Physical Therapist Assistant Program Student Handbook 2013 Division of Health Sciences, Allied Health 1801 Martin Luther King Drive San Antonio, TX 78203 1 Welcome Congratulations! You have been selected to pursue an associate of applied science degree as a physical therapist assistant (PTA) at St. Philip's College. You were selected from among the many qualified candidates because of your past academic achievements, sincere interest in contributing toward the improved health of others, and your apparent professionalism. In our dedication to develop within you a fully prepared and qualified PTA, you will be exposed to three types of learning environments during the next two years: the classroom, the laboratory, and a variety of selected operating physical therapy clinics. The educational contributions of each learning environment will be crucial to your professional development. The sequence of the program's curriculum cannot be modified, altered, or interrupted in any way or at any point. The only exception is for personal or immediate family health problems or significant hardship, and with permission from the program director. Throughout our program, we will encourage problem solving and independent critical thinking on your part. We expect that as you assimilate into the profession you will grow in self-responsibility and greater professionalism will surface. You will become an active participant and practitioner in the lifelong learning process of physical therapy. Again, welcome to the Physical Therapist Assistant Program! Sincerely, Faculty Physical Therapist Assistant Program St. Philip’s College 2 Introduction to the Student Handbook Most of the general information students will need to know about St. Philip's College can be found in the 2013-14 Academic Catalog. However, more specific information and policies that pertain to the PTA Program can be found in this PTA Student Handbook. It is a supplement to the college’s handbook. PTA PROGRAM FACULTY Laura Miele, PTA, B.S.O.E., Assistant Professor, Program Director Office CHS 330 K Phone: 486-2443 cell phone: 288-3433 E-mail: lmiele@alamo.edu Laura Miele, PTA is a 1992 graduate of the Army Academy of Health Sciences Physical Therapist Specialist program, San Antonio, TX. She received her Associate of Science degree in Physical Therapy Assisting from Kapiolani Community College, Honolulu, HI in 1998. She completed her Bachelors of Science degree from Wayland Baptist University in San Antonio in 2005. Her clinical experience includes in-patient and outpatient rehabilitation. Other areas of experience include home health care and industrial rehabilitation. She was an adjunct faculty for the PTA program in the Fall of 2007 and is a tenure-tract faculty member since the spring of 2008. Mary Hays, PTA, B.S.O.E., Instructor, A.C.C.E. Office CHS 330 H Phone: 486-2429 cell phone: 325-3880 E-mail: mhays@alamo.edu Mary Hays, PTA is a 1980 graduate of the Physical Therapist Assistant Program, Los Angeles Pierce College, Woodland Hills, California. She received her Bachelor’s Degree in Occupational Education from Wayland Baptist University in San Antonio in 1999. Her years of clinical experience include in-patient rehabilitation, home health care, and outpatient clinic. She joined the SPC PTA program faculty in 1993 and is a tenured faculty member. Donna Stetz, P.T., M.S., Assistant Professor Office: CHS 330 J Phone: 486-2051 E-mail: dstetz@alamo.edu Donna Stetz, PT, is a 1982 graduate of the Physical Therapy Program, University of Texas Health Science Center at San Antonio. She joined the SPC PTA Program faculty in 1989. Her years of physical therapy clinical experience include work in the acute care and outpatient setting. She is a tenured faculty member, the program director, and has earned a M.S. from Texas A & M University. 3 GENERAL INFORMATION Mission of St. Philip’s College St. Philip’s College provides an educational experience that stimulates leadership, personal growth and a lifelong appreciation for learning. Vision of St. Philip’s College St. Philip’s College will set the standard for achieving excellence in student success to build a vibrant, cohesive and sustainable community. Philosophy of PTA Program The PTA program supports the goals and mission of the Allied Health Department, St. Philip’s College, and the Alamo Community Colleges. Our purpose is to provide our students with a high quality attainable education, a curriculum designed to keep pace with the ever changing healthcare field, and an atmosphere that welcomes diversity of cultures and ideas. Students are encouraged to develop the skill of self-directed learning as well as an understanding of their role as part of a healthcare team. Faculty shall promote the practice of physical therapy by teaching skills consistent with the profession, by modeling and teaching compassionate care and responsible use of healthcare resources, and by encouraging the highest degree of integrity and ethical standards. Mission of PTA Program The Physical Therapist Assistant program serves the community by facilitating the preparation of our students for a career in physical therapy while encouraging personal growth, critical thinking, ethical behavior and lifelong learning. Goals of PTA Program The goals of the Physical Therapist Assistant Program are to: 1. equip each student with the tools to achieve his/her goal of graduating from the program and securing state licensure for practice as a physical therapist assistant in an ethical and professional manner under the supervision of a physical therapist. 2. prepare each student to operate as a general practitioner capable of critical thinking and responding to changes in healthcare delivery and increasing technological advances . 3. encourage each student to pursue lifelong learning and regularly engage in service to his/her community. 4. encourage students to engage in continued professional growth . 5. promote professional collaboration with other healthcare professionals. 6. support the development of graduates as educators and clinicians. 