Cochise College Respiratory Therapy Program

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1 Cochise College Respiratory Therapy Program Cochise College, 901 N Colombo Ave., Sierra Vista, AZ Spring Semester 2016 Admission Packet for the Associate in Applied Science Degree in Respiratory Care THE APPLICATION DEADLINE IS NOVEMBER 25, 2015 Dear Applicant, Thank you for your interest in our Associate in Applied Science Degree for Certified Respiratory Therapist (CRT) and Registered Respiratory Therapist (RRT) training at Cochise College. The two year program is approved for Respiratory Care training under the auspices of the *A.M.A., and CoARC. Please find enclosed the general information that will be of benefit to your understanding of the program. More information can be found at the American association for Respiratory Care (AARC) website, If at any time you have additional questions, please feel free to call, write, or stop by the College, so we may be of assistance to you. We look forward to hearing from you. Sincerely, James W. Nosek, BA, RRT Program Director (520) Kathy Sosa, BS, RRT Director of Clinical Education (520) Accreditations Committee on Accreditation for Respiratory Care, 1248 Harwood Road, Bedford, TX (817) *A.M.A. American Medical Association

2 Program Description/Introduction Respiratory Care is one of the newest in the allied health professions. Its sophistication has come about through the latest advances in biomedical engineering, computer technology, aerospace research, applied physiology, and medicine. The Respiratory Therapist is the health care professional responsible for basic life support systems (artificial ventilation) as applied to the management of patients with cardiopulmonary disease. The Associate in Applied Science Degree for Certified Respiratory Therapist (CRT) and Registered Respiratory Therapist (RRT) training is a two year program. There are five pre-admission requirements that must be completed prior to admission to the program. The Respiratory Therapy Program Coordinators require the following on file in the Health Sciences Offices by the application deadline. 1. Complete the Cochise College application form in the Admissions Office. (if first time Cochise college student) 2. Complete the Respiratory Therapy Program application form. Your signature is required and must be returned to the Health Sciences Office. Early application submission is advised. 3. Proof of high school graduation or its equivalent, (GED). Please send transcripts, high school and college. Forms are available from the Cochise College Records Office. Students who have completed college course work outside the United States must also submit documentation of enrollment/completion of English as Second Language (ESL) courses. (NOTE: Transcripts are to be sent to the Cochise College Records Office. The student is responsible for submitting the Advisor request form. 4. Completion of program pre-requisites to include : Math, Sciences, and English, Liberal Arts requirements for the AAS degree. 5. The student must also schedule an individual advising session with Jim Nosek, Program Director or Adela Sanchez, Clinical Education Director. Phone (520) It is suggested that the student schedule this advising session after having completed steps 1-4 listed above. This session provides: individualized advising, allows students to ask questions about the program, and permits students to review their admission file. Once accepted into the program, the students will begin a two year intensive study and actively participates in the practice of clinical procedures 2-3 full days per week at local hospital affiliates. Upon successful completion of the program, the student is granted an Associate in Applied Science Degree. New graduates complete the entry level examination administered by the National Board for Respiratory Care (NBRC). Passing this exam affords the national credential of CRT. As a CRT, the individual is also eligible for Licensure with the Arizona Board of Respiratory Care. Once passing the CRT exam students complete the National Registered Respiratory Therapist (RRT) exams (written and clinical simulations). Upon successfully completing these exams the Respiratory Care Practitioner receives the credentials of RRT. Applicants often ask about job availability. Career mobility (professional and geographical) is available. Please note that positions may be limited in the local area.

3 Cochise College Respiratory Therapy Program Essential Functions / Core Performance Standards Review the list of skills below. If you are unable to meet the standard(s), even with correction (example eyeglasses, hearing aids) on any of the items below, list those on the page following the descriptions. The Respiratory Therapy Program complies with the American with Disabilities Act (ADA), and consistent with the ADA, the attached Essential Functions/Core Performance Standards Worksheet provides the framework to relate functional ability categories and representative activities/attributes to any limitations/deficits in functional abilities. These standards shall be used by the Respiratory Therapy Program in combination with the professional scope of practice, job analysis, other resources, and expert consultation to make decisions related to the ability of the respiratory care student to perform the essential functions of respiratory care. If a prospective student is or becomes unable to meet the required Essential Functions/Core Performance Standards, the Respiratory Therapy Program in consultation with ADA Coordinator will determine, on an individual basis, whether or not reasonable accommodations can be made that would permit the student to meet these Essential Functions /Core Performance Standards and thus, to continue in the program. Please note Skills tied to under each of the sections is not intended to be a complete listing of skills but rather as an example of a skill for which that ability is linked. Please carefully review the 16 items and complete the page following the descriptions. 1. Gross motor ability Move within confined spaces Sit and maintain balance Stand and maintain balance Reach above shoulders Reach below waist Linked skills: Function in an ICU environment move about in an ICU room in order to perform procedures on the patient. Must also read patient chart, equipment settings, and/or equipment displays. Sit to record findings. Change equipment settings above head and below waist. 2. Fine motor ability Pick up objects with both hands Grasp small objects with both hands Write clearly and neatly with pen or pencil Type on a keyboard Pinch/squeeze or pick up objects with fingers of both hands Twist knobs with both hands Must have adequate manual dexterity as to be capable of maintaining sterility Linked skills: Lift medication vials to eyes to read. Squeeze medication vials to empty. Squeeze Ballard suction catheter button. Grasp, hold and read small instruments such as volume measuring devices. Write in patient chart. Record patient data in record. Change settings on equipment by turning knob and observing change. 3. Physical Endurance Stand at client s side during procedure Sustain repetitive movements (example chest compressions in CPR) Maintain physical tolerance (continue tasks throughout a shift) Work and complete tasks at a reasonable pace Linked skills: Stand and perform repetitive procedures on patients such as chest physical therapy and CPR. Repeat this procedure periodically throughout a shift. 4. Physical Strength Lift 45 pounds Move light objects up to ten pounds Restrain combative client Carry equipment/supplies Squeeze with hands (example use of a fire extinguisher) Able to push/roll 60 pounds Move heavy object weighing from pounds. Use upper body strength

