CLINICAL PRECEPTOR TRAINING MANUAL - mssu.edu · have gained. Your part in the education of...

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CLINICALPRECEPTORTRAININGMANUAL

5/09/19jed

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TableofContents

pg

MissionStatement 3

PhilosophyStatement 3

PurposeoftheClinicalPreceptorProgram 3

TheRoleoftheClinicalPreceptor 3

CriteriaforSelectionofaClinicalPreceptor 4

ResponsibilitiesoftheClinicalAffiliateandtheClinicalPreceptor 4

ResponsibilitiesoftheMSSU/FTCStudent 5

TheClinicalPreceptor/StudentInteraction 5

TheClinicalPreceptor 6

TheStudent 7

IntegrationoftheClinicalComponentsoftheRespiratoryCareProgram 8

FallSemester–ClinicalII(SecondYearStudents) 8

SpringSemester–ClinicalI(FirstYearStudents) 9

SpringSemester–ClinicalIII(SecondYearStudents) 10

TeachingStrategies 11

MSSU/FTCClinicalGuidelinesforStudents 11

GeneralAppearance 11

TobaccoPolicy 11

Parking 12

Absences/Tardies/InclementWeather 12

StudentExposurePolicy 12

SuspensionfromClinicalActivities 13

MSSUStudentForms 14

ClinicalLogForm 15

ClinicalEvaluationForm 16

StudentExposureandIncidentForm 17

PreceptorApplicationForm/Quiz 18-19

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MissionStatement

Themissionoftheprogramistoprovideanoutstandingeducationalprogramthatoffersstudentsanopportunitytodevelopknowledge,skill,andattitudesessentialforsafe,effectivepracticewithinthescopeofrespiratorycarepractitioners.

PhilosophyStatement

TheMissouriSouthernStateUniversityConsortiumforRespiratoryCareEducationbelievestheRespiratoryCarePractitionerisanessentialcomponentoftheoverallplanofhealthcarewithinthecommunity.Utilizingtherespiratorycareprocessastheconceptualframework,theprogramprovidesstudentswiththeopportunitytodevelopcriticalthinkingskills,bedsiderespiratorycaretechniques,andattitudesessentialforsafe,effectivepracticewithinthescopeofrespiratorycarepractitioners.Thestudent’sroleistoparticipateactivelyandresponsiblywiththerealizationthatlearningisacontinued,ongoing,lifelongprocess.Facultymembersareresponsibleforguidingthestudenttowardachievingessentialoutcomecriteriawhilemaintaininghighstandardsofrespiratorycareeducation.

PurposeoftheClinicalPreceptorProgram

Thepurposeoftheclinicalpreceptorprogramistoassistthestudenttomakeasmoothtransitionfromthestudentroletotheentry-levelrespiratorytherapistrolebyimprovingpatientcareskillsandreducingtheprobabilityofroleconflictuponentryintopractice.Inordertoaccomplishthis,itisnecessarytoprovidethestudentwitharealisticclinicalstaffexperiencetoallowthestudenttocareforvarioustypesofpatientsintheclinicalsettingreceivingdifferenttypesofRespiratoryCare,practicetreatments,planningandorganization,decisionmakingandprioritysettingskills,implementingrespiratorycareprocedures,developpatientmanagement,andtimemanagementskills.

TheRoleoftheClinicalPreceptor

You,asaclinicalpreceptorhavebeengivenoneofthemostimportantrolesintheeducationoffutureRespiratoryCarepractitioners.Eachclinicalpreceptorbringstostudentsasetofuniqueclinicalexperiences.Thesesharedexperiencescanaddatremendousamountofpracticalinformationtothestudent’sgrowingknowledgebase.Intheclinicalsetting,thepreceptorprovidesavitalbridgefromtheclassroomtothepatient.

Theclinicalpreceptorplaysmorethanonerolewhenworkingwithstudents.StudentsseeapreceptorasaTEACHER,whoimpartsknowledgeand/orskills;aLEADERwhoguidesthem;aTEAMMEMBERwhoisassociatedwiththeminajointeffortoraction;aROLEMODELwhosetsaprofessionalstandardforimitation;aCONSULTANTwhoadvisesthem;andlastbutnotleasttheclinicalpreceptorisviewedasaFACILITATORwhomakesgoodexperienceshappen.

