August 23, 2014 Angelina College Health Careers Division RSPT 1461 Respiratory Care Clinical I General Syllabus I. BASIC COURSE INFORMATION: A. Course Description: RSPT 1461 Respiratory Care Clinical I: Four hours credit A health-related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional. End-of-Course Outcomes: 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. 256 clinical hours. Prerequisites: RSPT 1201; Co-requisites: RSPT 2317, RSPT 1340, and RSPT 1410. B. Intended Audience: First-Year Students accepted and enrolled in the Respiratory Care Program. C. Instructor: Becky Renfrow, MS, RRT, CPFT, CHT; Office Location: HC II-222A Office Hours: Monday & Wednesday 2:00 – 4:00 pm; Contact Daphne Shepherd for an appointment if not during office hours Phone: (936) 633-5267 Office: (936) 633-5419 E-mail Address: brenfrow@angelina.edu II. INTENDED STUDENT OUTCOMES: A. Core Objectives Required for this Course 1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information 2. Communication: to include effective development, interpretation and expression of ideas through written, oral and visual communication 3. Empirical and Quantitative Skills: to include the manipulation and analysis of numerical data or observable facts resulting in informed conclusions 4. Teamwork: to include the ability to consider different points of view and to work effectively with others to support a shared purpose or goal 5. Social Responsibility: to include the ability to connect choices, actions and consequences to ethical decision-making 6. Personal Responsibility: to include intercultural competence, knowledge of civic responsibility, and the ability to engage effectively in regional, national, and global communities B. Course Learning Outcomes for all Sections 1. To identify professional ethics and medico-legal considerations. 2. To demonstrate the basics of asepsis. 3. To identify patient/client information for evaluation. 4. To recognize appropriate equipment needed for application. 5. To demonstrate the therapeutic procedure and modification for the cardiopulmonary type patient. 6. To obtain and assess diagnostic type procedures for a cardiopulmonary type patient. 7. To demonstrate the use of computerized medical record keeping and hand-written charting. 8. To apply the knowledge learned from American Heart Association for adult/child cardiopulmonary resuscitation. 9. To demonstrate the basics of function of Electrocardiogram (EKG’s) and pulse oximeters. III. ASSESSMENT MEASURES A. Assessments for the Core Objectives: 1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information 2. Communication: to include effective development, interpretation and expression of ideas through written, oral and visual communication 3. Empirical and Quantitative Skills: to include the manipulation and analysis of numerical data or observable facts resulting in informed conclusions 4. Teamwork: to include the ability to consider different points of view and to work effectively with others to support a shared purpose or goal 5. Social Responsibility: to include the ability to connect choices, actions and consequences to ethical decision-making 6. Personal Responsibility: to include intercultural competence, knowledge of civic responsibility, and the ability to engage effectively in regional, national, and global communities B. Assessments for Course Learning Outcomes SCANS Skills Assessments Foundation Skills Required Reading Written Assignments Follow oral and Written Instructions Decision making & Problem Solving Mathematical Calculations Demonstrated Competency in Lab Workplace Competencies Acquires and Evaluates Information Organizes and Maintains Information Applies technology Participates as a Team Member Demonstrated Competency in Clinical IV. INSTRUCTIONAL PROCEDURES: The methods of instruction used in this course includes but not limited to the following: Clinical instruction, clinical lab, group discussions, and individual and group performance. V. COURSE