Download Clinical Instructor Handbook - Massasoit Community College

MASSASOIT COMMUNITY COLLEGE
RESPIRATORY CARE PROGRAM
CLINICAL INSTRUCTORS HANDBOOK
ACADEMIC YEAR 2013 - 2014
1 Table of Contents
Program Officials……………………………………………………………….………...
5
Clinical Affiliates…………………………………………………………….…………...
6
Clinical Instructor Position……………………………………………………………….
8
American Association for Respiratory Care Position Statement…………………………
10
Program Goals and Student Outcomes…………………………………………………...
11
Program Philosophy……………………………………………………….……………...
12
American Association for Respiratory Care Cultural Diversity………………………….
13
American Association for Respiratory Care Scope of Practice…………………….…….
14
American Association for Respiratory Care and Tobacco & Health…………………….. 15
Program Overview – History, Goals and Standards………………….….……………….
16
Courses…………………………………………………………………………………… 17
Grading…………………………………………………………………………………… 18
Program Objectives………………………………………………………………………. 19
Assessment and Objectives for Core Competencies……………………………………... 20
Clinical Transfer Policies………………………………………………………………… 21
CORI. Checks and Evaluations…………………………………………………………
22
Hand Hygiene, CPR Certification and Goggles………………………………………….. 23
Hazardous Materials Policy………………………………………………………………
24
Sexual Harassment/Harassment Policy and Alcohol and Drug Policy…………………... 25
Use of Calculators and Massasoit’s Guidelines of Civility……………….……………..
26
Latex Sensitivity and Allergy Policy……………………………………………………..
27
Academic Dismissal……………………………...………………………………………. 28
Re-Admission to the Respiratory Care Program, Clinical Dismissal…………………….
2 29
Cause for Immediate Dismissal, Dismissal Due to Repeated Infractions………………... 30
Purpose of Clinical Instructor…………………………………………………………….
31
Clinical Instructor’s Responsibilities……………………………………………………..
32
Evaluation of Clinical Performance………………………………………………………
34
Standards of Clinical……………………………………………………………………...
35
HIPAA……………………………………………………………………………………. 38
Specific Policies Regarding Clinical Rotations…………………………………………..
39
Clinical Conduct Policy…………………………………………………………………..
40
Policy on Clinical Emergencies (Student)………………………………………………..
41
Clinical Confidentiality Statement………………………………………………………..
42
Statement of Confidentiality……………………………………………………………...
43
Universal Precautions………………………………………………………….…………. 44
Guidelines for Prevention of HIV Transmission…………………………………………
45
Communicable Disease Reporting and Flu Shot…..……………………………………..
48
Safety and Education – Exposure Incident Management Protocol……………………….
49
Academic Calendar..……………………………………………………………………...
52
Attendance Policy………………………………………………………………………...
54
Clinical Attendance Policy……………………………………………………………….. 55
Dishonesty and Cheating Policy………………………………………………………….
58
Policy on Failure of Respiratory Care Courses…………………………………………..
59
Policy on Incomplete Grades in Respiratory Care Courses………………………………
61
Cell Phones and Use of Social Media Devices………….………………………………..
62
Debriefing/Reflection Log………………………………………………………………..
63
Clinical Instructor Instructions for Competencies………………………………………..
64
Significant Incident Report……………………………………………………………….
84
3 Clinical Make Up Form…………………………………………………………………..
85
Inter-Rater Reliability…………………………………………………………………….
86
Clinical Evaluation……………………………………………………………………….. 87
Guidelines for Final Clinical Testing……………………………………………………..
88
Student Disability Accommodation Policy……………………………………………….
90
Clinical Rules and Regulations…………………………………………………………...
90
FERPA……………………………………………………………………………………
91
HIPAA……………………………………………………………………………………
92
National Background Check……………………………………………………………...
93
Non-Discrimination Policy……………………………………………………………….
93
Family Education Rights…………………………………………………………………. 93
Pregnancy Policy…………………………………………………………………………. 94
Reference Request………………………………………………………………………... 95
Remediation………………………………………………………………………………
96
Student ID………………………………………………………………………………...
98
Advising and Counseling…………………………………………………………………
98
Program Orientation……………………………………………………………………… 99
Security…………………………………………………………………………………… 100
Student Grievance Procedure……………………………………………………………..
103
New Navigation Tool……………………………………………………………………..
111
Clinical Preceptor Training Verification…………………………………………………. 119
Training and Evaluation of Students……………………………………………………... 120
Improving Clinical Communication……………………………………………………… 123
4 MASSASOIT COMMUNITY COLLEGE
RESPIRATORY CARE PROGRAM
PROGRAM OFFICIALS
MEDICAL DIRECTOR
Brian Bloom, MD, MBA
New England Sinai Hospital
Stoughton, MA 02072
(781) 297-6782
DIVISION DEAN
Anne Scalzo-McNeil, Ph.D.
Office: H 336
Telephone: (508) 588-9100, Ext. 1750
Fax: (508) 427-1262
Email: [email protected]
PROGRAM DIRECTOR/DEPARTMENT CHAIRPERSON
Martha T. DeSilva, M.Ed., RRT, ACCS, AE-C
Professor Office: H 333
Telephone: (508) 588-9100, Ext. 1787
Fax: (508) 427-1262
Email: [email protected]
DIRECTOR OF CLINICAL EDUCATION
Kathleen J. Wood, M.Ed., RRT, Pediatric/Perinatal Specialist
Professor
Office: H 114
Telephone: (508) 588-9100, Ext. 1765
Fax: (508) 427-1262
Email: [email protected]
DEPARTMENT TUTOR/ACADEMIC RESOURCE CENTER
Donna Sullivan, BA, RRT, ACCS
Email: [email protected]
(508) 588-9100, Ext. 1801
DEPARTMENT SECRETARIES
Teri Willis H 554 (508) 588-9100, Ext. 1763
Email: [email protected]
Kathy O’Neil H 554 (508) 588-9100, Ext. 1762
Email: [email protected]
5 CLINICAL AFFILIATES INFORMATION SHEET
Affiliates
Brockton Hospital
Clinical Instructor
Freshmen – LuAnn Nowland, RRT
680 Centre Street
Brockton, MA 02302
Dept. Head: Henry Berube, RRT
Tel (508) 941-7000
Caritas Good Samaritan Medical Center
Freshmen – Cheryl Manning, RRT
235 North Pearl Street
Senior – Cheryl Manning, RRT
Brockton, MA 02301
Dept. Head: Jean Cohenno
Tel (508) 588-4000
South Shore Hospital
Freshmen –Eileen Wilkins, RRT
55 Fogg Road
Senior - TBA
South Weymouth, MA 02190
Senior - TBA
Dept. Head: Charles Arienti, RRT
Tel (781-340-8000)
New England Sinai Hospital
Freshmen – Kevin Doten, RRT
Donna Sullivan, RRT
150 York Street
Senior – Kevin Doten, RRT
Stoughton, MA 02072
Michael Corn, RRT
Dept. Head: Armand Riendeau, R.N., RRT
Tel (781)344-0600
6 Massachusetts General Hospital
Senior – Neila Altobelli, RRT
55 Fruit Street
Boston, MA 02114
Dept. Head: Robert Kacmarek, M.Ed., RRT
Tel (617-726-3024)
New England Medical Center/Floating Hospital
Seniors—James Axford, RRT
P.O. Box 785
750 Washington Street
Boston, MA 02155
Floating – David Walker, RRT
Dept. Head: Joseph Curro, RRT
Tel (617-636-5000)
Southcoast Hospitals Group
Freshmen – Student assigned to
St. Luke’s Site
staff member
101 Page Street
Kim Pacheco, RRT/Laura Lusky, RRT Clinical Preceptors
New Bedford, MA 02740
Dept. Head: Susan DeStefano, RRT
Tel (508-997-1515)
Jordan Hospital
Freshmen - TBA
275 Sandwich St.
Senior - TBA
Plymouth, MA 02360
Casey Roderick, RRT as Clinical Preceptor
Tel (508-746-2000)
7 JOB DESCRIPTION FOR CLINICAL INSTRUCTOR
DESCRIPTION
The clinical instructor must be appropriately credentialed for the content area they teach, knowledgeable
in subject matter through training and experience, and hold a Massachusetts Respiratory Care
Practitioner (RCP) license. The following responsibilities apply to all program personnel assigned as a
clinical instructor.
RESPONSIBILITIES AND DUTIES
A. Student Instruction
Under general supervision:
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Design, deliver and assess instruction in Respiratory Care in terms of student learning
outcomes, develop and/or update course materials and teaching and assessment strategies
and methods to:
o Improve student attainment of program and course learning outcomes
o Address the learning needs of the college’s diverse students
o Integrate thinking and writing skills into course content where appropriate
o Use multi-media resources, including computers, where appropriate. Perform
other teaching-related duties that include, but are not limited to, preparing course
syllabus, maintaining office hours for academic advising and for conferring with
students about course work, assisting in management of laboratory resources
including supplies, medical gases and equipment.
Approximately 6 hours x 2 days in clinical area
Direct supervision of students performing respiratory care procedures
Simulation of respiratory care procedures in clinical site as needed
Review clinical learning objectives
Assure satisfactory completion and validate all daily clinical experiences by program
students
Counsel students on professional behavior
Be available for student questions and concerns
Fully supports the college’s mission and strategic plan
Ability to work closely and cooperatively with colleagues
Ability to work with academically and culturally diverse students
B. Clinical Liaison
The Clinical Instructor will:
• Maintain a working relationship with the clinical site supervisor and other clinical
preceptors at the assigned clinical affiliation site.
8 C. Communication
The Clinical Instructor will:
1. Regularly attend clinical faculty meetings. Subjects covered during meetings will
include, but are not limited to:
• Current subjects being studied by students in didactic portion of program
• Student progress in didactic and lab portion of program
• Student progress in clinic
• Clinic concerns with students
• Clarification of policies and procedures
• Changes in policies and procedures
• Maintain DataArc material
2. Attend Respiratory Care Advisory Committee meetings, maintaining contact with
industry.
3. Discuss emergent situations at clinical sites with the Program Director and/or Director of
Clinical Education immediately.
4. Relay clinical affiliation site status and changes to the program.
5. If attendance to clinical staff meetings is not possible, a report on students will be
necessary for the meeting minutes received by Fax, email or phone correspondence.
D. Professionalism
The Clinical Instructor will:
• Demonstrate a cooperative attitude toward the student, clinical site, staff and program
personnel
• Maintain working knowledge of current program policies, procedures and goals
• Maintain current AARC membership
• Maintain good employment status at Massasoit Community College
E. Minimum Qualifications
• Must be current registered respiratory therapist and licensed in the state of Massachusetts
• Bachelor’s degree in respiratory therapy with three years work experience as registered
respiratory therapy, OR;
• Associate degree in respiratory therapy and five years work experience as a registered
respiratory therapist.
Additional desired credentials include one or more of the following: CRT-NPS, RRT-NPS,
current NRP and PALS certification, current ACLS certification. Asthma Educator Certification,
Registered or Certified Pulmonary Function Technologist, CRT-SDS or RRT-SDS, or Registered
Polysomnographic Technologist.
9 AMERICAN ASSOCIATION FOR RESPIRATORY CARE
POSITION STATEMENT
DEFINITION OF RESPIRATORY CARE
Respiratory Care is the health care discipline that specializes in the promotion of optimum
cardiopulmonary function and health. Respiratory Therapists apply scientific principles to prevent,
identify, and treat acute or chronic dysfunction of the cardiopulmonary system. Knowledge of the
scientific principles underlying cardiopulmonary physiology and pathophysiology, as well as biomedical
engineering and technology, enable respiratory therapists to effectively offer preventative care to, as
well as assess, educate, and treat patients with cardiopulmonary deficiencies.
As a health care profession, Respiratory Care is practiced under medical direction across the health care
continuum. Critical thinking, patient/environment assessment skills, and evidence-based clinical practice
guidelines enable respiratory therapists to develop and implement effective care plans, patient-driven
protocols, disease-based clinical pathways, and disease management programs. A variety of venues
serve as the practice site for this health care profession including, but not limited to: acute care hospitals,
sleep disorder centers and diagnostic laboratories, rehabilitation, research and skilled nursing facilities,
patients’ homes, patient transport systems, physician offices, convalescent and retirement centers,
educational institutions, field representatives and wellness centers.
RESPIRATORY CARE PROGRAM MISSION
The mission of the Respiratory Care Program is to provide affordable, high quality education, with an
emphasis on career preparation and intellectual development in an environment that is welcoming and
supportive. The program is dedicated to the development of appropriate cognitive, psychomotor, and
affective competencies in the students such that they may apply scientific understanding, technological
skills, and human values within their profession.
The Respiratory Care Program of Massasoit Community College serves the respiratory medical
community and the population of greater Brockton, Southeastern Massachusetts, Cape Cod and the
Islands by preparing competent entry- level and advanced level respiratory care practitioners who: are
competent in the delivering all modalities of respiratory care, demonstrate critical thinking and problem
solving skills in their practice of respiratory care procedures, communicate effectively with staff and
patients, employ safety practices, foster professional development and growth and are prepared to
achieved certification and employment in the field of respiratory care.
The program’s eight clinical affiliations is the keystone of the program by: providing a clinical instructor
to supervise the students, staff who have an important role in the success of the student’s clinical
education, and a diverse patient population. The faculty of the program is committed to promoting in its
students the concepts of: professional development, ethical and moral behaviors, a high quality work
ethic, and compassion and care to culturally diverse populations.
10 PROGRAM GOAL
To prepare graduates with demonstrated competence in the cognitive (knowledge), psychomotor (skills),
and affective (behavior) learning domains of respiratory care practice as performed by registered
respiratory therapists (RRTs).
PROGRAM OUTCOMES
To provide individuals with career preparation associated with Entry-Level and Advanced Practitioner
Respiratory Care competencies with consideration of the needs and expectations of the program's
communities of interest.
To provide a curriculum that leads to the Associate in Science degree, eligibility for the national
credentialing process, entry into the Massachusetts licensure process, and employment in Respiratory
Care.
To promote the development of those intellectual skills that foster critical thinking and problem solving
that are necessary for life- long learning.
To provide students with the skills necessary to communicate effectively within the healthcare
community.
To promote the development of life- long professional attitudes and values.
To understand and manage self to function effectively in social and professional environments and to
make reasonable judgments based on understanding the diversity of the world community.
To locate, understand, evaluate, synthesize information and data in a technological and data drive
society.
STUDENT OUTCOMES
Students will apply all modalities of respiratory care proficiently.
Students will select equipment and troubleshoot in a proficient manner.
Students will demonstrate appropriate respiratory care safety practice.
Students will effectively communicate with the physician.
Students will demonstrate adaptability and flexibility when met with a new circumstance related to the
respiratory care emergencies, difficult cases or variations from the routine.
Students will use effective oral communication skills in the clinical and academic settings.
Students will practice written communication skills.
Graduate students will demonstrate involvement in state and national professional organizations.
Students will discuss the importance of keeping current in the profession.
11 PROGRAM PHILOSOPHY
The Respiratory Care Program at Massasoit Community College bases its foundation on which
the program functions by the following:
The belief that a student can succeed in the program if the student employs the tools available for
student success and program faculty supports the student.
The belief is that the clinical affiliates play an integral role in the program’s success.
The belief that respiratory care practitioner must demonstrate ethical, moral, and professional standards
when serving the population of the community and other healthcare members.
The belief that the program must graduate advanced care practitioners who promote professional
development in order to produce images of high quality.
The belief that as a professional a respiratory care practitioner is one must be able to employ critical
thinking and problem solving skills in order to render quality images, deliver compassionate patient care
and judicious exposure.
AARC STATEMENT OF ETHICS
AND PROFESSIONAL CONDUCT
In the conduct of professional activities the Respiratory Therapist shall be bound by the following
ethical and professional principles. Respiratory Therapists shall:
Ø Demonstrate behavior that reflects integrity, supports objectivity, and fosters trust in the
profession and its professionals. Actively maintain and continually improve their professional
competence and represent it accurately.
Ø Perform only those procedures or functions in which they are individually competent and which
are within their scope of accepted and responsible practice.
Ø Respect and protect the legal and personal rights of patients they treat, including the right to
privacy, informed consent and refusal of treatment.
Ø Divulge no protected information regarding any patient or family unless disclosure is required
for responsible performance of duty, or required by law.
Ø Provide care without discrimination on any basis, with respect for the rights and dignity of all
individuals.
12 Ø Promote disease prevention and wellness.
Ø Refuse to participate in illegal or unethical acts.
Ø Refuse to conceal, and will report, the illegal, unethical, fraudulent, or incompetent acts of
others.
Ø Follow sound scientific procedures and ethical principles in research.
Ø Comply with state or federal laws which govern and relate to their practice.
Ø Avoid any form of conduct that is fraudulent or creates a conflict of interest, and shall follow the
principles of ethical business behavior.
Ø Promote health care delivery through improvement of the access, efficacy, and cost of patient
care.
Ø Encourage and promote appropriate stewardship of resources.
Ø Effective 12/94 Revised 12/07
AMERICAN ASSOCIATION FOR RESPIRATORY CARE – CULTURAL DIVERSITY
The AARC embraces diversity and multi-culturalism in all of its forms and promotes a professional
community established with understanding, respect and cultural competence. The AARC is enriched by
the unique differences found among its diverse members, their patients/clients, and other stakeholders.
The AARC encourages and promotes a culture where personal and cultural backgrounds are utilized
effectively to enhance our profession. The AARC accomplishes this by:
Ø Demonstrating sensitivity to all forms of diversity and multiculturalism including, but not limited to:
age, gender and gender identity, race, color and ethnicity, nationality and national origin, ancestry,
religious affiliation and creed, sexual orientation, socio-economic status, political affiliation,
physical and mental abilities, veteran and active armed service status, job responsibilities and
experience, education and training.
Ø Acknowledging the varied beliefs, attitudes, behaviors and customs of the people that constitute its
communities of interest, thereby creating a diverse and multicultural professional environment.
Ø Promoting an appreciation for communication between, and understanding among, people with
different beliefs and backgrounds.
Ø Accommodating the needs of the physically disabled at events and activities.
Ø Using multicultural content and gender-neutral references in documents and publications.
13 Ø Promoting diversity education and cultural competence in its professional education programs.
Ø Recruiting candidates from under-represented groups for leadership and mentoring programs.
Effective 12/94 Revised 12/07
AMERICAN ASSOCIATION FOR RESPIRATORY CARE
RESPIRATORY CARE SCOPE OF PRACTICE
Respiratory Therapists are health care professionals whose responsibilities include the diagnostic
evaluation, management, education, rehabilitation and care of patients with deficiencies and
abnormalities of the cardiopulmonary system. The scope of practice includes the application of
technology and the use of treatment protocols across all care sites including, but not limited to, the
hospital, clinic, physician’s office, rehabilitation facility, skilled nursing facility and the patient’s home.
