respiratory therapy program application

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A45720
DEADLINE FOR APPLICATIONS: On or before March 13, 2014
RESPIRATORY THERAPY PROGRAM INFORMATION FOR FALL 2014
The admissions process for the Respiratory Therapy Program is as follows:
1.
If not currently enrolled at CPCC, go to the Student Success Center in the Central High Building, and complete an
application to the college or submit an online application. Designate Respiratory Therapy as the program of interest.
If you are a current student see Admissions to change your program of study.
2.
Meet with a college counselor.
3.
Request an official copy of your high school and college transcripts be sent to CPCC Student Records, PO Box 35009,
Charlotte, NC 28235-5009. Transcripts are processed in the order of which they are received. Please allow up to four
weeks for processing. You will be notified to your CPCC student email when the evaluation is completed.
4.
All applicants must take the Test of Essential Academic Skills (TEAS) Version V at a cost of $50.00.
5.
If you have not had the required English and Math courses you must also take the English and Algebra tests. Schedule
and take placement tests in Central High 248 704.330.6886.
6.
Admission into the Respiratory Therapy program is competitive and is determined by the TEAS results (pg.5).
7.
Submit a completed Respiratory Therapy Program application and related documentation on or before March 13, 2014.
The application and all related documentation should be turned in to Ms. Tammi Smith in the Health Careers building, room
3139 704.330.6284.
PLEASE NOTE: In order to participate in clinical education experiences at health care facilities, students will be
required to submit results of an annual NC state or national criminal background check and annual drug screen at their
own expense.
Procedure for Taking TEAS Version V.
1
The Test of Essential Academic Skills (TEAS Test) was developed by Assessment Technologies Institute (ATI) to predict the
academic readiness of applicants prior to admission into a healthcare program. The TEAS is a four-part, web-based assessment
that includes subtests in Reading, Mathematics, Science, and English language usage. There are 170 questions in total. The test
can only be taken once every three months. Total testing time for all four test areas is 3 ½ hours. Scoring is automatic; you will
receive your score when you have completed the test.

Complete the permission slip for the TEAS Test seen below.

Present the permission slip to the Central Campus Cashier’s office in the Central High building and pay the testing fee
there. The cost of the TEAS Test is $50.00. A receipt is issued at the time of payment.

Attach your payment receipt to the permission slip and take both with you to the testing center when ready to take the
test.

The TEAS Test is offered in the Central High Building, room 248, by online appointment, on Monday through
Thursday from 9:00 am to 2:00 pm.

It is recommended that you complete some coursework prior to taking the TEAS. A study guide is available at
Atitesting.com.

Please note: No calculators or dictionaries are allowed during the TEAS test. Use of these will result in
disqualification from the test.

A copy of your TEAS test results MUST be attached to the application.
Total adjusted scores from your test will be added up, then multiplied by 0.10 to calculate the TEAS Test Points Awarded.
_________________________________________________________
TESTING CENTER PERMISSION SLIP FOR
TEST OF ESSENTIAL ACADEMIC SKILLS (TEAS) Version V.
Please complete this form and take it to the testing center on Central Campus of Central Piedmont Community College, along
with payment receipt, in order to be permitted to take the TEAS Test.
Program
Assessment ID
Respiratory Therapy
2175228

I have completed all required developmental courses.

I am prepared to take the Test of Essential Academic Skills (TEAS)

I understand that I can only take this test once every three months.

I understand that there is a non-refundable $50.00 fee each time I take the exam.

