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. (0-0-6)
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.
During the course of Clinical V, students may perform, but are not limited to the following:
I. PATIENT DATA (F1, F2, F3, F4, F5, F6, F7, F8, F9, F10, F11, F12, F13, F14, F15, F16, F17, C1, C3,
C5, C6, C7, C8, C9, C11, C14, C18)
A. Evaluate Data in the Patient Record
1.Patient history, for example
a) History of present illness (HPI)
b) Orders
c) Medication reconciliation
d) Progress notes
e) DNR status / advance directives
f) Social, family, and medical history
2.Physical examination relative to the cardiopulmonary system
3.Laboratory results, for example,
a) CBC
b) Electrolytes
c) Coagulation studies
d) Sputum culture and sensitivities
e) Cardiac biomarkers
4.Imaging study results, for example
a) Chest radiograph
5.Trends in monitoring results
a) Vital signs
b) Noninvasive, for example
Pulse oximetry
6.Determination of a patient’s pathophysiological state
B. Perform Clinical Assessment
1.Interviewing a patient to assess
a) Level of consciousness and orientation, emotional state, and ability to
cooperate
b) Level of pain
c) Shortness of breath, sputum production, and exercise tolerance
d) Smoking history
e) Environmental exposures
f) Activities of daily living
g) Learning needs, for example
Literacy
Preferred learning style
Social / cultural
2.Performing inspection to assess
a) General appearance
b) Characteristics of the airway, for example
Patency
Tracheal shift
c) Cough, sputum amount and character
d) Skin integrity, for example,0
Pressure ulcers
3.Palpating to assess
a) Pulse, rhythm, intensity
b) Accessory muscle activity
c) Asymmetrical chest movements, tactile fremitus, crepitus, tenderness,
tactile rhonchi, and / or tracheal deviation
4.Performing diagnostic chest percussion
5.Auscultating to assess
a) Breath sounds
b) Blood pressure
C. Perform Procedures to Gather Clinical Information
1.12-lead ECG
2.Noninvasive monitoring, for example
a) Pulse oximetry
3.Cardiopulmonary calculations, for example
a) P(A-a)O2
D. Evaluate Procedure Results
1.Noninvasive monitoring, for example
a) Pulse oximetry
2.Cardiopulmonary calculations, for example,
a) P(A-a)O2
E. Recommend Diagnostic Procedures
1.Noninvasive monitoring, for example
a) Pulse oximetry
II. TROUBLESHOOTING AND QUALITY CONTROL OF EQUIPMENT, AND INFECTION CONTROL (F1,
F2, F3, F4, F5, F6, F7, F8, F9, F10, F11, F12, F13, F14, F15, F16, F17, C1, C3, C5, C6, C7, C8, C9,
C11, C14, C15, C16, C17, C18, C19, C20)
A. Assemble / Troubleshoot Devices
1.Medical gas delivery, metering, and/or clinical analyzing devices, for example
a) Regulator
b) Gas cylinder
2.Noninvasive monitoring, for example
a) Pulse oximeter
B. Ensure Infection Prevention
1.Adhering to infection prevention policies and procedures, for example
a) Standard Precautions
b) Donning/doffing
c) Isolation
2.Adhering to disinfection policies and procedures
3.Proper handling of biohazardous materials
INITIATION AND MODIFICATION OF INTERVENTIONS (F1, F2, F3, F4, F5, F6, F7, F8, F9, F10, F11,
F12, F13, F14, F15, F16, F17, C1, C3, C5, C6, C7, C8, C9, C10, C11, C12, C13, C14, C15, C16, C18,
C19, C20)
A. Provide Respiratory Care Techniques in High-Risk Situations
1.Intra-professional communication
Clinical Competencies (Course Objectives I, II, and III) 40%
The following is a list of clinical competencies that must be completed by the last week of scheduled
rotations:
Patient Assessment (Course Objectives I, II, and III)
Vital Signs (Course Objectives I, II, and III)
The above competencies must have two “Assisted” or “Performed” documented in Trajecsys, prior to
the instructor evaluation. During the instructor evaluation the student must satisfactorily PASS the
competency evaluation items, including core components. At that time APPROVE will be documented in
Trajecsys and the student will receive a 100% for the competency evaluation. If the student does not
satisfactorily PASS the competency evaluation items, including core components, the competency will
be documented as NOT APPROVED in Trajecsys, the student will receive a 50% for that attempt, and
may have one attempt at re-evaluation after approved remediation. Upon re-evaluation, the student
must satisfactorily PASS the competency evaluation items, including core components; however an
average of the two attempts (75%) will be recorded in the grade book. If the student is unsuccessful on
the re-evaluation, they will be removed from the course.
