Program Handbook 2019 - 2020

RESPIRATORY CARE

Last update: November 2019 The information on this version of the Respiratory Therapy Program Handbook Is subject to change without notice. This handbook is a program resource and not intended to contain all policies and regulations applicable to students.

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Introduction The purpose of this handbook is to inform and guide students on program specific requirements and

expectations.

The Cuyahoga Community College Board of Trustees, Faculty and Administration reserve the right to

change, at any time, without notice, graduation requirements, tuition, books, fees, curriculum, course

structure and content, and such other matters within its control, including information set forth in this

handbook.

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Contents

Section I – Welcome Letter .................................................................1

Section II – Program Description.........................................................1

1. Mission, Vision and Philosophy ..................................................................... 1

2. Program History ............................................................................................ 2

3. Core Values ................................................................................................... 2

4. Description of the Profession ........................................................................ 3

5. Professional Memberships ........................................................................... 3

6. Program Faculty and Staff ............................................................................. 3

Section III – Program Expectations .....................................................4

1. Professional Standards ................................................................................. 4

2. Code of Ethics ............................................................................................... 4

3. Program Learning Outcomes ........................................................................ 4

4. Professional Attire Requirements ................................................................. 4

5. Student Code of Conduct .............................................................................. 5

6. Health and Physical Requirements ............................................................... 5

Section IV – Academic Requirements and Progression ........................7

1. Degree Requirements ................................................................................... 7

2. Attendance ................................................................................................... 7

3. Absence Policy .............................................................................................. 8

4. Illness ............................................................................................................ 8

5. Scheduling .................................................................................................... 8

Section V – Academic Status ...............................................................8

1. Grading ......................................................................................................... 9

2. Grade Point Average (GPA) ........................................................................... 9

3. Program Withdrawal, Probation, Dismissal, and Reinstatement................. 11

4. Due Process ................................................................................................ 15

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5. Student Change of Contact Information ..................................................... 15

Section VI – Language Proficiency Requirements .............................. 15

Section VII – Student Resources ....................................................... 15

1. Tutoring ...................................................................................................... 15

2. Student Accessibility Services ..................................................................... 16

3. Student Safety ............................................................................................ 16

4. Other Resources ......................................................................................... 16

Section VIII – Accreditation and Credentialing .................................. 16

1. College and Academic Program Accreditation ............................................ 16

2. Boards, National and/or State Testing ........................................................ 17

Section IX – Costs ............................................................................. 17

1. Tuition and Fees ......................................................................................... 17

2. License, Application, Certification and/or Examination costs ..................... 17

3. Financial Responsibility ............................................................................... 17

Section X – Field and Clinical Experiences ......................................... 20

1. Clinical Experience ...................................................................................... 20

2. Internships, Practicums, Field Experience, and Cooperative Education ...... 22

3. Service Requirements ................................................................................. 22

4. Performance Expectations .......................................................................... 23

5. Holidays ...................................................................................................... 23

6. Hours .......................................................................................................... 24

7. Emergency Closures and Inclement Weather ............................................. 24

APPENDICES ..................................................................................... 25

Appendix I – Glossary of College and Program Terminology ............................. 25

Appendix II – Handbook Acknowledgement Form ............................................ 29

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Section I – Welcome Letter

Greetings Respiratory Care Students,

It gives me great pleasure to welcome those of you who are new to the Tri-C program. For those of you

returning, welcome back. I hope that you have had an enjoyable summer and trust that you are looking

forward to an exciting and productive academic year.

I wanted you to know how delighted I am to serve as your program medical director. It has been my

pleasure to meet many of you during research days, alumni night and during lectures on PFTs, COPD and

the ARDSNet study. Mary Skowronski, Program Director, and your team of instructors at Tri-C and the

clinical sites are doing an outstanding job in preparing you to be outstanding therapists. You will be highly

sought after in the Cleveland job market so work hard, study a lot and be a lifelong learner.

As we embark on a new academic year, I look forward to meeting each of you. We will have a few lectures

together and I plan to be in attendance for some of your research days and case presentations. I will

continue to ask you for feedback on how things are going and what things the academic staff and I can do to

make your education fruitful and rewarding. Please feel free to reach out to me and/or Mary Skowronski

with any questions, concerns or comments. Best wishes for an awesome year!

Warm Regards,

Sherrie D. Williams, MD, MHS Medical Director Cuyahoga Community College Respiratory Care Program

Section II – Program Description

1. Mission, Vision and Philosophy

The College Mission:

To provide high quality, accessible and affordable educational opportunities and services — including

university transfer, technical and lifelong learning programs —that promote individual development and

improve the overall quality of life in a multicultural community.

The goal of the Cuyahoga Community College Respiratory Care Program is to prepare graduates with

demonstrated competence in the cognitive (knowledge), psychomotor (skills), and affective (behavior)

learning domains of respiratory care practice as performed by registered respiratory therapists (RRTs)

(Standard 3.01 CoARC Accreditation Standards).

This program is designed to prepare students to demonstrate the following program outcomes:

o Demonstrate ethical and professional behavior.

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o Assess, evaluate, interpret and prioritize clinical, therapeutic and mechanical patient data to

ensure appropriate outcomes.

o Teach, document and communicate therapy with patients, families and all medical personnel,

following medical protocols.

o Employ personal safe work methods and practice Universal Precautions in clinical and non-

clinical settings.

o Perform procedures used to diagnose and treat cardiopulmonary patients for all age groups.

The curriculum design supports the specific program goals. The first year is designed to develop a scientific

basis through biological, physical, and clinical science courses along with courses developing ethical and

communication skills. This design enhances the preparedness of the students entering the second year,

which begins the clinical courses. The curriculum is designed to pay specific attention to the learning

sequence providing for the development of simple skills and progressing to more complex skills requiring

analysis and evaluation. A student's clinical rotation schedule will provide a diverse, health care experience.

Clinical sites are comprised of community hospitals, urban teaching hospitals, and inner city hospitals,

providing a well-balanced geographic, demographic, and patient-load mix that enhances the students'

expertise and competitiveness in the job market.

2. Program History

The Respiratory Care Program has a long-standing professional affiliation with healthcare stakeholders in the community. Tri-C admitted the first respiratory class in the Fall Semester of 1969, and graduated the program’s first class of seven students in the Spring Semester of 1971. To date, the program has graduated 945 students since the program’s inception in 1969, maintaining an employment rate averaging 90% over the past 10 years in the Greater Cleveland area. A task force of Tri-C staff, pulmonary physicians, and community respiratory therapists developed the

program. Today, these same groups continue to advise and direct the scope of the program through an

active Advisory Committee. The medical direction of the Respiratory Care Program has been instrumental

in the curriculum development and success of graduates. David Gillespie, MD, Chief of Pulmonary at

MetroHealth, served as the programs first Medical Director and provided direction and guidance in setting

the standards for the profession for respiratory care in the Cleveland healthcare community. MetroHealth

was one of the initial clinical sites and has remained a clinical site since the program’s start.

3. Core Values

To successfully fulfill the mission and vision, Cuyahoga Community College is consciously committed to

diversity, integrity, academic excellence, and achievement of individual and institutional goals. We are

dedicated to building trust, respect, and confidence among our colleagues, students, and the community.

