Alvin Community CollegeDiagnostic Cardiovascular Sonography Program

CLINICALDMST – PEDI ECHO II

PEDIATRIC ECHOCARDIOGRAPHY TECHNOLOGY II COURSE SYLLABUS

DSPE 2461

Program Director: Jessica L. Murphy BS, RRT, RDCS, RVT, CCTClinical Director: Suzanne Poston, AAS, RDCS (AE, PE, FE), RVS, FASE

Clinical Coordinator: Dina DuBose, BAT, RVT, RVS, CCTClinical Faculty: Dee Dee Metzcher-Carr, BA, JD, RVT

Clinical Faculty: Theresa Saenz, AAS, RDCS

FALL 2016

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DSPE 2461-01 Clinical, PEDI Echo II

INSTRUCTOR: Suzanne Poston, RDCS E-MAIL: sposton@alvincollege.edu

OFFICE: S150 PHONE: 281-756-5651

OFFICE HOURS: Monday, 8:30 – 12:30

Hours: 8 hour days x 3 days per week x 24 Total:Total: 384 hours Days: W, TH, FShift: 8:00-4:30 days (Shift times may vary according to the clinical site) Semester: Fall, 2016Dates: August 24th – December 7th

Locations: TBA see attached clinical schedule

COMMUNICATING WITH YOUR INSTRUCTORThe preferred method for communicating with your instructor is through the ACC email or you may call me at 281-756-5651. Please leave your first and last name, a phone number or e-mail address where I can contact you and tell me what you need to discuss with me. I will normally respond within 24 hours Monday-Thursday and by the next business day on Friday-Sunday.

Clinical Director Clinical Coordinator Clinical FacultySuzanne Poston Dina DuBose Dee Dee Metzcher-CarrOffice: S-150 Office: S-148 Office: S148Phone: 281-756-5651 Phone: 281-756-5663 Phone: 281-756-5663Email: sposton@alvincollege.edu ddubose@alvincollege.edu aspen827@yahoo.com

Clinical Faculty Office HoursTheresa Saenz Sue Poston: Monday 8:30 – 12:30Office: S148 Dina DuBose: By appointment onlyPhone: 281-756-5663 Dee Dee Metzcher Carr: By appointment onlytsaenz@alvincollege.edu Theresa Saenz: By appointment only

COURSE DESCRIPTIONThe purpose of this course is to provide additional clinical education, training, experience and direct patient care. It will include instruction, supervision and evaluation of students in the field of pediatric echocardiography. Emphasis will be on broadening and improving existing skills, recognition, evaluation, and quantification of congenital heart disease.

END-OF-COURSE OUTCOMESAs 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.

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RATIONALEStudents require hands on experience to become competent in the necessary skills required to perform quality pediatric echocardiographic exams, understand the normal components of a routine scan protocol, recognize, quantify, and identify pathology using echocardiographic and related diagnostics.

STUDENT LEARNING OUTCOMESThe student will be able to…1.Gain experience and orientation to the pediatric echocardiography lab.(C1, C2, C3, C4, C6, C9, C16, C17, F12, F13, F14, F15, F17)2.Position patients, transducers, and/or other devices for optimal scanning.(C10, C11, C12, C13, C14, C8, C18, C19, C20, F8, F16)3.Adjust instrument controls to optimize images and waveforms.(C5, C8, C15, C16, C17, C19, C20, F8)4.Recognize and identify basic anatomical structures, waveforms, and common landmarks used to locate each window.(C3, C5, F1, F2, F3-4, F5, F6, F7, F11, F12)5.Apply principles of medical ethics, professionalism, and effective communication. (F8, F9, F13, F14, F15, F16, F17)6.Recognize and take action to correct technical artifacts.(C7, C8, C16, C20, F9, F10)7.Interact appropriately with staff, instructors, equipment, procedures, and regulations, social and legal systems.(F15, F17, C9, C10, C11, C12, C14)8.Demonstrate legal and ethical behavior.(F13, F14, F16, F17)9.Effectively communicate using appropriate medical terminology, interpersonal, and teamwork skills. (C7, C4, F15, C14, F6)10. Perform all required aspects of a pediatric echocardiogram protocol.(C3, C5, F1, F2, F3-4, F5, F6, F7, F11, F12)11. Analyze pediatric echocardiograms using the segmental approach.(C3, C5, F1, F2, F3-4, F5, F6, F7, F11, F12)(See SCANS key for details about codes.)

PREREQUISITESDSPE 2261 – DMST Clinical, Pediatric Echocardiography I COREQUISITESDSAE 2249 – Echo Evaluation of Congenital Heart Disease II

TEXTBOOK INFORMATIONFor current information on the textbook and other course materials, visit the ACC College Store website.

REQUIRED BOOKSClinical SyllabusClinical Orientation ManualCurrent editions of each of the following:Reynolds, Pediatric Echocardiographer’s Pocket Reference. ISBN: 0-963567-7-1Lai, Echocardiography in Pediatric and Congenital Heart Disease, From Fetus to Adult, ISBN: 978-1-4051-7401-5

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REFERENCESSnider, Echoardiography in Pediatric Heart Disease, 2nd ed. (out of print) ISBN: 0-8151-7851-4Valdes-Cruz, Echocardiographic Diagnosis of Congenital Heart Disease, (out of print) ISBN: 0-7817-1433-8Keane, NADAS’ Pediatric Cardiology, 2nd ed. ISBN: 978-1-4160-2390-6Ho, Echocardiography in Congenital Heart Disease Made Simple, ISBN: 1-86094-124

ADDITIONAL MATERIALS 1. Clinical Uniform2. ID Badge/name tag3. Lab coat

CLASS ATTENDANCE POLICY See the clinical manual for detailed attendance policy.

