Clinical Practicum IV

All clinical courses require the student to integrate theory and laboratory training in the patient care setting. The focus of this clinical course is application of therapies, techniques and procedures used to support the adult patient in respiratory failure. Topics include pulmonary rehabilitation, insertion of artificial airways, pulmonary function assessment, hyperbaric oxygen, cardiovascular assessment, patient-ventilator system checks, prescribing machine settings and managing the patient-ventilator system. 

GRADED ITEMS:

Clinical Portfolio complete      30%

ICU care plans                        20%

Performance evaluation         40%

Daily evaluations                     10%                 No score lower than NI in any category

MANDATORY ITEMS:

Each student will compile a clinical portfolio documenting the learning activities for the semester.

The clinical portfolio is to be organized as follows:

In a 3 ring binder create divisions (using tab sheets) for the following in the exact order listed.

1. Cover sheet
2. Course syllabus
3. Clinical schedule
4. Sign in sheet
5. Competency list
6. Daily log form
7. Care plans (when in ICU)
8. Daily performance evaluations
9. End of rotation (Affective) performance evaluation
10. Clinical site evaluations

General requirements

Each Student will successfully complete any competencies not completed in any other rotation.

1. 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. Activities performed during the day may be listed on the log from the list of competencies contained in the clinical portfolio.
2. Sign in sheets-the student must be signed in and out for each day in clinic – no exceptions!
3. Care plans-when in the ICU the student will complete a care plan for each patient the student is caring for on the day.  The care plan format will be discussed in class before clinic begins.
4. 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!
5. Affective evaluations-You must download from DataArc and place in your clinical portfolio a completed Affective Evaluation from the site where you have spend the majority (>50%) of your clinical time. Due at final check-off
6. Site evaluations-You must download from DataArc and place in your clinical portfolio a site evaluation for every site you attend.  If you are at a hospital for airway, PFT and ICU, then three separate evaluation forms must be completed-printed and placed in your clinical portfolio.  The site evaluation must be completed on DataArc, before printing out and placing in the clinical portfolio. Due at final check-off
7. Clinical portfolios will be presented to the Clinical Chair at the completion of each two week clinical block for evaluation.  If the clinical portfolio is not complete when turned in for review, the highest letter grade possible for clinic will drop by one!

CLINICAL PORTFOLIO FINAL CHECK-OFF November 30^th NOON.  NO EXCEPTIONS!

1. Students receiving proximity badges from URHCS must turn those badges in to the MWSU Respiratory Care faculty at the semester’s end.  Students are responsible for their badges and if lost the student will incur a $10.00 fee for replacement cost.  Grades will not be released until the badge or fee is collected.

GENERAL GUIDELINES ON Competencies

1. Required competencies are listed in each course syllabus, or found on DataArc.
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. Each may be signed on DataArc. It is your responsibility to make sure the competencies are completed properly.
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.
6. It is the student’s responsibility to contact the Clinical Coordinator if they are having problems with the competencies.
7. A student must complete the competencies specified in the course syllabus. Failure to complete the required competency will result in an unsuccessful grade in clinicals and prevent completion of the program.
8. All competencies are to be completed by May 1. 

Competencies:

1. Perform an intubation*

2. Observe/perform pulmonary function testing (spirometry-clinic and/or

   bedside, peak flow, diffusion, plethysmography)*

3. Perform hemodynamic monitoring

4. Perform Arterial line sampling

5. Perform Pulmonary artery pressure measurement

6. Perform Thermodilution Cardiac Output Measurement

7. Perform Bronchoscopy assisting *

8. Perform Electrocardiography

9. Observe Metabolic assessment*

10. Observe Stress testing*

11. Observe Lung Scan*

12. Observe CAT scan

13. Observe MRI

14. Observe Cardiac catherization

15. Observe Echocardiography

16. Observe and/or perform hyperbaric oxygen therapy*

(*Competency can be used as a “floater”. If the opportunity is not available in this rotation, it can be “floated” to a subsequent  rotation.)

In addition to the competencies, the student will have physician interaction to promote effective communication skills between physician and student and to allow student to begin to appreciate the physician’s perspective of patient care.

Clinical Evaluation:

Each student will be evaluated on their performance during their clinical rotation.

 The evaluation includes:

1. professional appearance
2. attendance
3. arrive on time and prepared
4. dependability
5. can function as part of the healthcare team
6. friendly and helpful within the department
7. accepts supervision, seeks feedback
8. appropriate and courteous with patients 
9. conducts self in a professional/ethical manner
10. communicates effectively, use appropriate language
11. can prioritize and use effective time management
12. self-directed and manages work responsibly
13. self confident, uses good judgement
14. participates in educational activities that enhance clinical performance

ATTENDANCE POLICY

Attendance at clinical sites is an essential component of the student’s

clinical education. The student must be in their assigned area

and prepared for instruction at the scheduled time for that    

rotation.

DATAARC: CLOCKING IN AND OUT

Each student may log in on DataArc to document their

clinical hours. Each student will complete 18, 12 hours shifts for a

total of 216 hours of clinical time. Every student is required to make

up any missed time.

MISSED CLINIC DAYS

If a student is unable to present at the clinical site, it is his/her

responsibility to report the intended absence to the clinical site and

Director of Clinical Education prior to the time for the Practicum.

When reporting an absence to the Director of Clinical Education,

please call 940-397-4652 (department secretary) and leave the message.

When reporting the absence to the clinical site, have the hospital

operator page the charge therapist on night shift. Leave the message

with the charge therapist.

The 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. The

Director of Clinical Education may take extenuating circumstances

into account. An adverse decision may be appealed to the Program

Director. Make up days may be arranged at the discretion of the Clinical Chair and Program Director

LATE POLICY

It is equally important that a student be punctual to the clinical

site. In order for the student to obtain maximum benefit from the

clinical Practicum, they must be present for the report given at the

change of shift. Late is defined as arriving at the clinical site

fifteen minutes past the scheduled time for the Practicum. However, if

a student arrives later than thirty minutes past the scheduled time for

the Practicum, he/she may not be allowed to stay for that clinical day.

If a student must be late for clinical it is their responsibility to

contact the site prior to the scheduled time for Practicum.

After contacting appropriate person within the specified time, the

student must be present within one hour of scheduled time for the

Practicum. Depending on the area of rotation and the circumstances, an

alternative assignment may be made. If a student is habitually late the

instructor and/or the Clinical Director will counsel them.

If the student does not report tardiness to the appropriate person, an

absence will be recorded. The Director of Clinical Education will take

extenuating circumstances into account. Every two days a student is

late, an unexcused absence will be recorded.

It is equally important that all students remain at their clinical site for the entire designated time. If the student must leave early for any reason, the student must call the Clinical Director. Students will be required to make up any missed hours.

Leaving the clinical site for any reason and not communicating with the preceptor and the Clinical Director is grounds for dismissal from the program.

It is also required that all students communicate with their assigned preceptor any time they leave their area for any reason (lunch, break, work on case studies, etc.)

INCLEMENT WEATHER:

In cases of bad weather or severe weather conditions, the student must use their own judgment when deciding whether or not to attend clinical. The student will inform the clinical instructor as soon as possible. If schools in your clinical area are canceled, your absence will be excused.