Clinical Evaluation (Course Objectives I, II, and III) 20%
Each clinical instructor will complete one clinical evaluation on each student assigned to their rotation.
The evaluation date is highlighted on the schedule.
Clinical Evaluation
Daily Journal Entry (Course Objective I) 10%
Each student will reflect on their clinical experience each day in clinical I rotation. The student will
discuss their day in written format to include a summary of the daily activity, reflections on what was
learned, and insight into the thoughts and emotions provoked in the student as a result of the day. Each
day will have a minimum entry of 250 words. The student will receive a 50% if the minimum entry of
words is not met. This will be typed in a word document or RTF format and turned into the online
assignment by 1159 PM on December 10.2021. The student will receive a zero for the following: if there
was any day the student attended that is not notated in the journal or if the journal is not turned in by
the due date assigned.
Final Examination (Course Objectives I, II, and III) 20%
A written final examination will be administered during the scheduled finals week. It will be
comprehensive for the entire semester classes.
Required Tasks (Course Objectives I, II and III) 10%
Trajecsys Log Requirements: All students will be required to have documented
a minimum of 3 “Assisted” and/or ”Performed” logged and approved in
Trajecsys in the following areas:
o Pulse Oximetry
o Nasal Cannula
Physician Interaction: All students are required to have 5 physician contact
points logged and verified in Trajecsys by the end of the semester.
Clinical Rotation Evaluations: The student will be required to complete the
following evaluations:
o Clinical Site Evaluation
(1 for assigned site)THR-HMFW, THR-HSW, Baylor S&W, or
JPS
MCW
o Clinical Instructor Evaluation
Proof of Professional Credits: The student will be required to provide proof of
10 professional credits. The students may obtain these 10 credits from the
following:
o Respiratory Recruitment: 1 credit per hour
Obtain permission from full time instruction before event
o Respiratory Care Education online/face-to-face courses
1 hour = 1 professional credits
o Article critique = 2 credit per article
o Original research paper = 10 professional credits
o Community Service = 1 credit per hour
Obtain permission from full time instruction before performing
community service
These tasks will be completed by the student no later than December 10th, 2021 at
2359. If late or incomplete, the student will receive a ZERO in the gradebook.
Your attendance is the biggest predictor of your success. Attendance every clinical day is expected, however, you are allowed ONE day absent. Attendance at post conference is required as per the schedule given at the first of the semester. Every absence over the one day will decrease the final grade for clinical by 10%. If the students is more than 15 minutes late to clinical rotations or post conference, this will constitute and absence. 3 tardies count as 1 day absent. See “Academic Standards” and “Attendance for Clinical” in the student handbook for the proper procedure.
Any absence or tardy will be reported to the assigned clinical instructor. Assigned Clinical Instructor is Christel Brenner Cell: (817) 944-5678. The clinical contact can be reached on their personal cell phone number between the hours of 0500 and 2000. No contact will be made to the clinical contact cell between the hours of 2001 and 0459.
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.
A 90-100%
B 80-89%
C 75-79%
F <75%
***NO LATE PAPERWORK WILL BE ACCEPTED***