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Clinical Practicum I

Course Details

Course Number
RESP 3712
Section Number
RESP 3712
Fall 2016
Classroom Number
Days & Times


Clinical days, sites and rotations are specific to each student.

Dr. Tammy Reitz Kurszewski D.H.Sc., RRT-ACCS (view Profile)


Course Objectives


All clinical courses require the student to integrate theory and laboratory training in the patient care setting. The focus of this clinical course is application of basic therapeutic techniques and procedures. Topics include medical records, charting, patient history and physical examinations, infection control, patient positioning, vital signs, breath sounds, chest assessment, oxygen therapy, humidity and aerosol therapy, cough techniques, incentive spirometry, and percussion and postural drainage. 



  • Participate actively and effectively in the development of the respiratory care plan.
  • Review existing data, collect additional data, and evaluate all data to determine and defend the appropriateness of the prescribed respiratory care plan.
  • Select, assemble, assure cleanliness, check for proper function, and correct malfunctions of equipment used in providing respiratory care.
  • Initiate, conduct, and modify prescribed therapeutic procedures.
  • Maintain patient records and communicate relevant information to other members of the healthcare team in a professional manner.
Course Expectations


Clinical Portfolio complete     20%

Case study                               20%

Task analysis                           20%

Performance evaluation         40%




Each student will compile a clinical portfolio documenting the learning activities for the semester.

The clinical portfolio is to be organized as follows:

In a 3 ring binder create divisions (using tab sheets) for the following in the exact order listed.

  1. Cover sheet
  2. Course syllabus
  3. Clinical schedule
  4. Sign in sheet
  5. Competency list
  6. Daily log form
  7. Daily performance evaluations
  8. End of rotation (Affective) performance evaluation
  9. Clinical site evaluations



  1. Daily logs-Daily logs are used to document the practice of clinical skills of the student. It is vital that these logs are completed every day the student attends clinic. It is the student’s responsibility to ensure that these logs are completed daily – before you leave the clinic. (If attendance is not documented, it will be assumed that the clinic day was not completed). Activities performed during the day may be listed on the log from the list of competencies contained in the clinical portfolio.
  2. Sign in sheets-the student must be signed in and out for each day in clinic – no exceptions! 
  3. Daily performance- evaluations-the student will have a daily performance evaluation completed and signed by the clinical preceptor every day when the student is in clinic-no exceptions!  Any category noted as NI will be addressed by the clinical chair.
  4. Affective evaluations-You must ask your point of contact to complete and download from DataArc and place in your clinical portfolio a completed Affective Evaluation from the site where you have spent your clinical time. Due at final check-off.
  5. Site evaluations-You must complete and download from DataArc and place in your clinical portfolio a site evaluation for every site you attend.  The site evaluation must be completed on DataArc, before printing out and placing in the clinical portfolio. Due at final check-off.
  6. Preceptor evaluations – Students must complete a preceptor evaluation each day of clinical rotation evaluating their assigned preceptor for that day.
  7. Professional credits – Students will be required to complete a minimum of 20 professional credits as part of their Clinical Practicum I rotation. Examples of professional credits include student involvement in the state and national professional organization as well as community to service. Please refer to the table below.
  8. Clinical portfolios will be presented to the Clinical Chair at the completion of each two week clinical block for evaluation.  Clinical portfolios will be placed in the cart in the Respiratory Laboratory no later than noon of the Monday upon return to campus.  If the clinical portfolio is not submitted by weekly or complete when turned in for final review, the highest letter grade possible for clinic will drop by one!




Students receiving proximity badges from ANY CLINIC SITE must turn those badges in to their point of contact at that site prior to semester’s end.  Students are responsible for their badges and if lost the student will incur a $20.00 fee for replacement cost.  Grades may not be released until the badge or fee is collected.



  1. Required competencies are listed in each course syllabus.
  2. Prior to being checked-off the student must practice the skills several times.
  3. A hospital staff member that has worked with you can fill out competencies. It is your responsibility to make sure the competencies are completed properly.
  4. Student will be responsible for performing any procedure at any time once they have passed the competency for that procedure.
  5. It is the student’s responsibility to demonstrate weekly progress in clinical check-offs to their Clinical Coordinator.
  6. It is the student’s responsibility to contact the Clinical Coordinator if they are having problems with the competencies.
  7. A student must complete the competencies specified in the course syllabus. Failure to complete the required competency may result in an unsuccessful grade in clinicals and prevent completion of the program.




Once a clinical skill has been mastered, it is the responsibility of the student to have their preceptor verify these skills by completing the documentation in the clinical notebook.

