COLLEGE OF SOUTHERN NEVADA
SCHOOL OF HEALTH SCIENCES
CARDIORESPIRATORY SCIENCES PROGRAM
STUDENT ADMINISTRATIVE HANDBOOK
Tracy Sherman, M.Ed, RRT-NPS
Program Director
August 2009
`2007, 2008, 2009
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COLLEGE OF SOUTHERN NEVADA
SCHOOL OF HEALTH SCIENCES
CARDIORESPIRATORY SCIENCES PROGRAM
Student Administrative Handbook
The Cardiorespiratory Sciences Program is fully accredited by the Committee
on Accreditation for Respiratory Care (www.coarc.com) which is authorized to
accredit Respiratory Care Education Programs by the Commission on
Accreditation of Allied Health Education Programs (www.caahep.org).
Information about how a program earns accreditation is available on these
websites, listings of other accredited programs can be found on these websites
and through the American Association for Respiratory Care (www.aarc.org)
and the National Board for Respiratory Care (www.nbrc.org).
The guidelines in this handbook assist the student in attaining and
maintaining behaviors conductive to learning, achievement, safety, excellent
patient care, and success. They present an outline of required student
behavior for the Cardiorespiratory Sciences (CRS) Program and complement
the CSN Student Policy Handbook for Health Sciences Programs. Variation
of any aspect is strictly at the discretion of the faculty. IF IN DOUBT, ASK
A FACULTY MEMBER!
The CRS Program handbook is governed by the School of Health Sciences
Handbook and the College of Southern Nevada Handbook. The College of
Southern Nevada Handbook is located in the College catalog, this can be
found at: http://www.csn.edu/admissions/catalog.asp , the School of Heal
Sciences Handbook can be found at: http://sites.csn.edu/health/Handbook.pdf
The process of educating health science practitioners is expensive in time,
money, and energy for both the institution and the student. Handbook
adherence will prove to be an important first step in required personal and
professional resource management.
I.
Pre-Admission
A. Advisement
1. The student is responsible for obtaining all necessary
information to proceed in the college that is generally
contained in the college catalog. Together, with an
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advisor, the student will understand college, general
professional, and program requirements. An excellent
resource is attendance at a general college advisement
session. Critical, however, is attendance at a health
professions advisement session offered by the Health
Sciences Advisement Office (first floor, Building K).
Contact 615-5015 for a schedule.
2. If preliminary advisement yields an intention, and
ability, to proceed, the student must meet with the CRS
Program Director. The Program Director is the best
authority and source of information on program specifics.
Continuation may require a pre CRS major be declared.
B. Special Requirements of the CRS Program
Health sciences education has a greater requirement than
general education. Student commitment, therefore, is
greater. The student must understand early that these
additional requirements exist.
1. Outcome Orientation – Graduates take standardized
national accreditation examinations, the results of which
are meticulously analyzed by the program’s accrediting
body, governing body, and faculty. These strict
accountability concepts must be learned and retained.
While the entire college community facilitates, learning
is the responsibility of the student. Students who
do not pass the National Board of Respiratory
Credentialing Self Assessment Examinations
offered in the 3rd and 4th program semesters, will
not graduate. No exceptions will be made to this
policy.
2. Time Commitment – The acquisition of professional
medical knowledge, skills, and temperament takes
considerable time. The CRS student understands that
actual class, lab, and clinical time responsibility may well
exceed published requirements. The complex nature of
cardiorespiratory care education will, at times, require
intense independent study to satisfy curricular needs.
Faculty understands that some students are required to
be employed, but suggests strongly that it is limited to 16
hrs. /wk. in the second year only. Learning and
demonstrating skills appropriately is the
responsibility of the student.
3. Professional Commitment – By accepting a position in
this program, the student accepts responsibility of
medical professional behavior and decorum at all campus
locations and program functions. This includes, but is not
limited to, conduct, speech, grammar, and dress.
Participation in this program is broad based education,
not narrow task training. The CRS Program is dedicated
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4.
5.
6.
7.
to producing the BEST practitioners in the United States.
Attending this program means you are making a public
commitment to excellence.
Professional Credentialing – The logical sequence of
program graduation is professional credentialing. This
process may be prevented if the candidate has a history of
felony, conviction, or moral turpitude. The student is
responsible to assess pertinent personal information and
determine if professional or employment barriers exist.
Many employers now require computerized criminal
background checks and/or routine drug testing; please do
not waste two years of education if you are not hirable in
health care.
Criminal Background Investigation – Licensure for
Respiratory Care Practitioners by the Board of Medical
Examiners, and increasingly, employers, requires
criminal background checks to insulate themselves from
legal exposure for the actions of subordinates. This is
often expected of academic organizations that place
students in clinical rotations. The CRS students are
advised that this request will be made of them for
placement into clinical rotations.