COURSE SCHEDULE/CLINICAL SCHEDULEThe current semester clinical schedule is emailed to the students and posted on Trajecsys. Perfect Attendance bonus only applies if the student was in attendance at all times and worked the schedule as posted without undue changes.

Attendance at Meetings and SeminarsAttendance at Medical director or Guest Lectures and Interpretation classes is vitally important.

Attendance and AbsencePlease see the Student Handbook for complete details.

I.…..IncompleteNo Incompletes or “I” grades will be given except for extreme circumstances. If an “I” grade is assigned and the course work is not completed by the pre-arranged time limit, this grade will convert to an “F”.

W….WithdrawalIt is recommended that the student talk to the instructor before withdrawing. Current course withdrawal information can be found in the printed version of the ACC Schedule for this semester or online at ACC Course Withdrawal Instructions . Students who file withdrawal requests by the published deadline and have not exceeded the withdrawal maximum will receive a grade of W.

GRADING/METHODS OF EVALUATION Clinical Course Grading RubricAttendancePoints

-2 points for improperly called/documented

-1 point for each properly called/documented

+1 for each day of attendance;43 total points possible

+4 added to final average for perfect attendance

Miscellaneous -5 Wrong site/Shift -5 Missing physician input

+1 point for STAR awards

-Any Progressive Discipline points

Clinical Final 100 points possible

Evaluation avg. 100 points possible

Clinical Assignment avg. 100 points possible

Competency avg. 100 points possible

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Case Study 100 points possible

Service Learning 100 points possible

Incomplete CourseGrade “I”

Did not take clinical final exam

Preliminary Course average = Total points achieved _____ ÷ 643 = _____Final Course average = Preliminary Average – deductions OR + bonus points = ____

STUDENTS are responsible for their own documentation each and every clinical day.

GRADING SYSTEMA = 91-100B = 82- 90C = 77- 81F = below 77

STUDENTS MUST MAKE A 77 OR BETTER TO RECEIVE CREDIT FOR THIS COURSE!

Always notify your instructor if you are concerned with your grades or your status in the class.

DISCLAIMER The instructor reserves the right to modify this syllabus as needed and will notify the students of any changes using the ACC e-mail or My Blackboard e-mail or announcements.

CODE OF ACADEMIC INTEGRITY AND HONESTY Alvin Community College students are members of an institution dedicated to the pursuit of knowledge through a formalized program of instruction and learning. At the heart of this endeavor, lie the core values of academic integrity which include honesty, truth, and freedom from lies and fraud. Because personal integrity is important in all aspects of life, students at Alvin Community College are expected to conduct themselves with honesty and integrity both in and out of the classroom. Incidents of academic dishonesty will not be tolerated and students guilty of such conduct are subject to severe disciplinary measures.

CLASSROOM PROTOCOL It is the right of each student to participate in his or her learning, and it is the responsibility of each student to not interfere with the learning of other students. It is the expectation of the college that each student assumes the responsibility to follow college policies and procedures governing classroom conduct on campus and online. This information is published in the ACC Student Handbook on page 42.

EVALUATION OF INSTRUCTIONAlvin Community College is dedicated to student success. As part of its ongoing improvement efforts, students will provide input for each course prior to the end of the semester enrolled. Evaluations will be completed in either online or paper format as directed by the Office of Institutional Effectiveness & Research.

ACC ACADEMIC SUCCESS AND SUPPORT SERVICESThe ACC Tutoring/Learning Lab, located upstairs in building A, provides students with a variety of services including tutoring (math, writing, and other disciplines); computers and printers; and tables/carrels. Call 281-756-3566 or visit the ACC Tutoring/Learning Lab Website for more information.

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The ACC Library is an excellent source for research and writing help. Quiet rooms are available for studying and doing class work. For more information, visit the ACC Library Website or call 281-756-3559.

ACC Counseling Services assist students with issues that may negatively impact academic success. To contact a counselor, call the office of Advising Services at 281-756-353.

Americans with Disabilities Act ACC complies with ADA and 504 Federal guidelines by affording equal access to individuals who are seeking an education. Students who have a disability and would like classroom accommodations must register first with the Office of Disability Services, A 136, or call 281-756-3533. Instructors are not able to provide accommodations until the proper process has been followed.

Assessment and Care Team (ACT) The Assessment and Care Team is committed to improving community safety through a proactive, collaborative, coordinated, objective, and thoughtful approach to the prevention, identification, assessment, intervention and management of situations that pose a threat to the safety and well-being of the campus community. To educate and empower all members of the College community, resources and procedures are in place to prevent, deter, and respond to concerns regarding acts of violence. Alvin Community College offers assistance to departments and individuals in detecting indicators for concern and resources to protect themselves and their environments.

The Alvin Community College ACT accepts reports regarding any individual or incident at any time through an online referral form on the Assessment and Care Team page at http://www.alvincollege.edu/ACT, direct email to: ACareTeam@alvincollege.edu, or by contacting the Alvin Community College Police Department at 281-756-3700 or 832-250-3365 (after hours).

MY Blackboard support can be obtained by completing the Online Support Form.

