Clinicals
Rose State College has affiliation agreements with 17 clinical sites, providing students exposure to a wide variety of patient populations and clinical experiences. These sites are spread throughout the metro and include, but are not limited to: Integris, Mercy, Oklahoma Heart Hospital, SSM Health St. Anthony.
Students must be able to provide their own transportation to and from clinical sites. Students should be aware they may not get to choose which site they will be visiting.
Fall Semester Rotation
Purpose
The fall semester clinical rotation allows the student to experience direct patient contact while under the supervision of a staff respiratory therapist (clinical instructor) at all times. All students will be assigned two eight hour day shifts at a clinical site. These are scheduled on Fridays during the second eight weeks of the fall semester (mid-October through December).
Procedures to Perform
The students have demonstrated competency in the lab and will be allowed to perform with assistance the following procedures:
- Physical assessment, to include vital signs and chest auscultation
- Small volumn nebulizer
- Pulse oximetry
- Oxygen administration
All procedures must be performed under direct supervision.
Spring Rotation—Clinic Practicum I
Purpose
The Clinic I Rotation is designed to allow students to perform treatment modalities with the noncritical care patient. The students will attend clinic rotation on Mondays and Wednesdays from 6:30am to 3:00pm.
Procedures to Perform
The students have demonstrated competency in the lab and will be expected to gain experience on the following procedures:
- Oxygen administration
- Aerosolized medication delivery via SVN, MDI & DPI
- IPPB
- Incentive Spirometry
- Chest physiotherapy
- Pulse oximetry
- NT suctioning
- Tracheal suctioning*
- Tracheostomy care*
- Trach changeout*
- Mucus clearance devices
- Bedside spirometry
- PFT (diffusion, body plethysmography, nitrogen washout, clinical spirometry)
* Stable trach patients only
All procedures must be performed with supervision until the student demonstrates competency at a clinical site.
Clinic Competencies
Students must complete Data Arc competencies on all procedures performed during the Clinic I rotation. The purpose of the competency is to verify the students’ ability to comprehend, apply and evaluate clinical information including the ability to demonstrate technical proficiency in the skill necessary. Each competency follows the same format: equipment and patient preparation, patient evaluation, implementation of procedure, follow-up, demonstrates knowledge of fundamental concepts, and clinical competency performance criteria. As a clinical instructor, you may be asked to complete a competency for the student. This involves a review of the competency prior to the process, a summative evaluation (satisfactory, minor unsatisfactory or major unsatisfactory), signature, facility and date. The list of competencies to be completed is the same as the list of procedures the student will perform during the Clinic I rotation.
Clinic Practicum I Objectives
The clinic objectives follow the detailed content outline for the NBRC exams are intended to review concepts and promote a deeper understanding of patient data evaluation, equipment manipulation and therapeutic procedures. Rose State faculty and Clinical Instructors will verify concepts on the clinic objectives. The Clinic I Objectives will include the following:
- Physical Assessment
- Humidity and Aerosol Therapy
- Incentive Spirometry
- IPPB
- Bronchial Hygiene/NT Suctioning
- Chest Physiotherapy
- Respiratory Pharmacology
- Pulmonary Function
- Medical Gas Administration
- Radiology Assessment
- Tracheostomy
- Cardiopulmonary Resuscitation
- End of Rotation
The last 4 weeks of Clinic I the students may begin performing the following procedures with supervision in critical care: BiPap Set-Up and Routine Check, Adult Ventilator Set-Up and Routine Check, ABG’s.
Summer—Clinic Practicum II & III Rotations
Purpose
The Clinic II & III Rotations are designed to allow students to perform treatment modalities with the critical care patient. The students will attend adult ICU clinic rotation on Monday through Thursday from 6:30am to 3:00pm. Students assigned to NICU or PICU clinic rotation will follow the same schedule, and add Fridays from 6:30am to 10:30am.
Procedures to Perform
The students have demonstrated competency in the lab and will be expected to gain experience on the following procedures:
- Artificial Airway Cuff Management
- Extubation
- In Line Small Volume Nebulizer
- Inline suctioning
- Noninvasive Ventilator Setup
- Adult Ventilator Setup
- Adult Ventilator Check
- Adult Weaning Parameters
- Neonate Ventilator Setup
- Neonate Ventilator Check
- Manual Ventilation During Transport
All procedures must be performed with supervision until the student demonstrates competency at a clinical site.
Clinical Competencies
Students must complete Data Arc competencies on all procedures performed during the Clinic II/III rotation. The purpose of the competency is to verify the students’ ability to comprehend, apply and evaluate clinical information including the ability to demonstrate technical proficiency in the skill necessary. Each competency follows the same format: equipment and patient preparation, patient evaluation, implementation of procedure, follow-up, demonstrates knowledge of fundamental concepts, and clinical competency performance criteria. As a clinical instructor, you may be asked to complete a competency for the student. This involves a review of the competency prior to the process, a summative evaluation (satisfactory, minor unsatisfactory or major unsatisfactory), signature, facility and date. The list of competencies to be completed is the same as the list of procedures the student will perform during the Clinic II/III rotation.
Clinic II/III Objectives
The clinic objectives follow the detailed content outline for the NBRC exams are intended to review concepts and promote a deeper understanding of patient data evaluation, equipment manipulation and therapeutic procedures. Rose State faculty and Clinical Instructors will verify concepts on the clinic objectives. The Clinic II/III Objectives will include the following:
- ABG Sampling Technique and Analysis
- Cardiopulmonary Resuscitation
- Critical Care Monitoring
- Mechanical Ventilation
- Ventilator Modification & Care of the Critically Ill
- Neonatal Intensive Care
- Pediatric Intensive Care