Drug Screening – It is a policy of the College of Southern
Nevada’s School of Health Sciences to require drug
screening of all students who will be placed in clinical
rotation. Students should expect that detection of an
inappropriate substance would trigger a discussion with
the Dean of the School of Health Sciences for resolution
which may include preclusion from admission or
continuance in the CRS Program. Students are informed
that due to the nature of the Respiratory Care profession
and licensure and understanding that the most common
reason in Nevada for RCP licensure suspension is
substance abuse, it is therefore the policy of the CRS
Program that students be drug tested annually – once to
begin the Program per School of Health Science policy and
again before beginning subsequent years in the program
to assure the students are of the highest quality while
learning to perform life-saving procedures.
Pregnancy – The curriculum of the CRS Program is
challenging, concise, and full. The student should
understand that in light of health, curricular, and
scheduling factors, pregnancy will generally result in the
student being unable to continue in the program. A
student should expect that there is a strong possibility a
pregnancy could necessitate withdrawal from the
program; should a student choose to withdraw, she could
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II.
reapply to the CRS Program at a later date through the
reinstatement or Limited Entry method.
8. Availability – Many of the experiences within the
program occur at extended campus locations (nursing
homes, businesses, hospitals, etc.) This requires that
students are capable of presenting themselves at the site
prepared for learning as the Program schedule dictates.
The student is expected to have provisions for
transportation, health care, employment, childcare, and
finance, which allow unimpeded academic participation. A
student who is unable to make his or herself available for
educational opportunities is advised to withdraw from
healthcare education until a time when it can be made a
priority.
9. CPR Card – All students must possess a current
Healthcare Provider BLS (Basic Life Support)
certification presented by AHA (course C) during all
school activity. An expired CPR card will result in a
student being suspended from clinical activities until
proof of renewal is provided.
Orientation
A. School
1. Orientation – The student must attend all general school
sponsored orientation programs. As use of many of the
school’s resources is required, expect to expend special
energy in the library and computer lab. You are expected
to utilize the many resources available to you. A special
computer lab with CRS Program specific software is
available to CRS students. Students are encouraged to
utilize the Writing Lab located in the C building prior to
turning in written compositions.
2. Advisement – The student is responsible to assure that
all school requirements, such as immunizations,
background checks, and drug screens (for example) are
satisfied. Incomplete school preparation will necessitate
program suspension. Program suspension compromises
the student’s ability to successfully complete the CRS
Program. Students are advised to frequently check the
online “Sputum Files” located at
http://sputumfiles.weebly.com for all Program policies,
procedures, and announcements. Students are
responsible for all policies and procedures that are
published.
B. Program
1. Program Handbook – This CRS Program handbook
complements, and is subordinate to, the School of
Health Sciences Handbook. It provides direction specific
to CRS students’ responsibilities and behaviors. It
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should be studied carefully, as the student is
absolutely responsible for its content. The student
is required to attest to this.
2. Program Advisement/Counseling – A mandatory
advisement session is scheduled for all students during
every semester. The student must be prepared to
present his current academic status, academic
intentions, and goals. Additionally, any issues or
processes that may limit academic performance are to
be resolved prior to, or during, this counseling. Students
and the Faculty Member conducting the advisement
session will be required to sign forms to be submitted to
the student’s permanent file.
3. Student Assets – In order to successfully participate in
this program, the student must acquire:
a. Uniforms
Approx. Cost
___ At least 2 pair “scrubs”
45
___ One ¾ length white lab coat
25
___ 1 pr. white hospital shoes (tennis,
running, cross-training acceptable)
60
b. Equipment
___ Stethoscope
15-70
___ Penlight flashlight
5
___ 1 pr. bandage scissors
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___ 1 non-solar/solar calculator
15
___ 1 fanny pack (optional)
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c. Books
Books may be purchased at the beginning
of the program for either the entire 2 years
900
(to establish a personal library) or by semester.
4. Learning Aids
Throughout the program, students will be
given the opportunity to purchase learning
aids, such as DVDs, audiotapes,
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or CD’s. These may be part of the
students’ personal professional library.
5. Professional, Student Testing, and Dues
The student is expected to actively participate
in the national and state professional
organizations(NSRC/AARC). Additionally,
NBRC Self Assessment Exams must be
completed (passed), as must the CCT,
ACLS, and national phlebotomy credentialing.
Students must acquire a Nevada State
Blood Gas License. It is further required
that all students attend the full
Kettering National Review in the fourth
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academic semester before graduation.
This estimation includes costs associated with
background testing, drug screening, and other
miscellaneous fees.
6. Students are advised this list is complete
to the best of the Program’s ability, however,
there may be requirements not listed.
1500
____
$2950
III.
Total
Student Conduct
Students must exhibit professional behavior in all areas where
they are identified as associated with CSN. This includes the
classroom, the clinical setting (hospitals, etc.), laboratory, or
campus. Tardiness, absenteeism, or failure to meet assigned
deadlines will not be tolerated. Failure to meet academic skills
or other program commitments in a responsible ethical, manner
will result in dismissal. Students deemed “unsafe” by
professional or academic conventions will be immediately
removed from the associated site pending further administrative
action. Issues regarding patient safety and privacy will be dealt
with IMMEDIATELY and APPROPRIATELY. Students will
follow legal, moral, and ethical models at ALL TIMES.
