StudentHandbook2017-2018

RespiratoryTherapyProgramAssociateofAppliedScienceDivisionofHealthSciences

MountainEmpireCommunityCollegeisanequalopportunity,affirmativeactioninstitutionprovidingaccesstoeducationalandemploymentopportunitieswithoutregardtoage,race,color,nationalorigin,gender,religion,sexualorientation,veteran’sstatus,politicalaffiliationordisability

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AccreditationStatements

MountainEmpireCommunityCollegeisaccreditedbytheCommissiononCollegesoftheSouthernAssociationofCollegesandSchoolstoawardtheAssociateinArts,Associatein

Science,andtheAssociateinAppliedSciencedegrees.

ContacttheCommissiononCollegesat1866SouthernLane,Decatur,Georgia30033-4097,orcall404.679.4500forquestionsabouttheaccreditationofMountainEmpireCommunity

College.http://www.sacscoc.org/

PleasedonotcontacttheCommissionwithotherquestionsunlessthereisevidencethat

appearstosupportMountainEmpireCommunityCollege'ssignificantnon-compliancewiththeCommission'saccreditationrequirementsorstandards.

ChecktheCollegewebsite,mecc.edu,foraddenda.

TheRespiratoryTherapyProgramatMountainEmpireCommunityCollegeholdsContinuingAccreditationfromtheCommissiononAccreditationforRespiratoryCare(www.coarc.com).ThisstatussignifiesthattheProgramhasdemonstratedsufficientcompliancewiththeCoARCStandards.ItisrecognizedbytheNationalBoardofRespiratoryCare(NBRC)towardeligibility

totheRespiratoryCareCredentialingExamination(s).EnrolledstudentscompletingtheProgramunderProvisionalAccreditationareconsideredgraduatesofaCoARCaccredited

program.Commentsorcomplaintsmaybedirectedtothefollowing:

CommissiononAccreditationforRespiratoryCare(CoARC)1248HarwoodRoad

Bedford,Texas76021-4244817.283.2835

www.coarc.com

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WelcomeThechoiceofRespiratoryTherapyasacourseofstudyshouldbeaccompaniedbyadevotionofone'stotalefforttowardsoundeducationalandprofessionalobjectives.Youhavebeenselectedonthebasisthatyouhavemadesuchacommitment.TheRespiratoryTherapyProgramHandbookconsistsoftheProgram'smission,philosophy,goals,policies,andproceduresapplyingtoallRespiratoryTherapyProgramstudents,Programfaculty,andstaff.TheProgramgoals,policies,andprocedureswillapplytoyouasastudentasyouprogresstowardgraduation.EachofyouentersMECCwithauniquesetofexperiencesandbackgrounds.Wehopeyouwillsharethatdiversitywithusandyourclassmateslearningtorespectdifferences,andusethisopportunitytolearnmoreaboutothersandtheprofessionofrespiratorytherapy.YouracademicsuccessintheRespiratoryTherapyProgramdependsonyou!Wewillprovideyouwiththequalifiedfaculty,resourcesandexperienceswhichwilldirectyourprogram.Eachofyoumusttakeresponsibilitytoattendclasses,followyourcoursesyllabi,completerequiredreadingspriortoclass,andcometoclassandclinicalwithassignmentsprepared.Afterreadingthehandbookmaterials,youarerequiredtosigntheRespiratoryTherapyHandbookAcknowledgementForm.Pleasecompleteandsigntheformasindicated,andreturntheformtoprogramfacultybytheendofthesecondweekofclassofthesummersemester.Inadditiontothishandbook,youareexpectedtoreadandcomplywiththepoliciesaspublishedintheMECCCollegeCatalogandStudentHandbook.We,thefacultyandstaffoftheRespiratoryTherapyProgram,arelookingforwardtoyoursuccessandyourfutureasahealthcareprofessional.Weareheretoassistyouinyourlearningprocess.Congratulationsonselectinganexcitingandrewardingcareer.Sincerely,

Wes Mullins WesMullins,MBA,RRTAssistantProfessorandProgramDirector

Roger Thompson RogerThompson,MBA,RRTProfessorandDirectorofClinicalEducation

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TABLEOFCONTENTS

AccreditationStatements 2Welcome 3ProgramFacultyandStaff 8AdvisoryCommittee 9

I. ProgramInformation 11-20ProgramMissionStatement 11ProgramPhilosophy 11PurposeandGoals 12ProgramLearningOutcomes(PLOs) 12MeasureableExpectedProgramOutcomes(SLOs) 15ProgramCurriculum 16ProgramCourseDescriptions 17ProgramExpenses 19 Tuition 19 LiabilityInsurance 19 PersonalHealthInsurance 19 PhysicalExamination 19 CriminalBackgroundCheck/DrugScreen 19 CardiopulmonaryResuscitationTraining 20 UniformsandEquipment 20 BooksandPrintedMaterial 20 TravelCosts 20 ComprehensiveReview/Credentialing/Licensure 20 ProgramActivities 20 EstimatedProgramCosts 21

II. AdmissionandProgressionPolicies 23-26GeneralAdmissionRequirements 23SelectiontotheRespiratoryTherapyProgram 23 TransferStudents 24ProgressionandRetentionPolicies 24ReadmissionPolicies 25 ClinicalEvaluationAssessment 25

III. GeneralProgramPoliciesandGuidelines 27-35FacultyExpectations 27 Commitment 27 Attendance 27 PregnancyPolicy 27 ChangeofPhysicalConditionorExtendedIllnessPolicy 28 ReligiousObservancePolicy 28 InclementWeatherPolicy 28 DelayedOpening/EarlyDismissal 28 SchoolClosing 30

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AcademicHonesty 31 ProfessionalDemeanor 31 Regan’s7RulesofProfessionalConduct 31 StudentCodeofEthics 32 StudentCodeofConduct 32 StudentResponsibilities 33 StudentEmail 33 EmploymentPolicy 33 IllegalSubstancePolicy 33 Childcare 34ProgramFacilities 34 ProgramOffices 34 FacultyOfficeHours 34 EducationalFacilities 34 AcademicAdvising/GuidanceandCounseling 34 GAINProgram 35 Telephones 35 NameBadge/StudentID 35

IV. AcademicPoliciesandProcedures 36-39GeneralAcademicPolicies 36 Class/LaboratoryHours 36 ClinicalHours 36 SimulationLabHours 36 Classroom/LaboratoryConductPolicy 37 Classroom/LaboratoryDressCode 37 Examination/TestPolicy 37 GradingPolicy 37 Examination/TestGrades 38 FunctionalSkillsRequirement 38 CurriculumChanges 39 Transportation 39 StudentSuccessPlan 39

V. ClinicalInformation/Policies 40-53WhatisClinical? 40GoalsoftheClinicalExperience 41CoARCAccreditationStandard5.09 41ProgramandStudentClinicalExpectations 41ClinicalPreceptorRole 42ClinicalSites 43ScheduledClinicalHours 43ClinicalAttendanceandTardinessPolicy 44 ProcedureforNotificationofAbsenceorTardiness 44ClinicalMake-UpPolicy 44EssentialJobFunctionStandards 45

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ClinicalPre-Requisites 45ClinicalAffiliateContracts 46Confidentiality 46DefinitionofProperClinicalConduct 47ClinicalAppearancePolicy 48GeneralDescriptionofClinicalRotations 50ClinicalEvaluation 51StandardPrecautions 51SharpsandBiohazardPolicy 52IncidentsintheClinicalSetting 53

VI. GraduationInformation 54-55RequirementstoGraduate 54StudentsRecords 54GraduationCeremony 54BecomingaRegisteredRespiratoryTherapist 54StateLicensure 55

VII. Surveys 56StudentEvaluationofClinicalSite 56ClinicalPreceptorEvaluationSurvey 56StudentOpinionSurveys 56StudentProgramResourceSurveys 56GraduateSurveys 56EmployerSurveys 56

VIII. ProfessionalOrganizations 57-59AmericanAssociationforRespiratoryCare(AARC) 57VirginiaSocietyforRespiratoryCare(VSRC) 57NationalBoardforRespiratoryCare(NBRC) 58CommitteeonAccreditationforRespiratoryCare 58AARCStatementofEthicsandProfessionalConduct 59

Appendices 60-67 AppendixA:CodeofConduct–WrittenWarning 60 AppendixB:StudentSuccessPlan 61 AppendixC:RespiratoryTherapyProgramOccurrenceReport 63 AppendixD:ExitInterview 64 AppendixE:PregnancyStatement 65 AppendixF:FitnessforDuty-ReturntoClassroomandClinicalCourses 66 AppendixG:StudentClinicalEvaluationbyClinicalPreceptor 67

AppendixH:StudentEvaluationofClinicalSite 68 AppendixI:StudentEvaluationofClinicalPreceptor 69 AppendixJ:StudentHandbookAcknowledgeForm 70

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MOUNTAINEMPIRECOMMUNITYCOLLEGERESPIRATORYTHERAPYPROGRAM

FACULTY&SUPPORTSTAFFAriettaHarvey,HealthSciencesAdminAssistant……………………………………………….276.523.7456

Email:aharvey@mecc.eduPhillips-TaylorHall,Office149

KimDorton,DeanofHealthServices…………………………………………………….276.523.2400,ext.356

Email:kdorton@mecc.eduPhillips-TaylorHall,Office148

WaelK.El-Minaoui,MedicalDirector…………………………………………………………………423.247.5197

Email:waelminaoui@hotmail.comWellmontMedicalAssociates–Pulmonary

WesMullins,ProgramDirector………………………………………………….………..276.523.2400,ext.277

Email:jmullins@mecc.eduPhillips-TaylorHall,Office137

RogerThompson,ClinicalEducationCoordinator…………………………………276.523.2400,ext.302

Email:rthompson@mecc.eduPhillips-TaylorHall,Office138

DisclaimerClauseThe Respiratory Therapy Program at Mountain Empire Community College reserves the right to make changes in the regulations and policies announced in this handbook as circumstances arise. If changes in this handbook are required during the academic year, then the student will be given notice of those changes and asked to verify by signature that the required changes were received and understood.

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AdvisoryCommitteeAnadvisorycommitteeisappointedtoassistinProgramdevelopmentandevaluation.ThecommitteewillalsoassisttheProgramstaffinachievinglearningoutcomesandestablishingeffectiveclinicalrelationships.Theadvisorycommitteeconsistsoflocalindividualswhoareinvolvedinrespiratorytherapy.Membersincludehospitalrepresentatives,rehab/longtermcarerepresentatives,physicians,graduates,andstudents

MembersJasonCrawford,BBA,RRT AshleyJohnson,BSRT,RRTRespiratoryServicesManager PulmonaryServiceManagerHolstonValleyMedicalCenter BristolRegionalMedicalCenterKingsport,TN Bristol,TNJenniferPinnell,RRT RobinWilson,BSRT,RRTRespiratoryTherapyManager CardiopulmonaryManagerJohnsonCityMedicalCenter JohnstonMemorialHospitalJohnsonCity,TN Abingdon,VADonnaMarshall,RRT HeatherLong,BSRT,RRTCardiopulmonaryManager CardiopulmonaryManagerIndianPathMedicalCenter NortonCommunityHospitalKingsport,TN Norton,VAEmilyFleming,RRT AlicePhillips,CRTRespiratoryTherapyManager RespiratoryTherapyManagerWexfordHouse Health-SouthRehabilitationHospitalKingsport,TN Kingsport,TNNicoletteKecev,RRT AlexandraJohnsonStaffTherapist RespiratoryStudentBristolRegionalMedicalCenter MECCBristol,TN BigStoneGap,VA

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WaelK.Elminaoui,MD KimDorton,MAMedicalDirector DeanofHealthSciencesWellmontMedicalAssociates MECCKingsport,TN BigStoneGap,VARogerThompson,MBA,RRT WesMullins,MBA,RRTDirectorofClinicalEducation ProgramDirectorMECCRespiratoryProgram MECCRespiratoryProgramBigStoneGap,VA BigStoneGap,VA

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I.PROGRAMINFORMATIONProgramMissionStatementTheRespiratoryTherapyProgram’smissionandphilosophyareconsistentwiththeCollege’smissionandphilosophy.TheRespiratoryTherapyProgramfacultyandstaffalsoendorsethefollowingbeliefs:ThemissionoftheMountainEmpireCommunityCollegeRespiratoryTherapyProgramistoprovidecompetentadvanced-levelrespiratorytherapistswhodemonstrateprofessionalismwhileprovidingexcellentcare.ItwillprovidethegraduateswithcomprehensiveskillstomeettheemploymentneedsofhealthcareproviderswithintheMECCserviceregion,thecommonwealth,andthenation.ProgramPhilosophyTheMountainEmpireCommunityCollegeRespiratoryTherapyProgramiscenteredonthehealthcareofpatients.ThehealthinterestsofthepatientsareimpacteddirectlybythequalityofcaregivenbythegraduatesoftheProgram.ThatphilosophyisthedrivingforcebehindtheProgram’sprimarygoal,whichistopreparegraduatestopracticeascompetentadvancedlevelrespiratorycarepractitioners.Graduateswilldemonstrateexcellenceinknowledge,psychomotorskills,andattitudesexpectedofanadvancedlevelrespiratorytherapist.Thefacultybelievesthatthefocusofrespiratorycareeducationshouldbecomprisedofasound,integratedcurriculumbasedonthebiologicalandbehavioralscienceswithdevelopmentofinterpersonalrelationships,criticalthinking,effectivecommunication,andproblemsolvingskillsincorporatedthroughout.Thesubject-centeredcurriculumisdesignedfromsimpletocomplexandsequencedtoaddressthecontentnecessarytoachieveboththeProgramandeducationaloutcomes.Therespiratorytherapistisapartofthehealthcareteam,identifyingandsolvingtheproblemsthatrelatetorespiratorydiseasesanddisordersofthecardiopulmonarysystem.Therefore,therespiratorytherapistisanintegralpartofthehealthcareteam.Thefacultybelievestheirroleistobefacilitatorsforstudentlearning.Teachingisaninteractiveprocessthatenhanceslearningforthestudent/learner.Theinstructorprovidesthelearnerwithresources,integrity,andguidancetofacilitatelearning.Teachingismosteffectivewhenitadaptstothelearner'sneeds.Thelearnerisanactiveparticipantintheteaching-learningprocessandisaccountableforhisorherownlearning.Learningisalife-longprocess.

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PurposeandGoalsCongruentwiththemissionandgoalsoftheCollege,theRespiratoryTherapyProgramisspecificallydesignedtoofferthenewstudentandtheRegisteredRespiratoryTherapisttheopportunitytoattaintherole,responsibilities,andaccountabilityofgraduatesoftheAssociateinAppliedSciencedegree.GraduatesoftheProgramareeligibletotaketheNationalBoardforRespiratoryCare'sAdvancedPractitionerexaminations;theTherapistMultiple-Choice(TMC)examandClinicalSimulationExamination(CSE),leadingtodesignationasaRegisteredRespiratoryTherapist(RRT).ThegoalsoftheMECCRespiratoryTherapyProgramarethefollowing:

1. Preparegraduateswithdemonstratedcompetenceinthecognitive(knowledge),psychomotor(skills),andaffective(behavior)learningdomainsofrespiratorycarepracticeasperformedbyRegisteredRespiratoryTherapists.

2. Preparegraduateswiththeentry-levelskillstofunctionasanessentialpartofthehealthcareteamwithinavarietyofhealthcaresettings.

3. Preparegraduateswiththeknowledgeneededtodemonstratethecompetenciesof

RegisteredRespiratoryTherapists,suchaspatientassessmentskillsanduseofequipmentrequiredtomanagecardiopulmonarydisordersincludingCPR,life-supportsystems,therapeuticprocedures,drugs,anddiagnostictests.

4. Preparegraduateswitheffectiveverbalandwrittencommunicationskillsinrelaying

informationtootherhealthcareproviders.

5. Preparegraduateswhodemonstrateacommitmenttoprofessionalgrowthbyengagingincontinuouslearningandself-development.

ProgramLearningOutcomes(PLOs)UponcompletionoftheAssociateinAppliedSciencedegree,thegraduatewillbeabletoassumetheroleofaproviderofdirectpatientcare,manageagroupofpatients,andparticipateasamemberofthehealthcareteam.Thegraduatewillbeabletodemonstrateappropriatecognitiveabilities,aswellasusepsychomotorandcriticalthinkingskillswhenperformingthefollowingcompetencies:

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PLO#1Uponcompletionoftheprogram,thestudentwillhavedemonstratedtheabilitytogather,comprehend,evaluate,apply,andproblemsolveusingclinicalinformationrelevanttohis/herroleasaregisteredrespiratorytherapist.

