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COMMUNITY COLLEGE OF PHILADELPHIA

DEPARTMENT OF CARDIORESPIRATORY TECHNOLOGIES

CLINICAL ASSIGNMENTS RESP 221

PURPOSE OF COURSE:

The clinical portion of RESP 221 has been modified based on discussions with clinical personnel, former students, and the accreditation team from JRCRCE. These modifications are intended to increase the amount of clinical time spent in the critical care areas, broaden the overall exposure to specialty areas (e.g., Pulmonary Rehabilitation, increase quality and quantity physician contact time and give more appropriate emphasis to the Pulmonary Function lab.

ASSIGNMENT:

Two groups will be formed and each will be assigned to a base hospital. The groups for this semester are:

GROUP 1(Pennsyl) Group 2 (Einstein)

Mabel Moore Lillian Cain

Karen Callery Marcella Pearson

Yvlonda Corbin Laura Craven

Barbara Maclackin Touraya Hachefi

Jim Sampson Mike Richardson

Emanor Thertulien Byron Sellers

Edna Chery Louisa Gilbert

Darlene Taylor Kelly Whitaker

Inst. Levi Clark, RRT Inst. Cathy Blaine, RRT

Clinical meets each Wednesday starting January 22 Th. and ending April 24 from 9:00 A.M. until 4:00 P.M. Of the number assigned to each group, some will be assigned into specialty rotations each week as per the attached schedule. The Jeanes Hospital assignment will allow the student to participate in clinical rounds with our medical director and his group. Observation of the activities essential to working in the Pulmonary Function Lab will be done with a one-day rotation. This year we begin a one-day rotation to Specialty Select, a Pulmonary Rehabilitation Unit at Albert Einstein Hospital on the 5^th floor of the Levy building. Students going to this rotation, please report to Cathy or Maureen Jordan in the Respiratory Care Department of AEMC. The remaining students will be in the critical care areas.

Objectives:

The objectives for this semester will include at least the following:

Identify and describe the function of each knob on various ventilators available at the Clinical Affiliate.
Manually ventilate and suction a mechanically ventilated patient.
Change a ventilator circuit while the ventilator is attached to a patient.
Secure an endotracheal tube via tape and/or ETT holder to a patient.
Perform a compliance and resistance calculation on a mechanically ventilated patient.
Observe the unique clinical skills needed to function in physician rounds, the PFT lab and pulmonary rehabilitation.
Review all various modes of mechanical ventilation offer by the ventilators our clinical affiliates use.
Perform an ABG on a patient if available.
Identify, describe, and troubleshoot various equipment routinely found in the critical care areas such as pulse oximeters, capnometers, chest tube drainage, hemodynamic monitors, etc.
Using computer simulations and patient case studies, apply classroom concepts to the clinical area to enhance problem-solving skills.
Review chest radiographs of critically ill patients and correlate them with their physiology.

EVALUATION:

Students will be evaluated once during the semester using the attached form. This is the same form that has been used in your past clinical rotations and does not have a point value. To successfully complete the clinical, all statements must be rated as "ACCEPTABLE". Written assignments include a clinical diary; a clinical patient evaluation (performed at Jeanes Hospital); (3) Pt Evaluation papers (see attached); and (1) PFT paper. All of these ten (10) point papers will be added together and will count as one fifty (50) point quiz for the RESP 221 grade. Your clinical instructor will grade the ABG and PFT papers, while Frank will grade the patient evaluation.

DRESS CODE:

The student is expected to present a professional appearance while in the affiliate and should dress and act accordingly. As per guidelines handed out at the end of the Fall semester, all students are expected to be dressed in Navy blue scrubs with a CCP shoulder patch attached. A lab coat will be worn to cover the scrubs outside of the units and will also have a shoulder patch. A nametag clearly identifying you as a student will be worn. All appropriate equipment (stethoscope, scissors, watch, pen, etc.) will be taken too clinical. Personal/oral hygiene must conform to local norms including regular bathing and hair washing. Hair should be short or tied back so a to minimize patient discomfort and maximize equipment safety. Minimal jewelry may be worn but no large earrings and/or rings and bracelets, which may become tangled in equipment and harm the patient. Nails should be clean and trimmed with only conservative polish colors, if any, worn. Perfumes and after-shaves must be on1y lightly scented if worn, due to the possible disease states of the patients. Shoes should be chosen which offer good support. Sneakers may be worn if they are leather-topped and conservative in color.