REQUIREMENTS AND POLICIES: A. Required Textbooks and Recommended Readings, Materials and Equipment Required Textbooks, Materials and Equipment – Requires the Latest Published Edition TEXBOOKS: Wilkins, R. Clinical Assessment in Respiratory Care Scanlan, C. Egan's Fundamentals of Respiratory Care Oaks, D. Clinical Practitioners Pocket Guide to Respiratory Care White,K. Fast Facts for Adult Critical Care Cairo, J. Mosby’s Respiratory Care Equipment COMPUTER DATABASE: DataArc,LLC Respiratory Care Student PROFESSIONAL PUBLICATION:(Suggested): Advance for Respiratory Care and Sleep Medicine Professional Student- Membership/Publication: American Association for Respiratory Care (AARC) EQUIPMENT: Calculator;Stethoscope;Bandage scissors; Watch with a second hand; Penlight; Black ink pen; Notepad; Clipboard with cover top and/or 1" notebook; Safety goggles; pocket organizer (optional) UNIFORMS: Indigo Blue Scrub (2sets) with Angelina College- Respiratory Care embroidery Indigo Blue warm-up top with Angelina College- Respiratory Care embroidery White leather shoes Name Badge for Clinical Site Current : American Heart Assocation (AHA) CPR Card B. Course Policies – This course conforms to the policies of Angelina College as stated in the Angelina College Handbook. 1. Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should see Karen Bowser, Room 208 of the Student Center. At a post-secondary institution, you must self-identify as a person with a disability; Ms. Bowser will assist you with the necessary information to do so. To report any complaints of discrimination related to disability, you should contact Dr. Patricia McKenzie, Administration Building, Room 105 or 936-633-5201. Angelina College – AC admits students without regard to race, color, religion, natural origin, sex, disability, or age. Inquiries regarding the non-discrimination policies of AC should be directed to: Dr. Patricia McKenzie, Vice President and Dean of Instruction, 3500 South First, Lufkin, Tx 75904 telephone 936-633-5201 2. Attendance – Attendance is required as per Angelina College Policy and will be recorded every day. Any student with three (3) consecutive absences of four (4) cumulative absences may be dropped from the class. Records will be turned in to the academic dean at the end of the semester. Do not assume that non-attendance in class will always result in an instructor drop. You must officially drop a class or risk receiving an F. This is official Angelina College Policy. 3. Additional Policies Established by the Instructor VI. COURSE OUTLINE: Description of the Course Activities including due dates, schedules, and deadlines. Assignments – DATE ACTIVITY 08/28/14 1st Class Day- 08:00 – 12:00 on Campus; HCII;Classroom 221 Beginning of review of clinical Course Syllabus / Student Handbook. Overview of clinical data entry- paperwork/ forms and equipment required; Overview of required Texbooks Orientation to RSPT 1461 Introduction of Instructors ---------------------------------------------------------------------------------- 09/2/14 Class Day on Campus 08:00 – 15:30 Continuation to Clinical Education Review to clinical forms Review Texbooks for Clinical needs—Clinical Calendar Students Uniform Store Fitting/Order Supplies 09/09/14 9:30 9/09/14 Lecture/Discussion: 1. Professional Ethics & Medico-Legal Consideration 2. Medical Record Keeping 09/11/14 Lecture/Discussion: 3. Basics of Asepis – Universal Precautions 4. Basic Physical Assessment Information of DataArc database service 09/16/14 ??Orientation: at Nacogdoches Memorial Hospital; Lecture/Discussion: 5. Basic Physical Assessment of the Chest 6. Basic-Respiratory Pharmacology of Aerosolized Medications Student Name Badges Lecture/Discussion: AM--QUIZ- I: Clinical Syllabus / Student Handbook PM--QUIZ- II: Ethics & Medical Consideration and Medical Record Keeping 09/18/14 09/23/14 7. Basic Equipment Overview of Knowledge Review / Discuss quiz I & II information Review information on Basic Asepis; Physical Assessment –Chest 09/25/14 QUIZ-III: Basic Asepis;Physical Assessment; & Chest Assessment Review information on Basic-Respiratory Pharmacology 09/30/14 ??Orientation: at Livingston Memorial System; 1:30pm QUIZ-IV: Basic Respiratory Pharmacology & Basic Equipment Overview of Knowledge Review / Discuss quiz III information 10/02/14 Review / Discuss quiz IV information Continue preparation for Clinical-Schedule paperwork & required Objectives Discussion : Preparation for uniform inspection 10/14/14 Uniform / Equipment Inspection: Bring ALL required books & equipment for RSPT 1461 Review of matrics of American Heart Association for BLS Computer Lab: Hands on using DataArc database service Student Assigned - Clinical Schedule handed out on this day 10/44/14 Mid-Term Exam 10/16/14 First Day of clinical rotation ( Rotation I begins) 08:00-16:00 10/30/14 Rotation II Begins 11/14/14 Rotation III Begins 11/25/14 Rotation IV Begins 11/27/14 No Class – Happy Thanksgiving - Holiday 12/02/14 Continue Rotation IV-Last clinical week 12/04/14 ALL remaining clinical data entries-paperwork is due. Last Clinical Day 12/09/14 08:00 – 12:00 - Open Lab: on Campus- Review for Final Exam; 13:00 – 15:00 - Instructor’s Workshop & Student Outside-Class Assignment 12/11/14 Student Clinical-Evaluation Day; Time: TBA Any forgotten clinical paperwork will follow guidelines for LATE assigned papers on this date. 12/16/14 Final Exam: ??09:00 – 11:00 in Health Careers II Building; Computer Lab 12/18/14 Grades Posted by 10:00 am Additional Specific Requirements for this Course – COURSE CONTENT – A. Content/ Topics – Mandatory Clinical Competencies (when available): GENERAL: 1. Hand Washing 2. Chemical Disinfection & Sterilization 3. Isolation Procedures 4. Medical Records 5. Charting Procedures BASIC SKILLS: 6. Vital Signs 7. Arterial Blood Pressure 8. Patient Positioning 9. Patient Assessment 10. Chest Assessment 11. X-Ray Interpretation OXYGEN THERAPY: 12. Nasal Cannula 13. Simple Mask 14. Partial / Non-Rebreather 15. Air Entrainment Mask 16. High Flow Nasal Cannula 17. Pulse Oximetry INFECTION CONTROL 29. Bacteriological Surveillance BRONCHIAL HYGIENE 32. Chest Physiotherapy 33. **IPPV 34. Coughing 35. Breathing Exercises 36. Mucous Clearance Adjuncts 37. Acapella (If available) 38. CPT Vest 39. Flutter Valve (If available) . B. Additional Content: MEDICAL GAS THERAPY 18. Cylinder Transportation 19. Cylinder Safety AEROSOL THERAPY 20. Face Tent 21. Face Mask 22. Trache Collar 23. T-Piece/Briggs Adapter AEROSOL DRUG ADMINISTRATION 24. Meter Dose Inhaler 25. Dry Powder Inhaler 26. Small Volume Nebulizer 27. MetaNeb (If available) 28. AeroNeb (if available) HYPERINFLATION THERAPY 30. Incentive Spirometer 31. IPPB EMERGENCY PROCEDURES 40. Cardiopulmonary Resuscitation (Adult) 41. Cardiopulmonary Resuscitation ( Infant) DIAGNOSTICS 42. EKG All mandatory competencies must be completed by the last day of rotation IV for a grade of 100. NOTE: If the student does not meet the requirements of this course of study, an incomplete will be given and he/she will not be able to continue in the respiratory care program. All late assigned papers will receive a zero (0) as a grade. Instructor reserves the right to give a “POP” quiz at any time during a clinical day when needed VII. EVALUATION AND GRADING: A. Grading Criteria – RSPT 1461 Rotation - Clinical Evaluation I Rotation - Clinical Evaluation II Rotation - Clinical Evaluation III Rotation - Clinical Evaluation IV 10% Semester Evaluation Grade 20% Competency Evaluation (check-offs), Physician Contact grade Average Daily grade 20% Quiz grade(s), Care-Plan I Care-Plan II Care-Plan III 10% Topic Report grade I Topic Report grade II Topic Report grade III 10% Mid-Term Exam 10% Written Final Exam 20% 100% B. Determination of Grade – The alphabetic grading for this course is as follows: A = 92 - 100 B = 83 - 91 C = 75 - 82 D = 70 - 74 F = 69 & below The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class in advance as to the changes being made.