Honesty is required of all students. Dishonesty is an offense
worthy of being withdrawn from the Program as it diminishes
the quality of scholarship, misrepresents professional knowledge
and integrity, and places the profession and patients at risk.
Dishonesty may include, but is not limited to, such acts as;
copying from another student during a test, cribbing,
plagiarism, and falsifying academic and/or clinical records. This
is a “Zero Tolerance” policy. Second chance requests will
be denied. Students are responsible to follow the School
of Health Science Academic Policies (academic
dishonesty) at all times.
The instructor involved and the Program Director will carefully
examine any situation that compromises honesty. Penalties for
dishonesty are based on the presenting of evidence. Such
penalties may include Program dismissal in accordance with
college policy. Some examples of issues that may be considered
inappropriate are listed here.
1. Behavior that compromises or interferes with the
education process or the delivery of safe patient care.
2. Use, under the influence of, possession, or distribution
of illegal substances (including alcohol) on campus or
extended campus, including the clinical sites.
3. Initiating exploitative student-patient relationship
which:
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IV.
V.
- result in financial gain
- and illegal transactions
- involve professionally inappropriate behavior
4. Failing to report errors and accidents.
5. Violations of patient rights to privacy and
confidentiality.
6. Criminal behavior, felony and/or misdemeanor.
7. Falsification of reports.
8. Rendering patient care while impaired (i.e., under the
influence of alcoholic beverages or prescribed or illegal
substances).
9. Willfully concealing inappropriate behaviors by fellow
students or preceptors the student comes into contact
with. FAILURE TO REPORT ILLICIT ACTIVITY
YOU ARE AWARE ANOTHER PERSON IS
COMMITTING WILL BE TREATED AS IF YOU
ARE GUILTY OF THE SAME BEHAVIOR.
Attendance
Attendance at all academic assignments at the scheduled
time is mandatory. Students have a professional commitment
and obligation to all academic assignments. If personal illness,
emergency, or extenuating circumstances prevent the student
from attending class, the faculty must be notified prior to the
student’s scheduled arrival time. In the case of inclement
weather closure, students will not report and class will not be
held. Contact information for faculty members will be provided
as appropriate for each course the student is enrolled in.
Conduct at the Clinical Site
When students are performing at the clinical site, a faculty
member or preceptor will be available for supervision and
consultation. All work charted by the student must be cosigned
by the instructor/preceptor. Students CANNOT take verbal
orders. Please consult the instructor if this situation arises. The
telephone should be used for business purposes only. Personal
phone calls should be made only in an emergency and with the
instructor’s permission. Breaks will be coordinated by
preceptors. Students are expected to stay in the hospital and
with their assigned preceptor. The student may be allowed to
leave the assigned preceptor with permission only. If the student
is allowed to leave for lunch, the student must return promptly
at the arranged time and site. CELLULAR TELEPHONE
USE IS STRICTLY PROHIBITED IN THE CLINICAL
SITES. SHOULD AN EMERGENCY ARISE AND THE
STUDENT NEEDS TO BE CONTACTED, THIS CONTACT
SHOULD BE MADE THROUGH CRS PROGRAM
FACULTY MEMBERS OR THE PROGRAM DIRECTOR.
THE FACULTY MEMBER WILL THEN CONTACT THE
STUDENT. FAILURE TO COMPLY WITH THIS POLICY
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MAY RESULT IN TERMINATION FROM THE CRS
PROGRAM.
VI.
Evaluation and Grading
Evaluation (tests, test awareness, performance analysis) is a
constant in education. This program will use both objective and
subjective evaluation methods. Although faculty attempt to
structure and define the usage of these methods, the student
must understand that evaluation is an inexact pursuit. Good
faith and understanding are required of all. Should a student
have questions about evaluation and grading, he or she is
encouraged to speak with faculty members for clarification.
Students are asked to realize that there are times when the
faculty member simply “knows more” than the student,
therefore although the student may disagree with a grade, the
Program Director has the final authority to uphold or disqualify
grades. The CRS Program strives for fairness and equity in all
pursuits, grading and evaluation is no exception. Faculty
members will listen to student concerns in all matters, then act
according to applicable policies, procedures, and guidelines.
VII. Program Standing
Students must maintain a GPA of a C or above in order to
continue in the program per School of Health Sciences policy.
Any student who is dismissed for academic reasons has the
option to reapply for readmission to the next available class
through procedure outlines by the School of Health Sciences and
College policy. The course sequence for students on probation
will be determined by the program director. The term “Program
Probation” is an internal designation and will not appear on
student transcripts.
VIII. Dress Code
Students may express personal taste through appropriate dress
while attending classes on the CSN campus. During attendance
at the clinical site, off-campus lectures, or programs, the student
will be required to wear professional attire at all times.
- Hair: must be short or under control (tied back,
under surgical cap, etc.) Unusual hairstyles
deemed inappropriate by the Program Director
or Director of Clinical Education are prohibited;
this is strictly a subjective decision by Program
Faculty and must be abided by. For student
safety, facial hair must be significant enough to
interfere with masks worn for respiratory
isolation patient care.