1. Collectingequipmentandperformingdiagnosticandtherapeuticproceduresappropriatetotherespiratorycareplan

2. Assembling,maintainingandtroubleshootingrespiratorycareequipment3. Performingproceduresthatwillassureequipmentcleanliness,disinfectionand/or

sterilization4. Assistingthephysicianinperformingspecialprocedures

Evaluation: Psychomotor

• CoARCEmployerSurvey• CoARCGraduateSurvey• ClinicalProficiencyEvaluations• ClinicalSimulationonmanikinsorsimulators• FacultyAssessmentofStudentsClinicalPerformance

PLO#2Uponcompletionoftheprogram,thestudentwillhavedemonstratedtheabilitytoperformtheclinicaltechnicalskillsrelevanttohis/herroleasaregisteredrespiratorytherapist.

1. Reviewing,collecting,andevaluatingclinicaldataderivedfromthepatient’shistory,physicalassessment,and/orrespiratorytherapyorders

2. Recommending,performingandevaluatingadditionallaboratoryandbedsideassessmentprocedures

3. Developingandassessingtherespiratorycareplan4. Selecting,assembling,maintaining(includingproperdisinfectionandsterilization),and

correctingmalfunctionsofrespiratorycareequipment5. Performingqualitycontrolprocedures6. Initiating,conducting,andmodifyingprescribedtherapeuticproceduresand/orthe

pulmonaryrehabilitationtoachieveoneormorespecificobjectives.Objectivestoincludemechanicalventilationandintensivecaremonitoring

7. Recording,maintainingandcommunicatingrelevantinformationconcerningtherespiratorycareofthepatient

8. Assistingthephysicianwithspecialproceduresincluding:• Bronchoscopy

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• Thoracentesis• Insertionofchesttubes• Invasivemonitoringequipmentinsertion• Transtrachealaspiration• Tracheostomy• Stresstesting• Transtrachealoxygencatheterplacement• SleepStudies• Cardioversion• Intubation

Evaluation: Cognitive

• NBRCTherapistMultipleChoiceExamination• NBRCClinicalSimulationExamination• CoARCEmployerSurvey• CoARCGraduateSurvey• ClinicalProficiencyEvaluations• ClinicalSimulationonmanikinsorsimulators• FacultyAssessmentofStudentsClinicalPerformance

PLO#3Uponcompletionoftheprogram,thestudentwillhaveexhibitedthepersonalbehaviorsconsistentwithprofessionalstandardsandemployerexpectationsofaregisteredrespiratorytherapist.

1. Communicatingsatisfactorywithmembersofthehealthcareteam2. Participatinginaprofessionalorganization3. Participatingincontinuingeducationbycompletingindependentreadingson

respiratorycareproceduresand/orpractices;byviewingaudiovisualmaterials;orbyattendingconferences,workshops,andseminarspertinenttothepracticeofrespiratorycare

4. Beingcooperative,ethical,dependable,mature,independent,empathetic,andconfident

5. Demonstratinggoodjudgementandorganizationalskills

Evaluation: Affective

• CoARCEmployerSurvey• CoARCGraduateSurvey• ClinicalProficiencyEvaluations

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• ClinicalSimulation• FacultyAssessmentofStudentsClinicalPerformance

MeasurableExpectedProgramOutcomes(StudentLearningOutcomes)

• Ontimegraduationrateofatleast70%• Graduateatleast70%ofstudentsenrolled(3yearaverage).• Averageof80%ofgraduateswillobtainNBRCCRTcredential(3yearaverage).• Averageof50%ofgraduateswillobtainNBRCRRTcredential(3yearaverage).• Averageofatleast70%ofgraduateswillhavejobplacementwithintenmonthsof

graduation(3yearaverage).• Graduateoverallsatisfactionoftheprogramsurveyof80%orhigher(3yearaverage)• Employeroverallsatisfactionoftheprogramsurveyof80%orhigher(3yearaverage)

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Core competencies for HLT 105, Cardiopulmonary Resuscitation, are covered within RTH 110. Students will receive a BLS Healthcare Provider Card.

MountainEmpireCommunityCollegeRespiratoryTherapyProgramCurriculum

CurriculumSequence CreditHoursSemester1 NAS171 HumanAnatomyandPhysiology 4(Summer) RTH102 IntegratedSciencesforRespiratoryCare 3 RTH110 FundamentalTheoryandProceduresforRespiratoryCare3 SDV100 CollegeSuccessSkills 1 SocialScience/HumanitiesElective 3 Total-14Semester2 ENG111 CollegeCompositionI 3(Fall) RTH111 Anatomy&PhysiologyoftheCardiopulmonarySystem 3 RTH131 RespiratoryCareTheoryandProceduresI 4 RTH145 PharmacologyforRespiratoryCare 2 RTH151 FundamentalClinicalProceduresI 4 Total-16Semester3 RTH112 PathologyoftheCardiopulmonarySystem 3(Spring) RTH121 CardiopulmonaryScience 3 RTH132 RespiratoryCareTheoryandProceduresII 4 RTH152 FundamentalClinicalProceduresII 4 Total-14Semester4 RTH135 Diagnostic&TherapeuticProceduresI 2(Summer) RTH224 IntegratedRespiratoryTherapySkillsI 2 RTH253 AdvancedClinicalProceduresIII 3 Humanities/FineArtElective 3 SocialScienceElective 3 Total-13Semester5 ITE119 InformationLiteracy 3(Fall) RTH226 TheoryofNeonatalandPediatricRespiratoryCare 2 RTH227 IntegratedRespiratoryTherapySkillsII 2 RTH254 AdvancedClinicalProceduresIV 3 RTH265 CurrentIssuesinRespiratoryCare 2 RTH267 12Lead–EKGDiagnostics 3 Total-15 CreditsRequiredtoGraduate-72

Note:Coursesmustbetakeninthesequenceoutlinedabove.Studentswillnotbeallowedtoprogresstothenextsemesterifallacademicandrespiratorycoursesarenotcompletedsuccessfully.

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CourseDescriptionsforRespiratoryTherapyProgram

RTH102–IntegratedSciencesforRespiratoryCare(3cr.)Integratestheconceptsofmathematics,chemistry,physics,microbiology,andcomputertechnologyasthesesciencesapplytothepracticesofrespiratorycare. Lecture3hoursperweek.RTH110–FundamentalTheoryandProceduresforRespiratoryCare(3cr.)Focusesonthedevelopmentofbasicrespiratorycareskillsnecessarytoenterthehospitalenvironment. Lecture 2 hours. Laboratory 3hours.Total 5 hours per week. RTH111–Anatomy&PhysiologyoftheCardiopulmonarySystem(3cr.)Concentratesonanatomyandphysiologyofthecardio-pulmonarysystem. Lecture3hoursperweek. RTH112–PathologyoftheCardiopulmonarySystem(3cr.)Presentspathophysiologyofmedicalandsurgicaldiseaseswithemphasisupondiseasesofcardiopulmonarysystem. Lecture3hoursperweek. RTH121–CardiopulmonaryScience(3cr.)Focusesonpathophysiology,assessment,treatment,andevaluationofpatientswithcardiopulmonarydisease.Explorescardiopulmonaryandneuromuscularphysiologyandpatho-physiology. Lecture3hoursperweek. RTH131–RespiratoryCareTheoryandProceduresI(4cr.)Presentstheoryofequipmentandproceduresandrelatedconceptsusedforpatientsrequiringgeneral,acuteandcriticalcardiopulmonarycare.Lecture3hours.Laboratory3hours.Total6hoursperweek.RTH132–RespiratoryCareTheoryandProceduresII(4cr.)Presentstheoryofequipmentandproceduresandrelatedconceptsusedforpatientsrequiringgeneral,acuteandcriticalcardiopulmonary care. Lecture3hours.Laboratory3hours.Total6hoursperweek.RTH135–DiagnosticandTherapeuticProcedureI(2cr.)Focusesonpurpose,implementationandevaluationofequipment,andproceduresusedinthediagnosisandtherapeuticmanagementofpatientswithcardiopulmonarydisease.Lecture 2 hours. Total 2hoursperweek.RTH145–PharmacologyforRespiratoryCare(2cr.)Presentsselectioncriteriafortheuseof,anddetailedinformationonpharmacologicagentsusedinpulmonarycare.Lecture2hoursperweek.

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RTH151–FundamentalClinicalProceduresI(4cr.)Offersclinicalinstructioninbasicpatientcarepractices. Lecture 2 hours. Laboratory 6 hours. Total 8hoursperweek.RTH152-FundamentalClinicalProceduresII(4cr.)Offersclinicalinstructioninbasicpatientcarepractices. Lecture 2 hours. Laboratory 6 hours. Total 8hoursperweek.RTH224-IntegratedRespiratoryTherapySkillsI(2cr.)Presentsintensivecorrelationofallmajorrespiratorytherapysubjectareasreflectingtheentry-levelandadvancedpractitionermatrices.Emphasizesassessment,implementation,andmodificationoftherapytopatientresponse.Lecture2hoursperweek.RTH226-TheoryofNeonatalandPediatricRespiratoryCare(2cr.)Focusesoncardiopulmonaryphysiologyandpathologyofthenewbornandpediatricpatient.Lecture2hoursperweek.RTH227-IntegratedRespiratoryTherapySkillsII(2cr.)Presentsintensivecorrelationofallmajorrespiratorytherapysubjectareasreflectingtheentry-levelandadvancedpractitionermatrices.Emphasizesassessment,implementation,andmodificationoftherapytopatientresponse.Lecture2hoursperweek.RTH253-AdvancedClinicalProceduresIII(3cr.)Offersclinicalinstructioninadvancedpatientcarepractices.Clinical15hoursperweek.RTH254-AdvancedClinicalProceduresIV(3cr.)Offersclinicalinstructioninadvancedpatientcarepractice.Clinical15hoursperweek.RTH265-CurrentIssuesinRespiratoryCare(2cr.)Explorescurrentissuesaffectingtheprofessionofrespiratorycare.Lecture2hoursperweek.RTH267-12LeadElectrocardiographicDiagnostics(3cr.)Presentsabasicreviewofcardiacanatomyandphysiology,andfundamentalEKG'sincludingthedysrhythmias.Thefocusoftheremainderofthecourseis12-leaddiagnostics,includingbundlebranchblocks;hemiblocks;digitaliseffects;myocardialischemia,injuryandinfarctionandrelatedwavechanges.Lecture3hoursperweek.

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ProgramExpensesTuitionTheMECCCatalogandScheduleofClassesliststhecostoftuitionforbothin-stateandout-of-statestudents.Tuition/feesaredueatthetimeofregistration.Ifaportionoftheregistrationexpensesistobepaidbysometypeoffinancialaidorbyasponsoringagency,thenitistheresponsibilityofthestudenttoprovidewrittenevidenceofsucharrangementstotheOfficeofEnrollmentServicesatorbeforeregistration.Intheeventofnon-paymentoffinancialobligations,thestudent’stranscriptwillnotbereleasedand/orthestudentwillnotbeallowedtoregisteragainuntilfinancialobligationsaresatisfied.LiabilityInsuranceItisrequiredthatallstudentsmusthaveprofessionalliabilitymalpracticeinsurancewhileenrolledintherespiratorytherapyprogram.InformationforpurchasinganindividualpolicywillbeprovidedbyProgramfaculty.EachstudentmustprovideacopyofthepolicyforProgramfilespriortobeginningRTH151.ThestudentmustprovideproofofrenewalofthepolicyatthebeginningofeachsubsequentyearintheProgram.PersonalHealthInsuranceStudentsareencouragedtoobtainpersonalmedicalandhospitalinsurancewhileenrolledintheRespiratoryTherapyProgram.TheProgramhasnoagreementwiththeclinicalaffiliatestoprovidenecessaryemergencycareforthefacultyorstudentsassignedtothem.NeitherMECCnortheclinicalaffiliatesareresponsibleforstudentinjuries,accidents,orexposuresthatmayoccurwhilethestudentisparticipatinginanylaboratoryand/orclinicalactivities.Therefore,studentsshouldpurchaseprivatehealthinsurance.Thecostofanyhealthcarereceivedwhileataclinicalsiteistheresponsibilityofthestudent.PhysicalExaminationAphysicalexaminationmustbecompletedbyaphysician,nursepractitioner,orphysician’sassistantandresultsprovidedwithinthefirstsemesteroftheprogram(RTH110).Studentsarerequiredtobeimmunizedorshowproofofimmunitytoselectedcommunicablediseases.Itisthestudent’sresponsibilitytomaintainacurrentPPDtestandrecord.StudentsmustshowproofofcompletionofaMMR,HepatitisBandvaricellaseriesvaccination,andtetanuswithinthelast10years.AtleastoneboosterofDTaPisrecommendedifthetetanusvaccinationhasbeenover10yearsago.DuringtheFallsemester,studentswillberequiredtoobtainandprovideproofofinfluenzavaccinationCriminalBackgroundCheck/DrugScreensBackgroundchecksforcriminalhistoryandsexoffendercrimesagainstminorsarerequiredforentranceintoclinicalagencies.Studentswithconvictionsofbarriercrimesmaybeprohibitedfromclinicalpracticeandtherefore,maynotbeabletocompletetheProgram.Clinicalagenciesmayrequiredrugtestingpriortoplacementofstudentsforclinicalrotations.Studentswithpositivedrugtestresultsmaybeprohibitedfromclinicalpracticeandmaynotcompletethe

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program.Costforcriminalbackgroundchecksanddrugscreensaretheresponsibilityofthestudent.CardiopulmonaryResuscitation(CPR)TrainingEachstudentisresponsibleforobtainingAmericanHeartAssociationCPRtraining(CPRforHealthcareProfessionals)priortoenteringclinicaltraining.YoumustfurnishtheProgramwithacurrentCPRcardthatdoesnotexpireuntiltheendoftheacademicprogram.CostfortheCPRcardis$8.00andtheresponsibilityofthestudent.UniformsandEquipmentStudentuniformsandequipmentarerequired.Moredetailedinformationrelatedtotheclinicaluniformandrequirementswillbediscussedpriortothefirstclinicalexperience.Seeuniformandequipmentdescriptionsonpage21.BooksandPrintedMaterialsTextbookcostswillvaryeachsemesteraccordingtothenumberofcoursestakenandthematerialsrequired.Anestimateoftextbooksandprintedmaterialcostsforeachsemesterisbetween$150and$400withthepricepertermdecreasingwithprogressionthroughtheProgrambecauseseveraltextsareusedinsubsequentcourses.Supplementalcoursematerialsmayalsoberequiredandcanbepurchasedthroughthebookstoreforaminimalcost.TravelCostsStudentsareresponsiblefortraveltothevarioushospitalsitesduringclinicalrotations.Theexpenseoftravelwillvaryfromindividualtoindividualbecauseofmileagefromyourhometotheclinicalsites.ComprehensiveReview/Credentialing/LicensureStudentsareresponsibleforthecostsofthecomprehensivereviewcourse,credentialingexaminations,andstatelicensure.Everyeffortismadetokeepthecoststoaminimum,butthestudentsshouldplanforapproximately$325.00forthecomprehensivereviewseminar,$190fortheNBRCTherapistMultiple-ChoiceExamination(CRTcredential),and$200fortheNBRCClinicalSimulationExamination(RRTcredential).Virginialicensureis$135.00,TennesseeandKentuckylicensureis$150.00.ProgramActivitiesAllstudentsarehighlyencouragedtoattendseminarsandmeetingsofProgramactivitiesasassignedbythefaculty.Thisincludesanyregionaland/orstatesocietymeetings.Studentfeesareminimal,andtransportationcostsaretheresponsibilityofthestudent.IfastudentdesirestoattendotherProgram-relatedmeetings,thenpermissionmaybegrantedatthediscretionofeachcourseinstructor.

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EstimatedProgramCostsItem CostTuition $153.25/credithour

• Includesmandatoryfeesandparking

MedicalMalpracticeInsurance• TennesseeResidents $41.00/year• VirginiaResidents $51.00/year

Textbooks $800.00to$1,000.00

CPRcertification $8.00• AHABLSHealthCareProviderCourse

Vaccinations** CostVaries• HepatitisBVaccine/Titer• TBSkinTest(Mantoux)• MMRVaccine/Titer• Varicella(ChickenPox)Vaccine/Titer• TDaPVaccine/Titer

FluVaccination** CostVaries• RequiredeachyearduringtheFallSemester

CriminalBackgroundCheck $40.00

PhysicalExamination** CostVaries

ClinicalUniform• Scrubs $40.00/pairx2

o 1RoyalBlueSetand1BlackSet• LabCoat(optional) $20.00• Shoes CostVaries• Stethoscope $20.00to$70.00• Watchwithsecondhand $20.00

Pulmonary/CriticalCareSymposium-MSHA $70.00/year

KetteringReviewSeminar $325.00NBRCBoardExamsaftergraduationTherapistMultipleChoice $190.00ClinicalSimulationexams $200.00

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StateLicensureVirginia $135.00Tennessee $150.00Kentucky $150.00Note:Theimmunizationrecords,vaccinationsetc.canbeobtainedfromyourphysician’sofficeorlocalhealthdepartment.**Thecostsarequitevariabledependingonwherethetestingiscompletedandthemedicalinsuranceplan.

