Clinical days, sites and rotations are specific to each student.
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 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.
Clinical Portfolio complete 20%
Case study 20%
Task analysis 20%
Performance evaluation 40%
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.
GENERAL GUIDELINES ON Competencies
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 the clinical notebook.
A competencymust be completed for the following skills:
1. Basic Life Support (completed in lab on campus)
3. Isolation Procedures
4. Charge documentation
5. Vital Signs
6. Patient Assessment
7. Chest Assessment
8. X-ray Interpretation
9. Oxygen Therapy (Use of at least one oxygen delivery device)
10. Pulse Oximetry
11. Transport with Oxygen
12. Aerosol and Humidity Therapy (Use of at least one device)
13. Aerosol Drug Administration (metered dose inhalers, dry powder
inhalers and small volume nebulizer)
14. Incentive Spirometry
15. Intermittent Positive Pressure Breathing*
16. Chest Physiotherapy
17. Positive Expiratory Pressure Mask Therapy*
18. Flutter valve 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.)
Following the format outlined here, each student will turn in a typed or word processed 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.
Case study Format:
The following outline should be followed exactly for the case studies. Include all titles and subject headings. Typed copies of the case studies are to be turned in on or before November 20th.
Present chest examination (a and b to be done by student)
Vitals signs (one set to be done by the student) Get at least three sets of vital signs;
Present, admitting, and one set of intermediate values. Comment specifically on any measures that are not normal.
Any lines or tubes (Art. Line, chest tube, etc.)
Clinical laboratory data. Where possible get at least three sets of clinical laboratory data; present, admitting, and one set of intermediate values. Comment specifically on any measures that are not normal.
Pertinent medications-include for each; synopsis of PDR (or other drug book) sections for 1. Description, 2. Indications and usage (specific to this case), 3. Precautions, 4. Adverse reactions, 5. dosage and administration.
Evaluation of major organ systems other than drugs
Major diagnostic procedures and results (listed by date)
Rationale for initial treatment
Major complications since admission
Rationale for current treatment (applied to present illness)
Rationale for current respiratory care
Reasonable short term plan for the patient
At the end of the clinical rotation, the students will present their case study. Your presentation should be no longer than 15 minutes on November 20th .
For your presentation, you will present the following information in narrative form (in your own words):
1. Patient data (Age, gender)
2. Admitting data, chief complaint
3. Pertinent History-medical, family, social/Occupational
4. Working Diagnosis (give description of disease)
5. Any pertinent issues with labs or x-rays
6. Any pertinent treatment and outcomes (medications, medical interventions such as CPR, ventilator, etc)
7. Length of Stay, summary of outcomes and prognosis, plan of care
You will also turn in the written draft of your case study as outlined in the syllabus.
Presentations will be graded on content, professionalism, and ability to answer questions about In a narrative form summarize the important aspects of the patients illness.
Each student must complete and submit 3 task analysis papers. The task analysis may be done on any of the commonly ordered modalities assigned for completion during the Fall clinical rotations. The completed papers must be turned in by October 28th.
Task Analysis Format:
Patient info: Age, patient diagnosis, area
Therapy type (i.e., oxygen therapy (cannula), aerosol treatment (small volume nebulizer), Bronchial hygiene therapy (PEP, incentive spirometer, IPPB)
Each student will be evaluated on their performance during their clinical rotation.
The evaluation includes:
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
Signing in and out:
Each student is required to document their clinical hours on the sign-in sheet in the clinical portfolio. The sign in/out for each clinical day will be signed by the therapist with whom the student has worked on that clinical day. Each student will complete 17, 12 hours shifts for a total of 192 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 will take extenuating circumstances into account. An adverse decision may be appealed to the Program Director. A make up day may be arranged. All missed clinic days will be made up in double time.
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.)
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. Absences secondary to bad and/or severe weather may be excused at the discretion of the Clinical Director. If schools in your clinical area are canceled, your absence will be excused.