Course Name: Clinical II

DMS 265

WN 2019

Number of Credits: 4

Days Class Meets: Monday-Sunday

Meeting Times: Monday-Sunday

Location: Approved Clinical Affiliate

Instructor: Heather Ruttkofsky MA, RVT; Shani

Lebaron BS, RVT; Jessica Hagerty, RVS; Vicki

Ruttkofsky, RVS

Office: JW 234

Contact Phone: 517-260-4810 also see:

Educators Manual for individual instructor

contact: http://sonoedtech.com/3d-flip-

book/2799/

Contact Email: ruttkofheatherm@jccmi.edu and

see http://sonoedtech.com/3d-flip-book/2799/

Office Hours: Located on course home

page

Online: Jetnet

Course Description

This course is a continuation of DMS 161. Students receive 300 plus hours of supervised clinical experience in an approved vascular laboratory. It also provides hands-on experiences in basic and advanced color Doppler imaging (CDI), hemodynamics, segmental pressures and duplex sonography. Students are instructed and supervised by registered vascular technologists

Prerequisite(s)

None listed

Course Goals

Successful completion of DMS 265 the student will demonstrate level 2 &3 in the competency

ultrasound of: demonstrate proficiency in the performance of vascular exams.. Completion of

this course will meet requirements for entry into DMS 266

Objectives/Competencies

Complete multi-level arterial Doppler , TBI, segmental pressures, Doppler waveforms, PVRs

Perform exercise physiological testing (WTT)

Perform bypass graft surveillance of lower extremity

Perform venous insufficiency testing

Complete lower and upper extremity arterial duplex

Perform carotid duplex exam

Perform upper extremity arterial Doppler exam

Discuss and describe hemodynamics associated with lower extremity arterial system

Recognize and Describe Triphasic, Biphasic and Monophasic CW waveform patterns.

Performs proper cuff placement

Explains hemodynamics and pathophysiology of the lower extremity arterial system (Doppler waveforms) associated with exam.

Locates carotid artery branches

Describes hemodynamics (Doppler waveform patterns associated with each carotid artery)

Imitates proper techniques used to obtain velocity measurements

Imitates proper techniques used to obtain diameter measurements

Student explains procedure and patient assessments

Recognizes and Describes normal and abnormal CW arterial Doppler waveforms contours

Uses and Completes preliminary worksheets and reports

Uses appropriate and effective communication with staff, administrators and physicians

Discuss and describe differential diagnosis of carotid duplex imaging

Discuss and describe differential diagnosis of arterial duplex imaging

Seek further understanding of exam outcomes and quality assurance (tests of accuracy)

Adapt testing protocol for lower extremity arterial duplex testing

Adapt bypass graft testing protocol

Explore Transcranial Doppler testing

Explore Abdominal Aortic-iliac duplex imaging

Explore Renal artery duplex imaging

Explore upper extremity arterial duplex and Doppler imaging

Explore Visceral duplex imaging (SMA, Celiac)

Describes and recognizes normal and abnormal spectral Doppler waveforms of the lower extremity arterial system

Uses sonographic terms to describe ultrasound findings

Describes and recognizes plaque contour, texture and morphology

Describe and recognize normal and abnormal PVR waveform tracings

Categorize peripheral arterial disease of the lower extremity

Describe ultrasound findings associated with lower extremity arterial disease

Describe normal and abnormal extra cranial Doppler waveform patterns

Categorize carotid artery disease

Textbook

Inside Ultrasound Vascular Reference Guide 1st Edition

by Gail P. Size (Author), Eileen French-Sherry (Editor), Denise Eggman (Illustrator)

ISBN: 9780974769431

Donald Ridgway, Introduction to Vascular Scanning , A Guide for the Complete Beginner, 4th

Edition, Davis Publishing, 2014 ISBN 0-941022-83-8

Inside Ultrasound Vascular Workbook

Edition: N/AISBN: 9780974769479 By: Gale Size .

Extras

Computer, secure high-speed internet service, mobile Moodle app, twitter, Google Apps, video

recording device.

Course Management

Learning is a process. We will use small steps when learning new content. In the course, we use the

following learning plan “Learn”-Engage in new exams and testing protocols. “Practice

Assessments”-Engage in modeling, practicing and discussing case exams on a daily basis. The

assessments will show the student and teacher strengths and weaknesses as the student moves

towards competency. The information may shape how the teacher supports the student and how the

student modifies his or her practices. Some activities are required and some are optional (see

syllabus for required activities) “Evaluations”- are designed to categorize and grade level of

knowledge and skills. The information may shape how the teacher and student modify learning

processes where needed.

Module activities (quizzes and clinical entry data, assessments/evaluations, case discussions, case

challenges, but not limited too) are assigned each week and are required to be completed before moving

onto the next clinical week. Instructions are located within the assignment links.