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Everyoneatsometimeintheirtraininghasbenefittedfromexperiencedclinicalpreceptorsandallhavebeeninfluencedbytheirassociationwithclinicalpreceptorsduringtheirtraining.Younowhaveanopportunityasaclinicalpreceptortopassontheknowledgeandexperienceyouhavegained.Yourpartintheeducationofcompetentdedicatedpractitionershelpsensureabrightfutureforourprofession.

CriteriaforSelectionofaClinicalPreceptor

ApersonwhoisconsideredforselectionasaclinicalpreceptorintheRespiratoryCareProgrammust:

1. Expressinterestinworkingwithstudentsinapreceptorrole.2. Displayenthusiasm.3. Demonstratecommunicationskillsnecessarytoaccomplishteaching.4. MeetwiththeapprovaloftheProgramDirector,theDirectorofClinicalEducation,and

theDirectoroftheRespiratoryCareDepartmentinwhichtheywork.5. MaintainanactivestatelicenseinRespiratoryCareinthestateinwhichtheypractice.6. CompleterequiredpreceptortrainingtoassureInter-RaterReliability.7. Maintainaminimalratingofsatisfactoryontheemployeeevaluations.

AnapplicantforthepositionofClinicalPreceptormustfillouttheapplicationform.SubmittheformtotheDirectorofClinicalEducationatMSSU/FTCConsortiumforRespiratoryCare.AllpreceptorcandidateswillreviewtheClinicalPreceptorTrainingManual,takethepreceptorquizwitha>70%success,andpassanevaluationbyeithertheDCEoraclinicalfacultymemberforInter-RaterReliabilitywithathresholdof<2missedstepsandnocriticalomissionsonasimultaneouslyratedstudentcompetency.

ResponsibilitiesoftheClinicalAffiliateandtheClinicalPreceptor

1.ProvideclinicalexperiencefortheselectedstudentintheRespiratoryCareProgram.

2.CollaboratewithMSSU/FTCinappointingqualifiedpreceptors.

3.Appointanalternatepreceptorintheeventthattheregularlyassignedpreceptorcannotfulfilltheirdutiesduetoillness,vacation,etc.

4.Orientstudentstotheunittheyareassignedandshiftresponsibilities.

5.Directstudentstoclinicalsituations,whichwouldprovidestudentswithopportunitiestomeetgoalsandobjectives,increaseskillsandpasscompetenciesevaluations.

6.Actasaclinicalresourcepersonforthestudent.

7.BearolemodeldemonstratingresponsibleRespiratoryTherapistbehavior.

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8.Provideevaluationonthestudent’sbehavior,attitude,andskillsthroughtheuseofformsprovidedbytheMSSU/FTCRespiratoryCareProgram.

9.ConsultwiththeDirectorofClinicalEducationregardingobservedstudentbehavior,attitude,andskillsthatareunacceptablesuchas:

a.Contentorskillweaknessinagivenarea.

b.Behaviororattitudeproblemswhichintheopinionofthepreceptoris

counter-productivetoRespiratoryCare.

c.Lackoftechnicalcompetence.

10.NotifytheDirectorofClinicalEducationofanytardiesorabsences.

11.ParticipateinscheduledmeetingsorupdatesintheMSSU/FTCprogramtoensureInter-RaterReliability.

ResponsibilitiesoftheMSSU/FTCStudent

1.Performpatientcareunderthesupervisionofaclinicalpreceptor

2.Monitortheircompetencylistforcompletion.

3.Discusstheircompetencylistwiththeclinicalpreceptortoidentifycompetenciestobecompleted.

4.Notifythefacility/clinicalpreceptorandtheDirectorofClinicalEducationiftheyaregoingtobetardyorabsentinatimelyandappropriatemanner(Tardyisdefinedas1-60minuteslate.Absencesaredefinedasnoappearanceaftera60minutetimeperiod.)