WEBACCESS, Passwords or ACC Computer Lab Information: If you experience problems with WebACCess, please call the Help Desk at 281-756-3544 or email helpdesk@alvincollege.edu.

MENTAL HEALTH COUNSELING AND SUICIDE PREVENTION SERVICESAs a student, you may experience a range of challenges that can interfere with learning, such as strained relationships, increased anxiety, substance use, feeling down, difficulty concentrating, and/or lack of motivation. These mental health concerns or stressful events may diminish your academic performance and/or reduce your ability to participate in daily activities. Advising services employs two Licensed Professional Counselors who can assist students with issues that negatively impact academic success. Consultation and referrals are confidential. The Counseling Referral form is located at: http://www.alvincollege.edu/CounselingServices.aspx

EmergenciesIf you or someone you know at ACC feels overwhelmed, hopeless, depressed, and/or is thinking about dying by suicide, supportive services are available by requests at the Enrollment Services Center or by calling 281-756-3531, ask for a Counselor. You may also call the National Suicide Prevention Hotline 1-800-273-8255. This is a 24 hour, toll free, confidential suicide prevention hotline available to anyone in suicidal crises or

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emotional distress. If, however, you or someone you know is in an immediate crisis, go to the nearest Emergency Room, or call 911.

INSTRUCTIONAL METHODStudents will be assigned to a pediatric echocardiographer in the lab to observe, assist, and perform various facets of pediatric echocardiograms as ordered by a licensed physician and under the direct supervision of a practicing pediatric echocardiographer as required in the clinical setting. Emphasis will be on broadening and improving existing skills especially with regards to recognizing pathology, exam protocols for evaluation of pathology, advanced measurements, and calculations as well as improvement of speed and accuracy.

COURSE OUTLINEStudents will gain orientation in the following areas:

1. Evaluation of pathology using ultrasound diagnostics of the cardiac system including2. 2 Dimensional Imaging

a. Perform, Label, and record 2D views of anatomy and pathologyb. Make measurements from 2D views of abnormal studiesc. Identify, quantify, and evaluate pathology from 2D images

3. M-modea. Perform, Label and record M-mode anatomy and pathologyb. Make measurements from M-modes of abnormal studiesc. Identify, quantify, and evaluate pathology from M-mode tracings

4. Doppler (PW, CW, and Color)a. Obtain, label and record abnormal/advanced PW/CW spectral tracingsb. Make appropriate Doppler measurements and calculationsc. Identify, quantify, and evaluate pathology from Doppler tracings and color images

5. Discuss hemodynamic effects and treatment options6. Assist with advanced echo lab studies used to evaluate for pathology

a. TEEb. Stress Echoc. Contrast Echod. 3D and 4D

7. Echo laboratory practicesa. Schedulingb. Recording Studiesc. Record routine exams when possible on student tape (remove patient information)d. Perform and record a complete standard echo protocol.e. Storing/Filing Studiesf. Reporting/Technical Writingg. Record preliminary data on technician worksheeth. Correctly transcribe values from print or video to worksheet

8. Interpretation Proceduresa. Read studies with physicians when possibleb. Correlate student findings with actual physician interpretations.c. Follow-up/Quality Assuranced. Review TTE findings and correlate with cardiac cath reportse. Review TTE findings and correlate with TEE reports

9. Patient Interaction10. 3 Methods of patient identification MUST be CONFIRMED11. Written order MUST be CONFIRMED12. Safety/Infection Control13. Safely and effectively transport patients in wheelchairs and stretchers

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14. Check equipment for electrical hazards; be aware of safety issues in the lab.15. Follow departmental guidelines for hand washing, infection control, and good body mechanics16. Follow all regulations regarding personal, patient, equipment, and environmental safety.17. Follow all regulations regarding professionalism.18. Follow all regulations regarding confidentiality.19. Follow all regulations regarding infection control.20. Patient Communication

a. Explain proceduresb. Entertain questions, reassure patientsc. Perform interview to obtain historyd. Be courteous, polite, maintain respect, dignity, and privacy (HIPAA)

21. Setting up patienta. Perform physical exam: BP, Pulse, Auscultation of Heart Sounds, Inspection, palpationb. Position patients, keep them covered, make them comfortable, place equipment within reach to

facilitate exam, be aware of cords and proper lighting.22. Patient Awareness

a. Be sensitive to the needs of the patient regarding comfort, satisfaction with services, and attention to needs

b. Be sensitive to age appropriateness and cultural/religious issues23. Equipment and Supplies

a. Setting up ultrasound systemb. Input patient information, select transducer and applicationc. Check DICOM /PACS connection, video tape and or printerd. Hook up electrodes, check physio tracing

24. Maintaining laba. Refill jelly jarsb. Refill electrodes and lab suppliesc. Restock linen, clean stretcher, equipment, and change linen on stretchers

25. Physician Interactiona. Read studies with physician. Ask questions and seek input on quality of studies.b. Observe and or assist with procedures involving physicians including: stress echo, TEE,

catheterization, pacemaker insertion, etc.c. Document all physician contact on the appropriate form.

26. Departmental Interactiona. Comply with college and affiliate policies and proceduresb. Maintain physical facilityc. Keep scanning area clean – stretcher, machined. Restock supplies – gel, linen, electrodese. Follow infection control and safety guidelinesf. Communicate and interact effectively with members of the healthcare team

27. Maintain complete and accurate documentation28. Act responsibly, professionally, and ethically

CLINICAL FOLDERAll clinical documentation is due Tuesday, Dec. 6th, by noon. This includes: digital evaluations of clinical sites, preceptors, Program Director, Clinical Director, Clinical Coordinator, clinical faculty and the student’s self-evaluation. There will be NO EXCEPTIONS! Each day of missing / incomplete paperwork is a zero.

