COLLEGE OF SOUTHERN NEVADA



COLLEGE OF SOUTHERN NEVADA

SCHOOL OF HEALTH SCIENCES

CARDIORESPIRATORY SCIENCES PROGRAM

STUDENT ADMINISTRATIVE HANDBOOK

Tracy Sherman, M.Ed, RRT-NPS

Program Director

August 2009

`2007, 2008, 2009

COLLEGE OF SOUTHERN NEVADA

SCHOOL OF HEALTH SCIENCES

CARDIORESPIRATORY SCIENCES PROGRAM

Student Administrative Handbook

The Cardiorespiratory Sciences Program is fully accredited by the Committee on Accreditation for Respiratory Care () which is authorized to accredit Respiratory Care Education Programs by the Commission on Accreditation of Allied Health Education Programs (). Information about how a program earns accreditation is available on these websites, listings of other accredited programs can be found on these websites and through the American Association for Respiratory Care () and the National Board for Respiratory Care ().

The guidelines in this handbook assist the student in attaining and maintaining behaviors conductive to learning, achievement, safety, excellent patient care, and success. They present an outline of required student behavior for the Cardiorespiratory Sciences (CRS) Program and complement the CSN Student Policy Handbook for Health Sciences Programs. Variation of any aspect is strictly at the discretion of the faculty. IF IN DOUBT, ASK A FACULTY MEMBER!

The CRS Program handbook is governed by the School of Health Sciences Handbook and the College of Southern Nevada Handbook. The College of Southern Nevada Handbook is located in the College catalog, this can be found at: , the School of Heal Sciences Handbook can be found at:

The process of educating health science practitioners is expensive in time, money, and energy for both the institution and the student. Handbook adherence will prove to be an important first step in required personal and professional resource management.

I. Pre-Admission

A. Advisement

1. The student is responsible for obtaining all necessary information to proceed in the college that is generally contained in the college catalog. Together, with an advisor, the student will understand college, general professional, and program requirements. An excellent resource is attendance at a general college advisement session. Critical, however, is attendance at a health professions advisement session offered by the Health Sciences Advisement Office (first floor, Building K). Contact 615-5015 for a schedule.

2. If preliminary advisement yields an intention, and

ability, to proceed, the student must meet with the CRS Program Director. The Program Director is the best authority and source of information on program specifics.

Continuation may require a pre CRS major be declared.

B. Special Requirements of the CRS Program

Health sciences education has a greater requirement than general education. Student commitment, therefore, is greater. The student must understand early that these additional requirements exist.

1. Outcome Orientation – Graduates take standardized national accreditation examinations, the results of which are meticulously analyzed by the program’s accrediting body, governing body, and faculty. These strict accountability concepts must be learned and retained. While the entire college community facilitates, learning is the responsibility of the student. Students who do not pass the National Board of Respiratory Credentialing Self Assessment Examinations offered in the 3rd and 4th program semesters, will not graduate. No exceptions will be made to this policy.

2. Time Commitment – The acquisition of professional medical knowledge, skills, and temperament takes considerable time. The CRS student understands that actual class, lab, and clinical time responsibility may well exceed published requirements. The complex nature of cardiorespiratory care education will, at times, require intense independent study to satisfy curricular needs. Faculty understands that some students are required to be employed, but suggests strongly that it is limited to 16 hrs. /wk. in the second year only. Learning and demonstrating skills appropriately is the responsibility of the student.

3. Professional Commitment – By accepting a position in this program, the student accepts responsibility of medical professional behavior and decorum at all campus locations and program functions. This includes, but is not limited to, conduct, speech, grammar, and dress. Participation in this program is broad based education, not narrow task training. The CRS Program is dedicated to producing the BEST practitioners in the United States. Attending this program means you are making a public commitment to excellence.

4. Professional Credentialing – The logical sequence of program graduation is professional credentialing. This process may be prevented if the candidate has a history of felony, conviction, or moral turpitude. The student is responsible to assess pertinent personal information and determine if professional or employment barriers exist. Many employers now require computerized criminal background checks and/or routine drug testing; please do not waste two years of education if you are not hirable in health care.

5. Criminal Background Investigation – Licensure for

Respiratory Care Practitioners by the Board of Medical Examiners, and increasingly, employers, requires criminal background checks to insulate themselves from legal exposure for the actions of subordinates. This is often expected of academic organizations that place students in clinical rotations. The CRS students are advised that this request will be made of them for placement into clinical rotations.

6. Drug Screening – It is a policy of the College of Southern

Nevada’s School of Health Sciences to require drug screening of all students who will be placed in clinical rotation. Students should expect that detection of an inappropriate substance would trigger a discussion with the Dean of the School of Health Sciences for resolution which may include preclusion from admission or continuance in the CRS Program. Students are informed that due to the nature of the Respiratory Care profession and licensure and understanding that the most common reason in Nevada for RCP licensure suspension is substance abuse, it is therefore the policy of the CRS Program that students be drug tested annually – once to begin the Program per School of Health Science policy and again before beginning subsequent years in the program to assure the students are of the highest quality while learning to perform life-saving procedures.