4 Non-Discrimination The Alamo Colleges do not discriminate on the basis of race, color, religion, gender, national origin, age, disability, veteran status, genetic information or sexual orientation with respect to access, employment programs, or services. Inquiries or complaints concerning these matters should be brought to the attention of: Director of Human Resources, Title IX Coordinator, (210)485-0200. Address: Human Resources Department, 201 W. Sheridan, Bldg. A, San Antonio, TX 78204. If a student believes he/she has been discriminated against on the basis of any of these categories, he/she may file a grievance according to the procedure as outlined in the student handbook. Accreditation St. Philip’s College is approved and accredited by the Texas Higher Education Coordinating Board, National Accrediting Groups for Allied Health and Nursing Programs, and the Federal Aviation Administration. The Physical Therapist Assistant Program at St. Philip’s College was first granted accreditation status by the Commission on Accreditation in Physical Therapy Education in 1973. It was re-accredited in 1984, 1990, 1998, and most recently in 2009 St. Philip’s College is fully accredited by the Commission on Colleges of the Southern Association of Colleges and Schools to award degrees in Associate of Arts, Associate of Science, Associate of Applied Science, and Certificates of Completion. The latest accreditation was awarded in 2006. Essential Abilities 1. Visual Acuity: a. Acute enough to read small printed materials such as a health record/computer screen. b. Acute enough to read small calibrations or symbols such as on a goniometer or modality equipment normally found in a physical therapy clinic. c. Acute enough to obtain visual information including but not limited to movement, posture, body mechanics, and gait pattern. 2. Hearing Acuity: a. Acute enough to perceive normal level of voice so as to follow instructions and participate in conversation. b. Acute enough to collect sounds produced in the body by use of a stethoscope. 3. Communication: a. Verbal expression sound enough to express one’s thoughts and distinct enough to communicate using medical terminology and the terminology of physical medicine. b. Able to perceive non-verbal communication such as changes in mood, activity, facial expression, and postures. c. Able to communicate effectively and sensitively; requires the ability to read and write, utilizing the English language. 4. Digital Dexterity: a. Agile enough to operate the various pieces of modality equipment normally found in a physical therapy clinic. b. Agile and strong enough to administer a variety of massages and other manual therapies. 5 5. Physical Ability: a. Strong and agile enough to lift or assist in lifting persons in excess of 100 pounds on a frequent basis and to assist persons in: 1) climbing 2) balancing 3) stooping 4) kneeling 5) crouching 6) crawling 7) reaching b. Fine and gross motor skills necessary for administering CPR (cardio-pulmonary resuscitation). 6. Interpersonal and Behavioral Ability: a. Able to complete treatment modalities or procedures within time allotted for patient. b. Able to complete required tasks/functions effectively under stressful conditions. c. Able to utilize problem solving skills and exercise sound judgment. d. Able to adapt to changing environments in a mature, sensitive and effective manner. Standards of Ethical Conduct for the Physical Therapist Assistant PREAMBLE The Standards of Ethical Conduct for the Physical Therapist Assistant (Standards of Ethical Conduct) delineate the ethical obligations of all physical therapist assistants as determined by the House of Delegates of the American Physical Therapy Association (APTA). The Standards of Ethical Conduct provide a foundation for conduct to which all physical therapist assistants shall adhere. Fundamental to the Standards of Ethical Conduct is the special obligation of physical therapist assistants to enable patients/clients to achieve greater independence, health and wellness, and enhanced quality of life. No document that delineates ethical standards can address every situation. Physical therapist assistants are encouraged to seek additional advice or consultation in instances where the guidance of the Standards of Ethical Conduct may not be definitive. For more info: www.APTA.org STANDARD 1 Physical therapist assistants shall respect the inherent dignity, and rights, of all individuals. STANDARD 2 Physical therapist assistants shall be trustworthy and compassionate in addressing the rights and needs of patients/clients. STANDARD 3 Physical therapist assistants shall make sound decisions in collaboration with the physical therapist and within the boundaries established by laws and regulations. STANDARD 4 Physical therapist assistants shall demonstrate integrity in their relationships with patients/clients, families, colleagues, students, other healthcare providers, employers, payers, and the public. STANDARD 5 Physical therapist assistants shall fulfill their legal and ethical obligations. 6 STANDARD 6 Physical therapist assistants shall enhance their competence through the lifelong acquisition and refinement of knowledge, skills, and abilities. STANDARD 7 Physical therapist assistants shall support organizational behaviors and business practices that benefit patients/clients and society. STANDARD 8 Physical therapist assistants shall participate in efforts to meet the health needs of people locally, nationally, or globally. PTA Curriculum Year 1 Semester 1 PTHA 1301 Profession of Physical Therapy PTHA 1321 Clinical Pathology PTHA 1431 Physical Agents BIOL 2401 Human Anatomy & Physiology I Semester 2 PTHA 1413 Functional Anatomy PTHA 1405 Basic Patient Care Skills PTHA 2409 Therapeutic Exercise BIOL 2402 Human Anatomy & Physiology II Summer Semester 3 PTHA 2201 Essentials of Data Collection PTHA 1360 Clinical I – Physical Therapist Assistant ENGL 1301 Freshman Composition I Year 2 Semester 4 PTHA 2435 Rehabilitation Techniques PTHA 2431 Management of Neurological Disorders MATH 1314 College Algebra or higher One 3 hr course from Humanities core or Visual & Performing Arts core Semester 5 PTHA 2217 PTHA 2460 PTHA 2461 PSYC 2301 Issues in Health Care Clinical II – Physical Therapist Assistant Clinical III – Physical Therapist Assistant General Psych or Introduction to Psych 7 COURSE DESCRIPTIONS BIOL 2401. Human Anatomy and Physiology I. Basic chemistry, the cell, tissues, the skeletal, muscular and nervous systems, and the senses. BIOL 2402. Human Anatomy and Physiology II. Fundamental principles of body systems and their functions. Satisfies the requirements of human anatomy and physiology for some Paramedical and