Course : Clinical Practicum I
- Course Number
- RESP 3712
- Section Number
- Fall 2022
- Centennial Hall, 250
- Days & Times
- Final Exam Day/Time
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.
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.
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 â 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 studentâs responsibility to ensure that these logs are completed daily â 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 â 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 â 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.
CLINICAL PORTFOLIO FINAL CHECK-OFF November 28th, Midnight. NO EXCEPTIONS!
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 by Oct. 23rd 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)
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 studentâs responsibility to demonstrate weekly progress in clinical check-offs to their Clinical Coordinator. Please note it is the studentâs 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 November 28th.
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:
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:
# of Competencies Completed
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 studentâs 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, November 27th via the assignment drop box on D2L.
Grade Items and Grade Determination:
Approximate Grading Scale:
F: 69 and below
Attendance and Participation:
Attendance at clinical sites is an essential component of the studentâs 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.
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