Clinical Practicum III

Course Details

Course Number: RESP 4711  Summer I 2014

Location: Off-Campus

Days & Times:

WEEKLY MEETING PATTERN:

Clinical days, sites and rotations are specific to each student.

 



Course Attachments

  Practicum III, syllabus 2014-20140602-151923.doc

Textbooks

MSU Faculty Member
Tammy Reitz Kurszewski M.Ed., RRT   
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Course Objectives

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 therapies, techniques and procedures to the newborn patient. Topics include aerosol drug delivery, pulmonary hygiene, nasal CPAP, continuous flow IMV, neonatal intubation and airway care, ventilatory support, PEEP, inspiratory time and mean airway pressure therapy, vital signs, chest assessment, APGAR scoring and resuscitation of the newborn.


Course Expectations

GRADED ITEMS:

History and Physical Exam           30 points

Site Evaluation                     40 points  

Competencies                        30 points

                                   100 points

MANDATORY ITEMS:

Each Student will successfully complete 15 competencies.

Failure to complete 15 competencies will result in a failing grade!

To get an A in this course the student must:

  1. Complete 15-30 competencies.
  2. Complete all DLs.
  3. To have at least 90 points on the graded items.

To get a B in this course the student must:

  1. Complete 15-30 competencies.
  2. Complete all DLs.
  3. Have between 80-89 points on the graded items.

To get a C in this course the student must:

  1. Complete 15-30 competencies.
  2. Complete all DLs.
  3. Have between 75-79 points on the graded items.

A student is guaranteed a grade of less than C if:

   1. Complete less than 15 competencies.

   2. Any DLs are missing.

  1. If the points on the graded items are less than 74.

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 w/care plans (when in ICU)
  7. Daily performance evaluations
  8. Daily preceptor 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 NICU 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 the site you attend.  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 Mrs. Kurszewski at the completion of your clinical rotation 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 June 6th by NOON.  NO EXCEPTIONS

 

 

Neonatal Critical Care

  1. Neonatal/Pediatric vital signs
  2. Neonatal Chest Assessment
  3. Neonatal Patient Assessment
  4. Neonatal X-Ray Interpretation
  5. Neonatal Nasal CPAP
  6. Oxygen Hood
  7. Neonatal Nasal Cannula
  8. Neonatal Pulse Oximetry
  9. Transcutaneous Monitoring
  10. Neonatal MDI via Manual Resuscitator
  11. Neonatal SVN via Blow-by
  12. Neonatal In-line MDI
  13. Neonatal In-line SVN
  14. Neonatal CPT
  15. Neonatal Manual Ventilation via ET Tube
  16. Neonatal Setup and Ventilation via Mask
  17. Newborn Assessment/Resuscitation
  18. Neonatal CPR
  19. Infant Apnea Monitoring
  20. Bulb Suctioning
  21. Neonatal ET Suctioning
  22. Neonatal Nasotracheal Suctioning
  23. Neonatal Ventilator Setup
  24. Neonatal Routine Vent Check
  25. Neonatal Vent Parameter Change
  26. Neonatal Vent Circuit Change
  27. Surfactant Replacement Therapy
  28. Neonatal Weaning
  29. Neonatal Manual Ventilation during Transport
  30. Neonatal Transport Vent Setup

 

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. Each must 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 clinical and will prevent completion of the program.
  8. All competencies are to be completed by midnight on June 6th.   

 

 

HISTORY AND PHYSICAL EXAMINATION:

Each student must obtain a full history and physical examination on an actual patient. This examination is to be done by the student, not copied from the patient’s medical record. Follow the format used here. The history and physical examination must be word-processed.

 

History and Physical Examination Format:

1. Demographic Data

2. Chief complaint reason for patient to be admitted to the NICU

3. History of present illness

   a. Description of illness

   b. Onset (in utero, at birth, post delivery?)

   c. Severity of symptoms and illness

   d. Associated manifestations

4. Past Medical History of mother

   a. Childhood illness

   b. Hospitalizations, surgeries, injuries, accidents

   c. Major illnesses

   d. Allergies

   e. Present medications (OTC, Rx, Herbal, Vitamins, and Illegal)

   f. Immunizations

   g. General Health

5. Patient/Family Profile

  1. Age and Education level of parents
  2. Occupational history of parents
  3. Current living situations (siblings, others in the home)
  4. Family structure and support

6. Family history

7. Review of Systems of infant

8. Initial Impression/any prognosis

9. Vital Signs: HR, RR, BP, Temp

11. HEENT: head, eyes, ears, nose, throat

12. Neck

13. Thorax

14. Heart (pulse)

15. Lungs

16. Abdomen

17. Extremities

 

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 judgment
  14. participates in educational activities that enhance clinical performance

Grading Standards

GRADED ITEMS:

History and Physical Exam           30 points

Site Evaluation                     40 points  

Competencies                        30 points

                                   100 points

MANDATORY ITEMS:

Each Student will successfully complete 15 competencies.

Failure to complete 15 competencies will result in a failing grade!

To get an A in this course the student must:

  1. Complete 15-30 competencies.
  2. Complete all DLs.
  3. To have at least 90 points on the graded items.

To get a B in this course the student must:

  1. Complete 15-30 competencies.
  2. Complete all DLs.
  3. Have between 80-89 points on the graded items.

To get a C in this course the student must:

  1. Complete 15-30 competencies.
  2. Complete all DLs.
  3. Have between 75-79 points on the graded items.

A student is guaranteed a grade of less than C if:

   1. Complete less than 15 competencies.

   2. Any DLs are missing.

  1. If the points on the graded items are less than 74.

Submission Format PolicyNote: 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 Policy 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.

Students with Disabilities 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, 397-4140.

Safe Zones Statement 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.

Contacting your Instructor All instructors in the Department have voicemail in their offices and MWSU 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.

Attendance Requirements

ATTENDANCE POLICY

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.

 

 

DATAARC: CLOCKING IN AND OUT

Each student is required to log in on DataArc and document their

clinical hours. Each student will complete 8, 12 hours shifts for a

total of 96 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 the current 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 will be arranged.  All missed clinic days will be made up in double time.

 

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.)


Other Policies

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 the schools in your clinical area are canceled, your absence will be excused.


Writing Proficiency Requirement All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed English 1113 and English 1123 and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at http://academics.mwsu.edu/wpr, or call 397-4131.