Allied Health curricula. ENGL 1301. Freshman Composition I. Emphasizes training in reading and writing skills. Course requires expository essays based on provocative and critical readings. A 3 Hour Course from Humanities (40) Core or Visual and Performing Arts (50) Core Math 1314. College Algebra. Topics include functions, including algebra of functions, composites, inverses, graphs, Remainder Theorem, Factor Theorem, Rational Root Theorem, logarithmic and exponential functions; systems of equations using Cramer=s Rule; matrices and determinants; Binomial Theorem; and arithmetic and geometric sequences and series with Sigma notation. PSYC 2301. General Psychology. A study of the foundations and principles of behavior. The brain, motivation, emotions, learning theories, sensations, and personality theories will be studied. or Intro to Psychology PTHA 1301. The Profession of Physical Therapy. Introduction to the profession of physical therapy including the historical and current scope of physical therapy. PTHA 1321. Clinical Pathophysiology. Study of the pathogenesis, prognosis, and therapeutic management of diseases/conditions commonly encountered in physical therapy. PTHA 1431. Physical Agents Study of the biophysical principles, assessment, and application of therapeutic physical agents with specific emphasis on indications, contraindications, medical efficacy, and physiological effects. PTHA 1413. Functional Anatomy. Study of human anatomy and its application to the motion of the musculoskeletal system as it relates to normal activities and dysfunctions. Integration of skills related to the kinesiological assessment of the human body. PTHA 1305. Basic Patient Care Skills. Introduction to the theory and application of basic patient handling, functional skills, assessment techniques, and measurement techniques. PTHA 2409. Therapeutic Exercise. Critical examination of concepts and application of techniques related to therapeutic exercise and functional training. PTHA 2201. Essentials of Data Collection 8 Data collection techniques; identify changes in data collected; and report results. PTHA 1360. Clinical I - Physical Therapist Assistant A method of instruction providing detailed education, training, work-based experience, and directed patient/client care generally at the clinic site. Specific detailed learning objectives are developed for each course by the faculty. On-site clinical instruction, supervision, evaluation, and placement is the responsibility of the College faculty. Course may be repeated if topics and learning outcomes vary. PTHA 2435. Rehabilitation Techniques. Advanced course integrating previously learned and new skills into the comprehensive rehabilitation of selected long-termed pathologies. PTHA 2431. Management of Neurological Disorders. Advanced course integrating previously learned and new skills/techniques into the comprehensive rehabilitation of selected neurological disorders. PTHA 2217. Issues in Health Care. Exploration of the organizational patterns, administrative principles, legal and ethical issues, communications, and job placement skills in physical therapy and health care PTHA 2460. Clinical II - Physical Therapist Assistant. A method of instruction providing detailed education, training, work-based experience, and directed patient/client care generally at the clinic site. Specific detailed learning objectives are developed for each course by the faculty. On-site clinical instruction, supervision, evaluation, and placement is the responsibility of the College faculty. Course may be repeated if topic and learning outcomes vary. PTHA 2461. Clinical III - Physical Therapist Assistant. A method of instruction providing detailed education, training, work-based experience, and directed patient/client care generally at the clinic site. Specific detailed learning objectives are developed for each course by the faculty. On-site clinical instruction, supervision, evaluation, and placement is the responsibility of the College faculty. Course may be repeated if topic and learning outcomes vary. COURSE SEQUENCING Throughout the curriculum, each PTA program course offered by the Department of Allied Health must be taken in sequence. These courses can only be taken during the semester in which they are officially listed. Grading system. All courses within the PTA curriculum, without exception, must be completed with the award of the grade of "C" or higher. The following is the official method of grading within the Department of Allied Health: 93-100 85-92 77-84 = A = 4 points per semester hour = EXCELLENT = B = 3 points per semester hour = GOOD = C = 2 points per semester hour = AVERAGE Note: The above are the only acceptable grades that can be applied toward the award of an associate degree in the Physical Therapist Assistant Program. 70-76 Below 70 = D = 1 point per semester hour = PASSED = F = 0 point per semester hour = FAILED 9 Other abbreviated symbols are used in the college to record a student's grade. These symbols are usually temporary and reflect an unusual circumstance in which the student finds her/himself. The temporary symbols must eventually be converted to a permanent grade for graduation purposes. The symbols are: I NC NR W WM WX CR AU IP = Incomplete = non-credit = not recorded = Withdrew Drops executed and posted by Records and Registration staff ONLY for for students not exempt from Six Drop Rule. = Military Withdrawal = Withdrew Drops executed by the student and approved for exemption from the Six Drop Rule after completion of the Exemption Application—SB1231 = non-traditional credit only = audit = In Progress Academic courses. All courses within the PTA Program curriculum, without exception, must be completed with a grade of “C” or higher. If the student receives a failing grade, he/she may repeat the course when it is offered the following year. Students may remediate only one course in the PTA curriculum. Lab practical exams. Students must pass all lab check-offs or practical exams with a grade of 77% or higher. All critical safety elements must be performed correctly during the skill application to pass the practical exam. If the student performs the critical safety elements incorrectly during the skill application the instructor will discontinue the treatment and the student will fail that skill. He/She must be re-tested on that skill until a passing grade is