- Make-up: appropriate, leaning toward
conservative. No bright colors, or multi-colored
designs.
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IX.
Jewelry: no dangling bracelets; watches must
have sweep hand. Rings: small, not sharp, and
easily washed, may be necessary to remove.
- No facial piercings, including tongue piercings
are permitted in the clinical setting, this is for
health reasons.
- Tattoos should be covered when possible, this is
to convey professionalism. This is typically
achievable by simply following the prescribed
dress code at all times.
- Perfumes/Cologne: Students are prohibited from
wearing perfumes or other strong smelling
scents both for class and at the clinical site.
While personal hygiene is of the utmost
importance, RCPs deal with patients who are
frequently hypersensitive to artificial scents. In
the interest of patient care, students are asked
to be respectful of patients when chemical
scents are involved. Some examples of potential
risks are as follows (only exceptionally strong
scents are at issue here): perfume, cologne, body
spray, mouthwashes, shampoos, laundry
detergent. Many artificial scents contain an
alcohol base. There is a possibility a strong
alcohol scent could be mistaken for a student
having ingested alcohol which could trigger drug
testing procedures.
Relationships with Patients, Faculty, or Other Students
A. Students are to be reassuring, temperate, and considerate at
all times.
1. Arguing will not be tolerated. Appropriate
discussion, however, is encouraged.
2. Students must not allow personal problems,
attitudes, or prejudices to affect the way others are
treated. If you are having a problem, please talk with
faculty. Faculty members are the student’s advocates
as well as responsible to enforce the policies of
various outside agencies the student is associated
with during the course of education.
B. Students will adhere to the Patient’s Bill of Rights
1. The patient must be treated with respect.
2. The patient has a right to know what therapy you
are giving him/her, who ordered it, and why he/she is
receiving this therapy.
3. The patient has the right to refuse any therapy. Any
refusal must be recorded in the patient with the
reason for refusal, and reported to the instructor or
supervisor immediately.
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X.
4. The patient has the right to the privacy and
confidentiality of his/her medical record.
5. Do not release any information that relates to his/her
condition, diagnosis, prognosis, or any therapy that
you do not administer. Refer all such questions to
faculty.
6. Students will follow Federal HIPAA Laws at all
times.
C. Students must be tactful in handling difficult situations.
D. Students must explain all therapeutic procedures fully to the
patient prior to the initiation of care.
1. Identify the patient and introduce yourself.
2. Explain what you are going to do for the patient.
3. Explain what you want the patient to do to
cooperate.
4. Explain within the limits of your own and the
patient’s understanding, why the patient is receiving
the therapy.
5. Solicit patient questions.
6. Do not perform procedures without the explicit
knowledge of your assigned preceptor unless there is
an extreme emergency. In case of exigent
circumstances, students are allowed to perform
certain tasks without a preceptor but under the
DIRECT supervision of a physician. The actual
Nevada Revised Statues describing scope of practice
are located in the appendix of this handbook.
E. Always act courteously and respectfully when relating to
faculty, school, and hospital personnel.
1. Do not interfere with the work or instruction of
others.
2. Do not use foul, abusive, or disrespectful language
anywhere within or near academic areas, regardless
of whom you think can or cannot hear you.
3. Do not make inappropriate jokes or statements about
patients or their family/friends under any
circumstance. You are hereby warned that overheard
comments that are inappropriate could result in
termination from the CRS Program.
F. Always cooperate with academic personnel and other
students for the betterment of patient care.
Responsibility
A. Perform all assigned tasks as specified.
B. Follow established department and school policies.
C. Always utilize the procedure taught by your
instructor. This may not be the same are what the
facility does; we are training at the national level, not
the local level.
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D. Perform all reading or homework assignments.
E. Demonstrate the level of achievement required by faculty in
each course. This often take the form of psychomotor
simulations.
F. Seek remedial consultation with faculty if required
achievement is lacking.
G. Always attempt to conserve and protect hospital or school
supplies and equipment.
H. When in doubt, ask a faculty member.
I. Accept full responsibility for your performance and
evaluation. Remember, learning is the responsibility
of the student!
XI.
Acceptance of Constructive Criticism
A. Constructive criticism is offered as guidance to effect student
success.
B. Students will accept constructive criticism without public,
emotional display.
C. Constructive criticism will be heeded and any behavioral
deficiencies corrected promptly.
XII. Academic Grievances
A detailed description of the appeals process can be found in the
current CSN catalog. It is essential that the student follow the
appeals process with regard to required meetings with the
faculty and administration as well as adhering to time
constraints.
XIII. Outside Volunteer and Work Experience
Students who are involved in or commence volunteer or paid
work during their course of study in the CRS Program cannot
use their affiliation with the program in any aspect of that job to
obtain special favor or promote CSN or the CRS Program
inappropriately. Students are required to perform community
service as part of the well-rounded academic experience. Any
community service the student wishes to earn “credit” for
toward mandatory are cautioned to obtain instructor permission
to use that particular volunteer experience for “credit” toward
mandatory community service clinical hours. Work outside the
CRS Program undertaken by the student, independent of the
program, is not covered by the liability insurance offered for
clinical work associated with the education experience.