5.AdheretotheMSSU/FTCClinicalCareGuidelinesforappearance,dress,picturebadgeidentification,behavior,andnotobaccopolicy.

6.Conformtoallthepoliciesandproceduresparticulartotheclinicalfacility.

7.Participateintheevaluationoftheclinicalfacilityandpreceptorattheendofthesemester.

TheClinicalPreceptor/StudentInteraction

Thestudent,clinicalpreceptor,andDirectorofClinicalEducationshallallworktogethertoachieveultimatesuccessintheRespiratoryCareClinicalEducationProgram.Nodoubt,someinsecuritiesanddiscomfortmayariseaswebeginthiscollaborateeffort.Theprogressionof

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experiencesandworkloadsthatthestudentcanhandlemaybeamutualagreementandassessmentbytheclinicalpreceptor,thefacilitydirector,andtheDirectorofClinicalEducation.Tohelpusdeveloprealisticexpectationsthefollowingisofferedastohowtherolesmayworkonapracticallevel.

TheClinicalPreceptor

ThepreceptorfunctionsasarolemodelfordeliveringeffectiveRespiratoryCaretopatients.Thepreceptoralsofacilitatesthestudent’sprogresstowardsacceptingmoreandmoreofthepatientcareassignmentandthedevelopmentofgoodtimemanagementskillstofacilitatetheeducationofcapablerespiratorytherapists.Astheopportunityarises,thepreceptorwillalsofacilitatetheinteractionbetweenphysiciansandthestudents,lookingforexperiencesthatmayenrichthestudent’sclinicalexperience.Thepreceptorwilltreatthestudentasanadultlearnerinateacher-learnerrelationship.Thepreceptormustreviewallphysicianorderspriortoastudentdeliveringcaretoapatientandmustcountersignallstudents’charting.Inaddition,thepreceptorshallmakeaconsciousefforttodeveloprelationshipswiththestudentsthatisrelaxed,trusting,mutuallyrespectful,informal,collaborative,andsupportive.

TheClinicalPreceptorisresponsibleforevaluatingeachstudent’sdailyprogressonskills,competencies,behavior,andattitude.Theyarealsoresponsibleforcompletingtherequireddateandsignatureonallevaluations.Theexpectationforallpreceptorsistocomment,review,anddiscusswiththestudentanyineffectivebehaviortoensurethatproperlearningexperiences,skillsmanagement,competencies,patientsafety,andcorrectstudentattitudearebeingfollowedaccordingtotheguidelinesoftheRespiratoryCareProgramandtheclinicalfacility.Tomaintainconfidentialityintheevaluation,theEvaluationFormmaybefaxedtotheDirectorofClinicalEducationfortheirreview.Intheeventthatastudentisunabletodemonstrateappropriateaffectivebehavior,theProgramDirectorandtheDirectorofClinicalEducationshouldbecontactedforastudentcouncilsessionandremediationofthestudent.ContactwiththeProgramDirector,DCE,orotherfacultymaybemadethroughtheinformationprovidedontheStudentEvaluationSheet(SeeStudentForms)orbycontacting:

JaniceDunaway,MS,RRT

Office:#417-659-4453

Email:[email protected]

MSSUPreceptorsareevaluatedannuallyforInter-raterReliability.TheClinicalPreceptorisresponsibleforparticipationinscheduledtrainingorupdatesintheMSSU/FTCprogramtoincludeInter-RaterReliability.Thresholdratesareconsideredacceptableifthereare<2missedstepsandnocriticalerrors.PreceptorswhofalloutsidetheacceptablerangewillbecontactedbytheDirectorofClinicalEducation(DCE)forremediationwithin6months.RemediationofratersmayalsobebasedontheDCE’sanalysisoftheevaluationsthatwere

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completedbystudents.Documentationofremediationwillbeplacedinthepreceptor‘sfileforfollowupwiththeannualevaluations.PreceptorswhofailremediationaftertwoattemptswillnolongerbeacceptedasMSSUPreceptors,butmayreapplyafter60days.