The practice of respiratory care encompasses activities in diagnostic evaluation, therapy, and education
of the patient, family and public. These activities are supported by education, research and
administration. Diagnostic activities include but are not limited to:
1. Obtaining and analyzing physiological specimens
2. Interpreting physiological data
3. Performing tests and studies of the cardiopulmonary system
4. Performing neurophysiological studies
5. Performing sleep disorder studies
Therapy includes but is not limited to the application and monitoring of:
1. Medical gases (excluding anesthetic gases) and environmental control systems
2. Mechanical ventilator support
3. Artificial airway care
4. Bronchopulmonary hygiene
5. Pharmacological agents related to respiratory care procedures
6. Cardiopulmonary rehabilitation
7. Hemodynamic cardiovascular support
14 The focus of patient and family education activities is to promote knowledge and understanding of the
disease process, medical therapy and self help. Public education activities focus on the promotion of
cardiopulmonary wellness.
Effective 8/87 Revised 12/07
AMERICAN ASSOCIATION FOR RESPIRATORY CARE
TOBACCO AND HEALTH
The American Association for Respiratory Care is a professional organization dedicated to the
protection of health through public education and the provision of the highest standards of respiratory
care. By virtue of their education and health care experience, respiratory therapists are professionals who
have a clear understanding of the nature of cardiopulmonary disease and are in a position to act as
advocates for healthy hearts and lungs. The AARC recognizes its responsibility to the public by taking a
strong position against cigarette smoking and the use of tobacco in any of its various forms. In view of
the evidence, which confirms the health-threatening consequences of tobacco, the AARC strengthens its
commitment toward and reaffirms its belief in the need for the elimination of smoking and the use of
any tobacco products and the inhalation of any toxic substance.
The AARC acknowledges and supports the rights of non-smokers and pledges continuing sponsorship
and support of initiatives, programs, and legislation to reduce and eliminate smoking. The AARC
extends its concern beyond the smoking of tobacco to the use of smokeless tobacco by oral and nasal
application. These products are linked to diseases of the gastrointestinal tract, mouth, and nose. There is
also evidence that these products, when applied to the mucous membranes, diffuse into the circulation
and cause ill effects in remote organs of the body.
Effective: 1991 Revised: 2000 Revised: 2009
15 PROGRAM OVERVIEW
History
In 1974, Dr. Ronald Coutu proposed that Massasoit Community College start a two-year associate’s
degree program to satisfy the growing need for respiratory care practitioners in this geographic area.
Need studies and grant funding culminated in 1975 with the Stage II approval for the start of this
program. Dr. Coutu retired from the program May 30, 2013 after 37 years of dedicated service. Dr.
Brian Bloom is now the Medical Director of the Program.
In September, 1976, the first class was admitted. Until 1982, only one class was admitted increasing the
number of students from 20 to 40. Now, the Massasoit Community College Respiratory Care Program
is accepting 24 students in each class each year. There is a graduating class every spring.
The clinical affiliates for the program are as follows: The Brockton Hospital, Caritas Good Samaritan
Medical Center, New England Sinai Hospital (A Steward Family Hospital), Tufts New England Medical
Center, Floating, South Shore Hospital, SouthCoast and Massachusetts General Hospitals. On
completion of the program, the students take a certification exam, written registry, and a clinical
simulation exam. The goal of this program is to provide competent advanced respiratory care
practitioners to our communities of interest.
This is a two-year program leading to an Associate Degree in Science. The program is accredited by
CoARC (Commission for Accreditation in Respiratory Care). The program follows the Standards
written by CoARC. Graduates of the program are eligible to take the Entry-Level Certification Exam
for licensure as a Certified Respiratory Care Technician. The program encourages all graduates to
continue to be Advanced Respiratory Care Practitioners by taking the Written Registry Exam and
Clinical Simulation Exam and receiving the credential of RRT.
Goals and Standards
Special meetings were held to derive these program goals and standards that we felt were imperative for
the success of our program. Students present and past were major contributors in producing standards
which addresses all areas of the program. The Program Goals and Standards are discussed regularly at
all meetings. Reassessing the developing program goals are a continuing issue and priority.
The Respiratory Care Program at Massasoit Community College has Program Goals and Standards
which are essential to the requirements set by the CoARC (Commission for Accreditation in Respiratory
Care). These goals and standards are published so that everyone may have input into their
implementation and evaluation.
16 The program itself is a two-year program comprised of both academic and clinical education. Following
the completion of this program, the students are awarded an associate’s degree in science by Massasoit
Community College and a certificate of completion from the Respiratory Care Department. This makes
the students eligible for the examinations administered by the National Board for Respiratory Care
(NBRC).
Level examination entitles the respiratory care practitioner to use the designation “CRT” after their
name signifying a Certified Respiratory Therapy Technician. After completion of this examination, the
respiratory care practitioner must take two more separate examinations; the written registry and the
clinical simulation. Passing these examinations entitles the respiratory care practitioner to use the
designation “RRT” after their name signifying “Registered Respiratory Therapist.”
One can continue to become specialized in a particular area by taking the pulmonary function
examination. This entitles the person the designation “CPFT” or “RPFT” after their name signifying
Certified or Registered Pulmonary Function Technician. Another credential for Respiratory Care
Practitioners is that of Pediatric-Prenatal Specialist in Respiratory Care. The NBRC also has a specialty
examination in Sleep Studies and critical care medicine.
The Commonwealth of Massachusetts requires all respiratory care practitioners to be licensed. While a
student at Massasoit Community College, the student may apply for a Temporary Limited License. This
allows the student to work in the field of respiratory care, while having a resource person available to
them at all times. The student must be in good academic and clinical standards. If the student fails or
withdraws from the program their license is no longer valid and it is up to the student to inform their
employer. Upon graduation, the student will sit for their Entry-Level examination. If the graduate
passes the examination, it is the graduate’s responsibility to send the proper documentation to the
Massachusetts Board of Registration to obtain a full license. If the graduate fails the examination, their
Limited License is no longer valid and the graduate cannot work as a Respiratory Care Practitioner.
See the section on Limited License.
Courses
The Respiratory Care Program at Massasoit Community College includes the following courses:
English, Psychology, Chemistry, Anatomy and Physiology, Microbiology, Statistics, Pharmacology,
Cardio-pulmonary Anatomy and Physiology and Pathology, Biological Principles, Respiratory Care
Equipment, Respiratory Care Seminar I, Respiratory Care Seminar II and Cardiopulmonary Diagnostics
and Evaluation, Respiratory Care 1, Respiratory Care 2, Respiratory Care 3 and Respiratory Care 4. The
clinical experience runs for all four semesters. The students attend classes at the college three days per
week and have their clinical experience two days per week. Clinicals are scheduled for Tuesdays and
Thursdays for freshman, and seniors are scheduled for Mondays and Wednesdays. The students are
required to attend the minimal of one hour of laboratory time a week. Open laboratory hours are
available so that the student can master a competency. The college provides a paid instructor at each
17 clinical affiliate except Jordan Hospital and South Shore Hospital. The student/instructor ratio varies
according to clinical site. This allows the instructor to respond to the needs of individual students. The
maximum ration in clinical is 6:1.
Grading
Students are graded with a Pass/Fail/Incomplete system in the clinical area. The didactic area is
comprised of examinations, activities, case studies and laboratory assignments in which a grade of 75 or
better must be maintained. The student must maintain a 2.0 average to remain in any career program.
The student must also successfully complete Anatomy and Physiology I to continue into Respiratory
Care II.
Massasoit Community College will attempt to provide financial assistance to all students with
demonstrated need. All programs are administered without regard to race, color, handicap, religion, sex,
national origin or age.
*Also included in the College Catalog is information regarding withdrawal, tuition and refunding.
** All students in RESP104 must pass the Self-Assessment Entry Level Exam, Self-Assessment
Written Exam and the Self-Assessment Clinical Simulation exam prior to graduation.
Grade: Criteria for earning:
A=
94% to 100% overall – Average
A=
90% - 93%
B+ = 87% - 89%
B=
84% - 87%
B- =
80% - 83%
C+ = 77% - 79%
C=
74% - 76%
F=
Less than 75%
I=
Incomplete
18 PROGRAM OBJECTIVES
1. Provide academic and clinical instruction as outlined in the Standard set by CoARC.
2. Implement, evaluate and follow-up study of the Program’s goal and standards.
3. Promote and advance the profession of Respiratory Care.
4. Develop moral and ethical health care professionals skilled in the technical aspect of Respiratory
Care.
5. Graduate competent entry-level and advanced-care practitioners.
6. Provide enough qualified respiratory care practitioners to meet the needs of our communities of
interest.
7. Provide students with educational curriculum leading to the award of an associate degree in science.
8. Prepare students for eligibility for examination by the National Board of Respiratory Care.
9. Prepare students for eligibility for licensure by the Licensure Board for the Commonwealth of
Massachusetts.
10. Promote integration of academic, laboratory, and clinical portions of the curriculum.
11. Maintain a competency-based system of clinical evaluation.
12. Provide equal educational opportunities for all qualified applicants in keeping with the policies of
Massasoit Community College.
13. Maintain the Advisory Committee to assist the key personnel in promoting program responsiveness
to professional, community and agencies needs.
14. Increase the percentage of graduates who came from the program from disadvantaged and minority
groups.
19 ASSESSMENT AND OBJECTIVES FOR CORE COMPETENCIES
OBJECTIVES
ASSESSMENTS
Computer Skills:
Open, run, collect data from and close file, using both
DOS & Windows (this is done in order to work with
clinical simulations).
Perform computer testing and web based
activities. Record outcome data from clinical
simulation work. Evaluate progress by noting
strengths and weaknesses as well as
integration of knowledge.
Critical Thinking:
Apply CT skills in professional situations/settings, using
case studies.
Record accurate analyses and interpretations
of case data. Make projections and create an
action plan in response to case data. Evaluate
outcome and process of the case.
Oral Communications:
Orally communicate research findings/evidence/&
conjecture in a persuasive demonstration.
Evaluate formal and informal oral
presentations in class and clinical. Engage in
physician interaction at clinical sites with
interactive feedback.
Quantitative Skills:
Compute complex algebraic formulae in response to
clinical practice based problems.
Record accurate solutions to mathematical
problems.
Reading:
Develop professional level competence in reading.
Read and interpret case data involving a
problem scenario, its solution set & supporting
research, given a complex case study.
Writing:
Create professional level documents.
Successful completion of weekly, ongoing
class activities and summative unit reports.
20 CLINICAL TRANSFER POLICY
The following are the Respiratory Care Program’s Clinical Transfer Policies:
1. Request of Transfer of Student by Clinical Administration, Department Administrator, or Clinical
Instructor:
Students are guests of their clinical education center. If at any time a student does not follow the
rules of their clinical education center, he or she can be asked to be removed by their clinical
instructor, department administrator or the hospital’s administration (this is part of the contract
agreement by the College and clinical education center).
2. Student’s Request for Transfer:
Students may ask for a transfer from their clinical education center. The request will be
reviewed by the Program Director/Director of Clinical Education only after the following
protocol has been met:
a. A written request of transfer to be given to the Program Director/Director of Clinical
Education with stated reason(s) for the request of transfer with documentation of
reason(s) given.
b. The student, Program Director and Director of Clinical Education meet to discuss the
reason(s) for the request of transfer. The reason for transfer shall not include:
1. geographical location of clinical education center
2. time conflict with assigned shift
c. The clinical instructor is notified of the student’s request for transfer.
d. The Program Director, Director of Clinical Education, Clinical Instructor and student
will meet to discuss the request.
e. The Division Dean’s decision is final.
Students’ will be reassigned a new clinical based on availability of space at existing clinicals.
Students cannot ask for a specific clinical education center.
3. Program Director’s Transfer:
At any time the Program Director/Director of Clinical Education can remove student(s) from a
clinical education center if she/he believes that the student’s education is being compromised.
This action would take place only after the following process has been implemented:
21 a. The Program Director/Director of Clinical Education meets with the clinical
instructor at least one time to discuss her (his) concerns.
b. The Program Director/ Director of Clinical Education sets goal(s) and a time frame
for implementation.
c. The failure of implementation of such goals will be reason to remove student(s) from
the clinical education center.
d. The Program Director/ Director of Clinical Education will meet with the clinical
instructor and the Department administrator as to the removal of students from the
site.
e. The clinical education center may be placed on probation for one year if the situation
warrants so.
f. The Program Director/ Director of Clinical Education can at any time remove a
student(s) from a clinical education site without the above process if she (he) deems
the situation at the site is detrimental to the student(s) well being.
CORI CHECKS
CORI/SORI (Criminal Offender Record Information/Sex Offender Record Information) checks will be
done prior to the fall semester each year on all students admitted into the Respiratory Care Program.
Unsatisfactory CORI status will prohibit participation in clinical experiences; therefore, program
requirements cannot be completed.
CORI EVALUATIONS
Students interested in participating in an academic program that involves working with children, the
disabled, or the elderly, or includes a clinical affiliation internship or field placement with a private or
public health care provider may be required to undergo a Criminal Offender Record Information check
and/or Sex Offender Record Information (SORI) check. Depending on the contents of the student’s
CORI or SORI, participation in clinical, internship, or field placement may be denied.
Also in order to practice respiratory care in the state of Massachusetts, individuals must obtain a license
which according to law requires that individuals must: complete an accredited respiratory care program,
apply to the Board of Respiratory Care, be of good moral character, pass a licensure examination and
pay the appropriate fee before licensure may be obtained. Students should be aware that it is possible to
pass the CORI background check that is done by the college for clinical placement but not be able to
pass the background check that is performed for a state professional license. If a student is at all unsure
of the potential outcome of a CORI background check, then he/she should contact the Board of
Respiratory Care to determine the requirements.
22 HAND HYGIENE
The Centers for Disease Control (CDC) has suggested that “healthcare workers who wear artificial nails
are more likely to harbor gram-negative pathogens on their fingertips than those who have natural nails,
both before and after handwashing. Personnel wearing artificial nails also have been epidemiologically
implicated in several other outbreaks of infection.”
The Centers for Disease Control (CDC) has issued a set of recommendations for all health care facilities
regarding hand hygiene in an effort to prevent the spread of infections. Since respiratory students at
Massasoit Community College have direct patient contact, the following policy is in place:
•
•
Artificial fingernails are prohibited.
Natural fingernails should be short and well trimmed. Polish should be of a neutral shade and
free of chipping.
CPR CERTIFICATION
All instructors that teach in the Respiratory Care Program must submit verification of completion of the
CPR Certification Course for Health Care Providers prior to the beginning of clinical experience in the
fall of each year.
This must be verified as certification expires. Instructors may contact the Respiratory Care office for
course offerings.
GOGGLES
Students must purchase goggles for wear at their clinical site.
They should be considered part of the student uniform; therefore, they should be accessible to the
student at all times. Goggles should be worn in compliance with OSHA Standards for treatment of all
human bodily substance (refer to Universal Precautions Statement in this book).
Goggles may be purchased at Uniforms Etc., located at 729 Belmont Street, Brockton, MA 02302.
Telephone (508) 584-1735 or purchased at the Massasoit Community College Bookstore.
23 HAZARDOUS MATERIALS POLICY
To comply with federal regulations issued by the Occupational Safety and Health Administration
regarding hazardous communication, all Respiratory Care students will attend the OSHA in-service
during orientation week.
Their clinical instructor during clinical orientation should show students the location of the MSDS
Manual.
Students should report a spill of a hazardous chemical to the appropriate department personnel and
should not be involved with the clean up of the spill.
If a student is known or suspected to have been exposed to a hazardous material, and is in need of
medical attention, the student will be sent immediately to the clinical education center’s Emergency
Room for treatment. The student will then follow the Allied Health Division’s Exposure Incident
Management Protocol as to the follow-up.
Program officials should be notified immediately and an incident report must be completed by the
clinical instructor, signed by the student and then mailed or faxed to the program director.
24 SEXUAL HARASSMENT POLICY/HARASSMENT POLICY
Sexual harassment is any verbal, non-verbal, or physical behavior of a sexual nature that has the effect
of interfering with a student’s education status or creating an intimidating, hostile, or offensive
environment. Sexual harassment of a student, employee of the college or a clinical instructor is
unlawful, impermissible and intolerable. It is against the policy of Massasoit Community College for
any member of the College community to harass sexually another student of the College or a student to
harass or be harassed by an employee of the College or by a clinical education employee. The College
is committed to providing a working and educational environment that is free from any and all forms of
abusive, harassing or coercive behavior and conduct.
The program abides by the College’s Sexual Harassment Policy located in the Massasoit Community
College Student Handbook, as to the filing of a grievance in the case of a sexual harassment incident
procedures for registering a complaint may be obtained by contacting the college’s Affirmative Action
Officer.
ALCOHOL AND DRUG POLICY
No alcoholic beverages may be consumed, served, sold, stored, stored or used by students of the
program at the College of clinical education center.
No unlawful drugs or illegal substance may be consumed, served, sold, stored, stored or used by
students of the program at the College of clinical education center.
Massasoit Community College is subject to various stated and federal laws that deal with the abusive
use of alcohol, drugs and chemical substances. Any person actually observed consuming, selling, or
storing alcoholic beverages on College property or a clinical education property in violation of the
College’s Alcohol and Drug Policy or applicable state laws, or any person actually observed consuming,
serving, storing or using unlawful drug or illegal substance on College property or a clinical education
property will be required to immediately leave the property of the College or clinical education center.
Such individuals are subject to arrest and criminal penalties as provided by the state law, and the College
may report such apparent violations to law enforcement authorities for further investigation and
prosecution. In addition, students are subject to civil penalties as may be deemed appropriate, under the
particular circumstances, by the President of the College, including the distinct possibility of temporary
suspension or even permanent dismissal from attendance to the College or the clinical education center.
25 The program officials abide by the College’s Alcohol and Drug Policy located in the Massasoit
Community College’s Student Handbook, which is on the college’s website, at
www.massasoit.mass.edu.
USE OF CALCULATORS
The National Board of Respiratory Care (NBRC) does NOT permit the use of calculators during the
credentialing examinations. Students will be permitted to use calculators during exams while in the
program but are advised to use them only to check for accuracy after the problem is solved without the
use of the calculator.
MASSASOIT’S GUIDELINES OF CIVILITY
Behaviors that create a positive environment both in and out of the classroom
1. Be courteous and respectful to everyone
2. Be honest
3. Respect campus property
4. Actively participate in your education
-attend classes, be on time, and be prepared
5. Listen while your professors and fellow classmates are speaking
6. Turn off all electronic devices in classrooms, labs and library
7. Refrain from using profanity and degrading language
8. Refrain from yelling in corridors, cafeteria, and student lounge
9. Abide by the College’s No Smoking Policy
10. Be responsible for your choices and actions.
The better choices we make, the better our lives will be.