No calculators or dictionaries may be used during the exam.
NAME ______________________________ NAME ________________________________
Printed
Signature
DATE: ___________________________
2
Essential Functions
CENTRAL PIEDMONT COMMUNITY COLLEGE
RESPIRATORY THERAPY TECHNOLOGY (A45720)
The following are essential functions necessary for completion of the Respiratory Therapy Technology
Program.
They are provided here to help you assess the appropriateness of this career field for you.
FUNCTIONS
STANDARD
EXAMPLES (not all inclusive)
Physical
Requirements
Physically able to operate a variety of
equipment including computers, respiratory
and other medical equipment.
Critical Thinking
Possess problem-solving and requisite
judgment to function in the clinic setting.
Communication
Must be able to communicate effectively with
others through several means (written etc.)
Rapport
Possess interpersonal demeanor and
decorum to interact successfully with patients,
peers, professionals, family members and
health care providers.
Gross and fine motor abilities sufficient to
provide safe and effective respiratory therapy
treatment.
Motor Skills and
Manual
Dexterity
Environmental
Exposures
Students may be exposed to infectious media
and agents, toxins, medications and latex.
This may prove a potential hazard to specific
populations (pregnant, child-bearing age,
adult exposure etc.)
Hearing
Auditory ability sufficient to monitor
patient responses to treatment and
safety/warning signals on equipment.
Intelligence
Utilize reasoning ability to complete tasks in
an accurate, timely and effective manner.
Quantitative
literacy
Emotional
Stability
Vision
Requires the ability to use formulas,
percentages, ratios, indices, decimals, scales,
fractions, the metric system, algebra and
statistics.
Requires the ability to deal with people beyond
receiving instructions. Must be adaptable to
performing under high levels of stress.
Visual ability sufficient to observe and
measure as necessary, to provide quality care
and to use sophisticated patient treatment
equipment
Must be able to lift and carry fifty pounds. Must be
able to walk, run, stoop, and crouch for several
hours. Must possess keen discriminatory vision and
hearing.
Using observational cause and effect, reasoned
summation and logical conclusions to arrive at an
appropriate patient plan of care.
Ability to comprehend and generate documents and
reports utilizing proper grammar, spelling, syntax,
tone, voice and self-assuredness.
Being congenial, convivial, non-confrontational and
not self-defensively when presented by preceptors
with instructions or constructive criticism.
Use sophisticated equipment and patient
manipulation; mechanical ventilators, oximeters,
analyzers, metering devices, artificial airways, obtain
blood or sputum.
Student will be assigned to a patient(s) with wounds,
lesions, fluid-discharges, radiation or pharmaceutical
agents requiring appropriate PPE/radiation or
isolation classification.
Monitor alarms, noise levels, and critical care
emergencies and devices.
Use scientific and logical thought for problem solving
and conceptualization of multivariate, intensive care
problems.
Must perform drug calculations, predicative
norms, entrainment ratios, laboratory value
interpretations and respiratory critical care arithmetic
functions.
May be confronted with an emergency and exposure
to blood, deep cuts, severe burns, open wounds,
amputated body parts, death, etc.
Observe patient responses to treatment; correct cues
for patient, assessment, observe nonverbal
communication, and act appropriately. Visualize
operation, calibration and equipment alarm settings.
In addition to the physical capabilities required during the classroom and laboratory sessions, clinical training includes moving
with or without reasonable accommodation between patient care areas, and meeting the mental and physical demands of twelvehour shifts.
RESPIRATORY THERAPY PROGRAM REQUIRED GENERAL EDUCATION COURSES
3
COURSE
CREDIT HOURS
BIO 163 (within the last five years)
*NOTE: BIO 163 must be completed prior to the beginning of Spring Semester 2015.
5
COM 120 or
COM 231 or
COM 110
3
ENG 111 and
ENG 112 or
ENG 113 or
ENG 114
3
3
One 3 credit hour course in Mathematics see the approved list
3
One 3 credit hour course in Social Science see the approved list
3
One 3 credit hour course in Humanities & Fine Arts see the approved list
3
Chemistry Requirements: Students must complete, with a grade of C or better, CHM 121 and 121A or
higher within the last five years. Otherwise, they should enroll in CHM 121 and 121A or arrange with
Science Division Director to take the CLEP examination. Acceptance into the Respiratory Therapy
program is contingent upon successful completion of the Chemistry requirement by the end of Fall
Semester 2013.
4
RESPIRATORY THERAPY PROGRAM APPLICATION
2014
4
This checklist and all related documentation must be completed and submitted to Ms. Tammi Smith in Health Careers Building,
room 3139. It is your responsibility to make sure that this application is complete. Incomplete applications will not be
considered for admissions.
NAME _______________________________________________________________
ADDRESS ____________________________________________________________
____________________________________________________________
STUDENT ID # ____________________________
DATE ____________________
PHONE: _________________________(Home)__________________________ (Cell)
CPCC EMAIL ONLY: ______________________________________________________________
___ 1.
Complete a CPCC application.
___ 2.
Have official high school and college transcripts sent to the college. Attach copies to this application.
___ 3.
If needed, complete required placement tests.
___ 4.
Successfully complete any required developmental classes with a grade of “C” or better.
____5.
Complete the Test of Essential Academic Skills (TEAS version V). (Copies attached)
POINT ACCUMULATION: For TEAS points move the decimal to the left; if (ex. 80.5 = 8.05)
CATEGORY
ITEM
SCORE
TEAS: Score from the TEAS report Reading Score
Math Score
Adjusted Individualized Score
Sum of ITEMS 1,2 & 3 =Total Points
Reminder:


Acceptance into the Respiratory Therapy program is contingent upon successful completion of the Chemistry
requirement by the end of Fall Semester 2013
BIO 163 must be completed prior to the beginning of Spring Semester 2015
I verify that the student stated above has completed all of the requirements for consideration for admission into the
Respiratory Therapy Program.
_____________________________________
Admission Specialist Signature
_________________________
Date
_____________________________________
Faculty Signature
_________________________
Date
5
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