3354:1-42-01 College Policy on affirmative action, inclusive excellence, equal opportunity, discrimination,

and harassment. http://www.tri-c.edu/policies-and-procedures/documents/3354-1-42-01-college-policy-on-affirmative-action-inclusive-excellence-

equal-opportunity-discrimination-and-harassment.pdf

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4. Description of the Profession

Respiratory Therapists are trained to administer drugs and perform therapeutic procedures to aid in the treatment of the cardiopulmonary system. They also perform diagnostic tests, which aid in patient care. Because of the nature of these procedures and the continuous interaction with patients, physicians, and other Allied Health specialists, it is essential that the Practicing Respiratory Therapist is able to accept responsibility in developing and maintaining the rapport and mutual respect required for effective interpersonal relationships. Across the United States and in Northeast Ohio, there is a growing need for Respiratory Therapists. The number of employment opportunities for Respiratory Therapists is projected to grow 23% from 2016 to 2026 (United States Department of Labor). This exceeds the 7% total growth for all occupations (United States Department of Labor). In addition to meeting a critical employment need, a career in Respiratory Therapy provides a quality livable wage for local men and women and their families. According to the US News & World Report 2018 Best Jobs Report, Respiratory Therapist is ranked #16 for Best Health Care Jobs and #21 of the Best 100 Jobs. The 2018 national income range for Respiratory Therapists is $43,120 to $83,030 with a median salary of $61,810 (United States Department of Labor). In Greater Cleveland, the income range is $58,735 to $70,275 with a median salary of $64,637 (Salary.com).

Intro statement – job outlook https://www.tri-c.edu/programs/health-careers/respiratory-care/index.html

5. Professional Memberships

American Association for Respiratory Care www.aarc.org

6. Program Faculty and Staff

Program Director, Respiratory Care: Mary Skowronski, MEd, RRT • WHCS- A206 office 216-987-5653 • mary.skowronski@tri-c.edu

Director of Clinical Education & Instructor: Chuck Waddell, MEd, RRT-NPS, RPSGT • WHCS-A221 office 216-987-5492 • chuck.waddell@tri-c.edu

Assistant Professor lecture/lab instructor: Darrell Clemetson, MA, RRT-NPS, CPFT • WHCS-A219b office 216-987-5454 • darrell.clemetson@tri-c.edu

Program adjunct faculty:

Arnold Disch: arnold.disch@tri-c.edu

Kathleen Fedor: Kathleen.fedor@tri-c.edu

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Program Medical Director: Sherrie D. Williams, MD, MPH

sdwilliams@metrohealth.org

Section III – Program Expectations

1. Professional Standards

In addition to the Respiratory Care Program Handbook rules and regulations contained here within, students are expected to adhere to the individual rights and responsibilities policy of Cuyahoga Community College and to the rules, regulations, and policies of any other institution or facility where they may be assigned. All students and licensed Respiratory Care Professionals are required to observe the code of ethics, Ohio Revised Code Chapter 4761: RESPIRATORY CARE http://codes.ohio.gov/oac/4761-10 . Any conflicting policies should be reported to the Program Director.

2. Code of Ethics

A student enrolled in the Respiratory Care Program is in the beginning phases of a career as a State of Ohio

Licensed Respiratory Care Professional and should be aware of and adhere to the professional and ethical

code of the Respiratory Care Profession ( The State of Ohio Medical Board “Ethical and Professional

Conduct” http://codes.ohio.gov/oac/4761-10). In addition to the Student Code of Conduct, students within

the Respiratory Care Program are also expected to follow the applicable code of ethics outlined by the

American Association of Respiratory Care www.aarc.org (https://www.aarc.org/wp-

content/uploads/2015/05/aarc-statement-of-ethics-and-professional-conduct.pdf ). Any student found to

violate the professional and ethical standards may be referred to the College’s Student Code of Conduct.

*This may come from a professional entity or accreditor. A general introductory paragraph is provided.

*If your program does not have a code of ethics, delete the paragraph below and state, Not Applicable.

3. Program Learning Outcomes

Program learning outcomes can be found at http://catalog.tri-c.edu/programs/respiratory-care-

aas/#programlearningoutcomestext

4. Professional Attire Requirements

Personal appearance must be compatible with the concept that Respiratory Therapists must be acceptable

to patients, physicians, and other health professionals. The following guidelines are designed to develop a

professional image at sites where both lab and clinical activities occur.

A. LABORATORY: NAVY SCRUBS 1. Conservative shoes with socks or hose appropriate to a health care setting, must be worn.

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Shoes must be low-heeled, clean and completely cover the foot. “Class shirts” may be worn with navy scrub bottoms.

B. CLINICAL ROTATIONS: NAVY SCRUBS & WHITE LAB COAT 1. Tri-C and clinical site ID badges are to be worn on the premises of clinical sites unless specifically

notified otherwise by the Clinical Instructor, Director of Clinical Education or Program Director. 2. Conservative shoes with socks or hose appropriate to a health care setting, must be worn.

Shoes must be low-heeled, clean and completely cover the foot. 3. Specific hospital uniforms may be designated by a clinical instructor for specialty rotations, such

as intubation rotation, or operating room procedures/observations. 4. Hair must be neat, clean, and controlled. Hair must be of a “natural” color. “Fashionable” colors

including, but not limited to blue, pink, purple, red, green, etc. are not permitted. Persons with long hair must wear it pinned or tied back. Bangs, if worn, must not be so long as to interfere with vision or patient acceptance.

5. Facial hair is acceptable if it is neat and trimmed. 6. Artificial eyelashes are not permitted as it constitutes a patient safety issue. 7. Tattoos and/or body piercing(s), is (are) to be covered. 8. Nails must be clean and well-trimmed, not to exceed ¼ inch in length and no artificial nails of

any sort are permitted as they harbor bacteria and violate clinical site Infection Control policy. Nail polish may be worn if it is tastefully colored.

9. Make-up, and jewelry should not be worn in excess, and should present a conservative appearance.

10. Earrings should be limited to post style and no more than 2 per ear. 11. Perfume/cologne should not be worn.

5. Student Code of Conduct

The College acknowledges the importance of an environment that is conducive to learning. The Student

Conduct Code and Judicial System serves to provide such an atmosphere that is conducive to education

growth and civility which fosters and protects the mission of the College. College Procedures on Student

Conduct: Student Conduct Code and Student Judicial System , and Student Judicial System.

6. Health and Physical Requirements

TECHNICAL STANDARDS FOR RESPIRATORY CARE Candidates considered for the Respiratory Care profession, must possess abilities and skills related to critical thinking, physical, visual, auditory, oral communication, coordination, and affective behaviors. Individuals with a documented disability through Cuyahoga Community College’s Access Office, are entitled to reasonable accommodations, but should be able to perform in a reasonably independent manner. Practitioners must be able to: Demonstrate critical thinking skills required:

to analyze, synthesize, and accurately interpret information

to measure, calculate, and reason

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in making sound decisions under emergency situations These skills allow respiratory therapists to make proper assessments, sound judgments, and prioritize assignments based on need. Possess the physical skills, manual dexterity, and energy required to:

stand for long periods of time, usually, a majority of the work period

walk quickly or run to emergency events at any given time

move patients in or out of bed or chairs; should be able to lift a minimum of 50 pounds

manually compress a resuscitation bag with both hands

ensure a proper seal with a resuscitation mask

perform Cardiopulmonary Resuscitation (CPR) o adults o pediatrics o neonates

perform chest percussion

initiate or maintain a patent airway These skills allow respiratory therapists to have substantial physical skills required to assist patients’ breathing, movement or resuscitative efforts. Maintain visual acuity (with or without corrected sight) to be able to:

read small print on labels to accurately deliver medications

physically assess patients in relation to: o color of skin and/or mucus membranes o chest configuration o peripheral perfusion o color/consistency of upper and lower airway secretions

