Big Sandy Community and Technical College

Course Syllabus

PS Number: 53999 Semester: Fall Year: 2015

Faculty Name: Terri E. LeBrun Title: Professor

Course Prefix and Number: RCP 150 Course Credit Hours: 2

Course Prerequisites: RCP 120 with a grade of C or better; Valid Health Care Provider CPR card.

Course Title: Clinical Practice 1

Catalog Course Description: Observation and/or participation in techniques for chest physical assessment, medical gas administration, humidity and aerosol therapy and bronchial hygiene in the assigned clinical setting.

Instructor Contact Information:

Campus Location: Mayo Building & Room: Bld. D 202-B

Office Hours: See attached office hours.

Office Phone Number: 606-788-2813 Alternate Number: 606-789-5321, ext. 82813

Best Times to Call: Afternoons

KCTCS Email: terri.lebrun@kctcs.edu

Special Instructions: Please leave a voicemail message.

Supervisor Contact Information:

Name: Marsha McKenzie

Campus Location: Prestonsburg Building & Room: Campbell 120-K

Office Phone Number: 606-886-3863

KCTCS Email: mmckenzie0023@kctcs.edu

Text and Supplies:

Respiratory Clinical Manual and Respiratory Care Clinical Manual on CD-ROM by Elizabeth Kelley Buzbee

KCTCS General Education Competencies

Students should prepare for twenty-first century challenges by gaining: A. Knowledge of human cultures and the physical and natural worlds through study in the sciences

and mathematics, social sciences, humanities, histories, languages, and the arts. Method to Achieve Competency:

B. Intellectual and practical skills, including

inquiry and analysis

critical and creative thinking

written and oral communication

quantitative literacy

information literacy

teamwork and problem solving Method to Achieve Competency:

C. Personal and social responsibility, including

civic knowledge and engagement (local and global)

intercultural knowledge and competence

ethical reasoning and action

foundations and skills for lifelong learning Method to Achieve Competency:

D. Integrative and applied learning, including synthesis and advanced accomplishment across general and specialized skills.

Method to Achieve Competency:

Course Specific Competencies (Student Outcomes):

Upon completion of this course, the student can:

1. Demonstrate an understanding of the respiratory therapist’s role as a member of the health care team.

2. Practice medical asepsis. 3. Gather and interpret clinical information from the patient record. 4. Report and record information pertinent to patient care. 5. Demonstrate the proper technique, and interpret the findings of chest physical assessment and

measurement of vital signs. 6. Assist in the administration of medical gases. 7. Assist in the administration of humidity and aerosol. 8. Assist in the administration of postural drainage percussion and vibration. 9. Assist in the administration of various adjunct bronchial hygiene techniques e.g., intrapulmonary

percussive ventilation, Flutter device, high frequency chest wall oscillation etc. 10. Assist in the administration of incentive spirometry procedures. 11. Assist in the administration of intermittent positive pressure breathing treatments. 12. Assist in the administration aerosolized medication via hand held nebulizer, and metered dose

inhaler and adjunct equipment. 13. Demonstrate professional behavior appropriate to the current educational level. 14. Assist and participate in intra-hospital patient transport and disaster management.

Lab Competencies (Student Outcomes): (Enter N/A if this does not apply.)

N/A

Course Outline:

I. Assume role of the respiratory therapist A. Professional behavior B. Member of team C. Embracing diversity D. Ethical considerations E. Medico legal aspects F. Relationships with others G. Personal attributes II. Practice medical asepsis A. Equipment Processing 1. Cleaning 2. Disinfection 3. Quality control and routine sampling B. Interrupting pathogen transmission 1. Disposable equipment 2. Hand washing 3. Barriers III. Gather information A. Confidentiality B. General condition C. Orders D. Physical E. Progress notes F. History G. Lab, radiology, and other tests IV. Report and record information

A. Legal aspects B. Communication V. Patient assessment A. Interview B. Inspection C. Palpation D. Percussion E. Auscultation F. Vital Signs VI. Medical gas administration A. Devices B. Systems C. Techniques D. Assessments E. Quality control VII. Humidity and Aerosol therapy A. Devices B. Systems C. Techniques D. Assessments E. Quality control VIII. Chest Physiotherapy A. Devices B. Systems C. Techniques D. Assessments E. Quality control IX. Bronchial hygiene therapies (PEP, Flutter, etc.) A. Devices B. Systems C. Techniques D. Assessments E. Quality control X. Lung inflation therapy A. Devices B. Systems C. Techniques D. Assessments E. Quality control XI. Drug therapy A. Preparing drugs B. Administering via inhalation C. Recommending modification D. Recommending other agents E. Devices F. Systems G. Techniques H. Assessment

