Clinical I

Class

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. (0-0-256) 

Course Learning Objectives

As outlined in the learning plan, apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry.

Required Textbooks

Echocardiography - The Normal examination 3rd Edition. Bonita Anderson

                            Echotext / ISBN 978-0-9923-2221-2

                               The Only EKG Book You’ll Ever Need. 9th edition. Malcolm S. Thaler
                                Wolters Kluwer / LWW. ISBN 978-1-4963-7723-4

Evaluation Standards

The following competencies must be completed before the last week of the scheduled rotation: 

  • Obtain and hold PLAX - parasternal long axis view, including color Doppler  
  • Obtain and hold PSAX - parasternal short axis view at papillary muscle, mitral valve,  AND at the  aortic valve, including color Doppler
  • Obtain and hold Apical 4 chamber view, including color Doppler
  • Obtain and hold Apical 5 chamber view, including color Doppler
  • Obtain and hold Apical 2 chamber view, including color Doppler
  • Obtain and hold Apical Long (3 chamber) view, including color Doppler
  • Obtain and hold Subcostal 4 chamber view, including color Doppler
  • Obtain and hold Suprasternal view – aortic arch, including color Doppler
  • Perform standard two dimensional and/or M-mode measurements
  • Perform Standard Doppler measurements

 

The Clinical Competencies will be graded by both your clinical instructor and by your faculty instructor. Their respective grades will be averaged to derive your Clinical Competency grade.
You must obtain a grade of 85% or higher to pass the competencies. If you are having trouble obtaining your competencies, it is your responsibility to notify your assigned clinical instructor in advance of the due dates. Failure to progress will result in termination from the program.

2. Clinical Evaluations (Objectives I-IV )

 

 

 

40%

The assigned clinical instructors will complete two Clinical Evaluations: one at 8 weeks (Midterm Evaluation) and one at the end of the semester (Final Evaluation).

3.   Course Final Exam in Lab (Objectives I-IV)                                                                               30%

Scan assessment of a complete 2D, M-mode, Doppler exam according to your facility’s protocol, and graded by the faculty instructor.

Grading Standards:

  • A             92-100%
  • B             85-91%
  • C             78-84%
  • F             <78%

You must achieve a minimum of 78% or higher to pass this course. The components of your course grade are the Clinical Competencies (30%); the two evaluations – midterm and final - of your work and performance by your Clinical Instructor (40%); and the Scan Lab Final (30%).
 

Course Progression
  1. Demonstrate knowledge of safety and infection control to include: (F1-5, 7-16, C1, 3, 5, 7, 10-15)
    1. Transporting patients
    2. Equipment maintenance and safety
    3. Ergonomic scanning techniques
    4. Infection control guidelines
    5. All department regulations and procedures
    6. Patient confidentiality, methods of identification, and patient interactions.
       
  2. Describe echocardiography laboratory practices to include: (F1-5, 7-16, C1, 3, 5, 7, 10-15)
  1. Scheduling and patient preparation
  2. Recording images
  3. Data storage and filing
  4. Exam reporting and sonographer reports
  5. Interpretation procedures
  6. Quality assurance.
     
  1. Demonstrate and describe the operation of the ultrasound machine for the following: (F1-5, 7-14, C3, 5, 11, 12, 13, 14, 15, 16, 18, 19, 20)
  1. Image and Doppler controls
  2. Calculation packages
  3. Patient data input
  4. Report controls
  5. Media device controls.
     
  1. Prepare patient for the echocardiography examination. Acquire and label basic images and waveforms (F1-5, 7-16, C1, 3, 5, 7, 10, 11, 12, 13, 14, 15) 
  1. 2-Dimensional anatomy 
  2. 2-D standard views
  3. Doppler (PW/CW/color) tracings 
  4. M-mode recordings – with measurements
Absences

Attendance is the biggest predictor of your success. Attendance at every class is expected. You will be allowed to miss 2 class days (except for test days) and/or two lab days (if applicable) without it adversely affecting your grade. Every absence over the allotted days will result in your final grade being reduced by one letter grade. Three tardies of 1-14 minutes each count as one day absent. If you are more than 15 minutes late to lecture or lab it will constitute an absence. You are required to notify the instructor prior to any absence. Failure to do so will result in an unexcused absence.

An exam missed because of an excused absence must be made up the day that you return to class. An exam missed because of an unexcused absence may not be made up, and you will receive a grade of zero (0) for that exam. Pop quizzes may not be made up under any circumstances.

All class and clinical assignments are due on their appointed dates at the designated time. Failure to submit an assignment on time will result in a grade of "0" to be given for the assignment. Although a grade of "0" will be given, the individual instructor reserves the right to ask for completion of the assignment. Failure to comply with request will result in incompletion of the course.

Cell phones shall be stored on silent in your backpack, handbag, or purse. Cell phones may be accessed during breaks.

A student shall retain all rights to work created as part of instruction or using College District technology resources.

Disabilities

ADA Statement:

Any student with a documented disability (e.g. learning, psychiatric, vision, hearing, etc.) may contact the Office on the Weatherford College Weatherford Campus to request reasonable accommodations. Phone: 817-598-6350 Office Location: Office Number 118 in the Student Services Building, upper floor. Physical Address: Weatherford College 225 College Park Drive Weatherford, TX.

Academic Integrity
Academic Integrity is fundamental to the educational mission of Weatherford College, and the College expects its students to maintain high standards of personal and scholarly conduct. Academic dishonesty of any kind will not be tolerated. Academic dishonesty includes, but is not limited to, cheating on an examination or other academic work, plagiarism, collusion, and the abuse of resource materials including unauthorized use of Generative AI. Departments may adopt discipline specific guidelines on Generative AI usage approved by the instructional dean. Any student who is demonstrated to have engaged in any of these activities will be subject to immediate disciplinary action in accordance with institutional procedures.
Hope Statement
Any student who faces challenges securing basic resources such as food, clothing, or housing and believes this may affect their performance in their course of study is urged to contact the Director of Student Resources, Dr. Deborah Cregger, for support at (817) 598-6444. Her office is on the first floor of Student Services. If the student prefers, they may contact their instructor, who can reach out on their behalf. Weatherford College also provides the Coyote Pantry. The Pantry maintains boxed and canned foods for students in need. The location of the Coyote Pantry is two blocks west of the Weatherford campus at the Baptist Student Ministry (118 E. Park Ave., Weatherford). Pantry hours are Mon-Thurs. 8:30 am-4:30 pm and Fri. 8.30 am-12:00 pm (817-599-6586).
SCANS

The Secretary’s Commission on Achieving Necessary Skills (SCANS) identified Competencies in the area of Resources, Interpersonal, Information, Systems, and Technology; and foundation skills in the areas of Basic Skills, Thinking Skills, and Personal Qualities.  This course is part of a program in which each of these Competencies and skills are integrated.  The specific SCANS Competencies that are recognized throughout this course are noted at the end of the appropriate Competencies or task listed.