Print the following from Trajecsys and put in folder:1. Time summary for the current semester (Using the “filter” option in Trajecsys, set the date range for the

current semester’s dates)

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2. Procedure summary and Pathology Log for the current semester3. All digital evaluations - this includes: digital evaluations of clinical sites, preceptors, Program Director, Clinical Director, Clinical Coordinator, clinical faculty and the student’s self-evaluation.

Include these originals in folder:1. Paper time sheet2. Clinical absence make-up documentation (Original and signed SLP or CME forms)

All Forms, ratings, and signatures must be originals. ABSOLUTELY no photocopies or WHITE- OUT allowed!

MISSING OR LATE DOCUMENTATION/EVALUATIONS/ASSIGNMENTSPlease refer to the clinical manual for detailed information regarding missing or late documentation, evaluations and assignments. No late work is accepted.

CLINICAL FINAL: Tentatively scheduled for Dec. 7 th at 8:30 A final exam will be given at the end of the clinical semester. The content of the exam will come from the clinical activities, lecture, and lab components CUMULATIVELY FROM THE BEGINNING OF THE PROGRAM. The final exam will count as a major portion of the clinical grade.

CASES/PROCEDURE LOGS – See Trajecsys for detailed informationAll students must complete accurate and timely clinical records utilizing the Trajecsys system. Enter times, procedures, pathology, physician input, and preceptor time for CMEs DAILY.

EVALUATIONSStudent Clinical Evaluations The Student Clinical Evaluation will be completed on each student twice each semester - once before midterm and once after midterm. Each student will be evaluated at the clinical site by ACC DCVS Clinical Faculty, in conjunction with their clinical preceptors and supervisors.

Clinical Performance EvaluationsA final clinical evaluation will be performed on each student at the end of the semester, by DCVS faculty. This evaluation will rate the student’s overall clinical performance and will comprise 50% of the evaluation average. As an incentive towards exemplary clinical performance, students who score an “A” on this evaluation AND have completed the required 358 hours of clinical time for the fall semester, will be allowed a free day from clinical. Students may choose one free day from the last clinical week in December. This day will be logged into Trajecsys as a “Time Exception” option, with a notation stating, “Clinical Final Exam Prep Day.” It will NOT count as a clinical absence, nor will it affect a student’s perfect attendance status, providing all required clinical hours are documented in the time total summary on Trajecsys. Students may not miss any required in-service days or the clinical final day.Please see Trajecsys for this evaluation rubric.

PLEASE REFER TO THE CLINICAL MANUAL FOR DETAILS ON ALL CLINICAL POLICIES.

COMPETENCY AVERAGEThe competency average will include all competency exams in lab and clinical including: scan evals, capstone attempts and clinical preliminary competencies.

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Scanning Progression Evaluation – Preliminary Clinical Competency Grading Scale1. Comprehension 50%

A=95= Comprehensive knowledge of basic and advanced conceptsB=85= Above-average understanding of basic conceptsC=75= Adequate knowledge of essential elementsF=65= Inadequate knowledge

2. Skill 50%A=95= Performed skill rapidly, skillfully, exhibited coordination and dexterityB=85= Performed skill well, in average time, but deliberatelyC=75= Performed skill adequately, but more slowlyF=65= Performed skill inadequately, awkwardly, lacked coordination

Competency assessments may be performed at any time throughout the course, at the discretion of the clinical faculty. Students must have the forms with them at their clinical sites. Check-offs are performed by the clinical faculty or person designated by the clinical faculty only! A student may attempt a check off more than once. Re-evaluations may be performed at any time at the discretion of the clinical faculty. After three attempts, the student must consult the program director for further instructions. Failure after three attempts within one semester may result in a failing grade for the course.

The competency must be performed on a real patient in the clinical setting using that facility’s scan protocol. The student will only be graded on the portions of the exam required by that site. This assessment in the fall is a preliminary assessment designed to determine the student’s scanning progress in the program. The grade is based on the student’s performance for the level at which they are currently practicing.

CLINICAL ASSIGNMENTS The clinical director may assign projects at any time to be completed in clinical. These will be announced in class or at clinical and the due date will be given at that time. Please see Blackboard for clinical assignments and due dates

Clinical Orientation Quiz This quiz will be conducted the day of clinical orientation. Please study the clinical syllabus, Student Handbook and Clinical Manual.

Service and Professional Learning (SLP – Service Learning Points)Giving back to the community and staying active and involved in your chosen field is an important attribute to being a professional. To promote a sense of pride in one’s profession and community, the student is required to obtain service learning points each semester. Service learning is a teaching and learning method that connects meaningful community service experiences with academic learning, focusing on critical reflective thinking and civic responsibility. Service learning enhances what is taught in the classroom by extending the student’s learning beyond the classroom and providing opportunities for students to use their emerging and acquired skills and knowledge to meet real needs in the community. Professional learning includes participation in professional society meetings, in-services, physician lectures, medical conferences, joining professional societies, and any other professional activity. The service and professional learning requirement is incorporated into each clinical course. Students should strive to earn at least 90-100 points each semester, as this will be averaged into the clinical grade. Any points above what is required can be used as bonus points towards lecture courses, homework passes for written assignments, or clinical make- up time. Use of bonus points, homework passes and clinical make-up hours is detailed in the Clinical and Student handbooks. Those guidelines must be followed. Extra Service and Professional Learning points (not needed for clinical

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grade, clinical make-up, bonus points, or homework passes) can carry over between semesters. Service learning activities must benefit the community and /or be directly related to professional aspects of being or becoming a sonographer.