7. Pregnancy – The curriculum of the CRS Program is

challenging, concise, and full. The student should understand that in light of health, curricular, and scheduling factors, pregnancy will generally result in the student being unable to continue in the program. A student should expect that there is a strong possibility a pregnancy could necessitate withdrawal from the program; should a student choose to withdraw, she could reapply to the CRS Program at a later date through the reinstatement or Limited Entry method.

8. Availability – Many of the experiences within the program occur at extended campus locations (nursing homes, businesses, hospitals, etc.) This requires that students are capable of presenting themselves at the site prepared for learning as the Program schedule dictates. The student is expected to have provisions for transportation, health care, employment, childcare, and finance, which allow unimpeded academic participation. A student who is unable to make his or herself available for educational opportunities is advised to withdraw from healthcare education until a time when it can be made a priority.

9. CPR Card – All students must possess a current Healthcare Provider BLS (Basic Life Support) certification presented by AHA (course C) during all school activity. An expired CPR card will result in a student being suspended from clinical activities until proof of renewal is provided.

II. Orientation

A. School

1. Orientation – The student must attend all general school

sponsored orientation programs. As use of many of the school’s resources is required, expect to expend special energy in the library and computer lab. You are expected to utilize the many resources available to you. A special computer lab with CRS Program specific software is available to CRS students. Students are encouraged to utilize the Writing Lab located in the C building prior to turning in written compositions.

2. Advisement – The student is responsible to assure that

all school requirements, such as immunizations, background checks, and drug screens (for example) are satisfied. Incomplete school preparation will necessitate program suspension. Program suspension compromises the student’s ability to successfully complete the CRS Program. Students are advised to frequently check the online “Sputum Files” located at for all Program policies, procedures, and announcements. Students are responsible for all policies and procedures that are published.

B. Program

1. Program Handbook – This CRS Program handbook

complements, and is subordinate to, the School of Health Sciences Handbook. It provides direction specific to CRS students’ responsibilities and behaviors. It should be studied carefully, as the student is absolutely responsible for its content. The student is required to attest to this.

2. Program Advisement/Counseling – A mandatory

advisement session is scheduled for all students during every semester. The student must be prepared to present his current academic status, academic intentions, and goals. Additionally, any issues or processes that may limit academic performance are to be resolved prior to, or during, this counseling. Students and the Faculty Member conducting the advisement session will be required to sign forms to be submitted to the student’s permanent file.

3. Student Assets – In order to successfully participate in

this program, the student must acquire:

a. Uniforms

Approx. Cost

___ At least 2 pair “scrubs” 45

___ One ¾ length white lab coat 25

___ 1 pr. white hospital shoes (tennis,

running, cross-training acceptable) 60

b. Equipment

___ Stethoscope 15-70

___ Penlight flashlight 5

___ 1 pr. bandage scissors 8

___ 1 non-solar/solar calculator 15

___ 1 fanny pack (optional) 15

c. Books

Books may be purchased at the beginning

of the program for either the entire 2 years 900

(to establish a personal library) or by semester.

4. Learning Aids

Throughout the program, students will be

given the opportunity to purchase learning

aids, such as DVDs, audiotapes, 300

or CD’s. These may be part of the

students’ personal professional library.

5. Professional, Student Testing, and Dues

The student is expected to actively participate

in the national and state professional

organizations(NSRC/AARC). Additionally,

NBRC Self Assessment Exams must be

completed (passed), as must the CCT,

ACLS, and national phlebotomy credentialing.

Students must acquire a Nevada State

Blood Gas License. It is further required

that all students attend the full

Kettering National Review in the fourth

academic semester before graduation.

This estimation includes costs associated with background testing, drug screening, and other miscellaneous fees. 1500

6. Students are advised this list is complete

to the best of the Program’s ability, however,

there may be requirements not listed. ____

Total $2950

III. Student Conduct

Students must exhibit professional behavior in all areas where they are identified as associated with CSN. This includes the classroom, the clinical setting (hospitals, etc.), laboratory, or campus. Tardiness, absenteeism, or failure to meet assigned deadlines will not be tolerated. Failure to meet academic skills or other program commitments in a responsible ethical, manner will result in dismissal. Students deemed “unsafe” by professional or academic conventions will be immediately removed from the associated site pending further administrative action. Issues regarding patient safety and privacy will be dealt with IMMEDIATELY and APPROPRIATELY. Students will follow legal, moral, and ethical models at ALL TIMES.

