St. Philip's College · - · RSPT-Respiratory Care Tech Clinical - Respiratory Care RSPT-2361 Full Term Spring 2015 Section 002.12425 3-0-15 Credits 01/20/2015 to 05/16/2015 Modified 01/28/2015 Meeting Times
Mondays & Fridays 6:45 am - 2:45 pm Area Assigned Hospitals
Contact Information
Email: [email protected] Office: CHP 330E Phone: (210) 486-2457
Instructor Campus Office Hours:
TUESDAYS 8:30 a.m. - 9:30 a.m., 4:15 p.m. - 5:00 p.m.
WEDNESDAYS 8:30 a.m. - 11:30 a.m., 1:00 p.m. - 4:30 p.m.
THURSDAYS 8:30 a.m. - 9:30 a.m., 1:00 p.m. - 5:00 p.m.
Additional Days & Times By Appointment Materials
TEXTBOOKS AND REQUIRED MATERIALS Clinical Practitioner’s Pocket Guide to Respiratory Care, 7th Edition, Dana F. Oakes, Health Educator Publications, Inc.
ISBN: 978-0-932887-31-3.
Hemodynamic Monitoring: A Bedside Reference Manual, 2010 Edition, Dana F. Oakes, Health Educator Publications, Inc., ISBN: 978-0- 932887-41-2
Oakes’ Neonatal/Pediatric Respiratory Care: A Critical Care Pocket Guide, 2009 Edition, Dana F. Oakes, Health Educator Publications, Inc., ISBN: 978-0-932887-39-9
Respiratory Care Program Level II Clinical Competency Evaluation Packet – to be supplied by instructors.
Ceil Blue Scrub outfit
Stethoscope
1 of 32 Bandage Scissors
AH Clinical Uniform Patch
Lab Coat - waist length
Clipboard - one that has storage capacity preferred
White athlectic shoes
Access to ACES files containing Clinical Competency Evaluation Manual & Clinical Rotation Forms/Documents
Description
A health-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.
Prerequisite(s)
INRW 0420
MATH 0320 Objectives
Course Objectives by Area of Rotation:
Adult Intensive Care Unit (AICU)
1. Collect, assess, and trend the following patient data:
a. patient history, admitting diagnosis/present illness, physician orders, progress notes, etc.
b. level of consciousness
c. orientation to time, place, and person
d. chest inspection, to include appearance, configuration, palpation, percussion, auscultation.
e. presence of dyspnea/work of breathing
f. sputum production
g. breath sounds
h. electrocardiogram
i. blood pressure
j. heart rate
k. respiratory rate
m. fluid intake/output
n. nutritional status
2 of 32 2. Collect and assess the following laboratory data: a. CBC b. chemistry c. electrolytes d. coagulation studies e. gram stain & C&S for sputum, urine, blood, etc. f. arterial blood gases (collect, analyze, interpret & make recommendations) g. pulmonary function testing
3. View and assess chest and upper airway (lateral neck) radiographs for the following:
a. normal radiographic findings and landmarks b. position of all tubes & lines (NG/feeding, Swan-Ganz, pacemaker, CVP, chest tubes, etc.) c. presence of or changes in pneumothorax (pleural air/fluid) d. presence of or changes in subcutaneous emphysema/extra pulmonary air e. consolidation/atelectasis f. pulmonary infiltrate/pulmonary edema g. position of, or changes in hemidiaphragms, mediastinal shift h. hyperinflation i. presence/position of foreign bodies j. upper airway obstruction k. CT/MRI procedures
4. Perform/monitor and document the following patient, airway, & ventilator competencies:
a. oropharyngeal/nasopharyngeal airway placement, including appropriate selection of equipment. b. endotracheal/tracheostomy tube placement (evaluates for proper position and secure). c. tracheal tube cuff pressure/volume monitoring (cuff inflation/deflation techniques). d. airway suctioning to include equipment utilized, patient reaction, results obtained (specimen collection), and instillation of irrigant solution. e. ventilator monitoring to include mode, mechanical/spontaneous tidal volume, FIO2, PEEP/CPAP, flow rate, minute volume, PIP, I:E ratio, compliance, airway resistance, MAP, all alarm settings. f. volume, time, and flow waveform data g. troubleshoot/modify ventilator and settings based upon patient response and physician order.
3 of 32 h. ventilator weaning criteria to include spontaneous tidal volume, vital capacity, MIP/NIF, FIO2, weaning device utilized, patient monitoring to include vital signs & hemodynamic monitoring, and VD/VT ratio calculation. i. extubation procedures to include endotracheal extubation & change-out of tracheostomy tube or tracheostomy care procedure. j. apply computer technology to patient management (waveform analysis, documentation, etc.) k. chest tube and pleural drainage systems
5. Monitor, assess, and trend the following patient hemodynamic data:
a. CVP, MAP, PAP, PCWP (define, monitor, assess, and trend) b. cardiac output c. cardiac index d. pulmonary vascular resistance/systemic vascular resistance e. stroke volume f. shunt studies g. mixed venous O2 (perform, assess, and trend) h. arterial-venous oxygen content difference (calculate and trend) i. observe triple lumen catheter systems j. observe arterial catheter systems k. observe ECG monitoring systems l. recognize cardiac arrhythmias and discuss their treatment
6. Perform , assess, and document the following therapeutic procedures in the critical care setting:
a. MDI with spacer and with mechanical ventilation, including equipment selection and correction of malfunction b. SVN therapy (w & w/o mechanical ventilation), including equipment selection and correction of malfunction. c. humidification therapy (w & w/o mechanical ventilation), including equipment selection and correction of malfunction. d. high and low flow oxygen therapy, including equipment selection and correction of malfunction e. lung inflation therapeutics to include incentive spirometry, IPPB, & deep breathing exercises, including equipment selection and correction of malfunction. f. secretion mobilization procedures (cough techniques, CPT, etc.) g. BiPAP
7. Additional Adult ICU objectives:
4 of 32 a. observe and/or assist physician with bronchoscopy procedure. b. observe and /or assist physician with intubation/tracheostomy procedure. c. observe and/or assist physician with thoracentesis procedure d. observe and/or assist physician with insertion of lines & catheters. e. observe bedside for resuscitation devices (bag/mask), including appropriate selection and correction of malfunction.
Adult ICU Rotation Required Activities:
1. Select a minimum of one (1) mechanically ventilated patient per clinical day with the assistance of your instructor and/or the therapist assigned to the ICU.
2. Assess your assigned patient(s) with the provided assessment worksheets at least once each clinical day.
3. Perform all respiratory care duties (ventilator checks, suctioning, circuit changes, humidification, therapeutics, ABG’s, view x-rays, etc.) on your patient per the facilities SOP or at the request of your instructor.