DocumentationEach activity must be documented in a clear manner that provides sufficient detail describing the activity, the date, time, and duration of activity and a signature of the person who is overseeing the event. Use SLP documentation form.The following are some examples of service and professional learning activities and the maximum points possible for each activity.

ACTIVITY SERVICE LEARNING POINTSMembership – Joining a local professional society such as HSNIVT, GHSE 10Membership – Joining a national professional society such as SDMS, AIUM, ASE, SVU 30Blood Donation 10Volunteer for PSG (Sleep Study) 25Volunteer for PSG (Sleep study hookup only) 15Health Fairs (Outside of scheduled clinical time) 20 points/hourCareer Night (High School) 20 points/hourRecruiting Event 20 points/hourCommunity 5K Runs (Team Captain) 20Community 5K Runs (Participant) 10Food drive/ Toy drive (Max 10 points) 1 point per itemVolunteering at Houston Food Bank 10 points/hourAttend GHSE or HSNIVT (Local Society Meetings) 30 points/mtg.Attend SVU, ASE, SDMS (National Society meeting) 50 points/dayAttend a Review Seminar or ACC Symposium (Outside of scheduled clinical time) 50 points/dayVascular Conference (Friday morning Methodist or UTMB) 2 points per hourMedical Director Lecture 50Interpretation Class 40Pedi Echo Series lecture 30Vendor In-service (Outside of regular scheduled time) 20 points /hourOnline CME, E-lecture, Webinar 10 points/hourClub Activities 10 points/hour

These are just a few examples. If there is something you would like to do that is not on this list, it must be approved by the PD or DCE. The points awarded will depend on the length and type of activity and will be at the PD’s or DCE’s discretion.

Interpretation AssignmentsDUE every other Friday by 11:59 pm, beginning September 2nd.Please choose an interesting case. Interpretation Schedule: The type of study interpreted each time should be a different study type. IE: Congenital unrepaired, Post Repair, Function Evaluation, Fetal echo, etc. Please choose an interesting case. No normal cases, please.

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Interpretation Schedule

September 2nd

September 16th

September 30th

October 14th

October 28th November 11th

November 25th

Students will complete one interpretation of an actual clinical case per week. Students are encouraged to pick cases with pathology. Students will use the current ACC student worksheet and write a detailed interpretation on the back, according to the IAC standards. The interpretation should comment on ALL required items, according to the IAC, in complete sentences, using diagnostic terms (i.e. NOT “good” or “fine.”) Highlight and circle any value that is out of normal range. Be sure to comment on any highlighted value. If it is out of range be prepared to offer an explanation as to why.

If a mistake is made on any part of this assignment, cross through it with one line and initial above it . This is standard charting procedure. We do NOT need the doctor’s interpretation. We need the STUDENT’S interpretation. This interpretation should maintain confidentiality and will be signed by the student’s clinical preceptor. (The interpretation must be signed – NOT the worksheet!) The completed interpretation will be scanned in and submitted weekly to MyBlackboard under the clinical course. IF a student does not have access to a scanner, they may use the scanner in the lab. These assignments will be averaged with other clinical assignments to calculate the clinical grade. In addition to the above information, students will need to answer the following questions:

Given the patient’s physical assessment, signs, symptoms and echocardiography/vascular results, what would you recommend for treatment, and why?

Does the patient need follow up? Yes/No. Why? How often? Why not? What type of intervention is called for in this case? Medical therapy? Cath Lab intervention?

Surgical intervention? Be specific regarding medications and procedures. What was ACTUALLY done for the patient? Do not just write “Not known.” Students must

specify that they checked the computer or the chart. If no information is available, students are to state what would typically be done for a patient with these exam results.

Clinical Interpretation Grading Rubric:100 Complete worksheet and interpretation, according to IAC standards, ALL additional

questions answered.85 Missing some items on worksheet or does not meet IAC standards; INTERPRETATION

not signed by preceptor 75 Missing a lot of information; does not meet IAC standards; incorrect editing;

incomplete sentences; illegible (If your handwriting cannot be deciphered – please type your interpretations)

0 Missing or late 0 HIPPA violations – PLUS PROGRESSIVE DISCIPLINE POLICY WILL APPLY

NO INTERPRETATIONS ARE ACCEPTED LATE FOR ANY REASON – IT IS A ADVISABLE TO UPLOAD INTERPRETATIONS EARLY AND STAY AHEAD

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Writing/APA Assignments and AssessmentThese lecture assignments/quizzes and the APA/Writing Skills Assessment are intended to prepare students for case study papers they will be writing this semester. Please see Blackboard for complete information concerning these assignments.

Discussion Board AssignmentsStudents are to complete 2 discussion board assignments this fall. The first post is due midnight, Sept. 2nd. Students will participate in online discussions on a topic/scenario chosen by the clinical director. Students are expected to participate in this discussion all semester long and the first post should be by September 2nd, 2016 at midnight. Please respond SIGNIFICANTLY to others’ posts. The instructor will respond randomly to students’ posts, but not to every post. The first discussion question will close at midnight on October 14th. For information regarding logging into BlackBoard see the BlackBoard section under Technical Support.