Honesty is required of all students. Dishonesty is an offense worthy of being withdrawn from the Program as it diminishes the quality of scholarship, misrepresents professional knowledge and integrity, and places the profession and patients at risk. Dishonesty may include, but is not limited to, such acts as; copying from another student during a test, cribbing, plagiarism, and falsifying academic and/or clinical records. This is a “Zero Tolerance” policy. Second chance requests will be denied. Students are responsible to follow the School of Health Science Academic Policies (academic dishonesty) at all times.

The instructor involved and the Program Director will carefully examine any situation that compromises honesty. Penalties for dishonesty are based on the presenting of evidence. Such penalties may include Program dismissal in accordance with college policy. Some examples of issues that may be considered inappropriate are listed here.

1. Behavior that compromises or interferes with the education process or the delivery of safe patient care.

2. Use, under the influence of, possession, or distribution of illegal substances (including alcohol) on campus or extended campus, including the clinical sites.

3. Initiating exploitative student-patient relationship which:

- result in financial gain

- and illegal transactions

- involve professionally inappropriate behavior

4. Failing to report errors and accidents.

5. Violations of patient rights to privacy and confidentiality.

6. Criminal behavior, felony and/or misdemeanor.

7. Falsification of reports.

8. Rendering patient care while impaired (i.e., under the influence of alcoholic beverages or prescribed or illegal substances).

9. Willfully concealing inappropriate behaviors by fellow students or preceptors the student comes into contact with. FAILURE TO REPORT ILLICIT ACTIVITY YOU ARE AWARE ANOTHER PERSON IS COMMITTING WILL BE TREATED AS IF YOU ARE GUILTY OF THE SAME BEHAVIOR.

IV. Attendance

Attendance at all academic assignments at the scheduled time is mandatory. Students have a professional commitment and obligation to all academic assignments. If personal illness, emergency, or extenuating circumstances prevent the student from attending class, the faculty must be notified prior to the student’s scheduled arrival time. In the case of inclement weather closure, students will not report and class will not be held. Contact information for faculty members will be provided as appropriate for each course the student is enrolled in.

V. Conduct at the Clinical Site

When students are performing at the clinical site, a faculty member or preceptor will be available for supervision and consultation. All work charted by the student must be cosigned by the instructor/preceptor. Students CANNOT take verbal orders. Please consult the instructor if this situation arises. The telephone should be used for business purposes only. Personal phone calls should be made only in an emergency and with the instructor’s permission. Breaks will be coordinated by preceptors. Students are expected to stay in the hospital and with their assigned preceptor. The student may be allowed to leave the assigned preceptor with permission only. If the student is allowed to leave for lunch, the student must return promptly at the arranged time and site. CELLULAR TELEPHONE USE IS STRICTLY PROHIBITED IN THE CLINICAL SITES. SHOULD AN EMERGENCY ARISE AND THE STUDENT NEEDS TO BE CONTACTED, THIS CONTACT SHOULD BE MADE THROUGH CRS PROGRAM FACULTY MEMBERS OR THE PROGRAM DIRECTOR. THE FACULTY MEMBER WILL THEN CONTACT THE STUDENT. FAILURE TO COMPLY WITH THIS POLICY MAY RESULT IN TERMINATION FROM THE CRS PROGRAM.

VI. Evaluation and Grading

Evaluation (tests, test awareness, performance analysis) is a constant in education. This program will use both objective and subjective evaluation methods. Although faculty attempt to structure and define the usage of these methods, the student must understand that evaluation is an inexact pursuit. Good faith and understanding are required of all. Should a student have questions about evaluation and grading, he or she is encouraged to speak with faculty members for clarification. Students are asked to realize that there are times when the faculty member simply “knows more” than the student, therefore although the student may disagree with a grade, the Program Director has the final authority to uphold or disqualify grades. The CRS Program strives for fairness and equity in all pursuits, grading and evaluation is no exception. Faculty members will listen to student concerns in all matters, then act according to applicable policies, procedures, and guidelines.

VII. Program Standing

Students must maintain a GPA of a C or above in order to continue in the program per School of Health Sciences policy. Any student who is dismissed for academic reasons has the option to reapply for readmission to the next available class through procedure outlines by the School of Health Sciences and College policy. The course sequence for students on probation will be determined by the program director. The term “Program Probation” is an internal designation and will not appear on student transcripts.

VIII. Dress Code

Students may express personal taste through appropriate dress while attending classes on the CSN campus. During attendance at the clinical site, off-campus lectures, or programs, the student will be required to wear professional attire at all times.

- Hair: must be short or under control (tied back, under surgical cap, etc.) Unusual hairstyles deemed inappropriate by the Program Director or Director of Clinical Education are prohibited; this is strictly a subjective decision by Program Faculty and must be abided by. For student safety, facial hair must be significant enough to interfere with masks worn for respiratory isolation patient care.

- Make-up: appropriate, leaning toward conservative. No bright colors, or multi-colored designs.

- Jewelry: no dangling bracelets; watches must have sweep hand. Rings: small, not sharp, and easily washed, may be necessary to remove.