TheStudent

ThestudenthasthegreatestchangestomakeintheirmethodandmeansofcommunicationandinterpersonalinteractiontobecomesocializedtothehealthcareindustryandtheRespiratorycareprofessionculture.Thestudentisresponsibleforbeingontimeforthestartofshiftsandtheendofbreaks.ThestudentalsomustlearntocommunicatedirectlywiththeClinicalPreceptoraboutpatientcare.Thisistobedonetoencouragethestudenttolearnhowtodevelopapeersupportsystemwithintheclinicalfacility.ThestudentshallfollowallHIPAAruleswithrespecttopatientconfidentialityandnotusepatientnames,IDnumbersoranyotherpatientidentifiersifwritingnotesorpreparingpatientcasestudies.Inaddition,studentswillbeexpectedtobeveryvigilantaboutNOTdiscussinganyspecificsabouttheirpatientcareinpublicplaceswheretheycanbeoverheardbythirdparties.Inaddition,thestudentswillmakeaconsciousefforttodeveloparelationshipwiththeirClinicalPreceptorthatisrelaxed,trusting,mutuallyrespectful,informal,collaborative,andsupportive.

ThestudentisresponsibleforenteringobservationsandclinicalcompetencydataontothenecessaryformssuppliedbytheRespiratoryProgram.Itisalsothestudent’sresponsibilitytorecordanyphysicianinteractiontheymayhave.Studentswhodonotdemonstrateappropriateaffectivebehaviorswillbecounseled.

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IntegrationoftheClinicalComponentsoftheRespiratoryCareProgram

ClinicalIIRESP239

ClinicalIIRESP239

Semester Courses CompetenciesAddressed

Fall IntrotoMech.Vent. BronchoscopyAssist

Alt.Site/Rehab/Managment O2Concentrators

Neo/PedsRespCare InitiationofVolumeControlVentilation

InitiationofPressureControlVentilation

Intubation(optional)

Extubation

InitiationofNPPV

InitiationofPSV(CPAP)

SpontaneousBreathingTrial

MonitoringCuffPressures

MonitoringMechVent

InitiationofNeonatalMechVent

MonitoringNeonatalMechVent

InitiationofNeonatalCPAP

MonitoringNeonatalCPAP

ArterialLineSampling

SixMinuteWalkTest

CardioPulmonaryExerciseTesting(optional)

EndtidalCO2Monitoring

AttendanNRPCourse

AttendanACLSCourse

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ClinicalI RESP125

Semester Courses

Spring CardiopulmonaryA&P

Pathology

Diagnostics

CompetenciesAddressed:

PhysicalAssessmentoftheChest Handwashing

BreathSounds IsolationProcedures

BedsidePFT VitalSigns

SputumInduction BasicSpirometry

PassyMuirValveInsertion O2SupplySystems

LaryngealTubeInsertion O2Administration

HighFlowNasalCannula HumidityandAerosolTherapy

ManualResuscitation MDI/DPI

TracheostomyCare SmallVolumeNebulizer

IncentiveSpirometry Endotracheal/NasotrachealSuctioning

ChestPercussionandPosturalDrainage TheVestAirwayClearanceSystem(optional)

PEPMaskTherapy Electrocardiograph

ArterialPuncture PulseOximetry

ManualResuscitation IntrapulmonaryPercussiveVentilation(optional)

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ClinicalIII RESP340

Semester Courses CompetenciesAddressed

Spring Spring Adv.CardiopulmonaryAssessment ChestTubes

AdvancedMech.Vent. WaveformAnalysis

ResearchinResp.Care ThoracentesisAssisting(optional)

CXRInterpretation

AdvancedVentilationModes

AttendaPALSCourse

Attheendofthesemesterstudentsshouldhavecompletedaminimumof475clockhoursofclinicaland

SIMlabtoinclude:

1.GeneralandAdvancedResp.Care

2.AlternateSiteincluding:

SleepMedicine

PulmonaryRehab

PFT

HomeCare

Management

Neonatal/Pediatrics

3.AttendtheTMCandCSEReviewSessions

StudentsaretoactivelyseekoutthosecompetenciesnotfulfilledinothersemestersofClinicalRotations.