Reviewed July 2013
26 LATEX SENSITIVITY & ALLERGY POLICY
Latex products are common in the medical environment. Allergic responses to latex can range from
irritation and allergic contact dermatitis to the possibility of life threatening anaphylactic shock.
Guidelines have been established at Massasoit Community College to provide information to potential
allied health and nursing program applicants/students who are sensitive to latex.
Latex free environments are seldom available in either clinical or academic settings. Therefore, an
individual with a latex allergy/sensitivity wearing alternative vinyl or nitrile gloves is still exposed to
latex residue of others working in the area or to latex present in the equipment, models and mannequins.
Although latex gloves are the most prominent source of latex allergen, many other products contain
latex including, but not limited to:
•
•
•
•
Blood pressure cuffs, medication vials, syringe connectors and wound drains
Stethoscopes, catheters, respirators, and goggles
Oral and nasal airways, surgical masks, and electrode pads
Endotracheal tubes, syringes, IV tubing, and tourniquets
Any student who has or develops symptoms consistent with latex allergy/sensitivity is advised to consult
a qualified allergist for evaluation prior to enrollment in the Respiratory Care Program. If a student is
already admitted to a health science program, he/she must consult a qualified allergist for evaluation of
latex allergies should signs and symptoms develop. All such evaluations are at the student’s expense. If
it is determined that a student suffers from a latex sensitivity/allergy and the student desires an academic
adjustment, including auxiliary aids or service, or reasonable accommodation due to this condition, the
student must contact the College’s Disability Counselor.
As with all matters related to one’s health, the utmost precautions should be taken by the student to
reduce the risk of exposure and allergic reactions. This may include the carrying of an epi-pen by the
individual or other precautions as advised by the student’s health care provider. It is the responsibility
of the student with a latex sensitivity to understand and acknowledge the risks associated with continued
exposure to latex during a clinical education, fieldwork, and healthcare career, even when reasonable
accommodations are made and to regularly consult with his/her health care provider.
In an effort to minimize the presence of latex in the lab facilities, Massasoit Community College will
provide latex-free and powder/free gloves in all College lab facilities. Should a clinical agency site
NOT provide latex-free gloves, the College will provide latex-free gloves for clinical use. Additionally,
the College is taking the following steps to minimize latex in its lab facilities: 1) replacement of all
gloves in use by faculty and students with nitrile or vinyl gloves; 2) maintaining an inventory of
27 products/equipment and supplies in the radiology program that contain or could contain latex; and 3)
future purchasing of latex-safe supplies and equipment whenever possible.
As with all students in the Respiratory Care Program, a student with a latex sensitivity or allergy is
required to satisfactorily complete all requirements and technical standards of the program to which they
have been accepted.
Developed: February 3, 2010
ACADEMIC DISMISSAL
Upon receiving recommendation for Academic Dismissal, the student has a number of alternatives:
(1) If applicable, the student may complete his/her incomplete course work and bring the
Academic Record back into Good standing before the beginning of the next semester.
(2) The student may request to appear before the Appeals Committee. The Committee will
consider alternatives to dismissal and make recommendations to the Vice President of
Faculty and Instruction.
(3) The student may request special academic counseling and planning with College counselors
or developmental program staff who will consider alternatives to dismissal and make
recommendations to the Vice President of Faculty and Instruction.
(4) The student may accept dismissal and apply for readmission after the next academic
semester.
Withdrawal
Students may withdraw their informal or formal complaints at any time. Withdrawal may be
accomplished in writing, or by oral agreement confirmed in writing.
Reprisal
The College has not interfered, restrained or coerced any student in the exercise of his/her rights under
this grievance procedure and/or his/her participation in any grievance proceedings.
Student Faculty Judiciary Council
Should the need arise, a forum of students and faculty may meet periodically to provide for the exchange
of views among students, faculty and administration, or to hear individual suggestions or grievances of
28 students who are not themselves members of the Judiciary Committee. The President of the Student
Senate serves as a Chairperson with membership including an additional five students, four faculty
members, and two members of the administration. The Student/Faculty Judiciary committee may
formulate recommendations to be submitted to the President of the College.
RE-ADMISSION TO THE RESPIRATORY CARE PROGRAM
Students who are eligible to be readmitted to the program may apply for readmission on a spaceavailable basis using standard College procedures. In order to be considered for readmission the student
must demonstrate retention of didactic and clinical components prior to formal acceptance. The program
director and/or faculty must assess and determine whether the student has retained prior knowledge and
skills by evaluating:
§
The student’s current didactic and clinical knowledge and skills will be assessed.
Assessment testing will include, but is not limited to, written examinations and a
laboratory practical.
§
The student must show retention of knowledge and skills consistent with previously
completed semesters by receiving a cumulative grade of 75% or higher in the
assessment testing process.
CLINICAL DISMISSAL
Clinical dismissal may result from a student’s disregard for the policies and procedures of the clinical
education in this Respiratory Care Handbook, College policies and procedures identified in the
Massasoit Community College Student Handbook or policies and procedures of the affiliating facility.
Any student who is found to be frequently absent, untrustworthy, unsafe, unable to accept supervisory
criticism, unacceptable in terms of appearance, quality of work or who is otherwise a disruptive
influence in the clinical, or who is in any way unprofessional, may have their clinical practicum
terminated at the request of the clinical instructor. The clinical site may also have a say in this matter.
Depending on circumstances, this may result in the student not being permitted to continue in the
Program, as the clinical practicum is a required course. The appeal process in such cases ends with the
Division Dean of Nursing/Allied Health.
29 Massasoit Community College students are accepted as “guests” in the affiliating institutions, whose
major responsibility is patient care. The Affiliation Agreement between the College and the Affiliating
site allows for the immediate removal of any student deemed “unacceptable” or “undesirable” to the
hospital. The decision to remove a student from a given clinical site may be determined unilaterally by
the clinical affiliate and is not subject to appeal.
CAUSES FOR IMMEDIATE DISMISSAL
Students may be dismissed from the program without advance notice if any of the following occur at the
clinical affiliate:
-
theft
use of alcohol or controlled substances
illegal or immoral conduct
DISMISSAL DUE TO REPEATED INFRACTIONS POLICY
-
Students who repeatedly ignore the standards of clinical behavior will have disciplinary action
instituted as follows:
-
1st occurrence – Verbal warnings by clinical instructor; written report to the Program
Director.
2nd occurrence – Written warnings by clinical instructor; meeting between student,
Program Director and Director of Clinical Education
3rd occurrence – Written documentation by (clinical) instructor; dismissal following
meeting among student, clinical instructor, clinical coordinator and Program Director
30 PURPOSE OF CLINICAL INSTRUCTOR
The Respiratory Care Program at Massasoit Community College provides a clinical instructor to each
affiliation. In a few cases, the hospital is providing a clinical instructor who provides clinical education
to our students. In these cases, the school only sends a maximum of two students.
I. Purpose
The purpose of the clinical setting is to expose the students to the hospital setting. To supervise the
student on proficiency skills so they can perform them accurately and competently. Also, it allows the
students to perform the skills that they have obtained in didactic class and laboratory to the clinical
setting. We will measure these experiences with the use of proficiency check off sheets which are found
in the student’s laboratory manual and via DATARC. Each instructor has the freedom to teach the
proficiency in any manner. The end result will be that the skill is performed proficiently and without
supervision.
II. Clinical Practicum
The clinical portion of the program is a pass/fail grading system. The student is required to obtain a
passing grade. To achieve this, the student is required to complete all mandatory proficiencies each
rotation, required patient assessments (clinical instructor quiz is optional), and a clinical exam. The
instructor’s responsibility is to demonstrate the skill, work with students on skills, and then have the
students perform the skill independently. The clinical instructor is responsible to see that the students
are able to complete accurately a patient’s assessment, and a disease presentation. The clinical
instructor has the freedom to teach the skill in the manner that they are comfortable with. Yet, all
instructors rate the competency within 90% intra-rater reliability. The instructors all have been rated on
their ability to provide accurate, reliable rating of proficiency skills. It should be expressed that there
are many different ways to perform a skill. It may vary from hospital to hospital, yet the end result is
the ultimately the same. The instructors are responsible for signing students in to DATAARC, doing a
daily log, mid-term evaluations on the student affective domain, end of the term evaluation on the
affective domain, and clinical competency check off. The instructors will also be responsible to validate
all DataArc entries for their clinical. The instructors will also be responsible to make sure that the
students have been receiving the required physician contact hours. Any student who is not receiving the
allotted physician time must be report to the program officials so that a plan can be made to provide the
student with this education. All instructors will take part in the clinical summation held at the end of
each semester. The instructors will meet monthly or bi-monthly to discuss the progress of clinical. The
clinical grades are required to be in and complete on the last day of the clinical rotation.
31 CLINICAL INSTRUCTOR’S RESPONSIBILITIES
1. To be on time.
2. To be in proper dress.
3. Perform evaluation of students at mid-rotation and the end of rotation.
4. Daily documentation of student’s activities and performance in DataArc.
5. To coordinate and distribute a syllabi with objective for their clinical rotation.
6. To be a resource to the students.
7. To demonstrate procedures in a proficient and competent manner.
8. To contact program officials if any student issues take place during the clinical time.
9. To contact program officials if they are to have excessive absenteeism.
10. To receive notes from physician’s due to extensive student’s absenteeism.
11. To give guidance and supervision during clinical experiences.
12. To maintain proficiency documentation of completed competencies in DataArc.
13. To communicate with faculty in regards to progress and concerns of the students.
14. To counter sign all student notes.
15. To complete the required competencies for that rotation in a competent and proficient manner.
16. Attend all instructors’ meetings. Failure to attend may lead to dismissal.
17. To maintain daily records of students in DataArc. To make sure student Time In and Out in
DataArc..
18. To complete the student evaluation mid-term and at the end of the rotation in DataArc,.
19. To maintain physician input in DataArc and notify program personnel if any student is deficient.
20. Keep accurate student records.
21. To continually keep students informed of their clinical progress.
32 22. To set up physician lecture time in hospitals and to also set up time in the specialty area, i.e.
1.
2.
3.
4.
5.
Chest physical therapy
PFT Lab
CSR
EKG Lab
OR, etc.
23. Inform students of a manner in which they can be contacted in case of a clinical absence or
emergency.
24. Set up time with the department managers of assigned hospital to discuss what you will be doing at
the clinical site. Policies and procedures that the students need to know regarding that site will be
reviewed.
25. Provide students with safe space for their personal belongings.
26. To attend the annual instructors meeting in which intra-rater reliability is demonstrated.
27. To review and be proficient in instructor’s handbook.
28. Demonstrate knowledge of respiratory care policies and procedures.
29. Attend Advisory Meetings.
30. Maintain membership to the AARC.
31. Maintain current resume and copy of Respiratory License on file in department.
32. If you are going to be out sick you must call into either Kathy O’Neil at ext. 1762 or Terri Willis at
ext. 1763.
33 EVALUATION OF CLINICAL PERFORMANCE
Clinical is an integral part of the Respiratory Care Program at Massasoit Community College. Students
are able to apply the didactic knowledge acquired in the classroom. The practical aspects of the
respiratory care education are achieved in the clinical affiliate hospitals under the supervision of the
clinical instructor.
The clinical experience is graded as a pass/fail or incomplete. The students are rotated every seven
weeks for freshman and four weeks for seniors so that they all will receive the same education. This
assures that all students will rotate to all clinical affiliations. The students are required to complete the
following by the end of the semester:
1.
2.
3.
4.
Patient Assessments
Physician Interaction
Competencies Skill Sheets
Performance Appraisal Evaluation (mid rotation and end rotation)
Clinical Competencies
The clinical objectives are designed to document the skills that the student will accomplish. A particular
skill will be accomplished and documented on the competency sheet that deals with that particular skill
which may be located in either the laboratory book or DataArc. These skills vary in difficulty according
to the ability of the student through the course of the program. The student will learn a variety of skills
each time acquiring skills of greater degree of difficulty. These skills are designed to designate the
degree of difficulty as well as the proper sequence of objectives. In addition, freshman students have
pre-clinical laboratory in which basic objectives and competencies are mastered prior to going to the
clinical setting.
Performance Appraisal Forms
The behavioral traits of the respiratory care practitioner can tribute to the projection of a professional,
competent and efficient image. These affective qualities are difficult to qualify and evaluate. The
Performance Appraisal Forms are completed twice during a clinical rotation. During the rotation, a preevaluation(s) and conference(s) occur between the student and instructor prior to the final evaluation
which is done at the end of the rotation. This serves as a guide to personal goal setting by the student
and instructor. It allows the student to obtain the goals set by the instructor. The student understands
their strengths and weakness throughout the entire clinical. It allows for communication between
instructor, student and program officials.
34 STANDARDS OF CLINICAL
INTRODUCTION
Emphasis in Respiratory Care is now being placed on achievement and proficiency of skills. The
objective doesn’t specify what the student is to be doing during clinical instruction or explains his
behavior during clinical. It does simply describe the result of learning. Many avenues may be taken to
get to the result. The how’s may wonder.
The how’s will require much work by the student. The students will have to seek individual help and
outside reading. They will be provided with mandatory laboratory time, open laboratory time and with a
qualified instructor. Yet, learning and performing the objectives with proficiency will be up to the
student.
The instructors and the students will seek out unusual procedures, diseases, equipment and situations
that are presented to them. The students are also provided with SimMan, SimBaby and Pediatric
Simulator. This will allow the students to practice in the laboratory setting prior to clinical. The
student, along with faculty, will seek and work on weak areas. But, a lot will rely on the student to use
the academic resources provided by the program and the college.
STUDENT REQUIREMENTS
I. TIME:
The scheduled clinical days are as follows:
Freshman – Tuesdays and Thursdays
Senior – Mondays and Wednesday
Each site will have a written syllabus as to the designated time of clinical for that site.
The students are expected to attend all clinicals. If a student is absent, then that time must be made
up. Excessive clinical absences could result in failure to pass clinical. Tardiness and leaving early
should be avoided on all clinical days. Scheduled appointments should be made on non clinical days.
If you need to be tardy or leave early, you must have a clinical contract signed by either the Program
Director or Clinical Coordinator. Without this contract, the instructor is unable to dismiss you.
There is no clinical on holidays of if school is canceled due to storms. If one is to be absent, talk
with the instructor personally do not leave messages with another student, employee or via email or
text.
35 II. DRESS CODE
Personal appearance is a major factor in the projection of a professional image. Students represent
not only Massasoit Community College, but the profession of Respiratory Care as well. For this
reason we have sought to develop a uniform dress code for clinical experience. Students shall wear
the designated uniform to the clinical site on all occasions. Students failing to comply may be
released from clinical by the Clinical Instructor. This time is to be made up as scheduled by the
Clinical Instructor.
Students are required to wear the designated dress code set by the department. Uniforms will be
purchased at the Scruby’s Uniform Store in Brockton. A name pin, stethoscope, goggles, a watch
with sweep hand and black ballpoint pen are required. Lab coats are optional. All parts of the
uniform should be clean, in good repair and fit properly. The school uniform will be worn on days
that the student’s are attending SimMan rotation.
-
All students shall wear a personalized Massasoit Community College identification pin and
the Massasoit Community College patch.
-
Hair shall be neat and clean at all times. Long hair shall be worn off the collar in a neat
fashion.
-
Fingernails should be kept short and clean. Polish should be a neutral shade. No false nails.
-
Make-up and jewelry should be discreet and professional. Long chains and excessive
jewelry may present a safety hazard to the student and the patient. One pair of studs may be
wear in ears only.
- All hospitals are fragrance free.
-
Personal hygiene must effectively manage body odors.
-
Uniform changes are discretionary when indicated by Massasoit Community College faculty.
-
No chewing gum is allowed in clinical agency.
-
All cell phones should be on vibrate and only used in designated areas of the clinical site.
-
Hospitals are now Smoke Free so there is no smoking on the hospital grounds.
36 III. INTERACTION WITH AFFILATES
We should all remember that we are guests at each hospital. As guests, we will obey all of the rules set
by each hospital. We will always act as professionals and be very polite.
We should also remember, that some people are threatened by students. These people need more
understanding and our sensitivity. Remember, everyone has something to offer us. We must search for
all we can obtain. Keep in mind that no one knows everything. Some may have difficulty in answering
questions, so keep this in mind.
Make sure you know the fire code and disaster plan for your hospital. One never knows when such a
disaster will occur. Be prepared!
Kindly remember that there are many ways to do procedures. If you have done a procedure different in
another hospital, tell your procedure to the clinical instructor. They will handle the matter in the best of
their ability or they will see the Director of Clinical Education. There may be a reason for doing the
procedure that way in that hospital.
If an accident or injury occurs at the hospital, SEE THE INSTRUCTOR IMMEDIATELY. She/He
will follow the proper procedure.
Never take incidents into your own hands. Report them immediately to the instructor.
Conduct: As practice in a clinical agency is designed to be a rehearsal for the professional role, the
student is expected to meet the same standards of conduct required when joining the workforce. These
include punctuality, satisfactory attendance, completion of assignment, honesty, responsibility of one’s
actions, and acceptance of agency policies. A professional respects and protects the rights of others and
maintains confidentiality with respect to information acquired while providing services.
Lastly, patient information is CONFIDENTIAL. Do not discuss your cases with anyone. Do not talk
about the patients in the lobby, cafeteria or elevators. You never know who may know the patient you
are talking about.
37 HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)
•
COLLEGE acknowledges that in the performance of this Agreement, COLLEGE may acquire
and/or have access to Protected Health Information (“PHI”). COLLEGE shall comply with
applicable MEDICAL CENTER policies and procedures, the requirements of all applicable
Massachusetts laws and regulations, and the requirements of all applicable federal laws and
regulations, including the Health Insurance Portability and Accountability Act (“HIPAA”) with
regard to PHI.
The use or disclosure of any PHI concerning a patient of MEDICAL CENTER for any purpose not
directly concerned with performance of clinical activities under this Agreement is prohibited.
COLLEGE shall notify MEDICAL CENTER orally and in writing within 24 hours of its discovery
that any PHI in its possession or control has been improperly used, copied or removed. COLLEGE
shall cooperate with MEDICAL CENTER in taking appropriate action to stop any misuse and/or
regain possession of the PHI, or otherwise protect MEDICAL CENTER and the patient’s rights and
privacy. COLLEGE shall take all reasonable steps to assure the security and integrity of PHI and
other confidential information in its possession. COLLEGE is responsible for either returning or
destroying all PHI in its possession when the purpose under this Agreement has been fulfilled.