Experiments/Activities:

1. Practice medical asepsis

2. Gather information

3. Report and record information

4. Patient assessment

5. Medical gas administration

6. Humidity and aerosol therapy

7. Chest physiotherapy

8. Bronchial hygiene therapies

9. Lung inflation therapy

10. Drug therapy

11. Patient transport

12. Disaster management preparedness

Course Structure:

This class shall include lecture and directed clinical practice in the hospital setting, under supervision of

Program Faculty Mrs. Skeens (Mondays) Mrs. LeBrun (Wednesdays). Physician interaction is a student

requirement and provides vast learning experiences for the student in the clinical setting. The Director

of Clinical Education directs all Clinical rotations.

Technology/Media Component:

Power Point, lecture notes, overheads, videos, handouts, seminars by physicians and internet

assignments

Service-Learning:

N/A

Course Requirements and Evaluation:

Attendance-20 pts. Per day 20%

(Attendance points may vary with each clinical group based on the Academic Calendar). The student

must sign in daily on the attendance log located in the clinical manual and your clinical instructor must

sign his or her signature to verify the students attendance.

Daily Evaluation 30%

(This form is to be filled out daily by your clinical instructor and is used to evaluate the student’s

competencies in the clinical setting).

Clinical Proficiency Evaluation Rotation Summary 10%

(This form is to be filled out by your clinical instructor at the end of each clinical rotation).

Behavioral Rating Scale 7%

(This form is to be filled out by your clinical instructor at the end of each clinical rotation).

Completion of Written Objectives 2%

(Written objectives are to include all required checkoffs for RCP 150. Please see the checkoff list in the

RCP 150 syllabus).

Clinical Procedure Check-offs 10%

(Must complete all required checkoffs in the laboratory and clinical setting for RCP 150 . Please note

the checkoff list in the RCP 150 Syllabus).

Daily Log-5 pts. Per day 2%

(The entire log sheet is to be filled with comments of what the student’s clinical experiences were for

the day. If the log sheet is not complete, you will not receive points for this day)

1- Patient Profile 7%

(Graded by your clinical instructor using a standard form with assigned points for each category of the

patient profile).Timelines to submit your patient profile are located in the RCP 150 Syllabus.Please use

the form located in your clinical manual.

1- Clinical Simulation 2%

(The clinical simulation is to be completed by the timelines set forth in the RCP 150 Syllabus). The

student is to complete the simulation in the laboratory. The simulations are located on the computers in

the lab.

Physician Interaction 10%

(15 points are required each semester with no carry over of extra points).

(The student must have the Physician’s Original Signature , the student’s evaluation of the physician,

and the physician’s evaluation of the student to receive credit for Physician Interaction Points).

TOTAL =100%

Explanation of Assessment of Course Grades

All forms listed below are located in the Clinical Manual.

Grading Policy:

The scale below shows the relationship between your semester percent average and the letter grade

you will receive. Note: The student must have a 78% in any Respiratory Class to pass the class.

93-100% A Excellent

85-92% B Good

78-84% C Satisfactory

70-77% D Unsatisfactory (failure of class)

< 70 E Unsatisfactory (failure of class)

Attendance Policy:

Each student will have an attendance sheet on which he/she will sign in and out daily in the clinical

setting. Attendance shall be worth 20 pts. Per day. When a student is tardy or leaves early, daily

attendance points will be dropped to 10. A student who leaves more than 2 hours early shall have

his/her points dropped to 5. A student who is absent will receive a “0” for attendance points on that

day. Tardy is anything after 7:00 a.m. for morning shift, after 11:00 a.m for afternoon shifts and after

3:00 p.m. for evening shifts.

Daily Evaluation

This form is to be filled out daily by your clinical instructor and is used to evaluate the student’s

competencies in the clinical setting).

Clinical Proficiency Evaluation Rotation Summary

This form is to be filled out by your clinical instructor at the end of each clinical rotation.

Behavioral Rating Scale

This form is to be filled out by your clinical instructor at the end of each clinical rotation.

Completion of Written Objectives

Written objectives are located in your clinical manual and on the Respiratory Care Clinical Manual on

CD-ROM by Elizabeth Kelley Buzbee.

Written objectives are to include all required checkoffs for RCP 150. Please see the checkoff list in the

RCP 150 syllabus.