4. Perform therapeutics on additional patients within the ICU as assigned.
5. Perform additional respiratory care competencies as assigned by your instructor or therapist.
6. Submit a minimum of one (1) patient assessment and one (1) SOAP on an assigned patient each clinical day.
Adult ICU Grading Criteria:
Performance Evaluation 20%
Clinical Competencies 30%
Patient Assessment 25%
SOAP Documentation 25%
100%
Neonatal Intensive Care Unit (NICU)
1. Collect, assess, and trend the following patient data: a. patient history (or maternal history if newborn), admitting diagnosis/present diagnosis, physician orders, progress notes, etc. b. chest inspection; to include chest movement (symmetrical/non-symmetrical), configuration, auscultation (lungs and heart). c. sputum description d. bilateral breath sounds e. electrocardiogram f. echocardiogram (if available) g. blood pressure h. heart rate
5 of 32 i. respiratory rate j. pulse oximetry k. apnea/bradycardia episodes l. fluid intake/output m. nutritional intake (amount of TPN, formula) n. head sonogram (if available)
2. Collect and assess the following laboratory data:
a. CBC (if available) b. chemistry c. HCT and HGB (if CBC not available) d. coagulation studies (if available) e. gram stain, culture & sensitivity (sputum, blood, & urine) f. arterial blood gases (results, interpretation, recommendations)
3. View and assess chest/abdomen radiographs for the following:
a. normal radiographic findings and landmarks b. position of all tubes and lines (OG/feeding, chest tubes, ETT, etc.) c. presence of or changes in pneumothorax (pleural air/fluid) d. presence of or changes in subcutaneous emphysema/extra pulmonary air e. consolidation/atelectasis f. pulmonary infiltrate/pulmonary edema g. position of or changes in hemidiaphragms/mediastinal shift h. hyperinflation i. heart size, location, shape j. upper GI contrast studies (i.e., contrast study to R/O reflux) k. upper airway abnormalities (i.e., T/E fistula, tracheal stenosis) l. CT/MRI procedures
4. Perform/monitor and document the following patient, airway and ventilator competencies:
a. nasopharyngeal prongs (patency, select appropriate size, proper insertion, securing).
6 of 32 b. endotracheal/tracheostomy tube placement (proper placement and secure). c. airway suctioning to include equipment utilized, patient response, results obtained, specimen collection, and instillation of irrigant solution (normal saline). d. ventilator monitoring to include:
AVEA: mode, flow rate, vent rate, spontaneous respiratory rate, inspiratory time, I:E ratio, PIP, MAP, PS, PEEP, FIO2, upper pressure limit, sensitivity,, inspiratory time %, pause time %, inspiratory rise Time %, minute volume, inspiratory tidal volume, expiratory tidal volume, humidification/heater temperature.
Sensormedics High Frequency Oscillator: bias flow, Hz, MAP, Delta P (power), high/low pressure alarms, FIO2.
e. troubleshoot ventilator changes based upon patient response and physician’s order. f. extubation procedures to include endotracheal extubation and change-out of tracheostomy tube or tracheostomy care procedures. g. chest tubes and pleural drainage systems.
5. Monitor, assess, and trend the following patient hemodynamic data:
a. observe arterial catheter systems b. observe ECG monitoring systems c. recognize cardiac arrhythmias and discuss their treatment
6. Perform, assess, and document the following therapeutic procedures in the critical care setting:
a. MDI with spacer and with mechanical ventilation, including equipment selection and correction of malfunction. b. SVN therapy (as “blow-by” or in-line with mechanical ventilation), including selection of equipment and correction of malfunction. c. nasal cannula set-up, including equipment selection, correction of malfunction, and monitoring. d. oxyhood set-up, including equipment selection, correction of malfunction, and monitoring. e. secretion mobilization procedures (CPT). f. nasal CPAP set-up, including equipment selection, correction of malfunction, and monitoring.
7. Additional NICU objectives:
a. observe and/or assist at high-risk neonate deliveries. b. observe umbilical arterial line insertion. c. observe and/or assist with surfactant administration
7 of 32 d. observe head sonograms e. observe echocardiograms f. observe bedside for bag/mask resuscitation devices, including appropriate selection and correction of malfunction.
g. set-up an admission bed to include an Infant-Star ventilator (OVP’d) with appropriate settings, resuscitation device (bag/newborn & premie mask, two of each size ETT, laryngoscope handle/blade, oxygen blender, flowmeters. h. assist with internal transports of patients (to OR, special procedures, etc.) on mechanical ventilator support or oxygen support, to include set-up of transport ventilator, cardiac monitor, pulse oximeter. i. observe physician/resident during Ballard exams. j. observe eye exams. k. attend physician bedside rounds. l. attend radiology rounds m. review drugs/medications that are common to a neonatal intensive care unit.
NICU Rotation Required Activities:
1. Select a minimum of one (1) mechanically ventilated patient per clinical day with the assistance of your instructor and/or therapist in the NICU.
2. Assess your assigned patient(s) with the provided assessment worksheets at least once each clinical day. * ALWAYS check with the nurse assigned to the patient before doing a “hands on” assessment (patient may be on “minimal stimulation”.
3. Perform all respiratory care duties (ventilator checks, suctioning, circuit changes, humidification, therapeutics, view x-rays, physician rounds, etc.) on your patient(s) per the facilities SOP or at the request of your instructor/staff therapist.
4. Perform therapeutics on additional patients within the NICU as assigned.
5. Perform additional respiratory care competencies as assigned by your instructor or assigned therapist.
6. Submit a minimum of one (1) patient assessment and one (1) SOAP on an assigned patient each clinical day.
7. When participating in Physician beside rounds the student will turn in a detailed DEL highlighting the key points and issues that were discussed during the rounds – will include any Respiratory Care applications for the discussed patient cases.
Neonatal ICU Grading Criteria:
Performance Evaluation 20 %
Clinical Competencies 25 %
PR DEL 5 %
Patient Assessment 25 %
SOAP 25 %
100 %
8 of 32
Pediatric Floor Therapy
1. Collect, assess, and trend the following patient data:
a. patient history, admitting diagnosis/present diagnosis, physician orders, progress notes, etc. b. chest inspection to include chest movement, configuration, auscultation. c. sputum description d. bilateral breath sounds e. electrocardiogram f. echocardiogram g. blood pressure (specify cuff or arterial) h. heart rate i. respiratory rate j. pulse oximetry k. ETCO2 (if available) l. TCCO2/TCO2 (if available) m. fluid intake/output n. nutritional intake
2. Collect and assess the following laboratory data:
a. CBC (if available) b. chemistry c. HCT & HGB (if CBC not available) d. coagulation studies (if available) e. gram stain & culture & sensitivity (for sputum, blood, and urine) f. arterial blood gases (obtain results, interpret, make recommendations)
3. View and assess chest/upper airway (lateral neck) and abdomen radiographs for the following:
a. normal radiographic findings and landmarks. b. position of all tubes and lines (OG/NG feeding, chest tubes, ETT, etc. ) c. presence of or changes in pneumothorax (pleural air/fluid)
9 of 32 d. presence of or changes in subcutaneous emphysema/extra pulmonary air. e. consolidation/atelectasis f. pulmonary infiltrate/pulmonary edema g. position of or changes in the position of hemi-diaphragms. h. hyperinflation i. heart size, location, & shape j. upper GI contrast studies k. upper airway abnormalities l. CT/MRI procedures
4. Assess, perform, and document the following competencies associated with pediatric patients with
Pulmonary disease/complications:
a. Low Flow/High Flow Oxygen Therapy set-up, monitoring, modifications to meet therapeutic goals, and trouble-shooting. b. Aerosol Medication Therapy (SVN, MDI, DPI) set-up, monitoring, modifications to meet therapeutic goals, and trouble-shooting. c. Hyperinflation Therapy – Incentive Spirometry/SMI set-up, monitoring, and trouble-shooting. d. Bronchial Hygiene Techniques – Percussion & Postural Drainage, Intrapulmonary Percussive Ventilation (IPV), Flutter-Valve, Cough- Assist Devices, TherapyVest – set-up, monitoring, modifications to meet therapeutic goals,and trouble-shooting. e. Non-invasive oxygenation monitoring – Pulse Oximetry (intermittent/continuous) – set-up, monitoring, and trouble-shooting. f. Non-invasive physiologic monitoring - TCCO2/TCO2 , PECO2 set-up, monitoring, and trouble-shooting. g. Airway aspiration (open & closed system) including set-up, monitoring, and trouble-shooting. h. Bedside pulmonary mechanics – VT - VC, NIF/MIP, PEFR pre and post bronchodilator therapy including equipment selection/set-up, monitoring, and trouble-shooting. i. Therapeutic Weaning Protocols - Patient-Driven Protocols - All forms of respiratory care (O2 weaning, therapy frequency changes, therapy modification based on patient clinical findings, etc.)