Grading Procedure

**Students must maintain a 2.0 in each DMS class to remain in the vascular sonography program*

Clinical Performance=60% of overall grade

Clinical Form Assessment Element Points

Mid-term

Evaluation

turned in on-time 2

Final Exam

Evaluation turned in on-time 2

Clinical

Tracking Data

Completed on time with clinical instructors signature for

time card entries.

20

Attendance Complete Required Clinical Hours (2 points reduction

for every 8 hours missed) 2

Clinical

Evaluations

Scanning

Assessments

85% required on both the Midterm and Final

evaluation to pass clinical II

Scan Assessment #1-4

Pre-determined levels of proficiency are required for

some exams in order to enter clinical II(see

assessment for exams and proficiency level required)

51 x2 each

evaluation

5pt each x2

Didactic Course Work=40% of overall grade

Grading in a clinical course is based on both objective and subjective observations. The student

will be responsible for completing and submitting assignments on time. The evaluation and

attendance forms will not be accepted unless signed by both the student and the clinical instructor.

Assessment Element Points

Case Study Paper 25

Case Discussion video/poster

presentation

35

Project Sharing 10

Article Review 20

Clinical Goals 15

Orientation Quiz 15

Grading Scale

4.0 94-100%

3.5 90-93%

3.0 85-89%

2.5 80-84%

2.0 79-75%

1.5 74-70%

1.0 69-64%

0.5 63-60%

0.0 Below 60%

4.0 94-100%

Failure

A 2.0 or "C" is a passing grade for Jackson College vascular ultrasound program. In this course, a student

is required to earn a minimum score of 85% on module assessments and evaluations. A score less than

85% will prompt a corrective plan designed by the student and teacher. If scores remain below 85% a

more intensive plan will be discussed and a written warning will be issued. Students will be encouraged

to contact the Center for Success and assigned navigator for additional support plans.

Academic Honesty Policy

Academic Honesty is defined as ethical behavior that includes student production of their own work and

not representing others' work as their own, by cheating or by helping others to do so.

Plagiarism is defined as the failure to give credit for the use of material from outside sources.

Plagiarism includes but is not limited to:

Submitting other's work as your own

Using data, illustrations, pictures, quotations, or paraphrases from other sources without

adequate documentation

Reusing significant, identical or nearly identical portions of one’s own prior work without

acknowledging that one is doing so or without citing this original work (self-plagiarism)

Cheating is defined as obtaining answers/material from an outside source without authorization.

Cheating includes, but is not limited to:

Plagiarizing in any form

Using notes/books/electronic material without authorization

Copying

Submitting others' work as your own or submitting your work for others

Altering graded work

Falsifying data

Exhibiting other behaviors generally considered unethical

Allowing your work to be submitted by others

Makeup Policy

Instructors will work with students on an individual case scenario.

Help

Available learning services or opportunities for students seeking help with their course work. May

include information about tutors, learning centers, reserved library materials, open labs, counseling

services.

It is important to contact a Center for Student Success professional prior to the start of the semester

in order to receive accommodations in a timely manner. While we will make every effort to

coordinate accommodations in a timely manner, failure to self-identify prior to the start of the

semester may delay notification to instructors and timeliness of acquiring accommodations.

Accommodations do not automatically carry over to the next semester.

https://www.jccmi.edu/center-for-student-success/accommodations-for-students-with-disabilities/

Calendar

A partial or complete list of dates or class periods for the course. Within the calendar on specific days are:

Assignments, readings, homework, exercised, performances, quizzes, topics, subject matter, skills,

chapter titles, discussion topics, tests, comprehensive exams, due dates for major papers or

performances. Add or remove columns as necessary to suit your course.

*Also include a statement that calendar timelines and assignments are an approximation and could be

changed.

WEEK # DUE DATE HOMEWORK

1 January 19

Clinical data entry; Clinical Entry Goals and Clinical

Schedule; Clinical ready quiz; Begin logging 24 hours

each week

2 January 26 Clinical data entry

3 February 2 Clinical data entry;

4 February 9

Clinical data entry; Clinical Goals; Scanning

Assessment #1; Sign up for SVU open forum send

an introduction message

5 February 16

Clinical entry data; Clinical Entry Goals; Journal

Article Review; (Journal club Tuesday 18 or Thursday

20th)

6 February 23 Clinical entry data; group case discussion(Post to SVU

open forum case details with 2-question and Jetnet)

7 March 1 Clinical entry data; Clinical Entry Goals

8 March 8 Clinical entry data; group case discussion(question to

twitter); Scanning Assessment 2; midterm evaluation

9 March 15

Clinical entry data; Clinical Entry Goals; Journal

Article Review ( Journal club Tuesday 17 or

Thursday 19th)

10 March 22 Clinical entry data;

11 March 29 Clinical Entry Data; Clinical Entry Goals;

12 April 5 Clinical entry data;; group case discussion to SVU

open forum & Jetnet

13 April 12 Clinical Entry Data; Clinical Entry Goals;

Abstract/Case Study Paper case selection

14 April 19

Clinical entry data; Abstract/Case Study Paper draft

#1 ; Journal Article Review (Journal Club Tuesday

21 or Thursday 23)