Clinical Procedure Check-offs/Performance Evaluations

Must complete all required checkoffs in the laboratory and clinical setting for RCP 150 . Please note the

checkoff list in the RCP 150 Syllabus. The student will use the RCP 150 laboratory text, Laboratory

Exercises for Competency in Respiratory Care, 3rd Edition, for Laboratory Clinical checkoffs. The form

that the student will use for clinical is titled Clinical Performace Evaluation and the specific checkoff is

listed on the previous page.

Passing Criteria/ Performance Rating/Peformance Evaluation and Recommendations:

5 – Independent: Near-flawless performance, minimal errors, able to perform without supervision,

seeks out new learning , shows initiative; A = 4.7-5.0 average.

4 – Minimally Supervised: Few errors, able to self-correct, seeks guidance when appropriate; B = 3.7-

4.65

3 – Competent: Minimal required level; no critical errors; able to correct with coaching; meets

expectations; safe; C = 3.0-3.65

2- Marginal: Below average; critical errors or problem areas noted; would benefit from remediation; D =

2.0-2.99

1-Dependent: Poor; unacceptable performance; unsafe; gross inassuracies; potentially harmful; F = < 2.0

The student will be required to obtain a 78% or better on the procedure to pass the Clinical Performance

Evaluation.

Summary Performance Evaluation and Recommendations:

Pass = Satisfactory Performance

Minimal supervision needed; may progress to next level provided specific skills, clinical time

completed

Minimal supervision needed, able to progress to next level without remediation

Fail: = Unsatisfactory Performance (check all that apply)

Minor reevaluation only

Needs additional clinical practice before reevaluation

Needs additional laboratory practice before skills performed in clinical area

Recommend clinical probation

Students are allowed two attempts to complete check-offs; if a third attempt is needed and done

unsuccessfully, the student will be recommended for dismissal from the program

Daily Log-5 pts. Per day

The entire daily log sheet is to be filled with comments of what the student’s clinical experiences were

for the day. If the log sheet is not complete, you will not receive points for this day.

1- Patient Profile

Graded by your clinical instructor using a standard form with assigned points for each category of the

patient profile).Timelines to submit your patient profile are located in the RCP 150 Syllabus.Please use

the patient profile form located in your clinical manual. An example of the the standard form used to

grade patient profiles is located in your clincial manual.

1- Clinical Simulation

The clinical simulation is to be completed by the timelines set forth in the RCP 150 Syllabus. The student

is to complete the simulation in the laboratory. The simulations are located on the computers in the lab.

Physician Interaction

15 points are required each semester with no carry over of extra points.

The student must have the Physician’s Original Signature , the student’s evaluation of the physician, and

the physician’s evaluation of the student to receive credit for Physician Interaction Points.

Explanation of Program /Clinical Rules

(Clinical Compliance /Verified Credentials and Clinical Portfolio)

Items needed for the clincial folder are 6 sets of copies which include the following items: Immunization

Record including Hepatitis B Series or a KCTCS Hepatitis B wavier Form, MMR, TB skin test annually or if

exposed to TB, T-DAP, CPR every two years, Annual Flu shot, Professional Liability Insurance annually,

Proof of Personal Health Care Insurance, Criminal Background Check before each semester, Hospital

Orientation/Attendance and Facility Compliance. One set of clinical compliance items are to be kept in

the Clinical Manual, the remaining 5 sets will be needed at other facilities as the student progresses

through the program and are to be maintained by the student until requested by Respiratory Care

faculty.

It is mandatory that all of the clnical compliance items listed above be uploaded to the Verified

Credentials Web Site and maintained throughout the program. All of the items requested on this

website and in the clinical portfolio must be completed at a 100% participation rate. If the student fails

to maintain less than 100% of the clinical compliance items required by the program and fails to upload

all documentation to the Verified Credentials Web Site grade penalities and or dismissal from the

program will occur.

Failure to comply with required documentation of clinical compliance items/Clinical Portfolio and

uploading documentation to Verified Credentials will result in the following penalties.

If the clinical compliance items are 1 day late = 1 Clinical Absence = Final Grade decreased by

10%.

If the clinical compliance items are 2 days late- = 2 Clinical Absences=Final Grade decreased by

20%.

If the clinical compliance items are 3 days late-= 3 Clinical Absences =Dismissal from the

program.

Students will not be allowed to attend clinical until all clinical compliance requirements are met.

Drug Screenings are mandatory and are conducted by Verified Credentials each semester and on a

random basis thoughout each semester as deemed by the DCE, Clinical Instructor, and/or Clinical

Facility. Failure of the student to maintain current and accurate mandatory clinical compliance items as

listed above will result in dismissal of the student from the Respiratory Care Program.

