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Advanced Patient Assessment, Management, and Education

Course Details

Course Number
RADS 5043
Section Number
RADS 5043
Semester
Spring 2018
Location
Bridwell Hall
Classroom Number
Internet
Days & Times

Internet course

Professor
Vicki Sanders MSRS, RRA, RT(R)(CV)(CT) (view Profile)

Course Attachments

Textbooks

Course Objectives

Course Overview:

This course helps the Radiologist Assistant develop more advanced patient care skills for more independent patient interactions. It includes skills such as obtaining histories, evaluating for post procedure complications, comprehensive patient physical assessment, planning, and management.
Course Objectives:    Upon completion of this course, a student will be able to:

  • Obtain patient history, facilitate communication
  • Perform assessment of patient’s
    • Vital signs, lab values, diagnostic tests
    • Lymphatics
    • Mental Status and Pain Assessment
    • Head and neck,
    • Chest and lungs, breast and axilla
    • Heart and blood vessels
    • Abdomen, Rectal, and Anus
    • Musculoskeletal system
    • Neurologic system
    •  Critical Thinking and Recording Information

Methodology / Teaching Strategies:

Independent reading assignments, course videos, written assignments, internet searches, online quizzes, and Open Book Proctored Final Examination.

Course Expectations

Textbooks:  

REQUIRED 

Ball, J., Dains, J., Flynn, J.A., Solomon, B.S., & Stewart, R.W. (2015). Siedel’s Guide to Physical Examination (8th ed). Mosby, St Louis, MO. [IBSN 13: 9780323112406]

 

Communication with Instructor:

Contact information for the instructor is listed at the beginning of this syllabus. Email is the preferred mode of communication. It is critical that students report all email changes immediately to the instructor. The instructor will respond or at least acknowledge email messages from students within a maximum of five (5) business days when MSU is in session. Beyond standard university holidays and breaks, the instructor will notify students of any extended periods of time when email contact is not practical (professional meetings, etc)

 

Administrative Process:

Unresolved issues related to this course should be first addressed between the student and the course instructor. If there is no resolution, students must follow this sequence:

Interim Department Chair – Debra Wynne (940-397-4608)

Interim College Dean - Dr. Jeff Killion  (940-397-4594)

Dean of Students – Matt Park (940-397-7500)

 

 

 


 

 

Grading Standards

Grading / Evaluation:
 

Unit Quizzes                                                      30%

H&P (Unit 6)                                                      20%

Emergency Situations (Unit 6)                      15%

Comprehensive Open Book Final Exam     35%     

                                            100%

A = 90 = 100

B = 80 – 89

C = 70 – 79

D = 60 – 69

F = Below 60


Refer to the Undergraduate Bulletin for details about receiving a grade of “Incomplete” in a course.  In an emergency or extenuating circumstance, a student may request a grade of “Incomplete” in a course before grades are submitted.  If the instructor grants the “Incomplete,” the student has until thirty (30) days after the beginning of the next long semester to complete the course requirements.  If the student does not complete the course requirements within the deadline, the grade of “Incomplete” will automatically convert into a grade of “F.”

 

  

 

 

Submission Format Policy

CLASS ACTIVITIES AND ASSIGNMENTS

 

Independent Reading Assignments

Students should complete the reading assignments, answer the chapter objectives, review the internet resources, and review the questions at the chapter end before attempting the open book unit quizzes. The course content is divided into units by chapters. Additional resource material is available through the Internet. Each unit, except for unit 6, has a quiz . See the Course Schedule at the end of this syllabus for quiz deadlines.

 

Unit reading

Unit

Chapters

Unit 1:

Communication, Cultural Awareness, Examination Techniques, Assessment of Pain- Chapters 1-4

Unit 2:

Mental Status, Head and Neck, Neurologic System Chapters 5, 10, 22

 

Unit 3:

Skin, Hair and Nails, Lymphatic system, Breast and Axilla- Chapters 8, 9, 16

Unit 4:

Chest and Lungs, Heart, Blood Vessels- Chapters 13-15

 

Unit 5:

Abdomen; Anus, Rectum & Prostate; Musculoskeletal- Chapters 17, 20, 21

 

Unit 6

Putting it all together, Critical Thinking, Recording Information, Emergency or Life Threatening Situations- Chapters 24-27

 

 

Desire2Learn Open Book Unit Quizzes - 30%

Students should complete the reading assignments, answer the chapter objectives, and watch instructional videos before attempting the unit quizzes.

