriculum plan and assessment schedule. 9. Incorporate learned competencies to assemble and operate instruments, equipment and supplies for the delivery of patient care as an entry-level practitioner during basic surgical procedures. Assessed early in curriculum involving labs. Later more critical assessment occurs during clinical rotations. Program follows prescribed Core Curriculum as recommended by ARC-ST. No modification is necessary at this time. Program will continue to follow prescribed Core Curriculum 6th ed. as recommended by ARCST and adheres to the Association of Surgical Technologists’ motto of Aeger Primo – “Patient First”. Graduates perform at entry-level competently as measured in the program and by the Employer and Graduate Satisfaction surveys. Program added new material to curriculum, “Emergency Preparedness”, to meet Core Curriculum 6th ed. requirements. The program will continue to exceed ARC-ST benchmarks in Employer and Graduation satisfaction ratings. 10. Demonstrate an entrylevel knowledge base by successfully completing the national certification exam to gain the credential of Certified Surgical Technologist. The graduate will recognize the importance of maintaining certification and the necessity of lifelong learning as a contribution to society. The importance of Certification and continuing education to maintain certification is emphasized early in the curriculum. Students join the Association of Surgical Technologists during their first semester in the program. They take the Certification exam the day before graduation. No modification is necessary at this time. Program has been awarded several Merit Awards from the National Board of Surgical Technology/Surgical Assisting (NBSTSA). This awards programs with Certification pass rates of 94-100%. Continue to administer the National Certification Exam on campus. Continue to assess pass rates. NO ATTACHED APPENDICES FUTURE PLANS FOR CONTINUED ASSESSMENT The program will continue to utilize both formative and summative assessments of student “real world” knowledge and skills. In addition, in order for the program to maintain accreditation, annual reports are submitted and will continue to be submitted. The report assesses student performance, the curriculum, employer and graduate satisfaction, retention, graduation rates and outcome measurements. CIRRICULUM MAPPING - INTENDED STUDENT LEARNING OUTCOMES COURSES Function Apply Communicate Employ ethics, Demonstrate Demonstrate Perform Demonstrate Demonstrate knowledge by as a knowledge/skills clearly professionalism surgical role as team activities ability to passing national exam competent conscience member to prioritize & & respectful entryprepare organize values level ST patients AHST 101 I I I I I I I ASHT 115 I I I I I I I AHST 200 D D D D D D I D AHST 215 D,M D,M D D D/M D,M D D,M AHST 250 D D D D D/M D/M D D,M AHST 251 D D D/M D/M D/M D/M D D/M AHST 298 M,A M M M M M D M A MISSION STATEMENT- NURSING DEPARTMENT NURSING MISSION STATEMENT As the guiding principle for the MC PN and ASN Nursing Program, the mission statement is to provide an excellent and dynamic learning environment through creative educational and clinical opportunities. This will prepare graduates for todays practice as competent and caring nurses who assist in meeting the diverse health care needs for local and global communities. Missoula College Nursing Program pursues fulfillment of their mission through the five UM Core Themes by: • Creating an environment of collaboration and mentorship among faculty, students and staff; • Promoting the development of knowledge and skills necessary for the intellectual, professional, and personal growth of students; • Acknowledging the necessity for lifelong learning and providing nursing education pathways to BSN or higher; • • • Building upon the rich tradition of teaching excellence and high academic and collegial standards; Fostering discovery and creativity, critical thinking skills, and competencies at the practical and associate degree nursing entry level; Creating Profession and community partnerships, interpersonal relationships, and providing exposure to diverse populations. STUDENT LEARNING GOALS PRACTICAL NURSING PROGRAM PN Student Learning Outcomes A. Participate in data collection for functional assessment of patients across the lifespan Program Outcome Articulated Measurement 1, 2, 4 B. Work in interdisciplinary teams communicating with patients, families, and members of the interdisciplinary team to provide and improve patient