achieved. All skills on the check- off list must be successfully completed to pass the course and to continue in the program. General education courses. If a student fails a general education course while in the program, that will not prevent the him/her from continuing in the program; however, all general education courses within the curriculum must be completed with a "C" or higher before the AAS degree in Physical Therapist Assistant can be granted. It is vitally important that the student be aware of his/her running average in each class and to recognize when assistance or tutoring is needed. Each student must take the responsibility to approach the instructor for guidance in studying or to discuss grades. Safety Safety is of utmost importance to the students, faculty, college and district. Everyone is urged to follow all safety precautions while on campus, and especially in the lab. During the first day of lab, students will be oriented to the location of fire extinguishers, the fire alarm, and the appropriate emergency exit from the building. Students may practice physical therapy skills in the lab only under the supervision of one of the PTA faculty. In addition, all students using the lab during class or when practicing outside of class time must follow the following rules: 10 1. consistently insure a safe environment by recognizing safety hazards and taking necessary steps to prevent injury. 2. ask for assistance when unable to safely handle equipment independently. 3. adhere to established precautions and contraindications when practicing therapy treatments using modality equipment. 4. practice good hand hygiene by washing hands with soap and water, or using alcohol-based hand rub before treating a student/patient and before using equipment. 5. practice good respiratory hygiene by covering mouth and nose when coughing or sneezing. 6. use proper body mechanics while handling equipment and practicing physical therapy procedures with other students. 7. place all used laundry in the laundry hamper to be washed. 8. only practice with equipment in which you have been instructed; sanitize the equipment parts that have been in contact with a patient/student, un-plug electrical equipment after use. 9. keep the Lab clean, please. In case of an EMERGENCY on campus, call 222-0911. In case of FIRE, remember Rescue; Alarm; Contain; Evacuate The Fire Extinguisher is located on the wall outside the Lab door. Pull; Aim; Squeeze; Sweep Evacuate to the Faculty Parking Lot, where faculty will take roll to ensure all are accounted for. Immunizations All students accepted into an Allied Health program at St. Philip’s College must present evidence that the following immunization requirements have been met before the student is allowed to begin a clinical practicum. The student must present documentation from a physician or medical clinic of the following immunizations: a. One dose of Tetanus and Diphtheria toxoid (Td) within last 10 years. b. Measles/Mumps/Rubella (MMR) (a total of two doses required). Measles- Students born on or after Jan 1, 1957 must show acceptable evidence of vaccination of two doses of measles-containing vaccine administered since Jan 1, 1968, or acceptable evidence of immunity. Mumps- Students born on or after Jan 1, 1957 must show acceptable evidence of vaccination of one dose of mumps vaccine or acceptable evidence immunity. Rubella- Students must show acceptable evidence of vaccination of one dose of rubella vaccine or acceptable evidence of immunity. c. Mantoux test (TB). A PPD skin test must be done within one year prior to clinical assignment and must be repeated once a year, or more frequently if required by a specific clinic site. If PPD is positive, you must have a chest X-ray. d. Hepatitis A- two doses. If vaccine received 10+ years ago, a booster shot or proof of immune status 11 must be provided. e. Hepatitis B series- three doses. If vaccine received 10+ years ago, a booster shot or proof of immune status must be provided. f. Varicella- two doses of varicella, unless the first dose was received prior to 13 years of age, or acceptable evidence of immunity, or letter from physician stating you have had the disease. g. Meningitis- a single dose if under the age of 30yrs. h. While a yearly Flu shot is not required by the Allied Health Department some clinic sites require its completion before a student may attend. You will be advised by the academic coordinator of clinical education (Ms. Hays) as the clinical placements are confirmed. Written documentation of the above immunizations will be maintained in the student’s file in the program director’s office. Health Insurance All students are required to have health care insurance. Any health care costs incurred while the student is enrolled in the college is the responsibility of the student. Student health insurance is available in the College Health Center located in the Sutton Learning Center on campus. When all students register for courses at SPC, they automatically purchase Plan I: Compulsory Student Injury Insurance Plan. Before enrolling in a clinical course, all allied health students must either purchase Plan II: Student Sickness and Dependent Injury Insurance Plan, or produce evidence of an outside insurance policy that covers sickness and injury. Academic Health Plans www.AHPcare.com/alamo Students with Special Needs As per Section 504 of the Vocational Rehabilitation Act of 1973 and the Americans with Disabilities Act (ADA) of 1990, if special accommodations are needed by any St. Philip’s College student, please contact the office of Disabilities/Educational Support Services, at 210-486-2020, located in the Sutton Learning Center, Room 103. Allied Health Student Counseling As stated in the college bulletin, the student is expected to recognize and accept his/her responsibilities while enrolled in the program. These include the respect for the rights of others, academic and personal integrity and adherence to federal, state and local laws. The student is also expected to abide by all college and program policies. Any recognized misconduct will be recorded on the Allied Health Student Counseling Form (located in the appendix) and will be signed by the instructor, program director and student. Confidentiality The Family Educational Rights and Privacy Act (FERPA) affords all students certain rights with respect to their educational