5. Additional Pediatric Floor Therapy Objectives:
a. Observe and/or assist in additional beside therapeutic procedures under the supervision of clinical instructor or assigned staff therapist. b. Attend pediatric physician patient round (if applicable) c. Investigate common drugs/medication used for the pediatric patient with pulmonary disease and/or complications.
Pediatric Floor Therapy Rotation Required Activities:
10 of 32 1. Perform duties as assigned by your clinical instructor and/or staff therapist in a timely and professional manner.
2. Perform all respiratory care duties (as outlined previously in section number 4) on assigned patients per the facilities SOP or at the request of the assigned staff therapist.
3. Select a minimum of (4) patients (2 per clinical day of rotation) that you will be performing/assisting in respiratory care therapeutic procedures. You will perform additional Patient Assessment and SOAP documentation for one of the selected clinical patients. Submit a minimum of one (1) patient assessment and one (1) SOAP on an assigned patient each clinical day. These are to be submitted to your clinical instructor on a designated day following the end of your rotation.
Pediatric Floor Therapy Grading Criteria:
Rotation Performance Evaluation 30 %
Patient Assessments 35 %
SOAP Documentation 35 %
100 %
Pediatric Intensive Care (PICU)
1. Collect, assess, and trend the following patient data:
1. patient history, admitting diagnosis/present diagnosis, physician orders, progress notes, etc. 2. chest inspection to include chest movement, configuration, auscultation. 3. sputum description 4. bilateral breath sounds 5. electrocardiogram 6. echocardiogram 7. blood pressure (specify cuff or arterial) 8. heart rate 9. respiratory rate 10. pulse oximetry
11. ETCO2 (if available) 12. fluid intake/output 13. nutritional intake
2. Collect and assess the following laboratory data:
1. CBC (if available) 2. chemistry 3. HCT & HGB (if CBC not available) 4. coagulation studies (if available) 5. gram stain & culture & sensitivity (for sputum, blood, and urine) 6. arterial blood gases (obtain results, interpret, make recommendations)
11 of 32
3. View and assess chest/abdomen radiographs for the following:
1. normal radiographic findings and landmarks. 2. position of all tubes and lines (OG/NG feeding, chest tubes, ETT, etc. ) 3. presence of or changes in pneumothorax (pleural air/fluid) 4. presence of or changes in subcutaneous emphysema/extra pulmonary air. 5. consolidation/atelectasis 6. pulmonary infiltrate/pulmonary edema 7. position of or changes in the position of hemidiaphragms. 8. hyperinflation 9. heart size, location, & shape 10. upper GI contrast studies 11. upper airway abnormalities 12. CT/MRI procedures
4. Perform/monitor and document the following patient, airway, and ventilator competencies:
1. endotracheal/tracheostomy tube placement (proper placement and secure). 2. airway suctioning to include equipment utilized, patient response, results obtained (specimen collection), and instillation of irrigant solution (normal saline). 3. ventilator monitoring to include flow rate, ventilator rate, spontaneous rate, inspiratory time, I:E ratio, PIP, low/high pressure alarms, expiratory minute volume, inspiratory tidal volume, expiratory tidal volume, humidifier/heater temperature/proximal
airway temperature, FIO2, duration of positive pressure (Infant Star). Sensormedics High Frequency Oscillator: bias flow, Hz, MAP, Delta P, high/low pressure alarms, FIO2.
4. monitor INO vent (if patient on NO therapy) to include PPM NO, PPM NO2, FIO2, flow, and methehemoglobin levels. 5. troubleshoot/adjust ventilator settings based upon patient’s response and physician’s orders. 6. extubation procedures to include endotracheal extubation and change-out of tracheostomy tube or tracheostomy care procedures. 7. chest tube and pleural drainage systems.
5. Monitor, assess, and trend the following patient hemodynamic data:
1. observe arterial catheter systems. 2. observe ECG monitoring systems. 3. recognize cardiac arrhythmias and discuss their treatment.
6. Perform, assess, and document the following therapeutic procedures in the critical care setting:
1. MDI with spacer and with mechanical ventilation, including equipment selection and correction of malfunction. 2. SVN therapy (as “blow-by” or in-line with mechanical ventilation), including selection and correction of malfunction. 3. low flow or high flow oxygen set-up, including equipment selection, correction of malfunction, and monitoring. 4. secretion mobilization procedures (CPT). 5. nasal CPAP set-up, including equipment selection, correction of malfunction, and monitoring.
12 of 32
7. Additional PICU objectives:
1. observe and/or assist in bedside bronchoscopies. 2. observe arterial line insertion 3. observe/assist INO ventilator set-up and calibration. 4. observe echocardiograms 5. observe bedside for resuscitation devices (bag/mask), including appropriate selection and correction of malfunction. 6. assist with internal transport of patients (to OR, special procedures) on mechanical ventilatory support or oxygen support. 7. attend pediatric physician patient rounds (if applicable). 8. observe drugs/medication common to the PICU
PICU Rotation Required Activities:
1. Select a minimum of one (1) mechanically ventilated patient per clinical day with the assistance of your instructor and/or the therapist assigned to the PICU. 2. Assess your assigned patient(s) with the provided assessment worksheets at least once each clinical day. 3. Perform all respiratory care duties (ventilator checks, suctioning, circuit changes, documentation, patient assessment and summaries, humidification, therapeutics, view x-rays, physician rounds, shift report, etc.) on your patient per the facilities SOP or at the request of your instructor or assigned therapist. 4. Perform therapeutics on additional patients within the PICU as assigned. 5. Perform additional respiratory care competencies as assigned by your instructor or therapist. 6. Submit a minimum of one (1) patient assessment and one (1) SOAP on an assigned patient each clinical day.