XIV. Incident Reports
Occasionally, reportable incidents occur in an academic area.
Should any student, patient, or other staff members be injured
as a result of an accident or exposure to a biohazard (including
but not limited to needle sticks or exposure to illness such as
tuberculosis) involving a student, the responsible student must
first comply with all accident and injury protocols established at
the clinical institution. Students must IMMEDIATELY contact
the instructor of record for the course being attended or the CRS
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Program Director for guidance. Students are advised that he/she
MAY NOT fill out any paperwork at a clinical site that would
open a workmen’s compensation claim – STUDENTS ARE NOT
ELIGIBLE FOR WORKMEN’S COMPENSATION FOR ANY
ACCIDENT THAT OCCURS DURING CLINICAL
PRACTICUM. The College of Southern Nevada has polices for
dealing with such exposures. The need for immediate inclusion
of faculty members to guide the student appropriately cannot be
overstated. The School of Health Sciences policy for Incident
Reporting can be found on page 7 at:
http://sites.csn.edu/health/Handbook.pdf
XV.
Student Administrative Responsibilities
A. Faculty – Student Advisement Form
1. Purpose: This forum is intended to facilitate the
students’ monitoring of program progress. Its proper
maintenance will be checked during each counseling
report.
2. Maintained by: faculty
3. Usage Details: Orientation, Semesters 1-4
4. Accreditation Application
5. Special Instructions: as described
B. Counseling Sheet
1. Purpose: This forum will be used to assist faculty
and students to optimize energies toward an
exceptional educational experience. Content areas
may range from grades, cognition, affect, decorum,
etc.
2. Maintained by: Faculty
3. Usage Dates: Orientation, Semesters 1-4, PRN
4. Accreditation Application
5. Special Instructions: Although a medical convention,
honesty is especially important with this instrument.
C. Attendance Log
1. Purpose: This forum is intended to document student
attendance to class and other program functions.
2. Maintained by: Faculty
3. Usage Dates: Q class, Other functions, as required
4. Accreditation Application
5. Special Instructions: Under no circumstances may a
student sign-in for another student. Variation
notation must be made for lateness and include time
and reason.
D. Clinical Daily Log
1. Purpose: This form logs both procedure and
physician exposures. It must be completed every
clinical day so that student and faculty assess
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E.
F.
G.
H.
clinical exposure to assure that all modalities are
mastered appropriately.
2. Maintained by: Student
3. Usage Dates: Q Clinical Day
4. Accreditation Application
5. Special Instructions: Make certain that all
competencies are entered. This form has no value
unless signed and dated by both the student and a
preceptor. This form will be submitted electronically
through the Dataarc program.
Clinical Hours Log
1. Purpose: This form provides the student and faculty
with a daily and cumulative perspective of clinical
exposures.
2. Maintained by: Student
3. Usage Dates: Q Clinical Day
4. Accreditation Application
5. Special Instructions: To be maintained daily,
ACTUAL time in and out at the clinical site must be
accurately recorded, this will be submitted on the
Clinical Daily Log referenced above.
Student Evaluation of Clinical Site
1. Purpose: This form provides the faculty information
from the student, critical for ongoing evaluation of
the appropriations of the clinical site. If submitted
online through the Dataarc program, please type the
student name in the comment section.
2. Maintained by: Faculty
3. Usage Dates: End of Clinical Rotation
Student Evaluation of Preceptors
1. Purpose: This form provides the faculty information
from the student, critical for ongoing evaluation of
the preceptors the student is assigned. If submitted
online through the Dataarc program, please type the
student name in the comment section.
2. Maintained by: Faculty
3. Usage Dates: End of Clinical Rotation
Self Assessment Examinations
1. Purpose: At the beginning of the third and fourth
semesters, the student will take standardized selfassessment examinations prepared by the same
organizations that administer the actual professional
credentialing examinations. All academic exposures
to these points are preparation for the examinations.
The student must pass each examination to proceed
to the next examination. All examinations required
must be passed in order for the student to be deemed
ready for graduation.
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I.
J.
K.
L.
M.
2. Maintained by: Faculty
3. Usage Dates: CRT (semester 3 or 4), RRT-written
(semester 4), RRT-clinical simulations (middle
semester 4), additionally other examinations may be
required such as: CPFT, RPFT, NPS
4. Accreditation Application
Post-Graduation Surveys
1. Purpose: These surveys, completed by both graduate
and the graduates’ employer, assess competencies in
specific content areas. Additionally, it allows for a
final consideration of the Cardiorespiratory Sciences
Program.
2. Maintained by: Faculty
3. Accreditation Application
4. Special Instructions: Return to Program Director
Graduate Data Logs
1. Purpose: This form facilitates graduate tracking so
that professional placement, salary, and needed
program modifications may be assessed.
2. Maintained by: Faculty
3. Accreditation Application
4. Special Instructions: Return to Program Director
Attrition Form
1. Purpose: This form provides attrition data to this
faculty for analysis.