A competencymust be completed for the following skills:

1. Basic Life Support (completed in lab on campus)

2. Handwashing

3. Isolation Procedures

4. Charge documentation

5. Vital Signs

6. Patient Assessment

7. Chest Assessment

8. X-ray Interpretation

9. Oxygen Therapy (Use of at least one oxygen delivery device)

10. Pulse Oximetry

11. Transport with Oxygen

12. Aerosol and Humidity Therapy (Use of at least one device)

13. Aerosol Drug Administration (metered dose inhalers, dry powder 

   inhalers and small volume nebulizer)

14. Incentive Spirometry

15. Intermittent Positive Pressure Breathing*

16. Chest Physiotherapy

17. Positive Expiratory Pressure Mask Therapy*

18. Flutter valve therapy*

(*Competency can be used as a “floater”. If the opportunity is not available in this rotation, it can be “floated” to a subsequent rotation.)


Competencies will be evaluated as follows:



Points Given


# of Competencies Completed
























In an effort to develop professionalism and promote community service within the respiratory profession, each student is required to complete professional credits each clinical practicum. Students are required to participate in suggested activities throughout the semester and are awarded professional credits assigned to each activity. Examples of activities along with point value are listed below.  Additional meaningful caveats may also be considered with the approval of the faculty. Failure to complete professional credits will result in an “Incomplete” grade for the clinical practicum and students will not be allowed to progress within the curriculum until completion.



Clinical Practicum



PC Credits Required

RESP 3712

Clinical Practicum I

Junior Fall

20 Credits

RESP 3722

Clinical Practicum II

Junior Spring

20 Credits

RESP 4722

Clinical Practicum IV

Senior Fall

20 Credits

RESP 4732

Clinical Practicum V

Senior Spring

20 Credits



              Activities                                                                               PC Credits

Attend AARC Convention (5 lectures + tour exhibits)                           20

Attend State Convention (5 lectures + tour exhibits)                                       20

AARC Student Member                                                                     8/semester

CoBGRTE Student Member                                                               8/semester

State RC Student Member                                                                 8/semester

RC Student Association member (3 meetings & 1 project)                     8

Regional state RC meeting attendance                                                   10

CF/Asthma Camp                                                                                   12/day

Attend “Better Breather” Club meeting                                               2/hour

Summarize journal articles from RC, CHEST, etc.                                1/article

On-line CEU credits                                                                                4/CEU

Volunteer at the American Lung Association event                            2/hour

PFT Lung Screening events                                                                    2/hour

Attend local RC seminars/symposia                                                     2/hour

Participate in Health Fair                                                                      2/hour

Legislative Action                                                                                         1


Following the format outlined here, each student will turn in a typed or word processed case study. All attempts will be made to let you work on your case study during clinical time, however, it may be necessary for you to remain at the clinical site for some additional time to complete the case study. Case studies will be graded on their neatness, completeness and student’s ability to interpret and analyze data.


Patient Data

  1. Name: initials only
  2. Age
  3. Sex

Admitting data

  1. admitting chief complaint
  2. pertinent history-medical, family, social/occupational
  3. current differential or working diagnosis

Present chest examination (a and b to be done by student)

  1. observations of setting and general appearance
  2. inspection, auscultation, percussion and palpitation
  3. radiologic

Vitals signs (one set to be done by the student) Get at least three sets of vital signs;

Present, admitting, and one set of intermediate values. Comment specifically on any measures that are not normal.

  1. heart rate/rhythm
  2. ventilatory status
  3. blood pressure
  4. temperature

Any lines or tubes (Art. Line, chest tube, etc.)

Clinical laboratory data. Where possible get at least three sets of clinical laboratory data; present, admitting, and one set of intermediate values. Comment specifically on any measures that are not normal.

  1. red blood cells
  2. hemoglobin/hematocrit
  3. white blood cells
  4. blood gases (including 02 content Fi02 and ventilatory data and interpretation of acid-base status and oxygenation for each blood gas)
  5. platelets
  6. clotting studies (clotting time, PT, PTT)
  7. Serum electrolytes (relate abnormals to ABG’s)
  8. Sputum cluture and sensitivity
  9. Blood urea nitrogen (BUN)
  10. Creatinine
  11. Glucose
  12. Urinalysis

Pertinent medications-include for each; synopsis of PDR (or other drug book) sections for 1. Description, 2. Indications and usage (specific to this case), 3. Precautions, 4. Adverse reactions, 5. dosage and administration.

  1. respiratory
  2. cardiovascular
  3. antibiotic
  4. other-analgesics,antacids, anticoagulants, antihistamines, decongestants, anti-inflammatory, antipyretics, diuretics, narcotics

Evaluation of major organ systems other than drugs

  1. heart
  2. neurological
  3. liver
  4. kidneys
  5. GI

Major diagnostic procedures and results (listed by date)

Rationale for initial treatment

Major complications since admission

Rationale for current treatment (applied to present illness)

Rationale for current respiratory care

Reasonable short term plan for the patient


Case Study Format:

The following outline should be followed exactly for the case studies. Include all titles and subject headings. Case studies are to be turned in on or before midnight Sunday, December 4th via the assignment dropbox on D2L.