Clinical Discussion Schedule - DQ #1Week of - Aug. 26th- Sept. 2nd

Week of - Sept. 3rd - Sept. 9th

Week of - Sept. 10th - Sept. 16th

Week of - Sept.17th - Sept. 23rd

Week of - Sept. 24th – Sept. 30th

Week of - Oct. 1st - Oct. 7th

Week of - Oct. 8th - Oct. 14th

The second discussion question will open October 15th, and students should post by October 21st. This discussion question will close at midnight on December 2nd.

Clinical Discussion Schedule – DQ #2Week of - Oct. 15th- Oct. 21st

Week of - Oct. 22nd- Oct. 28th

Week of – Oct 29th- Nov. 4th

Week of - Nov.5th - Nov.11th

Week of - Nov. 12th - Nov. 18th

Week of - Nov. 19th -Nov. 25th – Thanksgiving Holiday – No Discussion DueWeek of - Nov. 26th - Dec. 2nd

Discussion Board Grading Rubric:Failure to respond to this assignment = a grade of zero for the assignmentFailure to post to DQ #1 by first post date = 5 point deductionFailure to post to DQ #2 by first post date = 5 point deductionFailure to post weekly = -1 point for each week missedFailure to respond to 3 other students’ posts EVERY week = grade of 75 for the assignment(Note: a response of “I agree” does NOT count as a response!)If a student is missing more than 2 responses to WEEKLY questions, DQ grade = 75If a student is missing more than 3 responses to WEEKLY questions, DQ grade = 0If not posting for more than 7 days = a missed week!!

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INDIVIDUAL PROJECT ASSIGNMENT Due November 20th, 2016Each student will be required to complete a project by the end of the semester. It will count as part of the clinical assignments grade. The project is a pathology book. The student will be graded on the amount of pathology images included (15 different pathologies minimum), measurements, calculations, notes and charts included in the evaluation of the pathology. Actual images from clinical, books, or the internet may be used. *If you cut and paste all your information from books and the internet, do not expect to earn an “A”. Be sure to include pathology not seen very often, or pathology which requires special measurements or calculations. Remove all patient identification information. Cite all sources of information.Pathology books will be graded on neatness, creativity in presentation (this does not necessarily mean a “crafty” style), organization, and quantity of pathology.

Tips: provide information on how to evaluate the pathology, what techniques you would use, what you would look for in 2D, color and Doppler; how do you quantify or qualify it (mild, moderate, severe), what are the best windows to evaluate that pathology, associated conditions, and diseases?

NO PATHOLOGY BOOKS ACCEPTED LATE. ASSIGNMENTS NOT SUBMITTED EARN A GRADE OF 0.

CASE STUDYCase studies will be presented to the class tentatively scheduled for December 7 th, following finals. All students are required to attend case study presentations. Presentations must be a minimum of 10 minutes long and no more than 15 minutes, including time allowed for questions. The case study grade will comprise a major portion of the final clinical grade. The first rough draft of the case study is to be submitted by midnight on November 13th. The final draft is to be submitted by midnight, December 2nd. No late assignments are accepted.

The paper must be in APA format – with a minimum of 3000 words to a maximum of 3500 words in the BODY of the paper, double-spaced with 1-inch margins. (Font size 12, Times New Roman) Please see the sample APA papers in Blackboard. Cover sheets, abstract pages and reference pages are not in the body of the paper, and are not part of the word count requirement. Points will be lost for not meeting the minimum required word count. Additionally, pictures/charts/definition lists/bullet points are NOT to be included in the body of the paper, but may be included as an addendum, after the References page. Appropriate research and citation of references must be used. This is a professional research paper. Proper grammar, punctuation, sentence, and paragraph structure must be used. The use of slang, racism, or any other derogatory language will not be tolerated. (See Grading Rubric below) The case study should maintain patient confidentiality. The use of actual names in the paper, on printed material and/or medical images is strictly prohibited. Do not use the patient’s name, ID #, DOB, actual age, dates of admission, hospital, doctor’s name, sonographer’s name…NOTHING.

Two copies of the paper will be turned in during the oral presentation so the instructors may follow along. Use of graphics and audiovisuals are mandatory. Please try to record or print pictures of the actual pathology for inclusion with your presentation. Diagrams and/or research material from journals, internet or reference books may also be helpful to illustrate the case to fellow students in attendance during the presentation.

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Do not add extraneous or irrelevant material to meet the minimum word requirement. This is called “fluff” and will not contribute to the word count.

A case study may be selected at any time during the clinical rotation, but students should try to collect data early to avoid rushing at the last minute to write the paper. Case selection should be based upon clinically interesting diagnosis and or findings. Information to be presented should include, but is not limited to the following: patient history, physical exam, clinical findings, diagnostic results, interpretation of results and lab data, hemodynamic correlations, definitions of medical terms, patient diagnosis and related problems, treatment, medications, follow up and patient outcome or prognosis. Deductions will be made if any of the preceding information is missing.

Students must use at least one or more of each of the following resources; books, journals, and the internet. You may not use any internet source that cannot be properly cited. Hint: If you cannot find an author, DO NOT use it. Stay away from wikipedia, emed, medline etc. Use professional articles. If you need any help with research, please utilize the ACC Library.