 

When a student has reviewed a unit and is ready for the quiz, he or she will log on to Desire2Learn and receive a customized timed unit quiz consisting of randomized multiple choice questions.

 

It is important to know the unit content before attempting the unit quizzes because the quizzes are timed. Quizzes contain random questions and students will have 60 minutes to complete. Quiz scores will be available immediately after a student submits his or her quiz for grading.

 

Students are encouraged take the quizzes at regular intervals throughout the semester to provide a better educational experience, but all unit quizzes are available starting the day classes begin to provide maximum flexibility with student schedules. Quizzes must be completed by the due dates or a “0” will be recorded. Students who know they will miss a due date because of extenuating circumstances should contact the instructor so their situations can be dealt with on an individual basis. Acceptance of an extenuating circumstance is the discretion of the instructor.

 

If students have technical difficulties during a quiz, they should use the “Report a problem” link in the “Help” area located at the right side of the Desire2Learn course, contact the MSU Information Systems Support Staff, and send an email right away to the course instructor explaining what happened.

 

If a student finds a faulty quiz test item or believes a quiz question has been scored incorrectly, he or she should send an email to the course instructor which includes the following:

 

  • Unit Quiz Number (1 - 6)
  • Question Stem
  • Answer Scored as Correct by the Computer
  • Answer the Student Thinks Should be Correct
  • Rationale Supporting Why the Student’s Answer is Correct
  • Page numbers must be included when referencing the textbook in a rationale

 

After reviewing the case, if the course instructor thinks a revision is justified, the student’s quiz score will be revised to reflect the additional points and the test bank will be updated.

 

History & Physical  - 20%

HIPAA requirement: Do not place ANY patient name on your assignments. Any proper name that appears on an assignment, other than yours will be considered a HIPAA violation and the assignment will automatically drop one letter grade.

 

If there is patient identification required for an assignment you may use “Patient X” as identification. Assignments submitted with patient identification will result in a drop of one letter grade for that assignment.


  • Perform a complete History and Physical (from chief complaint to assessment plan) on a patient.
  • Record information like you would on a Patient H&P Report. (Do not do physical assessments of areas not studied in this course. Do not do a digital rectal exam. Do note in the H&P as “deferred”. For example: Genital/Rectal: Deferred.)
  • Do not include any patient identification to observe HIPAA policy.

Your assignment should follow the Problem Orientated Medical Record Format on p 621-626. See Seidel page 628-630 for a sample record. 

Include:

  • History of present illness
  • Past medical history
  • Prior surgeries
  • Medications
  • Allergies
  • Family history
    • Do not do a pedigree.
  • Social history
  • Review of symptoms
  • Physical exam
  • Assessment
  • Plan (for each problem)

Submitting the assignment:

The assignment is to be typed as a single WORD document only with a cover page. Please have the H&P reviewed and signed by a radiologist. Scan the H&P and submit to the H&P Dropbox. . The assignment is due by the deadline listed in the syllabus.

 

Emergency Situations Essay - 15%

Submit an essay (2-4 pages double spaced) listing 3-4 emergency situations which can be experienced in the radiology department. Since the RA is a mid-level healthcare provider and has advanced training in comparison to the technologist, describe the role and tasks an RA would specifically perform if presented with each emergency situation listed.

  • What emergency situation is encountered in radiology?
  • How would a RA identify the emergency situation? Include assessment of patient, subjective data, objective data, etc.
  • Discuss tasks performed by the RA or delegated to other healthcare providers to stabilize patients.
  • How would the RA identify whether a situation is improving or more advanced care is needed?