COLLEGE shall instruct each of its employees, agents and subcontractors of COLLEGE’S
obligations under this Agreement.
•
The parties hereby mutually agree that each is an independent contractor and that no student or
employee of the COLLEGE shall be considered an employee of MEDICAL CENTER for the
purposes of this Agreement. Notwithstanding the above, MEDICAL CENTER agrees that the
students of COLLEGE placed at MEDICAL CENTER under this Agreement are “members of
MEDICAL CENTER’S workforce” as that term is defined under the applicable provisions of
HIPAA, though not for any other purpose. Each party agrees that it will give prompt notice to
the other party of any claims made or threatened against it, which could result in a claim for or
right to indemnification.
38 SPECIFIC POLICIES REGARDING CLINICAL ROTATIONS
Assignments When In Clinical:
The student is responsible to complete any research towards patient care or clinical treatment requested
by the clinical instructor. They may receive up to 2 hours of assignments per night.
Documentation:
It is the student’s responsibility during the clinical practicum to complete the required documentation on
a timely basis in DataArc. This may entail the student staying late to complete the work, or bringing the
assignment home to complete overnight as an assignment. Failure to maintain DataArc can lead to an
incomplete grade until all documentation is completed.
Abuse Reporting:
It is the law that whenever you suspect neglect or abuse to any of your patients, that a report must be
filed. This documentation is designed to protect the rights of those who may not be able to protect
themselves. This abuse may be either neglect through malnourishment, poor hygiene, or suspected poor
living conditions. The abuse may also be a physical abuse which may be seen when the patient removes
clothing or appears to have bruising in an unusual area. A patient may also share a situation which may
reflect sexual abuse. Any of these areas must be reported through the proper channels at your affiliating
center.
Transportation and Housing:
The student is responsible for providing his or her own transportation to and from the clinical. This
expense is in addition to the College tuition. The student is responsible for providing his or her own
housing during clinical.
39 CLINICAL CONDUCT POLICY
The clinical affiliate reserves the right to dismiss any student who engages in any activity deemed
unprofessional or non-conductive to proper patient care. The Respiratory Care student is a guest of the
affiliate, and must adhere to all hospital policies and procedures as well as those of the Program. All
Respiratory Care students will:
1. Report to the clinical site on time and in an alert state.
2. Report to the clinical site in the appropriate uniform.
3. NOT possess drugs or alcoholic beverages, or engage in their use while on clinical
assignment. Massasoit Community College and its clinical affiliates comply with all State
and Federal laws regarding drugs and alcohol use.
4. NOT sleep during clinical assignments.
5. NOT engage in theft.
6. NOT engage in immoral, illegal or unethical behavior.
7. Eat, drink and smoke only in designated areas.
8. Maintain a professional demeanor at the clinical site.
9. NOT use telephone at the clinical site for personal calls without permission.
10. NOT leave the area of immediate clinical assignment without permission of Clinical
Instructor or designee.
11. NOT refuse to accept procedures assigned by the Clinical Instructor.
12. NOT leave patient unattended during procedures.
13. NOT attend the clinical site when not on assignment.
14. Leave for and return from assigned breaks promptly.
15. At all times, demonstrate concern for the patient’s medical condition, safety, privacy and
confidentiality.
16. Follow the policies and procedures of the Respiratory Care Department.
17. NOT smoke on the hospital grounds.
Infractions of these policies may result in disciplinary action, removal from the clinical site, and/or
dismissal from the Program.
Professional Conduct
1. Each student is required to conduct himself/herself in a professional manner while in the class or
laboratory setting. The final grade may be affected by the student’s interpersonal skills.
2. Conduct that is unethical or unprofessional so as to affect or potentially affect another student or
instructor’s well being in the academic or clinical environment may result in immediate suspension.
3. Students should be aware of the potential impact of information that is placed on social media web
sites such as Facebook. Clinical affiliate personnel and potential employers will have access to this
public information; this information may have an adverse impact on the student’s standing in the
program or the student’s ability to obtain employment while in the program and post graduation.
4. Cell phones must be turned off or to vibrate while in the classroom at the college. In clinical,
students ARE NOT permitted to carry cell phones. See policy at the end of this handbook.
40 DISCIPLINARY ACTION
Students who ignore the standards of clinical behavior will be subject to disciplinary action up to and
including dismissal from the Program. Prior to dismissal, the student will have the opportunity to meet
with Program officials. Dismissal notifications will be made in writing by the Program Director.
Students who have been dismissed for disciplinary reasons will not be readmitted to the Program.
As previously stated, students may appeal dismissal through the grievance procedure outlined in the
Massasoit Community College catalog.
POLICY ON CLINICAL EMERGENCIES (STUDENT)
1. In the event of an emergency, illness or accident involving a student, the clinical instructor or
designee should make sure the student is stabilized and then brought to the hospital emergency
department for appropriate evaluation. The hospital will provide access to emergency care for
students, but bears no responsibility for costs incurred. The student must provide appropriate
insurance information prior to the start of each academic year or if the insurance holder or policy
changes during the school year. The College also bears no responsibility for cost incurred during an
emergency or illness while in clinical, class or lab.
2. The Respiratory Care Department at Massasoit Community College should be immediately
informed:
Program Director: Martha Desilva
508-588-9100, Ext. 1787
Director of Clinical: Kathleen Wood
508-588-9100, Ext. 1765
Division Secretaries: Terri Willis
508-588-9100, Ext. 1763
Kathy O’Neil
Division Dean: Anne Scalzo-McNeil
508-588-9100, Ext. 1762
508-588-9100, Ext 1750
3. Students under the age of 18 must provide the name and phone number of a parent or guardian to be
notified in such cases. Students 18 and over should provide the name and phone number of a
designated contact person.
4. A program incident report must be completed for each such event.
5. Students discharged by the emergency room will be advised as to whether or not a designated driver
is required.
6. If a student refuses medical treatment or insists on driving against medical advice, this should be
documented and signed by the student.
7. All records of incidents will be kept on file by the Respiratory Care Department.
41 CONFIDENTIALITY STATEMENT
CLINICAL
The Respiratory Care Program at Massasoit Community College requires that students safeguard the
confidentiality of health care information as it relates to individual patients while cooperating with all
parties that have a legitimate interest in health care records. It is the responsibility of the student to
protect the confidentiality of health care information and the rights of the patient.
DEFINITIONS
Confidential Health Care Information – All information (verbal, written or in electronic media format),
relating to a patient’s health care history, diagnosis, condition, treatment or evaluation, obtained from a
respiratory student who has treated the patient.
CONFIDENTIALITY OF HEALTH CARE INFORMATION
Personal data regarding a patient is absolutely confidential and must never be discussed with anyone
other than those who are directly responsible for the patient’s treatment. All requests for confidential
health care information outside of the normal exchange of information which occurs in the daily line of
duty necessary for patient care must be referred immediately to the Clinical Instructor or Supervisor.
Students failing to uphold the confidentiality of health care information will be subject to Disciplinary
actions and/or subject to withdrawal from the Respiratory Care Program.
CONFIDENTIALITY OF STUDENT/EMPLOYEE INFORMATION
Personal data regarding a student/employee is absolutely confidential and must never be discussed with
anyone.
HEALTH CARE INFORMATION SYSTEM: CONFIDENTIALITY OF PASSWORDS
To maintain security and confidentiality of the computer information systems, passwords are
confidential and the sharing or use of another student/employees password is prohibited.
42 STATEMENT OF CONFIDENTIALITY
I.
INFORMATION ABOUT INDIVIDUALS, FAMILIES, AND/OR IDENTIFIABLE
GROUPS COMING TO MY ATTENTION IN THE COURSE OF THE CLINICAL
EXPERIENCE WILL REMAIN CONFIDENTIAL.
Information regarding the patient/client, their illness, or their personal lives will be shared only at such
time and place as deemed necessary to provide appropriate care. Such information will not be discussed
in any setting outside the clinical area.
II.
DISCUSSION WITH PATIENTS, FAMILIES, OR IDENTIFIABLE GROUPS
WILL BE CONDUCTED IN A LOCATION WHICH WILL ASSURE ON GOING
PRIVACY AND CONFIDENTIALITY.
Selection of settings for discussion and/or conversations with or about the patient/client will take place
behind closed doors or in a section of the facility conducive to quiet, uninterrupted verbal exchange and
where such exchange is not likely to be overheard by others not involved with client communications,
but not so loud as to easily be overheard.
III.
WRITTEN MATERIALS WILL BE SAFEGUARDED AT ALL TIMES TO MAINTAIN
ITS CONFIDENTIAL NATURE AND RESTRICT ITS CONTENT FROM VIEW BY
INDIVIDUALS NOT DIRECTLY INVOLVED WITH THE PATIENT/CLIENT.
All written materials related to the client/patient will be handled in the same confidential manner to
restrict access to individuals who have a need to know its content.
IV.
PATIENT/CLIENT CONCERNS PERTINENT TO INDIVIDUAL DIAGNOSIS AND/OR
CARE IS TO BE REFERRED TO THE PHYSICIAN/PRIMARY CARE PROVIDER.
V.
CONFIDENTIALITY OF THE COLLEGE- to maintain secure and confidentiality of to
computer information systems within the college, passwords are confidential and the use of
sharing or use of another student’s password is strictly prohibited.
I,
, have read the above statement and agree to adhere
to its guidelines. I understand that failure to adhere to these standards shall negatively affect my status
in this course and may have impact on my completion of this program.
Signature of Student
Print Name
Date
43 UNIVERSAL PRECAUTIONS
Respiratory Care providers will use the following universal precautions in caring for all patients to
minimize the risk of exposure to blood and body fluids and to prevent transmission of HIV infection.
The use of universal precautions does not negate the need for other specific isolation precautions to be
eliminated.
UNIVERSAL PRECAUTIONS
1. HANDS should always be washed before and after contact with patients. Hands should be washed
even when gloves have been used. If hands come in contact with blood, bloody fluids, or human
tissue, they should be immediately washed with soap and water.
2. GLOVES should be worn when contact with blood, body fluids, tissues or contaminated surfaces are
anticipated.
3. To minimize the need for emergency mouth-to-mouth resuscitation, resuscitation masks, and
resuscitation bags have been strategically located in patient rooms and patient care areas for use
where the need for resuscitation is predictable.
4. Sharp objects should be handled in such a manner as to prevent accidental cuts or punctures. Used
needles will not be bent broken, re-sheathed by hand, or unnecessarily handled. They should be
discarded intact immediately after use into an impervious needle disposal box which is readily
accessible. All needle stick accidents, mucosal splashes, or contamination of open wounds with
blood or body fluids should be reported immediately to the clinical instructor. An incident report
must be filled out and the program director notified.
5. Blood spills should be cleaned promptly with a disinfectant solution of a 1:10 dilution of bleach.
6. All patients’ blood specimens should be considered biohazardous.
7. Gowns and goggles should be worn if gross contamination with blood or body secretion is
anticipated.
8. All specimens will be placed in a plastic bag before transporting to lab.
44 SECTION IV:
GUIDELINES FOR PREVENTION OF HIV TRANSMISSION
To prevent the accidental transmission of HIV and other blood-borne diseases in the health care settings,
institutions which operate health services, laboratories, or clinics for students or staff are recommended
to implement current recommendations from the Center of Disease Control. Schools of nursing should
also adopt safety guidelines for the handling of blood and body fluids containing visible blood or to
which universal precautions apply.
The following measures preventing HIV transmission in health care settings are recommended by the
Centers for Disease Control (MMWR 1987 Aug 21: 36: 1-18S; MMWR 1988, June 24:37: 377-382,
387-388; MMWR, 1991, July 23; 40: 1-9)
q
Use of precautions for blood, for body fluids containing visible blood, and for certain other body
fluids** for all patients, since medical history and examination cannot reliably identify all patients
infected by HIV and other fluid or blood-borne pathogens.
q
Use of appropriate barrier precautions for handling items or surfaces soiled with blood or body fluids
containing visible blood, and certain body fluids to which universal precautions apply**, or
performing venipuncture and other vascular access procedures.
q
Gloves should be worn when in contact with bloody, body fluids containing visible blood, body
fluids to which universal precautions apply, tissues, and mucous membranes and for handling items
or soiled surfaces soiled with the above, or for the performing venipuncture or other vascular access.
q
Masks and protective eyewear or face shields should be worn during procedures that are likely to
generate air-born droplets of blood or body fluids to which universal precautions apply to prevent
exposure of the mucous membranes of the mouth, nose, and eyes.
q
Gowns or aprons should be worn during procedures that are likely to generate splashes of blood or
the body fluids to which universal precautions apply.
q
Resuscitation bags, mouthpieces, and ventilation devices should be available in areas where the need
is predictable.
q
Used equipment should be disposed of in a manner to prevent transmission of disease and to prevent
injury to personnel with potential contact with the equipment, i.e., health care workers,
housekeeping, and laundry personnel.
45 §
Particular attention should be given to prevent injuries caused by needles, scalpels and other
sharp instruments. To prevent needle sticks, needles should not be recapped or purposely bent or
broken by hand. In particularly high-risk situations such as during resuscitation, prevention of
needle-stick injury to oneself and/or other health care workers from exposed needles or sharps
requires special attention regarding the use and safe disposal of needles and sharps.
Risk reduction to prevent sharp injuries include the use of engineering controls such as needle-free
intravenous access systems, needle disposal containers as near as is practical to the point of use, and
self-sheathing needle/syringe units. When recapping is necessary due to the lack of a readily accessible
disposal container or due to the nature of the task (e.g., some situations for drawing arterial blood gases),
the use of work practice modifications such as a one-handed scoop method or a passive recapping device
is recommended. Recapping of needles using two hands is prohibited by the Occupational Safety and
Health Administration (OSHA) and will not be permitted where students are assigned for clinical
rotations.
**Universal precautions apply to blood, semen, vaginal secretions, as well as tissues, cerebral spinal
fluid, synovial fluid, pleural fluid, pericardial fluid, and amniotic fluid. These body fluids have been
epidemiological associated with transmission of HIV and or HBV.
The use of barrier precautions does not obviate the need for health care workers to:
q
Wash hands prior to and immediately after each patient contact.
q
Change gloves after caring for each patient as glove integrity cannot be assured with washing
and repeated use and gloves may serve as a vehicle for indirect contact transmission of
organisms between patients.
q
Due to the nature of the immune dysfunction associated with HIV disease and AIDS, patients
may be at particular risk of infectious diseases such as TB, CMV, herpes simplex, varicella, etc.
The CDC recommends that the implementation of universal precautions does not eliminate the
need for precautions that reduce risks for other diseases that are not transmitted by the bloodborne route.
q
Respiratory or AFB (Acid Fast Bacilli) precautions should be instituted for all patients being
evaluated for the presence of active tuberculosis.
q
Masks and eye protection should be utilized in situations where exposure to respiratory
secretions is likely such as during a suctioning procedure or other situations where splashing may
occur.
46 q
School of nursing laboratory courses necessitating potential exposure to blood should require the
use of barrier precautions and disposable equipment to be placed in specially designated
containers immediately after use. Lancets or other blood letting devices should not be reused or
shared.
Decisions about admission to health programs or clinical assignments for students should not be
predicted on serological status for HBV, HIV, or other blood-borne disease but rather should be based
on the individual’s capacity to perform functions (CIS 1992, 14:14: Tri-Council 1992).
All health care workers, including students, need to assess their functional capacity to provide safe care
to patients. Conditions which may impair this capacity include:
q
acute respiratory infections
q
open lesions or weeping dermatitis
Health care workers should not be engaged in direct patient care until these conditions are resolved.
CDC recommendations adopted as regulations by OSHA for employers of health care workers included:
q
Initial orientation and continuing education and training of all health care workers, including
students and trainees on epidemiology; modes of transmissions and prevention of HBV, HIV and
other blood-borne infections, and the need for routine use of universal precautions for all
patients.
q
The provision of equipment and supplies necessary to minimize the risk of infections with HBV,
HIV and blood-borne infections
q
The provision of HB vaccine at employer expense for all employees with potential blood and
body fluid contact. Although not specifically mandated for students at employer expense, it is
clear that HB vaccine prevents serious disease and possibly death and should be required for all
students prior to entry in the clinical practice setting.
q
Monitoring of adherence to recommended protection measure.
*Adopted from the National League of Nursing
47 COMMUNICABLE DISEASE REPORTING
Despite routine practice of universal precautions, students will occasionally be exposed to
communicable disease. “Exposure” in the context means an actual risk of contracting the pathogen due
to inadequate protection. In order to best maintain the health and safety of students, staff, and patients,
students are required to report immediately any untoward exposure to communicable disease (Hepatitis,
Tuberculosis, Acquired Immune Deficiency Syndrome, etc.) to the Clinical Instructor and the Program
Director. Students are expected to observe infection control protocols established by the clinical
affiliate facilities.
Examples:
REPORTABLE
NON-REPORTABLE
Chest radiograph patient coughs
Known Tb patient, wearing mask is
in student’s face; is later found
treated by a student wearing mask.
to have tuberculosis (Tb).
FLU SHOT
All students will be required to receive a flu vaccination when it becomes readily available in
September. A copy of verification that the vaccine has been administered must be submitted to the
program director by the end of September.
•
Acceptable reason to deny vaccination: (doctor’s note is required)
1. Anaphylaxis to vaccination
2. Anaphylaxis to eggs
If a student refuses the vaccine, the student must wear a mask at all times while at clinical.
48 SAFETY AND EDUCATION
EXPOSURE INCIDENT MANAGEMENT PROTOCOL
Policy:
All occupational, accidental exposures of faculty/students to chemicals, airborne
particulate, blood and other infectious body fluids, are reportable and necessitate the
initiation of this protocol. An incident report must be completed. The involved party
will be referred to the most appropriate service provider.
Purpose:
To ensure safety of all Massasoit Community College students/faculty.
Definition:
Exposure is contact with a chemical, airborne, or blood borne pathogen by any person.
This exposure may be chemical, active (needlestick only), or passive (any other exposure
other than chemical or needlestick) and may be categorized as actual (source patient has a
definitive diagnosis) or potential (source patient does not have a definitive diagnosis).
The four routes of potential exposure are splashing in eyes, contact with skin, ingestion
and inhalation.
Protocol:
All Massasoit Community College programs have the responsibility to ensure the safety
of their students and faculty:
1. Student and Faculty Responsibilities
A. If exposure is bloodborne, wash/irrigate the exposed area immediately. If
chemical, flush with continuous water flow for 15 minutes. If exposure is
airborne (fumes, vapors or particulate matter), immediately remove self from area
to source of fresh air.