          For your presentation, you will present the following information in narrative form (in your own words):
          1. Patient data (Age, gender)
          2. Admitting data, chief complaint
          3. Pertinent History-medical, family, social/Occupational
          4. Working Diagnosis (give description of disease)
          5. Any pertinent issues with labs or x-rays
          6. Any pertinent treatment and outcomes (medications, medical interventions such as CPR, ventilator, etc)
          7. Length of Stay, summary of outcomes and prognosis, plan of care
          You will also turn in the written draft of your case study as outlined in the syllabus.

Presentations will be graded on content, professionalism, and ability to answer questions about In a narrative form summarize the important aspects of the patients illness.


Task Analysis:

Each student must complete and submit 3 task analysis papers. The task analysis may be done on any of the commonly ordered modalities assigned for completion during Clinical Practicum I. This assignment may be typed or hand written. The completed papers must be turned in by Oct. 31st as part of their binder submission.


Task Analysis Format:

Patient info: Age, patient diagnosis, area

Therapy type (i.e., oxygen therapy (cannula), aerosol treatment (small volume nebulizer), Bronchial hygiene therapy (PEP, incentive spirometer, IPPB)






Performance steps:


Clinical Evaluation:


Each student will be evaluated on their performance during their clinical rotation. 

The evaluation includes:

  1. professional appearance
  2. attendance
  3. arrive on time and prepared
  4. dependability
    1. can function as part of the healthcare team
    2. friendly and helpful within the department
    3. accepts supervision, seeks feedback
    4. appropriate and courteous with patients 
    5. conducts self in a professional/ethical manner
    6. communicates effectively, use appropriate language
    7. can prioritize and use effective time management
    8. self-directed and manages work responsibly
    9. self confident, uses good judgment
    10. participates in educational activities that enhance clinical performance


Submission Format Policy 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.
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 at clinical sites is an essential component of the student’s

clinical education. The student must be in their assigned area of

rotation and prepared for instruction at the scheduled time for that    






Signing in and out:

Each student is required to document their clinical hours on the sign-in sheet in the clinical portfolio. The sign in/out for each clinical day will be signed by the therapist with whom the student has worked on that clinical day. Each student will complete 17, 12 hours shifts for a total of 192 hours of clinical time. Every student is required to make up any missed time.



If a student is unable to present at the clinical site, it is his/her responsibility to report the intended absence to the clinical site and Director of Clinical Education prior to the time for the Practicum. When reporting an absence to the Director of Clinical Education, please call 940-397-4652 (department secretary) and leave the message.

 When reporting the absence to the clinical site, have the hospital operator page the charge therapist on night shift. Leave the message with the charge therapist.


The calls to report an absence must be made at least one hour prior to the scheduled time for the Practicum. An absence not reported by this procedure will be recorded on the Clinical Incident Form. The Director of Clinical Education will take extenuating circumstances into account. An adverse decision may be appealed to the Program Director. A make up day may be arranged.  All missed clinic days will be made up in double time.


It is equally important that a student be punctual to the clinical site. In order for the student to obtain maximum benefit from the clinical Practicum, they must be present for the report given at the change of shift. Late is defined as arriving at the clinical site

fifteen minutes past the scheduled time for the Practicum.However, if a student arrives later than thirty minutes past the scheduled time for the Practicum, he/she may not be allowed to stay for that clinical day. If a student must be late for clinical it is their responsibility to contact the site prior to the scheduled time for Practicum.


After contacting appropriate person within the specified time, the student must be present within one hour of scheduled time for the Practicum. Depending on the area of rotation and the circumstances, an alternative assignment may be made. If a student is habitually late the instructor and/or the Clinical Director will counsel them.


If the student does not report tardiness to the appropriate person, an absence will be recorded. The Director of Clinical Education will take extenuating circumstances into account. Every two days a student is late, an unexcused absence will be recorded.


It is equally important that all students remain at their clinical site for the entire designated time. If the student must leave early for any reason, the student must call the Clinical Director. Students will be required to make up any missed hours.

Leaving the clinical site for any reason and not communicating with the preceptor and the Clinical Director is grounds for dismissal from the program.

It is also required that all students communicate with their assigned preceptor any time they leave their area for any reason (lunch, break, work on case studies, etc.)


In cases of bad weather or severe weather conditions, the student must use their own judgment when deciding whether or not to attend clinical. The student will inform the clinical instructor as soon as possible. Absences secondary to bad and/or severe weather may be excused at the discretion of the Clinical Director.  If schools in your clinical area are canceled, your absence will be excused.

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, 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

If you have questions or concerns, please contact MSU Chief of Police Patrick Coggins at