care 1, 2, 3, 4 C. Demonstrate nursing skills that are safe and effective in the care of patients with predictable outcomes across the life span 1, 2, 4 D. Use information technology to communicate, manage knowledge, mitigate error, and support decision making 2, 3, 4 F. 2, 3, 4 Continue lifelong learning and successfully pass the NCLEX PN on the first attempt ASN Student Learning Outcomes A. Perform, analyze and apply data collection for complete assessment of patient across the lifespan and health care settings B. Work in interdisciplinary teams collaborating professionally and effectively with patients, families, and members of the interdisciplinary healthcare team to improve patient outcomes C. Utilize advanced nursing skills and critical thinking to assure evidence-based, positive health outcomes for patients across the life span and health care settings E. Incorporate informatics to formulate and employ evidence-based practice, clinical judgments and management decisions. G. Continue academic progression to the BSN or greater, and successfully pass the NCLEX RN on the first attempt STUDENT LEARNING GOALS AND MEASUREMENT TOOLS - PRACTICAL NURSING National NCLEX Licensure Examination for Practical Nurse Skills/Simulation Proficiency Exam Didactic Proficiency Exam Clinical & Clinical Paperwork Participate in data collection for functional assessment of patients across the lifespan Work in interdisciplinary teams communicating with patients, families, and members of the interdisciplinary team to provide and improve patient care Demonstrate nursing skills that are safe and effective in the care of patients with predictable outcomes across the life span Demonstrate use of information technology to communicate, manage knowledge, mitigate error, and support decision making Continue lifelong learning and successfully pass the NCLEX PN on the first attempt Major Paper/Portfolio STUDENT LEARNING GOALS AND MEASUREMENT TOOLS - ASSOCIATE DEGREE REGISTERED NURSING Perform, analyze and apply data collection for complete assessment of patient across the lifespan and health care settings Skills/Simulation Proficiency Exam Didactic Proficiency Exam Clinical & Clinical Paperwork Major Paper/Portfolio National NCLEX Licensure Examination for Practical Nurse Work in interdisciplinary teams collaborating professionally and effectively with patients, families, and members of the interdisciplinary healthcare team to improve patient outcomes Utilize advanced nursing skills and critical thinking to assure evidence-based, positive health outcomes for patients across the life span and health care settings Incorporate informatics to formulate and employ evidence-based practice, clinical judgments and management decisions. Continue academic progression to the BSN or greater, and successfully pass the NCLEX RN on the first attempt The Missoula College PN and ASN Student Learning Outcomes are clearly articulated and measured by: 1. 2. 3. 4. The PN and ASN Program will graduate at least 90% of cohort in each program. The graduates of PN Program will have an NCLEX PN passing rate for first-time test takers equal to, or greater than, the national average. The graduates of ASN Program will have an NCLEX RN passing rate for first-time test takers equal to, or greater than, the national average. One year after graduation and initial employment, 75% of employers who respond to the Employer Satisfaction Survey will express positive satisfaction with the performance of MC PN or ASN graduates. 5. One year after graduation, at least 75% of PN and ASN graduates responding to a Graduate Satisfaction Survey will express positive satisfaction with the PN or ASN Program of study (instruction, delivery, content, experience) 6. PN and ASN ATI Comprehensive Predictor scores will meet or exceed the National average Student Learning Goal Participate in data collection for functional assessment of patients across the lifespan (Program outcome articulated measurement 1, 2, 4) • 100% of student participation functional assessment of patients across the lifespan and cultures will clearly defined with evident of being threaded and articulated throughout the Nursing program. Assessment Curriculum is evident of data collection for functional assessment staring with fundamentals and articulated as the student progresses through the PN and ASN programs. With the development of new student learning and program outcomes summer 2014, an increase in cultural, ethical, and socially diverse concepts evaluated and revised as needed (Faculty Retreat June 2014, new student learning and program outcomes 2014). Student National NCLEX licensure examination pass rates are significantly above the national average: • PN 100% with National 83.27% • RN 89.57% with National 82.86% Added to the leadership course is Native American (NA) partnership with NA Studies at UM to include guess speaker (Faculty Retreat June 2014). Program Modification Reviewed and revised student learning and program outcomes summer 2014 to be congruent with governing organization and more current with evidence-based best practice Outcome & Plan Faculty and Program Director will continue to evaluate curriculum, instruction and evaluation of student progress congruency with student participation and meeting of learning outcomes. Data collected will be used to make appropriate changes Student Learning Goal Work in interdisciplinary teams communicating with patients, families, and members of the interdisciplinary team to provide and improve patient care (Program outcome articulated measurement 1, 2, 3, 4) • 100% of student lab and clinical learning experiences will reflect evidence-based, contemporary practice which include interdisciplinary teams communicating Assessment Communities of interest who have input into program processes and decision-making report per Advisory Committee meetings and employer satisfaction surveys above average satisfaction rating with graduates Student graduation survey 1 year post graduation reflect above average satisfaction with skills as interdisciplinary team member Student National NCLEX licensure examination pass rates are significantly above the national average: • PN 100% with National 83.27% • RN 89.57% with National 82.86% Clinical faculty report students do not meet the standards for patient hand-off reporting evident by low scores on clinical evaluations for this competency, summative evaluation feedback from clinical faculty and facility staff. Program Modification Outcome & Plan Fall 2014 program change in NRSG 130 Nursing Fundamentals increased content and simulation modules for patient status reporting. This will be articulated as students’ progress throughout PN and ASN program Faculty will evaluate the effectiveness of curriculum change summer 2015 at Program Evaluation and Curriculum Review retreat Student Learning Goal Demonstrate nursing skills that are safe and effective in the care of patients with predictable outcomes across the life span (Program outcome articulated measurement 1, 2, 4) • 100% of student learning experiences will reflect evidencebased, contemporary practice and nationally established patient health and safety goals. Assessment Quality clinical experiences are provided. Good partnerships exist between clinical facilities and faculty members. Program Modification 2013: New PN clinical sites added (Dialysis, Rehab and Hospice). OB, Peds clinical changed from acute care to ambulatory care, physician 100% of clinical agencies practice office and more school national established patient health nursing. Libby Hospital has and safety goals. This is presented new Director of Nursing who to students at facility orientations. declined having PN students at the hospital. This has been a successful site for two years (Faculty Retreat July 29-31, 2014: 100% of clinical agency Affiliate Agreements are complete 2013; Faculty meeting minutes and current with faculty control of Sept. 12, 2013, October 3, 2013) learning experiences. Patient safety and effective patient care is 2014: One new NRSG addressed in Affiliate preceptorship site at Barrett Agreements. Hospital in Dillon, MT All New site at Barrett Hospital has new AA (Faculty retreat minutes clinical sites are evidence 2014) based and reflect contemporary practice and nationally established patient health and safety goals (faculty retreat minutes June 2014) Outcome & Plan Faculty and Director will continue to set up and monitor clinical placement and experiences annually Faculty and Director to annually assess clinical experiences are reflective of evidence-based best practice best practices Faculty will continue to network with community and surrounding areas for best student learning clinical experiences. Student Learning Goal Use information technology to communicate, manage knowledge, mitigate error, and support decision making (Program outcome articulated measurement (2, 3, 4) • 100% of courses include activities, instructional materials, and evaluation methodologies use IT in practice and measurement of competencies the student learning and program outcomes. Assessment 2013-2014: QSEN Implementation and Clinical Evaluations continues adding IT. Based on change in MC philosophy and mission revision of student learning and program outcomes and now congruent with MC and NLN & QSEN competencies (Faculty meeting minutes June, 2014) 2013 evident of increased student near miss or mediation errors in clinical site Program Modification Summer 2014: QSEN IT started in 2013 with last competency being added to curriculum academic year 2014-2015 (Faculty retreat minutes June 2014). 