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II.ADMISSIONANDPROGRESSIONPOLICIESGeneralAdmissionRequirementsApplicationsfortheRespiratoryTherapyProgramareacceptedbetweenmid-AugustandMay1eachyearwithaMay1applicationdeadline.SelectionsaremadeinMayforadmissioninthesummersemester.ApplicationsubmissiondoesnotguaranteeacceptanceintheRespiratoryTherapyProgram.Admissionrequirementsarethefollowing:

1. Stateaccreditedhighschooldiploma,homeschooldiplomaorGEDisrequired2. High/Homeschoolcoursesmustinclude:

a. 1unitofalgebrawitha“C”orbetterb. 1unitoflaboratoryscience(biology,chemistry,orphysics)witha“C”orbetter

• AlgebraIpartI,basicalgebra,appliedbiology,consumerchemistry,orplacementtestscoresdoNOTsatisfytheserequirements

Ifalgebraand/oralaboratorysciencewerenotcompletedinhigh/homeschool,thestudentmaycompleteincollege.

Astudentwhohascompletedtheabovereferencedrequirementsandhasmaintainedanoverall2.0GPAiseligibletoapplyforadmissiontotheMECCRespiratoryTherapyProgram.ToapplyforadmissionintotheRespiratoryTherapyProgram,thestudentmustcompleteandreturntotheOfficeofAdmissionsa“RespiratoryTherapyProgramApplication”form.ThisformmustbefilledoutpriortoMay2oftheyearthestudentelectstoparticipateintheselectionprocessforthenewSummerTermrespiratorytherapycohort.SelectiontotheRespiratoryTherapyProgramStudentarerankedonthebasisofpredeterminedcriteriawhichisusedtoselectthefreshmanclass.Thecriteriaincludebutarenotlimitedto:

• OverallGradePointAverage• Numberofsuccessfullycompletedcoursesbeyondthoserequiredforadmissiontothe

RespiratoryTherapyProgram• Finalgradesreceivedincompletedrequiredcoregeneralstudiescourses• LetterofIntentexplainingwhythestudentwantstobearespiratorytherapist• InterviewwithProgramFaculty

Thetoprankedapplicantswillbeselectedforeachclass.Decisionsarefinal.StudentsselectedforthesummertermcohortwillbenotifiedinwritingonorbeforeMay15thofeachyear.Thosestudentsnotifiedofadmissionintotherespiratorytherapyprogrammustreturnthe“AdmissiontotheRespiratoryTherapyProgram”formdesignatingonthebottomof

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thatformthatyou“Will”or“WillNot”beenteringtheprogram.Studentswhodonotrespondordonotplantoattendwillhavetheirpositionsfilledbyotherapplicantsdesignatedonthealternatelist.Studentsnotselectedforadmissionmayreapplyforasubsequentclass.TransferStudentsIndividualswhohaveattendedothercollegesanddesiretotransferintotheMECCrespiratorytherapyprogramwillbeconsideredonanindividualbasis.TransferrequestsshouldbedirectedtotheProgramDirector.Transferstudentsmustmeetthesamestandardsandcriteria(listedabove)asothersdesiringtopursueanassociatedegreeinrespiratorytherapyatMECC.Astudentmayberequiredtoauditadesignatedrespiratorytherapycourse.NotificationofselectionforthesummertermwillbeinwritingonorbeforeMay15thofeachyear.Progression&RetentionPoliciesToremainingoodstandingonceadmittedtotherespiratorytherapyprogram,thestudentmust:

1. AdheretoallMECC,RespiratoryTherapyProgram,andclinicalagenciespolicies.2. Earna“C”orbetterineachrequiredRespiratoryTherapyandelectivecourseand

maintainaminimumGPAof2.0.3. Studentswillbetrackedandcounseledasitrelatestoacademicprogress.APlanfor

Success(AppendixB)willbedevelopedandplacedinthestudent’sfilewhendeficienciesarenoted.

4. Satisfactorilycompletethedidactic,laboratoryandclinicalrequirementsineachcourse.Agradeof“D”orlessinanyrespiratorytherapycourseorelectivecoursewillresultindismissalfromtheprogram.

5. Exhibitsafeclinicalbehaviorasdescribedintheappropriatecoursesyllabi6. Demonstrateprofessional,ethicalandlegalconduct.7. Maintainprofessionalliabilityinsurance.8. MaintainCPRcertification9. SubmittoadrugtestifrequestedbytheProgramfacultyorclinicalaffiliateatanytime

duringtheprogram.Apositivedrugtestisgroundsforimmediatedismissal.10. Submittoacriminalbackgroundcheckbeforebeginningfirstfallsemesterinthe

program.11. Haveaninitialcomprehensivehealthexamandsubmittherequiredformtothe

DirectorofClinicalEducationbythedesignateddate.

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ReadmissionPoliciesAstudentwhohasreceiveda“D”or“F”inarespiratorytherapy(RTH)orelectivecourseorwhohaswithdrawnfromtherespiratorytherapyprogrammaybereadmitted.ReadmissiontotheprogramisNOTguaranteed.Thefollowingapply:

1. Astudentmustscheduleanappointmentwiththeirfacultyadvisororwiththeprogramdirectorandcompletetheexitinterviewprocess.(AppendixD)Failuretocompletetheexitinterviewwillrenderthestudentineligibletopursuereadmission.Theexitinterviewmustbecompletedwithinseven(7)daysofleavingtheprogram.

2. AstudentmustrequestinwritingtotheProgramDirectortobeconsideredforreadmissionaccordingtothefollowingschedule:

• ApplybyMarch15thforreadmissiontothesummersemester• ApplybyJuly1stforreadmissiontothefallsemester• ApplybyOctober1stforreadmissiontothespringsemester

AstudentiseligibletoappearbeforetheProgramfacultytwotimes.Ifreadmissionisnotgrantedafterthesecondapplication,thestudentbecomesineligibleforreadmission.

3. OnlyonereadmissiontotheRespiratoryTherapyProgramispermitted.4. Ifastudentelectstoapplyforreadmission,he/shemayberequiredtotakea

designatedrespiratorytherapyorgeneralstudiescoursetoincreasehis/herprobabilityofsuccess.

5. AstudentwithpreviousunsatisfactoryclinicalperformancemustbeevaluatedandrecommendedforreadmissionbyaconsensusoftheProgramfaculty.(ClinicalEvaluationAssessmentprocedurebelow)

6. FailureoftwoormoreRTHcoursesinthesamesemesterwillrequirethestudenttoapplyasanewstudent.

7. Astudentmusthaveacumulative2.5GPAorhighertobeconsideredforreadmission.8. Astudentrepeatingaclinicalrespiratorytherapycoursemustrepeatboththe

classroomandlaboratorycomponentsoftheco-requisitecourses.9. Astudentmaybereadmittedonlyifspaceisavailable.10. AnyexceptionstotheabovepoliciesmustbeapprovedbytheProgramfaculty.

ClinicalEvaluationAssessment:There-applicantwillsatisfactorilycompletethefollowingprocedurepriortotheProgramfacultyrecommendingre-admission.

• CognitiveEvaluation–There-applicantwillsitforacomprehensiveexaminationcoveringthematerialspresentedinpreviouscourseswhileenrolled.Theexaminationmayconsistofmultiple-choice,true-false,fillintheblank,shortanswerandcasestudiesrelatedtothecourses.There-applicantmustreceiveascoreof

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75%toreceiveasatisfactoryassessment.Are-applicantreceivinglessthanascoreof75%isnoteligibletocontinuetheremainderofthere-evaluationprocessandwillnotbereadmitted.

• PsychomotorEvaluation–Followingsuccessfulcompletionofthecognitiveevaluationportion,there-applicantwillparticipateinapsychomotorskillsevaluation.There-applicantmustarriveinproperclinicalattireascribedintheRespiratoryTherapyProgramStudentHandbook.There-applicantwillbeallowedtorandomlyselectthreeskillstoperformfromtherequiredskillslistedinpreviousenrolledsyllabus.Six3x5cardswiththelistedskillswillbeplacedfacedowninfrontofthere-applicant.There-applicantwillthenselectthreecardsfromthetable.Theskillsselectedwillbeobservedandevaluatedbyprogramfaculty.Theclinicalassessmentwillutilizetheskillperformanceassessmentinstrumentsinthelaboratorycompetencymanual,whichisarequiredtextinRTHcourses.Thepropersuppliesandequipmentwillbeprovidedbytheprogramforeachskill.There-applicantmustmeetthesatisfactoryskilllevelandtimelimitslistedforeachskill.Theprogramwillprovideapracticepatient.There-applicantmustreceiveasatisfactoryscoreoneachofthethreeskillstoreceiveasatisfactoryassessment.o SkillPractice–There-applicantwillbeprovidedskillpracticetimeandthe

requisitesuppliesnecessaryforeachskill.There-applicantwillbegiventimesavailableforpracticeandwillprovidewrittenconfirmationofwhenthere-applicantintendstopractice.Duetoliabilityconcerns,presentlyenrolledstudentsarenoteligibletoserveaspracticepatients.There-applicantwillinformtheProgramfacultywhowillserveasapracticepatientifthere-applicantdesirestohaveoneoftheirchoosing.

• AffectiveEvaluation–There-applicantwillbeaskedtoprovidewrittencommentsonappropriateprofessionbehaviors.Thesearetheessentialbehaviorsofaprofessionalregisteredrespiratorytherapistastheyrelatetoclinicalperformance.There-applicantwillbegradedonhowwellthere-applicantcorrectlydescribeshis/herunderstandingofthebehaviorsrequiredbyaregisteredrespiratorytherapist.There-applicantmustcorrectlyevaluatetheimportanceofthesebehaviorsinclinicalpracticeasassessedbytheProgramfacultytoreceiveasatisfactoryassessment.

Followingcompletionofthethreeassessmentcomponents,Programfacultywillgradeandassesstheindividualcomponents.TheProgramfacultywillthenusetheresultsoftheoverallclinicalevaluationassessmentinpreparingarecommendationforreadmission.There-applicantwillthenbeinformedoftheresultsoftheoverallassessmentbyletteroremailpriortothelastdayofthesemesterbeforetherequestedreadmissionsemester.

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III.GENERALPROGRAMPOLICIESANDGUIDELINESFacultyExpectationsCommitmentStudentsareexpectedtodedicatethetimeandenergynecessarytocompletesuccessfullyallacademicassignmentsandprojects,tolearnwhatisrequiredtobecomeacompetentRespiratoryTherapist,andtoachievethegoalsoftheProgram.AttendanceStudentsarerequiredtoattendallscheduledRespiratoryTherapyclasses,laboratories,andclinicalsessions.Ourpurposeistopreparethestudentsfortheworkforce.Thereisadirectcorrelationamongclassattendance,productivity,andsuccessonthejobaftergraduation.Thestudent’sgradewillbeaffectedbyattendance.Dependinguponthecourse,attendanceandtimelinessmaybegraded.Whenstudentsmustmissaclass,laboratory,orclinicalsession,theymustcontacttheirinstructorpriortotheabsence.Studentsareresponsibleforanyinformationtaughtduringtheirabsence,sotheyshouldcheckwithclassmatestoreadorborrowclassnotesandmakeacopyofanyhandouts.Thestudentshouldalsomakeanappointmenttoseetheinstructorforclarificationsandquestionsormakearrangementstomakeupmissedclinicaltime.Frequentabsencesmayresultinadministrativewithdrawalfromaclassandtheterminationorreductionoffinancialassistanceincludingveterans’benefits.Inviewofthenatureoftheassociatesdegreerespiratorytherapyprogramobjectivesanddifficultiesinherentin“makingup”laboratoryand/orclinicalexperienceswhichhavebeenmissed,regularattendanceisvital.Excusedabsencesmayincludeamedicalexcuse(physiciannote)orfacultyapprovedexcuse(illness,deathintheimmediatefamily,hazardousweather,etc).MissedlaboratoryorclinicalexperiencemustbemadeupandwillbescheduledatthediscretionoftheProgramfaculty.Excessiveabsences,excusedorunexcused,duringasemestermayresultindismissalfromtheProgram.PregnancyPolicyPregnantstudentsarerequiredtoinformtheProgramDirectorandDirectorofClinicalEducationofpregnancy.ThestudentmustsubmitaPregnancyStatementform(AppendixE)completedbyherphysicianand/orhealthcareproviderwhichverifiesthatthestudentisabletocontinuetoattendclassandperformactivitiesintheclinicalsetting.Thepregnantstudentisrequiredtomeetallclassandcourseobjectivesjustastheotherstudentsintheclass.ItistheresponsibilityofthepregnantstudenttoinformProgramfacultyofanychangeinphysicalormentalstatuswhichmayalterbasicsensory/mobilityfunctions.Inaddition,all

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pregnantstudentsarerequiredtoadheretotherulesandregulationsoftheclinicalagencytowhichtheyareassigned.Afterdelivery,itisthestudent’sresponsibilitytosubmitaFitnessforDuty–ReturntoClassroomandClinicalCoursesform(AppendixF)toProgramfaculty.EveryattemptwillbemadebyProgramfacultytoaccommodatemakeupdaysnecessaryforstudentsuccessintheclinicalarea.Everymissedclinicaldaymustbemadeupbytheendofthesemesterpriortooronthelastdayofscheduledclassesbeforeexamsbegin.ChangeofPhysicalConditionorExtendedIllnessPolicyStudentsarerequiredtoinformtheProgramDirectorandDirectorofClinicalEducationofanychangeofphysicalconditionorextendedillness.Priortoreturningtotheclassroomorclinicalsettingafterexperiencinganillness,injury,hospitalization,orothercircumstancethatresultsineitheraphysicalorpsychologicallimitation(s)oranabsencefromtheprogram,thestudentisrequiredtosubmittoProgramfacultyacompletedFitnessforDuty–ReturntoClassroomandClinicalCoursesform(AppendixF)fromtheirphysicianorhealthcareprovider.Intheeventthephysicianorhealthcareproviderplaceslimitationsonthestudent’sabilitytoperformactivities,thestudentwillberestrictedaccordingly.Inaddition,therulesandregulationsofparticipatingclinicalagencieswillprevailindeterminingwhetherastudentwhohaslimitationsimposedbytheirphysicianorhealthcareprovidercanparticipateintheclinicalexperience.EveryattemptwillbemadebyProgramfacultytoaccommodatemakeupdaysnecessaryforstudentsuccessintheclinicalarea.Everymissedclinicaldaymustbemadeupbytheendofthesemesterpriortooronthelastdayofscheduledclassesbeforeexamsbegin.ReligiousObservancePolicyStudentsarerequiredtoinformtheProgramDirectorandDirectorofClinicalEducationinwritingifyouplantobeabsentfromaclass,examinationorclinicalexperienceinordertoobserveareligiousholiday.Notificationofanimpendingabsenceforthepurposeofreligiousobservanceshouldbemadewithinthefirstthree(3)daysofthesemesterbyemailingarequesttotheProgramDirector.TheProgramiscommittedtoprovidingreasonableaccommodationsforstudents’sincerelyheldreligiousbeliefswithregardtoexaminationsandotheracademicrequirements.InclementWeatherPolicyPurpose:Toprovideastandardizedresponsetoadelayedopening,schoolclosing,orsevereweather.Procedure:I. DelayedOpening/EarlyDismissal

Inthecaseofadelayedopeningorearlydismissal,studentsareexpectedtoreporttoanyclassthatwouldnormallybeinsessionatthetimetheCollegeisopen.