Please include a cover page and submit the assignment to the RA Emergency Situation Essay Dropbox.

 


Comprehensive Open Book Final Exam - 25%

The final examination is a, "open book", comprehensive examination of multiple-choice format.  The final is to be scheduled with ProctorU and will require an additional fee. All students are REQUIRED to have a webcam & microphone for the Final Exam.

 

SEE THE PROCTORU INSTRUCTIONS FOR COMPLETE DETAILS. The appointment with ProctorU should be scheduled by the date listed in the syllabus. Scheduling an appointment requires payment at that time.

 

To make an appointment, simply create an account at ProctorU 

 

Once logged in, click on the “new exam” link and selecting the exam, date, and time desired. 

 

The student must submit payment (based on the length of the exam) at this time - usually about $25.00. The student will receive an email confirming their reservation at the email address they provided to ProctorU. 

 

Students must complete the final (and all course work) by the dates published in the course schedule.  There will be NO alteration of any type to this schedule.  Extenuating circumstances may be discussed and an alternative arrangement may be made at the discretion of the instructor.

 

Note: Any decision by the instructor is final and there will be no further changes made.

 

The unit objectives, study guides, and examinations can be utilized to review for the final.

 

Technical problems

  • If you are disconnected during your exam, you must immediately send an email to your professor, and immediately contact ProctorU by phone. All exams are monitored and a log is created by the proctor and by D2L.
  • *All times will be documented*
  • The exam must be taken within the scheduled test dates, regardless of any technical issues that may arise. This is the student’s responsibility.
  • Late submissions will not be accepted.
  • A suggestion is to take the exam during the first days it is available (listed below) to avoid receiving a zero due to technical issues. If you have to reschedule, it must be within the scheduled dates and times.

 

All course requirements must be completed before a grade is awarded. Students must complete the final and all course work by the dates published in the course schedule.


Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.
Late Paper Policy

Students who do not complete unit assignments/quizzes before the deadlines listed on the Course Schedule at the end of the syllabus will have will have a “0” recorded for that assignment/quiz.

Plagiarism Policy

Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.

Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, (940) 397-4140.

Safe Zones Statement

The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor

All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Attendance Requirements

Attendance:

This is a online course and as such there are no mandatory sessions. However, the student should be vigilant in checking emails and logging onto D2L. Regular checks will ensure that messages from the instructor are received in a timely manner. This course is on a schedule. Please make sure that assignments are turned in by the due dates in this syllabus or the class participation grade will be affected. 

Other Policies

RADS 5043 Spring 2018 Course Schedule

 

Date

Activity

* Note: These are Central Times*

January 13

Classes Begin

Friday, February 2

Unit Quiz 1 due by 23:59

Monday, February 19

Unit 2 Quiz due by 23:59

Friday, March 9

Unit 3 Quiz – due by 23:59

March 10-18

Spring Break

Monday, March 26

Last day to withdraw with a “W” in the class

Monday, March 26

Unit 4 Quiz- due by 23:59

April 29- May 1

Easter Break

Friday, April 13

Unit 5 Quiz – due by 23:59

Monday, April 16

 

 

Schedule appointment for Final Exam with ProctorU (payment required)

 

Tuesday, April 24

H&P and Emergency Situations Assignment Due by 23:59.

April 30 through May 10

Final Exam

The Closed-Book Final Exam will only be available as soon as all quizzes are completed.

The exam must be complete and submitted for grading by 17:00 (5:00 pm) CST on May 10

 

 

Writing Proficiency Requirement

All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed the 6 hours of Communication Core and and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at https://mwsu.edu/academics/wpr, or call 397-4131.

Campus Carry

Senate Bill 11 passed by the 84th Texas Legislature allows licensed handgun holders to carry concealed handguns on campus, effective August 1, 2016. Areas excluded from concealed carry are appropriately marked, in accordance with state law. For more information regarding campus carry, please refer to the University’s webpage at https://mwsu.edu/campus-carry/rules-policies.

If you have questions or concerns, please contact MSU Chief of Police Patrick Coggins at patrick.coggins@mwsu.edu.