These skills allow respiratory therapists to make proper assessments, effectively read patient charts, and safely identify medications. Possess adequate auditory characteristics (corrected or uncorrected) that will enable the respiratory therapist to:

determine the differences in pitch related to heart and lung sounds

determine the differences in sound volume related to heart and lung sounds

hear a hospital pager

hear the differences in pitches related to medical equipment alarms

accurately take blood pressure measurements These skills allow respiratory therapists to obtain an oral, medical history, and properly assess patients. Demonstrate oral and written communication skills in the English language for the purpose of:

effective communication to all health care personnel

communicating/educating/instructing patients and/or family members in respiratory related procedures

rapid and accurate dissemination of information in emergency settings

document clearly, and effectively (written or digital formats) These skills allow respiratory therapists to communicate in English, both orally and written formats with instructional staff, patients, families, and members of the health care team.

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Hand-eye coordination, which will enable the respiratory therapist to:

safely perform arterial blood sampling

calibrate and assemble necessary equipmentThese skills allow respiratory therapists to properly set-up and adjust medical equipment necessary for monitoring data necessary to treat and/or assess physiologic patient parameters.

Demonstrate affective skills related to:

punctuality and attendance as policy dictates

empathy for patients and their families

the protection of patient confidentiality

trauma and grief experiences

self-motivation

ethical and professional treatment of patients, patients’ families, and health care personnelThese skills allow respiratory therapists to display attitudes and actions which are consistent with the ethical standards of the profession.

References: 1. “An Act” Ohio Revised Code, Chapter 4761: Respiratory Care Regulations. Revised October 27,

2000.

PROGRAM HEALTH, CPR REQUIREMENTS

Compliance with health requirements will include any required immunizations per current CDC and Ohio Department of Health guidelines. Please note, each clinical site may have additional or varying immunization requirements, including immunizations related to COVID-19 or other novel viruses. For more

information on health requirements for health programs, this link provides a guide and resources: Health

Careers and Nursing Immunization and Health Requirements.

Section IV – Academic Requirements and Progression

1. Degree Requirements

For the most current Degree requirements see http://catalog.tri-c.edu/programs/respiratory-care-

aas/#programsequencetext

2. Attendance

Students are expected to adhere to established College, program and course attendance guidelines:

Student Rights and Responsibilities - Attendance

ATTENDANCE

Regular class attendance is expected. The attendance policy for each RESP course will be stated in the

respective course syllabus. Field experience courses require 24 hr./wk. attendance on specific days the

course is offered thru the College Schedule Bulletin.

The Respiratory Care Program has no intent to prohibit religious practice. The program cannot guarantee, but will provide reasonable accommodations for the student to observe religious practices. These

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accommodations are determined by the time constraints of scheduled courses, regardless of the location of the courses (college or clinical locations).

3. Absence Policy

Directions to report an illness will be stated in the respective RESP course syllabus. If an illness or

emergency should necessitate a brief absence from class, students should confer with the course

instructor(s) upon their return. When an absent is for a week or more due to prolonged illness, students

should consult the campus Office of the Dean of Student Services and the Respiratory Care Program

Director. Students having problems with class work because of a prolonged absence should confer with the

course instructor and the Program Director regarding program status and possible options.

4. Illness

Students should report an infectious disease, transmissible from person to person or by direct contact with

an affected individual or the individual's discharges, or by indirect means. The Ohio Administrative Code

(OAC) provides guidance through the Communicable Disease Rules:

https://odh.ohio.gov/wps/wcm/connect/gov/84ffece4-16f1-4602-9b93-7ce4eeb34680/section-1-

reporting.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=ROOTWORKSPACE.Z18_M1HGGIK0N0JO00QO9

DDDDM3000-84ffece4-16f1-4602-9b93-7ce4eeb34680-mtn9-.6.

The Ohio Administrative Code (OAC) provides guidance through the Communicable Disease Rule. Diseases

to report: http://codes.ohio.gov/oac/3701-3-02v1.

For a student who is infected with one of these illnesses and, if the illness occurs on campus, please use the

Cuyahoga Community College Student Incident Report Form on Appendix II as well as immediately reporting

the illness to the Program Director or Manager.

5. Scheduling

We are a cohort-based program, with a new cohort starting in the fall semester of each year. Students will

complete five (5) consecutive semesters to lead to graduation. Once enrolled in the Respiratory Care

Program, students will have access to register for RESP courses.

Section V – Academic Status

The College procedure on Academic Status explains the college’s academic probation and dismissal process,

including the GPA requirements for each level of credit hours attempted. Good Academic Standing, Dean’s

List status, probation and dismissal are explained by opening the underlined links: College Procedure on

Academic Status. The Standards of Academic Progress information provides details on how financial aid is

impacted based on grade point average and progress toward degree completion: Satisfactory Academic

Progress. Federal regulations require that students make measurable progress towards completion of their

course of study in order to continue to remain eligible for federal aid. The College reviews the academic

progress of all students and notifies students receiving federal financial aid each semester of their status.

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1. Grading

The link to the Procedure on Grading explains the grades and awarding of credits, auditing of courses and

pass/no pass use. At the program level, there are grading scales and/or rubrics that faculty provide to guide

students on course grading. via the course syllabus.

A. ACADEMIC STANDING 1) All course incompletes and/or student coursework must be completed prior to the start of the

next term to continue on the current graduation track. 2) In order to complete the Respiratory Care Program, a student must pass each course with a “C”

or better set forth in the Program's curriculum sequence. 3) To remain in good academic standing in the Respiratory Care Program, a student must be able

to demonstrate the possession of the following: (a) minimum grade point average of 2.0 at the conclusion of each term and a cumulative

quality point average of 2.0, i.e., "C" average (b) minimum grade of "C" or demonstration of competence in each of the RESP numbered

courses, and Program required Science/Math/Health Career courses which are: Anatomy & Physiology I.II (BIO-2331, BIO-2341) Microbiology (BIO 2500), Introduction to Biological Chemistry (BIO 1100), Applied Algebra/Math Reasoning (MATH 1240 or greater), and Bioethics (PHIL-2050) or equivalents for these courses.

(c) satisfactory evidence of compliance with the Student code of conduct (d) be actively enrolled and registered for RESP-XXXX courses

2. Grade Point Average (GPA)

Applicant Admission Requirements Discrimination against any individual based upon a person’s age, ancestry, color, disability, genetic

information, military status, national origin, race, religion, sex, sexual orientation or veteran status is

prohibited.

There are no deadlines to apply. Once the applicant has satisfied the program application requirements,

they may obtain a Health Career Application at https://www.tri-c.edu/programs/health-careers/respiratory-

care/admission-criteria.html. Specifics related to the Respiratory Care Program application process can be

found at https://www.tri-c.edu/programs/health-careers/respiratory-care/documents/resp-application-

packet.pdf this packet includes the “shadowing/observation forms).

