RSPT 2160 Clinical Respiratory
Care
Created by E.K. Buzbee May 15, 2006
Instructors:
Elizabeth
Kelley Buzbee A.A.S., R.R.T.-N.P.S., R.C.P.
Michelle
Franks A.A.S., R.R.T., R.C.P.
Joey
Wilson A.A.S., R.R.T., R.C.P.
Credit:
2 Credit Hours
Prerequisites:
Departmental Approval
Course Description:
A heath-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.
Course Learning 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.
Upon satisfactory completion of this course the student will:
1. Apply in the clinical or lab setting all procedures covered in previous courses: RSPT 2353, 2335, 1241 as well as all earlier courses in this program.
The student will be introduced to procedures taught in concurrent courses: RSPT 2139 & 2243.
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 multi-culturally 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 flow sheets
c. 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. Completes
8 “SOAP” charting on his/her patient in order to assess patient’s status to
evaluate the safety and effectiveness of ordered respiratory care
b. Completes 8 “flowchart”
charting to assess the safety and effectiveness of artificial airways and
mechanical ventilation
c. Completes 8 EKG interpretations
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 associated with respiratory critical care in
order to collect and evaluate pertinent clinical information
b. Explains
physiologic calculations in order to assess the effect of therapeutic decisions
on the patient’s status
c. Applies physiologic
calculations in order to recommend modification of respiratory care plan based
on the clinical information
d. Performs
quality assurance techniques to assess effectiveness of respiratory care
equipment
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 and at the bedside
b. Gives an oral presentation
over a mechanically-ventilated patient cared for during the course
c. Asks questions of colleagues
regarding oral presentation
d. Interacts
with the professional staff during report
e.
Interacts with laypersons such as the patient or family members in an
appropriate manner
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 in the chart in order to assess the
effectiveness and safety of ordered therapies
b. Demonstrates
problem-solving skills in clinical scenarios in written final exams
questions
c. Demonstrates
decision-making skills in clinical scenarios in written final exams exam
questions
d. Demonstrates
problem-solving skills in evaluation of hemodynamics, x-ray interpretation, airway management
and mechanical ventilation of the
patient
e. Based
on assessment of patient’s response to therapy, student recommends
modifications of care
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
c. Exhibits
self-motivation in the work place
d. Exhibits
composure, compassion and empathy to the patient population
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 safe, 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
a. When
appropriate, successfully charts via computer as per departmental procedure and
protocol
b. Uses
Data Arc to document attendance and procedures on a daily bases and
instructional evaluations at the end of each rotation.
Required
Material:
Professional
uniform as outlined in Student Handbook and a 4-function calculator.
Textbook:
“Oakes,
Dana, Clinical Practitioners Pocket Guide to Respiratory Care.” All other
Respiratory Care textbooks will also be utilized.
Attendance:
Students
are expected to attend all class, lab, and clinical 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.
Three
tardies equal one absence. Please note that in the clinical setting, a student
who arrives at clinical more than 30 minutes late may [at the discretion of the
clinical instructor] be sent home and awarded an absence for that day.
Students who are absent from clinical without calling BOTH hospital and school
will be awarded a zero for the day.
During
the Clinical Director’s absence, call Kelley Buzbee at (281) 312-1605 by 8:00
a.m. on the scheduled clinical day (utilize voice mail if no answer).
Again, failure to call BOTH hospital and school will result in a zero for that
clinical day.
Absences
will result in a 1% point reduction of the final average for each
absence. Upon the first absence, a written warning will be given to
the student stating that the student will be withdrawn from the program on
the third absence.
Leave of Absence is NOT
given in this program. Withdrawal is required.
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.
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. leave
the hospital premises until dismissed by the clinical instructor.
Other Materials: Goggles
Clinical Performance
Clinical Performance will be assessed via the Data
Arc at the end of each clinical rotation in the section labeled
“procedures.” These two scores will be averaged and will comprise 15% of the final grade.
Professional Behavior
Professional Behavior will be assessed via the Data Arc at the end of each clinical
rotation. The two scores will be averaged and will comprise 15% of the final grade.
Clinical Notebook
Each morning at clinical site, the student will turn in to the clinical
instructor the work done the week before—even if that work was done at a
different clinical site. Once these
sheets have been graded/initialed by the instructor, the student is to turn
these graded sheets over to Kelley Buzbee who will maintain a Clinical Notebook
file on campus.
The
entire Clinical Notebook is due prior to August 16, 2006. Any ungraded material will be assigned a grade of zero. While late papers will not be accepted at the
clinical site and no make-up work is allowed, the student returning from an
absence can turn in the work that was due on that day.
The
Clinical Notebook score will comprise
30% of the final grade. If the student was not assigned patients
one day, so that a SOAP was impossible, the student
must obtain a signed note from the clinical
instructor with rationale for the assignment. [see No patient assignment form] If the instructor was
absent, it is not the student’s responsibility to obtain this notification.
The
clinical notebook will consist of the following:
1. 8 each
Adult [or Neonatal Ventilator] SOAP forms [see form for adult] [see form for Neonatal]
2. 5 each
Chest film assessments [see form]
3. 5 each
EKG interpretation [see form here]
The
student will also be responsible for completing appropriate and accurate daily
Data Arc documentation for attendance and procedures both performed and observed. At the end of the each rotation, the student
will be responsible for completing the evaluation of both the instructor and of
the clinical site. Failure to do so will result in an incomplete for the
course.
DATA ARC
The student will also be responsible for completing all appropriate daily Data Arc documentation for attendance and for procedures performed or observed on a daily basis. At the end of the rotation, the student should assess the clinical site as well as the clinical instructor. This assessment can be done from home. Failure to complete all required DATA ARC documentation will result in an incomplete for the course until the missing data is collected.
The student should be able to locate his clinical instructor’s assessment by August 16th on DATA ARC. If the student cannot find this documentation by noon, please notify Ms Buzbee.
Final
Examination
Due to the shortness
of this semester, there will be no midterm exam. The written final exam will be
done on SCANTRON and will be administered August 16th. It will
form 30% of the final grade.
Oral
Presentations
Each student will present an interesting mechanically ventilated case
study in a formal oral presentation format per clinical rotation. These oral
presentations will encompass any information to be found in the SOAP document,
well as a brief discussion of the patient’s disorders’ affects on the
cardiopulmonary system. This oral report will comprise 10% of the final
grade and should involve a patient with the most complex care. Failure to be present for the oral report
will result in an incomplete for the course.
Grading
The grade in this course will consist of:
· Clinical Performance…. …15%
· Professional behavior……15%
· Clinical Notebook………….30%
· Written final exam…….. …30%
· Oral report …………………..10%
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. There is no extra credit in this
Course, any additional
work assigned to the student by clinical instructors will be averaged as another SOAP into the Clinical Notebook.
Schedule:
Wednesdays: about 7:00 AM-3:30 PM check schedule for actual time. Some
clinicals will be scheduled during evening shift.
Acknowledgement
I have received a copy and have read the course
document for RSPT 2160. By signing, I indicate my understanding and
willingness to comply with these regulations and requirements.
_____________________________
______________2006
Signature
Date
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