Pediatric ICU Grading Criteria:
Performance Evaluation 20%
Clinical Competencies 30%
Patient Assessment 25%
SOAP 25%
100%
Long Term Acute Care(LTAC)/ Long Term Extended Care(LTEC)
1. Collect, assess, and trend the following patient data:
1. patient history, diagnosis, present illness, physician orders, progress notes, etc. 2. level of consciousness 3. orientation to time, place, and person 4. chest inspection to include appearance, configuration, palpation, percussion, & auscultation. 5. presence of dyspnea/work of breathing 6. sputum production/coughing/frequency of suctioning/tracheal aspiration
13 of 32 7. breath sounds 8. ECG 9. blood pressure 10. heart rate 11. respiratory rate
12. pulse oximetry/SaO2 13. chest radiograph 14. fluid intake/output 15. nutritional status
2. Collect and assess the following laboratory data:
1. CBC 2. chemistry 3. electrolytes 4. gram stain/C&S for sputum, urine, blood, etc. 5. arterial blood gases
3. Perform, assess, and document the following competencies associated with long term care of the patient with pulmonary disease:
1. oropharyngeal/nasopharyngeal airway placement, including appropriate selection of equipment. 2. endotracheal/tracheostomy tube placement (evaluate for proper placement and secure). 3. tracheal tube cuff pressure monitoring, including appropriate selection of equipment and correction of malfunction. 4. airway suctioning to include equipment utilized, patient reaction, results obtained (specimen collection), and instillation of irrigant solution.
5. ventilator monitoring to include mode, mechanical/spontaneous tidal volume, FIO2, PEEP/CPAP, flow rate, minute volume, PIP, I:E ratio, compliance, airway resistance, MAP, all alarm settings. 6. troubleshoot/modify ventilator and settings based upon patient response and physician order
7. ventilator weaning criteria to include spontaneous tidal volume, vital capacity, MIP/NIF, FIO2, weaning device utilized, patient monitoring to include vital signs. 8. tracheostomy tube change-out and tracheostomy care procedure
4. Additional Long Term Care Objectives:
1. participate in a team approach to the care of the long term patient. 2. develop an awareness of the differences between the acute and long term pulmonary patient. 3. become familiar with federal/state regulations that govern care of the patient in a long term facility 4. develop communication skills with the long term care patient 5. develop an overview of the needs of the long term care patient
Long Term Care Rotation Required Activities:
1. Select a minimum of one (1) mechanically ventilated patient per clinical day with the assistance of your assigned therapist.
14 of 32 2. Assess your assigned patient(s) with the provided assessment worksheets at least once each clinical day. 3. Perform all respiratory care duties (ventilator checks, suctioning, circuit changes, humidification, therapeutics, ABG’s, view x-rays, etc.) on your patient per the facilities SOP or at the request of your assigned therapist. 4. Perform therapeutics on additional patients within the facility as assigned. 5. Perform additional respiratory care competencies as assigned. 6. Submit a minimum of one (1) patient assessment and one (1) SOAP on an assigned patient each clinical day.
These will need to be turned into your clinical instructor on the following Tuesday of your scheduled Friday & Monday rotation (each semester the instructor can modify and adapt to changes in clinical rotation schedules/etc. and set specific turn in days of completed materials).
Long Term Care Grading Criteria:
Performance Evaluation 30%
Patient Assessment 35%
SOAP Documentation 35%
100%
Pulmonary Rehabilitation:
1. Collect, assess, and trend the following patient data:
1. patient history, physician orders, progress notes 2. presence of dyspnea/work of breathing 3. sputum production 4. breath sounds 5. blood pressure 6. heart rate 7. respiratory rate
8. SaO2 9. nutritional status
2. General Pulmonary Rehabilitation Objectives:
1. observe and participate in a structured team approach to pulmonary rehabilitation. 2. discuss how candidates for pulmonary rehabilitation are assessed & selected. 3. describe how a rehabilitation plan is developed for clients. 4. discuss the terms exercise endurance & exercise load. 5. observe and monitor oxygen therapy (protocols) for patient clients. 6. observe and monitor graded exercise procedures (protocols) for patient clients. 7. observe and participate in patient education and disease management topics with patient clients. 8. discuss concepts and equipment used in breathing/bronchial hygiene techniques such as pursed lip
15 of 32 breathing, breathing/coughing techniques, autogenic drainage, positive expiratory pressure device (PEP) intrapulmonary percussive ventilation, Flutter valve, high frequency chest wall oscillation (HFCWO).
Pulmonary Rehabilitation Required Activities:
1. Perform duties as assigned by pulmonary rehabilitation therapist in a timely and professional manner. 2. Select a minimum of three (3) pulmonary rehabilitation patients/clients during your rotation and perform/submit an abbreviated patient assessment using the patient assessment form. 3. Submit a minimum of three (3) SOAP/Care Plans for the patients/clients that were assessed at the end of your rotation. 4. Submit a complete Pulmonary Rehabilitation Worksheet at the end of your rotation.
Pulmonary Rehabilitation Grading Criteria:
Performance Evaluation 20%
Patient/Client Assessment 20%
SOAP Documentation/Plan 30%
Pulm. Rehab. Worksheet 30%
100%
Home Health Care
1. Collect and assess the following patient data:
1. patient history, diagnosis, physician orders, progress notes, etc. 2. level of consciousness 3. orientation to time, place, and person 4. chest inspection to include appearance, configuration, palpation, percussion, & auscultation 5. presence of dyspnea/work of breathing 6. sputum production/coughing/frequency of suctioning 7. heart rate 8. respiratory rate
9. pulse oximetry/ SaO2 10. nutritional status 11. environmental considerations
2. General objectives associated with home health care:
1. perform/observe the application of respiratory care within the home setting. 2. perform competencies associated with the administration of oxygen within a client’s home, i.e., low flow oxygen administration, oxygen concentrator, liquid oxygen systems, compressed gas cylinders.
16 of 32 3. monitor client/patient SaO2 using pulse oximetry 4. observe humidification devices associated with the administration of oxygen in the home. 5. observe and monitor the client/patient on mechanical ventilation in the home. 6. observe and perform airway suctioning on the client/patient in the home setting 7. develop skills in patient education as related to the home care giver. 8. discuss regulations pertaining to the reimbursement of home health care services. 9. identify and list observed physical barriers to the application of respiratory care in the home.
Home Health Care Required Activities:
1. Select a minimum of 4 patients during your home health care rotation and perform an abbreviated patient assessment
(respiratory rate, heart rate, visual inspection of patient, SaO2, auscultation, etc.). Document these assessments on the patient assessment form and submit to your instructor at the end of the rotation. 2. Submit SOAP documentation for each of the four patients selected. Submit at the end of the rotation. 3. Submit a brief DEL outlining your day-to-day activities. Submit to your instructor at the end of the rotation. 4. Submit completed worksheet at the end of your home health rotation.
Home Health Care Grading Criteria:
Performance Evaluation 20%
Patient Assessment 20%
SOAP Documentation 20%
DEL 20%
Worksheet 20%
100%
Patient Education
1. General objectives associated with patient education:
1. develop a presentation suitable for use in the patient education setting 2. identify organizations that provide educational materials as appropriate to patient education 3. develop skills in the selection and use of appropriate patient education media (printed material, real objects, video, etc.) 4. develop patient education/disease management presentation skills by observation and participation
Patient Education Required Activities:
1. Perform duties as assigned by patient educator in a timely and professional manner. 17 of 32 2. Develop an original patient education learning module on some aspect of respiratory care/disease management. The presentation should be approximately 15 minutes in length and include learning objectives, a presentation outline based upon objectives, and at least two appropriate (2) instructional aides such as posters, pamphlets, real objects, or video. 3. Submit a comprehensive DEL for each clinical day spent with assigned patient educator.