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Thefollowingisascheduleofdelayedopeningforthefallandspringsemesters:ClassroomClasses:FallSemester–FirstYearStudents

RTH145 10:00am–11:00am Monday&Wednesday

RTH111 11:05am–12:05pmRTH131 12:10pm–1:10pm

RTH131-Lab 10:00am–12:50pm TuesdayFallSemester–SecondYearStudents

RTH22611:00am–2:00pm TuesdayRTH267

RTH22710:00am–2:00pm ThursdayRTH265

SpringSemester–SecondYearStudents

RTH121 10:00am–10:40amMonday&WednesdayRTH112 10:45am–11:25am

RTH132 11:30am–12:10pmRTH132-Lab 10:00am–12:50pm Tuesday

ClinicalRotations

ClinicalSite RegularSchedule DelayedSchedule

HolstonValleyBristolRegionalJohnsonCityMed

IndianPathJohnstonMemorialMountainViewSycamoreSholesWexfordHouse

6:00am–2:00pm

6:00am–6:00pm

6:00pm–2:00am

6:00pm–6:00am

10:00am–3:00pm

10:00am–6:00pm

6:00pm–11:00pm

6:00pm–6:00am

NortonCommunityFranklinWoods

7:00am–3:00pm

7:00am–7:00pm

7:00pm–3:00am

7:00pm–7:00am

10:00am–3:00pm

10:00am–7:00pm

7:00pm–11:00pm

7:00pm–7:00am

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HealthSouth 6:30am–6:30p 10:00am–6:30pm

Mostclinicalsiteswillnotclose/delayoperationduringperiodsofinclementweatherunlessconditionsaresevereenoughtoendangeremployeesorpatients.Therefore,RespiratoryTherapyProgramstudentsareexpectedtoattendclinicalasscheduledunlessthecollegeisclosedoronasnowschedule.Additionally,studentsmayneedtoleavetheclinicalsiteearlytoavoidhazardousdrivingconditionsthatmayoccurlateintheday.Thecollegewillannounceifthecollegeisclosingorifnightclassesarecancelled.Becausestudentscomefromvariouslocationsanddistances,someofwhichmaybemoreseriouslyaffectedbyadverseweatherthanothers,studentsmustalwaysexercisejudgmentonwhetherornotitissafetodriveto/fromtheclinicalsite.Prudentstudentsshouldexercisesafetybecausesafetyisfirstinallcases.

II. SchoolClosing

WhentheCollegeisclosedincelebrationofaholiday,classes/clinicalwillnotbeheld.WhenclassesatMountainEmpireCommunityCollegearecanceledduetoinclementweather,studentshavetheoptionofattendingclinicalsifweatherintheirareapermits.

A. MountainEmpireCommunityCollegeutilizesastate-of-the-artemergency

notificationsystemcalledTextAlerts.Thissystemwillallowstudentstoreceiveinstantnotificationshouldanemergencyoccuroncampus.Thestudentreceivesalertsviaemailand/ortextmessagingviaTextAlerts.Standardchargesforincomingtextmessagesmayapply.(Pleasecheckwithyourproviderifyouhavequestionsconcerningthosecharges.)

B. Duringunforeseenevents,suchasinclementweather,theCollegemayemployTest

Alertstobroadcastpertinentinformation(suchasschoolclosures)andappropriateresponse.Studentsshouldkeeptheircontactinformationup-to-dateviatheTestAlertPortalontheMECCWebsitehomepageasrequiredbytheCollegeeachsemester.

C. StudentsmayalsochecktheMountainEmpireCommunityCollegewebsite

(www.mecc.edu)forCollegeclosingsintheeventofinclementweather.

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AcademicHonestyCheatingisthegivingorreceivingofinformationormaterialwiththeintentionofwrongfullyusingittoaidoneselforanotherstudentinacademicendeavors.TheProgramfacultyexpectshonestbehaviorfromstudentsinrelationtoperformingpatientcare,writtenexaminations,papers,oranyotherassignment.Studentsmustdotheirownwork;therearenoexceptions.StudentswhoplagiarizeorcheatinanywayriskdismissalfromtheProgramandexpulsionformthecollege.Cheatingonanyexam,quiz,labpractical,labtest,oranyothertypeofexamination,aswellasthoughts,words,orideasisprohibited.Studentsareexpectedtomaintainahighlevelofintegrityintheiracademicpursuits.Academichonestyisessentialformaintainingtherelationshipoftrustthatisfundamentaltotheeducationprocess.Academicdishonestyisaviolationofoneofthemostbasicethicalprinciplesofanacademiccommunity.Actsofdishonestythatwouldsubjectastudenttodisciplinaryactioninclude,butnotlimitedtothefollowing:

• Cheating:Usingunauthorizedmaterialorunauthorizedhelpfromanotherpersoninanyworksubmittedforacademiccredit.

• Fabrication:Inventinginformationofcitationsinanacademicorclinicalexercise.• FacilitatingAcademicDishonesty:Providingunauthorizedmaterialorinformationto

anotherperson.• Plagiarism:Submittingtheworkofanotherpersonorpersonsasone’sownwithout

acknowledgingthecorrectsource.• UnauthorizedExaminationBehavior:Conversingwithanotherperson.Passingor

receivingmaterialtoorformanotherperson,accessingelectronmediasuchascellphones,tablets,orlaptopPC’s,ortemporarilyleavinganexaminationsitetovisitanunauthorizedsite.

ProfessionalDemeanorStudentsmustfunctionasprofessionalsintheacademicandhealthcaresetting.Studentsareexpectedtoprojectaprofessionalimage,includingappearance,confidence,respect,courtesy,self-control,initiative,dependability,reliability,honesty,punctuality,andresponsibility.Studentsmustdemonstrateaccountabilityforrespiratorycarepracticebyfunctioningwithinlegalandethicallimits.FailuretocomplywithintheselimitsmayresultinimmediatedismissalfromtheProgram. Regan’s7RulesofProfessionalConduct

1. Alwaysbepolitetopatients.Regardlessofthecircumstances.2. Donotdiscussthepatient’sailmentswithhim.3. Donotdiscusstherespectivemeritsofvariousformsoftherapy.4. Neverprescribe.5. Donotdiscussthepatient’sphysicianoranyotherphysicianwiththepatient.6. Keepaccuraterecordsofpatientsnotperformingasdirected(notkeeping

appointments,refusingtherapeutictreatment,etc.).7. Bealerttohazards.

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StudentCodeofEthicsStudentsofMECC’sRespiratoryTherapyProgramareexpectedtosubscribeandconformtotheAARCCodeofEthics.Inaddition,allstudentsareexpectedtobehonestandhonorableinallacademicandprofessionalendeavors.Itisfurtherexpectedthattheywillrefrainfromanyactivity,whichmightimpairtheimageoftheCollegeortheRespiratoryCareprofession.RespiratoryCareencompassesthepromotionandrestorationofhealth,thepreventionofillness,andthealleviationofsuffering.ThestatementsoftheAARCCodeandtheirinterpretationprovideguidanceforconductandrelationshipsincarryingoutRespiratoryCareresponsibilitiesconsistentwiththeethicalobligationsoftheprofessionandqualityinrespiratorycare.Theregisteredrespiratorytherapistprovidesserviceswithrespectforhumandignityandtheuniquenessofthepatient,unrestrictedbyconsiderationsofsocialoreconomicstatus,personalattributes,orthenatureofhealthproblems.StudentCodeofConductTheStudentCodeofConductfoundintheMountainEmpireCommunityCollegeStudentHandbookcontainstherulesandpoliciesthatarefollowedbytheRespiratoryTherapyProgramwithregardtostudentbehavior.InadditiontoMECCpolicies,theRespiratoryTherapyProgramhasbehavioralpoliciesthatwillbeenforced.Failuretoabidebythesepoliciesisgroundsfordisciplinaryaction.Thesepoliciesinclude,butarenotlimitedto,thefollowing:

• Inappropriatedress• Tardinessorabsenteeism• Failuretodemonstratesafeperformanceofprocedures• Breechingconfidentiality(HIPAA)• Unprofessionalbehavior• Inappropriateuseofhandheldelectronicdevices

Procedure:1. Whenitisdeemedastudenthasviolatedthestudentcodeofconduct,thefollowing

procedureswillapplydependingonthestepappropriateforthesituation.a. OralreprimandbyProgramfaculty-Anecdotewillbeplacedinthe

student’sfile.b. WrittenreprimandbyProgramfaculty-aWrittenWarningwillbeissued,

subsequentlyplacingthestudentonprobation.Whileonprobation,thestudentmaycontinueclinical,andheorshewillbereassessedasindicatedduringtheprobationaryperiod.(AppendixA)

c. DismissalfromtheRespiratoryTherapyProgram-Writtennotificationisrequired.

2. Atanystep,exceptwithanoralreprimand,writtencommunicationshallstatewhatbehaviorisinappropriate,thebehaviorexpected,andtheconsequencesofafailuretocorrect.

3. AnyviolationsoftheproperclinicalconductmayresultinimmediatedismissalfromtheRespiratoryTherapyProgramwithoutsteps1or2occurring.

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Typically,probationwilllastforatleastonefullsemester.FailuretoadheretoProgrampoliciesorprotocolafterreceivingprobationwillsubjectthestudenttodismissalfromtheProgram.Probationmayaffectgradingintheclinicalcourse.

StudentResponsibilitiesItisthestudent’sresponsibilitytoknowandcomplywithallMECCandProgramguidelinesandpoliciesinadditiontoallpertinentclinicalfacilitypoliciesandproceduresastheymayapply.Itisthestudent’sresponsibilitytohaveaccesstotheInternet(Blackboardande-mail),andtocheckthoseresourcesdaily.StudentEmailStudentsneedtobefamiliarwithusingtheirMECCstudentemailaccount.ProgramfacultyandotheradministrativepersonnelatMECCwillusestudents’emailasamethodofcommunicatingwithstudents.MECCpersonnelcannotreplytoemailsfromothersourcessuchasHotmail,Yahoo,orotherpersonalemailaccountsonceyouareastudentandenrolledinclasses.Ifyouneedassistancewithstudentemail,pleasecontactyourProgramadvisorforassistanceorfurtherreferral.EmploymentPolicyStudentswhoareemployedwhileenrolledintheProgrammaynotusework-relatedexcusesasanexcusefornotmeetingtheobjectivesfortheProgram.Astudents’employmentshouldnotinterferewithassignedclassorclinical.Wediscourageworkingnightshiftspriortoclassorclinicaldays.Studentsshouldarrangetheirworkschedulesothatitinnowayinterfereswithclassorclinicaltime.Failuretoattendascheduledclassorclinicalduetoworkisconsideredanunexcusedabsence.Noncompliancewilljeopardizeastudent’ssuccesswithintheProgram.Additionally,astudentmustnotidentifyhimselforherselfasaMECCRespiratoryTherapyStudentwhenworkingasanemployeeinaclinicalagency.Pleasebeawarethatstudentsmaybeaskedtoattendavarietyofworkshops,labsandothereducationalexperiencesthatmaynotbeintheProgramschedule.Itistheresponsibilityofthestudenttoworkwiththeirinstructorandemployertoattendrequirededucationalexperiences.IllegalSubstancePolicyStudentsoremployeeswithinaVirginiaCommunityCollegeshallnotpossess,sell,use,manufacture,giveawayorotherwisedistributeillegalsubstancesincludingdrugsoralcoholwhileattendingcollegeorcollegerelatedactivitiesincludingclinicalexperiences.Studentsoremployeeswhoviolatethispolicyshallhavecollegechargesprocessedagainsttheminthenormalmannerofdueprocessprovidedbycollegerules.Further,studentsoremployeeswhoviolatethispolicyshallhavecommittedacriminaloffense,andthecollegeshallnotifytheappropriateagencyoftheCommonwealthofVirginia,countryorcitygovernmentforinvestigationand,ifwarranted,prosecution.

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ChildcareStudentsareresponsibleformakingchildcarearrangementsfortheirchildrenwhiletheyattendclass,laboratory,orclinicalrotations.Childrenareneverallowedtoattendclass,laborclinicalwiththeparent.Someclinicalrotationsmaybeginasearlyas6:00amorbeovernightuntil6:00am.Thusstudentswithdependentchildrenmustprepareinadvance.ProgramFacilitiesProgramOfficesFacultyintheRespiratoryTherapyProgramhaveassignedofficesandscheduledofficehours.TheProgramDirector’sofficeisinPhillips-TaylorHall,Office137,andtheDirectorofClinicalEducationofficeisinPhillips-TaylorHall,Office138.StudentsarewelcomeintheProgramofficesforconferenceswithfacultyandtoreviewacademicwork.FacultyOfficeHoursFacultyintheRespiratoryTherapyProgramhaveten(10)officehoursperweekduringthefallandspringsemestersandeight(8)officehoursperweekduringthesummersemester.Thesehoursarepostedoutsidethefaculty’sofficedoorandincoursesyllabi.Thepurposeofthistimeistobeavailabletoworkwithindividualstudentsontheiracademicoroccupationalproblems/questions.Appointmentscanalsobearrangedforstudent-facultyconferencesattimesotherthanpostedofficehoursifneeded.EducationalFacilitiesTherespiratorytherapyprogramclassroomandlaboratoryarealllocatedwithinRobbHall.TheProgramutilizestheCollege’sextensivelibraryandclinicalfacilities’librariestoprovideawidevarietyofprofessionalreferencematerialandjournals.StudentsalsohaveaccesstoothercollegelibrarymaterialthroughinternetdatabaseaccesswiththeVirginiaCommunityCollegeSystem(VCCS).TherespiratorytherapyprogramalsoutilizestheMECCSimLabforsimulatedclinicalexperiencesduringeachsemester.AcademicAdvising/GuidanceandCounselingEachstudentwillbeadvisedbyprogramfacultyforassistingwithacademicprogressandconcerns.Theadvisorwillauthorizeallcourseworkthestudentplanstotakeandwillprovideguidanceforfuturecourserequirementsandcareerdevelopment.Asaservicetostudents,thecollegeprovidestheservicesofprofessionalcounselorsinadditiontofacultyadvisorsineachinstructionalprogram.Thesecounselorscanassiststudentsinmakingrealisticdecisionsregardingvocational,educationalandpersonal/socialplans.StudentshaveavarietyofresourcesavailabletothemthroughboththeCareerCenterandtheStudentServicesCenteroftheCollege.

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GAINProgramAfederallyfundedprogramhelpsallstudentsadjusttocollegelifeandachieveacademicsuccess.Thisincludestutoring(liveandonline),studyskills,mentoring,careerdevelopment,transferassistance,andinformation/referrals.PleaseemailTinaCupp,tcupp@mecc.eduformoreinformationabouttheGAINProgram.ThereisonlinetutoringavailablealsothroughSmartThinking.PleaseemailSusanKennedy,skennedy@mecc.eduformoreinformationforSmartThinking.TelephonesStudentsarenotallowedpersonaluseofthetelephonesintheProgramoffices.Cellphonesmaynotbeusedduringclassroom,laboratoryorclinicalinstruction.NameBadge/StudentIDAllstudentsmustobtainaMountainEmpireCommunityCollegepictureI.D.andhaveitavailablewhileoncampusorataCollegefunction.RespiratoryTherapyProgramstudentsmustalsoobtainaWellmontStudentI.D.badgepriortothefirstdayofclinicalrotations.StudentsarerequiredtoweartheirstudentI.D.badgeswhileintheclinicalfacilities.StudentswillweartheWellmontStudentI.D.badgeinWellmontfacilitiesandtheMECCStudentI.D.inMountainStatesHealthAlliancefacilities.

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IV.ACADEMICPOLICIESANDGUIDELINESGeneralAcademicPolicies Class/LaboratoryHoursTheProgramutilizesteachingstrategies,suchaslecture,laboratorypractice,observationalexperiences,simulationlab,clinicalexperiences,independentstudy,andseminars.Class/Laboratorygenerallymeettwotofourdaysaweekfrom8:30a.m.untilapproximately12:30p.m.to3:00pmdependingonthesemesterandarearrangedonasetscheduleandsequence.ClinicalHoursClinicalrotationsarearrangedonaself-schedulebasiswhichcanoccureitheratthebeginning,endorthroughoutthesemester.Studentswillrotatethroughareahospitals/longtermcarefacilities/rehabhospitalsutilizingthefollowingtimeschedules.

WellmontFacilitiesDayshifts(6:00a.m.-2:00p.m.or6:00a.m.-6:00p.m.)Nightshifts(6:00p.m.-2:00a.m.or6:00p.m.–6:00a.m.)MSHAFacilitiesDayshifts(7:00a.m.-3:00p.m.or7:00a.m.-7:00p.m.) (6:00a.m.-2:00p.m.or6:00a.m.-6:00p.m.)Nightshifts(7:00p.m.-3:00a.m.or7:00p.m.–7:00a.m.) (6:00p.m.-2:00a.m.or6:00p.m.–6:00a.m.)