Facility Orientations are mandatory and failure to attend will result in dismissal from the program. All

name tags acquired at any and all facilities are to be returned to your clincial instructor each semester or

dismissal from the program will ensue.

Note: The RCP-150 Clinical will meet in the Laboratory of the Respiratory Program On Mondays or

Wednesdays depending on your assignment from August 17th through September 21st of 2015 to

instruct the new student in clinical skills needed for a sucessful clinical encounter. The RCP 150 Clinical

will begin September 21st 2015.

ALL objectives and check-offs must be completed unless otherwise directed by the instructor or the

student shall receive an INCOMPLETE for the course.

Students are allowed two attempts to complete check-offs; if a third attempt is needed and done

unsuccessfully, the student will be recommended for dismissal from the program

Clinical Manual must be reviewed each day by your instructors. Attendance sheets, Daily Evaluation,

Daily Logs, Physician Interaction sheets, and Objectives/Check-offs must be kept up DAILY! It is the

students’ responsibility to have an instructor check your clinical manual daily.

Note: If the student fails to keep his or her notebook in order that is lacks forms, signatures, or any data

that is used by the instructor to calculate a grade, the student will receive a Clinical Manual Insufficiency

Form with an explanation of the clinical manual insufficiences and recommendations from the DCE and

the clincial instructor. The student will sign a statement of understanding in regards to the Clincial

Manual/Behavioral Insufficiencies. The student will have a section for their comments in regards to the

the DCE and clincial instructors noted Clinical Manual/Behavioral Insufficiences.

UNSATISFACTORY includes but is not limited to: Improper patient care, risking his/her own life, that of

his/her peers, or that of a patient, grossly ignoring policies and procedures, inappropriate clinical

behavior, excessive absence, failure to adhere to confidentiality, performing procedures on a patient

when the student has not been checked-off on the particular procedure in the lab, inability to

successfully complete check-offs, posession of a cell phone in the clincal setting, and any other critical

behavior/action (use of alcohol, etc.) shall be grounds for unsatisfactory clinical grades and result in the

student being dropped from the respiratory care program!!

Clinical progress shall be evaluated at mid-term, end of the rotation, and as deemed necessary by the

instructor.

All students will be traveling to various clinical facilites. Students should be prepared to travel. Students

will work day, evening and night shifts as deemed necessary by clinical faculty.

Students are not allowed to leave clinical early.

Assignments and Timelines

One patient profile and one clinical simulation should be completed by November 2nd 2015 and to be

placed in the front of your clinical manual. Please give your patient profile and clincal sim to your clinical

instructor to grade. A clinical Patient Profile and Clinical Simulation Timeline/Due Date Form is to be

used to record the date the clinical instructor received and returned the graded patient profiles and

clinical simulations. The clinical instructor will fill this form out each semester for the student. This form

is located on Page 387 in the clinical manual. The student is responsible in giving this form to the clinical

instructor. After these items have been graded, your clinical instructor will return them Mrs. LeBrun for

posting of grades .

A complete clinical manual is due to your clinical instructor, December 2, 2015.

If the clinical manual is incomplete, the instructor will not allow late work to be added to the notebook.

The student will receive a “0” for the incomplete items.

The last day for students to attend the RCP 150 / Clinical -I rotation is Wednesday, December 2 , 2015.

Final Exams are December 7th through the 12th 2015.

Clinical Manual must be reviewed each day by your instructors. Attendance sheets, Daily Evaluation,

Daily Logs, Physician Interaction sheets, and Objectives/Check-offs must be kept up DAILY!

Missed Exam Policy:

There are no makeup exams in this class without a doctor’s excuse or death in the student’s immediate family. It is the responsibility of each student to make arrangements for make-up exams. All exams must be made-up on the first available make-up day following the absence, or the student will receive a "0" for that exam, unless he/she has the approval of the instructor (e.g. hospitalization). The instructor will not remind you of taking your exam. The student shall be responsible for scheduling a make-up exam time. If the student leaves without scheduling his or her make-up exam on the specified makeup day, a

