TheElPasoCountyCommunityCollegeDistrictdoesnotdiscriminateonthebasisofrace,color,nationalorigin,religion,gender,age, disability,veteranstatus,sexualorientation,orgenderidentity. StudentClinician’sHandbook AY2015‐2016 TABLEOFCONTENTS INTRODUCTION ……………………………………………………………………………………………4 MISSION, VISION, PHILOSOPHY, AND GOALS . ………………………………………………………5 STUDENT’S ETHICS AND RESPONSIBILITIES .. ……………………………………………………….7 AFFILIATION AGREEMENTS .................…………………………………………………………………7 PROFESSIONAL ETHICS .................. ………………………………………………………………………7 STANDARDS OF ETHICS FOR HEALTH CARE PROFESSIONALS AND STUDENTS........................ 7 GENERAL PROCEDURES …………………………………………………………………………………8 EQUAL OPPORTUNITIES .... ……………………………………………………………………..8 DIVISION PROCEDURE ... ………………………………………………………………………..8 GRIEVANCE PROCEDURE ....……………………………………………………………………9 GUIDELINES FOR STUDENTS WITH DISABILITIES ...... …………………………………….9 ACCOMMODATIONS FOR LICENSING, CERTIFICATION, OR REGISTRY EXAMINATIONS .................................................................................................... ……………..10 STUDENT INFORMATION FOR BACKGROUND CHECK AND SUBSTANCE ABUSE TESTING .................................................................................................................................. ……………11 GUIDELINES FOR PROSPECTIVE AND CURRENT STUDENTS WITH A HISTORY OF PRIOR ARRESTS OR CONVICTIONS .......... …………………………………………………..13 LICENSURE, CERTIFICATION, OR REGISTRY ..... …………………………………………..13 COMPLIO Step by Step Program By American Bank to Place Background Check and Drug Screening..................................................................................................................... ……………15 PROFESSIONAL ORGANIZATIONS ........................................................................................................ 24 RELEASE OF INFORMATION .. ………………………………………………………………………….26 SEXUAL HARASSMENT ................ ………………………………………………………………………………….27 DISCRIMINATION LAWS . ……………………………………………………………………………….28 STUDENT EMPLOYMENT OR VOLUNTEER WORK... ……………………………………………….29 EPCC-EMERGENCY AND DISASTER PREPAREDNESS GUIDELINES ..... ………………………….30 HEALTH-RELATED PROCEDURES.... …………………………………………………………………..32 HEPATITIS “B” STUDENT INFORMATION PACKET ........................................................................... 32 HEPATITIS “B” VIRUS/VACCINE (HBV) INFORMATION SHEET...................................................... 32 HEPATITIS “B’ VACCINE AND ADMINISTRATION OF VACCINE.................................................... 32 TARGET VACCINATION POPULATION, HEALTH CARE PERSONNEL ........................................... 33 PRE-IMMUNIZATION SCREENING......................................................................................................... 33 STUDENT’S HEALTH ................................................................................................................................ 34 PHYSICAL EXAM....................................................................................................................................... 34 VACCINATIONS - IMMUNIZATIONS ..................................................................................................... 34 MENIGITIS VACCINATION ......................................................................................................... 34 IMMUNIZATIONS AND TITERS .................................................................................................. 35 TUBERCULIN TEST....................................................................................................................... 35 VACCINATIONS FOR ADULTS ................................................................................................... 36 RECOMMENDED ADULT IMMUNIZATION SCHEDULE ........................................................ 37 CHART OF IMMUNIZATION AND TITER REQUIRED FOR SPECIALIZED ADMISSIONS PROGRAMS .................................................................................................................................... 45 TEXAS NOTIFIABLE CONDITIONS ............................................................................................ 46 PREGNANCY AND RADIATION EXPOSURE ............................................................................ 47 SICKNESS AND/OR INJURIES WHILE ON DUTY..................................................................... 47 STUDENTS WITH DISABILITIES ................................................................................................ 47 MEDICAL/DENTAL INSURANCE ............................................................................................... 48 OTHER HEALTH REQUIREMENTS ............................................................................................ 48 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage2 StudentClinician’sHandbook AY2015‐2016 CLINICAL PROCEDURES ......................................................................................................................... 49 AFFILIATE COMPUTER ORIENTATIONS ................................................................................ 49 AFFILIATE COMPUTER CODES ................................................................................................ 49 COMMUNITY HOSPITAL ORIENTATION ............................................................................... 49 CLINICAL ASSIGNMENTS ......................................................................................................... 49 TRANSPORTATION ..................................................................................................................... 50 CPR REQUIREMENT ................................................................................................................... 50 CRITERIA FOR UNSAFE CLINICAL PRACTICE ..................................................................... 50 ETHICAL & PROFESSIONAL EXPECTATIONS OF THE EPCC STUDENT CLINICIAN ................... 52 TOWARDS PATIENT ................................................................................................................... 52 TOWARDS SELF........................................................................................................................... 52 TOWARDS CLASSMATES .......................................................................................................... 53 TOWARDS INSTRUCTORS/STAFF/AFFILIATES .................................................................... 53 CLASSROOM/LAB/CLINICIAN'S ATTITUDE .......................................................................... 53 GUIDELINES FOR STUDENTS ENROLLED IN PROGRAMS WITH RADIOLOGY COMPONENTS DURING PREGNANCY .................................................................................. 54 PATIENT CONFIDENTIALITY ................................................................................................... 56 CONFIDENTIALITY AGREEMENT ........................................................................................... 56 PERSONAL APPEARANCE ....................................................................................................................... 57 CLASSROOM ATTIRE ................................................................................................................. 57 NAME PINS AND PATCHES ....................................................................................................... 57 SHOES ............................................................................................................................................ 57 PERSONAL HYGIENE ................................................................................................................. 58 UNIFORM REQUIREMENTS ...................................................................................................... 58 LABORATORY COAT OR WHITE MEDICAL COAT .............................................................. 58 PROFESSIONAL PRACTICE INSURANCE .............................................................................................. 59 STUDENT DISMISSAL FROM CLINICAL FACILITIES ......................................................................... 59 WITHDRAWAL INFORMATION .............................................................................................................. 60 INSTRUCTOR INITIATED STUDENT WITHDRAWAL ......................................................................... 60 STUDENT INITIATED WITHDRAWAL ................................................................................................... 60 SIX DROP RULE ......................................................................................................................................... 60 ACADEMIC PROCEDURES ....................................................................................................................... 61 ATTITUDES ................................................................................................................................................. 61 CRITERIA FOR COURSE PURSUIT ......................................................................................................... 62 RETENTION & PROGRESSION WITHIN HEALTH CAREERS ............................................................. 63 STUDENT RE-ENTRY TO A HEALTH CAREER PROGRAMS.............................................................. 64 SCHOLASTIC DISHONESTY .................................................................................................................... 65 PROGRAM COORDINATOR’S DIRECTORY .......................................................................................... 66 COUNSELORS-HEALTH OCCUPATIONS PROGRAMS ....................................................................... 67 DIRECTORY OF OTHER IMPORTANT CONTACTS.............................................................................. 68 AGENCIES ACCREDITING HEALTH PROGRAMS ............................................................................... 69 LICENSURE AND CERTIFICATION AGENCIES, AND PROFESSIONAL ORGANIZATIONS.......... 71 STUDENT FORMS ...................................................................................................................................... 74 STUDENT ACKNOWLEDGMENT FORM ................................................................................................ 75 CRITERIA FOR COURSE PURSUIT FORM ............................................................................................. 76 PATIENT CONFIDENTIALITY AND CONFIDENTIALITY AGREEMENT FORM ............................. 77 RELEASE OF INFORMATION FORM ...................................................................................................... 78 SCHOLASTIC DISHONESTY FORM ........................................................................................................ 79 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage3 StudentClinician’sHandbook AY2015‐2016 INTRODUCTION The Health Career & Technical Education, Math & Science Division of El Paso Community College includes a wide range of quality educational programs designed to meet the health care personnel needs of El Paso. With your entry into your Health Career Program of your choice, you have become an integral member of the HEALTH CARE TEAM. As you know, an important portion of your educational program is the clinical experience you will receive in the community as a part of your studies. These clinical experiences require special preparation and practices for the College, the Health Career Program, and the students. This handbook contains only the specific procedures that relate to your Health Career Program. It does not replace the information concerning college procedures and regulations that you will find in the College Catalog, El Paso Community College Student Handbook, or your individual course requirements. NOTE: Please sign each of the enclosed forms and forward them to your program coordinator: Confidentiality form Release of Information form Student Acknowledgment form We hope that this Health Career Student Clinician’s Handbook will be a useful guide as you prepare for your health career. Dr. Paula R. Mitchell, Rio Grande Campus Dean RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage4 StudentClinician’sHandbook AY2015‐2016 MISSION, VISION, PHILOSOPHY, AND GOALS MISSION The mission of the Health Career & Technical Education, Math & Science Division is to provide educational opportunities that prepare individuals to improve their personal quality of life and to contribute to their economically and culturally diverse community. VISION The Health Career & Technical Education, Math & Science Division is a primary source of technologically advanced health education training for a growing and culturally diverse border population; a local resource for community health care services, and a contributor to medical/science research as appropriate for a community college. PHILOSOPHY The Health Career & Technical Education, Math & Science Division meets the community’s need by providing opportunities for individuals to become qualified members of a health care profession or to pursue a career related to math or science. The Division provides quality education utilizing state of the art instructional methodologies, equipment, and lifelong learning. The Division of Health Career & Technical Education, Math & Science offers a variety of state and nationally accredited programs. GOALS Provide a standard of excellence in the education of students seeking careers related to healthcare, math, or science. Provide the community with qualified members of a health care profession. Provide educational and professional health career services to the community. Provide effective, innovative and alternative instructional methodologies in the implementation of quality educational programs in Health Career & Technical Education, Math & Science. Develop and coordinate an effective system for the recruitment of students into Health Career & Technical Education Math & Science courses/programs. Improve student retention, program completion and student skill development in Health Career & Technical Education, Math & Science courses/programs. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage5 StudentClinician’sHandbook AY2015‐2016 Provide an on-going systematic faculty and staff development plan which promotes the goals of the Division of Health Career & Technical Education, Math & Science. Assist in the planning, and implementation of projects related to border health. Promote articulation with area secondary and post-secondary institutions. Provide competency-based education in Health Career & Technical Education, Math & Science courses/ programs. Support life-long learning and career progression. Encourage activities which promote effective utilization of personnel, space, supplies and equipment in expanding and maintaining quality courses/programs. Recruit and retain qualified faculty in math, science, and Health Career & Technical Education courses/programs. Support research efforts affecting border health issues. Provide a solid foundation in math and science courses which enables students to transfer to upper division coursework at colleges and universities and/or which make graduates who earn an associate degree in a math or science related area of concentration eligible for mid-level technical positions in business and industry. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage6 StudentClinician’sHandbook AY2015‐2016 STUDENT’S ETHICS AND RESPONSIBILITIES AFFILIATION AGREEMENTS EPCC Health Career & Technical Education, Math & Science Division maintains affiliation agreements with private clinics, doctor’s offices and dental offices, pediatric centers, hospitals, specialist medical centers, community and public health centers, corporate and health centers, nursing homes, long-term care facilities, home health agencies, schools, as well as other colleges and universities. Each program identifies those agencies in which students can meet their clinical learning objectives. Signed agreements between EPCC and each affiliate are maintained in the division office. PROFESSIONAL ETHICS Your responsibilities as a health professions student involve three types of learning: Knowledge, that deals primarily with your intellectual abilities. Skills, that deal primarily with the application of ideas to practical situations and, Attitudes that reflect how you will react in a given situation. Your ethical responsibilities include a review of some basic guidelines prepared for health professionals. By developing appropriate ethics and attitudes your learning will be more conducive to functioning as a health professional, both in the clinical and classroom environments. STANDARDS OF ETHICS FOR HEALTH CARE PROFESSIONALS AND STUDENTS Each member of a health profession has the ethical obligation to subscribe to the following principles: To provide health care using the highest level of professional knowledge, judgment, and ability. To serve all patients without discrimination. To use every opportunity to increase public understanding of health care practices. To generate public confidence in members of the health care community. To cooperate with all health professions in meeting the health needs of the public. To recognize and uphold the laws and regulations governing their health profession. To maintain professional competence through continuing education. To exchange professional knowledge with other health professions. To represent the health profession with high standards of personal conduct To serve as health educators and promoters to the community. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage7 StudentClinician’sHandbook AY2015‐2016 GENERAL PROCEDURES EQUAL OPPORTUNITIES El Paso Community College is committed to providing equal educational and employment opportunities despite sex, marital or parental status, race, color, national origin, religion, gender, age, disability, veteran status, sexual orientation, and physical or mental disability. No student or prospective student of the College will be discriminated against because of race, color, national origin, religion, gender, age, disability, veteran status, sexual orientation, or gender identity. Students who feel aggrieved because of race, color, national origin, religion, gender, age, disability, veteran status, sexual orientation, or gender identity may file a written grievance with the Campus Dean, Vice President of Instruction, Associate Vice President or Employee Relations. Equal educational opportunity includes: admissions, recruitment, extracurricular programs, facilities, access to course offerings, counseling and testing, financial aid, employment and other programs or activities sponsored by the College. When a student believes a condition of the College to be unfair, unjust, inequitable or discriminatory, an appeal can be made to the administrator in charge of that area. This policy is referenced in all official College publications, including the catalog and Student Clinician’s Handbook (College procedure 2.03.06, policy 7.05.11 and Title IV, Section 504 and Title VI). DIVISION PROCEDURE It is the intent of all disciplines of the Health Career & Technical Education, Math and Science at EPCC to comply with this College policy in the development and implementation of its programs. Discrimination will NOT be tolerated especially if it involves students, faculty, staff, or patients. Students and staff who wish to report potential discriminatory or harassing behavior should initiate contact with the Dean of Health Career & Technical Education, Math & Science, at the Rio Grande Campus, Room 240, telephone 831-4026. Matters that are considered as informal concerns will be handled as such. Should it be necessary, formal complaints and disciplinary action will be initiated following College procedures. The confidentiality of the reporting individual(s) will be maintained as long it does not interfere with the ability to investigate the situation and take corrective actions. Pending the investigation results, individuals reporting a potential incident should also maintain confidentiality and not discuss the situation in public. Retaliation against anyone reporting discrimination or harassing behavior is prohibited. Should any retaliation occur, it will be handled as a separate complaint from any other complaints pending resolution. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage8 StudentClinician’sHandbook AY2015‐2016 Examples of retaliation include unfair grading, unfair evaluations, unfair assignments, withholding of information, oral or written threats or bribes, ridicule, further harassment, etc. GRIEVANCE PROCEDURE When a student has a grievance, following the chain of command to resolve the problem is appropriate for the student (College procedure 2:03.06 and policy 7.05.11). In the Health Career & Technical Education, Math & Science, the Chain of Command is as follows: Contact the instructor involved in a grievance, if unsatisfied with the outcome, contact Faculty Coordinator of the course/program in which the grievance is registered, if unsatisfied with the outcome, contact Dean of Health Career & Technical Education, Math & Science if unsatisfied with the outcome, contact Vice President of Instruction for academic issues or Vice President of Student Services for student related issues AVP, Employee Relations for discrimination issues GUIDELINES FOR STUDENTS WITH DISABILITIES ElPasoCommunityCollegecomplieswithSection504oftheRehabilitationActof1973andwith theAmericanswithDisabilitiesActof1990anddoesnotdiscriminateonthebasisofadisabilityin theoperationofitseducationalprogramsorinitsadmissionandemploymentpractices.Special emphasiswillcontinuetobeplacedoncorrectingconditionswhichmayinadvertentlydiscriminate againstanyindividualwithdisability. StudentswithpermanentortemporaryverifieddisabilitiesareinvitedtoregisterwiththeCenter forStudentswithDisabilitieswherecounseling,registrationassistance,adaptiveequipmentanda varietyofsupportservicesareavailable.Supportservicescanbearrangedforallcampuslocations. Formoreinformation,refertotheCollegeCatalogorCenterforStudentswithDisabilitiesatevery campus. Ifaccommodationsareneededtocompleteprogramcompetencies,aplanwillbedevelopedto assiststudentstomeetcourse/programcompetencieswheneverpossible.Anindividualized learningplanwillbejointlydevelopedbetweenthestudent,thefacultymember,anda representativefromtheCenterforStudentswithDisabilities.Toinitiatethisprocess,pleasecontact anyofthefollowingindividuals:aHealthCareerCounselor,theFacultyCoordinator,a representativeoftheCenterforStudentswithDisabilities,ortheDivisionDeanofHealthCareer. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage9 StudentClinician’sHandbook AY2015‐2016 YOUmustinitiatetherequestforaccommodations!Accommodationsrequestedand approvedmustallowyoutomeetthesamecourseoutcomesasstudentswithno accommodations. ACCOMMODATIONS FOR LICENSING, CERTIFICATION, OR REGISTRY EXAMINATIONS Mostagenciesforlicensing,certificationorregistrationofhealthcareprofessionals,alsohave establishedguidelinesfortheexaminationsofgraduatesofhealthcareerprograms.These guidelinesusuallydescriberestingmodificationsduringthelicensingexaminationforcandidates withdisabilities. Thefollowingoutlinesaretypicalguidelines: Candidatemustsubmitarequestfortestingmodificationdirectlytotheappropriatelicensing, certification,orregistryagency.Examplesofsupportingdocumentationwouldinclude: Letterfromcandidate. Letterfrommedicalprofessionaldocumentingdisabilityandrequestedmodification. Letterfromprogramcoordinatoridentifyingmodificationsgrantedbytheprogram. Theagencywillreviewtherequestandsupportingdocumentationforcompleteness,fairness, security,andimpact.Informationwillalsobeprovidedtothetestingservice. Thelicensingagencywillnotifyboththecandidateandthetestingsiteofapproved accommodationsandanyspecialinstructions. Formoreinformationcontactthespecificagencywhichwillissueyourlicense,certification,or registry. Revised:5/15/2014 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage10 StudentClinician’sHandbook AY2015‐2016 STUDENT INFORMATION FOR BACKGROUND CHECK AND SUBSTANCE ABUSE TESTING In order to ensure that health care facilities are in compliance with their accreditation guidelines, all students enrolled in specified health-related educational courses and programs are required to undergo a background clearance and substance abuse screening. Students who fail to obtain clearance will be prohibited from admission or enrollment in specified programs/courses for a period of one-year. NOTE: Substance Abuse Screening should be completed no more than 3 months (90 days) prior to beginning of their clinical. NOTE: Students who withdraw from health-related coursework for one semester or longer, are required to repeat substance abuse screening and/or background checks testing upon re-enrolling in health-related courses/programs. NOTE: Students are responsible for all costs associated with substance abuse screening and background checks, including any required repeat checks. To initiate your background and substance abuse screen clearance, go to www.elpasoex.com (America Databank) and follow the process listed on the web page. Make sure you select only the option(s) that you need at that time-it will affect your cost. Your clearances will be sent directly to the dean/director of your program at the college. Only background and substance abuse testing from this approved vendor will be accepted. There are two levels of background screening - Level I is required for all students, while Level II is only required for students already licensed or certified in any area. Level I check the following items: (Cost is $37.00) Social Security Number Verification. Criminal Search (7 years or up to 5 criminal searches). Violent Sexual Offender and Predator Registry Search. OIG List of Excluded Individuals/Entities. GSA List of Parties Excluded from Federal Programs. US Treasury, Office of Foreign Assets Control (OFAC), List of Specially Designated Nationals (SDN). State Exclusion List (http://www.hhsc.state.tx.us/OIE/exclusionlist/exclusion.asp). RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage11 StudentClinician’sHandbook AY2015‐2016 NOTE: If you do not have a Social Security Card, use zeroes (example: 000-00-000). You will then need to bring a photo I.D. to finalize your background clearance. Level II checks the following items: (Cost is $59.00) All of Level I elements. Employment Verification (Includes reason for separation and eligibility for re-hire for Each employer). License/certification verification. THE FOLLOWING FINDINGS ON THE BACKGROUND SCREENING WILL PREVENT YOUR PARTICIPATION IN CLINICAL COURSES: Identification of your person on the list of ineligible persons. Any criminal conviction identified. Substance Abuse Testing: Cost is $26.50. An e-mail will be sent to you with a COC number after payment has been made. The information on the e-mail will include the COC number and information on the approved laboratories as to where to go take your substance abuse test. Please note: From the day you receive your e-mail you have only five (5) days to take your test. If you go beyond the five (5) days, you will have to re-pay and re-take your test again to be cleared for clinical. Your results will be sent to the Dean/Director of your program. Upon review of your background check and/or substance abuse test results, you will receive a letter of CLEARANCE or NON-CLEARANCE, which you will submit to your program director/coordinator. Please note: You must complete a substance abuse test within ninety (90) days of starting your clinical course. Check with your program coordinator to verify timelines so you do not repeat taking the test too soon. Deadlines: There are different enrollments or ranking date for each of the health programs/courses. Please check with the information in the catalog as well as with your health career counselor, program coordinator, dean or director to make sure you have completed all requirements. Normal processing can take place in a few days, but sometimes verification requirements may take even a few months to complete some background check follow-up requirements. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage12 StudentClinician’sHandbook AY2015‐2016 If you do not order your background check or substance abuse screening timely, you may miss your deadline. If you have any questions, contact the Dean of Health Career & Technical Education, Math & Science Division at (915) 831-4030 or Dolores Arellano, Administrative Assistant at (915) 831-4027. GUIDELINES FOR PROSPECTIVE AND CURRENT STUDENTS WITH HISTORY OF PRIOR ARRESTS OR CONVICTIONS Studentswhohavebeenarrestedorconvictedofacrimebefore(orduring)enrollmentinahealth occupationprogramatElPasoCommunityCollegeshouldbeawarethattheymaynotbeeligiblefor licensureorcertificationupongraduationfromtheprogram.Inaddition,convictionsofcertain crimesmaylimitvariousclinicallearningexperiencesduringyourprogramofstudy. LICENSURE, CERTIFICATION, OR REGISTRY Manyhealthcareprofessionsrequireastatementfromgraduatesabouttheirpriorcriminalhistory uponapplicationforlicensure,registration,orcertification.Itiscriticalthatyouanswerthe questionaccurately.Thequestioniswordeddifferentlyonapplicationsfromdifferentagencies. Following,areexamplesofvariationoftypicalquestions(usuallyonlyonefollowingquestionis askedoneachapplication)whichthegraduateisexpectedtoprovidearesponse. 1. Haveyoueverbeenconvictedofacrimeotherthanminortrafficviolations? 2. Haveyoueverbeenarrestedforacrimeotherthanaminortrafficviolation? 3. Haveyoueverbeenarrested? Ifyouwerearrestedforpossessionofadrugbutnotconvicted,yourresponsestotheabove questionscouldbe(1)NO,(2)YES,or(3)YES.Ifyoureceivedachargeforrecklessdriving,your responsestothesamequestionscouldbe(1)NO,(2)NO,(3)YES. Theimpactofapositive(“YES”)responsetothesequestionsvaries,dependinguponthespecificsof thesituation.Usually,theagencythatisrequestingtheinformationwillrequestthatyouprovide additionalinformationtoallowthemtodecideyoureligibilityforthelicensure,registration,or certification.Thefollowingaretypesofinformationyoumaybeaskedtoprovide: 1. Awrittensummaryinyourownwords. 2. Acopyofthedispositionorcourtorder(thiscanbeobtainedfromtheDistrictClerkorthe CountyClerk). RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage13 StudentClinician’sHandbook AY2015‐2016 3. Requestforlettersofrecommendationfromprobationofficers,paroleofficers,law enforcementofficers,orothersinvolved. 4. Employmentdocumentation. 5. Other Indeterminingwhetheryouwillbecredentialed,theagencywillusuallyconsidersuchfactorsas: 1. Whatwasthecrime? 2. Whenwasthecrime?Howoldwereyouwhentheincidentoccurred? 3. Wasthisaonetimeoccurrenceorarethereotherinstancesofthesameorotherchargesor convictions? 4. Willhavingthecredentialprovideanopportunityforfurthercriminalactivity? 5. Istherearelationshipbetweenthecrimeandtheresponsibilitiesyouwouldhaveasa credentialedhealthcareprovider? 6. Isthereevidenceofrehabilitation? Theimpactofanincorrectresponsetoaquestion,however,holdsthepossibilityoflater disciplinaryactionandpotentiallossofyourcredential.Donottakethatchance. RECOMMENDATIONS: Concerns about your status in a specific program at El Paso Community College should be addressed to: 1. Faculty coordinator of your program 2. Dean of Health Career & Technical Education, Math & Science of the Rio Grande Campus, and/or 3. The licensure or certification agency for your chosen career. A list of phone numbers and addresses for these individuals and agencies is attached. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage14 StudentClinician’sHandbook AY2015‐2016 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage15 StudentClinician’sHandbook AY2015‐2016 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage16 StudentClinician’sHandbook AY2015‐2016 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage17 StudentClinician’sHandbook AY2015‐2016 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage18 StudentClinician’sHandbook AY2015‐2016 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage19 StudentClinician’sHandbook AY2015‐2016 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage20 StudentClinician’sHandbook AY2015‐2016 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage21 StudentClinician’sHandbook AY2015‐2016 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage22 StudentClinician’sHandbook AY2015‐2016 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage23 StudentClinician’sHandbook AY2015‐2016 PROFESSIONAL ORGANIZATIONS Studentsareencouragedtojointheirrespectiveprofessionalorganizations(local,state,and/or national).Asanintegralpartofahealthcareteam,itisimportantthatyoudevelopanattitudeof professionalismandinterestinyourcareerarea.Throughprofessionalorganizations,youcan expandyourknowledgeaboutyourfieldandbecomeinformedofnewadvances.Attendanceat organizationalfunctionsisalsoagoodopportunitytomeetindividualswhoarecurrentlyworking inyourfield,andotherfields. ThefollowingisapartiallistofHealthCareerProfessionalOrganizationsinwhichyoumay participateasstudents.Otherorganizationsareopentomembershiponlyaftergraduation.Please checkwithyourprogramfacultymembersforadditionalinformation. PROGRAM NAMEOFORGANIZATION DENTAL ASSISTING American Dental Assistant Association DENTAL HYGIENE Student American Dental Hygiene Association DIAGNOSTIC MEDICAL SONOGRAPHY Society of Diagnostic Medical Sonographers American Institute of Ultrasound in Medicine Southwest Medical Imaging Society EMERGENCY MEDICAL SERVICES Texas Association of Emergency Medical Technologists HEALTH INFORMATION TECHNOLOGY American Medical Records Association American Association for Medical Transcription MEDICAL ASSISTING TECHNOLOGY American Association of Medical Assistants Texas Society of AAMA New Mexico Society of AAMA El Paso County Chapter of AAMA Junior Chapter AAMA - EPCC Club MEDICAL LABORATORY American Society for Clinical Laboratory Sciences TECHNOLOGY Texas Association for Clinical Laboratory Sciences PHARMACY TECHNOLOGY American Society of Hospital Pharmacists Association of Pharmacy Technicians RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage24 StudentClinician’sHandbook AY2015‐2016 PROGRAM NAMEOFORGANIZATION PHYSICAL THERAPIST ASSISTANT American Physical Therapy Association Texas Physical Therapy Association Greater El Paso Physical Therapy Association American Society of Radiologic Technologists RADIOLOGIC TECHNOLOGY Texas Society of Radiologic Technologists Rio Grande Imaging Society RESPIRATORY CARE TECHNOLOGY American Association of Respiratory Care Texas Society for Respiratory Care SURGICAL TECHNOLOGY Association of Surgical Technologists, Inc. Association of Surgical Technologists RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage25 StudentClinician’sHandbook AY2015‐2016 RELEASE OF INFORMATION Purpose:UndertheFamilyEducationalRightsandPrivacyActof1974,permissionisneededto releaseinformation. Explanation:Developingclinicalrotationschedulesforstudentsenrolledinhealthcareercourses isnecessary.Theinformationisdistributedto: 1. FacultyCoordinator,instructorandstaff 2. Clinicalaffiliate 3. Classmates SchedulesareusedbyfacultyandstaffatElPasoCommunityCollegeandtheclinicalaffiliateto notifystudentsofmessagesreceived,especiallyincaseofemergencies.Classmatesusethe informationtoorganizecarpoolsandstudygroups. I,___________________________________givemypermissionforElPasoCommunityCollegetodistribute thefollowingitemsonlytorelevantentities(e.g.clinicalaffiliates): *Aclinicalschedulewithnamesofstudents *Verificationofbackgroundandsubstanceabusetests *Verificationofcompletedcommunity‐wideorientationandHIPAAtraining Telephone Address *DateofCPRCertification *TBskintestresultsanddates Referencesforemployment(optional) Name,addressestoclinicalaffiliatesforinvitationstograduationparties(optional) *DatesofrequiredimmunizationsorTiters *Failuretoreleasethisinformationmayresultinnon‐admittancetoclinicalfacilities.Clinical affiliatesrequirethisinformationofallstudentsprovidingpatientcare. Student Name (Printed): _______________________ Program: ________________________ Student Signature: ____________________________ Date: _____________________ Sign and return to instructor for record keeping, to get a copy go to Student Forms RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage26 StudentClinician’sHandbook AY2015‐2016 SEXUAL HARASSMENT SexualHarassmentisoneformofdiscriminationthatmaybedifficulttodistinguishinhealthcare. Healthcareprovidersoftendiscussnormalanddysfunctionalaspectsofanatomy,physiologyand pathophysiologyofthehumanbody,includingthesexualandreproductivesystems. Discussionofsexualityinclass,sexualhistoryofapatientetc.,isnotconsideredsexualharassment whenprofessionalismismaintained. Touchingapatienttoperformnecessarypatientcareisnotsexualharassment.However,these sameactionsdoneinanonprofessionalmannercanbesexualharassment(Collegeprocedure 2.03.06,policy7.05.11). SexualharassmenthasbeendefinedbyEEOCas:“Unwelcomesexualadvances,requestsforsexual favors,andotherverbalorphysicalconductofasexualnature." SEXUALHARASSMENTISWHEN:Submissiontosuchconductismadeeitherexplicitlyorimplicitly andbecomesatermorconditionforaperson’semployment. Submissiontoorrejectionofsuchconductbyanindividual’semployment. Suchconducthasthepurposeoreffectofunreasonablyinterferingwithaperson’sworkorcreating anintimidating,hostile,and/oroffensiveworkenvironment. OTHERDEFINITIONSOFSEXUALHARASSMENTINCLUDE(EqualEmploymentOpportunity Commission,June1997):Theuseofauthoritytoemphasizesexualityorsexualidentityofa student,inawaythatpreventsorimpairsthatstudent'sfullemployment,educationalbenefits, climate,oropportunity,(NationalAdvisoryCouncilonWomen'sEducationalPrograms). SEXUALHARASSINGBEHAVIORINCLUDESTHEFOLLOWING,WHENBASEDONGENDER CONSIDERATIONS(Strauss,SusaninSexualHarassmentandTeens): a) Sabotagingaperson’sworkorschoolefforts,assignments,orreputation b) Assigningapersonlesschallenging/orresponsibleduties c) Unequalapplicationofdisciplinaryrules,andperformancestandards d) Repeatedbelittling,demeaningorinsultingaperson. ANOTHERDEFINITIONOFSEXUALHARASSMENT:“Unwantedsexualorgender‐basedbehavior thatoccurswhenonepersonhasformalorinformalpowerovertheother.”(Educator’sGuideto ControllingSexualHarassment,ThompsonPublishingGroup,1993,page202). RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage27 StudentClinician’sHandbook AY2015‐2016 ANYTYPEOFUNWELCOMECONDUCTDIRECTEDTOWARDASTUDENTOREMPLOYEEBECAUSEOFHIS ORHERGENDERMAYCONSTITUTESEXUALHARASSMENT THEFOLLOWINGAREEXAMPLESOFBEHAVIORSTHATAREOFTENVIEWEDASSEXUAL HARASSMENTWHENTHEYAREUNWANTEDBEHAVIORS:Directorindirectthreatsorbribesfor unwantedsexualactivity;sexualinnuendosandcomments;askingorcommentingaboutaperson’s sexualactivities;humororjokesaboutsexorfemale/malesingeneral;sexuallysuggestivesounds orgestures;pesteringapersonfordatesorsexualbehavior;touching,patting,pinching,stroking, squeezing,tickling,orbrushingagainstaperson;givinganeckorshouldermassage;letters,notes, telephonecallsormaterialsofasexualnature;sexistorstereotypedcomments;displayingpictures, cartoons,etc.,withsexualcontent;stalkingaperson;attemptedoractualsexualassault,(Educator’s GuidetoControllingSexualHarassment,ThompsonPublishingGroup,1993,Pages212‐213). DISCRIMINATION LAWS ThefacultyandstudentsinthehealthcareprofessionsshouldbeawareofvariousStateand Federallawsincluding: AgeDiscriminationActinEmploymentAct AmericanswithDisabilitiesAct CivilRightsActof1964and1991 PregnancyDiscriminationAct EqualPayAct VocationalRehabilitationAct TitleIXoftheEducationAmendmentsof1972 StateFairEmploymentPracticesStatues ExecutiveOrder11246 Commonlawtortsrelatingtosexualharassment **Other state and municipal laws including those on rape, sexual abuse, sexual assault, and child molestation. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage28 StudentClinician’sHandbook AY2015‐2016 STUDENT EMPLOYMENT OR VOLUNTEER WORK It is recommended that a student's combined employment and semester hour load not exceed 40 hours per-week in either long session or summer terms. Studentsshouldbeawarethat:TheHealthCareer&TechnicalEducation,Math&Scienceprograms assumenoresponsibilityfortheiractivitiesasvolunteersoremployeesofagencies,andtheyshould notwearschoolnametagsorpatches. Theyarepersonallyresponsibleandliableforanyactivityinwhichtheyparticipatewhile employed,orasavolunteer. ProfessionalliabilityinsurancepurchasedbystudentsthroughEPCCisvalidonlyintheirstudent role,nottheiremploymentorvolunteerrole.Individualswhopracticeillegallymayjeopardize theirfutures,sincepersonswhoareconvictedofcrimesmaynotbeeligibletotaketheirlicensure orcertificationexam. Studentswhoareemployedorvolunteerinagencieshaveapersonalandprofessional responsibilitytoengageonlyinthoseactivitiesthatfallwithintheirjobdescriptionsas nonprofessionalworkers(i.e.,aides,techs). Theyhavearesponsibilitytorefusetoparticipateinactivitiesthattheyhavenotbeenlegally licensedtodo(i.e.,givingmedications,planningcare,assumingtotalresponsibilityforateamor unit,etc.). Studentswhoareemployedorworkingasvolunteer,shouldseekinformationregardingliability coverage,lawsgoverningvolunteers,etc.,fromtheiremployer(s). RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage29 StudentClinician’sHandbook AY2015‐2016 EPCC- EMERGENCY AND DISASTER PREPARDNESS GUIDELINES RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage30 StudentClinician’sHandbook AY2015‐2016 HEALTH‐RELATEDPROCEDURES HEPATITIS“B”STUDENTINFORMATIONPACKET DearHealthCareerStudent: YouareeitherenrolledinorwillsoonbeenteringoneoftheHealthCareerprogramsatElPaso CommunityCollege.Becauseyouareenteringahealthcareprofession,youmaybeatincreasedrisk forHepatitis“B”.(Notethatsomehealthcareerareasareathigherriskthanothers). Followinstructionsincompletingattachedpages: ReadattachedinformationsheetonHepatitis“B”Vaccineandpharmacologicalliterature. IfyouneedtoreceivetheHepatitis“B”vaccine:Makeanappointmentwithyourprivatephysician orscheduleanappointmentattheRioGrandeBorderHealthClinic,(915)831‐4016. Verificationofatotalofthreedosesmustbesubmittedtoyourprogramcoordinator. NOTE:Youareresponsibleforthecostofvaccines.Ifyouareemployedbyahealthcare agency,thevaccinemaybeavailablefromthatagencyatnocost;costmayalsobecoveredbysome healthcareinsurancepolicies. HEPATITIS“B”VIRUS/VACCINE(HBV)‐INFORMATIONSHEET Bloodbornepathogensaremicroorganismsthathavethepotentialforcausingavarietyofdiseases, twoofwhicharetheHepatitis“B”virus(HBV)andtheHumanImmuneDeficiencyVirus(HIV). OtherformsofHepatitisalsoexist(e.g.HepatitisCandHepatitisD).Bloodbornepathogensare transmittedfromonepersontoanotherviatheexchangeofbodyfluids,suchasblood,saliva, semen,vaginalsecretionsandcerebrospinalfluid. Hepatitis“B”,alsoknownas“serumhepatitis,(HBV)”canbetransmittedprenatallyandthrough needlesticks,sexualintercourse,intravenousdruguse,dialysis,andbloodtransfusions.Itcanalso bespreadbycontaminatedbloodenteringaperson’sbodybywayofabreakintheskin(e.g.,cuts, abrasions).HBVisalsotransmittedbyunidentifiedmeanssinceitcansurviveoutsidethebody,on environmentalobjects,forseveraldays. Hepatitis“B”damagestheliverandcanevenleadtolivercanceranddeath.Symptomsofinfection mightincludefatigue,lossofappetite,nausea,abdominalpain,fever,darkurine,andjaundice. Itisestimatedthathealthcareworkersare20timesmorelikelytocontractHepatitis”B”thanthe normalpopulationandthatatleast200healthcareworkersdiefromHBVoccupationallyacquired Hepatitis“B”eachyear.ThereisnoknowncureforHepatitis“B”. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage31 StudentClinician’sHandbook AY2015‐2016 HEPATITIS “B” VACCINE AND ADMINISTRATION OF VACCINE Two types of Hepatitis “B” vaccines are currently licensed in the United States: Heptavax, which comes from human plasma; and recombinant (synthetic) vaccines such as Recombivax HB and Engerix-B. Heptavaxuseislimitedtohemodialysispatients,otherimmunecompromisedpersons,andpersons withknownallergytoyeast.Possiblesideeffectsarepainatinjectionsite,swellingatinjectionsite, rednessatinjectionsite,dizziness,lowgradefever,nausea/vomiting,malaise,headacheandjoint pain. (Note:HeptavaxisnolongerbeingproducedintheUnitedStates,soitsavailabilitymaybelimited.) Recombivaxmadewithcommonbaker’syeast.Possiblesideeffectsincludetendernessatinjection site,swellingatinjectionsite,rednessatinjectionsite,itching,cramps,diarrhea,low‐gradefever, malaise,headache,nausea/vomiting,constipation,dizziness.Personswithallergiestoyeastand/or aluminumhydroxideshouldnotreceivethisproduct. Persons with active/serious diseases, fever, or who are pregnant or nursing should consult their physicianbeforereceivingthisproduct.Thedurationofimmunityisunknownatthistime,butadults with normal immune status do not routinely need a booster within 7‐9 years after vaccination. Vaccinationisnotnecessaryincasesofbloodscreeningwhichdisclosesimmunity,previousHepatitis Bvaccination,andmedicalcontraindications. (Note:Pre‐screeningforimmunityisnotrequired,butifyoudesiretobescreenedpleaseconsultyourprivate physician.IfyouareaHBVcarrier,youwillreceiveneithertherapeuticnoradverseeffectsasaresultofreceiving thevaccine,otherthanthepreviouslylistedpossiblesideeffects). Administration of Vaccine You will receive three (3) injections: the initial dose; a dose one month later; a dose six months after the initial dose. Thevaccine(whenadministeredinthedeltoidmuscleofthearm)providesprotectiveantibodiesin over 90% of healthy persons, but El Paso Community College offers no guarantee relative to the efficacyofthevaccine. ThevaccinemightnotbeeffectiveifyouarealreadyincubatingtheHepatitis“B”virus,i.e.already carryingthevirus.Abloodtestwilldetermineifyouhaveimmunity. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage32 StudentClinician’sHandbook AY2015‐2016 TARGET VACCINATION POPULATION, HEALTH CARE PERSONNEL Thefrequencyofbloodcontactratherthanthefrequencyofpatientcontactseemstobethemost importantfactorintheacquisitionoftheinfection.ThoseemployeesworkingintheLaboratory, EmergencyRoomorEmergencyMedicalServices(ambulances)IntensiveCareUnit,Operating Room,Laboranddelivery.RespiratoryTherapyandAnesthesiahavesignificantcontactwithblood andthereforeareatgreatestrisk. PRE-IMMUNIZATION SCREENING YoumayrequesttobescreenedforantibodytoHepatitis“B”surfaceantigen.Ifitispositive,this meansyouareimmunetotheHepatitis“B”virusandvaccinationisunnecessary.Noadverse effectshavebeennotedwhenchroniccarriers(HBsAGpositive)wereimmunized.Screeningisnot required. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage33 StudentClinician’sHandbook AY2015‐2016 STUDENT’S HEALTH PHYSICAL EXAM Itisthestudent'sresponsibilitytoinsurethatacurrent"healthhistoryandphysical examination"formisonfilewithineachdivision/discipline.Thephysicalexammustbe updatedevery3years(unlessotherwiseindicated),andmustbeperformedbyahealth provider(PA,NP,MD,DO)licensedtopracticemedicineintheUnitedStates.Seeexemptions underEPCCpolicy7.01.03.10.Theseguidelinesalsoapplytohealth‐relatedfacultyandstaffin clinicalassignments.Physician’sletterandReportofHealthEvaluationformsareunder: www.epcc.edu/InstitutionalEffectiveness/PoliciesandProcedures/7.02.01.10 VACCINATIONS AND IMMUNIZATIONS A. MENINGITIS VACCINATION MeningitisVaccination.EffectiveJanuary2012,allcollegestudentsarerequiredtosubmit evidenceofreceivingvaccinationagainstmeningitisorevidenceofreceivingaboosterdose. SeeexemptionsunderEPCCpolicy7.01.03.10attheendofHandbook. Whatismeningitisandwhyitissodangerous? Meningococcalmeningitisisabacterialinfectionthatcancausesevereswellingofthebrain andspinalcord.Thisdiseaseispotentiallyverydangerousbecauseitisrelativelyrareand itisoftenmistakenforaminorcoldorthefluand,asaresult,isignored.Thebadnewsis thatupto1outof5peoplewhodevelopmeningococcaldiseasewilldie(Thiscaseis representativeofcausesthathaveoccurred).Ofthosewhosurvive,upto1in5willsuffer frompermanentdisabilitiessuchasamputation,braindamage,hearingloss,andseizures. Recognizingthecharacteristicsignsandsymptomsofmeningococcaldiseasearecriticaland potentiallylifesaving.Mostcommonearlysymptomsofmeningitisaresimilartotheflu. Manypeoplecomplainabouthavingheadache,fever,stiffneck,extremefatigue,nausea, vomiting,andsensitivitytolight.Somepeoplealsodevelopapurplishredrashofsmalldots (petechiae),mainlyontheirarmsandlegs. Thegoodnewsisthattoday’smeningococcalvaccinecanhelptoprotectyouandyourchild againstthemostcommonformsofmeningitis(bacteriastainsA,C,Y,andW‐135)Infact, experienceintheUnitedStatesmilitarywherevaccinationismandatory,hasproventhat RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage34 StudentClinician’sHandbook AY2015‐2016 vaccinationreallyworkstopreventoutbreaksofmeningitisandmeningococcaldisease worldwide. B. IMMUNIZATIONS AND TITERS Studentsarerequiredtosubmitevidenceofadequatelevelsofimmunity,acquirednaturally orbyimmunizationagainstthefollowingdiseases.SeeadeclinationformforAnnual InfluenzaVaccinationandPPDSkinTestInterpretationorChestX‐rayAnnualFollow‐upfor HealthCareerStudentandFaculty. TdapwithperiodicTetanusbooster Diphtheria Measles/Rubella Mumps RubellaVaricela Tuberculosis(PPDorTine,orChestX‐ray) HepatitisBVaccineisrequiredforHealthprofessionals,includingstudents InfluenzaisrequiredorCompletedDeclinationForm.(NOTE:Ifdeclined,willhavetoweara maskinclinical) Ifage65orolder,aHerpesZosterisrecommended.Thiscansubstitutefortheabovelisted Varicella. PleaserefertotheimmunizationscheduleandHepatitis“B”Immunizationpacketsfoundelsewherein thehandbook. C. TUBERCULIN TESTING It is the student's responsibility to provide evidence of a current TB test. Noncompliant students will not be allowed to attend clinical experiences. Such absences will be considered as unexcused and may result in the student's withdrawal from the course. Tuberculin skin tests are considered current for twelve (12) months. Chest x-rays that are documented as negative upon admission will not need to be updated during continuous enrollment at EPCC unless documented exposure to active TB occurs or if the student becomes symptomatic for TB. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage35 StudentClinician’sHandbook AY2015‐2016 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage36 StudentClinician’sHandbook AY2015‐2016 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage37 StudentClinician’sHandbook AY2015‐2016 1. Additional information RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage38 StudentClinician’sHandbook AY2015‐2016 •Additional guidance for the use of the vaccines described •Adults aged 65 years or older can receive the standard- in this supplement is available at dose IIV or the high-dose IIV (Fluzone High-Dose). www.cdc.gov/vaccines/hcp/acip-recs/index.html. •A list of currently available influenza vaccines can be •Information on vaccination recommendations when found at vaccination status is unknown and other general www.cdc.gov/flu/protect/vaccine/vaccines.htm. immunization information can be found in the General 3. Tetanus, diphtheria, and acellular pertussis Recommendations on Immunization at (Td/Tdap) vaccination www.cdc.gov/mmwr/preview/mmwrhtml/rr6002a1.htm. •Administer 1 dose of Tdap vaccine to pregnant women •Information on travel vaccine requirements and during each pregnancy (preferably during 27 to 36 weeks’ recommendations (e.g., for hepatitis A and B, gestation) regardless of interval since prior Td or Tdap meningococcal, and other vaccines) is available at vaccination. wwwnc.cdc.gov/travel/destinations/list. •Persons aged 11 years or older who have not received •Additional information and resources regarding Tdap vaccine or for whom vaccine status is unknown vaccination of pregnant women can be found at should receive a dose of Tdap followed by tetanus and www.cdc.gov/vaccines/adults/rec-vac/pregnant.html. diphtheria toxoids (Td) booster doses every 10 years 2. Influenza vaccination thereafter. Tdap can be administered regardless of interval •Annual vaccination against influenza is recommended for since the most recent tetanus or diphtheria-toxoid all persons aged 6 months or older. containing vaccine. •Persons aged 6 months or older, including pregnant •Adults with an unknown or incomplete history of women and persons with hives-only allergy to eggs can completing a 3-dose primary vaccination series with Td- receive the inactivated influenza vaccine (IIV). An age- containing vaccines should begin or complete a primary appropriate IIV formulation should be used. vaccination series including a Tdap dose. •Adults aged 18 years or older can receive the recombinant •For unvaccinated adults, administer the first 2 doses at influenza vaccine (RIV) (FluBlok). RIV does not contain least 4 weeks apart and the third dose 6 to 12 months after any egg protein and can be given to age-appropriate the second. persons with egg allergy of any severity. •For incompletely vaccinated (i.e., less than 3 doses) •Healthy, nonpregnant persons aged 2 to 49 years without adults, administer remaining doses. high-risk medical conditions can receive either intranasally •Refer to the ACIP statement for recommendations for administered live, attenuated influenza vaccine (LAIV) administering Td/Tdap as prophylaxis in wound (FluMist) or IIV. management (see footnote 1). •Health care personnel who care for severely 4. Varicella vaccination immunocompromised persons who require care in a •All adults without evidence of immunity to varicella (as protected environment should receive IIV or RIV; health defined below) should receive 2 doses of single-antigen care personnel who receive LAIV should avoid providing varicella vaccine or a second dose if they have received care for severely immunosuppressed persons for 7 days only 1 dose. after vaccination. •Vaccination should be emphasized for those who have •The intramuscularly or intradermal administered IIV are close contact with persons at high risk for severe disease options for adults aged 18 through 64 years. (e.g., health care personnel and family contacts of persons with immunocompromising conditions) or are at high risk RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage39 StudentClinician’sHandbook AY2015‐2016 for exposure or transmission (e.g., teachers; child care •HPV4 is recommended for men who have sex with men employees; residents and staff members of institutional through age 26 years for those who did not get any or all settings, including correctional institutions; college doses when they were younger. students; military personnel; adolescents and adults living •Vaccination is recommended for immunocompromised in households with children; no pregnant women of persons (including those with HIV infection) through age childbearing age; and international travelers). 26 years for those who did not get any or all doses when •Pregnant women should be assessed for evidence of they were younger. varicella immunity. Women who do not have evidence of •A complete series for either HPV4 or HPV2 consists of 3 immunity should receive the first dose of varicella vaccine doses. The second dose should be administered 4 to 8 upon completion or termination of pregnancy and before weeks (minimum interval of 4 weeks) after the first dose; discharge from the health care facility. The second dose the third dose should be administered 24 weeks after the should be administered 4 to 8 weeks after the first dose. first dose and 16 weeks after the second dose (minimum •Evidence of immunity to varicella in adults includes any interval of at least 12 weeks). of the following: •HPV vaccines are not recommended for use in pregnant — Documentation of 2 doses of varicella vaccine at least women. However, pregnancy testing is not needed before vaccination. If a woman is found to be pregnant after 4 weeks apart; — U.S.-born before 1980, except health care personnel initiating the vaccination series, no intervention is needed; the remainder of the 3-dose series should be delayed until and pregnant women; — History of varicella based on diagnosis or verification of varicella disease by a health care provider; — History of herpes zoster based on diagnosis or completion or termination of pregnancy. 6. Zoster vaccination •A single dose of zoster vaccine is recommended for adults verification of herpes zoster disease by a health care aged 60 years or older regardless of whether they report a provider; or prior episode of herpes zoster. Although the vaccine is — Laboratory evidence of immunity or laboratory licensed by the U.S. Food and Drug Administration for use among and can be administered to persons aged 50 years confirmation of disease. 5. Human papillomavirus (HPV) vaccination or older, ACIP recommends that vaccination begin at age •Two vaccines are licensed for use in females, bivalent 60 years. HPV vaccine (HPV2) and quadrivalent HPV vaccine •Persons aged 60 years or older with chronic medical (HPV4), and one HPV vaccine for use in males (HPV4). conditions may be vaccinated unless their condition •For females, either HPV4 or HPV2 is recommended in a constitutes a contraindication, such as pregnancy or severe 3-dose series for routine vaccination at age 11 or 12 years immunodeficiency. and for those aged 13 through 26 years, if not previously 7. Measles, mumps, rubella (MMR) vaccination vaccinated. •Adults born before 1957 are generally considered immune •For males, HPV4 is recommended in a 3-dose series for to measles and mumps. All adults born in 1957 or later routine vaccination at age 11 or 12 years and for those should have documentation of 1 or more doses of MMR aged 13 through 21 years, if not previously vaccinated. vaccine unless they have a medical contraindication to the Males aged 22 through 26 years may be vaccinated. vaccine or laboratory evidence of immunity to each of the three diseases. Documentation of provider-diagnosed RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage40 StudentClinician’sHandbook AY2015‐2016 disease is not considered acceptable evidence of immunity with 2 doses of MMR vaccine at the appropriate interval for measles, mumps, or rubella. for measles and mumps or 1 dose of MMR vaccine for Measles component: rubella. •A routine second dose of MMR vaccine, administered a 8. Pneumococcal (13-valent pneumococcal conjugate minimum of 28 days after the first dose, is recommended vaccine [PCV13] and 23-valent pneumococcal for adults who: polysaccharide vaccine [PPSV23]) vaccination — Are students in postsecondary educational •General information institutions, — When indicated, only a single dose of PCV13 is — Work in a health care facility, or recommended for adults. — Plan to travel internationally. — No additional dose of PPSV23 is indicated for adults •Persons who received inactivated (killed) measles vaccine vaccinated with PPSV23 at or after age 65 years. or measles vaccine of unknown type during 1963–1967 — When both PCV13 and PPSV23 are indicated, PCV13 should be revaccinated with 2 doses of MMR vaccine. should be administered first; PCV13 and PPSV23 Mumps component: should not be administered during the same visit. •A routine second dose of MMR vaccine, administered a — When indicated, PCV13 and PPSV23 should be minimum of 28 days after the first dose, is recommended administered to adults whose pneumococcal for adults who: vaccination history is incomplete or unknown. — Are students in a postsecondary educational institution, •Adults aged 65 years or older who — Have not received PCV13 or PPSV23: Administer — Work in a health care facility, or PCV13 followed by PPSV23 in 6 to 12 months. — Plan to travel internationally. — Have not received PCV13 but have received a dose of •Persons vaccinated before 1979 with either killed mumps PPSV23 at age 65 years or older: Administer PCV13 vaccine or mumps vaccine of unknown type who are at at least 1 year after the dose of PPSV23 received at high risk for mumps infection (e.g., persons who are age 65 years or older. working in a health care facility) should be considered for — Have not received PCV13 but have received 1 or more revaccination with 2 doses of MMR vaccine. doses of PPSV23 before age 65: Administer PCV13 at Rubella component: least 1 year after the most recent dose of PPSV23; •For women of childbearing age, regardless of birth year, administer a dose of PPSV23 6 to 12 months after rubella immunity should be determined. If there is no PCV13, or as soon as possible if this time window has evidence of immunity, women who are not pregnant passed, and at least 5 years after the most recent dose should be vaccinated. Pregnant women who do not have of PPSV23. evidence of immunity should receive MMR vaccine upon — Have received PCV13 but not PPSV23 before age 65 Completion or termination of pregnancy and before years: Administer PPSV23 6 to 12 months after discharge from the health care facility. PCV13 or as soon as possible if this time window has Health care personnel born before 1957: passed. •For unvaccinated health care personnel born before 1957 — Have received PCV13 and 1 or more doses of who lack laboratory evidence of measles, mumps, and/or PPSV23 before age 65 years: Administer rubella immunity or laboratory confirmation of disease, — (Continued on next page) health care facilities should consider vaccinating personnel RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage41 StudentClinician’sHandbook AY2015‐2016 Footnotes—Recommended Immunization Schedule for Adults Aged 19 Years or Older: United States, 2015 8. Pneumococcal vaccination (continued) •Adults aged 19 through 64 years who smoke cigarettes or — PPSV23 6 to 12 months after PCV13, or as soon as reside in nursing home or long-term care facilities: possible if this time window has passed, and at least 5 Administer PPSV23. years after the most recent dose of PPSV23. •Routine pneumococcal vaccination is not recommended •Adults aged 19 through 64 years with for American Indian/Alaska Native or other adults unless immunocompromising conditions or anatomical or they have the indications as above; however, public health functional asplenia (defined below) who authorities may consider recommending the use of — Have not received PCV13 or PPSV23: Administer pneumococcal vaccines for American Indians/Alaska PCV13 followed by PPSV23 at least 8 weeks after Natives or other adults who live in areas with increased PCV13; administer a second dose of PPSV23 at least risk for invasive pneumococcal disease. 5 years after the first dose of PPSV23. •Immunocompromising conditions that are indications for — Have not received PCV13 but have received 1 dose of pneumococcal vaccination are: Congenital or acquired PPSV23: Administer PCV13 at least 1 year after the immunodeficiency (including B- or T-lymphocyte PPSV23; administer a second dose of PPSV23 at least deficiency, complement deficiencies, and phagocytic 8 weeks after PCV13 and at least 5 years after the first disorders excluding chronic granulomatous disease), HIV dose of PPSV23. infection, chronic renal failure, nephrotic syndrome, — Have not received PCV13 but have received 2 doses leukemia, lymphoma, Hodgkin disease, generalized of PPSV23: Administer PCV13 at least 1 year after malignancy, multiple myeloma, solid organ transplant, and the most recent dose of PPSV23. iatrogenic immunosuppression (including long-term — Have received PCV13 but not PPSV23: Administer systemic corticosteroids and radiation therapy). PPSV23 at least 8 weeks after PCV13; administer a •Anatomical or functional asplenia that are indications for second dose of PPSV23 at least 5 years after the first pneumococcal vaccination are: Sickle cell disease and dose of PPSV23. other hemoglobinopathies, congenital or acquired asplenia, — Have received PCV13 and 1 dose of PPSV23: splenic dysfunction, and splenectomy. Administer Administer a second dose of PPSV23 at least 5 years pneumococcal vaccines at least 2 weeks before after the first dose of PPSV23. immunosuppressive therapy or an elective splenectomy, •Adults aged 19 through 64 years with cerebrospinal fluid and as soon as possible to adults who are newly diagnosed leaks or cochlear implants: Administer PCV13 followed by with asymptomatic or symptomatic HIV infection. PPSV23 at least 8 weeks after PCV13. 