Specialtyclinicalexperiencesmayrequirethestudenttoworkarotationschedulethatisdifferentfromoriginalassignedrotationsduringthesemesterforaoneortwo-weekperiod.Studentsareexpectedtoprovidetheirowntransportationtoallclinicaltrainingsites.SimulationLabHoursSimulationisacontrolledpatientcaresituationinwhichthestudentscanpracticecommunicationskillsaswellasclinicalskills.Asimulatedexperienceallowsthestudenttopracticeinasafeenvironmentanditaffordstheopportunityforstudentstoexperienceconditionsorsituationsnottypicallyencounteredintherealworld.Amajoradvantageisthatthestudentcananalyzetheiractionsorthoseofotherstudentsinthedebriefingsessionthatfollowsthesimulation.AllstudentsparticipateinSimulationEducation.Theyparticipateinanorientationtothesimulationlabinthefirstsemesteroftheprogram.SimulationLabdaysandhoursvaryfromsemestertosemesterandwillbeannouncedtotheclassbyProgramfacultywhenthecoretheoryandlaboratoryskillshavebeencoveredandbasiccompetencyhasbeenaccessed.

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Classroom/LaboratoryConductPolicyRespiratorytherapyclasseswillbeconductedinanorderlyandprofessionalmanner.Bothinstructorsandstudentswillattendclasses,beontime,andbeprepared.Theinstructorfacilitatesthelearningprocessanddeterminesboththeselectionofsubjectmatterandlearningstyle.Studentsareexpectedtocontributetothediscussionsinclass.Whenthereisaquestionorconcernaboutsubjectcontent,thestudentmayfurtherdiscussconcernswiththeinstructoroutsideofclasstime.Studentsareaskedtobemindfuloftheclassroomlearningobjectivesforthatdayandnotprolongdiscussionsinclass.Classroom/LaboratoryDressCode

• Forsafetypurposes,shoes/sandalsaretobewornintheoryandlaboratoryclasses.• Midriffshirtsorblouses,halters,backlessblousesorbacklessdressesshallnotbeworn.• See-throughormeshgarmentsmaybewornonlywithproperundergarments.• Hatsorcapsshallnotbewornintheclassroomorlaboratory.• Sunglassesarenottobewornintheclassroomorlaboratoryunlessprescribedbya

physiciananddocumentationprovidedtotheinstructorpriortoclasstime.• Garmentsthatdisplayorsuggestsexuallythemed,vulgar,ordrug-relatedwordingor

graphicsorthatprovokeormaytendtoprovokeviolenceordisruptionintheschoolshallnotbeworn.

• Clothesandshoes/sandalsmustbecleanandneat. Examination/TestPolicyExams/Testswillconsistofmultiplechoice,matching,true-false,shortanswersorfillintheblank.Aspecificnumberofunitexams/testsandacomprehensivefinalwillbeadministeredeachsemester.Ascoreof75oraboveisconsideredpassingforeachexam/testandcourse.AbsencesonExam/TestDay:Ifastudentisabsentonthedayofanexam/test,thefacultymemberadministeringtheexammustbenotifiedbythestudentthemselvesbyphoneoremailatleast30minutespriortotesting.Exams/Teststhatarenottakenonthescheduleddaymustbemade-upbeforeattendingthenextscheduledclassforthatcourse.Failuretomake-upexams/testswillresultinanautomaticzero(0)forthatexam/test.ElectivetoNotTakeTestonTestDay:Ifastudentfeelstheyareunpreparedtotakeatestonthescheduledtestdaytheyareallowedtwo(2)excusedtestdayspercoursepersemester.TheAbsencesonExam/TestDaypolicywillbefollowedinregardstomake-ups.ThispolicydoesnotapplytocoursecomprehensiveFinalExams.Afterthetwo(2)ElectivetoNotTakeTestshavebeenusedthestudentwillbenotifiedbyemailastoexhaustingthoseprivilegesforthecourse.GradingPolicyIntheRespiratoryTherapyProgram,eachstudentisevaluatedonascheduledbasisastocomprehensionoftheoreticalconcepts,safeperformance,andpsychomotorskillsinclinicalareasaswellastheethicalandaffectivebehaviorexpectedoftheprofessionalpractitioner.

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A. LaboratoryPerformance:Gradingispassorfailinthelaboratory.Laboratorycheck-offproficienciesarescenario-based.Thestudentsaregiventwoopportunitiestocompletetherequiredproficienciesbeforeattendingthenextclinicalcourse.

B. Theory:TheRespiratoryTherapyProgramusesthefollowingacademicgradingsystem:

A=93–100 (Excellent)B=85–92 (Good)C=75–84 (Average)D=70–74 (failingintheRTHProgram)F=0–69 (failingintheRTHProgram)

ApointsystemequivalenttotheabovescoresandlettergradeisusedinallrespiratoryandNAScourses.Pleaseseethecoursesyllabusforthepointspreadsheetforthatcourse.Agradeof“C”isrequiredforpassinginallrespiratory,NASandgeneralelectivecourses.Studentsmaynotenrollinthenextrespiratorycourseuntiltheyhavesuccessfullypassedthepreviouscourse(s)includinggeneralelectives.Examination/TestGradesExamination/Testresultswillbegiventostudentsbycoursefaculty.Priortothereturnofunittestgradestostudents,theProgramfacultywillreviewallscoresforaccuracyandmakenecessaryrevisions.Programfacultywillreturnandreviewthetestitemswithstudentsandquestionsconcerningaccuracyshouldbeaddressedatthattime.Studentswillhaveseven(7)daystoaddressgradingconcernswithProgramfaculty.Notestscoresorgradeswillbegivenoverthetelephoneoremail.Studentsnotinclassduringreviewofatestwillnotbeallowedtoaddressaccuracyoftestsorrequestareview.FunctionalSkillsRequirementStudentsenteringtheRespiratoryTherapyprogrammustpossessthefollowingfunctionalskills:

• Sufficienteyesighttoobservepatients,performandvisualizepatientassessments,manipulateequipment,visuallyreadpatientrecords,graphsandtestresults,includingcolorvision.

• Sufficienthearingtocommunicatewithpatientandmembersofthehealthcaredeliveryteam,monitorpatientsusingelectronicequipment,andhearnecessarysoundsduringoperationofequipment.

• Satisfactoryspeaking,readingandwritingskillstoeffectivelycommunicateinEnglishinatimelymanner

• Sufficientgrossandfinemotorcoordinationtoexhibitexcellenteye-handcoordinationanddexteritysoastomanipulateequipment,lift,stooporbendinthedeliveryofsafepatientcare.

• Satisfactoryphysicalstrengthandendurancetobeonone’sfeetforextendedperiodsandtomoveheavyequipment,patients,andsupplies.Sitting,walking,bending,andreachingmotionsarealsorequirementsforrespiratorytherapists.

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• Satisfactoryintellectual,emotional,andpsychologicalhealthandfunctioningtoensurepatientsafetyandtoexerciseindependentjudgmentanddiscretioninperformingassignedtasks.Timemanagementofmultiplepriorities,multiplestimuli,andfastpacedenvironmentsarealsorequired.

• AnalysisandCriticalThinkingskillsarenecessarytobeacompetent,saferespiratorytherapist.

CurriculumChangesInordertokeeptheRespiratoryTherapyProgramcurrent,andcongruentwiththeCollege’sgeneraleducationrequirements,itmaybenecessarytomakecurriculumchangesonoccasion.Programfacultywillkeepstudentsinformedofchangesastheyoccur,aswellastheeffectsthosechangeswillhaveonstudentscurrentlyenrolledintherespiratorytherapyprogram.Allsyllabiaresubjecttochangeatthediscretionoftheinstructortomorefullymeetcourseobjectives.TransportationStudentsareresponsibleforprovidingtheirowntransportationtoalleducationalareas.PleasebeawareofparkinginformationprovidedforMECCandanyclinicalaffiliate.Carpoolingisencouraged;butmustbearrangedbetweenstudents.Neithertheinstructorsnorcollegeareresponsibleforcarpoolingarrangementsorissueswithcarpoolinginanyway.StudentSuccessPlanAstudentsuccessplanisfacilitatedtokeepstudentsinformedofprogresswhenperformancerequiresalteration.Implementationwouldbeindicatedwhenclassroom,laboratoryorclinicalbehaviorsplacethestudentatrisk.

• Qualitycareandsafepracticearegoalsoftherespiratorytherapyfaculty.Whenstudentbehaviorrequiresattention,awrittenStudentSuccessPlanisimplemented.(AppendixB)Theareasthatrequireattentioninclude,butnotlimitedto:classroomachievement,attendanceortardinessbehavior,clinicalperformancethatdoesnotmeetminimalcriteria,orirresponsiblebehaviors.

• Successplanwillbesignedanddatedbyallinvolvedparties.Studentsuccessplanswillbeplacedinthestudent’sfile.

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V.CLINICALINFORMATION/POLICIESThepreparationofcompetentRespiratoryCarepractitionersisthemostimportantgoaloftheRespiratoryTherapyProgramatMountainEmpireCommunityCollege.Oneofthenecessaryingredientsofcompetenceistheabilityofthestudenttoperformanarrayofclinicalproceduresinasafe,effective,andefficientmanner.Throughtheclinicalexperience,studentsareofferedtheopportunitytoenhancetheirclinicalperformance.Allclinicaland/orclasstravelingistheresponsibilityofthestudent.TheCollegedoesnotprovidethestudentwithatravelorlodgingallowance.WhatisClinical?Asyoubeginthefirstfallsemester,youwillembarkonanexperienceuniquetoanyotherinyoureducation.Thisexperienceiscalledcoordinatedpracticeor"clinical."Clinicalisanopportunityforyoutobecomeinvolvedinthedirectobservationofthepatient.Italsoaffordsyouwith"handson"experienceinpatientcare.Thisisthetimewhenyoumusttaketheskillsyouhavelearnedinthelaboratoryandapplythemtopatientcare.Itisnotatimeforyoutopracticemedicinebutatimeforyoutogivetherapyaccordingtothetreatmentplansetbythemedicalcareteam.Youwillnotonlyberesponsibletothepatientbutalsotoeverymemberofthepatientcareteam.Fromthefirstdayofyourrotation,youbecomeanintegralpartofthatteam.Youwillnotonlyberesponsibletothepatient,butalsotoeverymemberofthepatientcareteam.Theclinicalemphasisistwofold--oneonperformanceandtheotherontheintegrationofdifferentconceptsandtheirapplicationstopatientcare.Asyoubeginthisassimilationprocess,youwilldevelopalevelofrapportwithyourpatientsandco-workers,whichwillstemfromagrowingsenseofself-confidence.Integrationandassimilationwillnotoccurbehindbooksbutintheclinicalsettingbykeepinganopeneye,openmind,andcompassionateheart.Bemindfulthattherecipientsofyourcarearepeoplewhosemedicalneedsmustbemettothebestofyourethicalandprofessionalability.Coordinatedpracticewillbeconductedatanyoneoftheprogram’stwelvehospitalaffiliates.Anexperience,knowledgeableclinicalpreceptorwhoseroleistoprovideyouwithguidanceanddirectionduringthisuniqueeducationexperiencewillsuperviseyouractions.Theprocessofbecomingadynamicrespiratorytherapistisexpansiveandsometimesoverwhelming.Donotexpecttomasterthesetasksduringyourfirstclinicalexposure.Havepatiencewithyourself.Moreimportantly,learnfromeachmistakeandgrowwitheachnewexperience.

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GoalsoftheClinicalExperience1. Togivethestudenttheopportunitytodeveloptask-relatedskillsandtechniques

learnedinthelaboratorysettingwhileworkingintheactualpatientcareenvironment.2. Toprovideanopportunityforthestudenttointegratelearnedtheorywithclinical

practiceenablingthestudenttoproblem-solveand,inthisway,assistthephysicianintreatingthepatient.

3. Todevelopanawarenessofthepatient'srightsasanindividualconsideringtheirpsychological,emotionalandphysicalneeds.

4. Toaffordthestudenttheopportunitytodevelopprofessionally.5. Toexposethestudenttoawidevarietyofclinicalexperiencesandsettings.

CoARCAccreditationStandard5.09Asnotedelsewhereinthishandbook,theRespiratoryTherapyProgramisaccreditedbyCoARC.CoARCStandard5.09outlinesspecificrequirementsforclinicalexperiences.

Studentsmustbeappropriatelysupervisedatalltimesduringtheirclinicaleducationcourseworkandexperiences.Studentsmustnotbeusedtosubstituteforclinical,instructional,oradministrativestaff.Studentsshallnotreceiveanyformofremunerationinexchangeforworktheyperformduringprogrammaticclinicalcoursework.Whatthismeansisthatrespiratorytherapystudentsarenottherapists.Assuch,studentsmustnotunderanycircumstancebeutilizedasasubstituteforapaidtherapistorstaff.Students,intheabsenceofapaidtherapistorstaff,arenotusedasback-upsduringclinicalrotations.(Source:CoARCStandard5.09)

Thescopeofpracticeforastudentisclearlyidentifiedassupervisedbyalicensedprofessional.Shouldastudentpracticeoutsideofthescopeofpractice,thestudentmayberemovedfromtheclinicalanddependingonthecircumstancetheProgrammaynotbeabletoplacethestudentinanotherclinicalfacility.Regardlessofthecircumstance,astudentwhoisremovedfromhis/hercurrentclinicalplacementmustprovidetheprogramwithwrittenpermissiontodiscussthecircumstancesforclinicalremovalwithanotherfacility.Thisisnecessarytoplacethestudentinnewclinicalplacement.ProgramandStudentClinicalExpectations

TheProgramexpectsstudentsto:1. Takeresponsibilityforyourownlearning.2. Comeprepared-reviewobjectivesfortherotation-reviewcriticalthinkingquestions

fortheclinicalskillsyouwillbeperformingpriortotheclinicalday.3. Berespectfulandcourteoustoyourpreceptor,peersandotherhospitalemployees.4. Attendthefullclinicaldayandarriveontime.

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5. Followthepoliciesoftheclinicalaffiliatethatyouarerotatingin.6. Evaluatebothpositiveandnegativeexperiencesandobservations.7. Questionpreceptorsandphysicians.8. Attendroundsandlecturesthatareofferedatyourclinicalaffiliate.9. Utilizeyourtimetomaximizelearningexperiences.10. Maintainanenthusiasticandpositiveattitude!11. SignintoandoutoftheMECCTimeLogeverydayyouareinclinical.12. CompletetheClinicalActivitiesFormcompletedbyyouandyourclinicalpreceptor.

Asastudentyoucanexpect:

1. Tobetreatedwithrespectbypreceptors.2. Tobegivenspecificassignments.3. Tobeevaluated.4. Tobeobservedbypreceptors,staffandphysicians.5. Tobequestionedbypreceptors,staffandphysicians.6. Togivereporttothenextshiftofrespiratorytherapists.7. Tobecomeproficientinadministeringrespiratorycare.8. Tohavetheclinicalactivitiesformvalidatedbyyourpreceptor

Pleaserememberasnotedabove,studentsenrolledinprogrammaticclinicalrotationsshallnotreceiveanyformofremunerationinexchangefortheirwork.Inaddition,studentsshallnotbesubstitutedforpaidstaffand/orusedassimplyback-upsintheabsenceofappropriatepaidstaffduringclinicalrotations.

Youaretheonlyonewhocantakeadvantageoftheclinicalopportunity.WHATYOUGETOUTOFYOURCLINICALROTATIONISINDIRECTPROPORTION

TOTHEENERGYYOUPUTINTOIT.

ClinicalPreceptorRoleClinicalpreceptorsareresponsibleforteachingstudentsintheapplicationofrespiratorycare.Theprimaryclinicalpreceptorsupervises,counsels,andevaluatesthestudent'sclinicalcompetencieswhiletheyarerotatingthroughtheirclinicalaffiliate.Itisthepreceptor’sjobtoevaluatethefollowingthreeareaswhilethestudentsarerotatingthroughthehospital:psychomotorskills,cognitiveskills,andthebehavioralskills(Affective)necessarytosuccessfullyperformRespiratoryCareintheclinicalenvironment.Allthreeoftheseareasareequallyimportant.(AppendixG)Thepreceptorwillassignstudentstoaclinicalareathatwillenablethestudenttomeetlearnerobjectives.Thepreceptorwillevaluatethestudentonsuccessfulcompletionofaclinicalskill

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andtheassociatedprofessionalbehavior/srequiredofthatskill.Itisthepreceptor’sjobtoevaluatefairlyandimpartially.Thismaymeanthatastudentmayberequiredtoperformtheclinicalevaluationseveraltimestomeettheminimalacceptancepassingscoreforthatskill.Thisshouldnotbelookedataspunishmentbutnecessaryremediation.Theclinicalpreceptoristhestudent'sliaisonbetweentherespiratorydepartment,nursing,physicians,andthecollege.Thepreceptoristheretoteach,listen,andofferconstructivecriticism.ClinicalSitesThefollowingfacilitiesareusedbytheMECCRespiratoryTherapyProgramasclinicalsitesforstudentlearningexperiences:Facility LocationHolstonValleyMedicalCenter Kingsport,TNBristolRegionalMedicalCenter Bristol,TNJohnsonCityMedicalCenter JohnsonCity,TNJohnstonMemorialHospital Abingdon,VAIndianPathMedicalCenter Kingsport,TNFranklinWoodsHospital JohnsonCity,TNSycamoreShoalsHospital Elizabethton,TNNortonCommunityHospital Norton,VAMountainViewRegionalMedicalCenter Norton,VAWexfordHouse Kingsport,TNHealthSouthRehabilitationHospital Kingsport,TNScheduledClinicalHoursTheclinicaldaywillbe8or12hoursinlengthwitha30-minutelunchbreak.ClinicalhoursandrotationswillbedeterminedbytheDirectorofClinicalEducation(DCE)forthefollowing:

WellmontFacilitiesDayshifts(6:00a.m.-2:00p.m.or6:00a.m.-6:00p.m.)Nightshifts(6:00p.m.-2:00a.m.or6:00p.m.–6:00a.m.)MSHAFacilitiesDayshifts(7:00a.m.-3:00p.m.or7:00a.m.-7:00p.m.) (6:00a.m.-2:00p.m.or6:00a.m.-6:00p.m.)Nightshifts(7:00p.m.-3:00a.m.or7:00p.m.–7:00a.m.)

