Respiratory Care Therapist Program RSPT 2166 Practicum - Respiratory Care Therapy SPRING 2008 Instructors: Fiona Campbell, BS, RRT - NPS Naicole Garner, AAS, RRT Michael Harshfield, BS, RRT Kenny McCowen, BS, RRT Corey Spencer, BSRC, RRT Tamechia Teamer, AAS, RRT Thien Tran, BSRC, RRT Joey Wilson, AAS, RRT Credit: 1 Credit Hour Prerequisites: Departmental Approval Course Description: Practical, general workplace training supported by an individualized plan developed by the employer, college, and student. Course LearningOutcomes: As outlined in the learning plan, apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry Upon satisfactory completion of this course the student will: 1. Apply in clinical setting all procedures covered in RSPT 1101, 1429, 1431, and RSPT 2414. 2. Chart and record patient care. 3. Accurately perform patient assessment and apply related therapeutic protocol. 4. Demonstrate infection control techniques. 5. Provide direct patient care to a multiculturally diverse population. SCANS: 1. The student will demonstrate a working knowledge of SCANS competency 1 (reading). Performance will be satisfactory if the student successfully: a. Demonstrates the ability to read and comprehend the medical record b. Demonstrates the ability to read and comprehend test questions 2. The student will demonstrate a working knowledge of SCANS competency 2 (writing). Performance will be satisfactory if the student successfully a. Writes papers in “SOAP” format on his/her patient and therapeutic modalities b. Writes papers as assigned by the clinical instructors. 3. The student will demonstrate a working knowledge of SCANS competency 3 (mathematics). Performance will be satisfactory if the student successfully: a. Performs physiologic calculations b. Explains physiologic calculations c. Applies physiologic calculations 4. The student will demonstrate a working knowledge of SCANS competency 4 (speaking and listening). Performance will be satisfactory if the student successfully: a. Contributes to clinical discussions while in conference b. Gives an oral presentation over a patient cared for during the course c. Asks questions of colleagues regarding oral presentation 5. The student will demonstrate a working knowledge of SCANS competency 5 (thinking skills). Performance will be satisfactory if the student successfully: a. Evaluates clinical data and patient assessment b. Demonstrates problem-solving skills in clinical scenarios c. Demonstrates decision-making skills in clinical scenarios d. Demonstrates problem-solving skills in ABG analysis 6. The student will demonstrate a working knowledge of SCANS competency 6 (personal qualities). Performance will be satisfactory if the student successfully: a. Interacts professionally with their peers in the clinical setting b. Interacts professionally with faculty and staff in the clinical setting 7. The student will demonstrate a working knowledge of SCANS competency 7 (workplace competencies). Performance will be satisfactory if the student successfully: a. Performs all assignments in a timely manner b. Maintains punctuality throughout the course c. Follows departmental procedures 8. The student will demonstrate a working knowledge of SCANS competency 8 (basic use of computers). Performance will be satisfactory if the student successfully: a. charts via computer as per departmental procedure and protocol b. utilizes DataArc to document clinical activity Required Material: Professional uniform as outlined in Student Handbook. Textbook: Oakes, Dana, Clinical Practitioners Pocket Guide to Respiratory Care. DataArc. All other Respiratory Care textbooks will be utilized. Attendance: Students are expected to attend all class and lab sessions unless they are officially excused. An official absence is granted when such absence is caused by official participation in a college activity and the instructor is informed in advance. All other absences are unofficial. Absences caused by unavoidable conditions, such as illness, should be reported to the clinical instructor or the department at the clinical affiliate at least 30 minutes prior to report time. The Clinical Director also needs to be called at (281) 312-1638 by report time on the scheduled clinical day (utilize voice mail if no answer). The clinical instructor may send the student home if he/she is at least 30 minutes late with a resulting absence. Please note that any call-ins for absence or tardy will count as an absence or tardy. The faculty believes that experience in the classroom, lab and clinical area cannot be adequately duplicated. Specific attendance requirements are identified in each course document. Episodes of tardiness will be monitored and three episodes of tardiness will count as one absence. Absences will impact the final average with the first absence counting one point, the second absence two points, the third absence five points, and each absence following a ten point reduction. Leave of Absence is NOT given in this program. Withdrawal is required. Any student wishing to withdraw from this, or any course, must first interview with the professor. No assignments will be made up due to unofficial absence. If the student is considering withdrawing from the course, he/she should contact the course instructor prior to formal withdrawal. Policies and Procedures: Student may find the following information in the Respiratory Care Student Handbook. - Withdrawal policy - Attendance policy - Grading scale The Respiratory Care Therapist Program practices a non-discriminatory admissions policy with respect to race, color, creed, sex, age, or national origin. Course Structure: Clinical rotations in outlying health care community. Clinical Guidelines: All students must comply with clinical guidelines as outlined below. The student shall: 1. be responsible for notifying the respiratory department at the clinical site and the office of the Clinical Director in a timely manner (see “Attendance” above) if he/she is to be absent or tardy on a scheduled clinical day; 2. be responsible for the safe, effective, and ethical practice of respiratory care under the supervision of the clinical instructor or appropriate hospital personnel; 3. comply with all hospital policies and procedures; 4. perform only those patient care procedures that the instructor has assigned (prior approval must be obtained from the clinical instructor before additional procedures may be attempted); 5. inform the instructor prior to initiating therapy when he/she is unfamiliar with the procedure/medication/equipment, or has not been checked off by the faculty as completing minimal laboratory competency levels for the procedure/medication/equipment; 6. be responsible for keeping the respiratory staff in charge of patient therapy appropriately informed; 7. contact the clinical instructor immediately of any problems concerning the administration of an assigned therapy (emergency situations will require the student seek nursing assistance according to hospital procedures); 8. be responsible for immediately notifying the clinical instructor and supervisory staff of any incident involving a patient or student; 9. sign in and out via DataArc; 10. evaluate clinical instructors and clinical sites via DataArc. The student shall not: 1. respond to emergency codes unless instructed to do so by the clinical instructor; 2. discuss the hospital, staff, or patients in a public area at any time (inclusive of hospital and college premises along with all public community areas); 3. 