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TeachingStrategies

Eventhesimplestofprocedurescanleadtoteachingopportunities.Everyaspectofaworkingrespiratorytherapist’sdaycanleadtoadiscussionlinkingclassroomcurriculumwithclinicalexperience.Eventhoughstudentshaveadedicatednumberofcompetenciestobecompleted,learningmaybeenhancedbyotherexperiencesnotspecificallyaddressedbycompetencies.Preceptorsmayguideastudent’slearningbyincludingsomeofthefollowingopportunitiesastheybecomeavailable.

PhysicianRounds/IntensivistRounds

ProductorProcedureInservices

SpecializedProcedures(CATscan,MRI,Bronchoscopy,Thoracentesis,etc.)

RapidResponseTeam/CodeBlue

DisasterDrills

PatientTransport

PatientEducation

MSSU/FTCClinicalGuidelinesforStudents

GeneralAppearanceandUniform:

Astudentscrubuniformisrequiredattireintheclinicalsetting.Thestudent’suniformshallbeclean,pressed,andcomplete.Thescrubtopmustdisplaythenameoftheschool,program,andstudentdesignation.Whileintheclinicalsetting,studentsshallhaveaMSSUissuedpictureidentificationcard,astethoscope,bandagescissors,protectiveeyewear,pen,andawatchwithasecondhand.Fingernailsmustbetrimmedtoalengththatwillnotpuncturesterilegloves.Fingernailpolishincludinggel,acrylic,ordippedpolishisnotacceptable.Makeupmustbeworninmoderation.Jewelryshouldbekepttoaminimum.Twopairofpoststyleearringsonlyandnoringsonthehands.Novisibletattoos.Hairistobeofftheshoulderinaneatfashion.Beardsandmustachesareacceptableifkeptcleanandneatlytrimmed.

TobaccoPolicy:

Studentsarenotpermittedtocarrytobaccoofanyformontheirpersonwhileintheclinicalsetting.Studentsarenotpermittedtosmokeorvapeanywhereontheclinicalsitepremises.Studentswhosmokebeforetheyarriveattheclinicalsitemustbrushtheirteethwithatoothbrushandtoothpasteaswellaswashtheirhandswith

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soapbeforeenteringtheclinicalsite.Studentswhoprojectanoffensiveodorfromtobaccosmoke,bodyodor,etc.willbeaskedtoleavetheclinicalsettingatthediscretionoftheclinicalinstructor.

Parking:

Studentsaretoparkateachclinicalsiteinthedesignatedemployeeparking,notvisitorparking.Studentsaretoalwaysarriveattheclinicalsitewithallthenecessarysupplies:stethoscope,clinicalforms,etc.andtheyshallhavetheirclinicalformsfilledoutandsignedpriortoleavingeachday.

Absences/Tardies/InclementWeather:

Intheclinicalareawherestudentswillbeassignedtodirectpatientcare,studentsmustreportabsencesaminimumof60minutesbeforethestartoftheshiftbymakingdirectcontactwiththeclinicalsite.StudentsmustalsonotifytheDirectorClinicalEducation.Atardyisdefinedasnonattendanceupto60minutesofthedefinedstartofshift.Anabsenceisdefinedasnonattendance60minutesormoreofthedefinedstartofshift.Three(3)tardiesarerecordedasaonedayabsence.

Astudentwithatemperaturecannotbepermittedtoremainintheclinicalsettingandmustbecountedabsent.Inaddition,clinicalrotationswillbecanceledifMSSUisclosedduetoinclementweather.

StudentExposurePolicy:

Duringtheprogramandpriortothebeginningclinicalactivities,studentshavebeeninstructedinthetechnicalskillsandknowledgenecessarytoprotectthemfromexposuretocommunicabledisease.Informationonbodysubstanceisolationhasbeenincludedinthecoursecontent.Intheeventastudentisexposedtobodyfluidsbyneedlestick,otherpuncturewound,orbyothermeanssuchassplashes,itistheresponsibilityofthestudentrespiratorytherapistto:

1. Reporttheincidentimmediatelytoaclinicalpreceptor.2. Reporttheincidenttotheappropriatepersonatthehealthcarefacility

immediatelyafterexposureoccurssuchasthepatientcaremanager,infectioncontrolofficer,etc.