(6:00p.m.-2:00a.m.or6:00p.m.–6:00a.m.)Theclinicalschedulewillvaryeachsemesterandwillbepresentedtostudentsinatimelymannertolimitpersonalschedulingconflicts.Specialrequestscannotbehonored.Clinical

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rotationsareselectedbasedontheavailabilityoftheclinicalsiteaswellastheabilitytomeetcourseobjectives.Specialtyclinicalexperiencesmayrequirethestudenttoworkarotationschedulethatisdifferentfromoriginalassignedrotationsduringthesemesterforaoneortwo-weekperiod.Note:TheDirectorofClinicalEducationmaychangeclinicalrotationstarttimes,dates,andlocationstoaccommodatelearningexperiences.ClinicalAttendanceandTardinessPolicyDuetolimitedtimeintheclinicalarea,studentsmustattendandperformatanacceptablelevelintheclinicalarea.Absenceswilldenythestudentopportunitiesneededtoacquireskillsnecessarytomeetminimumsafetystandards.Therefore,clinicalassignmentsrequire100%attendance.Ifastudentfindsitunavoidabletobetardyorabsentfromanyassignedclinicalexperience,thenthestudentmustcontacttheDirectorofClinicalEducationortheirdesigneewithanexplanationatleastone(1)hourpriortothestartoftheassignedclinicalshift.FailuretonotifytheDirectorofClinicalEducationortheirdesigneeofanabsenceortardinessisconsideredunprofessionalconduct.Studentsmaybedismissedfromtheprogramfornocall/noshowintheclinicalsetting.Theonlyabsencesthatwillbeexcusedarethefollowing:

• Thestudentorimmediatefamilymemberisill,andthestudenthasnotifiedtheDirectorofClinicalEducationatleastone(1)hourpriortothestartofclinicalassignment.

• Thestudentishospitalizedorverysick(acutelyillandunderadoctor’scare).Aroutine(non-emergency)officevisitisnotavalidexcuse.Pleasemakeallroutinedoctors’appointmentsonnon-clinicaldaysbeforeorafteryourscheduledshift.

• Thestudentisincourtorjail.• Thedeathofanimmediatefamilymemberoccurs.

ProcedureforNotificationofAbsenceorTardiness

1. ContacttheDirectorofClinicalEducationbyemailorphoneconcerningthetardinessorabsence.Ifastudentisawareofanabsencehoursordaysinadvanceofscheduledclinicaltime,lettheDirectorofClinicalEducationknowoftheabsenceassoonaspossible.

ClinicalMake-upPolicyAllexcusedabsencesmustbemadeupbythelastdayofclassunlessextenuatingcircumstancesexist.Ifastudenthasnotcompletedanyandallmake-uptimepriortothedeadline,thenthestudentwillreceivealettergradeof"F"fortheclinicalcourseinvolvedandwillbedismissedfromtheProgram.Allclinicalmake-uptimemustbeapprovedbytheDirectorofClinicalEducationpriortoanyday(s)beingmadeup.Missedclinicaltimewillbemadeupon

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adesignateddaytobescheduledatthediscretionoftheDirectorofClinicalEducation,atadesignatedfacilitythatmaybedifferentfromtheassignedsite.Studentattendinganunscheduledshiftwillbeimmediatelywithdrawnfromtheprogram.EssentialJobFunctionStandardsRespiratoryTherapyisaphysicallydemandingprofession.Most,ifnotall,healthcareinstitutionsrequiretheirrespiratorypersonneltomeetminimalphysicalrequirementsforemployment.Aspartofclinicaltraining,studentsarerequiredtoperformrespiratoryprocedures/tasksinareahospitals.Thestudentmustbeabletoperformallessentialjobfunctionsintheclinicalsettingwithreasonableaccommodation.Programfacultycanrefusetopermitastudentintotheclinicalsettingifhe/sheisunabletoperformessentialjobfunctionsadequately.Essentialjobfunctionsinclude,butarenotlimitedtotheabilitytoperformthefollowing:

• CriticalThinking–criticalthinkingabilitysufficientforclinicaljudgement• Interpersonal–interpersonalabilitiessufficienttointeractwithindividuals,familiesand

groupsfromavarietyofsocial,emotional,cultural,andintellectualbackgrounds• Communication–communicationabilitiessufficientforinteractionwithothersinverbal

andwrittenform.• Mobility–physicalabilitiessufficienttomovefromroomtoroomandmaneuverin

smallspaces.• MotorSkills–grossandfinemotorabilitiessufficienttoprovidesafeandeffectivecare.• Hearing–auditoryabilitysufficienttomonitorandassesshealthneeds.• Visual–visualabilitysufficientforobservationandassessment• Tactile–tactileabilitysufficientforphysicalassessment• Olfactory–olfactoryabilitysufficientforobservationandassessment• PersonalResponsibilityandAccountability–eachstudentmustberesponsibleand

accountablefortheirpatientcareactivities.Thestudentshallberesponsibleandaccountableforthesafeperformanceofthosedirectpatientcaretaskstowhichhe/shehasbeenassigned.

Thestudentmayaskforreasonableaccommodationsinwriting.TheOfficeofStudentServiceswilldetermineifthestudentmeetstheaccommodations.ClinicalPre-RequisitesBeforethestudentcanstartattendingclinicalrotations,thestudentmustprovidetheDirectorofClinicalEducationwithproofofthefollowing:

• BLSHealthcareProvider(CPR)Coursemustbeprovidedandmustcovertheentireprogramperiodbeginningwiththestudent’senrollmenttoprojecteddateofgraduationwithouttheneedforrenewal

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• CurrentimmunizationsincludingHepatitisB,MMR,andVaricella,documentationofimmunizationviabloodtiters,orimmunizationwaiversmaybeaccepted.

• ProofofcurrentPPDtestingoranegativechestx-ray.• HIPAAtraining/certification• Professionalliability/malpracticeinsurance• Criminalbackgroundcheck• ProperID’sfromcollegeandWellmontHealthSystemandsignedreturnedform.• AssumptionofRiskform.• CompletedWellmont/MountainStatesHealthAlliancehospitalorientationswith

requiredformssigned.ClinicalAffiliateContractsIndividualcontractsareineffectwitheachaffiliateclinicalagencyandthesecontractsdifferinrequirementsmadeofstudents.Thegeneralstipulationsareasfollows:

• Clinicalagenciesreservetherighttodismissastudentfromtheiragencyatanytimewithanyduecause.Thiswillbedonewithadvancenoticeexceptinanemergency.

• Properuniformmustbewornincludingidentificationbadgesprovidedbythecollegeorthefacility.

• Publishedpoliciesoftheclinicalagencymustbeadheredto.• ImmunizationsmustbecurrentandincludeHepatitisB,MMRandVaricella.Other

immunizationsmayberequired.• Proofoftuberculinskintest(PPD)oranegativechestx-raymustbeshownonadmission

totheprogramandbeforebeginningthesecondyear.• CurrentBLSHealthcareProvider(CPR)certification.• Proofofacriminalbackgroundcheckwithnoevidenceofbarriercrimeactivities.• ProofofsuccessfulcompletionofHIPAAtraining.• Thestudentreleasestheclinicalagency,itsagentsandemployeesfromanyliabilityto

his/herselfordamagetohis/herpropertyarisingoutofagreementofuseofhospital’sfacilities.

ClinicalcontractsforeachagencyareavailableintheRespiratoryTherapyProgramDirectorsofficeandmaybereviewedbystudentsuponrequest.Confidentiality/HIPAATherighttoprivacyofstudents,faculty,staff,patient,families,andotherhealthprofessionalsshouldbejudiciouslyprotectedbythoseassociatedwiththeRespiratoryTherapyProgram.AllsuchconfidentialinformationisnowcoveredundertheHealthInsurancePortabilityandAccountabilityActof1996(HIPAA).Itistheresponsibilityofallthosewhohaveaccesstoconfidentialinformationtoseesuchinformationisaccessibleonlytothosedirectlyconcernedwiththeindividual’shealthcare

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delivery.Allinformationlearnedbythestudentaboutapatientinthecourseofresearchandstudyisconsideredconfidential.Theconfidentialitywithwhichtheinformationistobetreatedshouldbeestablishedwiththepatient.Patientinformationisnottobediscussedinpublicplaceswithpeoplenotinvolvedwiththestudent'sstudyorpatient’scare.Failuretotakethisintoaccountcanbeconsideredasaninvasionoftherighttoprivacyandassuch,aviolationofHIPAA.Thisactionmayresultindismissalfromclinicalactivitiesand/ordismissalfromtheProgram.DefinitionofProperClinicalConductInadditiontotheStudentConductPolicyintheMECCcatalog,itisimportantthatstudentsmaintainanattitudeofprofessionalismwhileintheclinicalsetting.Thelistincludes,butisnotlimitedto,behaviorsthatarenecessaryanddesirableintheroleasaRespiratoryTherapist.

• RespiratoryTherapistsarereliable.Studentsshouldreporttotheclinicalsiteontime.Excessivetardinessorabsencesarenotacceptable.

• RespiratoryTherapistskeeppatientinformationconfidential.Studentswillhaveaccesstoagreatdealofpatientinformation,andbylaw(HIPAA)thisinformationmustbekeptconfidentialandmustonlybediscussedasnecessaryforthecompletionofwork.

• Patientinformationisnottobediscussedoutsideoftheclinicalareaunderanycircumstances.Thisincludesthehospitalcafeteria,elevators,hallways,andanywhereoutsidethehospitalbuilding.

• RespiratoryTherapistsarehonest.Stealing,falsifyingmedicalrecords,orfalsifyingclinicalnotebooksaregroundsforimmediatedismissalfromtheProgram.Reportedinstancesmaybegroundsfordismissal.Suspectedinstanceswillbereportedtotheappropriatedeanandinvestigated.

• RespiratoryTherapistsdonotusealcoholoranyotherintoxicatingsubstanceswhileonduty.Useofsuchsubstanceswhileatclinicalisgroundsforimmediatedismissalfromtheclinicalsite.ReportedinstancesmaybegroundsfordismissalfromtheProgram.Suspectedinstanceswillbereportedtotheappropriatedeanandinvestigated.

• RespiratoryTherapists’appearancemustbeprofessional.Thehospitalandschooldresscodemustbestrictlyadheredto.Perfumesandcolognesarenotallowed.Goodgroomingisessential.

• RespiratoryTherapistsconductthemselvesinaprofessionalmanner.Loud,raucousbehaviorisinappropriateinthehospital.Whenrelatingtophysicians,nurses,otherhospitalstaff,patients,andvisitors,RespiratoryTherapistsalwaysareamiableandcourteous.Thereisnoplaceforrudenessorshorttempersinthehospital.IfRespiratoryTherapiststudentshaveapersonalityconflictwithapreceptor,thenpleasediscussitwiththatindividualandtheshiftsupervisor.

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• Usageofelectronicdevicesisprohibitedduringassignedclinicalhours.Personalitemsshouldalwaysbekeptinasecurelocationduringclinicalhours.Disciplinaryactionwillbeinitiatedifwarranted.

• BehaviorthatviolatesstatelawsorVirginiaBoardofMedicineregulationsthatgovernthepracticeofRespiratoryCarearenotacceptable.

ClinicalAppearancePolicyStudentsintheMountainEmpireCommunityCollegeRespiratoryTherapyProgramrepresenttheCollege,theRespiratoryCareprofession,aswellastheclinicalfacility.Professionalattireandappearanceofallrespiratorystudentsarevitallyimportantinourinteractionwithpatients,visitors,andotheremployeesofourclinicalaffiliates.Bytheverynatureoftheworkoftherespiratorytherapist,studentuniformsandattirearedesignedwithhealthandsafetyinmind.Aprofessionalpersonalappearanceassurespoiseandself-confidence;thus,thefollowingpolicieshavebeenestablishedforboththeclinicalandclassroomsetting:

UniformandEquipmentThedesignatedMECCRespiratoryTherapyProgramuniformforstudentsconsistsofthefollowingbasedonhealthsystem:WellmontHealthSystem:

• Blackscrubuniforms–topandbottomofsolidcolor• Whitecrewneckt-shirt• Whiteorlightcoloredathleticornursingshoes• Blacklabcoat(noshortsleeves)• WellmontHealthSystemissuedpictureI.D.badge

Equipment:smallnotepad,blackpen,stethoscope,calculator,andawatchwithsecondhand

MountainStatesHealthAlliance

• RoyalBluescrubuniforms–topandbottomofsolidcolor• Whitecrewneckt-shirt• Whiteorlightcoloredathleticornursingshoes• RoyalBluelabcoat(noshortsleeves)• MECCissuedpictureI.D.badge

Equipment:smallnotepad,blackpen,stethoscope,calculator,andawatchwithsecondhand

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Studentswhodonotpresentselftotheclinicalareainthedesignateduniformwillbedismissedfromtheclinicalsiteandwillnotbeallowedtoreturnuntiltherequireduniformiscomplete.Allclinicaltimemissedasaresultwillbeconsideredunexcused.Thefollowingguidelinesaretobeadheredto:

1. Studentsarerequiredtopurchasethedesignatedschooluniform.(Seerequireduniformsabove.)

2. Theuniformshouldbeclean,ironed,andingoodcondition.3. Theclinicalaffiliateand/orcollegestudentIDistowornontheleftsideofthe

uniform,visibleabovethewaistandinclearviewwheninuniformandinallclinicalsettings.

4. Hairmustbeclean,neat,andpulledawayfromface.Facialhairmustalsobekepttrimmedandneat.Hairmustbecontrolledinsuchawaythatitwillnotcausecontamination.Hairmustnotbeofanextremecolororstyle.(nopink,blue,etc)

5. Jewelryshouldbekepttoaminimum.Smallstudearringperearandweddingbandsareacceptable.NecklacesarenotpermittedunlessMedicAlert.Jewelryshouldnotinterfereordistractfromworkbeingperformed.Pleasenotethatworkingincertainareasandfacilitiesmayrequirethatjewelryisremoved(i.e.,MRI,NICU).Otherbodypiercings/ornamentsareprohibited.

6. Tattoosarenottobevisiblewhenintheclinicalsetting.7. Fingernailsshouldbekeptshort,clean,andneatlygroomedasnottointerfere

withwork.Clearpolishmaybeworn.Acrylicnails,tipsandfingernailjewerlyareprohibited.

8. Shoestobewornmustbeclosedtoe,cleanandingoodrepair.Shoesmustbemadeofmaterialthatwillnotabsorbbiohazardousmaterialsandcanbecleaned.Lacesmustbecleanatalltimes.Hightoptennisshoes,canvasshoesorshoeswithsportlogosareprohibited

9. Excessiveorstrongsmellingperfume,aftershave,lotion,and/ormakeupmustnotbeworn.Thepatientswithwhomyouwillbeworkinghaverespiratorydifficulties.Fragrancesmaycontributetotheirproblems.

10. Noxiousodorsandpoordentalhygieneareunacceptable.Showering/bathingandtheuseofdeodorant/antiperspirantareexpected.

11. Eatinganddrinkingisnotpermittedinpatientareas;onlyindesignatedbreakrooms/cafeteria.Studentswillnotbeallowedtoleaveclinicalforbreakfast/lunch/dinner.

12. Studentscannotleaveclinicalandthenreturn.Studentsarenotallowedtoreturntoclinicalafterleavingascheduledshift.Studentattendinganunscheduledshiftwillbeimmediatelywithdrawnfromtheprogram.