Any change in name, address, telephone number, and emergency phone number must be reported to the Program Director, in writing, immediately. The student shall update the Tri-student profile page https://banxep.tri-c.edu/StudentSsb/ssb/studentProfile . All electronic communications between the College and students will be via Tri-C email addresses. A. STUDENTS TRANSFERRING FROM OTHER RESPIRATORY PROGRAMS (ADVANCED PLACEMENT)

1. Students who request transfer of respiratory courses from other colleges or universities will personally meet with the Program Director.

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Transfer students will complete the Respiratory Care Program Application process and meet equal application requirements as a new program applicant.

2. The Program Director will determine which respiratory transfer courses meet TRI-C’s Respiratory Care Technology program course curriculum requirements. This decision will be based on all or part of the following: a. Course descriptions b. Course syllabus c. Course grades d. No respiratory course will be transferred if the final grade is a Pass/Fail grade or below a “C” letter grade.

3. Transfer students who believe they possess the course knowledge for those classes not

transferable, have the option of Credit by Exam, or the transfer student can formally register for those courses.

CREDIT BY EXAMINATION 1. A minimum of 10 weeks prior to the beginning of the specific term in which a lecture/laboratory

class is to be held, the student is required to submit the request for credit by exam to the Program Director.

2. The student must contact the Program Director within the specified time period in order to make arrangements for taking the examination. Failure to meet the deadline will result in the student having to complete the course.

3. A minimum score of 75% is required on the challenge exam to be awarded credit. If the student is not awarded credit on the first attempt he/she must register for the course.

4. Demonstrate competency in identified RESP courses by;

b. Obtaining a passing grade of 75% or greater in both a comprehensive lecture and laboratory exams

c. Obtaining proficiency (Level 2) in clinical, patient subject matter, identified by the current terms clinical syllabus.

B. LABORATORY GRADING/COURSE REQUIREMENTS The following applies to all respiratory care courses which have an accompanying laboratory as part

of the course requirement: 1. A curriculum review identified those courses that contain content which require both a didactic

theory (lecture) component and a laboratory skills component as the instructional methodology. The course objectives require students to demonstrate successful completion of both components. The theoretical knowledge base component is assessed in the lecture portion and the practical skills application component is assessed in the laboratory portion of the course.

2. The successful student will achieve a passing grade (75% or higher) in both components of the course (lecture and laboratory) in order to receive a passing grade for the entire course.

3. All courses of this type will identify in the syllabus the percent weight of both the lecture and laboratory grade on the total grade for the course.

4. Skills assessment is accomplished through hands on competency testing in laboratory courses. Specific competencies will be identified in the laboratory syllabus along with the guidelines addressing the method for testing. A limited number of attempts at successfully completing a competency will also be identified in the syllabus. Failure to successfully complete any one

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competency exam within the guidelines presented in the syllabus will result in a non-passing laboratory grade.

5. NOTE: Failure to achieve a grade of “C” (75% or higher) in either the lecture or laboratory portion of a course, will result in a non-passing grade for the course, which will cause the student to be academically dismissed from the program. In this case, a student will not be eligible to continue taking RESP-XXXX courses. For example, a student receives 100% in lecture and 74% in lab, the student would earn a non-passing grade for the course and be academically dismissed.

6. Each laboratory syllabus will contain a Laboratory Safety document which describes safety practices. Under no circumstances will students be unsupervised in the Respiratory Care laboratory.

3. Program Withdrawal, Probation, Dismissal, and Reinstatement

When considering withdrawing from a course, students should be mindful of the “Course Withdrawal

Dates”. Depending on the date of withdrawal, a student may forfeit refund and/or risk the possibility of

receiving a failing grade. If a student encounters any extenuating issues that prevent the completion of a

course or program, the student will need to follow withdrawal instructions from the program administrators

and the Registrar’s Office.

1. PROMOTION AND RETENTION 1. A student must satisfactorily complete all of the prescribed program sequence to qualify for

promotion. 2. The grading scale for the Respiratory Care program is as follows:

a. Passing grades: A = 100%-93%, B = 92% - 84%, C = 83% - 75%, b. Non-passing grades: D = 74% - 68%, F = <68%+ c. No final grades will be “rounded” up to the next highest grade (83.7=”C”).

3. All students in the Respiratory Care program will be evaluated on a frequent basis throughout the course of each semester. If the student has an accumulated total grade of less than 75%, the student will meet with the course instructor/faculty to determine the cause of the academic deficiency, and determine suggestions and timelines for success.

a. If the deficiency stems from didactic or laboratory courses, the student will be required to contact the program’s tutor and/or course instructor for assistance.

b. If the deficiency stems from a clinical course, the student will also be referred to the program tutor and course instructor for remediation. Specific evaluation schedules and standards are listed in each course syllabus.

4. The Respiratory Care student may choose any full time instructor/faculty/director to be their mentor for support during their tenure in the program. The program also supports second-year to first year student mentoring. The program faculty and staff are available to all Respiratory Care students on a regular basis for advising, academic concerns or problems. This includes, and is not limited to the following:

a. Posted office hours b. Open laboratories c. Telephone and/or email communications d. Tutor availability in open labs, phone and email

5. Academic counseling is one of the most important services you will receive in college. You and the

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counselor will work together to achieve your educational goals. Tri-C counselors will help you: a. Learn about the requirements for our degree/certificate programs as

well as transfer opportunities.

b. Develop educational goals as they relate to careers. c. Develop short and long-term academic plans. d. Explore majors consistent with your interests, abilities, and goals. e. Understand transfer requirements and transfer opportunities at area colleges. f. Interpret your transcript from other colleges in relation to your educational goals g. Develop course schedules that consider your academic background, course prerequisites, and educational goals. h. Explain your DegreeWorks report and show you how to access on My Tri C Space.

B. PROGRAM DISMISSAL

1. Failure to achieve all criterion listed above shall be adequate grounds for dismissal from the Program for academic deficiencies.

2. In the event the student receives a final letter grade, less than 75% in the basic science courses (BIO), Health Career Courses (PHIL), or Respiratory Care Courses, the student will be academically dismissed from the program.

3. A student will be dismissed from the Program on grounds of academic deficiencies if that student does one or more of the following:

a. fails (earns a letter grade below that of "C") in: RESP numbered courses, and Program required Science/Math/Health Career courses which are: Anatomy & Physiology I&II (BIO-2331, BIO-2341) Microbiology (BIO 2500), Introduction to Biological Chemistry (BIO 1100), Applied Algebra/Math Reasoning (MATH 1240 or greater), and Bioethics (PHIL-2050) or equivalents for these courses.

4. Failure to achieve a grade of “C” (75% or higher) in either the lecture or laboratory portion of a course, will result in a non-passing grade for the course, which will cause the student to be academically dismissed from the program. In this case, a student will not be eligible to continue taking RESP-XXXX courses. For example, a student receives 100% in lecture and 74% in lab, the student would earn a non-passing grade for the course and be academically dismissed.

5. Fails to do remedial work required by Instructor and/or Program Director within the time period set by or to the satisfaction of both the Instructor and Program Director.

6. Fails to provide satisfactory evidence of good interpersonal relations and professional conduct. (refer to the Student Conduct Code in the current Student Handbook)

7. Fails to remove an incomplete grade prior to the next term per College policy 8. Student is evaluated as “Unsatisfactory” in the Overall Clinical Final Evaluation, the student will

receive an “F” grade for the clinical course regardless of other scores earned. Any final clinical evaluation category evaluated as less than “satisfactory” will result in the student being placed on Program Clinical Probation. A student in Program clinical Probation is considered not in “program good standing”. Failure to improve ratings, earning a satisfactory or greater rating (for the same category or categories, which caused the probationary status) by the mid-term evaluation of the next clinical semester will result in an “F” grade for the current clinical course, regardless of other scores the student may have earned.

