Course Description:

All clinical courses require the student to integrate theory and laboratory training in the patient care setting. The focus of this clinical course is the application of basic therapeutic techniques and procedures. Topics include medical records, charting, patient history and physical examinations, infection control, patient positioning, vital signs, breath sounds, chest assessment, oxygen therapy, humidity and aerosol therapy, cough techniques, incentive spirometry, and percussion, and postural drainage. 

Course Objectives:

Upon completion of this course, the student will be able to:

• Participate actively and effectively in the development of the respiratory care plan.
• Review existing data, collect additional data, and evaluate all data to determine and defend the appropriateness of the prescribed respiratory care plan.
• Select, assemble, assure cleanliness, check for proper function and correct malfunctions of equipment used in providing basic therapeutics associated with respiratory care.
• Initiate, conduct, and modify prescribed therapeutic procedures at the basic therapeutic level.
• Maintain patient records and communicate relevant information to other members of the healthcare team in a professional manner.
• Develop professionalism and community service skills.

Assignments: 

Clinical Portfolio:

Each student will compile digital clinical portfolio documenting the learning activities for the semester through our clinical documentation system, Trajecsys.

The clinical portfolio consists of: 

1.    Timesheet (Completed Hours = 216 hours)

2.    Daily log completion (18)

3.    Completed competencies (as defined within the syllabus)

4.    Daily performance evaluations (18)

5.    Preceptor evaluations (18)

6.    Clinical site evaluations (1)

7.    Professional Credits (as defined within the syllabus)

General Requirements of the Clinical Portfolio:

1.    Clocking-in -the student must be clocked in and out for each day in clinic – no exceptions! If a student misses clock in/out submission, the student is required to compete a time exception form within 24 hours of missed punch. Failure to have a complete timesheet could result in scheduled make-up hours of clinical time.

2.    Daily logs-Daily logs are used to document the practice of clinical skills of the student. It is vital that these logs are completed every day the student attends clinic. It is the student’s responsibility to ensure that these logs are completed daily – before you leave the clinic. (If attendance is not documented, it will be assumed that the clinic day was not completed). Activities performed during the day may be listed on the log from the list of competencies contained in the clinical portfolio.

3.    Daily performance- evaluations-the student will have a daily performance evaluation completed and signed by the clinical preceptor every day when the student is in clinic-no exceptions! The clinical chair will address any category noted as NI.

4.    Preceptor evaluations – Students must complete a preceptor evaluation each day of clinical rotation evaluating their assigned preceptor for that day.

5.    Site evaluations-You must complete a site evaluation for your assigned clinic site. Due at final check-off.

6.    Professional credits – Students will be required to complete a minimum of 20 professional credits as part of their Clinical Practicum I rotation. Examples of professional credits include student involvement in the state and national professional organization as well as community to service. Please refer to the table below. Due at final check-off to Dropbox on D2L.

7.    The Director of Clinical Education will review clinical documentation completed on Trajecsys throughout the clinical rotation to ensure adequate progress is made toward clinical practicum objectives. Feedback will be provided to each student throughout the clinical rotation via Trajecsys.

Task Analysis:

Each student must complete and submit three task analysis papers. The task analysis may be done on any of the commonly ordered modalities assigned for completion during Clinical Practicum I and may be done on one patient or separate patients. This assignment may be typed or hand written (scanned for submission), no formal format required. The completed assignment must be turned in via D2L Dropbox via D2L Dropbox.

Task Analysis Format:

Patient info: Age, patient diagnosis, area (DO NOT IDENTIFY PT BY NAME)

Therapy type (i.e., oxygen therapy (cannula), aerosol treatment (small volume nebulizer), Bronchial hygiene therapy (PEP, incentive spirometer, IPPB)

Indications:

Contraindications:

Hazards:

Outcomes:

Monitoring:

Performance steps:

competencies:

           GENERAL GUIDELINES ON Competencies:

1.    Required competencies are listed in each course syllabus.

2.    Prior to being checked-off, the student must practice the skills several times.

3.    A hospital staff member that has worked with you can fill out competencies. It is your responsibility to make sure the competencies are completed properly and filed under the competency tab in D2L or in the clinical documentation software, Trajecsys.

4.    Student will be responsible for performing any procedure at any time once they have passed the competency for that procedure.

5.    It is the student’s responsibility to demonstrate weekly progress in clinical check-offs to their Clinical Coordinator. Please note it is the student’s responsibility to contact the Clinical Coordinator if they are having problems completing required competencies for the practicum.

6.    A student must complete the competencies specified in the course syllabus. Failure to complete the required competencies may result in an unsuccessful grade in clinical and prevent completion of the program.

7.    All competencies for Clinical Practicum I must be completed no later than December 3rd..

Once a clinical skill has been mastered, it is the responsibility of the student to have their preceptor verify these skills by completing the documentation in either D2L via checklist or Trajecsys.