2014 implementation of revised medication administration module and expectations. 100% passing score became a mandatory for passing the fundamentals course competency Outcome & Plan Faculty and Director will continue to monitor and evaluate IT methodologies revising as needed. Summer 2014 evaluate if program has met goal of full QSEN implementation Spring semester 2014 no near miss or mediation errors occurred in clinical site. Will further evaluate at Program Evaluation and Curriculum Review retreat summer 2015 Student Learning Goal Continue lifelong learning and successfully pass the NCLEX PN and ASN on the first attempt • Minimum of 80 % of the time the PN and ASN three-year mean for the licensure exam pass rate will be at or above the national mean for the same three-year period. Assessment Program Modification Outcome & Plan 2014: PN and ASN pass rate desired achievement met for 2013. For 2014 to date PN program continues to meet desired outcome at 100%. ASN program remains above the National average, but experienced 3 nonpassing students for past academic year. Faculty put into action new plan increasing GPA and STEP test score weights in the application process. (Faculty meeting minutes Feb. 19, 2014, faculty retreat minutes June 2014) Nursing Director and faculty will continue to monitor and analyze ASN NCLEX pass rates. Summer 2015 – Program will evaluate if changes help ASN pass rates increase PN MC MT National 2011 100% 97.48% 84.83% 2012 100% 99.19% 84.23% 2013 96.77% 93.75% 85.54% 2012 100% 92.43% 90.34% 2013 94.74% 87.70% 83.04% Three year pass rate PN: ASN MC MT National 2011 100% 84.69% 87.89% Three year pass rate RN: Curriculum Mapping Practical Nursing Program Intended Student Learning Outcomes Courses NRSG 130 Fundamentals of Nursing NRSG135 Nursing Pharmacology NRSG 138 Gerontology for Nursing NRSG 144 Core Concepts of Mental Health Nursing NRSG 140 Core Concepts of Adult Nursing NRSG 142 Core Concepts of Maternal/ Child Nursing NRSG 147 Practical Nursing NCLEX Review (optional) NRSG 148 Leadership Issues NCLEX EXAM Participate in data collection for functional assessment of patients across the lifespan I,D Work in interdisciplinary teams communicating with patients, families, and members of the interdisciplinary team to provide and improve patient care I I Demonstrate nursing skills that are safe and effective in the care of patients with predictable outcomes across the life span Use information technology to communicate, manage knowledge, mitigate error, and support decision making I,D I Continue lifelong learning and successfully pass the NCLEX PN on the first attempt I,D I I,D M,A I,D I,D D D D M,A D,M D,M D,M D,M D,M D,M D,M A A A A M,A D,M A D,M A D,M A D,M A A Associate Degree Registered Nursing Program Intended Student Learning Outcomes Courses Perform, analyze and apply data collection for complete assessment of patient across the lifespan and health care settings Work in interdisciplinary teams collaborating professionally and effectively with patients, families, and members of the interdisciplinary healthcare team to improve patient outcomes Utilize advanced nursing skills and critical thinking to assure evidence-based, positive health outcomes for patients across the life span and health care settings Incorporate informatics to formulate and employ evidence-based practice, clinical judgments and management decisions. D,M D,M D,M D,M D,M D,M D,M D,M D,M D D,M D D,M D,M D,M D,M D,M D,M A M = Mastery A A = Assessment NRSG 252Complex Care Needs: Maternal Child client NRSG 254 Complex Care Needs: Mental Health NRSG 256 Pathophysiology NRSG 250 Transition to Registered Nursing NRSG 262 Complex Care Needs: Adult Client NRSG 265 Advanced Clinical Skills NRSG 266 Managed Client Care (Includes NCLEX review course) NCLEX EXAM KEY: I = Introduction M,A M,A D,M D,M A D,M A D = Developed/Reinforced Continue academic progression to the BSN or greater, and successfully pass the NCLEX RN on the first attempt A