9. While it is not likely, it is possible that a student may pass all of the courses in the Program but,

receive unsatisfactory clinical evaluations from the clinical faculty so that the Program Director,

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Medical Director, and/or Director of Clinical Education may decide that the student is not eligible for promotion.

10. Regarding clinical courses: a. If one performs the same activity three times, in an unacceptable manner, the student will

be subject to an "F" grade for the clinical course, resulting in dismissal from the program. b. Any student whose performance jeopardizes patient safety will be withdrawn from clinical

experience and may result in the student receiving an "F" grade for that clinical course. 11. Individuals who have been dismissed from the program or their LOAs have expired, must formally

reapply to the program. The student will meet with the Program Director in person to demonstrate that the conditions that causes the program dismissal or LOA are no longer present. Each case of readmission will be evaluated on a case-by-case basis including “space” allocations.

a. Returning students will be evaluated for re-entry with all other applicants for that year, subject to space availability.

b. Students who fail academically from the program must comply with all program application requirements in order to be considered for readmission into the program at a later date.

12. Should a student dispute a decision of the Program Director, he/she is instructed to follow the college’s grievance policy (see Section 24.0, the current Student Handbook and the program’s Policy manual).

13. Any student, regardless of the reason to leave the program, will not be in good standing until the student returns and successfully completes their formal deficiency(ies).

14. Any student, regardless of the reason to leave the program will have two (2) total attempts to complete all requirements for the Respiratory Care Technology degree program. A third request to enter the program will be denied.

C. LEAVE OF ABSENCE

1. In the event that a matriculated student in the Respiratory Care Program encounters a situation that requires a prolonged absence from the Program, that student may either withdraw from the Program or request a leave of absence. A request for a leave of absence must be submitted in writing to the Program Director with sufficient information to explain the situation. In the event that the student is ill or otherwise indisposed, the written requirement may be waived, or the Program Director may initiate the action independently.

2. If the student is in good academic standing at the time, the Program Director will review the request. The Program Director may recommend the leave, recommend that the student withdraw from the Program, or may recommend that the student be dismissed from the Program. Conditions will be determined individually according to the merits of each case, and the space availability in the Program.

3. If a leave of absence is granted, the student must notify the Program Director, in writing, of intent to return. (refer to the program’s Policy manual) This will facilitate the Program in scheduling space in the classroom or clinicals.

4. A request for a Medical Leave of Absence must be accompanied by a letter, signed by a physician, indicating the physical/psychological need for a Leave of Absence. If a medical leave is granted, the student is required to submit a letter signed by the physician, stating his/her ability to re-enter the program. This letter must be submitted to the Respiratory Care Program in order for a student to be permitted to register for the program courses.

5. Recall of subject matter is a concern of instructors working with students who have been inactive in specific didactic, psychomotor and clinical environments for two (2) years or more. To negate

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lengthy remediation, which holds current students behind and to address concerns regarding patient safety, the returning student must demonstrate competency in Respiratory Care (RESP) courses which had been taken two (2) or more years ago, regardless of the grade obtained. The returning student will have a choice of one (1) of the following options;

6. Demonstrate competency in identified RESP courses via Credit by Examination a. A minimum of 10 weeks prior to the beginning of the specific term in which a

lecture/laboratory class is to be held, the student is required to submit the request for credit by exam to the Program Director.

b. The student must contact the Program Director within the specified time period in order to make arrangements for taking the examination. Failure to meet the deadline will result in the student having to complete the course.

c. A minimum score of 75% is required on the challenge exam to be awarded credit. If the student is not awarded credit on the first attempt he/she must register for the course.

7. If the returning student is unsuccessful in completing the above items, the student a. will not be considered in good standing and must repeat courses in which competency was

not demonstrated, prior to entering the clinical phase. D. WITHDRAWAL

1. Withdrawal from a course for Academic reasons must be initiated by a student prior to the withdrawal deadlines published in the Class Schedule Booklet each term. Withdrawal must be in writing on specific forms available in the Enrollment Center at each campus. (refer to the program’s Policy manual)

2. A student unable to complete an academic term for reasons totally beyond his/her control such as an emergency medical condition, may petition for late withdrawal by completing a Petition for Withdrawal Exception and submitting documentation required by the Enrollment Center. Following this process does not guarantee approval.

3. Since withdrawal from a course affects a student's academic progress, such actions will be interpreted by the Program Director as withdrawing from the Respiratory Care Program unless notified otherwise in writing.

4. A student may voluntarily withdraw from the Program. Such action will not, per se, prejudice the student's standing within Cuyahoga Community College.

5. Failure to follow the policy for withdrawal from one or more courses in the curriculum will be considered as student failure and the student will be dismissed from the Program.

6. Students who withdraw from the program must comply with all program application requirements in order to be considered for readmission into the program at a later date.

E. SUSPENSION

1. If, in the judgment of any full time member of the staff of the Respiratory Care Program, a situation has or is about to occur that would jeopardize in some fashion Patients, Students, Program or Clinical Affiliate Staff Members or any other third party affected through a student's role, the Program Director may immediately suspend a student from any Respiratory Care course for a period no longer than 48 hours.

2. The Program Director may extend that suspension until appropriate investigation and resolution can be reached as determined by the Program Director, the associate dean and/or the Medical

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Director. 3. The student will be informed of the suspension both verbally and in writing and of their rights to

utilize the current grievance policy of the college.

The College Procedure on Academic Status explains the college’s academic probation and dismissal process

including the GPA requirements for each level of credit hours attempted.

4. Due Process

* DISCIPLINARY PROCEDURES

Matters of disciplinary nature will be addressed through the College’s Grievance procedure. In severe cases, which involve moral turpitude, the Program Director may initiate steps as outlined in the Individual Rights and Responsibilities Policy of Cuyahoga Community College. Such action, if taken could result in not only dismissal from the Program but also the College. Any problematic situation or condition not addressed in this Handbook should be brought to the attention of the Program Director. Each will be considered independently according to the merits of the case. As far as possible, each will be dealt within a manner comparable to similar conditions described in this document.

5. Student Change of Contact Information

In addition to submitting a change of address, phone or personal email through My Tri-C Space, using the

“Student Tab” in the “My Info” section, please inform the program director or manager of changes in your

contact information via Tri-C email.

Section VI – Language Proficiency Requirements

The College establishes the language proficiency requirements to enter college level courses in this page:

English Language Proficiency Requirements for Admission and specific scores can be reviewed on the linked

information.

Section VII – Student Resources

1. Tutoring

Tutoring Services are offered at each campus tutoring center. There is support for a wide variety of subject

at each campus. The Respiratory Care Program offers tutoring via a program tutor. Open lab/review

sessions are offered each semester. The open lab/review session schedule if provided to program students

each semester.

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2. Student Accessibility Services

Student Accessibility Services provides support to students with disabilities at all College campuses, site,

locations or online course. To receive services, students must schedule an appointment with a student

advisor and provide documentation of a disability. The Student Accessibility Handbook is another source of

information for students.