B. Notify your instructor or supervisor immediately.
C. Complete all areas as defined.
RECOMMENDATION TO ALL HEALTH CARE PROVIDERS
Due to the significant time constraints, persons being treated for exposure should be treated through
CALL FIRST or EMERGENCY DEPARTMENT and triaged immediately to a Health Care Provider.
49 All Exposures:
Inform all exposed persons that there is a two hour window for starting prophylaxis treatment.
Exposures to Bloodborne:
Offer HIV testing and discuss post exposure prophylaxis (PEP) with party. At present, AZT should be
considered for all PEP regimes because AZT is the only agent for which data supports the efficacy of
PEP in the clinical setting. Lamivudine (3TC), (Epivir) should be usually added to AZT for increased
antiretroviral activity and activity against many AZT-resistant strains. A protease inhibitor, preferably
Idinavir (IDV), (Crixivan) should be added for exposures with the highest risk for HIV transmission.
PEP should be initiated promptly, preferably within 1-2 hours. If the source patient of the exposed
student/faculty’s HIV status is unknown, initiating PEP should be done on a case-to-case basis, based on
the exposure risk and likelihood of HIV infection unknown or possible source patients. Remind
student/faculty with 1 ½ hour post exposure, the availability of the medication and the option to take the
first dose and then reconsider continuing treatment.
Laboratory Tests for the following areas should be considered:
Hepatitis B, C, or Antibody
Hepatitis B Surface Antigen
Hepatitis B Surface Antibody
Hepatitis C Virus Antibody
In addition:
HIV Testing, only after consent form is signed.
Treatment
Depending upon the results of the medical evaluation and blood test, prescribed immune globulin,
Hepatitis B Vaccine, Hepatitis B Immune globulin as needed and/or anti-retroviral drugs as desired may
be required. If anti-retroviral drugs are prescribed, the student/faculty will need additional blood work
and teaching. If PEP is used, drug toxicity monitoring should include a CBC, and Renal and Hepatic
chemical function tests at baseline and 2 weeks follow up after starting PEP.
Exposure is Airborne
Dependent upon the specific type of airborne exposure, testing and/or referrals will be ordered as
deemed necessary by the Health Care Provider.
50 Exposure is Chemical
Dependent upon the specific chemical and the route of exposure, testing and/or referrals will be ordered
as deemed necessary by the Health Care Provider.
All Exposures
Provide appropriate counseling/medical advice regarding exposure.
Instruct student/faculty to follow-up with Health Care Provider as soon as possible. This appointment is
imperative to maintain medical management and counseling.
Record all details of counseling and treatment information given, medication received, student/faculty’s
consent or refusal and the date and time.
Follow Up Recommendations
If the student/faculty has opted to take HIV PEP, he/she will be followed every 2 weeks for development
of any adverse drug reactions and appropriate lab tests should be drawn at scheduled intervals.
If the source patient is seronegative for Hepatitis B and C, further follow-up of the student/faculty is
necessary. All exposed student/faculty are encouraged to be tested for serconversion of HIV as
recommended by the CDC.
HIV testing should be performed at 6 weeks, 12 weeks, 6 months and 12 month intervals. It is the
student/faculty responsibility to schedule these follow-up appointments with their primary care provider.
If the source patient is Hepatitis C Positive, the student/faculty will be advised to consult with their
primary care provider.
51 ACADEMIC CALENDAR 2013 – 2014
SEPTEMBER 2013
Sep 2 Mon
Labor Day
Sep 3 Tue
Convocation
Sep 4 Wed
Fall 2013 classes begin
Sep 5 Thu
Last day of unrestricted registration. See Fall 2013
Deadline/Refund Schedule.
Sep
17
Tue
Last day of restricted registration. See Fall 2013
Deadline/Refund Schedule.
October 2013
Oct
14
Mon
Columbus Day (no classes)
November 2013
Nov
TBD
Nov 8 Fri
Nov
11
Advising/Registration Period
Last day to withdraw from a portion of a schedule. See Fall 2013
Deadline/Refund Schedule.
Mon
Nov Thu 28 - Sun
Dec 1
Veteran's Day (no classes)
Thanksgiving Recess (no classes). Begins at 4pm on Wed, Nov.
27.
December 2013
Dec 14
Sat
Last day of Fall 2013 classes.
Dec 16 21
Mon Final exams (day, evening, online)
- Sat
52 January 2014
Jan 1
Wed
New Year's Day
Jan 2
Thu
Intersession 2014 classes begin; last day of registration for
Intersession. See Intersession 2014 Deadline/Refund Schedule.
Jan 3
Fri
Spring 2014 invoices due
Jan 15
Wed
Last day of intersession 2014 classes
Jan 20
Mon
Martin Luther King, Jr. Day
Jan 21
Tue
Spring 2014 classes begin
Jan 22
Wed
Last day of unrestricted registration. See Spring 2014
Deadline/Refund Schedule.
Feb 3
Mon
Last day of restricted registration. See Spring 2014
Deadline/Refund Schedule.
Feb 17
Mon
Presidents Day (no classes)
Mar 17 - 23
Mon Sun
Spring Break (no classes)
Apr 4
Fri
Last day to withdraw from a portion of a schedule. See Spring
2014 Deadline/Refund Schedule.
Apr
TBD
Advising/Registration Period
Apr 21
Mon
Patriots Day (no classes)
May 10
Sat
Last day of Spring 2014 classes
May 12 - 17
Mon Sat
Final exams (day, evening, online)
May 30
Fri
Commencement
53 ATTENDANCE POLICY
Academic Respiratory Care Courses:
The faculty believes attendance is a professional accountability issue and the responsibility of the
student. It is expected that students will attend all regularly scheduled classes, clinical and laboratory
sessions. The program adheres to the college “Attendance and Discipline Policies” outlined in the
College Catalog and Student Handbook.
The faculty has determined that classroom attendance is crucial in order for students to fully
comprehend the theoretical component of the Respiratory Care curriculum. It is essential for safe and
effective functioning in the clinical area. The student is responsible for all material presented in class. It
is the student’s responsibility to sign the attendance sheet each day in class and to Time In and Time Out
in Laboratory and Clinical.
Clinical Respiratory Care Courses:
Clinical Experience is an integral part of the Respiratory Care Program at Massasoit Community
College. Students are able to apply the didactic knowledge acquired in the classroom to an actual
patient care setting. The practical aspects of Respiratory Care education are achieved in the clinical
affiliate’s hospital under the supervision of the clinical instructor. Respiratory Care students must
achieve the goal of becoming competent, meticulous, conscientious, confident and professional
Respiratory Care Practitioners.
The student is expected to attend clinical unless illness occurs or an emergency exists. If you are absent,
the following procedure must be followed:
A. Inform your clinical instructor. Do not leave a message, text, or email. Do not tell another
student or employee to relay the message that you are ill. It is your responsibility to speak
with the instructor. The program will not tolerate a No Call No Show.
B. Call the college and leave a message at Ext. 1763 or Ext. 1762. You must state that you are
not at your clinical on this given day and the reason. This is so the program officials will
know where you are if they need you for any reason.
Students are allowed one clinical absence per semester.
54 Clinical make-up days are not guaranteed to occur. They are scheduled according to justified
need and availability of instructors at the site(s). Make-ups should be requested by the student
and reviewed by the director of clinical, program director and clinical instructor.
Specific details for the make-up of time will be worked out between the student, clinical
instructor and director of clinical or program director.
Tardiness at Clinical:
In the event that the student is unable to arrive on time, he/she is expected to notify the clinical
instructor. This phone call should be made PRIOR to the start of the clinical day.
EXCESSIVE ABSENTEEISM MAY RESULT IN FAILURE TO MEET CLINICAL COMPETENCY
STANDARDS, WHICH MAY RESULT IN AN INCOMPLETE OR FAILING GRADE.
CLINICAL ATTENDANCE POLICY
1. Respiratory Care students shall attend all clinical days as scheduled. Attendance records shall be
maintained by students in DataArc and validated by the clinical instructor daily. A daily evaluation
will be kept by the instructor.
2. Absence/Tardiness: The student will obtain a clinical contract to be given to the instructor prior to
the beginning of the shift. Absences shall be made up by the student prior to the beginning of the
next semester. Clinical make-ups will be during the week of finals. Greater than four (4) absences
during one semester may be cause for either an “incomplete” grade or action toward dismissal.
Extended absences due to illness may require physician documentation for continuance in the
program. If you are required to attend court on a clinical day this will not be counted as a clinical
absence. You must bring a copy of the court document showing you were in court that day.
3. Cancellation: In the case of cancellation due to snow or hazardous conditions, the following policy
applies: If Massasoit Community College is in session, then clinical is in session. Cancellation of
Massasoit Community College classes serves as cancellation of clinical instruction as well. Students
should listen to local radio stations to learn of cancellations. If it begins to snow during clinical
time, it is at the instructor’s discretion to dismiss clinical.
55 4. Absence due to extenuating circumstances. The Program Director/Director of Clinical and Clinical
Instructor will evaluate on an individual basis those absences which are the result of extenuating
circumstances; i.e., jury duty, military duty, bereavement, etc.
5. Students must be able to demonstrate competency in a wide variety of respiratory care skills in order
to meet the requirements for graduation and eligibility for examination by the NBRC. To this end,
the Respiratory Care Program has a system of clinical competencies that must be successfully
completed by the student. These competency skills are found in the Laboratory book and on
DataArc.
6. Competency Testing is scheduled only by the clinical instructor and is not administered on demand.
Clinical Competency is awarded based on the professional judgment of the evaluation which is
administered by the instructor. The instructors have been evaluated so that there is evidence to
support intra-rater reliability.
7. Outside appointments should not be scheduled during clinical time.
With regards to the identification badge, Massachusetts General Law Chapter 112, section 23 V
allows the practice of respiratory care by "any person pursuing a supervised course of study leading to a
degree or certificate in respiratory care as part of an accredited and approved educational program, if the
person is so designated by a title which clearly indicates his status as a student. An employment
identification badge does NOT satisfy this statutory requirement.
Students are not allowed to carry personal pagers or cell phones. In the event that an urgent issue or
emergency arises, and the student needs to be contacted, the Respiratory Care department should be
called and the clinical instructor will be paged. The contact information will be provided by your clinical
instructor.
Due to the close professional relationship that Respiratory Therapists have with patients, upon which the
success of the therapy often depends, smoking paraphernalia, gum, candy, or other personal items
should not be brought to the patient care area. Students are required to refrain totally from smoking
while in clinical because some noxious odors such as cigarette smoke that may linger on clothing or
heavy perfumes/colognes can be a trigger that may put some patients into acute bronchospasm and
respiratory distress. Hair color and styling must be conservative (i.e. not blue, green unnatural red etc).
Extreme hairstyles and colors are inappropriate.
All participants in Clinical Experience are required to bring a stethoscope, a watch with a second hand,
and the competency packet to each clinical day. Students will be sent home and not permitted to
participate in the clinical experience if any portion of the clinical uniform is missing. This absence from
the clinical experience will have an impact on the student's standing in the course and the program.
56 STANDARDS:
Students must maintain a consistent record of attendance so that the appropriate number of hours can be
completed. Students who do not have a complete health record documentation in a timely fashion may
be required to withdraw from clinical and the program.
The student must perform to a "PASSING" level for each objective of each unit; a 75% level for each
unit, and a 75% level for each clinical experience course.
In order to receive a PASS, the student must consistently perform the objective according to the
accepted procedure of the MCC Respiratory Care Program and the clinical affiliate.
The student must be able to maintain and re-demonstrate, if necessary, passing performance on each
objective for each competency throughout all clinical experience courses.
The student must complete all units in a timely manner or risk suspension from clinical and/or the
program.
EVALUATION:
1. Each of the objectives of each unit will be graded on a PASS/FAIL basis after observation by the
clinical instructor or preceptor.
2. Each objective with an asterisk (*) will be evaluated with the use of a Clinical Procedure Check-Off
sheet.
3. The student must receive a "PASS" on an objective prior to performing that activity on a patient
except under direct supervision. Students who experience consistent difficulty with clinical skills will be
directed to the lab on the college campus for remediation. If the skill cannot be mastered and if clinical
time is missed, the student may be required to withdraw from the course and possibly from the program.
4. Students are expected to demonstrate "PASSING" performance on objectives previously "PASSED"
(i.e. from any previous clinical experience course). Unsafe performance will be handled appropriately,
including possible termination from the clinical course and/or the program.
5. The student will receive formal and/or informal feedback throughout the semester on his/her clinical
performance on the Student Appraisal Evaluation, DataARC or the “Academic/Clinical Warning form”.
6. The student must complete a daily CLINICAL Time In/Time out LOG in DataArc. This will give a
detailed description of his/her clinical observations and activities as well as providing appropriate
feedback to the Clinical Instructor. This log will validated by the instructor at the end of the clinical day.
7. A final score for each UNIT will be assigned at the end of the semester based upon the designated
evaluation methods. If a failing grade (<75%) is earned on the first attempt at that UNIT exam, students
may make additional attempts at that UNIT exam during the designated semester at the convenience of
the Clinical Instructor. The final score for that UNIT will be the initial score obtained. If a passing
score has not been achieved by the end of the semester for one (and only one) unit the student will have
till grades are posted to complete the unit.
57 8. Student will be given an incomplete (I) for that UNIT, which must be completed by the end of the
following semester.
9. If any UNIT is not completed during the designated semester, the student will receive a course grade
of "I" for that clinical experience course. {Note: I’s must be completed by the following semester or
they automatically change to a grade of "F" - see College catalog for full policy}
10. The course grade will be determined based upon the following evaluations:
Unit scores average (O, W*).....40%
Final simulation exam ............. 30%
Written quizzes (W) ................ 10%
Case study (CT)
………….10%
Research paper ………………..10%
11. Students who are returning to the program who have had an interruption in course sequencing will
be expected to demonstrate clinical competency by successfully completing a written and practical exam
based on the previous semester’s clinical competencies. Attendance in clinical will not be permitted
until competence is demonstrated.
DISHONESTY AND CHEATING POLICY
The Respiratory Care faculty strongly believes academic honesty and examination security are essential
to maintain the integrity of the entire community college, the Respiratory Care Program, course content,
student-faculty relations and very importantly, student morale.
College policy states that “academic dishonesty also includes, but is not limited to students giving or
receiving aid during examination or in completing laboratory assignments unless given explicit
instructions by the instructor.” This also includes discussion of examination content with or among
individuals who have not taken the examination.
The following guidelines will apply:
1. Students will be expected to take the make-up examination on the next class day.
2. Exam review will occur when all students have taken the examination. No instructor
will discuss any test content until all students have taken the examination.
3. The option for make-up examination is not guaranteed. It is the student’s professional
responsibility to be present for all assignments and examinations. The Respiratory
Care faculty will make the final decision if a make-up examination opportunity will be
granted.
58 4. If a student is ill, absences must be called in to the Respiratory Care faculty on the day
of, or prior to the examination.
5. Any students taking make-up examinations will receive a different test.
6. Students will be expected to take the make-up examination on the next scheduled class
day.
In addition, students should refer to the Discipline Policy in the student handbook which states, “The
College reserves the right to dismiss a student for disciplinary reasons when it considers such action in
the best interest of the College or student.”
The Respiratory Care Program follows the College policy on academic honesty. It is the student’s
responsibility to familiarize themselves with this policy which can be found in the College Student
Handbook.
POLICY ON FAILURE OF RESPIRATORY CARE COURSES
The passing grade in all Respiratory Care courses is 75 (C). Respiratory Care grades include both
theory and clinical practice. Clinical Experience grades are “Pass-Fail” (see below). Students must
“Pass” clinical experience and receive a minimum grade of 75 (C) in Respiratory Care Theory class in
order to take the next level of Respiratory Care course. Each level of Respiratory Care course
(RESP101, RESP102, RESP103, and RESP104) is a prerequisite to the next level.
Students who fail any Respiratory Care course cannot continue in the Respiratory Care program. If they
wish to stay at the College and take non-respiratory courses, they must change their program through the
Registrar’s Office. This involves going to the Admissions Office and filling out a change in Program
form. If a student wishes to repeat a failed respiratory course, he/she must request readmission to the
Respiratory Care Program through the Admissions Office. All applications for readmission to the
Respiratory Care program are on a space available basis.
Any student who has failed any respiratory care course twice, or withdraws failing from a second
respiratory care course will not be readmitted into the Respiratory Care program.
Students who fail will be seen by an instructor and receive a letter from the Department Chairperson,
which will indicate faculty recommendations any suggestions regarding career goals.
Any time that a student is judged to be a danger to him/her, patients, other students or professionals
while in the clinical area by his/her instructor, that instructor will temporarily terminate the student’s
clinical experience pending careful review by the department. Further action, up to and including
59 dismissal from the Respiratory Care program will be determined by the department and the division
dean. Students have the right to appeal the decision through the department and/or division dean. The
student grievance procedure is also available as an avenue of appeal.
CLINICAL EXPERIENCE
Clinical training at local hospital affiliates constitutes a series of four (4) academic courses which must
be completed in sequence with a passing grade. Clinical experience courses are subject to the same
policies regarding incomplete and failing grades as other Respiratory Care courses.
Because this is a competency-based clinical education system, students must successfully complete
published objectives prior to advancement to the next level of clinical experience. While at the clinical
site, students are subject to the rules and regulations of that facility regarding patient care. Any time that
a student is at clinical and is judged to be a danger to him/her self, patients, or co-workers, that student
may be removed from the clinical site. Action up to and including dismissal from the program may
result due to dangerous behavior at the clinical site. Students have the right to appeal such decisions.
60 POLICY ON INCOMPLETE GRADES IN RESPIRATORY CARE COURSES
Respiratory Care courses must be completed with a grade of C (75) or better prior to advancement to the
next level course (e.g. Respiratory Course RESP101) must be satisfactorily completed prior to
admission to Respiratory Care II (RESP102).
Students receiving a grade of INCOMPLETE for a Respiratory Care course must complete the course
work prior to advancement to the next level course. Students who do not make up the INCOMPLETE
grade prior to the start of the next level of courses may complete work during the following semester but
will be dismissed from matriculation in the Respiratory Care Program. It is the student’s responsibility
to withdraw from the Respiratory Care Program. Upon completion of the INCOMPLETE grade, the
student must reapply for entrance into the Respiratory Care Program. Reapplication is done through the
Admissions Office, and acceptance is on a space available basis. Students thus readmitted will resume
the normal progression of course work.
CASE STUDY OUTLINE
The case study should be organized into three parts: the classical manifestation of the disease; the
patient's manifestation of the disease, and the comparison of the two manifestations.