13. Smokingisnotpermittedinanyoftheclinicalsites.14. Gumchewingisnotpermitted.

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15. Uniformsaretobewornintheclinicalsettingonly,NOToutsidetheclinicalareasuchastoaplaceofemployment,grocerystore,orwhileshopping.Ifastudentisrequiredtoreturntocampusduringorafterclinical,acleanlabcoatmaybewornovertheuniformorthestudentmaychangeintostreetclothes.

16. Whenfulluniformisnotrequired(i.e.,fieldtrips,seminars),rememberitisimperativetodressinaprofessionalmanner.Thefollowingguidelinesmustbeadheredto:

• Khakiordressslacks• Collarshirtsorblouses• Dresses,skirts,orshortslengthnomorethanfourinchesabovetheknee• Socksorhosiery• Denimjeans,teeshirts,mini-skirts,andshortsareprohibited.

GeneralDescriptionofClinicalRotations

1. AdultFloorTherapy-includesaerosoltherapy,chestphysiotherapy,posturaldrainage,incentivespirometry,IPPB,oxygentherapy,andbasicpatientmonitoringofclinicalconditionandvitalsigns.

2. EquipmentandInfectionControl-involvescleaning,sterilizing,repairing,assembling,andstoringequipment.Suppliesandpartsmustalsobeorderedandkeptstocked.Oxygenfortransportisusuallystoredandmaintainedintheseareas.

3. AdultIntensiveCare-dealswithpatientsinallphasesofintensivemedical,surgical,andcardiaccare.CPR,mechanicalventilation,suctioningandmaintenanceofairways,ABG’s,andpatientmonitoringareskillsthatmustbedevelopedrapidly.Theabilitytothinkonyourfeetandmakedecisionsbecomecriticalwithallintensivecareandmedicalemergencypatients.

4. Neonatal&PediatricFloorTherapy-includesaerosoltherapy,chestphysiotherapy,posturaldrainage,incentivespirometry,IPPB,andbasicpatientmonitoringofclinicalconditionandvitalsigns.

5. Neonatal&PediatricIntensiveCare-dealswithneonatalandpediatricpatientsinallphasesofintensivemedical,surgical,andcardiaccare.CPR,mechanicalventilation,suctioningandmaintenanceofairways,ABG’s,andpatientmonitoringareskillsthatmustbedevelopedrapidly.Theabilitytothinkonyourfeetandmakedecisionsbecomecriticalwithallintensivecareandmedicalemergencypatients.

6. PulmonaryFunctionTesting–consistsofdiagnosticproceduresallowingphysicianstodeterminethedegreeofobstructionorrestrictiontoventilation;arterialbloodgasanalysis;administrationofbronchodilators;exercisetesting;andtherapeutic/diagnosticbronchoscopiesorotherproceduresexperiencedduringthisrotation.

7. SpecialtyRotations-includesLongtermCareandRehabilitationHospital.

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8. Surgery&RecoveryRoom-allowsthestudenttodevelopsomeskillinendotrachealintubationandpost-oprecoveryroomcare.Italsoallowsthestudenttoobservecommonpost-surgicalproblemsthattherapistsarefacedwithdaily.

ClinicalEvaluationDuringtheclinicalexperience,studentsshallbejudgedontheirabilitytointegratetheorywithpractice,performanceofskills,attitudes,andappearance.Studentsshallberesponsiblefordocumentationoftheclinicaltimeandactivities.Studentsshallalsobegovernedbyspecificpoliciesandproceduresoftheindividualhospitals.Clinicalknowledgeandskillsbuildononeanotherfromsemestertosemester,andstudentsareexpectedtodemonstrateallbasicclinicalskills.Thestudentwillobserveandperformclinicalcourseobjectivesunderimmediatesupervisionofaclinicalpreceptor.Followingthisdemonstrationofclinicalability,thestudentwillfurtherreinforceanddevelopclinicalskillsbyrepeatedclinicalpractice.Thedesignatedpreceptorwillbeavailableinthehospitalforsupervisionandinstruction.Clinicalevaluationsconsistofthefollowing:

• Cognitiveskills:Focusingonknowledgeacquisitionandintellectualskillsandabilities• Psychomotorskills:Relatingtoskillsthatrequirevaryinglevelsofwell-coordinated

physicalactivityandprecisemanipulativeprocedures• Affectiveskills:Dealingwithfeelings,emotions,mindsets,andvalues,includingthe

nurturingofdesirableattitudesforpersonalandprofessionaldevelopment• DailyclinicaldocumentationontheClinicalActivitiesForm

o Documentationmustbeappropriateandcoincidewiththecourse/clinicalobjectives.

StandardPrecautionsStudentsenteringahealthcarefieldshouldbeawareofthepossibilityofbeingexposedtovariouscontagiousdiseasesduringtheclinicaleducationandcareer.Precautionsandprotectiveproceduresarediscussedpriortothefirstclinicalcourse.Additionalinformationmaybeprovidedbyeachclinicalfacility.Studentsarerequiredtomakeuseofanyprotectivedevicesavailableandtouseuniversalprecautions.ThereisanincreasingprevalenceofHIVandHepatitisBandCthatincreasestheriskforhealthcareworkerswhomaybeexposedtobloodandbodyfluidsfrominfectedpatients.Withthisinmind,itisnecessarytoconsiderALLpatientsaspotentiallyinfectedwithbloodbornepathogens.ThefollowingprecautionsapplytoallfacultyandstudentsoftheMountainEmpireCommunityCollegeRespiratoryTherapyProgram.

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1. Glovesmustbewornwhentouchingthefollowing:a. bloodandbodyfluidsb. mucousmembranesc. non-intactskind. itemsorsurfacessoiledwithbloodorbloodyfluidse. performingarterialpunctureandothervascularaccessprocedures

2. Glovesshouldbechangedbetweenpatients,andhandsshouldbewashedthoroughly.3. Protectiveeyewearshouldbewornwhensuctioningoratanytimedropletsofbloodor

otherbodyfluidsmightcontaminatetheeyesofthecaregiver.4. Needlesarenottoberecappedafterpatientuseandmustbeplacedinasharps

(punctureresistant)containerimmediatelyafteruse.5. Needlesshouldnotbepurposelybent,broken,removedfromdisposablesyringes,or

otherwisemanipulatedbyhand.6. Disposablesyringesandneedles,scalpelblades,andothersharpitemsshouldbe

disposedofinthesharpscontainer.7. Clinicalagencypolicymustbefollowedbystudentsandfaculty.8. Anybreakinskinintegrityofthecaregivermustbecoveredbyanocclusive/protective

covering.9. Glovesthatarepuncturedortornwhileinuseshouldberemovedassoonaspossible.

Handsaretobewashedthoroughlyandnewglovesappliedbeforeproceedingwiththetask.

10. Laboratoryspecimensshouldbehandledwithglovesonandlabeledappropriately.(Placeinbiohazardbagfortransporttothelaboratory.)

11. Soiledlinenswillbeputinbagsatthebedsideandarenottocomeincontactwiththeuniform.

12. Glovesshouldbewornwhenprovidingpersonalcareforallpatientsandwhiledoinganyprocedurewherecontactwithbloodorbodyfluidsmaybeexpected(includingalltimeswhenpatient'sskinwillbepunctured,i.e.arterialpuncture).

13. Spillsshouldberemovedwithglovedhandsandpaperstowels,andthenarequestthathousekeepingcleananddisinfecttheareashouldbesubmitted.

14. Glovesaretobewornforpost-deliverycareoftheumbilicalcordanduntilallbloodandamnioticfluidshavebeencleansedfromtheinfant'sskin.

15. Glovesshouldbewornwhenassistingtherespiratorymotherandbaby.16. Thesameprecautionswillapplywhenadministeringpost-mortemcare.

SharpsandBiohazardPolicyStudentswillbetaughtcorrecttechniquestobeusedwhendealingwithbio-hazardousmaterialsand/orsharps.Ifthestudentisinjuredbyanyoftheseitemswhileattheclinicalsite,thenthestudentmustimmediatelyreporttotheshiftsupervisorand/orpreceptorandtheDirectorofClinicalEducationonthesamedayoftheeventandcompleteaMECCRespiratory

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TherapyProgramOccurrenceReport.ThestudentmustthenobtaincarefortheinjuryintheoccupationalHealthDepartmentorEmergencyRoomathis/herownexpense.AcopyoftheStudentExposureIncidentReportmustbesubmittedtotheDirectorofClinicalEducationforplacementinthestudent’spermanentfile.IncidentsintheClinicalSettingAnincidentthatnegativelyimpactsthestudent’swell-beingorthepatient'sprescribedplanofcarewillbereportedtotheclinicalsiteshiftsupervisorandtheDirectorofClinicalEducationimmediately.Ahospitalincidentreportwillthenbecompletedfollowingthepolicyofthatinstitution,ifapplicable.AMECCRTProgramOccurrenceReportwillbecompletedandsubmittedtotheDirectorofClinicalEducationandplacedinthestudent'sclinicalfile.(AppendixC)StudentActions

1. Reporttheincident/occurrencetotheclinicalpreceptorandshiftsupervisorassoonaspossible.Provideallthepertinentinformationneededtodocumenttheincident/occurrence.

2. Complete/provideinformationforthehospitalincidentreport,ifapplicable.3. Within24hoursoftheincident/occurrence,completetheMECCRTProgram

OccurrenceReport.4. Thisformwillbeavailabletoallstudentsinoneormoreofthefollowinglocationsand

formats:• OntheMECCRespiratoryTherapyHomePageunderStudentHandbook• Otherlocation/formatasdirectedbytheProgramfaculty

ClinicalPreceptorActions1. Assessstudentstatusandtakeappropriatestepstoassurestudentsafetyatsceneof

incident.2. Obtaincriticalincidentinformationfromstudentorwitnessesregardingtheincident.3. Seekmedicalattentionforstudent,asappropriate.4. ContactDirectorofClinicalEducationorhisdesigneebyphone/emailtoreportthe

incident.

DirectorofClinicalEducationActions

1. Discusssituationwithclinicalpreceptortohelpdeterminenecessarycourseofaction,asappropriate.

2. Assurethattheincidentformhasbeenreceivedwithin24hoursorcontactclinicalpreceptorifithasnotbeensubmitted.

3. Maintainonecopyforthestudent,andtheoriginaltothestudent’sfile.

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VI.GRADUATIONINFORMATIONRequirementstoGraduateStudentsmustmeetthefollowingrequirementstograduatefromtheRespiratoryTherapyProgram:

1. CompletionofallrequiredacademicandRespiratorycurriculumcourses2. AchieveagradeofC(75)orbetterinallrespiratorycarecourses3. AchieveagradeofC(70)orbetterinallacademiccourses4. Completionofallclinicalcompetencies5. Successfulcompletionofthecomprehensivereviewcourseandcomprehensive

assessmentexaminations6. Atleast25percentofthecredithours(18credits)intheRespiratoryTherapyProgram

curriculumareearnedhereatMECC.

SeetheMECCCollegeCatalogforfurthercollegespecificgraduationrequirements.StudentRecordsStudentswhoareseekingadmissionand/orareenrolledintheRespiratoryTherapyProgramatMountainEmpireCommunityCollegearerequiredtosubmitanapplication,academicinformation,health,medical,andrelatedinformationtotheRespiratoryTherapyProgram’soffice.AllinformationsubmittedtotheProgramofficebecomesthepropertyofthatofficeandisheldconfidential.StudentsandgraduatesoftheProgramareencouragedtoobtainandmaintaincopiesoftheirhealth,medical,orrelatedinformationsubmittedforfuturereference(i.e.medicalexamrecord,TBskintestresults,immunizationrecord,CPRrecords,etc.).NOHEALTH,MEDICAL,ORRELATEDINFORMATIONTHATMAYBEINTHEPROGRAM’SOFFICEFILEWILLBERELEASEDTOPERSONSORAGENCIESFOREMPLOYMENTORPERSONALREASONS.Allstudentrecords,includingclassrelatedrecords,willbekeptonfilewithintheRespiratoryTherapyProgramofficesforaminimumoffiveyears.ItistheresponsibilityofthestudenttomaintainanaccurateaddresswiththeCollegeevenafterleavingtheProgram.ProgramgraduatesshouldcheckCollegerecordswithinfourweeksfollowinggraduationtobeassuredtherecordsshowcompletionofallgraduationrequirements,andthedegreehasbeenconferred.GraduationCeremonyRefertotheCollegecatalogforinformationpertainingtothegraduationceremony.GraduationcommencementexercisesareheldattheendoftheSpringsemester.BecomingaRegisteredRespiratoryTherapistTobeeligibletobecomeaRegisteredRespiratoryTherapist,thecandidatemustgraduatefromaminimumAssociateDegreeProgramaccreditedbytheCommitteeonAccreditationforRespiratoryCare(CoARC)andmusttaketheNationalBoardforRespiratoryCare(NBRC)TherapistMultiple-Choice(TMC)ExaminationandClinicalSimulationExamination(CSE).TherewillbetwoestablishedcutscoresfortheTherapistMultiple-ChoiceExamination.Ifacandidate

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achievesthelowercutscore,thenheorshewillearntheCRTcredential.Ifacandidateachievesthehighercutscore,thenheorshewillearntheCRTcredentialANDbecomeeligiblefortheClinicalSimulationExamination(providedthatthoseeligibilityrequirementsaremetandthecandidateiseligibletoearntheRRTcredential).Ifanyofthetestsarefailed,thenthecandidatemustreapplytoretakethefailedexam(s)afterpayingareapplicationfee.StateLicensureThefollowingaddressesandcontactinformationmaybeusedtoanswerquestionsabouteligibilitycriterionand/orobtainanapplicationforstatelicensuretopracticerespiratorytherapyintheCommonwealthofVirginiaanditsneighboringstates.Informationforadditionalstatesmaybeobtainedatthefollowing:www.nbrc.org.

VirginiaTheVirginiaBoardofMedicinePerimeterCenter9960MaylandDrive,Suite300Henrico,VA23233Phone:804.367.4600https://www.license.dhp.virginia.govTennesseeStateofTennesseeDepartmentofHealthHealthRelatedBoardsBoardofRespiratoryCareFirstFloor,CordellHullBuilding4255thAvenueNorthNashville,TN37247-1010Phone:615.532.3202or1.888.310.4650www.state.tn.us/healthKentuckyKentuckyBoardOfRespiratoryCare2365HarrodsburgRd.,B350Lexington,KY40504-3386Phone:859.246.2747https://kbrc.ky.gov

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VII.SURVEYSSurveydatacompiledwillaidtheRTHPrograminanongoingprocessofProgramimprovementandquality.Datafromindividualsurveyswillbeheldinstrictconfidence.StudentEvaluationofClinicalSiteThissurveywillbeadministeredattheendofeachsemesterwhenclinicalrotationsareassigned.Eachstudentwillevaluateeachclinicalsiteattendedduringthatsemester.(AppendixH)ClinicalPreceptorEvaluationSurveyThissurveywillbeadministeredattheendofeachsemesterwhenclinicalrotationsareassigned.Eachstudentwillhaveanopportunitytoevaluatetheirclinicalpreceptor.Thisinformationwillbesharedwiththedepartmentdirector/manager.(AppendixI)StudentOpinionSurveysTheMECCStudentOpinionSurveysareadministeredeachfallandspringsemesteranddesignedtohelpthestudentsvoicetheiropinionsabouttheCollege,thefaculty,andsupportservicesatMountainEmpireCommunityCollege.Thesesurveysareimportanttoinstitutionaleffectiveness,whichassistseachinstructorinenhancingcoursecurriculumandinstruction.Student-ProgramResourceSurveysThisassessmentwillbecompletedannuallybythestudentstoprovidefeedbackregardingtheirclinicalandnon-clinicalexperiencewithPersonnelResources;Facilities;LaboratoryResources;AcademicSupportResources;andClinicalResources.Thisinformationwillaidintheon-goingprocessofProgramimprovement.GraduateSurveysGraduatefollow-upsurveysareadministeredtoRTHgraduatesemployedinthefieldofrespiratorycareapproximately6-12monthsaftergraduationfromtheProgram.EachgraduatewillbecontactedandaskedtocompleteasurveyoftheProgram.CompletionofthissurveyisrequiredaspartofoutcomesassessmentbytheProgram’saccreditationbody(CoARC).ThepurposeofthissurveyistohelpfacultyandstaffevaluatetheProgram’ssuccessinpreparinggraduatestofunctionascompetentRespiratoryTherapists.EmployerSurveysEmployersurveysareadministeredtoemployersofgraduatesapproximately6-12monthsaftergraduationfromtheProgram.EachemployerwillbecontactedandaskedtocompleteasurveyoftheProgram.CompletionofthissurveyisrequiredaspartofoutcomesassessmentbytheProgram’saccreditationbody(CoARC).ThepurposeofthissurveyistohelpfacultyandstaffevaluatetheProgram’ssuccessinpreparinggraduatestofunctionascompetentRespiratoryTherapists.TheCoARCrequeststhissurveybeadministeredbythegraduate’simmediatesupervisor.