3. ReporttheincidenttotheDirectorofClinicalEducationandcompleteaStudentExposureForm.TheDirectorofClinicalEducationandthestudentwillbenotifiedbytheclinicalsiteifanyfollowupisneeded.

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SuspensionfromClinicalActivities:

EverystudentenrolledintheMissouriSouthernStateUniversityConsortiumforRespiratoryCareEducationisexpectedtoparticipateinclinicalactivitiesandperforminafitandsafemanner,consistentwiththeprofessionalstandardsoftheprogram.Theprogramreservestherighttotemporarilyremoveastudentfromanyandallclinicalactivitiesifastudent’sbehavior,attitude,orskillsetfailstomeetthosestandardsorwhenbehaviorraisessignificantconcernsaboutthesafetyofothers(patients,staff,faculty,orpublic).Studentsfoundnoncompliantordeficientwithanyfacility’sstudentorientationoronboardingrequirementswillnotbeallowedtoparticipateinanyclinicalactivityuntiltherequirementsarecompleteandclearedbytheDirectorofClinicalEducation.Duringaclinicalsuspension,a4%deductionwillbegivenforeachabsencefromascheduledclinicalrotation.Ifaspecialtyrotationoccursduringaclinicalsuspension,therotationwillneedtoberescheduledafterthesuspensionhasbeenlifted.

Reportsofbehavior,attitude,orincidentsthatraiseconcernaboutimpairmentoraninabilitytofunctionintheclinicalsettingshouldbecommunicatedtotheDirectorofClinicalEducation(DCE)ortheProgramDirector(PD)eitherbyphoneorofficeemail.Inaddition,theincidentneedstoberecordedonaStudentEvaluationFormandforwardedtotheDCE.

ThesereportswillbereviewedandassessedbytheDCE.Iftheincidentneedscorrection,theDCEwillprovideaverbalandwrittencounselingtothestudent.Inaddition,thestudentmaybeaskedtoprovideawrittenplanofactiontocorrecttheproblembeforebeingadmittedbackintotheclinicalsetting.ThecontinuationofincidentsmaybebroughttotheattentionoftheProgramDirector/DeanofHealthSciences,MSSU/andtheAssistantDirectorPost-SecondaryEducation-FTCforreview,additionalaction,orpossibleterminationfromtheRespiratoryCareProgram.

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MSSUStudentForms

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MissouriSouthernStateUniversityConsortiumforRespiratoryCareEducation

ClinicalLogForm

____________________________________________________________________________

Facility Preceptor(PrintedName)Preceptor(Signature)

________________________ ___________________________ _________________

StudentName(Print) StudentSignature Date

Allinformationreportedhereinisstrictlyconfidential.ThedateisprocessedbytheProgramClinicalCoordinatorandreportedasabasisforqualitativelyimprovingclinicallearningexperiences.Revised05/21/18jd

ProceduresPerformed:

Observations:

PhysicianContact:NameofPhysician___________________________EstimatedTime_____________

Describethetypeofcontact:

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MissouriSouthernStateUniversityConsortiumforRespiratoryCareEducation

JaniceDunaway,DCE Office:417-659-4453or3950NewmanRd 417-659-9848Joplin,MO.64801 Fax:417-625-3089

ClinicalEvaluationofStudentPerformance

ThissectiontobecompletedbytheSTUDENT(pleaseprint)______________StudentName_____________________________ Date:____________ClinicalFacility/Specialty:__________________Fall:____ Spring:____ Summer:____TimeIn: TimeOut:

____________________________________________________________________________________ThissectiontobecompletedbytheCLINICALPRECEPTORPreceptorName(Print):________________ Signature:_____________________________Pleasecheckallthatapplytotoday’sclinicalrotationBehavior N/A Pass NIAppearance:fulluniform;pressedandclean;stethoscope,watch,pen,IDbadge.Hairandnailsneatandclean.