           A competency must be completed for the following skills:

1.    Handwashing

2.    Isolation Procedures

3.    Vital Signs

4.    Oxygen Therapy (Use of at least one oxygen delivery device)

5.    Aerosol and Humidity Therapy (Use of at least one device)

6.    Aerosol Drug Administration (Metered Dose Inhalers, Dry Powder 

                Inhalers and Small Volume Nebulizer)

7.    Incentive Spirometry

8.    Intermittent Positive Pressure Breathing (or EZ-pap)*

9.    Chest Physiotherapy

10. Mucous Clearance Adjuncts

11. CPR (completed prior to clinical practicum, copy of card uploaded to Castle Branch Documentation Tracker)

           Competencies will be evaluated as follows:

Points Given

Grade

# of Competencies Completed

100

A

11

97

A

10

95

A

9

90

A

8

87

B

7

85

B

6

0

F

5

CASE STUDY:

Following the format outlined here, each student will submit a word document case study. All attempts will be made to let you work on your case study during clinical time, however, it may be necessary for you to remain at the clinical site for some additional time to complete the case study. Case studies will be graded on their neatness, completeness and student’s ability to interpret and analyze data. A rubric is available on D2L for reference.

Case Study Format:

The following outline should be followed exactly for the case studies. Include all titles and subject headings. Case studies are to be turned in on or before midnight Sunday, December 3rd via the assignment drop box on D2L. 

Grade Items and Grade Determination:

Assignments

Grade Percentage

Clinical Portfolio

20%

Task Analysis

20%

Competencies

20%

Case Study

40%

Approximate Grading Scale:

A: 90-100

B: 80-89

C: 75-79

D: 70-74

F:  69 and below

Attendance and Participation:

Attendance at clinical sites is an essential component of the student’s clinical education. The student must be in their assigned area of rotation and prepared for instruction at the scheduled time for that rotation. Each student is required to document their clinical hours utilizing our clinical documentation software, Trajecsys. Hours are reviewed and verified each week by the Clinical Chair and/or assigned faculty. Each student will complete, 12, 12 hours shifts for a total of 144 hours of clinical time with additional hours noted for orientation and case study presentations. Every student is required to make up any missed clinical time.

Additional information and policies in reference to clinical attendance are published in the Respiratory Care Program Student Handbook.

Missed Clinic Day Policy:

If a student is unable to complete scheduled hours at their clinical site for their scheduled shift (i.e. illness, etc.), it is his/her responsibility to report the intended absence to the clinical site and the Director of Clinical Education prior to the time of the Practicum. When reporting an absence to the Director of Clinical Education, please call (940) 397-4546 and leave a message or contact the Director of Clinical Education directly utilizing direct messaging through the Group Me app. When reporting the absence to a clinical site, have the hospital operator page the Respiratory Charge Therapist currently on shift. Leave a message with the charge therapist. Make-up days will be required for all unexcused clinical absences. Make-up time is made up in double-time.

Please note, calls to report an absence must be made at least one hour prior to the scheduled time for the Practicum. An absence not reported by this procedure will be recorded on the Clinical Incident Form as outlined in the Respiratory Care Program Student Handbook. The Director of Clinical Education may take extenuating circumstances into account. An adverse decision, as a result of missed clinic time or failure to report missed hours timely, may be appealed to the Program Director.

Additional information and policies in reference to clinical attendance are published in the Respiratory Care Program Student Handbook. 

Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.

Written and adopted by the 2002-2003 MSU Student Senate.

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, (940) 397-4140.

The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

All instructors in the Department have voicemail in their offices and MSUTexas e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Obligation to Report Sex Discrimination under State and Federal Law

Midwestern State University is committed to providing and strengthening an educational, working, and living environment where students, faculty, staff, and visitors are free from sex discrimination of any kind. State and federal law require University employees to report sex discrimination and sexual misconduct to the University’s Office of Title IX. As a faculty member, I am required to report to the Title IX Coordinator any allegations, personally observed behavior, or other direct or indirect knowledge of conduct that reasonably may constitute sex discrimination or sexual misconduct, which includes sexual assault, sexual harassment, dating violence, or stalking, involving a student or employee. After a report is made, the office of Title IX will reach out to the affected student or employee in an effort to connect such person(s) with resources and options in addressing the allegations made in the report. You are also encouraged to report any incidents to the office of Title IX. You may do so by contacting:

Laura Hetrick

Title IX Coordinator
Sunwatcher Village Clubhouse
940-397-4213

laura.hetrick@msutexas.edu

You may also file an online report 24/7 at Maxient 

Should you wish to visit with someone about your experience in confidence, you may contact the MSU Counseling Center at 940-397-4618. For more information on the University’s policy on Title IX or sexual misconduct, please visit MSU Texas Title IX

Senate Bill 11 passed by the 84th Texas Legislature allows licensed handgun holders to carry concealed handguns on campus, effective August 1, 2016. Areas excluded from concealed carry are appropriately marked, in accordance with state law. For more information regarding campus carry, please refer to the University’s webpage at https://msutexas.edu/campus-carry/rules-policies.

If you have questions or concerns, please contact MSU Chief of Police at police@msutexas.edu.