9. Meningococcal vaccination •Adults aged 19 through 64 years with chronic heart •Administer 2 doses of quadrivalent meningococcal disease (including congestive heart failure and conjugate vaccine (Men ACWY [Menactra, Menveo]) at cardiomyopathies, excluding hypertension), chronic lung least 2 months apart to adults of all ages with anatomical disease (including chronic obstructive lung disease, or functional asplenia or persistent complement component emphysema, and asthma), chronic liver disease (including deficiencies. HIV infection is not an indication for routine cirrhosis), alcoholism, or diabetes mellitus: Administer vaccination with Men ACWY. If an HIV-infected person PPSV23. of any age is vaccinated, 2 doses of Men ACWY should be administered at least 2 months apart. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage42 StudentClinician’sHandbook AY2015‐2016 •Administer a single dose of meningococcal vaccine to an international adoptee during the first 60 days after microbiologists routinely exposed to isolates of Neisseria arrival in the United States from a country with high meningitidis, military recruits, persons at risk during an or intermediate endemicity. (See footnote 1 for more outbreak attributable to a vaccine serogroup, and persons information on travel recommendations.) The first who travel to or live in countries in which meningococcal dose of the 2-dose hepatitis A vaccine series should disease is hyperendemic or epidemic. be administered as soon as adoption is planned, •First-year college students up through age 21 years who ideally 2 or more weeks before the arrival of the are living in residence halls should be vaccinated if they adoptee. have not received a dose on or after their 16th birthday. •Single-antigen vaccine formulations should be •Men ACWY is preferred for adults with any of the administered in a 2-dose schedule at either 0 and 6 to 12 preceding indications who are aged 55 years or younger as months (Havrix), or 0 and 6 to 18 months (Vaqta). If the well as for adults aged 56 years or older who a) were combined hepatitis A and hepatitis B vaccine (Twinrix) is vaccinated previously with Men ACWY and are used, administer 3 doses at 0, 1, and 6 months; recommended for revaccination, or b) for whom multiple alternatively, a 4-dose schedule may be used, administered doses are anticipated. Meningococcal polysaccharide on days 0, 7, and 21 to 30 followed by a booster dose at vaccine (MPSV4 [Menomune]) is preferred for adults aged month 12. 56 years or older who have not received Men ACWY 11. Hepatitis B vaccination previously and who require a single dose only (e.g., •Vaccinate persons with any of the following indications travelers). and any person seeking protection from hepatitis B virus •Revaccination with Men ACWY every 5 years is (HBV) infection: recommended for adults previously vaccinated with Men — Sexually active persons who are not in a long-term, ACWY or MPSV4 who remain at increased risk for mutually monogamous relationship (e.g., persons with infection (e.g., adults with anatomical or functional more than 1 sex partner during the previous 6 asplenia, persistent complement component deficiencies, months); persons seeking evaluation or treatment for a or microbiologists). sexually transmitted disease (STD); current or recent 10. Hepatitis A vaccination injection drug users; and men who have sex with men; •Vaccinate any person seeking protection from hepatitis A — Health care personnel and public safety workers who virus (HAV) infection and persons with any of the are potentially exposed to blood or other infectious following indications: body fluids; — Men who have sex with men and persons who use injection or noninjection illicit drugs; years as soon as feasible after diagnosis; persons with — Persons working with HAV-infected primates or with HAV in a research laboratory setting; diabetes who are age 60 years or older at the discretion of the treating clinician based on the — Persons with chronic liver disease and persons who likelihood of acquiring HBV infection, including the risk posed by an increased need for assisted blood receive clotting factor concentrates; — Persons traveling to or working in countries that have high or intermediate endemicity of hepatitis A; and — Unvaccinated persons who anticipate close personal contact (e.g., household or regular babysitting) with RevisedAugust2015 — Persons with diabetes who are younger than age 60 glucose monitoring in long-term care facilities, the likelihood of experiencing chronic sequelae if infected with HBV, and the likelihood of immune response to vaccination; HealthCareer&TechnicalEducation,Math&ScienceDivisionPage43 StudentClinician’sHandbook AY2015‐2016 — Persons with end-stage renal disease, including 12. Haemophilus influenzae type b (Hib) vaccination patients receiving hemodialysis, persons with HIV •One dose of Hib vaccine should be administered to infection, and persons with chronic liver disease; persons who have anatomical or functional asplenia or — Household contacts and sex partners of hepatitis B sickle cell disease or are undergoing elective splenectomy surface antigen–positive persons, clients and staff if they have not previously received Hib vaccine. Hib members of institutions for persons with vaccination 14 or more days before splenectomy is developmental disabilities, and international travelers suggested. to countries with high or intermediate prevalence of •Recipients of a hematopoietic stem cell transplant chronic HBV infection; and (HSCT) should be vaccinated with a 3-dose regimen 6 to — All adults in the following settings: STD treatment 12 months after a successful transplant, regardless of facilities, HIV testing and treatment facilities, vaccination history; at least 4 weeks should separate doses. facilities providing drug abuse treatment and •Hib vaccine is not recommended for adults with HIV prevention services, health care settings targeting infection since their risk for Hib infection is low. services to injection drug users or men who have sex 13. Immunocompromising conditions with men, correctional facilities, end-stage renal •Inactivated vaccines generally are acceptable (e.g., disease programs and facilities for chronic pneumococcal, meningococcal, and inactivated influenza hemodialysis patients, and institutions and vaccine) and live vaccines generally are avoided in persons nonresidential day care facilities for persons with with immune deficiencies or immunocompromising developmental disabilities. conditions. Information on specific conditions is available •Administer missing doses to complete a 3-dose series of at: www.cdc.gov/vaccines/hcp/acip-recs/index.html. hepatitis B vaccine to those persons not vaccinated or not Footnotes—Recommended Immunization Schedule for completely vaccinated. The second dose should be Adults Aged 19 Years or Older: United States, 2015 administered 1 month after the first dose; the third dose should be given at least 2 months after the second dose (and at least 4 months after the first dose). If the combined hepatitis A and hepatitis B vaccine (Twinrix) is used, give 3 doses at 0, 1, and 6 months; alternatively, a 4-dose Twinrix schedule, administered on days 0, 7, and 21 to 30 followed by a booster dose at month 12 may be used. •Adult patients receiving hemodialysis or with other immunocompromising conditions should receive 1 dose of 40 mcg/mL (Recombivax HB) administered on a 3-dose schedule at 0, 1, and 6 months or 2 doses of 20 mcg/mL (Engerix-B) administered simultaneously on a 4-dose schedule at 0, 1, 2, and 6 months. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage44 StudentClinician’sHandbook AY2015‐2016 IMMUNIZATION AND TITER REQUIREMENTS FOR SPECIALIZED ADMISSION PROGRAMS ` RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage45 StudentClinician’sHandbook AY2015‐2016 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage46 StudentClinician’sHandbook AY2015‐2016 D. PREGNANCY AND RADIATION EXPOSURE TheCollegeprovidesguidelinestoinsuretheprotectionofthestudentandofthefetusfor studentswhoareenrolledinhealthcareerprogramswitharadiologycomponentandwho arepregnantatthetimeofenrollment,orwhobecomepregnantwhileenrolled.Any student,whobecomespregnantwhileenrolledinahealthcareerprogram,shouldnotifythe programdirector/coordinatorimmediately(voluntarywrittendeclaration).Ifthestudent's courseworkincludesdirectradiologyexperience,theRadiationSafetyOfficerwillprovide informationtothestudentrelatedtotheUSNRCRegulatoryGuide“InstructionConcerning PrenatalRadiationExposure.”Thestudentwhoelectstocontinueintheprogrammust presentwrittenpermissionfromherobstetricianforcontinuationinanyclassesthatmight presentrisk.Itmayberecommendedthatthestudentwithdrawfromtheprogramuntilshe isnolongerpregnant.Ifdirectclinicalradiologyexperienceisarequiredportionofthe student'scourseobjective,andnoalternativeclinicalsitecanbeidentifiedtoplacethe student,thestudentwillberequiredtowithdrawfromthecourse.Toreturntothe program,thestudentwouldfollowtheprocedureforreadmission. E. SICKNESS AND/OR INJURIES WHILE ON DUTY Studentsareresponsiblefornotifyingtheclinicalinstructororaffiliatesupervisorof illnessesorinjuries.Aninjuryoccurringatanaffiliatingagencymaybetreatedatthat agency,iftherearefacilitiestoprovidesuchcare.Thestudent,however,isresponsible forallexpensesrelatingtosuchtreatment.Anincidentformshouldbecompletedatthe affiliatingagencyandacopysubmittedtothedirector/coordinatorofthestudent'sprogram. F. STUDENTS WITH DISABILITIES Studentswithpermanentortemporaryverifieddisabilitiesareinvitedtoregisterwiththe CenterforStudentswithDisabilitieswherecounseling,registrationassistance,adaptive equipmentandavarietyofsupportservicesareavailable.Supportservicescanbearranged forallcampuslocations.Formoreinformation,call(915)831‐2426.Should accommodationbeneededtocompleteprogramcompetencies,aplanwillbedevelopedto helpstudentstomeetcourse/programcompetencieswheneverpossible. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage47 StudentClinician’sHandbook AY2015‐2016 G. MEDICAL/DENTAL INSURANCE Itisrecommendedthatstudentspurchasetheirownmedical/dentalinsurancepolicy. Studentsenrolledinhealthcareerprogramsmaybeexposedtocontagiousdiseasesthat mayrequirehealthcare.Studentswillberesponsibleforthepaymentoftheirownmedical expenses.Studentprofessionalpracticeinsurancepurchasedasacourserequirementdoes notcoverpersonalmedicalexpenses.Whenpossible,arrangementswillbemadetoprovide studentsopportunitytopurchasestudenthealthinsuranceatspecialrates. H. OTHER HEALTH REQUIREMENTS Studentswillberequiredtomeetanyadditionalrequirementsofeachassignedclinical affiliate. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage48 StudentClinician’sHandbook AY2015‐2016 CLINICAL PROCEDURES AFFILIATE COMPUTER ORIENTATIONS Students assigned to various clinical affiliates may be required to participate in special computer system orientations. These classes may be scheduled on campus or at the clinical affiliate. Classes may be scheduled during class time, clinical time, or at other times as facilities are available. AFFILIATE COMPUTER CODES Students may be assigned special computer codes for use in clinical learning experiences. Students MUST NEVER use these codes outside the clinical student role or provide the code to anyone. Students who are also employed by the affiliate should not use their employee code when in the agency as a student. The affiliate may require a computer orientation at their site. COMMUNITY HOSPITAL ORIENTATION In accordance with the standards outlined by the Joint Commission on Accreditation of Health Care Organizations, a Hospital Personnel must be oriented to their role in the hospital's infection control program, safety management program, and other topics designated by the agency. Therefore, all health career students that rotate through the hospitals are required to complete a hospital orientation within a twelve (12) month period. This is currently on-line and can be accessed from the http://www.epcc.edu. Some students may also be required to attend other assigned clinical site orientations. The student should request information from the program coordinator for the time and place of the hospital orientation makeup. Noncompliancewiththeaboverulingmayresultinthestudentnotbeingallowedtousetheclinical facilityasaclinicalrotationsite.Thus,allstudentsdocumentedproofofcompletiontoassigned programcoordinatorisrequested. CLINICAL ASSIGNMENTS AsanessentialcomponentoftheHealthCareerPrograms,studentsareassignedtoavarietyof clinicalaffiliates,(e.g.,hospital,medicalclinic,physician'soffice,dentaloffice,dentalclinic,public school,nursinghome,orambulance). Itistheresponsibilityofeachstudenttobecomefamiliarwiththeinstitutionalpoliciesand proceduresfortheclinicalaffiliatetowhichhe/sheisassigned.Someclinicalaffiliatesrequireor provideanorientation,duringwhichtheyfamiliarizethestudentwithproceduresconcerningcode arrests,fire,anddisasterprocedures.Iftheclinicalaffiliateinwhichthestudentisassigneddoes RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage49 StudentClinician’sHandbook AY2015‐2016 notprovideascheduledorientation,theprogram'sclinicalinstructorwillprovidethenecessary information. Although students are not considered employees, they are to adhere to all departmental and institutional policies and procedures of the clinical affiliate to which they are assigned. TRANSPORTATION It is the student's responsibility to provide transportation to and from the affiliate and to arrive and depart the clinical affiliate at the assigned time. In case of absence from the clinical affiliate, the student must notify the clinical instructor or other designated person(s) as early as possible before the student's scheduled time of arrival. Students may also be required to notify the affiliate, depending on program or affiliate procedures. Failure to notify the instructor(s) of lateness or absenteeism will be considered an unexcused absence. The instructor may drop a student from the course if the unexcused absences exceed the number allowed for a particular clinical course. CPR REQUIREMENT Students enrolled in a clinical education course in any health career program must have a current CPR Certification at a Professional Level (Must be American Heart Association-Health Provider) Must include AED. (Online CPR courses are not acceptable). This must remain current throughout the course of the program. CRITERIA FOR UNSAFE CLINICAL PRACTICE Students in a Health Career Program are assigned responsibilities for patient care at various clinical sites in the community, patient’s home, on- campus clinical situations, etc. Each clinical course specifies the standards for successful completion of the course and the course requirements. There may, however, be situations where the student places a patient in physical or emotional jeopardy. In the case of a student who performs in an unsafe manner, the student may either be dismissed from that day’s clinical with an unexcused absence or recommended for removal from the course with a failing grade, depending upon the circumstance of the situation. A failure in the course will cause the student to be dropped from the program and the student must complete the procedure for readmission to be considered for readmission into the program. In all instances of unsafe clinical practice, verbal and written counseling will be initiated by the instructor. The counseling form(s) and recommendations will be maintained in the student records throughout their enrollment in a Health Career Programs. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage50 StudentClinician’sHandbook AY2015‐2016 Students are legally responsible for their own acts, commission and omission. Instructors are responsible for their students in the clinical setting. The clinical site is responsible for the patient, and we are guests in their institution. It is therefore, necessary for the student and the Health Career’s faculty to conscientiously evaluate unsafe behavior. Documented violation of one of these may result in disciplinary action. The following situations are categories of unsafe practice. Each discipline will provide specific examples of physical or emotional jeopardy: Physical Jeopardy Violates or threatens the patient's physical safety. Violates or threatens the microbiological safety of the patient. Violates or threatens the chemical safety of the patient. Violates or threatens the thermal safety of the patient. Violates previously mastered principles, learning, & objectives in carrying out patient care and/or delegated medical functions. Assumes inappropriate independence in actions or decisions. Fails to recognize own limitations, incompetence, and/or legal responsibilities. Fails to accept moral and legal responsibility for his/her own actions thereby violating professional integrity. Emotional Jeopardy Violates or threatens the psychological safety of the patient. Violates Confidentiality Violates the Rights of the Patient Impugns the orders of a physician to a patient Discusses diagnostic information with the patient against the physician’s orders Discusses alarming outcomes of the disease or injury prognosis with the patient without the permission of the physician The student will be held responsible for treating patients safely at all times and preventing situations of physical or emotional jeopardy. Students, who have failed a course due to documented incidents of unsafe practice, may not be considered for readmission regardless of the level of the course. This statement is to be included in the course syllabus of every clinical course. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage51 StudentClinician’sHandbook AY2015‐2016 ETHICAL & PROFESSIONAL EXPECTATIONS OF THE EPCC STUDENT CLINICIAN Therearespecialskills,knowledge,andattitudesthatarenecessaryforahealthcareteammember tobeeffectiveincarryingoutresponsibilitiesintheclinicalorpracticalenvironment.Facultyof HealthCareers’Programshasdevelopedabrieflistofsomeattitudeguidelinesthatwillprovidea basisforyourroleasamemberofahelpingprofession. A. TOWARD PATIENTS 1. Selflessness (This shows concern for others above self) Make no compromises in treatment. Treat all patients without reservation. Complete all procedures with or without supervision. Demonstrate respect for the patient’s time 2. Chairside/Bedside Manner Demonstrate enthusiasm and belief in treatment Demonstrate empathy, compassion and tolerance Use appropriate tone of voice (kind and calm). Do not show signs of sarcasm, negative expression, or lack of interest. Maintain eye contact when talking with patient Be aware of “body language”-- both positive and negative (e.g., positive good posture, use of hands, face patient, etc., negative frowns, shrugs, sighs) and other signs that show either lack of interest or negative attitude Do not leave the patient alone without good cause. 3. Patient Education Make every effort to teach the necessary preventive techniques needed by the patient Use free time to talk about health care with the patient and avoids inappropriate topics during the clinical experience. B. TOWARD SELF 1. Dependable Prompt Team-worker RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage52 StudentClinician’sHandbook AY2015‐2016 2.Responsible Keepallappointments/attendance Notifyappropriateindividual(e.g.coordinator,instructor,affiliatesupervisor)ofany absence. 3. Professionalappearance Cleanhair,nooffensivebodyodors,goodoralhygiene,trimmedfingernails Followthedresscodewithoutexception C. TOWARD CLASSMATE Showrespectforclassmate'stimeandproperty Assistclassmateswhenneededwithoutbeingasked(teammember). Shareequipment Returnallsuppliesandequipmentinthesameconditionasreceived Itisalwayspolite‐toaskforhelp,neverdemandit D. TOWARD INSTRUCTORS/STAFF/AFFILIATES Show respect and courtesy to faculty and staff Take constructive advice graciously When in conflict or doubt, consult with the instructor, or agency staff in private Do not participate in the spreading of rumor or gossip. E. CLASSROOM/LAB/CLINIC ATTITUDE Participate in a positive and constructive manner Be prompt to all classes, labs/clinics Read and prepares for all assignments before class Show courtesy to instructors and classmates React appropriately to assignments and exams Meet the standards of dress code appearance Show respect and courtesy to guests and part-time lecturers. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage53 StudentClinician’sHandbook AY2015‐2016 GUIDELINES FOR STUDENTS ENROLLED IN PROGRAMS WITH RADIOLOGY COMPONENTS DURING PREGNANCY Title of Procedure: Thisprocedureistoprovideguidelineandprotectionofthestudentandoftheirfetusenrolledin HealthCareerProgramswithradiologycomponentsatthetimeofenrollmentorwhobecome pregnantwhileenrolled. General: Scientificevidenceindicatesthatrapidlydividingcellsaremoreradiosensitivethanothercells withinthebody.Thecellsintheembryostageofdevelopmentareofparticularconcernbecauseof thepotentialconsequencesthatcanresultfromdamagecausedattheearlystagesoffetal development.Therefore,specialconsiderationisprovidedtothoseindividualswhoare occupationallyexposedtosourcesofradiationandmaybepregnantorareconsideringbecoming pregnant. Definitions: 1. PregnantorPossiblyPregnant:Anindividualisconsideredtobepregnantorpotentially pregnantonlyuponvoluntarywrittendeclarationtotheRadiationSafetyOfficer. 2. RadiationSafetyOfficer(RSO):ARadiationSafetyOfficerisaqualifiedindividualwho establishesandoverseesoperatingandsafetyproceduresandassuresconformitytothe rulesinthe25TexasAdministrativeCode(TAC)§289(formerlyTRCR).Theserulesare compatiblewiththoseoftheUnitedStatesNuclearRegulatoryCommission.TheTexas DepartmentofStateHealthServicesdeterminesthequalificationsfortheRSO.Currently theRSOforElPasoCommunityCollegeistheInstructionalCoordinatorfortheRadiologic TechnologyProgram. Procedure Statement: 1. RadiologicTechnologyProgramstudentswillbeinformedofthespecialrisksassociated withreproductionandradiationexposureduringthe“BasicRadiationProtection”unit taughtintheIntroductiontoRadiographycourse,thefirstprogramcourseofthecurriculum. Dentalstudentswillreceivethisinformationpriortoperformingdentalradiography. Specialemphasiswillbeplacedonthevoluntarydeclarationthatshouldbethe responsibilityoftheindividual. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage54 StudentClinician’sHandbook AY2015‐2016 2. Iftheindividualdecidestodeclareherpregnancyorpotentialpregnancy,itmustbein writingtotheRadiationSafetyOfficer. 3. TheStudenthastheoptiontocontinueintheprogramwithoutmodificationafterdeclaring herpregnancy. 4. DeclarationinformationprovidedtotheRadiationSafetyOfficerwillremainconfidential amongtheappropriateprogramfaculty.TheRadiationSafetyOfficerwillinformthe individualifitisdeemednecessarytorelaytheinformationtootherparties,andthe informationwillonlyberelayedifconsentisgranted. 5. Uponnotificationofpregnancyorpotentialpregnancy,theRadiationSafetyOfficerwill provideanoralsummaryoftheinformationcontainedintheUSNRCRegulatoryGuide8.13 “InstructionConcerningPrenatalRadiationExposure.”Acopyofthedocumentwillbe providedalongwithanopportunitytoaskquestionsandreceiveanswers. 6. A review of the individual’s exposure history is performed if the data is available. This information will be reviewed in an attempt to project what doses might be expected in the ensuing nine month period. 7. A student may undeclared her pregnancy at any time, and this information must be presented to the Radiation Safety Officer in writing. 8. The pregnancy declaration form in no way absolves the institution from the responsibility of providing a safe workplace. 9. Personnel monitoring records will be routinely reviewed to verify compliance with the fetal exposure limit of 500 millirem for the nine-month gestation period. Consideration will also be given to the amount of dose recorded during each monitoring period, in keeping with the recommended average limit of 50 millirem per month. 10. Declared pregnant individuals found to have doses nearing or at the dose limit will be contacted so that the limit will not be exceeded. 11. Conflicts arising from the imposition of work restrictions to limit doses will be resolved through the coordination of program officials, Division Dean, appropriate clinical affiliate officials, and/or El Paso Community College attorneys. References: USNRC Regulatory Guide 8.13 25 TAC §289.202 (m) RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage55 StudentClinician’sHandbook AY2015‐2016 PATIENT CONFIDENTIALITY Allinformationlearnedduringapatientcareexperienceorfrompatientrecordsiscompletely confidential.(Exceptions:instructorsandagencystaffmembersmaybenotifiedofallconfidential matters) Nocommentshouldbemadeaboutthepatientthatcouldbetakenasnegativeorcritical.Such commentscouldeasilybetakenverypersonallybythepatientorfriendsifoverheard.Theattitude takenaboutthepatientandthetreatmentshouldalwaysbeinthebestinterestofthepatient. CONFIDENTIALITY AGREEMENT Iunderstandandagreethatintheperformanceofmydutiesasastudentinthe ________________________Program. Imustholdpatientinformationinconfidence.Further,Iunderstandandagreethatintentionalor voluntaryviolationofthepatient'sconfidentialitymayresultinrefusalbythehealthcarefacilityto allowmetoparticipateinpatientcare.Violatingpatientconfidentialitymayplacethepatientin emotionaljeopardy,oneformofunsafeclinicalpractice,andmayresultinfailuretomeetcourse objectives. Student Name (Printed): _______________________ Program: ________________________ Student Signature: ____________________________ Date: _____________________ Sign and return to instructor for record keeping, to get a copy go to Student Forms RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage56 StudentClinician’sHandbook AY2015‐2016 PERSONAL APPEARANCE ThestudentsrepresenttheElPasoCommunityCollege‐HealthCareerProgramsandtheir appearancewillreflectonboththeprogramsandthemselves.TheHealthCareerProgramsare designedtoeducatestudentstobecomeamemberofaprofession,andaprofessionalappearance shouldbereflectedintheirdailygroominganddress. Classroom Attire It is expected that reasonable standards of dress are followed in the classroom. Extremes in clothing should be avoided for classes that do not require a uniform. Name Pins and Patches Theseitemsmaybepurchasedatlocalbusinesses. Check with the coordinator of the program as to color and wording on the pins. Shoes Whitedutyshoesmayberequired. Shoes, despite the type, must be clean and polished always. Some programs will not allow tennis or sport shoes. Personal Hygiene Poor personal hygiene can cause an unpleasant environment. It is recommended that student develops good personal hygiene habits before dealing with patients. A. Oral hygiene Avoidhighlyseasonedfoods,alcoholandsmokingbeforedealingwithpatients. Establishgooddentalhabits. B. Shower or bathe and use a deodorant daily. C. Hair should be neat and clean. Long hair (male or female) should be restrained in some manner to avoid falling into a patient’s face. No rollers or head covers are permitted. While engaged in clinical or laboratory activities, plain hair pins used to secure hair are acceptable. Beards, mustaches, etc., are permitted if clean and neatly trimmed. Remember: hair follicles harbor a high concentration of bacteria. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage57 StudentClinician’sHandbook AY2015‐2016 D. Nails: Short, clean, and rounded for safety. Nail polish, clear color, may be permitted in some programs. Check with Program Coordinator. Remember:handwashingisveryeffectiveinreducingthetransferofbacteriafrom patienttopatientandinremovingoffensiveodorsfromhands. E. Jewelry wedding rings and watches may be acceptable in some programs. Small conservative earrings may be worn, depending on the program. Remember:jewelrycanharborbacteria. F. Cosmetics May be used in moderation. G. Highly scented colognes, perfumes, and shaving lotions are not to be used as they may be offensive or cause an allergic reaction to the patients. UNIFORM REQUIREMENTS Uniforms may be required for some clinical courses. Students must purchase them at their own expense. Uniforms must be according to provided guidelines. Each program may have other specific requirements. These will be provided to the student at the specific program orientation or at the beginning of the semester. LABORATORY COAT OR WHITE MEDICAL COAT Each program has its own uniform code that may be modified by hospital or clinic requirements A. Alaborwhitemedicalcoat,withaschoolpatchwornontheleftarm,mayberequiredby someprograms B. Thelabcoatshouldbecleanandpressed C. Thelabcoatisalwayswornwhenengagedinaclinicalactivity,andmayberequiredina laboratorysitting D. Hoseandunderclothesvisiblethroughtheuniformsarenotappropriate. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage58 StudentClinician’sHandbook AY2015‐2016 PROFESSIONAL PRACTICE INSURANCE All students enrolled in a clinical course are required to purchase professional practice insurance which is available through the college. You will be given exact costs when you register. Each semester students must submit a photocopy of their receipt for professional practice insurance during the first week of class. Students not providing proof of insurance will not be allowed to attend clinical experiences. Such absences will be considered as not excused and may result in the student's withdrawal from the course. The policy does not cover first aid for the student or injuries resulting from the student's administration of first aid. The Good Samaritan Act protects these individuals if they intended no harm. STUDENT DISMISSAL FROM CLINICAL FACILITIES Each student is a guest of the Clinical Facility and is expected to conduct himself/herself in professional manner. A student in any program may be dismissed from the clinical facility by the clinical coordinator and/or program coordinator for the following reasons: 1. Conduct that affects the student’s performance while in the affiliate and/or compromises the patient’s safety, example: Alcohol consumption Use or Abuse of Prescription Drugs Abusive language to patients, instructors, facility personnel, etc. 2. Failure to meet course objectives. Inability to function in the clinical setting. Consistently poor clinical evaluations and/or grades. 3. Excessive absenteeism/tardiness. 4. Violation of ethical standards such as falsifying records, violating patient confidentiality. 5. Unsafe clinical practice which places a patient in jeopardy. Practicing out of your scope of training. In addition, clinical affiliates may request removal of a student from their agency for cause. Each student has the responsibility for attending class and pursuing course (s) objectives for which he or she is officially enrolled. Instructor (s) for each course will give student a course syllabus that contains course objectives, attendance requirements, and grading criteria. Students who have not attended at least one (1) class session through the census date for the semester/session will be dropped and may not be reinstated. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage59 StudentClinician’sHandbook AY2015‐2016 WITHDRAWAL INFORMATION Instructor Initiated Student Withdrawal Instructor is authorized to drop students up to the twelve week (long semester), who are not in pursuit of the course objectives as outlined in the section of the Catalog entitled “Attendance and Course Pursuit”. In determining course pursuit by the student, the instructor will consider the following class attendance, failure of the student to appear for examinations, presentations, or other required class activities as identified in the course syllabus, failure of the student to submit required papers, projects and reports. When, from combination of these benchmarks, the instructor determines the student has ceased to pursue the objectives of the course, the instructor may withdraw the student. Students withdrawn in this manner may be reinstated only upon appeal to the appropriate dean and with the concurrence of the instructor. Such appeals must be initiated, in writing, within ten (10) days from the date the withdrawal was received by the Registrar’s Office. Student Initiated Withdrawal Students who want to withdraw from a course and receive a grade of “W” are responsible for submitting the appropriate forms by official withdrawal date. It is ultimately the “student’s” responsibility to withdraw from a course Six Drop Rule StudentswhobeganattendingTexaspublicinstitutionsofhighereducationforthefirsttimeduring theFall2007semesterorlateraresubjectto6‐Droplimitforallundergraduateclasses. Studentsshouldconsultwiththeirinstructorbeforedroppingaclass.Studentsareencouragedto seeCounselingServicesifdropping,becauseexemptionsmayapply. (RefertotheEPCCcatalogandwebsiteforadditionalinformation) RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage60 StudentClinician’sHandbook AY2015‐2016 ACADEMIC PROCEDURES ATTITUDES The attitudes developed during your educational program as a health care team member are critical to your effectiveness in caring for patients. In the book, Health Professional/Patient Interaction, author Ruth Portillo raised some important questions that relate to attitude and your responsibilities to individual patients, to your profession and to society: How do you feel about helping people? Do you ever resent having to help? How do you expect people to respond to you after you have done your best to help them? How do you react to a person who is physically deformed? Do you feel pity? What qualities of life give a person “dignity”? Do you think some individuals have more right to live than others? Are older people more ready to die than younger people? Would some people be better off dead? What are your rights as an individual? Are you responsible only for yourself? Would you compromise your convictions if it means the difference between your job and losing it? Can you think of ANY circumstances in which you could justifiably compromise your convictions? Excerpted: from Page 6, Health Professional Patient Interaction, Ruth Portillo, W. B. Saunders Co. Publishers; Edited by the 1998 handbook revision committee. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage61 StudentClinician’sHandbook AY2015‐2016 CRITERIA FOR COURSE PURSUIT To establish guidelines for determining when a student has ceased to pursue the course objectives, the Health Career & Technical Education, Math & Science has set the following standards. Students must follow the standards established in the current edition of the Health Career & Technical Education, Math & Science Programs STUDENT CLINICIAN’S HANDBOOK and/or program addendum. The student is bound by standards in the Handbook as evidenced by the return of the signed/dated acknowledgment sheet. Where the student continues to pursue the course objectives but is receiving failing grades, he or she will remain eligible to complete the course, except in instances where unsafe practice occurs. The student must appear for examinations, presentations, or other required class activities and submit required papers, projects and reports as identified in the course syllabus/calendar. I have read and understand the standards established in the current edition of the Health Career Programs Student Clinician’s Handbook and Program addendum. Student Name (Printed): _______________________ Program: ________________________ Student Signature: ____________________________ Date: _____________________ Sign and return to instructor for record keeping, to get a copy go to Student Forms RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage62 StudentClinician’sHandbook AY2015‐2016 RETENTION & PROGRESSION WITHIN HEALTH CAREER PROGRAMS PRE-REQUISITE: Any course required prior to taking another course. It will be identified in the college catalog in the course descriptions. SPECIALIZED COURSES: Refer to all courses carrying the course prefix of the program in which the student is majoring. Successful completion of prerequisites is required for acceptance into Health Career Programs. Students must follow EPCC Catalog that is current at the time of acceptance into the program. Many Health Career Programs will not admit students until they have successfully completed selected prerequisite courses. Please refer to the current EPCC Catalog for this information. Non progressing students who intend to re-enter the program later must follow the procedure for “Student Readmission to Health Career & Technical Education Math & Science Programs”. Meanwhile, students may enroll in non-major courses. Students enrolled in the following programs are required to have a grade of “C” or better in all specialized courses. The grade restriction applies to the following majors: Dental Assisting Medical Laboratory Technology Dental Hygiene Physical Therapist Assistant Diagnostic Medical Sonography Pharmacy Technology Emergency Medical Services Radiologic Technology Health Information Management Respiratory Care Technology Health Professions and Related Courses Surgical Technology Medical Assisting Technology Students are encouraged to contact a Health Career Counselor to plan their program of study to qualify to re-enter the program. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage63 StudentClinician’sHandbook AY2015‐2016 STUDENT RE-ENTRY INTO A HEALTH CAREER PROGRAM The college provides a procedure (7.02.01.34) for readmission to the Health Career Programs for students whose program of study has been interrupted. When a student fails to maintain satisfactory progress in a Health Career Program, or fails to register for the next semester courses, it is the student's responsibility to initiate a "Student Readmission Form." This form can be obtained from the Health Division Office or the Rio Grande Counseling Office. As a component of readmission, the student must forward an application or a letter of intent for readmission to the program Faculty Coordinator. This letter is to include a statement of intent with desired date of readmission, and documentation by the student that conditions for readmission have been met. If you have any questions about the readmission process, check with your Program Coordinator. Program Coordinator (s) will review the readmission applications each semester and will prioritize the requests according to the following criteria: 1. Withdrawal for a documented acute illness or pregnancy. 2. Withdrawal for personal reasons. 3. Withdrawal for support course failure. 4. Low or poor performance in major courses. 5. Failure of a major program course. A student will be assigned a seat in the appropriate course on a space available basis and will be notified of this in writing by the Dean of Health Career & Technical Education, Math & Science Division. Students must follow the catalog degree plan of the class to which they are readmitted. Upon readmission, the student must meet with the counselor to initiate a revised degree plan. The Rio Grande counselors are available to assist the student with the readmission process. RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage64 StudentClinician’sHandbook AY2015‐2016 SCHOLASTIC DISHONESTY Scholastic dishonesty shall constitute a violation of these rules and regulations and is punishable as prescribed by Board policies. Scholastic dishonesty shall include, but not be limited to, cheating on a test, plagiarism, and collusion. "Cheating on a test" shall include: 1. Copying from another student's test paper. 2. Using test materials not authorized by the person administering the test. 3. Unauthorized collaborating with or seeking assistance from another student. 4. Knowingly using, buying, selling, stealing, or soliciting, in whole or in part, the contents of a test. 5. The unauthorized transportation or removal, in whole or in part, of the contents of a test. 6. Substituting for another student, or permitting another student to substitute for one's self; to take a test. 7. Bribing another person to obtain a test or information about a test. 8. "Collusion" shall be defined as the unauthorized collaboration with another person in preparing written work for fulfillment of course requirements. 9. Any student involved in scholastic dishonesty as identified above, or in the STUDENT CLINICIAN’S HANDBOOK, may at the discretion of the faculty: Have the test or paper graded zero (0), Be removed from the class, and/or Be recommended for administrative dismissal from the course or program. The stringency of this policy is understandable when read in the context of an educational program preparing individuals for a health career where the safety and well-being of the public are largely dependent upon the knowledge and ethical responsibility of the health personnel. Evidence of unethical behavior, such as cheating, precludes the instructional faculty's ability to declare prospective graduates to be reliable and ethical. Student Name (Printed): _______________________ Program: ________________________ Student Signature: ____________________________ Date: _____________________ Sign and return to instructor for record keeping, to get a copy go to Student Forms RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage65 StudentClinician’sHandbook AY2015‐2016 PROGRAM COORDINATORS’ DIRECTORY Program Name Coordinator’s Name Phone E-Mail Dental Assisting Maria D. Garduno 831-4048 mgardun2@epcc.edu Dental Hygiene Elia M. Mendez 831-4094 echaco20@epcc.edu Diagnostic Medical Sonography Nora Balderas 831-4141 nbalder2@epcc.edu Emergency Medical Services Tony Ayub 831-7079 aayub@epcc.edu Jean Garrison 831-4074 jgarri52@epcc.edu Helga Carrion 831-4341 Mathematics Gabriel Mendoza 831-4403 gmendoza24@epcc.edu Medical Assisting Andrea Ceron 831-4139 aceron1@epcc.edu Medical Laboratory Technology Dr. Victoria Ochoa 831-4207 vochoa10@epcc.edu Medication Aide Marta de la Fuente 831-4116 mdelafu7@epcc.edu Nursing Assistant Marta de la Fuente 831-4116 mdelafu7@epcc.edu Pharmacy Technology Dr. Nader Rassaei 831-4490 nrassaei@epcc.edu Physical Therapist Assistant Debra Tomacelli-Brock 831-4172 dtomacel@epcc.edu Radiologic Technology Christl Thompson 831-4098 cthomp27@epcc.edu Respiratory Care Technology Frederick Torres 831-4422 ftorres4@epcc.edu Alejandro Vazquez 831-4004 Cynthia Rivera 831-4086 Health Information Management, Medical Transcription, Medical Coding and Billing Health Professions & Related Courses Science (Biology, Chemistry, Physics, Geology and Kinesiology) Surgical Technology hcarrion@ep..edu avazque9@epcc.edu criver32@epcc.edu RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage66 StudentClinician’sHandbook AY2015‐2016 Counselors - Health Career Programs 831-4636 Veronica Cena, Counselor RG Campus, 103 Montana 3rd Floor 831-4123 RN Nursing LVN (General Information) LVN - RN Transition (General Information) Paramedic to RN Option (Lead) Pat Duran, Counselor Mission Del Paso, 10700 Gateway East RM C 154 831-7092 Emergency Medical Services (Lead) Vocational Nursing (LVN) (Lead) RN Nursing General Information Argelia S. Duarte, Counselor RG Campus, 103 Montana 3rd Floor 831-4040 Border Health Issues Dental Assisting Dental Hygiene Health Information Management Medical Coding Medical Transcription Physical Therapist Assistant Surgical Technology Martha Brown, Counselor RG Campus 103 Montana 3rd Floor 831-4020 General Information of Health Occupation Majors Ricardo Lopez De Lara, Counselor RG Campus, 103 Montana 3rd Floor 831-4447 RN Nursing LVN (General Information) LVN - RN Transition (Lead) Nursing Advanced Placement Paramedic to RN Option International RN Students Priscilla Gutierrez, Counselor RG Campus 103 Montana 3rd Floor 831-4022 General Information of Health Occupation Majors Dub Satterfield, Counselor NW Campus, 6701 S. Desert Blvd. RM M 79 831-8817 General Information of Health Occupation Majors Celina Gomez, Counselor VV Campus, 919 Hunter SSC-130 831-2524 General Information of Health Occupation Majors Debbie Knapp, Counselor VV Campus, 919 Hunter SSC-127 C 831-2419 General Information of Health Occupation Majors Robert Pandy, Counselor Coordinator RG Campus, 103 Montana 3rd Floor 831-4064 RN Nursing LVN (General Information) LVN - RN Transition Nursing Advanced Placement (Lead) Paramedic to RN Option International Students (All Students) Diana Medina, Counselor VV Campus, 919 Hunter SSC-137 831-3318 General Information of Health Occupation Majors Patsy Saenz, Counselor RG Campus, 103 Montana 3rd Floor 831-4608 Diagnostic Medical Sonography Medical Assisting Technology Medical Laboratory Technology Pharmacy Technology Radiologic Technology Radiation Therapy Technology Respiratory Care Technology Yvonne Melchor, Counselor Mission Del Paso 10700 Gateway East RM C155-C 831-7141 General Information of Health Occupation Majors Ruben Gomez, Counselor Mission Del Paso, 10700 Gateway East RM C 155 831-7141 General Information of Health Occupation Majors Patty Ortega, Counselor TM Campus, 9570 Gateway Blvd. North RM 1054 831-5143 General Information of Health Occupation Vanessa Bretado-Monroy, Counselor TM Campus, 9570 Gateway Blvd. North RM 1057 831-5807 General Information of Health Occupation Majors HEALTH CAREERS OPPORTUNITY PROGRAM RG Campus, 831-4143 For Health Occupations Admissions Information, Call the HOTLINE 831-2249 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivisionPage67 StudentClinician’sHandbook AY2015‐2016 DIRECTORY OF IMPORTANT CONTACTS Name, Title & Department Campus & Room Number Phone Steven E. Smith ASC Building, Room 1027 831-6471 Rio Grande Campus, Room A240C 831-4030 Rio Grande Campus, Room A240B 831-4029 Director of Admissions Valle Verde Campus, Room 039 831-2580 Denise Schirmer, Valle Verde Campus, Room 005 831-2588 Rio Grande Campus 831-4198 Mission Del Paso 831-7024 Northwest Center 831-8815 Transmountain Campus 831-5808 Valle Verde Campus 831-2426 Rio Grande Campus 831-4194 Mission Del Paso 831-7020 Northwest Center 831-8833 Transmountain Campus 831-5112 Valle Verde Campus 831-3134 VP of Instruction Dr. Paula Mitchell, Dean, Health Careers & Technical Education, Math & Science Marta De La Fuente, Director of Continuing Education Manager Specialized Admissions Center for Students with Disabilities Financial Aid Department Health Career Hot Line 831-2249 RevisedAugust2015HealthCareer&TechnicalEducation,Math&ScienceDivisionPage68 StudentClinician’sHandbook AY2015‐2016 AGENCIES ACCREDITING HEALTH CAREER PROGRAMS PROGRAM AGENCY NAME, ADDRESS, PHONE#, E-MAIL ADDRESS AND FAX # AMERICAN DENTAL ASSOCIATION, COMMISSION ON DENTAL ACCREDITATION DENTAL ASSISTING (CODA) Address: 211 East Chicago Avenue, Suite 1814, Chicago, Illinois 60611-2678 Phone (312) 440-2500 Fax (312) 440-2915, E-mail: www.ada.org AMERICAN DENTAL ASSOCIATION, COMMISSION ON DENTAL ACCREDITATION DENTAL HYGIENE (CODA) Address: 211 East Chicago Avenue, Suite 1814, Chicago, Illinois 60611-2678 Phone (312) 440-2500 Fax (312) 440-2915 E-mail: www.ada.org JOINT REVIEW COMMITTEE ON EDUCATION IN DIAGNOSTIC MEDICAL SONOGRAPHY (JRC-DMS) Address: DIAGNOSTIC MEDICAL SONOGRAPHY 6021 University Boulevard, Suite 500, Ellicott, City MD 21043 Phone (443) 973-3251 Fax: (866) 793-3434 E-Mail: mail@jrcdms.org COMMISSION ON ACCREDITATION OF ALLIED HEALTH EDUCATION PROGRAMS (CAAHEP) Address: 1361Park St., Clearwater, FL 33756 Phone (727) 210-2350 Fax: (727) 210-2354 E-mail: www.caahep.org TEXAS DEPARTMENT OF STATE HEALTH SERVICES Address: 1100 West 49th Street, Austin, TX Phone (512) 834-6700 78756-3199 Fax: (512) 834-6736 E-mail: www.DSHS.state.tx.us/EMSTRAUMASystems EMERGENCY MEDICAL OFFICE OF EMS/TRAUMA SYSTEMS SERVICES TEXAS DEPARTMENT OF STATE HEALTH PROFESSIONAL LICENSING AND CERTIFICATION DIVISION Address: 1100 West 49th Street, Austin, TX 78756-3183 www.tdh.state.tx.us/heqs/ple/ple.htm COMMISSION ON ACCREDITATION FOR HEALTH INFORMATICS AND INFORMATION MANAGEMENT EDUCATION (CAHIIM) HEALTH INFORMATION MANAGEMENT Address: 233 N. Michigan Ave. Suite 2150, Chicago. IL 60601-5800 Phone (312) 233-1100 Fax: (312) 233-1090 E-Mail: www.cahiim.org COMMISSION ON ACCREDITATION OF ALLIED HEALTH EDUCATION PROGRAMS (CAAHEP) Address: MEDICAL ASSISTING Fax: (727) 210-2354, 1361Park St., # 2, Clearwater, FL 33756 Phone (727) 210-2350 E-mail: www.caahep.org MEDICAL ASSISTING EDUCATION REVIEW BOARD (MAERB) Address: 20 N. Wacker Drive, Suite 1575, Chicago, Illinois 60606-2963 Phone (800) 228-2262 Fax: (312) 899-1259 E-mail: www.maerb.org RevisedAugust2015HealthCareer&TechnicalEducation,Math&ScienceDivisionPage69 StudentClinician’sHandbook AY2015‐2016 AGENCIES ACCREDITING HEALTH CAREER PROGRAMS PROGRAM MEDICAL LABORATORY AGENCY NAME, ADDRESS, TELEPHONE#, E-MAIL ADDRESS AND FAX # NATIONAL ACCREDITING AGENCY FOR CLINICAL LABORATORY SCIENCES Address: 5600 N. River Rd., Suite 720, Rosemont, Illinois 60018-5119 Phone (847) 939-3597 Fax: (773) 714-8886 E-mail: www.naacls.org TECHNOLOGY PHARMACY TECHNICIAN ACCREDITATION COMMISSION (PTAC) PHARMACY TECHNOLOGY PHYSICAL THERAPIST ASSISTANT RADIOLOGIC TECHNOLOGY Address: 7272 Wisconsin Ave., Bethesda, MD 20814 Phone: (301)664-8877 Fax: (301) 652-8278 E-mail: asd@ashp.org COMMISSION ON ACCREDITATION IN PHYSICAL THERAPY EDUCATION (CAPTE) Address: Phone (703) 706-3245 1111 N. Fairfax Street, Alexandra, Virginia 22314-1488 E-mail: accreditation@apta.org Website: http://www.capteonline.org JOINT REVIEW COMMITTEE ON EDUCATION IN RADIOLOGIC TECHNOLOGY Address: 20 N. Wacker Drive, Suite 900, Chicago, Illinois 60606-2901 Phone: (312) 704-5300 Fax: (312) 704-5304 Email: www.jecert.org COMMISSION ON ACCREDITATION FOR RESPIRATORY CARE (CoARC) RESPIRATORY CARE Address: 1248 Harwood Road, Bedford, Texas 76021-4244 Phone: (817) 283-2835 Fax: (817) 354-8519 Email: info@coarc.com E-Mail: www.coarc.com ACCREDITATION REVIEW COUNCIL ON EDUCATION IN SURGICAL TECHNOLOGY/SURGICAL ASSISTING SURGICAL TECHNOLOGY Address: 6 W. Dry Creek Circle, Suite # 110, Littleton, Colorado 80120 Phone: (303) 694-9262 Fax: (303) 741-3655 E-Mail: www.arcst/sa.org COMMISSION ON ACCREDITATION OF ALLIED HEALTH EDUCATION PROGRAMS (CAAHEP) Address: 1361 Park St., Clearwater, FL 33756 Phone: (727) 210-2350 Fax: (727) 210-2354 E-Mail: www.caahep.org RevisedAugust2015HealthCareer&TechnicalEducation,Math&ScienceDivisionPage70 StudentClinician’sHandbook AY2015‐2016 LICENSURE AND CERTIFICATION AGENCIES AND PROFESSIONAL ORGANIZATIONS Program Dental Assisting Licensure/Certification Professional Organizations Dental Assisting National Board American Dental Assistant Association 215 E. Ontario, Chicago, Illinois 60611 919 N. Michigan Avenue, Chicago, Illinois Phone: (312) 643-336 60611 Phone: (312) 664-3327 Dental Hygiene Texas State Board of Dental Examiners American Dental Hygiene Association 8317 Cross Park Drive, Suite 400 444 N. Michigan Avenue, Chicago, Illinois Austin, Texas 78754-5124 60611 P.O. Box 13165 Capital Station Phone: (312) 440-8900 Austin, Texas 78711 Phone: (512) 834-6021 Diagnostic Medical Sonography American Registry of Radiologic Technologist (Diagnostic Society of Diagnostic Medical Sonographers Medical Sonographers) 12770 Coit Road, Suite 508, Dallas, Texas 32 E. Holister Street, Cincinnati, Ohio 45219 75251 Phone: 1-(800) 541-9754 Phone: (972) 239-7367 National Registry of EMTs Emergency P.O. Box 29233, Columbus, Ohio 43229 Texas Association of Emergency Medical Technologist Medical Services Texas Department of Health (EMT) 6070 Gateway East, Suite 401, PO Box 9428, El Paso, Texas 79984-0428 Phone: (915) 774-6220 Texas Health Information Management Health Information Management American Heath Information Management Association (AHIMA) Association (TxHIMA) 857 N. Michigan Avenue, Suite 1850, J.H. Center, Chicago, 18382 FM 306, Suite 103 Canyon Lake, Texas 78133-3336 Illinois 60611 Phone: (312) 787-2672 District III-Mountain View Health Information Management Association P.O. Box 971235 El Paso, TX 79997 Medical Transcription RevisedAugust2015 The Association for Healthcare Documentation Integrity (AHDI) (formerly, The American Association for Medical Transcription) 4230 Kiernan Avenue, Suite 120 Modesto, CA 95356 HealthCareer&TechnicalEducation,Math&ScienceDivision Page71 StudentClinician’sHandbook AY2015‐2016 LICENSURE AND CERTIFICATION AGENCIES AND PROFESSIONAL ORGANIZATIONS Program Licensure/Certification Professional Organizations Medical Assisting American Medical Technologists (AMT) American Association of Medical Assistants Technology 10700 West Higgins, Suite 150, Rosemont, IL 20 North Wacker Drive, Suite 1575, 60018 Chicago, Illinois 60606 Phone: 847-823-5169 Phone: 1-800-228-2262 www.amst.asp Medical Laboratory Technology American Society for Clinical Pathology (ASCP) American Society for Clinical Laboratory Science 33 West Monroe St. # 1600 2025 M. Street NW, Suite 800, Washington DC 20036 Chicago, Illinois 60603 Phone: 202-367-1174 ascls@ascls.org Texas Society for Clinical Laboratory Science P.O. Box 474, Edinburg, TX 78540-0474 American Society of Health Systems Pharmacists Pharmacy Technology 7272 Wisconsin Avenue Pharmacy Technician Certification Board Bethesda, Maryland 20814 (PTCB) Association Pharmacist Association 2215 Constitution Avenue NW, Suite 101 2215 Constitution Avenue NW Washington, DC 20037 Washington, DC 20037 The National Pharmacy Technician Association P.O. Box 683148 Houston, TX 77268 Phone: 888-247-8700, Fax: 888-247-8706 Physical Therapist American Physical Therapy Assistant Texas Board of Physical Therapist Assistant 1111 N. Fairfax Street, Alexandria, 333 Guadalupe Str., Suite 2-510, Virginia 22314 Austin, Texas 78701-3942 Phone: (703) 684-2782 Phone: (512) 305-6900 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivision Page72 StudentClinician’sHandbook AY2015‐2016 LICENSURE AND CERTIFICATION AGENCIES AND PROFESSIONAL ORGANIZATIONS Program Licensure/Certification Professional Organizations Radiologic Technology American Registry of Radiologic Technologist Texas Department of State Health Services MRT 1255 Northland Drive, St. Paul, Program Minnesota 55120-1155 1100 West 49th Street, Austin, Texas 78756-3183 Phone: (612) 687-0048 Phone: (512) 834-6617 Respiratory Care American Association of for Respiratory Care Texas Department of Health (Respiratory Care) Technology 11030 Ables Lane, Dallas, Texas 75229 1100 West 49th Street, Austin, Texas (512) 458-7631 Phone: (214) 243-2272 Surgical Technology Association of Surgical Technologists National Board of Surgical Technology and Surgical 6 West Creek Cr., Littleton, CO 80120 Assisting Phone: 1- (800) 637-7433 6 West Creek Cr., Suite 100, Littleton, CO 80120 Phone: 1- (800) 707-0057 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivision Page73 StudentClinician’sHandbook AY2015‐2016 FORMS Pages 74-80 RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivision Page74 StudentClinician’sHandbook AY2015‐2016 HEALTH CAREER & TECHNICAL EDUCATION, MATH & SCIENCE STUDENT ACKNOWLEDGMENT I have read the STUDENT CLINICIAN’S HANDBOOK for Health Career & Technical Education, Math & Science and will comply with the requirements contained within. I understand this STUDENT CLINICIAN’S HANDBOOK may be updated on the first day of class. I further understand that I am responsible for following procedures as changed and published in the STUDENT CLINICIAN’S HANDBOOK for Health Career & Technical Education, Math and Science throughout my enrollment. Student Name (Printed): _______________________ Program: ________________________ Student Signature: ____________________________ Date: _____________________ Sign and return to instructor for record keeping RevisedAugust2015 HealthCareer&TechnicalEducation,Math&ScienceDivision Page75 StudentClinician’sHandbook AY2015‐2016 HEALTH CAREER & TECHNICAL EDUCATION, MATH & SCIENCE CRITERIA FOR COURSE PURSUIT To establish guidelines for determining when a student has ceased to pursue the course objectives, the Health Career & Technical Education, Math & Science has set the following standards. Students must follow the standards established in the current edition of the Health Career & Technical Education, Math & Science Programs STUDENT CLINICIAN’S HANDBOOK and/or program addendum. The student is bound by standards in the Handbook as evidenced by the return of the signed/dated acknowledgment sheet. Where the student continues to pursue the course objectives but is receiving failing grades, he or she will remain eligible to complete the course, except in instances where unsafe practice occurs. The student must appear for examinations, presentations, or other required class activities and submit required papers, projects and reports as identified in the course syllabus/calendar. I have read and understand the standards established in the current edition of the Health Career Programs STUDENT CLINICIAN’S HANDBOOK and program addendum. Student Name (Printed): _______________________ Program: ________________________ Student Signature: ____________________________ Date: _____________________ Sign and return to instructor for record keeping RevisedAugust2015HealthCareer&TechnicalEducation,Math&ScienceDivisionPage76 StudentClinician’sHandbook AY2015‐2016 HEALTH CAREER & TECHNICAL EDUCATION, MATH & SCIENCE PATIENT CONFIDENTIALITY All information learned during a patient care experience or from patient records is completely confidential. (Exceptions: instructors and agency staff members may be notified of all confidential matters.) No comment should be made about the patient that could be taken as negative or critical. Such comments could easily be taken very personally by the patient or friends if overheard. The attitude taken about the patient and the treatment should always be in the best interest of the patient. CONFIDENTIALITY AGREEMENT I understand and agree that in the performance of my duties as a student in ___________________ ________________________ (Program), I must hold patient information in confidence. Furthermore, I understand and agree that intentional or voluntary violation of the patient's confidentiality may result in refusal by the health care facility to allow me to participate in patient care. Violating patient confidentiality may place the patient in emotional jeopardy, one form of unsafe clinical practice, and may result in failure to meet course objectives. Student Name (Printed): _______________________ Program: ________________________ Student Signature: ____________________________ Date: _____________________ Sign and return to instructor for record keeping RevisedAugust2015HealthCareer&TechnicalEducation,Math&ScienceDivisionPage77 StudentClinician’sHandbook AY2015‐2016 HEALTH CAREER & TECHNICAL EDUCATION, MATH & SCIENCE RELEASE OF INFORMATION Purpose: Under the Family Educational Rights and Privacy Act of 1974, permission is needed to release information. Explanation: Developing clinical rotation schedules for students enrolled in health career courses is necessary. The information is distributed to: 1. Discipline faculty and staff 2. A clinical affiliate 3. Classmates Schedules are used by faculty and staff at El Paso Community College and the clinical affiliate to notify students of messages received, especially in case of emergencies. Classmates use the information to organize car pools and study groups. I, ___________________________________ give my permission for El Paso Community College to distribute the following items only to relevant entities (e.g. clinical affiliates): __________ *A clinical schedule with names of students __________ * Verification of background and substance abuse tests __________ *Verification of completed community-wide orientation and HIPAA training __________ Telephone __________ Address __________ *Date of CPR Certification __________ *TB skin test results and dates __________ References for employment (optional). __________ Name, addresses to clinical affiliates for invitations to graduation parties (optional) __________ *Dates of required immunizations or Titers *Failure to release this information may result in non-admittance to clinical facilities. Clinical affiliates require this information of all students providing patient care. Student Name (Printed): _______________________ Program: ________________________ Student Signature: ____________________________ Date: _____________________ Sign and return to instructor for record keeping RevisedAugust2015HealthCareer&TechnicalEducation,Math&ScienceDivisionPage78 StudentClinician’sHandbook AY2015‐2016 HEALTH CAREER & TECHNICIAL EDUCATION, MATH & SCIENCE SCHOLASTIC DISHONESTY FORM Scholastic dishonesty shall constitute a violation of these rules and regulations and is punishable as prescribed by Board policies. Scholastic dishonesty shall include, but not be limited to, cheating on a test, plagiarism, and collusion "Cheating on a test" shall include: 1. Copying from another student's test paper with somebody else 2. Using test materials not authorized by the person administering the test 3. Unauthorized collaborating with or seeking assistance from another student knowingly using, buying, selling, stealing, or soliciting, in whole or in part, the contents of a test. 4. The unauthorized transportation or removal, in whole or in part, of the contents of a test. 5. Substituting for another student, or permitting another student to substitute for one's self; to take a test. 6. Bribing another person to obtain a test or information about a test. 7. "Collusion" shall be defined as the unauthorized collaboration with another person in preparing written work for fulfillment of course requirements. 8. Any student involved in scholastic dishonesty as identified above, or in the STUDENT CLINICIAN’S HANDBOOK may at the discretion of the faculty; Have the test or paper graded zero (0), Be removed from the class and/or Be recommended for administrative dismissal from the course or program. The stringency of this policy is understandable when read in the context of an educational program preparing individuals for a health career where the safety and well-being of the public are largely dependent upon the knowledge and ethical responsibility of the health personnel. Evidence of unethical behavior, such as cheating, precludes the instructional faculty's ability to declare prospective graduates to be reliable and ethical. Student Name (Printed): _______________________ Program: ________________________ Student Signature: ____________________________ Date: _____________________ Sign and return to instructor for record keeping RevisedAugust2015HealthCareer&TechnicalEducation,Math&ScienceDivisionPage79