- No facial piercings, including tongue piercings are permitted in the clinical setting, this is for health reasons.

- Tattoos should be covered when possible, this is to convey professionalism. This is typically achievable by simply following the prescribed dress code at all times.

- Perfumes/Cologne: Students are prohibited from wearing perfumes or other strong smelling scents both for class and at the clinical site. While personal hygiene is of the utmost importance, RCPs deal with patients who are frequently hypersensitive to artificial scents. In the interest of patient care, students are asked to be respectful of patients when chemical scents are involved. Some examples of potential risks are as follows (only exceptionally strong scents are at issue here): perfume, cologne, body spray, mouthwashes, shampoos, laundry detergent. Many artificial scents contain an alcohol base. There is a possibility a strong alcohol scent could be mistaken for a student having ingested alcohol which could trigger drug testing procedures.

IX. Relationships with Patients, Faculty, or Other Students

A. Students are to be reassuring, temperate, and considerate at all times.

1. Arguing will not be tolerated. Appropriate discussion, however, is encouraged.

2. Students must not allow personal problems, attitudes, or prejudices to affect the way others are treated. If you are having a problem, please talk with faculty. Faculty members are the student’s advocates as well as responsible to enforce the policies of various outside agencies the student is associated with during the course of education.

B. Students will adhere to the Patient’s Bill of Rights

1. The patient must be treated with respect.

2. The patient has a right to know what therapy you are giving him/her, who ordered it, and why he/she is receiving this therapy.

3. The patient has the right to refuse any therapy. Any refusal must be recorded in the patient with the reason for refusal, and reported to the instructor or supervisor immediately.

4. The patient has the right to the privacy and confidentiality of his/her medical record.

5. Do not release any information that relates to his/her condition, diagnosis, prognosis, or any therapy that you do not administer. Refer all such questions to faculty.

6. Students will follow Federal HIPAA Laws at all times.

C. Students must be tactful in handling difficult situations.

D. Students must explain all therapeutic procedures fully to the patient prior to the initiation of care.

1. Identify the patient and introduce yourself.

2. Explain what you are going to do for the patient.

3. Explain what you want the patient to do to cooperate.

4. Explain within the limits of your own and the patient’s understanding, why the patient is receiving the therapy.

5. Solicit patient questions.

6. Do not perform procedures without the explicit knowledge of your assigned preceptor unless there is an extreme emergency. In case of exigent circumstances, students are allowed to perform certain tasks without a preceptor but under the DIRECT supervision of a physician. The actual Nevada Revised Statues describing scope of practice are located in the appendix of this handbook.

E. Always act courteously and respectfully when relating to faculty, school, and hospital personnel.

1. Do not interfere with the work or instruction of others.

2. Do not use foul, abusive, or disrespectful language anywhere within or near academic areas, regardless of whom you think can or cannot hear you.

3. Do not make inappropriate jokes or statements about patients or their family/friends under any circumstance. You are hereby warned that overheard comments that are inappropriate could result in termination from the CRS Program.

F. Always cooperate with academic personnel and other students for the betterment of patient care.

X. Responsibility

A. Perform all assigned tasks as specified.

B. Follow established department and school policies.

C. Always utilize the procedure taught by your instructor. This may not be the same are what the facility does; we are training at the national level, not the local level.

D. Perform all reading or homework assignments.

E. Demonstrate the level of achievement required by faculty in each course. This often take the form of psychomotor simulations.

F. Seek remedial consultation with faculty if required achievement is lacking.

G. Always attempt to conserve and protect hospital or school supplies and equipment.

H. When in doubt, ask a faculty member.

I. Accept full responsibility for your performance and evaluation. Remember, learning is the responsibility of the student!

XI. Acceptance of Constructive Criticism

A. Constructive criticism is offered as guidance to effect student success.

B. Students will accept constructive criticism without public, emotional display.

C. Constructive criticism will be heeded and any behavioral deficiencies corrected promptly.

XII. Academic Grievances

A detailed description of the appeals process can be found in the current CSN catalog. It is essential that the student follow the appeals process with regard to required meetings with the faculty and administration as well as adhering to time constraints.

XIII. Outside Volunteer and Work Experience

Students who are involved in or commence volunteer or paid work during their course of study in the CRS Program cannot use their affiliation with the program in any aspect of that job to obtain special favor or promote CSN or the CRS Program inappropriately. Students are required to perform community service as part of the well-rounded academic experience. Any community service the student wishes to earn “credit” for toward mandatory are cautioned to obtain instructor permission to use that particular volunteer experience for “credit” toward mandatory community service clinical hours. Work outside the CRS Program undertaken by the student, independent of the program, is not covered by the liability insurance offered for clinical work associated with the education experience.