records. The college and program abide by this law and will not disclose any information about the student or his/her academic performance with any other person unless written permission is 12 given by the student. Further information about this policy can be found in the St. Philip’s College Student Policy Manual. The PTA student is also expected to follow confidentiality in providing patient care at any healthcare facility assigned by the Clinical Instructor as part of a designated course of study. The student may not access, use, disclose or reproduce any confidential patient information other than for the strict purposes outlined in the student’s clinical duties. The student agrees to this policy by signing the Confidentiality Agreement located in the appendix. Cell Phone Usage Guidelines As stated in the College Student Policy Manual, the student is expected to show respect for others when using cell phones. Personal cell phones must be set to vibrate or silent mode so as to eliminate distractions in class or when in quiet areas such as the library, computer labs, or tutoring labs. CPR Prior to entering into the clinical assignments, students are required to present evidence that they have completed Cardio-Pulmonary Resuscitation (CPR) for healthcare providers from the American Heart Association. Students who do not meet the CPR requirement will not be permitted to begin a clinical assignment. Criminal Background Check and Drug Screening Acceptance into the PTA program is conditional until the student passes a criminal background check and drug screen. A felony conviction, while not precluding a student from the academic component of the Physical Therapist Assistant Program, may prevent a student from sitting for the certification exam or licensure in the State of Texas. Prior to applying for licensure, an individual may request that the board review his/her criminal history to determine eligibility for licensure based solely on one’s criminal background up to that point in time. Individual must submit their requests in writing to the board and include: (1) A statement by the petitioner or applicant detailing the event(s) that led to the conviction/deferment; (2) Copies of any court documents; (3) The non-refundable $50 fee required by the board. The board may require additional information, including fingerprint cards, before issuing a criminal history evaluation letter. Students with concerns should contact the Executive Council of Physical Therapy Examiners, 333 Guadalupe, Ste. 2-510, Austin, TX 78701/3942. http://www.ptot.texas.gov/ Random drug screening can be requested at anytime deemed necessary by a clinical site, clinical instructor, or faculty member of the program. Students must understand that a clinical site may require drug screening prior to the start of each new semester. 13 The individual cost for drug screens and criminal background check are the responsibility of the student. The appropriate forms needed to obtain the required drug screen and criminal background check will be provided by the program director or clinical coordinator. Criminal Background Check Procedure Student is Conditionally Accepted pending results of Criminal Background Check No Reported Felony or Misdeameanor Reported Felony or Misdeameanor (Negative Results) (Positive Results) Student contacts specific AH program for address of that programs Certification/Licensure Board STUDENT ELIGIBLE Certification/Licensure Board reviews information and states student would be eligible to sit for exam Certification or Licensure Certification/Licensure Board reviews information and states Student CAN NOT sit for Certification or Licensure Student CAN NOT Enter ANY Allied Health Program STUDENT ELIGIBLE TO BE ACCEPTED INTO DESIRED PROGRAM. After graduation, actual employment depends on the facilities regulations based on your reported felony or misdemeanor. 14 TO BE ACCEPTED INTO DESIRED PROGRAM DRUG SCREENING PROCEDURE Student is Conditionally Accepted pending results of Drug Screen Test Something Reported Nothing Reported Negative Results Positive Results NO drug found in specimen Drug found in specimen STUDENT ELIGIBLE Student MUST RETEST for a new drug screen at additional cost to the student TO BE ACCEPTED INTO DESIRED PROGRAM Second Drug Screen is Negative-NO drugs found in specimen Positive Results for second Drug Screen STUDENT ELIGIBLE TO BE ACCEPTED INTO DESIRED PROGRAM. Student with Positive results on second screening may not be allowed to enter an Allied Health Program After graduation, actual employment depends on the facilities regulations regarding "Drug Screen" and random drug screens may be required at worksite. 15 Grievance If a student believes there is clear and convincing evidence that an instructor has treated the student unfairly, or arbitrarily, or capriciously, the student is encouraged to follow the grievance procedure as outlined in the St. Philip’s College Student Policy Manual. The Manual distinguishes a discrimination grievance procedure and academic grievance procedure. Student Discrimination Grievance Procedure (summarized from the Student Policy Manual) The Manual states that the student should first schedule a conference with the instructor (within 30 days in an attempt to resolve the problem. If the matter is unresolved in the conference the student may consult with the program director. If the matter is still unresolved the student may consult with the department chairperson, who may involve a higher-level administrator at any point in the process for assisting in resolution of the complaint. If an agreement is not reached in the above described conferences, the supervisor or administrator will affirm or deny the grievance within five days subsequent to the conference. If the decision is to affirm the faculty member’s or administrator’s position, the student may appeal to the next higher administrative level (usually the college vice president). If the decision is to affirm the student grievance and recommend the decision be reversed, the supervisor must meet with the individual and provide him/her a written explanation. If either the student of individual involved is dissatisfied with the vice president’s decision, he/she may appeal to the president within five days of the date of the vice president’s decision. The president and vice president will meet with the student and the individual accused. After