COMMUNITY COLLEGE OF PHILADELPHIA

DEPARTMENT OF CARDIORESPIRATORY TECHNOLOGIES

POLICY STATEMENT

ABSENCE FROM CLINICAL EXPERIENCE

1. Students may make up due to illness, the total number of hours per semester equal to the number of hours that the course meets weekly.

(Exception: Summer Session Clinical Rotations employ a different formula. Students may make up One eight-hour shift for every 160 hours of clinical time.)

2. A student who misses an excess of hours (as defined in #l ) must arrange a conference with the Clinical Coordinator as soon as possible. Following the conference, one or more of the following decisions will be reached:

a. make up time will be scheduled

b. a conference with the total faculty will be scheduled

c. dismissal from the program

3. Students who miss twice the number of hours above are beyond remedial help and may either be dropped from the program or given permission to repeat depending upon individual circumstances. However, no student may complete, or receive a grade for a clinical practice course in which twice the number of allowed hours have been missed unless the course is repeated.

4. Students must notify the clinical instructor regarding absence in the clinical area PRIOR to the experience.

5. If a student reports to the clinical area more than 30 minutes late, he/she may be directed to leave the area and the time missed will be counted as absentee time.

6. Under no circumstances may the student engage in make-up time without being enrolled as a bona fide student.

CCP - RESPIRATORY CARE PROGRAM DAILY CLINICAL LOG

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COMMUNITY COLLEGE OF PHILADELPHIA

DEPARTMENT OF CARDIORESPIRATORY TECHNOLOGIES

RESPIRATORY CARE PROGRAM

CLINICAL BEHAVIORAL EVALUATION FORM

NAME______________________________________DATE______________

COURSE: (circle one)

102 104 221

299 CRITICAL CARE 299 NEO/PEDS

SIGNATURES:_____________________________/HOSPITAL SUPERVISOR

_____________________________/STUDENT

Check appropriate column for each statement using the following key:

U = Unacceptable; I = Improvement Necessary; A = Acceptable

U | I | A

1. Accurately checks patient chart before patient contact

_______________________________________________________________________________|_____|_____

2. Accurately records patient information after patient contact

_______________________________________________________________________________|_____|_____

3. Communicates information to other health care team members clearly and concisely

_______________________________________________________________________________|_____|_____

4. Demonstrates proper care and maintenance of equipment before, during, and after use

_______________________________________________________________________________|_____|_____

5. Demonstrates aseptic technique at all times

_______________________________________________________________________________|_____|_____

6. Demonstrates an ability to appropriately operate equipment and administer therapies required for this clinical rotation.

_______________________________________________________________________________|_____|_____

7. Demonstrates an ability to apply classroom concepts to problem solving in the clinical environment

_______________________________________________________________________________|_____|_____

8. Explains procedures and/or equipment to the patient in understandable terminology

_______________________________________________________________________________|_____|_____

9. Respects the patient/practitioner relationship by varying approach according to individual needs

_______________________________________________________________________________|_____|_____

10. Demonstrates an appreciation of the patient's safety and privacy

_______________________________________________________________________________|_____|_____

U | I | A

11. Respects the confidentiality and legality of the patient's records

_______________________________________________________________________________|_____|_____

12. Attendance and punctuality during this rotation

_______________________________________________________________________________|_____|_____

13. Makes good use of time while in clinical

_______________________________________________________________________________|_____|_____

14. Presents to clinical area with appropriate appearance/hygiene

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15. Reacts appropriately to emergency and/or pressure situations

_______________________________________________________________________________|_____|_____

16. Reacts appropriately to suggestions, criticism, and guidance

_______________________________________________________________________________|_____|_____

17. Learns independently via keen, accurate observation

_______________________________________________________________________________|_____|_____

18. Overall rating for this rotation

_______________________________________________________________________________|_____|_____

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Use this space for comments by both student and supervisor. All statements graded less than "acceptable" to be explained here. Explanation to be listed by statement number.