Patient Education Grading Criteria:
Performance Evaluation 20%
Learning Module 50%
DEL 30%
100%
Cardiac Catheterization Lab
1. General objectives associated with cardiac catheterization lab:
1. identify the purposes/reasons that cardiac catheterizations are performed. 2. participate with cardiac cath technician in preparation of catheterization procedures 3. observe cardiac catheterization procedures 4. observe patient monitoring during a cardiac catheterization 5. participate in patient data collection during a cardiac catheterization 6. identify normal and abnormal hemodynamic measurements collected during a cardiac catheterization 7. recognize normal and abnormal ECG and hemodynamic waveforms viewed during a cardiac cath. 8. identify cardiovascular medications & dosages as administered during a cardiac catheterization
Cardiac Catheterization Required Activities:
1. Attend cardiac catheterization clinical rotation in a timely manner 2. Participate in cardiac catheterization activities as assigned by cath lab technicians in a professional manner 3. Complete the cardiac catheterization/hemodynamic monitoring worksheet and submit to instructor at the end of the rotation 4. Submit a completed DEL for each day spent in cardiac cath lab rotation
Cardiac Catheterization Lab Grading Criteria:
Performance Evaluation 30%
Hemodynamic Worksheet 40%
DEL 30%
18 of 32 100%
Pulmonary Function Testing Laboratory
1. Observe and /or perform the following pulmonary function tests:
1. spirometry utilizing volume/time and flow/volume spirograms 2. spirometry before/after bronchodilator 3. maximal voluntary ventilation 4. functional residual capacity and associated lung volumes utilizing helium dilution & nitrogen washout methods 5. body plethysmography, thoracic gas volume, pulmonary compliance, airway resistance
6. CO2 response curves 7. closing volumes 8. bronchial provocation testing
2. Interpret patient data for the following pulmonary function tests:
1. spirometry utilizing volume/time and flow/volume spirograms 2. spirometry before/after bronchodilator 3. maximal voluntary ventilation 4. functional residual capacity and associated lung volumes utilizing helium dilution and nitrogen washout methods 5. body plethysmography, thoracic gas volumes, pulmonary compliance, airway resistance
6. CO2 response curves 7. closing volumes 8. bronchial provocation testing
Pulmonary Function Testing Required Activities:
1. Attend the pulmonary function testing rotation in a timely manner. 2. Assist the pulmonary function technician in a professional manner. 3. Perform pulmonary function testing (as allowed). 4. Submit a completed pulmonary function testing interpretation worksheet to your instructor at the end of the rotation. 5. Submit a DEL for each day spent in pulmonary function testing rotation.
Pulmonary Function Testing Grading Criteria:
Performance Evaluation 30%
Interpretation Worksheet 40%
19 of 32 DEL 30%
100%
Physician Rounds-Acute Care Setting
1. General objectives associated with physician rounds rotation:
1. To provide opportunities for the Respiratory Care student to develop an awareness of the “total” patient care needs as well as those involving the respiratory system. 2. To provide opportunities for the Respiratory Care student to work on the development of good communication skills and to build confidence for communication in a one-on-one situation with a physician. 3. To provide opportunities for the Respiratory Care student to sharpen and further strengthen their knowledge base of patient assessment techniques and current Respiratory Care practice. 4. To provide an opportunity for the Respiratory Care student to experience and gain insight into the objectives and goals of Respiratory Care management of the pulmonary patient within the San Antonio and south central Texas areas.
Physician Rounds-Acute Care Setting Required Activities:
1. Attend and participate in assigned physician round activities in a timely professional manner. 2. Perform patient assessment techniques alongside an assigned participating pulmonary physician during patient clinical rounds in the acute care setting or at the physician’s office and attend any lectures/inservices if time and physician schedule permits. 3. Participate in discussion and evaluation of relevant patient care assessment data and current/proposed respiratory care therapeutic plans. The encouraged topics of discussion during rounds should include but not be limited to the following:
1. Patient assessment techniques and evaluation of clinical data. 2. Objective evaluation of Respiratory Care procedures. 3. Discussion regarding the Respiratory Care plan for patient treatment and predicted patient outcomes. 4. Arterial blood gas analysis and interpretation with clinical application to specific pulmonary patients and their respective disease conditions. 5. Chest radiograph assessments. 6. Criteria and clinical situations indicating the need for Mechanical Ventilatory support. 7. Changes in mechanical ventilation settings and goals according to patient clinical data and arterial blood gas analysis. 8. Weaning from mechanical ventilatory support. 9. Issues and concerns when dealing with withdrawal and/or withholding mechanical ventilatory support from a terminally ill patient.
4. Submit a detailed DEL for each day spent on pulmonary physician rounds. 5. Read and study an assigned respiratory care article that can be used for discussion purposes during the rotation time.
Physician Rounds-Acute Care Setting Grading Criteria:
Physician Evaluation 30 %
20 of 32 Patient Scenario Worksheet 30 %
DEL 40 %
100 %
Physician Rounds-Office/Clinic Setting:
1. General objectives associated with physician rounds rotation:
1. To provide opportunities for the Respiratory Care student to develop an awareness of the “total” patient care needs as well as those involving the respiratory system. 2. To provide opportunities for the Respiratory Care student to work on the development of good communication skills and to build confidence for communication in a one-on-one situation with a physician and other allied health professionals. 3. To provide opportunities for the Respiratory Care student to sharpen and further strengthen their knowledge base of patient assessment techniques and current Respiratory Care practice. 4. To provide an opportunity for the Respiratory Care student to experience and gain insight into the objectives and goals of Respiratory Care management of the pulmonary patient within the San Antonio and south central Texas areas.
Physician Rounds-Office/Clinic Required Activities:
1. Attend and participate in assigned physician office/clinic activities in a timely professional manner. 2. Perform patient assessment techniques alongside an assigned participating pulmonary physician and/or designated office/clinic allied health professional staff members during patient office/clinic rounds and attend any lectures/inservices if time and physician schedule permits. 3. Participate in discussion and evaluation of relevant patient care assessment data and current/proposed respiratory care therapeutic plans. The encouraged topics of discussion during rounds should include but not be limited to the following:
A. Patient assessment techniques and evaluation of clinical data.
B. Objective evaluation of Respiratory Care procedures.
C. Discussion regarding the Respiratory Care plan for patient treatment and predicted patient outcomes.
D. Arterial blood gas analysis and interpretation with clinical application to specific pulmonary patients and their respective disease conditions.
E. Chest radiograph assessments.
4. Submit a detailed DEL for each day spent at the physician office/clinic. 5. Complete assigned Clinical Case Profile Scenario Exercises by the program faculty pertaining to the particular patient clientele of their respective office/clinic area (Adult vs Pediatric patient clientele).
Physician Office/Clinic Grading Criteria:
Office/Clinic Evaluation 30 %
Clinical Case Profile Exercises 30 %
21 of 32 DEL 40 %
100 %
Emergency Department Rotation:
1. Initiate, conduct, or modify respiratory care techniques in an emergency department setting:
1. Treat cardiopulmonary collapse according to BCLS, ACLS, PALS guidelines. 2. Collect and evaluate pertinent clinical information as directed by the ED physician. 3. Perform physician ordered or ED protocol respiratory care procedures as directed/needed. 4. Participate in the evaluation of therapeutic effectiveness and the modification of therapeutic interventions for the ED patient.
Emergency Department Rotation Required Activities:
1. Perform assigned respiratory care therapeutics under the supervision of the respiratory care practitioner assigned to ED coverage in a timely and professional manner. 2. Participate in additional patient care activities as permitted by the ED physician and facility personnel. 3. Complete and submit a comprehensive DEL for each day of the ED rotation. 4. Select a minimum of four (4) ED patients that your performed therapeutic procedures on and complete/submit an abbreviated patient assessment utilizing the program patient assessment form.