2. Maintained by: Faculty
3. Usage Dates: At attrition
4. Accreditation Application
Recommendation For Removal From A Health Sciences
Program Form
1. Purpose: This form documents a student’s inability to
continue in the CRS Program. It will be completed
and sent to the department chair and dean of health
sciences for review.
2. Maintained by: Faculty
3. Usage Dates: At attrition
4. Accreditation Application
Unsatisfactory Progress Notification
1. Purpose: This form documents a student’s academic
and/or conduct related standing in the CRS Program.
Students are given this notification in order to assist
him/her in changing behavior to achieve a successful
outcome. Students receiving more than one
Unsatisfactory Progress Notification over the course
of the Program are exhibiting likelihood to be
recommended for program termination. It will be
completed and sent to the department chair and
dean of health sciences for review.
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2. Maintained by: Faculty
3. Usage Dates: At attrition
4. Accreditation Application
Students must sign and return the National Credentialing Participation
Contract prior to beginning the Cardiorespiratory Sciences Program. The
Contract is located on the following page and will also be available in the
CRS Sputum File for printing alone. Students are encouraged to discuss the
contract with faculty members if there are any questions. This contract will
be kept in the student’s permanent program file.
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College of Southern Nevada
School of Health Sciences
Cardiorespiratory Sciences Program
National Credentialing Participation Contract
The Cardiorespiratory Sciences Program at the College of Southern Nevada provides structured instruction
to prepare students and graduates to successfully complete a variety of professional credentialing
examinations. It is very important to the student, the Program, and the cardiorespiratory care community for
students (and subsequent graduates) of the Cardiorespiratory Sciences Program to successfully attain these
credentials at the earliest time possible. Print and sign clearly please!
CONTRACT
I, _______________________________________, understand that as a condition of my acceptance into the
Cardiorespiratory Sciences Program at the College of Southern Nevada, I am agreeing to proceed with good
faith in achieving credentialing in the following areas in the time specified:
Credential:
No Later Than:
Student Initials
ACLS
before graduation
__________
Phlebotomy
before beginning second year
__________
CCT
before graduation
__________
CRT
before graduation
__________
RRT
within 60 days of graduation
__________
I also understand that it is my responsibility to overcome financial, schedule, or other obstacles, to attain
these credentials in the time prescribed. Further, I understand that successful completion of these
credentials is either a requirement of the CRS Program, a requirement of the CRS Program’s national
accrediting agency, or both. Completion, therefore, in non-negotiable. This form is to be signed at the
beginning of a student’s acceptance into the CRS Program and again just prior to graduation as a
reminder of this commitment.
____________________________
Student’s signature
__________________________
Student’s signature
____________________________
Faculty’s signature
__________________________
Faculty’s signature
____________________________
Date
___________________________
Date
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The CRS Program utilizes curriculum based on Bloom’s Taxonomy. This is a description of
progressive learning. The following information is provided in order to assist the student in
understanding why various elements of the curricula have been established. Further
explanation of Blooms’ Taxonomy is available upon request by the student.
TAXONOMY OF OBJECTIVES
A taxonomic system is helpful in writing precise objectives. Taxonomy
literally means the department of knowledge that embodies the laws
and principles of classification.
For Cognitive domain, the levels are as follows (ranging from
simple to complex):
- Knowledge
- Comprehension
- Application
- Analysis
- Synthesis
- Evaluation
For Affective domain, the levels are as follows (ranging from
simple to complex):
- Receiving
- Responding
- Valuing
- Organizing
- Characterizing an internally consistent value system
For Psychomotor domain, the levels are as follows (ranging from
simple to complex):
- Perception
- Set guided response
- Mechanism
- Complex overt response
- Adaptation
- Origination
Students are encouraged to view the Detailed Content Outline for each NBRC
examination regularly to verify knowledge base. This is a list of items you
will be required to understand for credentialing examination purposes. This
is located in the Student Resource Section of the Sputum Files and can be
found at www.nbrc.org
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Appendix A
Nevada Revised Statues Concerning the Practice of Respiratory Care
The following items are a “cut and paste” directly from the Nevada
Revised Statues regarding the Respiratory Care Practitioner scope of
practice; it may therefore appear disjointed. Listed you will find both
definitions and the legal limitations prescribed by the state. Please
note students’ roles and limitation per Nevada law. For the purposes of
these laws, a “Respiratory Intern” is a student who is actually
employed by a facility – a student attending clinical is not considered
an intern. Students are encouraged to read the Statutes for
themselves. They can easily be found at:
http://www.leg.state.nv.us/Statutes/71st/Stats200106.html#Stats200
106page759 and
http://www.leg.state.nv.us/NRS/NRS-630.html#NRS630Sec279
Senate Bill No. 91–Committee on Commerce and Labor
CHAPTER 152
AN ACT relating to medicine; changing the designation of physician’s assistant; revising the scope of authority and duties of the
board of medical examiners; providing for the issuance of special purpose licenses; requiring the board of medical examiners to
regulate the practice of respiratory care; requiring practitioners of respiratory care to be licensed by the board of medical examiners;
revising the qualifications and requirements relating to licensure of physicians and physicians’ assistants; revising the duties and scope
of authority of persons licensed by the board of medical examiners; making certain actions subject to disciplinary action by the board
of medical examiners; revising provisions governing the imposition of disciplinary action against licensees; establishing and revising
certain fees; increasing certain penalties; and providing other matters properly relating thereto.