I. Classical Manifestations
A. Etiology and pathology
B. Clinical manifestations
C. Radiology and laboratory findings
D. Treatment
II. Primary Disease (patient)
A. Pathogenesis (etiology) and pathology
B. Clinical manifestations
C. Radiography and laboratory findings
D. Treatment
III. Case Presentation (Compare the patient's case to the classical)
A. Admission history and work-up
B. Clinical course
1. pre-mechanical ventilation
2. during mechanical ventilation
a. drugs and their actions
b. laboratory work
c. rationale for treatments
C. Short-term goals
D. Long-term goals
E. Conclusions
61 CELL PHONES AND USAGE OF SOCIAL MEDIA DEVICES
The following are the policies for usage of social media devices for clinical experience and in the
radiology classroom.
Classroom: Please put your cell phone on vibrate during scheduled class times. Infraction of the policy
by a student may be cause for the instructor to ask the student leave the class. At no time should a
student use a cell phone for texting messages during lecture or lab. All other social media devices are
prohibited. Please see individual course syllabi for faculty policy on possession of social media devices
during examination periods.
Clinical Experience: At no time should the student use cell phone devices for making calls and the cell
phone should not be on to accept incoming calls. Also, a student should not use their cell phone for text
messaging during clinical time. The student is responsible for giving his/her family members the number
of the clinical site in case of an emergency situation. All other social media devices are prohibited.
Infractions of these policies and/or activities or any other policies and/or activities deemed
unprofessional or non-conducive to proper patient care may result in disciplinary action, removal from
the clinical site, and/or dismissal from the program.
The first infraction of this policy will result in dismissal from clinical for one day with a full make-up
day and the second infraction will result in dismissal from the program.
At no time is the usage of texting a means to communicate with your clinical instructor or
program faculty member.
62 RESPIRATORY CARE PROGRAM
DEBRIEFING/REFLECTION LOG
Name:
Date:
After completing a clinical day, spend a few moments reflecting on your experiences and observations.
Take a couple of minutes to respond to the following questions. Be prepared to share your experiences
with the other students.
1. What is the ONE most important thing that you experienced today?
2. What remains unclear from today's experience?
3. Which medical terms or phrases did you learn today?
5.
Other (Additional Comments/Notes)
63 CLINICAL INSTRUCTOR INSTRUCTIONS FOR COMPETENCIES
Note: Student Competency Evaluations can be accessed by entering the DataArc system as a clinical
instructor or from the student navigation page. Since these are evaluation forms, however, “they can
only be submitted by clinical instructors”. If accessed from the student navigation page submission
requires the name and password of the clinical instructor.
PDA Users: For those of you who are entering data using Pocket Devices you will notice that the pocket
version of the competencies is a shorter version that contains only eight questions related in general to
the major categories of competency performance. This shorter version reflects the limited visual space
on the pocket devices and is meant to guide clinical instructors through the evaluation process. It is the
responsibility of the program to determine the depth of the evaluation and whether short and/or long
forms are required.
1. Log in to DataArc using your log in name and password From the clinical instructor navigation page find Competencies and select “Add” 2. Competency Table: The “Add” function above brings up a Table of 9 different areas or categories from which competencies can be selected. The different areas reflect the different age related procedures and the special equipment associated with them. 64 3. Select Competency: Selecting an Item from the table above will pull up a “List” of competencies. Select the appropriate competency from the list. 4. Competency Evaluation Form: Fill in the required general information at the top of the form: 1) select the student from either the complete list or from the cohort list; 2) select the clinical site; 3) select the appropriate area; 4) the data is defaulted to the current date but may be altered; 5) add in text descriptions of any special conditions or equipment as needed. 5. Evaluation: Select the appropriate evaluation for each of the questions. Note the drop downs are defaulted to satisfactory to increase the efficiency of the data entry. The bottom of the form labeled REQUIRED: “Summary Performance Evaluation” must be filled in prior to submission. Definitions for the different levels of performance are provided. 65 6. Confirmation Page: Once the competency is submitted the system will generate a confirmation page verifying the information that was submitted to the database. This report confirms communication with the remote server and successful data entry. 7. Competency Reports –see separate section on reporting Functions Clinical Instructor: Daily Log Instructions The navigation page contains several different daily log functions: there are three different logs representing the therapeutic variations associated with the three different age groups –adult, pedi and neo. These have been designed to allow programs as much curriculum flexibility as possible and to assist programs that have developed specialty tracts. In addition the daily log contains a section for reporting the student physician interaction. Ordinarily student physician interaction is recorded as part of the daily log, however, there may be circumstances when physician interaction occurs separate for the clinical rotation setting; under these conditions you may prefer to use the standalone physician interaction system. Several different types of reporting formats are available including reports for each of the separate daily logs as well as an option that collates the information for “All Daily Logs”. The summary reports provide a numerical total all of the procedures associated with a specific daily log (adult, pedi, or neo) and the separate summary report under Physician interaction sums all types of physician interaction together. Note: Students generally fill out their own daily logs and then request instructor verification prior to entry. If data is submitted without instructor verification the data is still recorded in the database and the clinical instructor can validate the data at a later time. All records are color coded to reflect their verification status (valid or not yet validated) Clinical Instructor Daily Log Functions The clinical instructors (CI) primary role in using the DataArc system is to validate student daily log records and to evaluate students clinical skills using the competency evaluation system. Validation Methods: 1) Student fills out daily log and the instructor views the record on desk top computer prior to submission –requires instructor name and password prior to submission; 2) instructor again enters the system, has the student fill out the log and then the instructor submits the data; 3) CI performs daily log standard search to find not yet validated student log and validates the record. 66 Note: The student may provide a paper log validated with the signature of the CI. The Director of Clinical Education (DCE) or program faculty can then enter the data into the database. Validation #1) Student fills out daily log and CI validates. CI: verify appropriate field information is completed at the top of the log: Clinical Instructor, Clinical Site; Patient & Area; Date; Significant Experience-­‐Text box Validate Student-­‐Physician Interaction Confirm appropriate time selection; Evaluate written description of student-­‐physician interaction for appropriateness and compliance with HIPPA. 67 Verify Student Daily Log Procedures based on number and type of participation (Observed, Performed with Assistance, and/or Performed Unassisted) Submit Validated Daily Log Record CI must enter correct name and password that matches the CI selection at the top of the page Database Confirmation of Validated Daily Log Entry. Once a database record has been successfully recorded in the remote server the system generates a confirmation response. Validation #2) Instructor enters the system, has the student fill out the daily log and then the instructor submits the data. 68 Same validation steps as above for general information, however, this time the system automatically recognizes the clinical instructor and does not require the log on name and password prior to submission. Validation #3) CI performs daily log standard search to find not yet validated student log and validates the record. Select Standard List Report from main navigation page 69 Follow Stepwise Instructions to define your search. Step#1 Select a cohort or an individual student Step #2 Date is optional unless you need to narrow the search Step #3 Recommend using the default sorting option so that the report has the most recent record first. Step #4 Toggle the Not Validated option to see only those records that need validation. Step #5 Select Name or Date Report After the report appears –select any of the highlighted records to pull up the actual report. Review the Daily Log Record. If approved select the Validation Yes toggle button and then submit the form by using the update button at the bottom of the page. Validation Note: DCE or faculty adds Daily Log from paper record (validated by CI signature). 70 Reports –see separate section on reports Student Physician Interaction Note: Physician interaction can be entered in several different ways: a) generally you should enter your physician interaction as part of your daily log record; b) under some circumstances you might interact with physicians outside of the regular clinical setting (e.g. if you attended a special physician lecture as part of grand rounds during normal classroom hours); in these cases you can simply add a stand alone physician record c) if you are using the pocket device to enter records then the physician interaction is a separate function from the daily log. 1. Log into DataArc using your log in name and password From the student navigation page select “Add” from the appropriate daily log Or navigate to the Physician Interaction function and select “Add” 2. At the top of the “Add Physician Interaction Form” fill out the required data fields to identify where you are. 3. Identify which of the four different types of physician interactions that you have completed Patient Focused: An Interactive experience with a physician related to the management of the respiratory care of patients: Examples: Assist Physician during Bronchoscopy, Resuscitation, Intubation, Tracheostomy, Chest Tube Insertion Determine appropriate respiratory care-­‐eg -­‐Respiratory 71 Therapy Consults or Ventilator Management Tutorial: Interactive experience with a physician related to discussion of some aspect of respiratory care without patient interaction: eg Review of research article Discussion of respiratory procedures Small Group: Formal and informal presentations: Examples: Physician’s Rounds Pulmonary Conferences; Medical Director meetings with students; Case Presentations; If you have participated in more than one type of interaction during a day you may enter all of these Physician lectures interactions on a single log record. In the text box Large Group: Formal planed educational experiences: Examples: Physician Lecture series, Professional Conferences you should identify the physician with whom you had the interaction and describe the nature of the interaction; CAUTION: Please follow HIPPA guidelines and do not include any patient identifiers in the description of your student-­‐physician interaction 4. Select the appropriate time interval from the drop down 5. Add the Physician Interaction record 6. Confirmation page: Once the physician interaction record has been submitted you will receive a confirmation page verifying the information that you submitted to the database. This report confirms communication with the remote server and successful data entry. 72 Clinical Instructor Reports Clinical Instructors can generate reports for a number of different clinical functions including: 1) Time Clock; 2) Daily Logs; 3) Physician Interaction and 4) Competencies. Please note: In order to maintain compliance with legal access and reporting requirements, clinical instructors can only access data that they have entered for students under their supervision or data for which the student has selected them as the clinical instructor. Only the Program Director and the Director of Clinical Education have access to all student records. The reporting process begins with selecting the type of report that you want. There are basically two types of reports: List Reports that provide a table of specific records; the individual record is hot linked on the table. Samples of the three types of Standard List Reports are provided in the instructions below. In addition when you perform an on-­‐line search a snapshot of the report types are shown on the search page. As a clinical instructor the most likely use of the search function will be to find not yet validated logs for specific students. Any one of the list reports will provide a table with hot links to the individual records. Summary Reports –these are generally used to provide a tally or total for a specific parameter –e.g. the total number of physician contact points or the total number of times a given procedure has been performed. Data Base Searching The data base search process has been simplified for you by walking you through the process Step by Step. From a structural standpoint the data base contains all of the student records that are linked to your name. The searching process is simply a method for reducing the total number of records saved in the database to a specific subset of records that you are interested in. So for example, all searches ask you to select the time period over which you wish to search. If you select no time period you will get all of the records in the database linked to your name. For most of your searches you will begin by selecting a specific student from either a cohort or the general student listing. Next you will select one of the date options; use “Option 1” for example if you want to print out all of your daily log information for the last two weeks: select “on or after this date” and the beginning date two weeks ago. If on 73 the other hand you would like to print out all data for a given semester you would select date “Option 2” “beginning on” and “ending on” the specific semester dates. Custom searches are very similar to the list reports but give you a more complete list of search options. So for example if you wanted to limit your report to just validated records, or just adult patient areas, you may do so using the custom search options. Begin Search Enter. Clinical Instructor Navigation Table On the navigation page select the type of search you want to perform: List Reports Standard or Custon OR Summary Report Performing the Search Step #1 Select either a group of students or an individual student: Option 1: Select Cohort ___OR___ Option 2: Select Individual Student from Active Cohorts 74 Step #2 Select Search Dates: Option 1: Before, On, or After ___OR___ Option 2: Beginning to Ending Note: Small calendar pop-­‐up windows are available to help you identify specific dates Step #3 #4 For the most part you can leave these set for the default options of Newest to Oldest and “Both” Validated and Not Validated Reports See sample reports below Step #5 Select Report Option 75 Sample Reports –Name Report 76 Sample Reports –Date Report Sample Reports –Full Report 77 Custom Reports Custom reports are also list reports. The difference is that custom reports have more detailed search criteria. This allows you to narrow you report to provide more specific information. Step #1 The search criteria are similar in that you start first by selecting the student. 78 Step #2 Define the dates as you do in other Standard searches. Step #3 You may select as many options as you want to further narrow the search. Step #4 This step provides the options for the type of List report that you want to view. Step #5 Sorting options. The default setting Newest to Oldest is most commonly used. Custom Reports: Each of the custom searches results in tables with hot links to individual records just like you see in the list reports –see above Summary Reports: These reports provide a tabulation or sum of all the information from individual student or group records. For example the Daily Log summary tallies all of the procedures that have been performed over time and are linked to your name. 79 Searches for Summary Reports: The search criteria for summary reports are very similar to the steps in the custom searches; as before you start by selecting one of the student options followed by the date interval and then further narrow your search. Sample Summary Reports: At the top of the Daily Log Summary Report is a complete summative listing of all of the Physician Interaction records associated with your search criteria; so for example if you search on Adult Daily Logs you would only find the Physician 80 Interactions associated with the Adult Records. To find Pedi data you would need to search under the Pedi Daily Log. Sample Summary Reports Continued The second portion of the Daily Log Summative Report contains a table with the complete list of all the procedures a particular student or group of students under your supervision have performed. In many instances this report is used by the educational institution to verify that students have adequate clinical experience in performing each of the different types of respiratory care procedures. Also note that procedures or records in the red columns have not yet been validated by you as the Clinical Instructor. To find out which daily logs have not yet been validated return to the Standard List Reports, and perform a search over the appropriate time frame. Not yet validated records will appear in red on the report table. These records are hot-­‐linked so you can select them one at a time to validate the record if appropriate. Daily Log Summative Report 81 Setting the Internet Printer Options At the top of Internet Browser find the “Tools” drop down Menu select “Internet Options”. This will pull up a separate page titled “Internet Options”. Select the Tab labeled “Advanced” and then scroll down the menu options on the left hand side of the page until you find “Printing” Make sure that the box labeled “Print Background Colors and Images” is unchecked. Once you have completed this select “Apply” at the bottom of the page. Setting the Internet Font Size The Internet Font size affects how much information is displayed on each of your printed report pages. 82 You can adjust this to suit your needs by selecting the “View” option on the Internet Tool Bar. 83 SIGNIFICANT INCIDENT REPORT
STUDENT’S NAME
DATE OF INCIDENT
CLINICAL INSTRUCTOR
SITE
Please use this form to document any significant incident occurring in the Student’s Clinical Experience.
Incidents may be positive or negative. These reports will be kept confidential as part of the student’s
file.
Written Description of Incident:
I have had the opportunity to read and discuss this report
Student’s Signature
Date
COMMENTS:
84 CLINICAL MAKE UP FORM
DATE:
Dear
This is to inform you in writing that as of the above date that you have
to make up.
clinical days
This is a reminder that if this clinical time is not made up by the end of the semester, you will receive an
Incomplete. If the Incomplete is not completed by the beginning of the following semester, you will not
be allowed to enter the new semester.
Sincerely,
Martha DeSilva, M.Ed., R.R.T.
Respiratory Care Department, Program Director
Kathleen Wood, M.Ed., R.R.T.
Respiratory Care Department, Director of Clinical Education
MD/KW
I have read the document above and understand its content
Signed
Date
85 INTER-RATER RELIABILITY
The Committee on Accreditation for Respiratory Care’s “Standards and Guidelines” requires programs
to demonstrate inter-rater reliability among those individuals who perform student evaluations. Those
Respiratory Therapists who act as instructors at the clinical sites (preceptors) undergo training to ensure
evaluation of students is consistent, fair, timely, and assesses appropriate learning objectives.
Demonstrating inter-rate reliability involves having more than one evaluator assess a singular incidence
of student performance, using a specific evaluation instrument to measure consistent assessment among
those evaluators. This can be achieved by either live performance or by videoed performance. Each
preceptor should be annually assessed for inter-rater reliability, as well as the Massasoit Community
College Respiratory faculty.
The program offers preceptors the opportunity to assess student performance by video on the MCC web
page at
The student performance video can be viewed on that page by clicking the play button on the video
screen that appears at the top of the page. Clicking on the student evaluation form link (on that same
page) will bring up the form. When the form is completed, click on the “Submit” button and the
document will be sent to the MCC chairperson, who will report participation to hospital administrators
according to their requests. Preceptors should keep in mind that the performance is not intended to be
perfect, and the intent is to determine if all persons evaluating a student performance will do so equally,
given the same guidelines. If an evaluator’s assessment is outside the established norm, MCC faculty
can work with them to improve their understanding of the assessment process.
SAFEGUARDS
The health and safety of patients, students, and faculty associated with the educational activities of the
students must be adequately safeguarded. Massasoit Community College Respiratory Care Program
provides training in the following:
Infection Control Procedures
OSHA Guidelines
HIPPA Regulations
Safe Work Environment including Fire Safety, MRI Safety, Electrical Safety, and appropriate Body
Mechanics
Cultural Diversity
Students are expected to incorporate these concepts in their clinical, classroom, and lab activities.
The student shall fulfill all applicable OSHA requirements as required by the clinical affiliation.
86 CLINICAL EVALUATION (Student Progression)
Formative Clinical Evaluation
7. Purpose
To provide feedback for student learning.
B. Process
1. Daily Clinical Evaluations are completed by the clinical instructor (or preceptor) and reviewed with
the student to provide feedback regarding his/her progress toward achievement of expected clinical
outcomes. Patient Assessments, actual clinical performance, as well as, completion of procedural checkoffs are considered evidence of the student’s progress.
The DataArc forms are to be completed by the instructor and student by the end of the shift.
8. Continued lack of progress in the clinical area is considered to be evidence of established
behavior which may threaten patient safety.
9. Once a student has obtained clinical clearance, he/she must then show proficiency in clinical
practice, in the required competencies listed for that semester. The student will be allowed three
attempts in the
clinical setting*. After three attempts, if the student is unable to successfully show proficiency in any
competency the following will occur:
The student will be terminated from the currently enrolled Respiratory Care course
with a grade of F.
The terminal evaluation form will be presented and signed by the student, instructor, and
Program Chairperson.
The student must schedule an exit interview with the Program Chairperson when student options for
readmission will be discussed.
*Clinical guidelines regarding procedural assessment scoring
If at any time, either prior to a clinical check-off or following it, the instructor feels that the student
needs additional work on a particular procedure, he/she will refer the student to the Director of Clinical
Education for individualized lab and/or clinical practice. If the student continues to be unable to
perform the key elements of the procedure following individualized instruction, a meeting with student,
instructor, Director of Clinical Education, Program Director and the Dean of Nursing and Allied
Health.
10. At the end of each clinical semester the student will be evaluated through the use of the assessment
tool. In the final semester, this tool becomes known as the Summative Evaluation. These
assessment tools evaluate student performance in the cognitive, psychomotor, and affective domains,
using test scores, experiences, weekly evaluations, and other data that are pertinent to individual
semesters.
87 11. The student must pass a clinical procedural evaluation (Clinical Summation) at the end of the
clinical semester. He/she will be given two attempts to pass with a different instructor observing on
the second attempt. The grading scale is PASS/FAIL.