Emergency Department Rotation Grading Criteria:
Performance Evaluation 40 %
Patient Assessments 60 %
100 %
Intubation Rotation
1. Select and obtain necessary intubation equipment.
2. Selects needed intubation equipment such as: laryngoscope and blades, exhaled CO2 detection devices, assorted ET tube sizes, stylets, 10 cc syringe, adhesive tape, suctioning equipment, resuscitation bag and accessories, etc. 3. Assembles and checks equipment function, identification of equipment malfunction, and correction of malfunctions.
4. Assembles and checks proper function needed intubation equipment such as: laryngoscope and blades, exhaled CO2 detection devices, assorted ET tube sizes, stylets, 10 cc syringe, adhesive tape, suctioning equipment, resuscitation bag and accessories, etc. 5. Conduct therapeutic procedures to maintain a patent airway, achieve adequate ventilation and oxygenation. 6. Performs endotracheal tube intubation, maintains proper cuff inflation and identification of proper position of the endotracheal tube by available means.
22 of 32 7. Achieve adequate spontaneous/artificial ventilation via resuscitation bag or anesthesia ventilator and proper patient monitoring for adequate arterial and tissue oxygenation. 8. Make necessary modifications in therapeutic procedures based on patient response. 9. Modify artificial airway management as needed by altering the ET position, changing the ET tube, suctioning, or inflating/deflating tracheal tube cuff.
Intubation Rotation Required Activities:
1. Perform oral endotracheal tube intubation under the direct supervision and assistance from attending anesthesiologist staff at assigned OR rotation facility. 2. Participate in additional patient assessment/monitoring activities during the rotation experience as permitted/requested by the OR physician staff. 3. Submit a completed evaluation form by the supervising physician verifying performance and number of intubations attempted and successfully obtained. 4. Complete and submit a comprehensive DEL for each day of the rotation. 5. Complete and submit the provided intubation rotation worksheet.
Intubation Rotation Grading Criteria:
Performance Evaluation 30 %
Intubation Worksheet 40 %
DEL 30 %
100 %
Hyperbaric Oxygen Therapy (HBOT) Rotation
1. General objectives for the Hyperbaric Oxygen Therapy Rotation:
1. describe the currently accepted patient/clinical indications for the use of hyperbaric oxygen therapy (both acute and chronic) 2. participate with hyperbaric medicine technician(s) in the preparation , implementation, and therapy conclusion activities related to hyperbaric oxygen therapy procedures 3. observe hyperbaric oxygen therapy treatments being conducted in the center during the rotation 4. observe the patient monitoring and wound care procedures that are performed during the therapy sessions 5. participate in patient data collection during hyperbaric oxygen therapy treatment sessions 6. participate in any inservice/continuing education activities that may be available during rotation time
Hyperbaric Oxygen Therapy Rotation Required Activities:
1. Attend hyperbaric oxygen therapy clinical rotation in a timely manner
23 of 32 2. Participate/observe hyperbaric oxygen therapy activities as assigned by facility technicians/staff in a professional manner 3. Complete the hyperbaric oxygen therapy worksheet and submit to instructor at the end of the rotation 4. Submit a completed “detailed” DEL for each day spent in hyperbaric oxygen therapy rotation 5. Ensure that the student performance evaluation is completed by the individuals the student has spent the most time with at the end of the rotation and that it is faxed or hand carried by the student back to the program faculty.
Hyperbaric Oxygen Therapy Rotation Grading Criteria:
Performance Evaluation 30%
HBOT Worksheet 40%
DEL 30%
100%
Non-Invasive Cardiology Department - EKG/ECHO
1. General objectives associated with non-invasive cardiology department:
1. identify the purposes/reasons that electrocardiograms (ECG/EKG) and cardiac ECHOs are performed. 2. participate with non-invasive cardiology technicians in preparation of EKG/ECG and ECHO procedures 3. observe EKG/ECG and cardiac ECHO procedures 4. participate in patient data collection during EKG/ECG and ECHO procedures 5. identify normal and abnormal cardiac rhythms and measurements collected during EKG/ECG and ECHO procedures
Non-Invasive Cardiology Lab - EKG/ECHO Required Activities:
1. Attend EKG/ECG and ECHO clinical rotation in a timely manner 2. Participate in non-invasive cardiology lab activities as assigned by department technicians in a professional manner. 3. Submit a completed “detailed” DEL for each day spent in the non-invasive cardiology department
Non-Invasive Cardiology Department Grading Criteria:
Performance Evaluation 30%
Worksheet 40%
DEL 30%
24 of 32 100%
Blood Gas Quality Controls/Pulmonary Rehabilitation/ED-Bronchoscopy Rotation:
(Methodist Hospital during Summer Semester Clinical - RSPT 2362)
1. General objectives associated with Blood Gas Quality Controls/Pulmonary Rehab/ED-Bronchoscopy rotation:
Quality Controls Objectives:
1. Perform different levels of Quality Controls for blood gas analyzers. 2. Differentiate between Quality Control versus Calibration of blood gas analyzers. 3. Identify different agencies and their influences on blood gas laboratory operations focusing on Quality Control issues.
Pulmonary Rehabilitation Objectives:
1. Monitor a patient during their Pulmonary Rehabilitation activities. 2. Recommend a Rehab Plan for a patient; recommend modifications to a patient’s current Rehab Plan.
Bronchoscopy Objectives:
1. Observe performed bronchoscopy procedures. 2. Identify the role of the Respiratory Therapist during a typical bronchoscopy procedure.
Blood Gas Quality Controls/Pulmonary Rehabilitation/ED-Bronchoscopy Rotation Required Activities:
1. Attend clinical rotation in a timely manner 2. Participate in all activities as assigned by department therapists in a professional manner 3. Submit a completed “detailed” DEL for each day spent in the different areas encompassing this specialty rotation.
Blood Gas Quality Controls/Pulmonary Rehabilitation/ED-Bronchoscopy Rotation Grading Criteria:
Performance Evaluation 20%
Patient Assessment 15%
SOAP Documentation 15%
25 of 32 DELs 20%
Worksheets 30%
100%
Outpatient/Clinic Respiratory Care Rotation – RBG Campus
Performance Evaluation 20 %
Patient Care Plans 80 %
100 %
Anesthesia Tech Rounds – University Hospital
Performance Evaluation 40 %
DEL 60 %
100 %
Outcomes
Evaluation
Fall & Spring Clinical Course Grade Tabulation:
Attendance 15 %
Rotation Areas 85 %
100%
Overall Summer Clinical Course Grade Tabulation:
26 of 32 Attendance 15 %
Self-Assessment Exams 15 %
Rotation Areas 70 %
100% Course Policies
STUDENT RESPONSIBILITIES
1. A. Attendance
Regular and punctual class and laboratory attendance, day and/or evening, is required. A student who is absent for any reason will be allowed to do makeup work at the discretion of the instructor. A student will be held responsible for lecture materials when covered on subsequent examinations. An excused absence will apply only to a student representing the school in an official capacity approved by the administration. Absences of a student are recorded from the official date of enrollment in the class. A student who has accumulated absences equivalent to two (2) weeks of instruction may be dropped by the instructor after the census date. If a student is dropped from a class for excessive absences, the instructor will record a grade of “WN” (Withdrew for non-attendance).