15 April 26 Clinical Entry Data; Clinical Entry Goals;

Abstract/Case Study Paper final draft revisions

16 May 3

Clinical entry data; Virtual Case study: Video/Poster

Presentation (shared on SVU open forum and link

to paper)

17 May 10 Clinical Entry Data; Scanning Assessment #4

18 May 15 Final Clinical Evaluation

Important Dates: WN 2020

Event Dates Notes

Full Semester Jan. 13 – May 3, 2020

First 7 Week Session Jan. 13 – March 1, 2020

Second 7 Week Session March 16 – May 3, 2020

Learning Days Jan. 8-10, 2020

In-Service Day Jan. 31, 2020 No classes

Mid-Semester Break March 9-15, 2020 No classes

Drop and Add Dates

https://www.jccmi.edu/academic

s/academic-calendar/

Student Responsibilities

Student must actively participate in on-line course work, daily clinical activities and daily

scheduled vascular exams. Additionally, students will log required number of clinical hours,

clinical data, and be prepared to discuss daily clinical experiences. At all times students will

behave in a manner supportive of the SDMS code of ethics.

https://secure.sdms.org/about/who-we-are/code-of-ethics. Students are responsible for

providing the clinical assessment sets and evaluations to their clinical instructor(s) a minimum of

two weeks prior to due dates. Students are responsible for following up with the

assessment/evaluation outcomes. Students are responsible for submitting all clinical work to

the program faculty on or before the due date.

Attendance Policy

Dependability and punctuality are important factors in the DMS clinical component. Any absences or tardiness, no matter how legitimate, disrupts the learning process of the student and disrupts the operational function of the Ultrasound Department. Students must complete a request for clinical absence for an approved scheduled absence. (See Exhibit C ). Jackson College does not award sick days or personal days. If a student is absent 2 or more days per semester a written warning will be issued and the student will be dismissed from the DMS VSON program if any additional days are missed. The program faculty and clinical site instructor must approve all absences, including doctor appointments. Vacations are not granted during the JC VSON program. Students are required to notify the appropriate supervisor at their clinical site of their absences for each occurrence. The notification of absence intent should be at least 1/2 hr. (30 minutes) prior to the student’s scheduled starting time. All missed clinical time must be made up within the semester that the absence accord. One absence that is not reported to the appropriate supervisor will result in a warning action. Students are required to be at their DMS clinical site until the completion of an eight (8) hour shift unless permission is obtained from the supervising clinical instructor and the supervising sonographer. Students will only receive clinical hours for time actually spent within the clinical setting. Students are required to submit clinical attendance reporting forms. The student is to notify the attending sonographer whenever the student leaves the DMS lab/department. Failure to do so may be interpreted as abandonment of the clinical assignment.

Tardiness: Excessive tardiness may result in a warning action. JC has identified 2 or more to be considered excessive. Approved Holiday(s) off: Thanksgiving, Christmas Day, New Year Day, Memorial Day, Fourth of July “Note: If the lab is open and the students regular scheduled clinical hours fall on Christmas Eve, New Year’s Eve, Memorial Day, Fourth of July; the student is expected to attend clinical.

In compliance with Federal Title IV funding requirements, as well as college initiatives, reporting

of student participation in classes will occur at designated times each semester. Instructors

MUST do the following:

1. Submit Retention Alerts for students who are struggling (H) Submit a Retention Alert to inform Navigators about specific concerns you have with a

student, so Navigators know best how to follow up.

See attached for a Retention Alert FAQ list for more info. 2. Indicate if a student “Never Attended” or their “Last Date of Attendance” (Q)

By the census date or by the end of the first week of class, it is important that you submit “Never Attended” for any student who is on your roster but not attending or not logging in, or otherwise engaging in any form of academic activity for an online class.

If a student has not engaged in academic activity over a two-week timeframe, input their Last Date of Attendance. Submitting this information in a timely manner is critically important, so that we comply with federal financial aid guidelines.

Caveat

A statement that advises students that some revisions may be necessary during the course. School

closing policies, instructor illness and other procedural improbabilities are described for students.

Clinical Instructorship Award

Outstanding Clinical Instructor Award

Students and Faculty can nominate supervising clinical instructor and clinical instructors who

have demonstrated outstanding commitment to clinical education and superior clinical teaching.

The following characteristics are considered:

o Attitude toward clinical teaching

o Communication skills

o Clinical teaching skills

o Commitment of the profession/professional role modeling

o Mentoring abilities

Please submit your nomination to the Program Director or Clinical Coordinator. Provide a brief written statement of the attributes the clinical instructor(s) demonstrate.

Jackson College Serves (Community Service)

Minimum of 8 hours of community service by the end of the program. The required event must

be health related and preferably an event that provides information and screenings related to

vascular health.