4. Other Materials: leave the hospital premises until dismissed by the clinical instructor. have instructor sign him/her in and out of DataArc unless otherwise indicated. Goggles Other Information: January 16 March 10-15 March 21 May 7 May 7 Grading: - 1st clinical day Mid-semester break Spring Holiday Final Examination (tentative) Oral presentations (tentative The clinical grade will be an average of the following (with corresponding weights): Clinical Performance Professional Behavior SOAP’s Final Examination EKG Atlas Oral Presentations - Pass/Fail 30% 30% 25% 5% 10% Clinical Performance Clinical Performance will be assessed via the Competency form in DataArc. All Procedures performed in the clinical setting must be passed to continue in the Respiratory Care Program. Professional Behavior Professional Behavior will be assessed via the Affective Evaluation Form in DataArc. The score will comprise 30% of the final grade. SOAP’s All students will write SOAP’s on their patients to be turned in at the end of the clinical day. The “SOAP” is a means of assessing and charting on the patient in a subjective, objective, assessment, and plan format. All written work will be turned in to the clinical instructor by the end of the clinical day for grading. A minimum of 20 SOAP’s is required, and all written work will be averaged. All outside homework assigned per clinical instructor will be averaged as a "SOAP". All graded papers will be turned in to the DCE by the next class day at the college. If patient care was not done on any given day due to illness or otherwise, documentation on an 8.5 by 11 inch paper will be done by the student and signed by the clinical instructor to be turned in to the DCE. All appropriate clinical activities such as physician interactions or lectures will be entered into DataArc. The Clinical Notebook score will comprise 25% of the final grade. Final Examination The final examination will be comprehensive and will comprise both a written examination (90%) during finals week and an oral equipment exam (10%) on the last day at the clinical site. The final examination will constitute 25% of the final average for the course. EKG Atlas A collection of rhythym strips and 12 lead EKG’s will be maintained in an atlas (Three-ringed binder with dividers). The atlas will comprise 5% of the final grade. Oral Presentations Each student will present an interesting case study in a formal oral presentation format and will be graded based on presentation and content The oral presentation will comprise 10% of the final grade. A final letter grade will be awarded according to the following: A = 90 - 100 B = 80 - 89 C = 75 - 79 D = 67 - 74 F = 66 and below A final minimum grade average of 75% must be maintained in order to continue in the Respiratory Care Program. Academic Integrity NHMCCD is committed to a high standard of academic integrity in the academic community. In becoming a part of the academic community, students are responsible for honesty and independent effort. Failure to uphold these standards includes, but is not limited to, the following: plagiarizing written work or projects, cheating on exams or assignments, collusion on an exam or project, and misrepresentation of credentials or prerequisites when registering for a course. Cheating includes looking at or copying from another student’s exam, orally communicating or receiving answers during an exam, having another person take an exam or complete a project or assignment, using unauthorized notes, texts, or other materials for an exam, and obtaining or distributing an unauthorized copy of an exam or any part of an exam. Plagiarism means passing off as one’s own the ideas or writings of another (that is, without giving proper credit by documenting sources). Plagiarism includes submitting a paper, report or project that someone else has prepared, in whole or in part. Collusion is inappropriately collaborating on assignments designed to be completed individually. These definitions are not exhaustive. When there is clear evidence of cheating, plagiarism, collusion, or misrepresentation, a faculty member will take disciplinary action including but not limited to: requiring the student to retake or resubmit an exam or assignment, assigning a grade of zero or “F” for an exam or assignment, or assigning a grade of “F” for the course. Additional sanctions including being withdrawn from the course/program or being expelled from school may be imposed on a student who violates the standards of academic integrity. Schedule: Wednesday 7:00 am - 3:00 pm 3:00 pm - 11:00 pm (times may vary depending on clinical institution) KINGWOOD COLLEGE - NHMCCD RESPIRATORY CARE PROGRAM Oral Presentation Grading Form NAME____________________________________ DATE_____________________________________ Poor Excellent I. Pathophysiology Discussion of disease Effect of disease on cardiopulmonary system Appropriateness of therapeutic modality to disease process Instructor comments: 0 1 2 3 4 5 II. Data Collection Lab values (blood, sputum, etc) Pulmonary Function results Blood gas results Hemodynamics EKG Instructor comments: 0 1 2 3 4 5 III. Evaluation Patient assessment (including vital signs, etc) Hemodynamics EKG Effectiveness of therapeutic modality Instructor comments: 0 1 2 3 4 5 IV. Plan or Conclusion Continue care as ordered based on patient response Modification of therapy based on patient response Instructor comments: 0 1 2 3 4 5 V. Presentation Poise Eye contact Use of visuals and/or handouts Ability to field questions from peers/staff/faculty Instructor comments: 0 1 2 3 4 5 Instructor recommendations for improving oral presentation skills: ACKNOWLEDGMENT I have received a copy and have read the course document for RSPT 2166, Practicum Respiratory Care Therapy. By signing, I indicate my understanding and willingness to comply with these regulations and requirements. Student Signature_____________________ Date______________________________