1. B. Tardiness
Since tardiness is a form of absenteeism, the instructor may establish a policy regarding tardiness.
1. C. Plagiarism
In conjunction with The Student Code of Conduct, “scholastic dishonesty involving, but not limited to, cheating on a test, plagiarism and collusion” are a violation and will not be tolerated. Students may be subject to disciplinary proceedings resulting in an academic penalty or disciplinary penalty for academic dishonesty. Academic Dishonesty includes, but is not limited to, cheating on a test, plagiarism and collusion. For additional information, refer to the “Student Code of Conduct” in the St. Philip’s College Student Handbook.
D. ADA Statement for Students Requiring Special Accommodations As per Section 504 of the Vocational Rehabilitation Act of 1973 and the Americans with Disabilities Act (ADA) of 1990, if special accommodations are needed by any St. Philip's College student, please contact the office of Educational Support Services, at (210) 486 - 2020, located in the Norris Technical Building, Room 106.
Schedule
1. PHILIP’S COLLEGE - RESPIRATORY CARE TECHNOLOGY PROGRAM
LEVEL II STUDENT CLINICAL ROTATION SCHEDULE
SPRING 2015
Students Feb. Feb. Feb. Feb. 27 & Mar. Mar. Mar. Apr. Apr. Apr. 27 & Mar. 2 May 1 & 4 6 & 9 13 & 1 20 & 23 6 & 16 20 & 23 27 & 30 6, 10, 13 17 & 20
27 of 32 Jasmin Meth - Univ - AICU Meth - PFT RBG – Clinic Meth - CCL Meth – AICU Univ - NICU CHSA–PICU SLB - NICU Univ - PFT Apolinar HBOT
Becki Budd Univ - PFT Univ - AICU CHSA–PICU Meth - PFT Meth - CCL Meth – AICU Univ - NICU SLB - NICU Meth – AICU Univ - NICU
Laura Burnett CHSA–PICU Meth - Univ - PFT Univ - NICU Meth – AICU Meth - CCL Meth - PFT Univ - AICU Univ - NICU Meth - NICU HBOT
Jessica CHSA–Pt. Univ - NICU Meth - Univ - PFT CHSA–PICU Meth - CCL Meth - PFT Meth – AICU Univ - AICU Univ - NICU Carrasco Ed. HBOT
Rita Univ - AICU CHSA–Pt. Univ - AICU Meth - NICU Meth - PFT CHSA–PICU Meth – AICU RBG - PFT Univ - NICU Meth - CCL Digaetano Ed.
Jade Elliott Univ - NICU CHSA–NICU Meth - PFT CHSA–PICU SLB - NICU Univ - AICU Meth - CCL Meth - RBG - PFT Meth – AICU HBOT
Danny Huynh RBG - PFT Meth – AICU CHSA–Pt. Meth - PICU RBG – Clinic Univ - NICU Meth - CCL Univ - NICU Meth - PFT Meth - Ed. HBOT
Clarissa Meth - PFT Univ - NICU Meth - CCL RBG - PFT Meth – AICU Meth - PICU Univ - AICU CHSA–NICU Univ - AICU Univ - NICU Jalomo
J. Jean- Meth – AICU SLB - NICU Meth - CCL CHSA–NICU Univ - AICU Meth - PFT Meth - PICU Univ - PFT Meth - NICU Univ - AICU Simon
Abigail Kasten Univ - AICU Meth - CCL CHSA–NICU CHSA–Pt. RBG - PFT Meth - NICU CHSA–PICU Meth – AICU Meth - PFT SLB - NICU Ed.
Celiese Miller Meth - PICU Meth - NICU Univ - NICU Meth - CCL Univ - AICU RBG - PFT Meth – AICU Meth - PFT Univ - AICU CHSA–Pt. Ed.
Diep Nguyen Meth - CCL Meth – AICU RBG - PFT Univ - NICU Meth - PICU RBG – Clinic Univ - AICU Meth - PFT CHSA–NICU Univ - AICU
Tyrell Univ - NICU Meth – AICU Univ - NICU Univ - AICU Univ - PFT Meth - RBG – Clinic Meth - CCL CHSA–PICU Meth - PFT Pettiway HBOT
Ed Rodriguez Meth – AICU Meth - PFT Univ - AICU SLB - NICU Univ - NICU CHSA–Pt. RBG - PFT RBG – Clinic Meth - CCL Meth - PICU Ed.
GiGi Saenz Meth - CCL Univ - NICU Meth – AICU Univ - AICU Univ - NICU Univ - PFT CHSA–Pt. Meth - PICU Meth – AICU Meth - PFT Ed.
Solomon RBG – Clinic Meth - PFT Meth - PICU Meth - CCL Meth - Univ - AICU SLB - NICU Univ - NICU CHSA–Pt. RBG - PFT Salazar HBOT Ed.
Roshini Titus Meth - NICU Meth - CCL Meth – AICU Meth - PFT CHSA–Pt. Univ - NICU Univ - PFT Univ - AICU Meth - PICU RBG – Clinic Ed.
28 of 32 Sterling SLB - NICU CHSA–PICU RBG – Clinic Meth – AICU CHSA–NICU Meth - PFT Meth - CHSA–Pt. Univ - PFT Meth - CCL Williams HBOT Ed.
* Students must call BOTH your clinical instructor & the respective clinical site if you will be absent or tardy!!
** If a student must leave early from their assigned clinical rotation area they must page and inform the designated clinical instructor overseeing that area! Clinical
Faculty Overseeing Specific Specialized Areas Of Clinical Rotation Are Identified By Single Asterisk (*) And Italic Font Style.
*** For Any Problems or Student Concerns That Can Not Resolved By the Clinical Faculty Assigned To A Particular Area Please Contact:
Michael Carpenter, MS, RRT, RCP - Clinical Coordinator Cell Phone: 380 - 5732
**** School Holidays: March 9th - 13th (Spring Break), April 3rd (Easter), April 24th (Fiesta)
Additional Items
INSTRUCTOR VITAE INFORMATION
Michael Carpenter, M.S., Registered Respiratory Therapist (RRT), Respiratory Care Practitioner (RCP)
Assistant Professor – Director of Clinical Education/Clinical Coordinator
Respiratory Care Technology Program
St. Philip’s College
Education:
Started out taking general basic course work at San Antonio College before transferring to Southwest Texas State University (SWTSU) - 1975 - 1977
Associate of Applied Science in Respiratory Therapy - Southwest Texas State University (SWTSU) (now known as Texas State University) - 1979
Bachelor of Science in Health Professions - Allied Health Education Major with Health Administration Minor – SWTSU/TSU - 1983
Master of Science in Health Professions - Healthcare Human Resources - Allied Health Education Major with Community College Administration Minor – SWTSU - 1993
Professional Memberships:
29 of 32
National Board for Respiratory Care (NBRC)
American Association for Respiratory Care (AARC)
Texas Society for Respiratory Care (TSRC)
Texas Department of State Health Services – Respiratory Care Practitioner Board (TDSHS – RCP)
Lambda Beta Respiratory Care National Honor Society
Respiratory Care Faculty Positions Held:
Began career at St. Philip’s College as a Full-Time Tenure Track Instructor for the Respiratory Therapy Program in August 1981
Director of Clinical Education/Clinical Coordinator – 1983 to 1993
Respiratory Care Program Director – 1993 – 1996
Respiratory Care Full-Time Faculty 1996 – 2000
Director of Clinical Education/Clinical Coordinator – 2000 to present
Full-Time teaching load including didactic, laboratory, and direct supervision/clinical instruction at area clinical facility as well as scheduling and overseeing clinical rotations at area healthcare facilities for Level I and Level II clinical students Institutional Policies
STUDENT RESPONSIBILITIES:
A. Attendance:
Effective Spring Term 2010, student absences will be recorded from the first day the class meets. Regular and punctual attendance in all classes and laboratories, day and evening, is required. Students who are absent for any reason should always consult with their instructors. Course syllabi must provide specific information regarding attendance, including, for courses involving the internet, online activity that constitutes “attendance.” Also, both tardiness and early departure from class may be considered forms of absenteeism. In all cases, students will be held responsible for completion of course requirements covered in their absence.