hearing both sides and reviewing the record, the president will render a decision. If the decision is to affirm the student grievance and recommend that the individual reverse his/her previous decisions, the president must meet with the vice president and individual and provide a written explanation of his/her decision. To affirm a student grievance, the president must have adequate cause. The decision of the president is final. The student may seek assistance from the campus ombudsman or the ADA coordinator. Student Academic Grievance Procedure (summarized from the Student Policy Manual) If a student believes that an instructor has treated him/her unfairly, the student should schedule a conference with the instructor within 10 days and attempt to resolve the problem. If after the conference the student believes that matter is unresolved, he/she may consult with the department chairperson within 5 days of the conference with the instructor and complete a Student Academic Grievance Form. The chairperson will hear the grievance from the student and instructor individually. If an agreement is not reached in the conference, the chairperson will affirm or deny the grievance within 5 days. IF the decision is to affirm the instructor’s position, the student may appeal to the dean. If the decision is to affirm the student grievance and recommend the instructor reverse his/her decision, the chairperson must meet with the instructor and provide written explanation. If either student or instructor is not satisfied with the chairperson’s decision, he/she may appeal to the dean with 5 days of the date of the chairperson’s decision. The dean and chairperson will meet with the student and instructor. After hearing both sides the dean will render a decision, in writing, affirming or denying the grievance within 5 days. The decision of the dean is final. 16 Photographing St. Philip’s College sometimes uses photographs and videotapes of students for publication and/or advertisements promoting the Alamo Colleges. If students agree to be photographed or videotaped, they must sign the college’s personal release form provided by the PTA faculty. ACADEMIC RESPONSIBILITIES Exams All exams must be taken as scheduled unless previous plans have been arranged with the instructor. If a student is sick or has an emergency situation with an immediate family member on the day of an exam, he/she must notify the instructor by telephone to make other arrangements for making up the test. Make-up exams will be given at the discretion of the instructor. Late Work Assignments submitted after the due date will be accepted only at the discretion of the instructor. See syllabus for specific requirements in each course. Lab Students are expected to dress appropriately for lab classes. Loose shorts and tank tops or swim suit tops should be worn or brought to all lab classes. In addition, shoes appropriate for the lab activities must be worn. This attire may be necessary for practicing palpation skills, applying physical agents, or performing exercises or instruction. See syllabus for specific requirements in each course. Human Subject Policy Students in the PTA program are entering a profession that requires touch and manipulation of the musculoskeletal system. Throughout the education and training in the PTA program students will be required to apply physical therapy procedures and techniques on each other during lab classes. These procedures and techniques may also be applied by St. Philip’s College faculty. All laboratory procedures and techniques are intended for educational purposes and shall be applied in a respectful and dignified manner. Attendance Disregard or abuse of the college attendance policy can result in dismissal from the PTA program. According to the college catalogue, "regular and punctual class and laboratory attendance is required. Student absence for any reason will be allowed to make-up work only at the discretion of the instructor. However, the student will be held responsible for lecture materials when covered in subsequent examinations". The college catalogue goes on to state, "a student who has accumulated absences equivalent to two weeks of instruction may be dropped by the instructor after the census date". 17 Program Withdrawal If a student fails the same Allied Health major course twice or fails two courses in the major, the student is withdrawn from the Program and is ineligible for readmission into the Program. If a student violates the District’s Student Code of Conduct (District Policy Manual FLB Local) or the Profession’s Code of Ethics, the student is withdrawn from the Program and is ineligible for readmission into the Program. Readmission into Program A student voluntarily requesting withdrawal from the Program due to personal reasons, i.e. hardship, illness, family emergency, etc. and who is in good standing (passing all courses, no misconduct, no excessive absences, etc.) may reenter at the point of successful withdrawal based on space availability at the time of reentering and within one year of the withdrawal date. Students readmitted into the Program must submit a new criminal background check and drug screen. (Please note the how-to of this readmission can be Program specific such as submitting a letter of request for readmission, going before the program faculty members, etc.) CLINICAL PERFORMANCE Clinical Preparation Prior to beginning the first clinical course students will show safe and competent practice by achieving the following training/instruction: a. Law: All students must be instructed in the role of the PTA according to the Texas Practice Act and Rules; appropriate guidelines for supervision of the PTA and PT Aide in the different clinical settings; professional behavior; American Physical Therapy Association Standards of Ethical Conduct for the Physical Therapist Assistant; HIPAA. b. Clinical Safety and Competent Practice: All students must be introduced to the basic clinical policies, including, but not limited to the following: incidents and emergencies that can occur in a hospital or clinical setting, including infection control, codes and fire safety. All students must be instructed in basic patient care skills, including, but not limited to the following: taking vital signs, wheelchair use and maintenance, transfer training, gait training, aseptic technique, wound care, extremity wrapping, physical agents and manual modalities. These skills are evaluated by faculty through skills tests or check-offs. Students must pass all lab practical exams with a grade of 77% or higher. Students must perform all critical safety elements correctly to pass the skill and to pass the course. All skills on the check-off list must be successfully completed to pass the course. 