XIV. Incident Reports

Occasionally, reportable incidents occur in an academic area. Should any student, patient, or other staff members be injured as a result of an accident or exposure to a biohazard (including but not limited to needle sticks or exposure to illness such as tuberculosis) involving a student, the responsible student must first comply with all accident and injury protocols established at the clinical institution. Students must IMMEDIATELY contact the instructor of record for the course being attended or the CRS Program Director for guidance. Students are advised that he/she MAY NOT fill out any paperwork at a clinical site that would open a workmen’s compensation claim – STUDENTS ARE NOT ELIGIBLE FOR WORKMEN’S COMPENSATION FOR ANY ACCIDENT THAT OCCURS DURING CLINICAL PRACTICUM. The College of Southern Nevada has polices for dealing with such exposures. The need for immediate inclusion of faculty members to guide the student appropriately cannot be overstated. The School of Health Sciences policy for Incident Reporting can be found on page 7 at:

XV. Student Administrative Responsibilities

A. Faculty – Student Advisement Form

1. Purpose: This forum is intended to facilitate the students’ monitoring of program progress. Its proper maintenance will be checked during each counseling report.

2. Maintained by: faculty

3. Usage Details: Orientation, Semesters 1-4

4. Accreditation Application

5. Special Instructions: as described

B. Counseling Sheet

1. Purpose: This forum will be used to assist faculty and students to optimize energies toward an exceptional educational experience. Content areas may range from grades, cognition, affect, decorum, etc.

2. Maintained by: Faculty

3. Usage Dates: Orientation, Semesters 1-4, PRN

4. Accreditation Application

5. Special Instructions: Although a medical convention, honesty is especially important with this instrument.

C. Attendance Log

1. Purpose: This forum is intended to document student attendance to class and other program functions.

2. Maintained by: Faculty

3. Usage Dates: Q class, Other functions, as required

4. Accreditation Application

5. Special Instructions: Under no circumstances may a student sign-in for another student. Variation notation must be made for lateness and include time and reason.

D. Clinical Daily Log

1. Purpose: This form logs both procedure and physician exposures. It must be completed every clinical day so that student and faculty assess clinical exposure to assure that all modalities are mastered appropriately.

2. Maintained by: Student

3. Usage Dates: Q Clinical Day

4. Accreditation Application

5. Special Instructions: Make certain that all competencies are entered. This form has no value unless signed and dated by both the student and a preceptor. This form will be submitted electronically through the Dataarc program.

E. Clinical Hours Log

1. Purpose: This form provides the student and faculty with a daily and cumulative perspective of clinical exposures.

2. Maintained by: Student

3. Usage Dates: Q Clinical Day

4. Accreditation Application

5. Special Instructions: To be maintained daily, ACTUAL time in and out at the clinical site must be accurately recorded, this will be submitted on the Clinical Daily Log referenced above.

F. Student Evaluation of Clinical Site

1. Purpose: This form provides the faculty information from the student, critical for ongoing evaluation of the appropriations of the clinical site. If submitted online through the Dataarc program, please type the student name in the comment section.

2. Maintained by: Faculty

3. Usage Dates: End of Clinical Rotation

G. Student Evaluation of Preceptors

1. Purpose: This form provides the faculty information from the student, critical for ongoing evaluation of the preceptors the student is assigned. If submitted online through the Dataarc program, please type the student name in the comment section.

2. Maintained by: Faculty

3. Usage Dates: End of Clinical Rotation

H. Self Assessment Examinations

1. Purpose: At the beginning of the third and fourth semesters, the student will take standardized self-assessment examinations prepared by the same organizations that administer the actual professional credentialing examinations. All academic exposures to these points are preparation for the examinations. The student must pass each examination to proceed to the next examination. All examinations required must be passed in order for the student to be deemed ready for graduation.

2. Maintained by: Faculty

3. Usage Dates: CRT (semester 3 or 4), RRT-written (semester 4), RRT-clinical simulations (middle semester 4), additionally other examinations may be required such as: CPFT, RPFT, NPS

4. Accreditation Application

I. Post-Graduation Surveys

1. Purpose: These surveys, completed by both graduate and the graduates’ employer, assess competencies in specific content areas. Additionally, it allows for a final consideration of the Cardiorespiratory Sciences Program.

2. Maintained by: Faculty

3. Accreditation Application

4. Special Instructions: Return to Program Director

J. Graduate Data Logs

1. Purpose: This form facilitates graduate tracking so that professional placement, salary, and needed program modifications may be assessed.

2. Maintained by: Faculty

3. Accreditation Application

4. Special Instructions: Return to Program Director

K. Attrition Form

1. Purpose: This form provides attrition data to this faculty for analysis.

2. Maintained by: Faculty

3. Usage Dates: At attrition

4. Accreditation Application

L. Recommendation For Removal From A Health Sciences Program Form

1. Purpose: This form documents a student’s inability to continue in the CRS Program. It will be completed and sent to the department chair and dean of health sciences for review.