WorkEthic/Professionalism:reportsforshiftontime,positiveattitude,respectful,reliable,takesinitiativepursuingnewskills.

Communication:abletoexchangethoughtsandinformationtopatientsandstaff.

Proficiency N/A Pass NIInfectionControl:Washeshands,usesasepticorsteriletechnique,properlydisposesofinfectiouswaste.

BasicSkills:setsup,monitors,andmanagesmedicalgastherapy,bronchialhygienetherapy,andhyperinflationtherapy

EDProcedures:Respondsurgentlytorespiratoryemergencies,maintainingorsupportingairwayandbreathing.

VentilatorCare:Underthedirectionofaphysicianisabletosetup,monitor,andmanipulateventilatorsettings.

AssessmentSkills:Accuratelyassessesvitalsigns,desaturation,ABG’s,PFT’s,andbasicheartarrhythmias

NOTES/COMMENTS:

__________________________________________________________________________________________________________________________________________________________________________

*NeedsImprovementAllinformationreportedhereinisstrictlyconfidential.ThedataisprocessedbytheMSSURespiratoryCareDept.andisusedasabasisforqualitativelyimprovingclinicallearningexperiences.Revised10/16jd

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MissouriSouthernStateUniversityConsortiumforRespiratoryCareEducation

EXPOSUREANDINCIDENTREPORT

Name:______________________ DateofIncident:_________

LocationofIncident:_______________________________________________

Injury(ifany):____________________________________________________

Incident:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

FollowUp:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Witnesses:

______________________________ _____________________________

______________________________ StudentSignature

______________________________

______________________________ _____________________________

ProgramDirector ClinicalDirector

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MissouriSouthernStateUniversity

ConsortiumforRespiratoryCareEducation

PreceptorApplication

Name:___________________________________________Date:___________

Address:_____________________________________________________________

Email:_______________________________________________________________

Hospital/Facility:______________________________________________________

WhydoyouwanttobecomeaPreceptorfortheRespiratoryCareProgram?

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Applicants:Pleasesavethisformasafileattachmentandemailtodunaway-j@mssu.eduormailto:JaniceDunaway,RespiratoryCareProgram–MSSU,3950NewmanRd.,Joplin,MO.64801.

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PreceptorQuiz

MSSU/FTCConsortiumforRespiratoryCare

Name:______________________________________

Address:____________________________________

Email:______________________________________

Hospital/Facility:____________________________

Date:____________

Readeachquestioncarefully,thenplacea“T”(true)oran“F”(false)onthelinenexttothequestion.

Whenyouhavecompletedthequiz,emailyourresponsesasanattachmentforgrading.

____1.Whenteachingadultsnewideasitisbesttoverballyinstruct,demonstrate,andthenallowthestudenttodemonstrate.

____2.Theadultlearnerpreferstolearnusinga“Handson”approach.

____3.Partofapreceptor’sresponsibilityincludesprovidingeducationalinsightandsupervisiontoRespiratoryCarestudentsintheclinicalsetting.

____4.ACreativeThinkertendstohavedifficultytroubleshooting.

____5.Aclinicalpreceptor’sinputcanimpactastudent’sclinicgrade.

____6.Ifproblemsorconcernsarisefromastudent’sclinicalperformanceorbehavior,thepreceptorsareableandencouragedtomeetwiththeprogram’sfacultytodiscussthesituation.

____7.Itisnotnecessaryforapreceptortosignofforcheckthecomputerforpropercharting.

____8.Thepreceptormustverifyanewphysician’sorderpriortoastudentstartingatherapy,

____9.AstudentmayperformABG’s,intubations,extubations,andsecuringanETTwithoutpreceptorsupervision.

____10.Thestudentwillreceiveandgiveaformalpatientreportatthebeginningandattheendoftheshift,respectively.

Postquiz:Saveasafileandemailanswersto:[email protected]:

JaniceDunaway,RespiratoryCareProgram-MSSU,3950NewmanRd.Joplin,MO.64801.