18 Clinical Assignments A primary objective of clinical assignments is to insure that each student is exposed to a variety of clinical settings/environments during the course of the three (3) assignments. Different types of clinical environments include acute hospital settings, private clinics, the public school system, nursing homes, home health care agencies, and rehabilitation hospitals. The PTA student needs to fully understand that making clinical assignments is a very laborious task. Negotiations for and maintenance of clinical training spaces in the San Antonio area are very competitive among PT and PTA programs. Because of this, the student may be assigned to a clinic outside of the immediate area, which may require a significant commuter distance. In these cases, the student will need to furnish his/her own transportation. Special consideration of location of clinical assignment will be given to the students who depend solely on the VIA bus transportation system for commuting. The Clinical Experience You will complete four (3) clinical experiences during your studies while in the program and they are as scheduled: Affiliation 1: Summer – 4 weeks, 160 hours. Affiliation 2: Spring, second year - 6 weeks, 240 hours. Affiliation 3: Spring, second year - 7 weeks, 280 hours. Students are assigned to clinical sites by the Academic Coordinator of Clinical Education (ACCE) with input from the student. Students may not change their clinical assignments, though special situations may be discussed. The experiences are designed to provide you with directed learning in an assortment of professional and clinical settings. The clinical experience is crucial in providing you a learning environment that provides exposure to a mixture of "real-life" patient problems that cannot be experienced or duplicated in the college classroom or laboratory. You are reminded that the operational clinics with whom we have affiliations are "friends of the profession and of St. Philip's College". In order to maintain the established mutual respect, relationships, and professional legacy between our program and the cooperating clinics, each student is expected to abide by the rules, regulations, policies and procedures of the facilities in which they serve their practical training. These will vary and differ from clinic to clinic. You will be required to be an active practitioner in three (3) different clinical environments during your two year training program. Your ability to be flexible and adjust to the different environments and a variety of regulative policies is paramount, extremely important, and will serve you well. In meeting the regulatory requirements, it is best if you perform your duties as any dedicated employee would in each of the clinics in which you are practicing. As an employee, you must abide by the regulatory aspects of the clinic which will include (but not be limited to) working hours, holidays, break times, dress code, smoking, use of drugs and alcohol, eating and drinking areas, personal phone calls (including use of cell phones), visitors and guests. It is strongly recommended that you become well acquainted with the procedural manual of each clinic to which you are assigned. 19 CLINICAL INSTRUCTOR (YOUR "CI") Your clinical education is a significant part of our total curriculum. The person of importance mostly involved in this portion of your training is your, "CLINICAL INSTRUCTOR", commonly referred to as your "CI". The clinical instructor will be either a licensed physical therapist or a physical therapist assistant (under the supervision of a PT). It is important to note that clinical instructors receive no compensation for their involvement in your professional education. They are generously contributing their time and expertise to a vital part of the professional education process and should be respected and acknowledged for this. Your CI is indispensable to the entire education process. Without the professional dedication and willingness of our CI's, there could be no clinical training. She/he will be responsible for supervising, instructing and evaluating you at the clinical training site. Your CI will plan an effective learning environment for you. The environment should involve the development of the problem solving process and all entry-level competencies in key areas of clinical practice. He/she will teach you how to manage time and, most importantly, the "ins and outs" of acceptable professional behavior. While he/she controls your learning environment, she/he will be assessing your behavior in the acceptance, performance and completion of a variety of professional tasks. Your CI will also assess your decision making development and attitudes underlying your behavior. Clinical Attendance Your work hours during each affiliation should be approximately 8 hours/day or 40 hours/week, mirroring the schedule of your Clinical Instructor (CI). Students that are absent 10% or more of the total clinical hours will be dropped from the course. Evaluation The Physical Therapist Assistant Manual for the Assessment of Clinical Skills, or PTA MACS, is a clinical skills assessment tool that has been developed and revised by PTA academic and clinical faculty. It is used by the program as a method for evaluating clinical performance. It identifies 24 skills that the PTA student needs to develop in order to be considered entry-level. These skills are evaluated by both the student and the clinical instructor. Progress reports are made at mid-term and at the end of each clinical rotation by the CI and are used in part to determine the student’s grade in the course. Dress Code During the clinical assignments it is suggested that students dress in the fashion of the physical therapists or physical therapist assistants working in that clinic. For example, if they are allowed to wear scrubs, the students may do the same. Otherwise, the students are required to wear a solid color polo-type shirt, Docker style pants (kaki or navy), clean white athletic