2. Maintained by: Faculty

3. Usage Dates: At attrition

4. Accreditation Application

M. Unsatisfactory Progress Notification

1. Purpose: This form documents a student’s academic and/or conduct related standing in the CRS Program. Students are given this notification in order to assist him/her in changing behavior to achieve a successful outcome. Students receiving more than one Unsatisfactory Progress Notification over the course of the Program are exhibiting likelihood to be recommended for program termination. It will be completed and sent to the department chair and dean of health sciences for review.

2. Maintained by: Faculty

3. Usage Dates: At attrition

4. Accreditation Application

Students must sign and return the National Credentialing Participation Contract prior to beginning the Cardiorespiratory Sciences Program. The Contract is located on the following page and will also be available in the CRS Sputum File for printing alone. Students are encouraged to discuss the contract with faculty members if there are any questions. This contract will be kept in the student’s permanent program file.

College of Southern Nevada

School of Health Sciences

Cardiorespiratory Sciences Program

National Credentialing Participation Contract

The Cardiorespiratory Sciences Program at the College of Southern Nevada provides structured instruction to prepare students and graduates to successfully complete a variety of professional credentialing examinations. It is very important to the student, the Program, and the cardiorespiratory care community for students (and subsequent graduates) of the Cardiorespiratory Sciences Program to successfully attain these credentials at the earliest time possible. Print and sign clearly please!

CONTRACT

I, _______________________________________, understand that as a condition of my acceptance into the Cardiorespiratory Sciences Program at the College of Southern Nevada, I am agreeing to proceed with good faith in achieving credentialing in the following areas in the time specified:

Credential: No Later Than: Student Initials

ACLS before graduation __________

Phlebotomy before beginning second year __________

CCT before graduation __________

CRT before graduation __________

RRT within 60 days of graduation __________

I also understand that it is my responsibility to overcome financial, schedule, or other obstacles, to attain these credentials in the time prescribed. Further, I understand that successful completion of these credentials is either a requirement of the CRS Program, a requirement of the CRS Program’s national accrediting agency, or both. Completion, therefore, in non-negotiable. This form is to be signed at the beginning of a student’s acceptance into the CRS Program and again just prior to graduation as a reminder of this commitment.

____________________________ __________________________

Student’s signature Student’s signature

____________________________ __________________________

Faculty’s signature Faculty’s signature

____________________________ ___________________________

Date Date

The CRS Program utilizes curriculum based on Bloom’s Taxonomy. This is a description of progressive learning. The following information is provided in order to assist the student in understanding why various elements of the curricula have been established. Further explanation of Blooms’ Taxonomy is available upon request by the student.

TAXONOMY OF OBJECTIVES

A taxonomic system is helpful in writing precise objectives. Taxonomy literally means the department of knowledge that embodies the laws and principles of classification.

For Cognitive domain, the levels are as follows (ranging from simple to complex):

- Knowledge

- Comprehension

- Application

- Analysis

- Synthesis

- Evaluation

For Affective domain, the levels are as follows (ranging from simple to complex):

- Receiving

- Responding

- Valuing

- Organizing

- Characterizing an internally consistent value system

For Psychomotor domain, the levels are as follows (ranging from simple to complex):

- Perception

- Set guided response

- Mechanism

- Complex overt response

- Adaptation

- Origination

Students are encouraged to view the Detailed Content Outline for each NBRC examination regularly to verify knowledge base. This is a list of items you will be required to understand for credentialing examination purposes. This is located in the Student Resource Section of the Sputum Files and can be found at

Appendix A

Nevada Revised Statues Concerning the Practice of Respiratory Care

The following items are a “cut and paste” directly from the Nevada Revised Statues regarding the Respiratory Care Practitioner scope of practice; it may therefore appear disjointed. Listed you will find both definitions and the legal limitations prescribed by the state. Please note students’ roles and limitation per Nevada law. For the purposes of these laws, a “Respiratory Intern” is a student who is actually employed by a facility – a student attending clinical is not considered an intern. Students are encouraged to read the Statutes for themselves. They can easily be found at: and



Senate Bill No. 91–Committee on Commerce and Labor

 

CHAPTER 152

 

AN ACT relating to medicine; changing the designation of physician’s assistant; revising the scope of authority and duties of the board of medical examiners; providing for the issuance of special purpose licenses; requiring the board of medical examiners to regulate the practice of respiratory care; requiring practitioners of respiratory care to be licensed by the board of medical examiners; revising the qualifications and requirements relating to licensure of physicians and physicians’ assistants; revising the duties and scope of authority of persons licensed by the board of medical examiners; making certain actions subject to disciplinary action by the board of medical examiners; revising provisions governing the imposition of disciplinary action against licensees; establishing and revising certain fees; increasing certain penalties; and providing other matters properly relating thereto.

 

[Approved: May 24, 2001]

 

THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN

SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

 

    Section 1.  Chapter 630 of NRS is hereby amended by adding thereto the provisions set forth as sections 2 to 9, inclusive, of this act.