3. Student Safety

The college is committed to providing a safe and secure environment as outlined in the Safety and Security

Policy:

3354:1-50-04 Safety and security policy https://www.tri-c.edu/policies-and-procedures/documents/safety-and-security-policy.pdf

4. Other Resources

The following links can help you identify additional resources for completing a degree or program:

CLEP (College Level Examination Program)

Credit by Exam (CBE)

Credit for Prior Learning

Standardized Training and Certification Programs (ACE)

Transfer Centers on each campus provide information on transferring to and from Tri-C, Credit for

Prior Learning, Articulation Agreements and State Wide Transfer Guarantees.

Transfer Students

University Partnerships by School are available for students interested in transferring to a

particular institution or program.

Section VIII – Accreditation and Credentialing

1. College and Academic Program Accreditation

The College’s accreditation by the Higher Learning Commission is maintained and updated at this link

Accreditation.

* Program Accreditation:

The Respiratory Care Program, Associate of Applied Science Degree, Western campus is accredited by the Commission on Accreditation for Respiratory Care (http://coarc.com ). (817) 283-2835 --1248 Harwood

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Road, Bedford, Texas 76021-4244.

2. Boards, National and/or State Testing

*Credentialing Examinations

The National Board for Respiratory Care (NBRC) mission is to promote excellence in respiratory care by

awarding credentials based on high competency standards. NBRC credentials provide recognition for

hard work and dedication to quality. https://www.nbrc.org/about/ .

State of Ohio Licensure

The State of Ohio Medical Board https://www.med.ohio.gov/ governs the practice of Respiratory Care in

the State of Ohio. The application for both a Limited Permit and Respiratory Care License are found at

https://www.med.ohio.gov/Apply/Respiratory-Care-RC .

Section IX – Costs

1. Tuition and Fees

The College Tuition and Fee Schedule including program related fees and supplies are part of the program

cost. *More details are available under supplies.

2. License, Application, Certification and/or Examination costs

*NBRC Credentialing Examination fees https://www.nbrc.org/about/

State of Ohio Medical Board Limited Permit and License fees

https://www.med.ohio.gov/Apply/Respiratory-Care-RC

3. Financial Responsibility

To determine what costs may be covered by financial aid, visit one of the college’s financial aid offices

located at each campus. Visit http://www.tri-c.edu/paying-for-college/financial-aid-and-

scholarships/index.html for more information.

*Health requirements: https://www.tri-c.edu/programs/health-careers/health-career-immunization-

information.html

*Insurance:

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A. PERSONAL HEALTH INSURANCE

Agreements with clinical affiliates state that students are expected to have health insurance. Cuyahoga Community College and the clinical site are not responsible for medical expenses related to disease or injury occurred during clinical training. The student is responsible for any medical expense incurred during clinical training. Each student must provide evidence of health insurance (complete the respective forms on CastleBranch and upload the form for review by the Director of Clinical Education, prior to the beginning of April 15th of the year clinical rotations begin. Health insurance coverage must be maintained by the student throughout the duration of all clinical terms. B. PROFESSIONAL LIABILITY INSURANCE Respiratory Care students are required to carry liability insurance (LI) before they may enter clinical sites. Failure to pay liability insurance will result in the student not being able to attend the clinical affiliate which will result in an unexcused absence. Liability insurance will be posted as a one-time charge of approximately $12.50 when registering/paying for RESP-1330 in spring semester.

*Estimated background check information: https://www.tri-c.edu/programs/health-careers/general-bci-

requirements.html

Supplies

*PROGRAM EXPENSES

Due to the nature of the Respiratory Care program, students must be informed of the miscellaneous expenses they will incur throughout the program. These expenses are estimates based on information received from previous students and staff and may vary slightly based on each individual’s needs. *** textbooks

First Year Fall Tuition/Textbooks **$300-350

Spring Tuition/Texts **$300-550

Physical Exam $ 30

Rubella/Titers $ 30

Immunizations/Titers $ 50-$150 Hepatitis B vaccine $ 150

$ 5-$30

Tuberculin test $ 30

Chest X-Ray (if required) $ 75

Liability Insurance $ 13

CPR Course $ 25-$90

Flu vaccine

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Laboratory Coat $ 30.

Uniform scrubs $ 30-$50

Stethoscope $ 10-$45

Watch with second timer $ 10-$45

Identification Patches Name tags $5

Personal health insurance

Second Year: Summer Tuition/Texts **$ 50 Parking Expenses (cost varies/site) Driving (gas) Food (lunch @ clinical) Protective eyewear $ 3 Fall Tuition/Texts **$ 150-200 Optional seminar Parking Expenses (cost varies/site) Driving (gas) Food (lunch @ clinicals) Optional seminar $ 45 Spring Tuition/Texts **$100 Parking expenses (cost varies/site) Driving (gas) Food (Lunch @ clinical) **Advanced Practitioner SAE $ 65 (TBA) ACLS credential (optional) $ 50 *NRP credential (optional) $ 45

All costs listed are estimates and are subject to change A. INDEBTEDNESS All financial indebtedness incurred at Cuyahoga Community College must be paid in full before the Associate of Applied Science Degree is awarded. Students with outstanding debts to Cuyahoga Community College may be prevented from registering for additional courses. https://www.tri-c.edu/paying-for-college/delinquent-accounts.html B.TRANSPORTATION

Clinical courses are held at hospitals and clinical facilities throughout Cuyahoga County. Students must provide their own transportation to assigned clinical sites, specialty rotations, and classroom activities. Students using public transportation are not exempt from the rules addressing attendance/tardiness found in the field experience course syllabi.

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C. OUTSIDE EMPLOYMENT

1. Students in good standing and who successfully completed the Summer term of the Respiratory Care Program and are seeking employment as a student respiratory care professional are required to submit an application to the State Medical Board of Ohio for a Limited Permit. This permit must be presented to the employer prior to beginning employment. Students must conform to all rules and regulations of the State Medical Board of Ohio regarding continued status as a Limited Permit holder.

2. Students enrolled in the Respiratory Care Program are cautioned regarding accepting employment. The intensity and continuity of the Program is such that employment may detract from course responsibilities. Students shall not receive any form of remuneration in exchange for work they perform incident to their clinical education coursework and experiences.

3. A conflicting work schedule will not be considered just cause for a change in clinical rotation assignment or class schedule. Students must not complete clinical coursework while in an employee status at a clinical affiliate

4. Students’ employment is separate from their education. Students must not complete clinical coursework while in an employee status at a clinical affiliate. Students shall not receive any form of remuneration in exchange for work they perform incident to their clinical education coursework and experiences. (CoARC accreditation standard)

5. Employment will not be considered an acceptable excuse for violation of the attendance requirements stated in RESP course syllabi.

6. Employment should not interfere with a satisfactory level of student performance in Program activities.

Section X – Field and Clinical Experiences

1. Clinical Experience

A. SELECTION OF CLINICAL SITE

1. There are three various categories of institutions which are utilized as primary clinical rotation sites in the Respiratory Care Program. Those categories are as follows: (NOTE: some institutions have more than one of the following characteristics):

i. Tertiary Referral Center

ii. Urban Hospitals iii. General Hospitals (Community)

2. Students' primary clinical rotations are scheduled by the Director of Clinical Education with the goal

of exposing each student to more than one of the categories listed above. This is accomplished by rotating the student to different clinical affiliates.