shoes, and modest jewelry (watch with second hand, stud/petite earrings and single wedding band). Clean, unpolished fingernails which are trimmed short are required. The student must wear a St. Philip’s College picture name tag with his/her full name, followed by the initials SPTA. 20 Sharps and Exposure It is the policy of St. Philip’s College Allied Health Department that all students who sustain a sharp (needle stick, glass, blade, etc) or other exposure to blood or bodily fluids while engaged in a college sponsored educational program should receive prompt medical attention, including counseling, prophylactic drug treatment, and baseline and follow up laboratory values, as necessary. In accordance with this policy, the following procedures must be followed by students who have been exposed to blood / body fluids. Please keep in mind that drug prophylaxis is time sensitive (2 – 24 hours), and therefore the student must immediately seek help from the appropriate supervising personnel. Immediately after exposure first aid steps should be taken. 1. Squeeze out blood from puncture wound if applicable. 2. Clean wound with soap and water. 3. Flush mucous membranes with water or saline. It is recommended that appropriate medical follow-up be obtained. Some medical facilities will treat, provide accident form, and pay for treatment. If not, students who incurred a sharp puncture or exposure will go to the nearest emergency room for the appropriate consultation and testing. These services will be covered by the Academic Health Plans Insurance Policy provided through the Alamo Colleges. Students should obtain an insurance card at the beginning of each semester. The card is effective for one school year as long as the student is enrolled. They should be instructed to carry the card with them at all times while participating in college sponsored educational programs. Testing of the source patient’s blood will be done according to the facility’s policy. The student is NOT to ask the source patient for permission for blood testing. The student will be counseled and advised regarding post-exposure prophylaxis, if necessary. Baseline blood tests will be administered on the student. Retesting occurs at 6 weeks, 3 months, and 6 months after exposure. All procedures, testing, and results will remain confidential. The clinical instructor should be notified as soon as possible after the incident. The instructor will initiate an incident / injury report and evaluate the circumstances of the incident. If the student declines medical treatment, this should be documented and signed by that individual. Academic Health Plans Insurance claim forms may be obtained by contacting the campus nurse, or the website at www.AHPcare.com/alamo . For assistance in filing a claim form, please contact the campus nurse. Incident Report An incident is anything happening to a patient, an employee, a visitor or the student that is out of the ordinary, inconsistent with the facility’s usual routine or treatment procedure, or an accident or situation that could cause an accident. In the event of an incident, the student should follow the protocol of the clinical facility, which may include filing an incident report at the facility. In addition, the student must complete the St. Philip’s College Allied Health Department Student Clinical Incident/Injury Form (located in the program director’s office). The student must make every attempt to complete the written report within 24 hours of the incident, if at all possible, to ensure proper care and follow-up. 21 Student Support Services DISABILITY SUPPORT SERVICES/EDUCATIONAL SUPPORT SERVICES (SLC 103, 486-2020): If you are a special needs student, don't let physical or learning disabilities deter you in your quest for education and job training. You may qualify for facilitating services, extended test time, oral testing, and/or other accommodations. It is your responsibility to inform each instructor if you are a qualified special needs student and wish to take advantages of those services. As per Section 504 of the Vocational Rehabilitation Act of 1973 and the Americans with Disabilities Act (ADA) of 1990, if accommodation is needed, contact Educational Support Services, SLC 103 at 486-2020. TUTORING AND TECHNOLOGY ASSISTANCE (NTB 116, 486-2527): The Educational Support Services Computer Laboratories consist of networking computer workstations, file servers, printers, and a range of software that is designed to provide academic support to students. The computer labs are in SCI 334, SLC 300,302,220 and 226. They are for general computer use by students, faculty, and staff of St. Philip’s College and the San Antonio community. STUDENT FINANCIAL SERVICES (Welcome Center, 486-2600): Students requiring financial assistance in the form of scholarships or loans may seek help from the Office of Financial Aid. Another source would be the Minnie Stevens Piper Foundation, www.mspf.org, this is a free scholarship clearing house. LIBRARY (Center for Learning Resources, 486-2330): The library/learning resource center provides reference materials, study carrels and viewing rooms. Students have access to audio and videotapes, slide/tape presentations, and computer assisted information. Occasionally, books or readings are placed on reserve status behind the checkout desk by instructors. Coin-operated copy machines are available. FIRST YEAR EXPEIENCE CENTER (SLC 103, 486-2170): First year students needing assistance adjusting to college life can find one-on-one services and academic support. They can learn skills needed to become successful students. Also some book loans may be available. ROSE THOMAS WRITING CENTER (NTB 405, 486-2075): Free walk-in service that is very helpful when writing research papers! STUDENT HEALTH CENTER (SLC 109, 486-2222): Students may receive minor first aid assistance, over the counter medications, health information and referral system to community services for medical, dental, family planning, STD, HIV, mammogram and pregnancy testing in the college nurse's office in the Sutton Learning Center (SLC) Building. Student health insurance info www.AHPcare.com/alamo HEALTH & FITNESS CENTER- (GYM, 486-2160): Students can enroll in intramural and extramural activities. During open hours students can use the swimming pool, aerobic exercise equipment, weight machines, free weights, and the gym. Rev. 13 22