12. Clinical Incident Reports
13. Definition of Terms Relevant to Evaluation Process
Harm – detrimental effect (actual or potential)
Clinical Process – the decision-making, problem-solving process utilized by Respiratory Care
Practitioners in the provision of respiratory care. It includes the steps of assessment, respiratory
diagnosis identification, planning, implementation and evaluation (SOAP).
14. During each clinical learning experience the student is expected to exhibit the following
behaviors:
a. Administer medications without potential/actual harm to the assigned client(s).
b. Implement procedures without potential/actual harm to the assigned client(s).
c. Make Respiratory Care decisions without potential/actual harm to the assigned client(s).
When in the judgment of the faculty a student fails to meet expectations, and therefore
negatively impacts patient care, a Clinical Incident Report will be completed. A copy will be
given to the student and the original will be maintained in the student’s file.
The Clinical Incident Report is a safeguard for the client, student, and school. Faculty will
utilize the report to alert the student to behaviors, which could significantly jeopardize
patient safety and therefore should not be repeated.
15. Continued failure to meet expectations in the clinical area is considered to be evidence of
established behavior, which may threaten patient should not be repeated.
GUIDELINES FOR FINAL CLINICAL TESTING
Purpose of Clinical Testing
To determine satisfactory clinical performance prior to continuing to the next semester.
Time for Clinical Testing (Clinical Summation)
Once at the end of clinical rotation for each semester.
Setting
16. Location: Clinical Testing (Clinical Summation) will take place in a laboratory setting.
17. Time: The length of clinical testing will be approximately 2 hours.
18. Patient Selection:
88 The students will perform a patient scenario successfully on all designated competencies determined for
that semester. The students will have a minimal of 4 stations that must be successfully completed. The
students will also have to pass a written exam.
Instructor’s Role
19. The instructor will function in the role of evaluator.
The instructor will not ask or answer questions or assist with patient care.
20. The instructor will inform the student of those skills, which must be observed in entirety. Other skills
will be observed throughout the examination period at the instructor’s discretion.
21. Reassuring behaviors are appropriate and encouraged for the evaluator throughout the testing period.
However, no verbal or non-verbal cues may be given during student’s performance of skills.
22. The instructor will terminate the evaluation for unsatisfactory behaviors, which jeopardize the
patient’s physical and/or psychological well-being.
23. On completion of the clinical exam, the instructor will schedule a conference with the student to
review and sign the examination form.
24. The instructor may defer decisions about assessment to allow time for adequate review.
25. The instructor will confer with other faculty members when in doubt about any aspect of the exam.
If a decision cannot be made during the lab period, the instructor may defer a decision until other
faculty members can be consulted.
n Student’s Role:
26. The student is responsible for obtaining the assignment from the clinical instructor.
27. The student is responsible for making adequate preparation for the examination using appropriate
resources. Preparation for evaluation must be done outside scheduled clinical time.
n Guidelines
28. On the scheduled evaluation day the student will be evaluated using the Summative Evaluation form.
29. All behaviors selected by the instructor must be performed.
30. During clinical testing the student will be responsible for all of the skills that he/she has been taught
prior to the testing day.
31. If the student fails on the first evaluation day, one other opportunity with a different instructor will
be given. Failure on the second day will result in termination of the student from the currently
enrolled Respiratory Care course.
89 32. The student who fails the repeat clinical performance evaluation will receive an “F” as a course
grade.
33. The student who fails the clinical exam component will be so informed by the instructor, and will
then schedule a conference with the director of clinical education and program chairperson to:
Review performance record.
Be counseled by the Program Chairperson, Director of Clinical Education and the Instructor.
Review and sign the terminal evaluation form
Schedule an Exit Interview with the Program Director at which time they will discuss student
options in terms of the Readmission Policies and Guidelines.
STUDENT PROGRESSION
The student must complete all prescribed course work with a minimum grade of C in each Respiratory
Care courses.
Clinical Summation- The student must pass a clinical summation evaluation at the end of the Clinical
rotation. He/she will be given two attempts to pass with a different instructor observing on the second
attempt. The grading scale is PASS/FAIL.
DISABILITY ACCOMMODATION STATEMENT
“Students in need of classroom or testing accommodations are encouraged to contact Disability Services
as the beginning of each semester. For Brockton or Middleboro Campus, please contact Andrea Henry at
extension 1805 or Julie McNeill-Kenerson at extension 1426. For Canton Campus, please contact
Andrea or Julie at extension 2132.”
CLINICAL RULES AND REGULATIONS
1. The students AT NO TIME shall be used as staff at any clinical affiliation. The students may not
be substituted for clinical, instructional, or administrative staff.
2. Students will not complete any clinical coursework while in an employee status at a clinical
affiliation.
3. Instructors will not be paid by the Commonwealth of Massachusetts while being a paid employee
at a clinical affiliation.
90 FERPA
• Family Educational Rights and Privacy Act, 1974
• Protects the privacy of a student’s educational records
• Applies to all educational agencies or institutions that receive funds under any program administered
by the Secretary of Education
What are Educational Records?
• Records - handwriting, print, computer, videotape, audiotape, film, microfilm, microfiche or e-mail
• Contain information directly related to the student
• Are maintained by an agency or institution or party acting in its behalf
• KCTCS lists the following as records maintained by the colleges
• Academic records from schools previously attended
• Scores / results on standardized tests and interest inventories
• Degrees awarded
• Current academic work completed
• Grades and other faculty evaluations
• Applications for admissions
• Applications and other data related to financial aid
• Applications for employment
• Class rolls
• Letters of recommendation
• Academic advisor notes
• Attendance data
• Biographical and identifying information
• Medical data
• Current student status
• Accounts relating to fees
• Academic offenses
• Disciplinary offenses
• Counseling notes
When Can Information Be Released Without Student Consent?
The law allows disclosure without consent to:
• School employees who have a legitimate educational interest
• Other schools, upon request, in which a student is intending to enroll
• Appropriate parties in connection with financial aid to a student to determine eligibility, amount or
conditions of financial aid, or to enforce the terms and conditions of aid
• Parents when a student over 18 is still a dependent
• Certain government officials of the U. S. Department of Education, the Comptroller General, and state
and local educational authorities, in connection with an audit, authorized representatives of the U. S.
Attorney General for law enforcement purposes or state or federally supported education programs
• Individuals who have obtained a judicial order or subpoena
91 • School officials who have a need to know concerning disciplinary action taken against a student
• Appropriate parties who need to know in cases of health and safety emergencies when necessary to
protect the health and safety of the student and / or others
• State and local authorities, within the juvenile justice system, pursuant to specific state law
• Alleged victim of a crime of violence the results of a disciplinary proceeding with respect to that crime
• Parent or legal guardian of a student under the age of 21, information regarding any violation of
university policy or state, federal or local law, governing the use or possession of alcohol or a controlled
substance.
HIPAA
The Health Insurance Portability and Accountability Act (HIPAA) implemented in April 2003 added an
additional Federal regulation to ensure confidentiality of a patient’s medical information. HIPAA covers
information that may be transmitted verbally, in written format, and in electronic format. Because all
health care institutions are required to comply with the HIPAA regulations they must document training
of their employees in the HIPAA guidelines. Hospitals and other clinical facilities may therefore require
students who will be privy to confidential information to be trained in the HIPAA guidelines as well.
The respiratory care program will require all students to pass a HIPAA training module as part of the
RESP 1100 course. This training module will print a certificate of completion for the students file. It is
hoped this will satisfy the requirements of the programs clinical affiliates. However if a student is
required by a clinical facility to complete that facilities HIPAA training in addition to the training
received at the college the student must complete the additional training.
92 NATIONAL BACKGROUND CHECKS
To satisfy JCAHO requirements some clinical affiliates of the program may require students to undergo
a national criminal background check before accepting them for clinical rotations. The program intends
to use a company called Certified Background Check to furnish the required background check. The cost
for this background check will be $37.00 and is included in the fees students pay when registering for
their first semester in the program. The student signs a release form allowing Background Check to
conduct the check. Results of the check released to the program are limited to informing the program
that the applicant is “Clear”. In the event the report is not “clear” the student will be able to access the
report from Background Check and may possibly be able to clear up the record. Clinical facilities may
or may not accept students with prior convictions depending on the circumstances. The clinical facility’s
decision is final. Students should realize it is very likely all clinical facilities will have similar
requirements.
NON-DISCRIMINATION POLICY
Massasoit Community College is an affirmative action/equal opportunity employer and does not
discriminate on the basis of race, color, national origin, sex, religion or handicap status in its education
programs or in admission to, access to, treatment in, or employment in its programs or activities as
required by Title VI, Civil Rights Act of 1964; Title IX, Education Amendments of1972 and Section
504, Rehabilitation Act of 1973 and regulations promulgated thereunder; 34CFR part 100 (Title VI),
Part 106 (Title IX) and part 104 (Section 504).
THE FAMILY EDUCATION RIGHTS AND PRIVACY ACT
STUDENT ACCESS TO RECORDS
The Family Education Rights and Privacy Act (FERPA) provide the student with a right to privacy and
access to his/her school records. The Radiologic Technology Program will comply with this Act.
Access to student records is carefully controlled to maintain confidentiality. Students may view
records held by the Program Director during posted office hours in H 337. Students wishing to
view their records may do so by requesting access from the Program Director. Clinical records
held by clinical instructors may be viewed at a mutually agreed on time. MCC transcript records
may be viewed in cooperation with the Office of the Registrar.
College health and CORI records are confidentially maintained by the Division Dean of Nursing
and Allied Health.
Members of the site visitation team of the Joint Review Committee on Education in Radiologic
Technology will have temporary access to all records only during an actual onsite visitation. This
is for the purpose of accreditation only.
Student records will not be shown to anyone or mailed to any other institution without the
written consent of the student.
93 PREGNANCY POLICY
If during the course of a clinical practicum of the respiratory care program a student becomes pregnant
or thinks they may be pregnant the following policies designed to protect the student will apply;
-The Student will immediately let the program director and the clinical director know they are pregnant
or think they may be pregnant.
-The student will immediately let their clinical instructor or clinical preceptor know they are pregnant or
think they may be pregnant.
-The student voluntarily accepts any and all risks associated with continuing in the respiratory care
program while pregnant both to themselves and to the fetus.
-The student will comply with any and all safety precautions that may be required by the respiratory care
program or the clinical facility. This may include being assigned other duties than those initially
scheduled. These safety requirements may change as the student progresses through their clinical
rotations depending on the particular risks that may be associated with each particular clinical setting.
The student must comply with these changes whether given verbally or in writing even if they were not
initially included in the requirements given to the student. Because of the significant safety risks to both
the fetus and the mother associated with some aspects of the respiratory therapists daily duties the
program understands that some students may not want to subject themselves or their fetus to these risks
and may wish to withdraw from the program during this time. The program will allow these students to
reapply to the program and will grant preferential status to these student’s applications for the next class.
If a student has a baby during the school semester, the student must provide written documentation from
their physician stating that they are cleared to return to the clinical setting.
94 REFERENCE REQUEST
I, ______________________________________________ (Print Name) Hereby request that
__________________________ (Faculty Member) of the Massasoit Community College Respiratory
Care Program provide a reference to ______________________________________ (Institution) on my
behalf for the purpose of my application for Employment / Scholarship / Admission (please circle) at
the above listed institution.
I recognize that my educational records are confidential information and I hereby waive my privacy
rights, including but not limited to any rights pursuant to the Family Educational Rights and Privacy
Act, (FERPA) 20 U.S.C. §1232g(b)(2)(B), and grant my permission and authorize the above named
faculty member to release information about my educational performance in the Massasoit Community
College Respiratory Care Program including but not limited to grades, evaluations, clinical
competencies, behaviors and attitudes as appropriate. This reference may be provided orally and/or in
writing. I further agree that this authorization will be valid only for the specific request listed above and
may be provided only by the faculty member listed above. I understand that additional reference
requests on my part will require a separate authorization form, signed by me, for each reference
requested. This authorization may be revoked by me at any time by providing the above listed faculty
member with written notice that authorization to provide this reference is withdrawn. However, such
revocation will not affect any disclosures made by the faculty member prior to the receipt of such
written revocation.
_________________________________________________ (Signature)
_________________________________ (Date)
95 REMEDIATION
The following forms are used by the Respiratory Care Department for remediation of academic, clinical
or professional deficiencies. Completed forms are kept in the student’s secure file.
*Mandatory Remediation Plan
Academic
1. Student is identified by course faculty for *mandatory remediation referral.
a. Any student scoring < 75% on a course exam will receive a mandatory remediation referral.
b. The course instructor will review this policy describing the Mandatory Remediation plan, and have
the student sign and date the acknowledgement statement at the end.
c. The student will meet with the course instructor, and the Course Content Action Plan section will be
developed in collaboration with the course instructor with follow-up dates delineated. This action plan
may include one or more of the following:
i. Individual review of failed exam with course instructor.
ii. Attendance at group tutoring sessions.
iii. Additional assignments to enhance comprehension of material.
d. The student will be given a copy of the Remediation form with the Course Content Action Plan
completed.
e. The General Remediation Action Plan section will be developed in collaboration with the student with
follow-up dates delineated. This action plan may include strategies for improvement in one or more of
the following areas:
i. Test taking skills
ii. Evaluation of work hours
iii. Personal Issues
iv. High Risk Identifiers
v. Additional factors identified through discussion with the student
2. Actions must be completed by dates identified.
3. Completed remediation plan with all actions completed must be signed by the student and course
instructor for final sign-off by the date specified.
96 4. A copy of the completed remediation plan will be given to the course instructor, and a copy will be
maintained in the student file.
Clinical
1. Student is identified by clinical instructor for mandatory remediation* referral.
a. Any student with unsatisfactory performance in clinical will receive a mandatory remediation referral.
b. Clinical instructor will consult with Director of Clinical Education.
2. Student will meet with clinical and/or course faculty to develop a collaborative
Clinical Action Plan.
a. The action plan may include strategies for improvement in one or more of the following areas:
i. Clinical skills
ii. Critical thinking
iii. Time management
iv. Additional factors determined through discussion with student.
3. Actions must be completed by dates identified.
4. Action plan must be signed by appropriate faculty as indicated.
5. Completed remediation plan will be maintained in student file.
*A MANDATORY REMEDIATION PLAN IS A FORMAL COURSE REQUIREMENT. FAILURE
OF THE STUDENT TO COMPLETE THE REMEDIATION PLAN AND OBTAIN APPROPRIATE
SIGNATURES BY THE DEADLINE DATES WILL RESULT IN COURSE FAILURE. I have read the
above policy on the Mandatory Remediation plan, and understand.
that failure to complete the action plan by the delineated dates will result in course failure.
_____________________
_______
Student Signature
Date
97 STUDENT ID CARD
Students, faculty and staff are issued a picture identification card. This identification card must be worn
at all times. If you are not wearing an identification card, you will not be allowed on the premises. The
ID card is also needed for voting in Student Government elections. College ID may be worn only by the
person whose name appears on the ID. Intentional misuse or alteration of the ID is prohibited. At the
clinical site the student must display the Massasoit Community College student ID card at all times. This
is done to ensure that patients clearly understand the difference between a student, who is not given
monetary remuneration for time spent, from an employee. In the event that a student is expelled or
suspended from Massasoit Community College , the student must immediately surrender his/her
Massasoit Community College identification card to the Campus Dean.
STUDENT SERVICES
Advisement and Counseling Center
The mission of the Advisement and Counseling Center is to offer comprehensive support services that
help students obtain their educational, career, or life goals and facilitate their growth and development.
Counselors welcome the opportunity to discuss with students any topics that may contribute to a more
satisfying college experience. Students who come to the Center commonly receive support in the
following areas:
• Career information / counseling
• Academic advising
• Transfer information / counseling
• Personal counseling
Career Information & Counseling
Choosing a career can be an easy task for some students, while for other students the task can seem
overwhelming. No matter which perspective a student may take toward career decisions, the
Advisement and Counseling Center is an invaluable resource for any student needing career information
and exploration. Counselors collaborate with students in their career decision-making processes, and
may help them assess their career interests and values, select a program of study as it relates to a career,
and research specific careers and their outlook in the workforce. There are numerous tools that
counselors may employ when working with students regarding career and may include:
• DISCOVER Career Guidance Software
• Career Assessments & Inventories
• Career Library
• Career-related websites
• “Choosing a Major” (PowerPoint)
98 PROGRAM ORIENTATION
Freshman -
All students are introduced to the Student Handbook, Syllabus, Policy Book, HIPAA,
Health Form Requirements, Clinical Handbook, and DataARC. Freshman students will
remain on campus for Preclinical Laboratory (see Preclinical Laboratory Manual). This
allows the students and instructors to become familiar with the program and each other.
A Preclinical Laboratory Schedule is followed to assure that all aspects of the program
are covered. Once all preclinical requirements are met, the students proceed to their
clinical assignments.
Seniors -
All seniors spend the first week of the new academic year reviewing the Student
Handbook/Policy Book/DataARC and providing documentation on competencies. Any
new policies are reviewed with all students. Health forms and HIPAA requirements are
covered.
99 SECURITY
Health Forms
Massasoit Community College Respiratory Care Program assures that all of the Student’s Health forms
are kept in a locked file cabinet in the Administrative Assistance Office (H 554). Any student may
request access to their folder at any time by contacting either a Program Official or an Administrative
Assistant. Once a student graduates, the Health Form will be mailed to them.
National Background Checks
Students attending Massachusetts General Hospital must complete a National Background Check which
is done by Certified Background. All information received by the college is given to the CORI officer.
This information is confidential and is kept in a secure locked location. Any student who wishes to
review their report must make an appointment with the CORI officer for viewing. A copy can be
provided if requested.
CORI/SORI
All students must complete a Massachusetts CORI/SORI check; this is done at the beginning of each
academic year. All students must meet with Administrative Assistant to provide documentation of
picture identification and fill out the CORI/SORI form. After all forms are submitted they are reviewed
by the designated CORI Officer. All reports are confidential and are kept in a secure and locked area. If
there are any issues, a student will receive a copy of the report and will meet with the CORI officer if it
is required.
Student Academic Information
All student academic information is kept in a secure location in one of the Program Officials office.
Students may at any time request to see their information. All student academic information will be kept
for seven years for accreditation purposes.
Personal Property
All students will be provided with a secure area to place their personal property while at the clinical site.
The students are reminded to follow the hospital safety protocol while in the clinical area. The hospital
cannot be responsible for theft. All students will be provided a safe area to park while in the clinical
area. The students must follow the parking protocol for each affiliate. This may mean parking in a
designated area off the hospital grounds. All are required to follow the policy in regards to parking for
each clinical site. These policies will be discussed during the orientation to the clinical site.
100 OFFICE SECURITY
•Your protection and protection of your property starts with your willingness to take a few simple steps.