[Approved: May 24, 2001]
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. Chapter 630 of NRS is hereby amended by adding thereto the provisions set forth as
sections 2 to 9, inclusive, of this act.
Sec. 2. “Practice of respiratory care” includes:
1. Therapeutic and diagnostic use of medical gases, humidity and aerosols and the maintenance of
associated apparatus;
2. The administration of drugs and medications to the cardiopulmonary system;
3. The provision of ventilatory assistance and control;
4. Postural drainage and percussion, breathing exercises and other respiratory rehabilitation
procedures;
5. Cardiopulmonary resuscitation and maintenance of natural airways and the insertion and
maintenance of artificial airways;
6. Carrying out the written orders of a physician, physician assistant, certified registered nurse
anesthetist or an advanced practitioner of nursing relating to respiratory care;
7. Techniques for testing to assist in diagnosis, monitoring, treatment and research related to
respiratory care, including the measurement of ventilatory volumes, pressures and flows, collection of
blood and other specimens, testing of pulmonary functions and hemodynamic and other related
physiological monitoring of the cardiopulmonary system; and
8. Training relating to the practice of respiratory care.
Sec. 3. “Practitioner of respiratory care” means a person who is:
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1. Certified to engage in the practice of respiratory care by the National Board for Respiratory Care
or its successor organization; and
2. Licensed by the board.
Sec. 4. “Respiratory care” means the treatment, management, diagnostic testing, control and care of
persons with deficiencies and abnormalities associated with the cardiopulmonary system. The term
includes inhalation and respiratory therapy.
Sec. 5. For the purposes of this chapter, any act that constitutes the practice of medicine shall be
deemed to occur at the place where the patient is located at the time the act is performed.
…………………………………………………………………………………………………………………
2001 Statutes of Nevada, Page 759 (Chapter 152, SB 91)
Sec. 6. The practice of respiratory care must be performed under the direction of or pursuant to a
prescription from a physician licensed to practice in this state, any other state, any territory of the United
States or the District of Columbia.
Sec. 7. 1. Every person who wishes to practice respiratory care in this state must:
(a) Have a high school diploma or general equivalency diploma;
(b) Complete an educational program for respiratory care which has been approved by the National
Board for Respiratory Care or its successor organization;
(c) Pass the examination as an entry-level or advanced practitioner of respiratory care administered
by the National Board for Respiratory Care or its successor organization;
(d) Be certified by the National Board for Respiratory Care or its successor organization; and
(e) Be licensed to practice respiratory care by the board and have paid the required fee for licensure.
2. Except as otherwise provided in subsection 3, a person shall not:
(a) Practice respiratory care; or
(b) Hold himself out as qualified to practice respiratory care,
in this state without complying with the provisions of subsection 1.
3. Any person who has completed the educational requirements set forth in paragraphs (a) and (b) of
subsection 1 may practice respiratory care pursuant to a program of practical training as an intern in
respiratory care for not more than 12 months after completing those educational requirements.
Sec. 8. An application for a license as a practitioner of respiratory care must include the social
security number of the applicant.
Sec. 9. The board shall adopt regulations regarding the licensure of practitioners of respiratory care,
including, without limitation:
1. Educational and other qualifications of applicants;
2. Required academic programs which applicants must successfully complete;
3. Procedures for applying for and issuing licenses;
4. Tests or examinations of applicants by the board;
5. The types of medical services that a practitioner of respiratory care may perform, except that a
practitioner of respiratory care may not perform those specific functions and duties delegated or
otherwise restricted by specific statute to persons licensed as dentists, chiropractors, podiatric physicians,
optometrists, physicians, osteopathic physicians or hearing aid specialists pursuant to this chapter or
chapter 631, 633, 634, 635, 636 or 637A of NRS, as appropriate;
6. The duration, renewal and termination of licenses; and
7. The grounds and procedures for disciplinary actions against practitioners of respiratory care.
Sec. 10. NRS 630.003 is hereby amended to read as follows:
630.003 The legislature finds and declares that it is among the responsibilities of state government to
ensure, as far as possible, that only competent persons practice medicine and respiratory care within this
state. For this purpose, the legislature delegates to the board of medical examiners the duty of determining
the initial and continuing competence of doctors of medicine , physician assistants and practitioners of
respiratory care in this state.
PRACTITIONERS OF RESPIRATORY CARE
NRS 630.276 Licensed physician required to supervise respiratory care. The practice of
respiratory care must be performed under the direction of or pursuant to a prescription from a physician
licensed to practice in this State, any other state, any territory of the United States or the District of
Columbia.
(Added to NRS by 2001, 759)
NRS 630.277 Requirements; prohibitions; intern in respiratory care.