    Sec. 2.  “Practice of respiratory care” includes:

    1.  Therapeutic and diagnostic use of medical gases, humidity and aerosols and the maintenance of associated apparatus;

    2.  The administration of drugs and medications to the cardiopulmonary system;

    3.  The provision of ventilatory assistance and control;

    4.  Postural drainage and percussion, breathing exercises and other respiratory rehabilitation procedures;

    5.  Cardiopulmonary resuscitation and maintenance of natural airways and the insertion and maintenance of artificial airways;

    6.  Carrying out the written orders of a physician, physician assistant, certified registered nurse anesthetist or an advanced practitioner of nursing relating to respiratory care;

    7.  Techniques for testing to assist in diagnosis, monitoring, treatment and research related to respiratory care, including the measurement of ventilatory volumes, pressures and flows, collection of blood and other specimens, testing of pulmonary functions and hemodynamic and other related physiological monitoring of the cardiopulmonary system; and

    8.  Training relating to the practice of respiratory care.

    Sec. 3.  “Practitioner of respiratory care” means a person who is:

    1.  Certified to engage in the practice of respiratory care by the National Board for Respiratory Care or its successor organization; and

    2.  Licensed by the board.

    Sec. 4.  “Respiratory care” means the treatment, management, diagnostic testing, control and care of persons with deficiencies and abnormalities associated with the cardiopulmonary system. The term includes inhalation and respiratory therapy.

    Sec. 5.  For the purposes of this chapter, any act that constitutes the practice of medicine shall be deemed to occur at the place where the patient is located at the time the act is performed.

…………………………………………………………………………………………………………………

⎢2001 Statutes of Nevada, Page 759 (Chapter 152, SB 91)⎢

 

    Sec. 6.  The practice of respiratory care must be performed under the direction of or pursuant to a prescription from a physician licensed to practice in this state, any other state, any territory of the United States or the District of Columbia.

    Sec. 7.  1.  Every person who wishes to practice respiratory care in this state must:

    (a) Have a high school diploma or general equivalency diploma;

    (b) Complete an educational program for respiratory care which has been approved by the National Board for Respiratory Care or its successor organization;

    (c) Pass the examination as an entry-level or advanced practitioner of respiratory care administered by the National Board for Respiratory Care or its successor organization;

    (d) Be certified by the National Board for Respiratory Care or its successor organization; and

    (e) Be licensed to practice respiratory care by the board and have paid the required fee for licensure.

    2.  Except as otherwise provided in subsection 3, a person shall not:

    (a) Practice respiratory care; or

    (b) Hold himself out as qualified to practice respiratory care,

in this state without complying with the provisions of subsection 1.

    3.  Any person who has completed the educational requirements set forth in paragraphs (a) and (b) of subsection 1 may practice respiratory care pursuant to a program of practical training as an intern in respiratory care for not more than 12 months after completing those educational requirements.

    Sec. 8.  An application for a license as a practitioner of respiratory care must include the social security number of the applicant.

    Sec. 9.  The board shall adopt regulations regarding the licensure of practitioners of respiratory care, including, without limitation:

    1.  Educational and other qualifications of applicants;

    2.  Required academic programs which applicants must successfully complete;

    3.  Procedures for applying for and issuing licenses;

    4.  Tests or examinations of applicants by the board;

    5.  The types of medical services that a practitioner of respiratory care may perform, except that a practitioner of respiratory care may not perform those specific functions and duties delegated or otherwise restricted by specific statute to persons licensed as dentists, chiropractors, podiatric physicians, optometrists, physicians, osteopathic physicians or hearing aid specialists pursuant to this chapter or chapter 631, 633, 634, 635, 636 or 637A of NRS, as appropriate;

    6.  The duration, renewal and termination of licenses; and

    7.  The grounds and procedures for disciplinary actions against practitioners of respiratory care.

    Sec. 10.  NRS 630.003 is hereby amended to read as follows:

    630.003  The legislature finds and declares that it is among the responsibilities of state government to ensure, as far as possible, that only competent persons practice medicine and respiratory care within this state. For this purpose, the legislature delegates to the board of medical examiners the duty of determining the initial and continuing competence of doctors of medicine , physician assistants and practitioners of respiratory care in this state.

PRACTITIONERS OF RESPIRATORY CARE

      NRS 630.276  Licensed physician required to supervise respiratory care.  The practice of respiratory care must be performed under the direction of or pursuant to a prescription from a physician licensed to practice in this State, any other state, any territory of the United States or the District of Columbia.

      (Added to NRS by 2001, 759)

      NRS 630.277  Requirements; prohibitions; intern in respiratory care.