Case Study Assignments: These assignments are used in the calculation of the final disease paper grade

1. Preliminary References Assignment – may contribute up to 4 points on final paperTurn in a preliminary bibliography of any resources that you have used so far in your research (this is not your final bibliography). Due by midnight 9/25

2. Outline Assignment - may contribute up to 4 points on final paperConstruct a detailed outline of the information gathered for the disease paper. Please refer to the outline example under "disease paper links." Due by midnight 10/16

3. Rough Draft Assignment - may contribute up to 16 points on final paperTo earn maximum points towards the final paper, the following specifications must be met: a minimum of 2000 words in the body of the paper; detailed information about case and pathology; correct APA format; abstract complete and in proper format; references properly cited; similarity index < 25%. (Must maintain patient confidentiality) The Rough Draft must be submitted the turnitin.com assignment link in Blackboard, as a Word file only. Any other type of file submitted earns a grade of 0. Due by midnight 11/13

4. Writing Center /Peer Review Assignment Take your rough draft (and this assignment form from Blackboard) to the writing center and have them review your paper. They should check it for spelling, punctuation, grammar, fragments, run-ons, APA format, citations and references. The Writing Center instructor MUST MAKE A COMMENT. Then take the assignment form and your paper to one of your classmates, and have them read your paper. Have them check it for medical vocabulary, spelling of medical terminology, and completeness against the required elements stated in the syllabus. The peer reviewer MUST review for medical content and MAKE A COMMENT about the paper. Assignments submitted without comments will earn a grade of 0.

Have the writing center and the student peer sign the bottom of the assignment form. Then scan the completed form and submit to this assignment link. Due by midnight 11/20

5. Final Draft Assignment

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Submit the final case study to the turnitin.com assignment link in Blackboard, as a WORD file only. Any other type of file submitted will earn a grade of 0. Be sure to refer to the rubric below for grading criteria. Due by midnight 11/30

All case study assignments WILL affect the final case study grade; none are accepted late.

Presentations are graded using the following criteria: Time: 10-15 minutesAttendance/Attention: Students are required to attend case study presentations. (1 point is deducted for each presentation missed) If a student is on their phone or computer when other students are presenting, they will lose points for missing the presentation. Professionalism: Students will be graded based upon their professionalism while they are presenting AND while their classmates are presenting. Speak with a professional tone - no foul language or distracting behavior.Pronunciation: Be sure to practice the medical terms used in your presentation!

Please see the Case Study Grading Rubric below.

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All rough drafts and final case studies MUST be submitted to the turnitin.com link in BlackboardLoss of 1 point per each case missedLoss of 2 points for each day of late submission (If later than 3 days, grade = 0)30 points if presentation date is missedAutomatic grade of 65 if references or citations missing or not properly cited Grade of 65 if patient confidentiality not maintainedFinal paper written in APA format, including references and citationsGrade of Zero if case study is stolenSimilarity > 24%=10 pt. loss; If > 49%, grade = zeroLoss of points for word count (3000 minimum to 3500 maximum)Loss of 1 point for each minute under / over time guidelines (10-15)Loss of 1 point for each missing reference: (book, journal, or web)Each item below may earn up to 4 points, with a total of 100 possible points4pts = exceeds criteria; 3 = meets criteria; 2 = criteria not met; 0 = criteria missingContent Outline Preliminary references assignment Detailed outline with specificsRough Draft Detailed information about case and pathology; Word CountCorrect APA format Abstract complete and in proper format; Similarity index < 25%References properly cited Content: (Final written paper) Presents information in a clear and concise mannerUses and defines relevant terminologyCorrect grammar usage and spellingInformation is accuratePatient history and Physical exam Clinical findings; Diagnostic resultsInterpretation of results and lab dataHemodynamic correlationsPatient diagnosis and related problemsTreatment and medications prescribedFollow-up and patient outcome / prognosisPresentation Speaks clearly and slowly Proper use of English Language; Professional tone usedContent organized Comprehension of subject matterUtilization of PowerPoint presentation

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Inclusion of related ultrasound images and Doppler waveformsPresents differing opinions using "I" statementsProfessional appearance - professional business attire

ALVIN COMMUNITY COLLEGE PEDIATRIC ECHOCARDIOGRAM

COMPETENCY ASSESSMENT FORM

STUDENT: DATE:

PROCEDURE: Pediatric ECHOCARDIOGRAM

COLLEGE LAB

CLINICAL

START TIME: STOP TIME:

ATTEMPT: 1 2 3

Grading Scale: Place a check mark by the appropriate score.S = Satisfactory U = Unsatisfactory N/A = Not ApplicableEQUIPMENT AND PREPARATION S U N/A

1. Select and gather appropriate equipment and supplies.2. Check chart to verify physician orders and gather information.3. Positive ID of patient by calling name, checking wrist band, and DOB.4. Identify self and department, explain procedure5. Confirms understanding, entertain and answer questions.6. Washes hands and assess need for PPE.