grade of zero will be given. Any student who is absent, without prior approval of the instructor, on the day he/she is scheduled to take a make-up exam will receive a "0" for that exam. Make-up exams will generally not be the same as those administered to students who are present for the original. Make-up exams may consist of any or all of the following: multiple-choice, essay, fill-in-the-blank, matching, labeling, and/or true-false. Students should inform the instructor in advance, when at all possible, if he/she must miss an exam. Exams cannot be made up in this course without a doctor's excuse or death in the student’s immediate family. If the student has to make-up 2 or more exams due to illness, the final grade will be decreased by 15%. If your final grade is 90% and you have had to make-up 2 or more exams, your grade will be reduced to 75 % which is a failing grade. This policy is to ensure that chronic exam no shows do not have an advantage on exams by asking peers the content of the exam. Also, make-up on the final exam will be allowed only in a case of severe illness (with a doctor's excuse) or death in the student's immediate family. " There is no makeup allowed on any quiz given in RCP 150. Late Assignment Policy: Take -home" exams, written assignments, homework, etc. must be turned in at the BEGINNING OF CLASS on the assigned date. (Late work will not be accepted.) In the event of extenuating circumstances (hospitalization or death in the immediate family), Mrs. LeBrun, will review the circumstances presented by the student (written documentation of the occurrence) and make the decision as to accept or reject the late work. Any student who must be absent on the day an assignment is due should make prior arrangements to see that his/her work is turned in on time (have a 'buddy" or turn the work in early). (Late work will not be accepted.) Note: Any assigned reading in this class can be included in exams and quizzes.

Clinical Attendance Policy:

Students are expected to attend all scheduled clinical days and rotations. There is no designation

between excused and unexcused absences.

All clinical time missed must be made up, regardless of the reason. Clinical Absence Policy:

For any absence, the student must comply with the following policy:

Step 1. Contact the clinical facility at least one hour prior to the beginning of his/her clinical shift so the

clinical instructor can be informed prior to making out assignments. Document the name of the person

with whom he/she spoke and the time of the call-in.

Step 2. Contact the clinical instructor directly (if the student is in a facility where there are preceptors,

he/she may speak with any of them) at least 30 minutes before the scheduled clinical shift.

Step 3. Contact Terri LeBrun, DCE, by 7:15 a.m. It is acceptable to leave a voicemail for her at the school

number (606)788-2813 or 888-641-4132, ext. 82813.

Step 4. Bring the clinical absence form to school the NEXT class day and have the appropriate personnel

to sign.

Step 5. Make arrangements for and complete the make-up day within the SAME week as the absence on

either Friday or Saturday at time and facility scheduled by the DCE.

1 Absence

No grade penalty on final grade but absence will be documented and makeup time required on

either Friday or Saturday at the time/facility designated by the DCE.

Completion of clinical absence form.

Will result in loss of points for the day.

• 2 Absences

Written reprimand that will become part of the clinical file.

Completion of clinical absence form.

Will result in loss of points for the day.

Make-up required on either Friday/Saturday at the time/facility designated by the DCE.

Final grade decreased by 10%.

• 3 Absences

Written reprimand that will become part of the clinical file.

Completion of clinical absence form.

Will result in loss of points for the day.

Make-up required on either Friday/Saturday at the time/facility designated by the DCE.

Final grade decreased by 20%.

More than 3 Absences

Recommend dismissal from program.

Failure to comply with Absence Policies and Procedures:

First time offense-Final Grade decreased by 10%. (applies even with first absence)

Second time offense- Final Grade decreased by 20%.

Third time offense- Dismissal from the program.

Tardiness: 1. Students are expected to report to their assigned clinical site and be ready for the day's activities at the prescribed starting time. 2. Repeated tardiness, regardless of reason, will result in a grade reduction and may serve as grounds for dismissal from the clinical portion of the Respiratory Program and loss of good standing in the Respiratory Program. 3. A clinical instructor has the prerogative to require that students report to the clinical site up to ten minutes prior to the regular starting time in order for the students to participate in shift report. 4. The clinical instructor shall record any instances of tardiness on the student's evaluation form.

Perfect Attendance:

5% added to final clinical course grade.

Late Assignment Policy:

There shall be no opportunity for make-up on participation in clinical—lost points are lost points, even

when the student must make-up hours. Patient profiles and other written work will be accepted on

designated date. Work will not be accepted late. In extenuating circumstances, the individual case shall

be reviewed by the Director of Clinical Education. Failure to turn in required clinical paperwork on

timeline dates which are listed on the syllabus will result in a grade of ‘0’.

Withdrawal Policy:

You may withdraw from this course through August 21, 2015 without a grade. October 9, 2015 is the last

day for a student to withdraw at his/her discretion and receive a grade of W; students may withdraw

through December 4, 2015 at the discretion of the instructor and receive a grade of W. Please see the

Academic Calendar for more detailed information on the withdrawal policy.

Additional information can be found at the following site: http://www.bigsandy.kctcs.edu/en/Academics/Office_Hours_Schedules_and_Syllabi.aspx