      1.  Every person who wishes to practice respiratory care in this State must:

      (a) Have a high school diploma or general equivalency diploma;

      (b) Complete an educational program for respiratory care which has been approved by the National Board for Respiratory Care or its successor organization;

      (c) Pass the examination as an entry-level or advanced practitioner of respiratory care administered by the National Board for Respiratory Care or its successor organization;

      (d) Be certified by the National Board for Respiratory Care or its successor organization; and

      (e) Be licensed to practice respiratory care by the Board and have paid the required fee for licensure.

      2.  Except as otherwise provided in subsection 3, a person shall not:

      (a) Practice respiratory care; or

      (b) Hold himself out as qualified to practice respiratory care,

⊇ in this State without complying with the provisions of subsection 1.

      3.  Any person who has completed the educational requirements set forth in paragraphs (a) and (b) of subsection 1 may practice respiratory care pursuant to a program of practical training as an intern in respiratory care for not more than 12 months after completing those educational requirements.

      (Added to NRS by 2001, 759)

      NRS 630.279  Regulations concerning licensure.  The Board shall adopt regulations regarding the licensure of practitioners of respiratory care, including, without limitation:

      1.  Educational and other qualifications of applicants;

      2.  Required academic programs which applicants must successfully complete;

      3.  Procedures for applying for and issuing licenses;

      4.  Tests or examinations of applicants by the Board;

      5.  The types of medical services that a practitioner of respiratory care may perform, except that a practitioner of respiratory care may not perform those specific functions and duties delegated or otherwise restricted by specific statute to persons licensed as dentists, chiropractors, podiatric physicians, optometrists, physicians, osteopathic physicians or hearing aid specialists pursuant to this chapter or chapter 631, 633, 634, 635, 636 or 637A of NRS, as appropriate;

      6.  The duration, renewal and termination of licenses; and

      7.  The grounds and procedures for disciplinary actions against practitioners of respiratory care.

      (Added to NRS by 2001, 759)

COLLEGE OF SOUTHERN NEVADA

RECOMMENDATION FOR REMOVAL FROM A

HEALTH SCIENCES PROGRAM

Student Name___________________________Program___________________________

Student ID Number __________________________

Reason for Removal

A. Academic Failure

Nature of Problem _______________________________________________________

______________________________________________________________________

______________________________________________________________________

B. Unsatisfactory Clinical Performance

Nature of Problem _______________________________________________________

______________________________________________________________________

______________________________________________________________________

C. Professional Misconduct

Nature of Problem _______________________________________________________

______________________________________________________________________

______________________________________________________________________

D. Voluntary Program Withdrawal

Nature of Problem _______________________________________________________

______________________________________________________________________

______________________________________________________________________

I have read and discussed the above with the Program director. I have been informed of the appeals process.

_____________________________________ _________________________________

Student Signature Date

_____________________________________ _________________________________

Program director Signature Date

____________________________________

PRINT Program director Name

Copies to: student, program director, department chair, and dean of health sciences

COLLEGE OF SOUTHERN NEVADA

UNSATISFACTORY PROGRESS NOTIFICATION

_______________________________________ ________________________________

PRINT Student Name Student ID Number

________________________________ ____________________ ________________________________________

Course / Section Semester / Year Instructor Name

This Notice of Unsatisfactory Progress is issued for the following reasons:

_______ 1. Academic failure: a grade less than the required passing grade

_______ 2. Unsatisfactory clinical performance: failure to meet minimal clinical competencies

_______ 3. Professional misconduct: failure to adhere to stated objectives as outlined and defined by individual program policies and course syllabi.

We are concerned that the deficiencies indicated above endanger your standing in the program and may prevent you from continuing. Please indicate below how you intend to resolve these problems.

I have read and discussed the above with the appropriate faculty member. I understand these deficiencies must be corrected to remain in the program. These corrective measures are indicated above.

_____________________________________ _________________________________

Student Signature Date

_____________________________________ _________________________________

Program director or Department Chair Signature Date

____________________________________

PRINT Program director or Department Chair Name

_____________________________________ _________________________________

Instructor’s Signature Date

____________________________________

PRINT Instructor’s Name

Copies to: student, program director, department chair

The following attendance policy is from the College of Southern Nevada’s Catalog. It can be found at the following online location listed under attendance policy within the appropriate year’s catalog.



ATTENDANCE POLICY

College enrollment assumes maturity, seriousness of purpose and self-discipline for meeting the responsibilities associated with the courses for which a student registers.

Students are expected to attend each meeting of every course for which they have registered. Attendance is essential for normal progress in a college course. A student may be dropped from a course for excessive absences by the course instructor. Under no circumstances will an absence, for any reason, excuse a student from completing assigned work in a given course. After an absence, it is the student’s responsibility to check with the instructor about the completion of missed assignments.

(For information on absences on religious holidays, see Religious Holidays in this Catalog.).

Students receiving Student Financial Aid assistance, please refer to the Withdrawal and Return of Title IV Funds link from the Financial Aid - Satisfactory Progress website for detailed information at

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