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VIII.PROFESSIONALORGANIZATIONSTheAmericanAssociationforRespiratoryCare(AARC)TheAARCisourmostimportantprofessionalorganization.TheAARCproducesanddistributesbooklets,videos,specialnewsbulletins,amagazineforrespiratorypractitioners,andaprofessionaljournal,toitsmemberseverymonth.Theseperiodicalsservetokeepmembersabreastonprofessionalseminars,conventions,technicalinnovations,andthehealthcarefieldingeneral.Additionally,theAARCadvocatesforprofessionalrespiratorytherapistsonanationallevelwithregardtonationalgovernmentalissuesandregulations.TheAARCservesasanexcellentsourcetointroducestudentstothemanydifferentaspectsofrespiratorytherapyasacareerandtotheroleandresponsibilitiesofrespiratorytherapists.Thefacultybelievesthatthisisthebestwaytokeepabreastofchangesoccurringinadynamicfieldlikerespiratorytherapy.ApplicationscanbeobtainedontheAARCwebsite.

AmericanAssociationforRespiratoryCare9425N.MacArthurBoulevard,Suite100

Irving,TX75063-4706www.aarc.org

TheVirginiaSocietyforRespiratoryCare(VSRC)TheVSRCisourstatechapteroftheAARC,representstheprofessioninstateregulationsandlegislationaswellasprovideseducationalmeetingsandseminars.Eachsummerandfall,theVSRCholdsaseminarandannualmeetingofthestaterespiratorytherapyprofession.Themeetingsfeaturenationallyknownguestspeakers,exhibitsofspecialtyequipmentandnewinnovations,aswellassocialfunctions.StudentsandgraduatesareencouragedtoattendthedayandeveningactivitiesoftheVSRC.MembershipintheVSRCisautomaticwhenyoujointheAARC.

VirginiaSocietyforRespiratoryCare977SeminoleTrailPMB327

Charlottesville,VA22901-2824.www.vsrc.org

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TheNationalBoardforRespiratoryCare(NBRC)TheNBRCisavoluntaryhealthcertifyingboardwhichwascreatedin1960toevaluatetheprofessionalcompetenceofrespiratorytherapists.ItistheofficialcredentialingagencyfortheprofessionTheNBRCsetsthestandardsforadmissionofcandidatesintothecredentialingprocessandprovidesthecredentialingexaminationsforrespiratorytherapycandidatesandforpracticingrespiratorytherapists.CredentialedpractitionerscanjointheNBRCasamember.Asanactivemember,thepractitionerisentitledtoadirectorylistingallactivecredentialedpersonsintheU.S.Theyalsoreceiveacopyofthequarterlynewsletterandspecialnotices,whichmembersoftheTrusteeswrite.NationalBoardforRespiratoryCare:

NBRCExecutiveOffice18000W.105thStreetOlathe,KS66061-7543Toll-Free:888.341.4811Phone:913.895.4900Fax:913.895.4650www.nbrc.org

CommitteeonAccreditationofRespiratoryCareMountainEmpireCommunityCollege’sRespiratoryTherapyprogramisfullyaccreditedbytheCommissiononAccreditationforRespiratoryCare(CoARC).QuestionsaboutaccreditationissuesmaybereferredtotheCoARCorthenearestCoARC-member.

CommitteeonAccreditationforRespiratoryCare1248HarwoodRoad

Bedford,TX76021-4244(817)283-2835www.coarc.org

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AARCStatementofEthicsandProfessionalConduct Intheconductofprofessionalactivities,theRespiratoryTherapistshallbeboundbythefollowingethicalandprofessionalprinciples.RespiratoryTherapistsshall:

• Demonstratebehaviorthatreflectsintegrity,supportsobjectivity,andfosterstrustintheprofessionanditsprofessionals.

• Promoteandpracticeevidence-basedmedicine.• Seekcontinuingeducationopportunitiestoimproveandmaintaintheir

professionalcompetenceanddocumenttheirparticipationaccurately.• Performonlythoseproceduresorfunctionsinwhichtheyareindividually

competentandwhicharewithintheirscopeofacceptedandresponsiblepractice.

• Respectandprotectthelegalandpersonalrightsofpatients,includingtherighttoprivacy,informedconsent,andrefusaloftreatment.

• Divulgenoprotectedinformationregardinganypatientorfamilyunlessdisclosureisrequiredfortheresponsibleperformanceofdutyasauthorizedbythepatientand/orfamily,orrequiredbylaw.

• Providecarewithoutdiscriminationonanybasis,withrespectfortherightsanddignityofallindividuals.

• Promotediseasepreventionandwellness.• Refusetoparticipateinillegalorunethicalacts.• Refusetoconceal,andwillreport,theillegal,unethical,fraudulent,or

incompetentactsofothers.• Followsoundscientificproceduresandethicalprinciplesinresearch.• Complywithstateorfederallawswhichgovernandrelatetotheirpractice.• Avoidanyformofconductthatisfraudulentorcreatesaconflictof

interest,andshallfollowtheprinciplesofethicalbusinessbehavior.• Promotehealthcaredeliverythroughimprovementoftheaccess,efficacy,

andcostofpatientcare.• Encourageandpromoteappropriatestewardshipofresources.• Worktoachieveandmaintainrespectful,functional,beneficial

relationshipsandcommunicationwithallhealthprofessionals.ItisthepositionoftheAmericanAssociationofRespiratoryCarethatthereisnoplaceinaprofessionalpracticeenvironmentforlateralviolenceandbullyingamongrespiratorytherapistsorbetweenhealthcareprofessionals.

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AppendixA

MountainEmpireCommunityCollegeRespiratoryTherapyProgramCodeofConduct-WrittenWarning

Student:___________________________________________EMPLID:________________LocationofOccurrence:______________________________TimeofDay:_____________Cause:Checkallthatapply□Disobedience □Absence/Tardy □UnprofessionalBehavior

□SafetyIssue □HIPAAViolation □ViolationofDressCode

□Other:___________________________________

DescriptionofEvent(s)

RemarksandActions

ProbationaryPeriod:_________________________________Hasstudentpreviouslybeenwarnedofthisviolation?Yes No When?_____________________________________________________________ __________________StudentSignature Date__________________________________________________ __________________FacultySignature Date

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AppendixB

MountainEmpireCommunityCollegeRespiratoryTherapyProgram

StudentSuccessPlan

Student:______________________________________________EMPLID:________________Behavioral/Academic/ClinicalIssues

Activities/RecommendationsforImprovement

PlanforFurtherActionifNoImprovement

DateofRe-evaluation:______________________________________________________________________________ __________________ProgramFacultySignature Date____________________________________________________ __________________StudentSignature Date

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Review/CoachingLog

Date DetailsofDiscussion/Action

StudentComments

StudentSignature:__________________________________________Date:______________

FacultyComments

FacultySignature:__________________________________________Date:_______________

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AppendixC

MountainEmpireCommunityCollegeRespiratoryTherapyProgram-OccurrenceReport

DateofOccurrence: TimeofOccurrence:

StudentName: EMPLID:

CourseNumber&Name:

ClinicalPreceptor:ExactLocationofOccurrence(clinicalfacility,laboratory,SimLab,etc):

TypeofOccurrence:

PatientFall UnprotectedExposuretoBlood/Body

Fluids MedicationError NeedlestickInjury EquipmentFailure StudentInjury/Accident

Misconduct UnsafePractice HIPAAViolation AcademicIntegrityViolation

Other

DescriptionofOccurrence:

NameofWitnesses/OthersInvolved:

ActionsTakenFollowingOccurrenceandByWhom:

MedicalAttentionGiven,IfNeeded:

AdditionalComments:

NameofPersonMakingReport:

SignatureofPersonMakingReport:

DateSubmitted:

Note:CopytoStudentandStudentFile

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AppendixD

MountainEmpireCommunityCollegeRespiratoryTherapyProgram

ExitInterview

Student:_________________________________________________ Date:_____________EMPLID:____________________________ReasonforWithdrawal/LeavingtheProgram:□Personal □Health □Financial□FailureofCoursework Specifiy:____________________________________________DoyouplantoreturntotheRespiratoryTherapyProgram? □Yes □NoPlanofActionforReturn

StudentComments

_______________________________________________________ __________________ProgramFacultySignature Date_______________________________________________________ __________________StudentSignature Date

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AppendixE

MountainEmpireCommunityCollegeRespiratoryTherapyProgram

PregnancyStatementSectionA:(Tobecompletedbythestudent)

StudentName:

EMPLID: ExpectedDateofDelivery:

PhysicianName:

PhysicianLocation/PhoneNumber:

Nameandphonenumberofindividual(s)tobecontactedincaseofemergency:StudentStatement:AsastudentintheMECCRespiratoryTherapyProgram,Iamawareofthepotentialexposuretoinfectious/contagiousdiseases,toxicsubstancesandthedangertopregnantstudentsandtheirunbornfetus,whichmayoccurduringclinicalexperiences.Iamalsoawareofthephysicaldemandoftheprogramasstatedinthecollegecatalog.

StudentSignature: Date:

SectionB:(Tobecompletedbythehealthcareprovider)Pleaseusethefollowinginformationtodetermineifthisstudentcanparticipateinclinicalexperiences.Insomesituations,thepoliciesofclinicalagenciestowhichthestudentisassignedmaysupersedeyourrecommendations.

• Eachclinicalrotationis8-12hoursinlength,variousshifts• Thereisapotentialexposuretoinfectious/contagiousdiseases,andtoxicsubstances• Studentsareexpectedtocompleterespiratorytherapyactivitiescomparabletothatofastaff

therapistwiththesupervisionoftheirclinicalpreceptor• Physicaldemandsintherespiratorytherapyprogramincludedutiesthatrequiresquatting,

bending,kneeling,reaching,andstairclimbing,liftingandcarryingupto50pounds;frequentpushingandpullingupto200poundswithassistance:occasionalliftingupto200poundswithassistanceandcanoccasionalcarryingupto51-74pounds.Dutiesalsorequireconstantuseofsenseofsight,hearing,touch,andspeech.Environmentalconditionsincludeproceduresthatinvolvehandlingbloodandbodyfluidsusingstandard(universal)precautions

Pleaseindicateyourrecommendationregardingthisstudent’sabilitytoparticipateinclinicalexperiences.______mayparticipateinclinicalactivities______hasnolimitations______hasphysicaland/ormentalimpairments:pleasespecifylimitations______mayNOTparticipateinclinicalactivitiesatthistime,mayreconsiderafter:__________(date)HealthcareProviderSignature/Title: Date:

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AppendixF

MountainEmpireCommunityCollegeRespiratoryTherapyProgram

FitnessforDuty–ReturntoClassroomandClinicalCourses

StudentName: EMPLID:

Thisformisrequiredforallstudentswhohaveexperiencedanillness,injury,pregnancy,hospitalizationorothercircumstancewhichresultedineitheraphysicalorpsychologicallimitation(s)oranabsencefromtheprogram.Pleaseusethefollowinginformationtodetermineifthisstudentcanreturntotheclassroomandclinicalsetting.

• Eachclinicalrotationis8-12hoursinlength,variousshifts• Studentsareexpectedtocompleterespiratorytherapyactivitiescomparabletothat

ofastafftherapistwiththesupervisionoftheirclinicalpreceptor• Physicaldemandsintherespiratorytherapyprogramincludedutiesthatrequire

squatting,bending,kneeling,reaching,andstairclimbing,liftingandcarryingupto50pounds;frequentpushingandpullingupto200poundswithassistance:occasionalliftingupto200poundswithassistanceandcanoccasionalcarryingupto51-74pounds.Dutiesalsorequireconstantuseofsenseofsight,hearing,touch,andspeech.Environmentalconditionsincludeproceduresthatinvolvehandlingbloodandbodyfluidsusingstandard(universal)precautions

Pleaseindicateyourrecommendationregardingthisstudent’sabilitytoreturntotheclassroom/clinicalsetting.Thestudentmustbefreeofanyrestrictionsorlimitationswhichmayendangerthestudent’shealthoraclient’ssafetyintheclinicalsetting._____IfindtheabovenamedstudentfitfordutywithNOrestrictionsorlimitationsinthe

classroomorclinicalsetting_____IfindtheabovenamedstudentfitfordutyWITHthefollowingrestrictionsor

limitations:

_____IfindtheabovenamedstudentNOTfitforduty;mayreconsiderafter________(date)HealthcareProviderSignature/Title: Date:

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AppendixG

MountainEmpireCommunityCollegeRespiratoryTherapyProgram

StudentClinicalEvaluationbyClinicalPreceptor

StudentName:_____________________________________________Date:_____________ClinicalSite:___________________________________________________________________Instructions:Thefollowingistheclinicalpreceptor’sopinionofthestudent’sperformanceduringtheclinicalrotation.Rating: 1=Poor2=Fair3=Good4=VeryGood5=Outstanding1. Demonstratestherelationshipbetweentheoryandclinical

practicemakingsuggestionsabouthowtherespiratorycareplancouldbemodified.

12345

2. Appliesandmaintainsaseptictechniqueanddonspersonalprotectiveequipment(PPE)asrequired 12345

3. Followsdirections,exhibitssoundclinical/therapeuticjudgment,andseekshelpwhenrequired. 12345

4. Interactswellwithpatientsandfamily:pleasant,sincere,patient,compassionate,andrespectful. 12345

5. Displaysinitiative,self-direction,responsibility,andaccountabilityinseekingoutnewlearningexperiencesandcontinuingpracticeofprevioustasks.

12345

6. ProfessionalConductisdemonstrated:appearance,punctuality,cooperation,maintainingconfidentialityandadheringtoallpolicies.

12345

Comments:

PreceptorSignature:___________________________________________Date:____________

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AppendixHMountainEmpireCommunityCollege

RespiratoryTherapyProgram

StudentEvaluationofClinicalSite

ClinicalSite:___________________________________________________________________

RotationDates:_____________________to_________________________

ClinicalAreas:_________________________________________________________________

Instructions:Pleaseratetheclinicalsitefrom1to5accordingtothefollowingratingcriteriaRating: 1=Poor2=Fair3=Good4=VeryGood5=Outstanding

PhysicalCharacteristics

1. QualityofEquipment 12345

2. NumberofProcedures 12345

3. VarietyofProcedures 12345

Personnel:

1. AbletoTeach 12345

2. KnowledgeofSubject 12345

3. WillingnesstoSpendTimeWithStudents 12345

4. ProfessionalAttitude 12345

5. SetsGoodExample 12345

6. PhysicianInstructionalInput 12345

Whatdidyoulikebestaboutthisrotation?

Whatproblems,ifanydidyouexperienceatthisrotation?

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AppendixI

MountainEmpireCommunityCollegeRespiratoryTherapyProgram

StudentEvaluationofClinicalPreceptor

PreceptorName:____________________________________________Date:_____________ClinicalSite:___________________________________________________________________Instructions:PleaseratetheClinicalPreceptorfrom1to5accordingtothefollowingratingcriteriaRating: 1=Poor2=Fair3=Good4=VeryGood5=Outstanding

1. Instructordisplayedarespectfulattitudetowardstudents. 12345

2. Instructor’sattitudetowardteachingpertinentskills/topics 12345

3. Instructorencouragedunderstandingofconceptsandtheirapplication. 12345

4. Instructorexplainedtopicsclearly. 12345

5. Instructorprovided/arrangedclinicalpracticeofrequiredperformanceevaluationskills. 12345

6. Instructorencouragedstudent’scriticalthinking. 12345

7. Instructorwaspatientwithstudents’criticalthinking. 12345

8. Instructorprovidedopportunitiesforlearning,despitevolumeofclinicalsiteprocedureopportunities. 12345

9. Instructordisplayedprofessionalbehaviorinclinicalsetting. 12345

AdditionalComments:

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MountainEmpireCommunityCollegeRespiratoryTherapyProgram

StudentHandbookAcknowledgeForm

I,_________________________________________________,havereceivedtheMECCRespiratoryTherapyProgramStudentHandbookandIassumeresponsibilityforbeingknowledgeableofthecontent.Iagreetobegovernedbythepoliciesandproceduresdescribedwithinthehandbookandtoadheretotherule/regulationsoftheRespiratoryTherapyProgram,MountainEmpireCommunityCollege,andtheclinicalfacilitiesIattend.IamawarethatprogramfacultyoftheRespiratoryTherapyProgramareavailabletoassistmewithunderstandingtheprogramandcollegepolicies,procedures,andpractices.StudentName:_____________________________________________________(PrintName)_________________________________________________ _____________________Signature Date