IMPLEMENTATION:

1. Take patient’s history and perform physical exam.2. Prepare and position patient and equipment.3. Check machine for correct preset/program, input patient information.4. Select appropriate transducer.5. Apply gel and obtain quality views by optimizing 2D images, MMode, color, and spectral

Doppler.6. Obtain the following views:

A. PLAX, PSAX, RVIT, RVOTB. AP4, APC. SUBCOSTAL Long and Short with sweep C. Arch Long and Short (including assessment of ¾ pulmonary veins)D. Descending aortaD. Determine situsE. Evaluation of IVC and SVCF. Determine proper chamber location and attachmentsG. Perform live sweeps

7. Perform color and spectral Doppler in each area:A. CORRECTLY PLACES DOPPLER SAMPLEB. CORRECTLY ALIGNS ANGLE

8. Measure appropriate velocities for each Doppler location.9. Locate areas in question and walk Doppler through to evaluate for peak velocity.10. Perform appropriate measurements/calculations from 2D, MMode, and Doppler:

A. CORRECTLY PLACES CALIPERSB. MEASURES IN CORRECT LOCATION AND PHASE

____ ________

____ ____ ____

____ ____ ____

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11. Acquire study in appropriate fashion and order according to lab protocol.12. Apply correct terminology when using verbal and written annotation.13. Completes study, reassure, clean and reposition patient.14. Takes appropriate action if patient has an adverse reaction.15. Wash hands

____________

____________

____________

FOLLOW-UP1. Clean probe and machine per departmental policy.2. Fill out preliminary technician report. Call MD if necessary.3. Process report to be interpreted.4. Follows departmental procedure for logging, charging, and reporting study.

COMPETENCY ASSESSMENT GRADE

Please assign a grade for each section by circling the letter.

COMPREHENSION OF PROCEDUREA. Comprehensive knowledge of basic and advanced concepts.

B. Above average understanding of basic concepts.

C. Adequate knowledge of essential elements.

F. Inadequate knowledge.

SKILL OF PERFORMING PROCEDURE

A. Performed exam rapidly, skillfully, exhibiting coordination and dexterity.

B. Performed exam well, in average time.

C. Performed exam adequately, but more slowly and deliberately.

F. Performed exam inadequately, awkwardly, lacked coordination.

ADDITIONAL COMMENTS

SETTING SATISFACTORY UNSATISFACTORY

Laboratory Ready for clinically supervised application of skill

Re-evaluation and additional supervised practice required

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Clinical Ready for application with minimalsupervision

Re-evaluation and additional supervised practice required

Instructor:_____________________________Credentials and Registry Number: _________________ Student: ____________________________________ Date: ___________________________________

ALVIN COMMUNITY COLLEGEDIAGNOSTIC CARDIOVASCULAR SONOGRAPHY

FETAL ECHOCARDIOGRAM COMPETENCY ASSESSMENT FORM

STUDENT: DATE:

PROCEDURE: FETAL ECHOCARDIOGRAM

COLLEGE LAB

CLINICAL

START TIME: STOP TIME:

ATTEMPT: 1 2 3

Grading Scale: Place a check mark by the appropriate score.S = Satisfactory U = Unsatisfactory N/A = Not ApplicableEQUIPMENT AND PREPARATION S U N/A

7. Select and gather appropriate equipment and supplies.8. Check chart to verify physician orders and gather information.9. Positive ID of patient by calling name, checking wrist band, and DOB.10. Identify self and department, explain procedure11. Confirms understanding, entertain and answer questions.12. Washes hands and assess need for PPE.

IMPLEMENTATION:

16. Take patient’s history and perform physical exam.17. Prepare and position patient and equipment.18. Check machine for tape, correct preset/program, input patient information.19. Select appropriate transducer.20. Apply gel and obtain quality views by optimizing 2D, MMode, color, and spectral Doppler 21. Obtain the following views:

A. PLAX, PSAX, B. AP4, AP5C. Arch/ Descending aortaD. Determine situsE. Determine proper chamber location and attachmentsF. Determine venous locationsG. Determine location of PlacentaH. Perform live sweepsJ. Define arrythmia

22. Perform color and spectral Doppler in each area:A. CORRECTLY PLACES DOPPLER SAMPLEB. CORRECTLY ALIGNS ANGLE

23. Measure appropriate velocities for each valve.24. Locate areas in question and walk Doppler through to evaluate for peak velocity.25. Perform appropriate measurements/calculations from 2D, MMode, and Doppler:

A. CORRECTLY PLACES CALIPERSB. MEASURES IN CORRECT LOCATION AND PHASE

____ ____ ____

____ ____ ____

____ ____ ____

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C. Assess Heart Rate and Heart Rhythm via MMode (x3 acquisitions)D. PW Doppler of Placenta

26. Records study in appropriate fashion and order.27. Apply correct terminology when using verbal and written annotation.28. Completes study, reassure, clean and reposition patient.29. Takes appropriate action if patient has an adverse reaction.30. Wash hands

________________________

________________________

________________________

FOLLOW-UP5. Clean probe and machine per departmental policy.6. Fill out preliminary technician report. Discuss with MD Further imaging.7. Process report to be interpreted.8. Follows departmental procedure for logging, charging, and reporting study.

COMPETENCY ASSESSMENT GRADE

Please assign a grade for each section by circling the letter.

COMPREHENSION OF PROCEDUREA. Comprehensive knowledge of basic and advanced concepts.

B. Above average understanding of basic concepts.

C. Adequate knowledge of essential elements.

F. Inadequate knowledge.

SKILL OF PERFORMING PROCEDURE

A. Performed exam rapidly, skillfully, exhibiting coordination and dexterity.

B. Performed exam well, in average time.

C. Performed exam adequately, but more slowly and deliberately.

F. Performed exam inadequately, awkwardly, lacked coordination.

ADDITIONAL COMMENTS

SETTING SATISFACTORY UNSATISFACTORY

Laboratory Ready for clinically supervised application of skill

Re-evaluation and additional supervised practice required

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Clinical Ready for application with minimalsupervision

Re-evaluation and additional supervised practice required

Instructor:_____________________________Credentials and Registry Number: _________________ Student: ____________________________________ Date:________________________________

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