•Keep your purse, wallet, or other valuables with you at all times or lock them in a drawer or closet.
•Lock your office door whenever you leave.
•Cash left on your desk or in an unlocked drawer is a great temptation to thieves.
•Request authorization from persons asking for confidential information or from delivery or repair
people who want to enter an area restricted to employees.
•If you are responsible for office keys, don't leave them on your desk or in the top drawer where they
could be taken or copied.
•Give keys only to those who have a legitimate need and make sure they are returned.
•If keys are lost or stolen notify the Massasoit Police Department immediately at (508) 588-9100 ext
1041.
SECURE YOUR LAPTOP
• Never leave your laptop unattended, even for a moment.
• Be certain to back up all important data daily. Remember the hardest thing to replace when a laptop is
stolen is the data.
• Protect your data and access to your computer with strong passwords.
• Do not leave your laptop in your vehicle; If you must, secure it in the trunk.
• Secure your laptop in your office or work area in a locked closet or cabinet.
• Consider installing a theft recovery tracking device on your PC. If it is lost or stolen you have a greater
chance of recovery. Such as Laptop Lo-jack, Locate My Laptop, Gadge Trak, Laptop Cop, etc.
• Other anti-theft devices can be purchased at any local computer store.
SAFEGUARDING YOUR CELL PHONE
Keep details. Make a record of all your phone information and keep this in a safe place. Include the
following elements in the information:
Use the security lock code, or PIN feature, to lock your phone. This will make it less valuable to a thief
and deny them access to personal numbers stored on your SIM card.
Register your phone with your network operator. If your phone is stolen, report the loss to them
immediately. Using your IMEI number, they may be able to block your hand set and account details.
Some wireless carriers are willing to do this, and some aren't. If done, this will prevent anyone from
using the phone across any network, even if the SIM card is changed.
•Keep in mind that once the phone is disabled, it may not be able to be used again, even if you get it
back.
•Keep records of this call--the date, time, name of the person you spoke to, what they said, and their
extension. Ask for confirmation in writing that your phone has been disabled. This is important in case
the thief makes fraudulent charges on your account.
101 Have your phone number disabled. In addition to reporting your phone lost or stolen, you should also
disable your phone number (not account) so that no further charges can be applied. This is in case the
thief figures out how to access your account through another hand set, or in case the carrier is unwilling
to block the handset. Remember that, as mentioned earlier, many thieves stand to benefit from using
your service rather than selling your phone, especially between the moment they steal it and the moment
you realize your phone is missing.
As in the previous step, keep detailed records of when you requested your account to be disabled. Install
anti phone theft software. There are suppliers that provide modern anti theft software for your phone.
The software enables you to remotely contact your mobile and stay in control. For example, one of the
recently published solutions for Symbian and Android is Theft Aware, others provide Windows Mobile
or Blackberry support.
Never let the phone get out of your sight.
102 STUDENT GRIEVANCE PROCEDURE
MASSACHUSETTS COMMUNITY COLLEGES
Revised 2013
POLICY GOAL: CONFLICT RESOLUTION
Before invoking the Student Grievance Procedure, a reasonable effort shall be made by those involved in a
dispute to resolve it amicably. A dispute is most effectively handled and resolved by those closest to the problem,
having the best understanding of the issues, and having the ability to formulate a mutually acceptable resolution.
Therefore, it is in the best interest of the student, the potential subject of a Grievance, and the College to resolve
disputes through open and cooperative dialogue. Only when such efforts are unsuccessful should the Student
Grievance Procedure be invoked. Throughout all phases of the Student Grievance Procedure, all reasonable
efforts shall be made to maintain confidentiality in accordance with applicable law.
DEFINITIONS
1)
COMPLAINT: the informal, unwritten stage of an allegation of mistreatment.
2)
DAY: as used in this policy, shall mean a calendar day.
3)
GRIEVANCE: a written grievance filed by a student with the person designated by the President as the
Student Grievance Officer specifically alleging an abridgment of his or her rights as a student.
4)
GRIEVANT: the student filing the Grievance. The Grievant must have been a registered student of the
College at the time of the alleged mistreatment.
5)
INSTRUCTIONAL PERIOD: the academic semester, summer session or intersession when a grievable
act or omission occurs. The Instructional Period shall end on the last day of final exams.
103 6)
RESPONDING PARTY: the person against whom a complaint or Grievance is directed.
7)
SENIOR OFFICER: senior level employee who reports to the President for the Responding Party's work
area.
8)
STUDENT GRIEVANCE OFFICER: a College employee assigned responsibility for administering
the Student Grievance Procedure, including the maintenance of specified records. The Student Grievance
Officer shall ordinarily be the Senior Student Affairs Officer. If this individual is the person against
whom the Grievance is filed, the President shall designate another College official to act as the Student
Grievance Officer.
9)
SUBSTANTIAL EVIDENCE OF ERROR OR INJUSTICE:
substantial evidence of error or injustice is defined as:
for purpose of Grade Appeals,
a. The assignment of a course grade to a student on some basis other than performance
in the course; or
b. The assignment of a course grade to a student by resorting to unreasonable standards
different from those which were applied by the same instructor to other students in
that course; or
c. The assignment of a course grade by a substantial, unreasonable and unannounced
departure from the instructor’s previously articulated standards.
10)
TIME: the number of days indicated at each level shall be considered as a maximum. All reasonable
efforts shall be made to expedite the process, but the President or his/her designee may extend the time
limits in extenuating circumstances with notice to both parties in writing, or by mutual written agreement
between the Grievant and the Responding Party.
UTILIZING THE STUDENT GRIEVANCE PROCEDURE
The Student Grievance Procedure may be used by a student to address alleged abridgment of the student's rights,
as stated in the College's Student Handbook and/or Policy Guide. The student Grievant or the Responding Party
may consult with the Student Grievance Officer at any time. The College's Student Grievance Officer is the Dean
of Students.
The Student Grievance Procedure may not be used to address allegations of discrimination, including sexual
harassment. When a student believes that he/she has been discriminated against due to his/her race, creed,
religion, color, sex, sexual orientation, gender identity, age, disability, veteran status, genetic information or
104 national origin, the College's Affirmative Action Grievance Procedure is a mechanism for resolution. The
College's Affirmative Action Grievance Procedure is contained in the College's Affirmative Action Plan. Contact
the College’s Affirmative Action Officer. If a Grievance involves a grade dispute, a student shall process the Grievance in accordance with the Student
Grievance Procedure. However, if a grade dispute raises issues of discrimination or sexual harassment, the
Grievance should be processed in accordance with the College’s Affirmative Action Grievance Procedure and the
Affirmative Action Officer shall conduct the process in collaboration with the Senior Academic Officer or
designee.
Claims of physical or sexual assault shall not proceed under the Student Grievance Procedure. A claim of
physical assault alleged against a student shall be reported to the Code of Conduct Officer. A claim of physical
assault alleged against an employee shall be reported to the Human Resources Office. In both cases, law
enforcement authorities shall also be notified. A claim of sexual assault shall be reported to the College’s
Affirmative Action Officer and/or Title IX Coordinator and law enforcement authorities and shall proceed under
the College’s Affirmative Action Plan. In matters involving physical or sexual assault, alleged victims are
strongly encouraged to independently report the incident to the law enforcement authorities. The College’s
Campus Police/Security Department can assist with the reporting process.
At any Level of the Student Grievance Procedure, either party may request mediation by contacting the Student
Grievance Officer. Mediation shall be mutually agreed upon, and not unreasonably refused by either party. The
Student Grievance Officer shall select an impartial mediator who shall be mutually agreed upon and not
unreasonably refused by either party, make the arrangements, determine the timetable for the mediation process,
and inform the parties of the timetable in writing. Where practicable, a mediation session shall be conducted no
later than thirty (30) days after requested and agreed to by the parties. The purpose of mediation is to resolve the
dispute to the satisfaction of both parties. If a mediated resolution cannot be achieved, the Grievant may proceed
with the Grievance Process. The Grievant has the right to be accompanied by any advisor of his/her own
choosing and at his/her own expense throughout the grievance process. The advisor may be an attorney. An
advisor’s role is limited to personally advising the Grievant only. An advisor is not permitted to participate
directly in any aspect of the grievance process.
Except for under extenuating circumstances, as determined by the President or his/her designee, failure by a party
to comply with the Student Grievance Procedure during the course of a Grievance may result in the waiving of the
noncompliant party's rights under the Procedure.
GRADE APPEALS
Complaints or Grievances filed in connection with assigned grades represent a special case within the Grievance
procedure. Grading reflects careful and deliberate assessment of a student's performance by the instructing
105 professional(s). As such decisions are necessarily judgmental the substance of those decisions may not be
delegated to the Grievance process. Nevertheless, the College recognizes that in rare cases the process of grading
may be subject to error or injustice.
Except as otherwise provided by a separate appeal procedure for a clinical program as approved by the President
of the College, a student who alleges an error or injustice in the grading process may file a Grievance under the
Student Grievance Procedure. A grade appeal Grievance shall proceed no further than Level Two, Step Two. For
purposes of a grade appeal, the Senior Academic Officer of the College, or his/her designee, shall serve as the
Student Grievance Officer throughout the grade appeal process.
If the faculty member who assigned the challenged grade is no longer employed by the College or is not available
within the timelines specified (see "Time" definition), the student may initiate his/her Level One complaint with
the chief administrator of the appropriate instructional division (who shall be identified by the Senior Academic
Officer).
If at any level substantial evidence of error or injustice is produced, the grading process may be remanded to the
instructor of record for reassessment. If after reassessment, the dispute remains unresolved, the matter shall be
referred to the Senior Academic Officer, or his/her designee, for final review. If the instructor of record is no
longer available, the Senior Academic Officer or his/her designee shall instead reassess the grading process.
LEVEL ONE - INFORMAL PROCEDURE
This is the informal stage where most complaints are resolved. The Grievant and the Responding Party should
consult with the Student Grievance Officer at this time.
A Grievant initiates the informal phase of the Grievance process. The Grievant shall first present his/her
complaint orally and informally to the Responding Party. This shall be done in a reasonable period of time, not
exceeding thirty (30) calendar days following the instructional period when a grievable act or omission occurs.
The Responding Party must respond to the Grievant's complaint within ten (10) days. Though this phase of the
process is informal, the parties may present their positions in writing. If the matter is not resolved informally
within ten (10) calendar days from the date a response to the complaint was due, the Grievant may proceed to
Level Two.
LEVEL TWO - FORMAL PROCEDURE
Prior to filing a written Grievance at Level Two, a Grievant must consult with the Student Grievance Officer. The
Responding Party should also consult with the Student Grievance Officer at this phase of the process.
106 L2 - STEP ONE
The Student Grievance Officer shall notify the parties in writing when a complaint is not resolved informally at
Level One.
The Grievant may, within ten (10) calendar days after receipt of the Student Grievance Officer's written notice,
file with the Student Grievance Officer a Grievance. The Grievance shall contain the following information: the
name and title of the person(s) against whom the Grievance is directed, a statement of all known facts, documents
and materials supporting the grievance, a list of individuals who have information pertinent to the grievance, and
the relief sought by the Grievant. All supporting documents, if any, shall be attached to the grievance as part of
the Grievance. The Grievance shall also state the date it is filed and that it is being filed at "Level Two, Step
One."
The Grievance may be filed with the Student Grievance Officer by email, regular mail, certified mail, or in hand.
Thereafter, the Student Grievance Officer shall deliver the Grievance, and all supporting documents, if any, to the
Responding Party within five (5) calendar days. If the Responding Party is unavailable at the time the Grievance
is filed, the Student Grievance Officer shall use reasonable means to deliver the Grievance within a reasonable
period of time.
The Responding Party shall forward a written Level Two - Step One response to the Student Grievance Officer
within ten (10) calendar days of his/her receipt of the Grievance. The Student Grievance Officer shall deliver the
written response to the Grievant within five (5) calendar days of receipt.
L2 - STEP TWO (Supervisor Level)
If the Grievance is not resolved to the satisfaction of the Grievant within ten (10) calendar days after his/her
receipt of the Step One response, or if no written response is submitted, the Grievant may within ten (10) calendar
days after the written response was received or due, request the Student Grievance Officer to forward the
Grievance and response, if any, to the supervisor of the Responding Party, with a copy to the Senior Officer of the
work area of the Responding Party.
The supervisor shall investigate the Grievance and confer with the Senior Officer. The supervisor shall forward
his/her written decision to the Student Grievance Officer, within ten (10) calendar days after receipt of the Step
Two Grievance. Thereafter, the Student Grievance Officer shall deliver the decision to the Grievant and the
Responding Party within five (5) calendar days.
At any time before the issuance of the Supervisor's Step Two decision, the Senior Officer may request that the
parties meet to discuss the issue and attempt to resolve it.
107 Grade appeals do not go beyond this Step (Level Two - Step Two) per the section on Grade Appeals.
No new issues or allegations may be raised by either party after Step Two.
L2 - STEP THREE (Student Grievance Committee Level)
If the Grievance is not resolved to the satisfaction of the Grievant within the period allowed at Level Two - Step
Two, the Grievant may request a hearing before a Student Grievance Committee. Such a request must be in
writing and presented to the Student Grievance Officer within ten (10) calendar days from the issuance of the
Supervisor's Level Two - Step Two decision.
Within ten (10) calendar days of the Student Grievance Officer's receipt of the Grievant's request for a hearing,
the Student Grievance Officer shall arrange a hearing before a Student Grievance Committee. The Student
Grievance Officer shall use reasonable efforts to schedule the hearing at a time mutually convenient to the parties.
At least twenty-four (24) hours prior to the hearing, the Student Grievance Officer shall provide each member of
the Committee and all parties to the Grievance with copies of the Grievance, responses to the Grievance,
decisions issued, and all relevant supporting documentation and materials. The Committee's make-up and hearing
rules are discussed later in this policy.
The Committee shall deliver its findings and recommendations to the Student Grievance Officer within ten (10)
calendar days following the hearing. A copy of the Committee's findings and recommendations shall be delivered
to the President or his/her designee, within five (5) calendar days of receipt.
Within ten (10) calendar days of the President's receipt of the Committee's findings and recommendations, the
President or his/her designee, shall issue a written statement accepting, modifying or rejecting the Committee's
recommendations.
The decision of the President, or his/her designee, shall be final and binding on all parties.
MEMBERSHIP OF THE STUDENT GRIEVANCE COMMITTEE
The composition of the College's Student Grievance Committee shall consist of five members: one student, one
unit professional, one faculty member, one non-unit professional and one unit classified employee. The President
or his/her designee shall appoint each member from among the recommendations submitted by the Student
Grievance Officer.
Service on the Committee shall be voluntary, provided that a member who has a personal interest in a particular
Grievance shall be ineligible to serve on the Grievance Committee. All College employees serving on the Student
Grievance Committee, and acting within the scope of their official duties on the Committee, shall be protected
108 from liability to the full extent provided under Massachusetts General Laws, Chapter 258, and eligible for
indemnification as provided for pursuant to M.G.L. Chapter 258, Section 9.
All Student Grievance Committee members, as well as all others in attendance at a student Grievance proceeding,
shall maintain the confidentiality of the proceedings. The Student Grievance Officer shall attend all Committee
hearings but shall not vote.
STUDENT GRIEVANCE COMMITTEE HEARING & DECISION GUIDELINES
The following guidelines provide the framework for conducting a Student Grievance Committee Hearing:
1)
Prior to the hearing, the newly impaneled Committee shall meet to elect a Committee Chairperson. The
Chairperson shall be selected by a simple majority vote.
2)
The Chairperson on the Committee shall be responsible for conducting the hearing and drafting the
decision of the Committee, but shall vote only in the event of a tie.
3)
All hearings shall be closed and deliberations of the Committee shall be confidential and conducted in
private.
4)
The Grievant and the Responding Party shall be in attendance at the hearing. Each party may be
accompanied by an advisor at the hearing. The advisor, however, may not participate in the hearing or question
witnesses. Either party may at anytime during a hearing consult in private with his/her advisor.
5)
Witnesses may be asked by the Committee to remain outside of the hearing room until they are called to
testify.
6)
The Grievant will address the Committee first. The Grievant will state the nature of his/her Grievance
and may present relevant evidence and/or witnesses in support of the Grievance.
7)
The Responding Party may respond to the Grievant's allegations and present relevant evidence and/or
witnesses in opposition to the Grievance.
8)
Once the parties have presented their respective positions, the Committee may question the parties and/or
witnesses.
9)
After the Committee has questioned the parties, each party will be given the opportunity to question the
other party and their respective witnesses. All questions must be directed through the Committee. If the
Committee determines that a question is relevant to the Grievance, the party or witness to whom it is addressed
will be asked to respond.
10)
Following the parties' questioning of each other, the Committee will have another opportunity to question
the parties and witnesses.
11)
Hearings before the Committee shall not be subject to the formal rules of evidence. In all cases, the
hearing shall be conducted in a fair and impartial manner.
109 12)
If a party to a Grievance fails to appear for a scheduled hearing, the Committee has the discretion to
proceed with the hearing and issue its findings and recommendations in the party's absence.
13)
The decision of the Committee shall be based on the relevant evidence presented at the hearing. The
decision shall be in writing and include: a list of all documentary evidence and witnesses presented; a summary
of the testimony offered by both parties and their respective witnesses; the findings of the Committee and its
recommendations. Copies of the decision and recommendations of the Student Grievance Committee shall be
forwarded by the Student Grievance Officer to the President or his/her designee for review and final disposition.
The President or his/her designee shall accept, reject or modify the Committee’s decision and/or
recommendations and issue a final written decision.
14)
All findings and decisions reached under this Procedure shall be based on a “preponderance of
evidence” standard (i.e.; more likely than not). Any action taken hereunder shall be reasonable under the
circumstances, in accordance with applicable College rules and procedures and be grounded in fundamental
fairness.
WITHDRAWAL
A student may withdraw his/her complaint or Grievance at any time. Withdrawal must be accomplished in
writing or by oral agreement confirmed in writing.
RETALIATION
No member of the College community shall retaliate or threaten to retaliate against, interfere with, restrain, or
coerce any student in the exercise of his/her rights under the Student Grievance Procedure or his/her participation
in any Grievance proceedings.
COLLATERAL RIGHTS OF PERSON GRIEVED BY STUDENT
If the recommendations made at any level of the Grievance procedure result in sanctions against a college
employee, the sanctions shall be regarded as administrative actions subject to all conditions of applicable
collective bargaining agreements and College or Board of Higher Education personnel policies.
ALTERNATIVE FORUMS
Filing a Grievance in accordance with the Student Grievance Procedure in no way abrogates a student's right to
file a complaint with an appropriate state or federal agency or in another forum.
Last Revised: June 4, 2013
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