3. All students will be scheduled by the Director of Clinical Education to attend secondary or specialty clinical rotations. These rotations will consist of a Long Term Acute Care (LTAC) Rotation and a Pediatric/Neonatal Rotation. The clinical affiliates are an extension of the college and operate under terms consistent with meeting the educational goals of the Program. Students cannot refuse to attend a clinical site due to their mandated requirements (i.e. drug testing, etc.)

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4. Student employment is separate from their education. Students must not complete clinical coursework while in an employee status at a clinical affiliate. Students shall not receive any form of remuneration in exchange for work they perform incident to their clinical education coursework and experiences. Students are not to be used for clinical, instructional or administrative staff. (CoARC accreditation standard)

5. No students will be scheduled to attend a clinical affiliate in which they are presently employed (prior to the start of term), by the Respiratory Care Department.

6. Although the clinical affiliates may be potential employers of our graduates, the Respiratory Care Program and Cuyahoga Community College do not guarantee employment by any clinical affiliate.

7. The Western Campus Career Services Center is the clearing house for potential employment opportunities. Job opportunities are posted in the Career Service Department, announced by the Respiratory Care Program, and institutional websites.

8. A student who fails to comply with the clinical affiliation assignment will be subject to withdrawal from the Respiratory Care Program.

9. Students will be required to complete clinical site orientation programs/requirements. The clinical site orientation requirements will vary with each respective clinical site.

B. CONSTRAINTS ON CLINICAL ACTIVITY

Respiratory Care students should not make a diagnosis or carry out any diagnostic or therapeutic procedure or administer therapy without appropriate direction or supervision from the clinical instructor or his/her designee.

1. Physician orders must be verified by the student when providing respiratory care. Inappropriate or incomplete orders are not to be performed and must be clarified by the physician. Students are not permitted to accept verbal and/or phone orders by physicians. If the clinical activities are such that the student feels unqualified to perform the activities, the clinical instructor must be notified by the student, prior to attempting the procedure.

2. Every student in the Respiratory Care Program is expected to conduct themselves as a Respiratory Therapist regardless of whatever other licenses, registrations, or credentials he/she may possess.

3. Students must successfully complete the lab competency prior to the clinical proficiency testing, for those clinical activities which involve a lab competency. If the clinical proficiency has not been successfully completed prior to the end of the clinical term, the student will receive an incomplete (I) grade for that clinical course.

4. At clinical rotations, the clinical instructor supervises the students at all times and the Director of Clinical Education routinely visits each site providing additional supervision.

C. REPORTING UNFAVORABLE INCIDENTS Students are expected to be knowledgeable, but not necessarily expert and experienced, in all issues of

medical ethics, privacy, patient rights, and legal definitions of medical practice. Moreover, students should

not place themselves into positions which may compromise, embarrass or harm themselves, their

supervisors, their peers, their clinical site, the Program, or the College. Therefore, students must inform

appropriate responsible persons and seek appropriate guidance in questionable situations. It is the

responsibility of each student to report to either, the Program Manager, Medical Director, Director of

Clinical Education or Clinical Instructor at the clinical rotation site of any incident of which he/she is

cognizant and which appears to be unethical or of questionable nature.

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D. SAFETY AND SECURITY

Each laboratory syllabus will contain a Laboratory Safety document which describes safety practices. Under

no circumstances will students be unsupervised in the Respiratory Care laboratory. For non-emergency

situations, call 216-987-4325, emergencies dial 216-987-4911.

2. Internships, Practicums, Field Experience, and Cooperative Education

*Use the appropriate title or wording for this section from those listed above

*If your program does not require Internships, Practicums and/or Co-op experience, state Not Applicable.

A. Field Experience

1. Student employment is separate from their education. Students must not complete clinical coursework while in an employee status at a clinical affiliate. Students shall not receive any form of remuneration in exchange for work they perform incident to their clinical education coursework and experiences. Students are not to be used for clinical, instructional or administrative staff. (CoARC accreditation standard)

2. No student will be scheduled to attend a clinical affiliate in which they are presently employed (prior to the start of term), by the Respiratory Care Department.

3. The above stated goal, is directed toward achieving equal opportunities of clinical exposure for each student

4. Although the clinical affiliates may be potential employers of our graduates, the Respiratory Care Program and Cuyahoga Community College do not guarantee employment by any clinical affiliate. The Western Campus Career Services Center is the clearing house for potential employment opportunities. Job opportunities are posted in the Career Service Department and announced by personnel in Respiratory Care.

5. A student who fails to comply with the clinical affiliation assignment will be subject to 6. withdrawal from the Respiratory Care Program 7. Students will be required to complete all clinical site orientation requirements. The clinical site

orientation requirements will vary with each respective clinical site. 8. The “Master Clinical Notebook” and field experience course syllabi contain specific rules/regulations

that apply to field experience courses.

3. Service Requirements

A. STUDENT REPRESENTATIVE 1. Each class is to elect by a simple majority of the total class members, a class representative and

class officers. Elected officers will be forwarded to the Program Director by the middle of the second term of the Respiratory Care Program.

2. The class representative is responsible for presenting concerns which are common to the class as a whole to the Program Director for evaluation and possible action. If such issues cannot be resolved at this level they can be formally addressed via the college grievance procedure.

3. The class representative is a voting member of the Respiratory Care Advisory Committee and will be invited to attend all meetings and present a report to the committee regarding the current status of the class.

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4. The class representative may be changed throughout the course of the Program by the class holding a separate election and through a simple majority of the class submit the name of the new representative to the Program Director.

4. Performance Expectations

COMPETENCIES REQUIRED FOR GRADUATION:

The student will successfully complete the following competencies in the laboratory and/or clinical settings,

prior to graduation:

Construct and perform bedside pulmonary functions

Safely and accurately employ regulators and flowmeters used in medical gas therapy

Comply with infection control protocols using standard precautions

Employ and calibrate oxygen analyzers

Implement oxygen and humidity delivery devices

Assess common vital signs

Implement and interpret electrocardiograms

Perform arterial blood gas punctures and analyzation

Safely draw blood from an arterial line

Employ medical and bland aerosol therapy

Demonstrate aseptic suctioning for upper and lower airways

Perform effective/professional communication, written and verbal

Implement patient assessment and safety

Employ Health Insurance Portability and Accountability Act (HIPAA) requirements

Perform cardiopulmonary resuscitation for adults, infants and children

Measure complete pulmonary function testing

Operate manual resuscitators

Participate in patient transport

Perform bronchopulmonary hygiene (BPH)

Deliver hyperinflation therapy

Set up and deliver Continuous Positive Airway Pressure

Perform intubation of the upper and lower airways

Assist the physician in bronchoscopy

Set up and employ mechanical ventilation (adult and neonatal / noninvasive and invasive)

Perform extubation procedures

Demonstrate tracheostomy/tracheotomy care

*If closures impact the field experience or course completion, the program administration will address any

adjustments or changes based on student needs.

5. Holidays

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The College holidays procedure lists recognized holidays. These dates are included as part of the College

closed days on the Academic Calendar. In addition to these dates, the College will close for Thanksgiving

Recess and Winter Break. No credit courses will be offered on campus during Spring Break.