Additionally, it is the student’s responsibility to drop a course for nonattendance. Course instructors establish policy with regard to attendance in their respective syllabi and may drop a student for excessive absences. Absences are considered excessive when more than 12.5 percent of the total contact hours of instruction in a semester, including lecture and lab, are missed. For example, in a three- credit-hour lecture class, students may be dropped after more than six contact hours of absences. In a four-credit-hour lecture/lab class, students may be dropped after more than eight contact hours of absences. Absences are counted regardless of whether they occur consecutively.
In special programs with additional accreditation or certification standards, additional attendance requirements may be enforced but faculty must clearly explain these policies in their syllabi. Students who stop attending class for any reason should contact the instructor and the college registrar to officially withdraw from the class. Students may be required to consult with an advisor or designee before dropping.
Failure to officially withdraw may result in a failing grade for the course. It is the student’s responsibility to withdraw officially from a class by submitting a completed Withdrawal Form to the Admissions and Records Office.
B. Student Responsibility for Success (Alamo Colleges Policy F.6.2):
30 of 32 As members of the Alamo Colleges learning community, students, faculty, staff and administrators all share the responsibility to create an atmosphere where knowledge, integrity, truth, and academic honesty are valued and expected. A clear acknowledgment of the mutual obligations of all members of the academic community emphasizes this implicit partnership in fostering the conditions necessary for student success.
In this relationship, the Alamo Colleges provides institutional policies, procedures, and opportunities to facilitate student learning that encourage interaction, involvement and responsible participation. Inherent in the academic climate is the expectation that students will assume responsibility for contributing to their own development and learning. Academic success is directly tied to the effort students put into their studies, the degree to which they interact with faculty and peers, and the extent to which students integrate into the campus life.
1. Engagement
1. Create connections and build relationships with faculty, staff and students (visit during office hours, join clubs and organizations, participate in student activities, etc.); 2. Stay informed of policies, procedures, deadlines and events for academic and co-curricular activities; 3. Complete all requirements for admission, registration, and payment by deadlines; 4. Apply for financial assistance, if needed, complying with all federal, state and local regulations and procedures; 5. Meet all federal, state and local health care regulations.
2. Communication
1. Seek guidance from faculty, advisors or counselors for questions and concerns in regards to degree plans, major selection, academic status, grades, and issues impacting college success; 2. Develop a peer support system to identify student contacts for questions, group assignments, etc. regarding academic and co- curricular activities; 3. Communicate with College personnel promptly regarding academic or co-curricular concerns and assistance requests; 4. Carefully consider the information provided by College personnel and make decisions using that information; 5. Check the Alamo Colleges’ Web Services regularly for emails, holds, student records, financial aid status and announcements; 6. Submit disability documentation if seeking services and request academic accommodations in advance of each semester.
3. Academic Success
1. Complete courses with passing grades and maintain in good academic standing (2.0 GPA) status; 2. Read and follow all syllabi; 3. Purchase textbooks and required supplies in a timely manner; 4. Attend classes regularly and on time, with as few absences, late arrivals, and early exits as possible; 5. Arrive to class with all needed materials and completed assignments for that class period; 6. Be attentive in class and actively participate as appropriate; 7. Devote sufficient time for studying; 8. Ensure integrity in all aspects of academic and career development; 9. Accurately represent one’s own work and that of others used in creating academic assignments. Use information ethically and exercise appropriate caution to avoid plagiarism on all assignments; 10. Notify faculty in advance or as soon as possible about absences and provide documentation as appropriate; 11. Consult faculty members in advance when unable to complete projects, assignments, or take examinations as scheduled.
4. Self-Responsibility and Responsibility to Others
1. Maintain accurate and complete degree/certificate major selection and contact information including name, address, phone number and emergency contact; 2. Balance personal obligations and educational pursuits. Work with a counselor / advisor to design a realistic schedule that dedicates adequate effort to be successful in college studies; 3. Know and follow the regulations and guidelines outlined in the Student Code of Conduct and Student Handbook; 4. Maintain respectful and appropriate behavior within and outside the classroom; 5. Ask for help when needed. Use all available resources and facilities provided by the College to enhance the learning experience; 6. Attend scheduled advising sessions, tutorials, and other appointments. Cancel or reschedule only with good reasons as early as possible; 7. Arrive prepared for tutorial sessions, bringing all needed materials (books, syllabi, rough drafts, calculators, assignment sheets, 31 of 32 etc.).
C. Textbook Availability
A student of this institution is not under any obligation to purchase a textbook from a university-affiliated bookstore. The same textbook may also be available from an independent retailer, including an online retailer.
COLLEGE REQUIREMENTS:
A comprehensive final evaluation, not to exceed three hours in length, shall be given at the end of each course at the official scheduled final exam time. Any exceptions to this requirement must be approved by the appropriate Dean. Other evaluations are given at the discretion of the instructor.
A student who must be absent from a final evaluation should petition that instructor for permission to postpone the evaluation. A student absent without permission from a final evaluation is graded "0" on the exam.
Incomplete Grades. The conditional grade of “I” may be issued to a student having a passing average on all completed coursework but for a justified reason, such as illness or death in the family or by providential hindrance, has been prevented from taking the final examination or completing other required coursework. The “I” becomes an “F” in one hundred twenty (120) calendar days from the end of the term unless the student completes the balance of the coursework with a performance grade of “D” or higher. Re-enrollment in the course will not resolve the “I.” The student and faculty must fill out an Incomplete Contract, clearly defining the work remaining to be finished. College Policies
Policies for St. Philip's College:
A. All of the Alamo Colleges are tobacco free.
B. Alamo Colleges DPS Emergency Phone Numbers:
Emergency Phone (210) 485-0911
General Phone (210) 485-0099
Weather Phone (210) 485-0189 (For information on college closures)
Disability Access Statement – In accordance with the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act, it is the responsibility of the student to self-identify with the campus Disability Support Services office. Only those students with appropriate documentation will receive a letter of accommodation from the Disability Support Services office. Instructors are required to follow only those accommodation and/or services outlined in the letter of accommodation. For further information, please contact the Disability Support Services office at (210) 486-7175 or visit the office located:
MLK Campus Norris Technical Center 100 SWC LIFEspace Center, ITC A-135 Web http://www.alamo.edu/spc/disability-resource-center/
If you have specific needs, please discuss them privately with your instructor.
32 of 32