1. Every person who wishes to practice respiratory care in this State must:
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(a) Have a high school diploma or general equivalency diploma;
(b) Complete an educational program for respiratory care which has been approved by the National
Board for Respiratory Care or its successor organization;
(c) Pass the examination as an entry-level or advanced practitioner of respiratory care administered by
the National Board for Respiratory Care or its successor organization;
(d) Be certified by the National Board for Respiratory Care or its successor organization; and
(e) Be licensed to practice respiratory care by the Board and have paid the required fee for licensure.
2. Except as otherwise provided in subsection 3, a person shall not:
(a) Practice respiratory care; or
(b) Hold himself out as qualified to practice respiratory care,
 in this State without complying with the provisions of subsection 1.
3. Any person who has completed the educational requirements set forth in paragraphs (a) and (b) of
subsection 1 may practice respiratory care pursuant to a program of practical training as an intern in
respiratory care for not more than 12 months after completing those educational requirements.
(Added to NRS by 2001, 759)
NRS 630.279 Regulations concerning licensure. The Board shall adopt regulations regarding the
licensure of practitioners of respiratory care, including, without limitation:
1. Educational and other qualifications of applicants;
2. Required academic programs which applicants must successfully complete;
3. Procedures for applying for and issuing licenses;
4. Tests or examinations of applicants by the Board;
5. The types of medical services that a practitioner of respiratory care may perform, except that a
practitioner of respiratory care may not perform those specific functions and duties delegated or otherwise
restricted by specific statute to persons licensed as dentists, chiropractors, podiatric physicians,
optometrists, physicians, osteopathic physicians or hearing aid specialists pursuant to this chapter or
chapter 631, 633, 634, 635, 636 or 637A of NRS, as appropriate;
6. The duration, renewal and termination of licenses; and
7. The grounds and procedures for disciplinary actions against practitioners of respiratory care.
(Added to NRS by 2001, 759)
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COLLEGE OF SOUTHERN NEVADA
RECOMMENDATION FOR REMOVAL FROM A
HEALTH SCIENCES PROGRAM
Student Name___________________________Program___________________________
Student ID Number __________________________
Reason for Removal
A. Academic Failure
Nature of Problem _______________________________________________________
______________________________________________________________________
______________________________________________________________________
B. Unsatisfactory Clinical Performance
Nature of Problem _______________________________________________________
______________________________________________________________________
______________________________________________________________________
C. Professional Misconduct
Nature of Problem _______________________________________________________
______________________________________________________________________
______________________________________________________________________
D. Voluntary Program Withdrawal
Nature of Problem _______________________________________________________
______________________________________________________________________
______________________________________________________________________
I have read and discussed the above with the Program director. I have been informed of
the appeals process.
_____________________________________ _________________________________
Student Signature
Date
_____________________________________ _________________________________
Program director Signature
Date
____________________________________
PRINT Program director Name
Copies to: student, program director, department chair, and dean of health sciences
22
COLLEGE OF SOUTHERN NEVADA
UNSATISFACTORY PROGRESS NOTIFICATION
_______________________________________
________________________________
PRINT Student Name
________________________________
Course / Section
Student ID Number
____________________
Semester / Year
________________________________________
Instructor Name
This Notice of Unsatisfactory Progress is issued for the following reasons:
_______ 1. Academic failure: a grade less than the required passing grade
_______ 2. Unsatisfactory clinical performance: failure to meet minimal clinical competencies
_______ 3. Professional misconduct: failure to adhere to stated objectives as outlined and defined by
individual program policies and course syllabi.
We are concerned that the deficiencies indicated above endanger your standing in the program
and may prevent you from continuing. Please indicate below how you intend to resolve these
problems.
I have read and discussed the above with the appropriate faculty member. I understand these deficiencies
must be corrected to remain in the program. These corrective measures are indicated above.
_____________________________________
Student Signature
_____________________________________
Program director or Department Chair Signature
_________________________________
Date
_________________________________
Date
____________________________________
PRINT Program director or Department Chair Name
_____________________________________
Instructor’s Signature
_________________________________
Date
____________________________________
PRINT Instructor’s Name
Copies to: student, program director, department chair
23
The following attendance policy is from the College of Southern
Nevada’s Catalog. It can be found at the following online location listed
under attendance policy within the appropriate year’s catalog.
http://www.csn.edu/pages/660.asp
ATTENDANCE POLICY
College enrollment assumes maturity, seriousness of purpose and self-discipline
for meeting the responsibilities associated with the courses for which a student
registers.
Students are expected to attend each meeting of every course for which they have
registered. Attendance is essential for normal progress in a college course. A
student may be dropped from a course for excessive absences by the course
instructor. Under no circumstances will an absence, for any reason, excuse a
student from completing assigned work in a given course. After an absence, it is
the student’s responsibility to check with the instructor about the completion of
missed assignments.
(For information on absences on religious holidays, see Religious Holidays in this
Catalog.).
Students receiving Student Financial Aid assistance, please refer to the
Withdrawal and Return of Title IV Funds link from the Financial Aid Satisfactory Progress website for detailed information at
http://www.ccsn.edu/pages/628.asp
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