6. Hours

All students enrolled in Field Experience courses are required to complete 24 hr. of clinical time per week. All clinical hours are based on “day” shift rotations. The days/times of rotations are determined by the respective hospitals, either 2-12 hr. shifts (7:00am – 7:30pm) or 3-8 hr. shifts (6:00-7:00am – 2:30-3:30pm )per week. All clinical rotations will occur on Wednesdays, Thursdays, and/or Fridays based on 8 or 12 hr. shifts.

7. Emergency Closures and Inclement Weather

When determining a closure the College will utilize the Emergency Closing Procedure.

If the College is closed and enacts the Emergency Closing Policy, all field experience courses are also

cancelled. Students may remain at the clinical site to complete non-patient care activities (chart review,

research/group projects, and/or conferences), but are not permitted to engage in direct patient care.

Add policy for clinical site emergency closing.

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APPENDICES

Appendix I – Glossary of College and Program Terminology Academic Behavior: refers to the standards that are expected for students to successfully complete

coursework designated for their specific program of study, degree, and/or certificate.

Appeal Panel: refers to an approved body of individuals designated to review and make a determination on

a decision that the student found unfavorable.

Closing: refers to the closure of the College or a specific campus or campuses for a designated reason (e.g. weather, natural disaster, utility outage, etc.). Emergency Closing. *See program handbook for closing guidance for students at clinical/experiential learning/practicum sites.

Code: refers to the Student Conduct Code (3354: 1-30-03.5) and Student Judicial System (3354:-

1-30-03.6) and identifies prohibited conduct and clarifies when the code applies to student

behavior.

Complaint: refers a matter that the complainant believes requires institutional attention. Select

the appropriate category here Student Complaints, Concerns and Compliments.

Conduct: refers to student behaviors as it relates to prohibited actions as described in the

Student Code of Conduct and related College Policies and Procedures. Student Code of Conduct

can be found Student Conduct Code and Student Judicial System

Contractor/Vendor: refers to any individual or entity that has been contracted/retained to provide a service to the College.

Credit Course: refers to coursework that awards academic credit towards a degree and/or certificate.

Disciplinary Action: refers to corrective remedies imposed as a result of findings and

recommendations from a program conduct meeting, level one hearing, and/or program professional

conduct committee review.

Dismissal, College: refers to separation of the student from the College for a definite period of

time. Conditions for readmission are outlined in the Student Code of Conduct sanction descriptions.

Dismissal, Programmatic: refers to separation of the student from a specific academic program.

Conditions for readmission are specific to each program.

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Ethics: refers to generally accepted professional standards of behavior as documented in the Codes of Conduct, Professional Ethical Standards, etc. of external professional organizations, licensure boards, etc.

Expulsion: refers to permanent separation of the student from all College locations, events and activities. An expulsion is denoted on a student’s permanent transcript.

Faculty: refers to any permanent College employee assigned full-time to instruct credit course(s).

Grade Dispute: refers to a challenge to a recorded grade (final grades only — does not apply to

individual assignments or midterm grades), and must be filed by a student to the Academic Affairs

Office at the campus to which the course was associated no later than sixty (60) days after the

disputed grade is recorded. Link: Student Complaints, Concerns and Compliments.

Grievance: refers specifically to the ADA/Section 504 Grievance Procedure as outlined in the

Student Handbook and available here: Student Complaints, Concerns and Compliments.

Guidelines: refers to operating principles specific to a College program or department.

Instructor/Adjunct Faculty: refers to any individual assigned to instruct a credit/non-credit course, workshop, training seminar, summer camp, etc.

Lecturer: refers to a full time instructor with a specific term related contract who has all of the

duties and responsibilities of a full time faculty member at the college.

Non-Credit Course: refers to coursework that does not award academic credit towards a degree and/or certificate.

Peer Panel: refers to a body of individuals consisting of faculty in a specific discipline who evaluate a student’s specific request regarding a disputed grade.

Policy: refers to documented operating principles for the College as approved by the Board of

Trustees.

Policy and Procedure: Policies and procedures act as the operating principles for Cuyahoga

Community College. All official College polices must be approved by the College’s Board of Trustees

and all official procedures must be reviewed and approved by the Office of Legal Services prior to the

effective date.

Preceptor: "Internal" / "External"

Internal preceptor refers to an employee of Cuyahoga Community College who works with

students in matters related to experiential learning.

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External preceptor refers to an employee of a clinical or experiential site who is not an

employee of Cuyahoga Community College. External preceptors supervise student

experiential learning and often provide feedback and assessments of the student to the

program.

Probation, College (Academic): refers to a status that follows after a student is not performing at a successful level. The College’s Academic Probation policy is found here: Procedure on Academic Status

Probation, College (Behavioral): refers to a written reprimand for a designated period of time

and includes the probability of more severe disciplinary action if the student violates any

College rules during the probationary period. College Behavioral Probation is found here

Student Conduct Code and Student Judicial System

Probation, Programmatic: refers to a student being placed on probation as a result of a corrective action panel specific to a program.

Procedure: refers to documented standard practices of how a board-approved policy is carried out.

Professional Conduct Committee: refers to a committee established to review a student’s academic performance and/or professional behavior at the programmatic level and may make appropriate recommendations pertinent to any eligible behavioral modification and/or remedial actions.

Professionalism and Professional Conduct: refers to behavioral expectations and guidelines set forth in programmatic, clinical, experiential and professional associations and organizational guidelines. These expectations and guidelines may appear in various forms such as a code of ethics, clinical facility guidebooks, and /or practicum/internship expectations, etc. These expectations and guidelines are in addition to the College’s official policies and procedures.

Protocols: refer to step-by-step processes specific to a College program or department.

Readmission: refers to the delineated process for the reinstatement of a student subsequent to a period of separation from the College and/or a College program.

Reinstatement: refers to the process by which a student returns to good standing at the College or in a specific academic program after a period of probation/suspension/dismissal.

Remediation: refers to a program-specific process of improving student performance. Remedial actions are not disciplinary actions.

Responsible Employee: refers to any individual required to take action based on reportable misconduct. All College employees have an obligation to adhere to the reporting requirements

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prescribed in applicable laws, regulations and College mandates.

Sanction: refers to any corrective action taken as a result of a student behavioral decision.

Staff Member: refers to any employee (part time/full time) of Cuyahoga Community College in a non-instructional role who performs duties as assigned.

Standards: refers to guidelines established by accreditation and approving bodies (e.g. state governing bodies) that a program must adhere to in order to maintain status.

Student: refers to anyone enrolled in a course of study at the College whether in a credit or non-credit course, workshop, training seminar, summer camp, etc. Applicants may also be considered ‘students’ under certain delineated circumstances

Suspension: refers to a temporary separation from the College or a specific academic program for a defined period of time as results of academic or behavioral issues. Eligibility for readmission may be contingent upon satisfactory or specific condition imposed at the time of suspension.

Withdrawal: refers to the process through which a student withdraws or is removed from coursework.

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Appendix II – Handbook Acknowledgement Form

I acknowledge I have received, read, and understand the contents of the student handbook for the Respiratory Care Program. By signing this document, I affirm that I understand and agree to adhere to the contents of the program handbook. In addition to acknowledging and affirming the statements above, by signing this document I also

acknowledge and accept that the College and the program reserve the right to revise the above-

referenced handbook, documentation, and guidance at any time without notice. I also understand

and accept that certain information, including but not limited to student directory information,

immunization records, and background check results may be disclosed in the course of my

enrollment in accordance with applicable laws, regulations, and College policies and procedures.

Name (please print):

Signature:

Date:

Student #