4 Linked skills: Assist patient from bed to chair. Hoist patient up in bed. Move patient from stretcher to bed and back. Carry medications, pulse oximeter, stethoscope or other equipment to patient room. Push ventilator or other heavy equipment from respiratory care department to patient room. Move other equipment such as pulse oximeter or IPPB machine. Lift equipment from bed height to shelf height above chest level. 5. Mobility Twist Bend Stoop/squat Move quickly Climb ladders/stools/stairs Walk Linked skills: Turn to change settings on monitor while standing at patient bedside. Bend to change equipment settings on floor, at knee level, waist level, chest level, eye level, above head. Gather equipment and manually resuscitate patient without delay. Make rapid adjustments if needed to ensure patient safety. Make way to patient room if an emergency is called using stairs. 6. Hearing Hear normal speaking level sounds Hear faint voices Hear faint body sounds (example breath and heart sounds) Hear audible alarms Hear telephones Hear sounds with stethoscope Linked skills: Listen to patient breath sounds to determine if patient is breathing. Listen to heart sounds to determine if heart is beating. Determine the intensity and quality of patient breath sounds in order to help determine a diagnosis. Hear audible alarms such as a ventilator alarm. Hear overhead pages to call for emergency assistance. 7. Visual Visually assess clients See object up to 20 inches away See object more than 20 feet away Use peripheral vision Distinguish color Distinguish color intensity See emergency lights/lamps Linked skills: Read patient chart to determine correct therapy. Visually assess patient color to assess for hypoxia. Read settings on monitors and other equipment. Visually assess for changes. Confirm settings visually such as with ventilator display. 8. Tactile Feel vibrations (example pulses) Detect temperature Feel the difference in surface characteristics Feel the differences in sizes, shapes (example palpate artery/vein) Detect environmental temperature Linked skills: Assess patient by feeling for pulse, temperature, tactile fremitus, edema, subcutaneous emphysema. 9. Smell Detect odors from client Detect smoke Detect gas or noxious smells Linked skills: Assess for noxious odors originating from the patient or environment (example gas leak or smoke)

5 10. Reading Read and interpret physicians orders Read and understand written documents Read very fine or small print Linked skills: Read and interpret physician orders, and physician, therapist and nurse s notes. Read from a computer monitor screen. Gather data accurately, and in a reasonable amount of time to ensure safe and effective patient care relative to other care givers. 11. Arithmetic Read and understand columns of writing (example flow sheets) Read digital displays Read graphic printouts Calibrate equipment Convert numbers to metric Read graphs (vital sign sheets) Tell time Measure time (duration) Count rates (example pulses, breathing rate) Use measuring tools (example thermometer) Read measurement marks (scales) Perform basic arithmetic functions add, subtract, multiply, divide Compute fractions Use a calculator Record numbers (example chart observed parameters) Linked skills: Read and interpret patient graphics charts and graphic displays. Per-form basic arithmetic functions in order to calculate minute ventilation, convert temperature, correctly place graduated tubing, and other functions. 12. Emotional Stability Establish therapeutic boundaries Provide client with appropriate emotional support Adapt to changing environment/stress Deal with the unexpected (example crisis) Focus attention on task despite distractions Monitor own emotions Perform multiple responsibilities concurrently Handle strong emotions (example grief) Show appropriate compassion through communications Linked skills: Provide for safe patient care despite a rapidly changing and intensely emotional environment. Perform multiple tasks concurrently, example delivery of medication or oxygen in one room while performing an arterial blood gas in another such as in an emergency room environment. Maintain enough composure to provide for safe and effective patient care despite crisis circumstances. 13. Analytical Thinking Transfer/extrapolate knowledge from one situation to another Process information Evaluate outcomes Problem solve Prioritize tasks Use long and short term memory Linked skills: Evaluate different sources of diagnostic information to help arrive at a patient diagnosis. Evaluate priorities in order to provide for the most appropriate care. Appropriately evaluate data in order to notify physician and nurses when necessary.

6 14. Critical Thinking Identify cause-effect relationships Plan/control activities for others Synthesize knowledge and skills Sequence information Linked skills: Evaluate different sources of diagnostic information to help arrive at a patient diagnosis and treatment. Evaluate data in order to formulate an appropriate action plan. 15. Interpersonal Negotiate interpersonal conflict appropriately Respect differences in clients Establish rapport with clients Establish rapport with co-workers Work effectively with physicians, staff, clients and their families Linked skills: Communicate effectively with disagreeable patients, family, doctors, nurses and other staff in order to meet therapeutic goals for the patient. 16. Communication Teach (example client and family) Explain procedure Give oral reports Interact with others Speak on the telephone Direct activities of others Convey information through writing (example progress notes) Speak clearly and distinctly Linked skills: Communicate effectively and appropriately with doctors, nurses, patients, family, and other staff to provide most effective and efficient patient care.

7 All students entering the clinical portion of the program will need to complete the following: (Students will be expected to pay for and comply with these requirements.) 1. Statement of Health Applicants admitted to health programs must complete and submit a physical history and physical examination which certifies that their health status will allow them to safely pursue the educational objectives of the Associate in Applied Science degree for Certified Respiratory Therapist (CRT) and Registered Respiratory Therapist (RRT) training. The physical examination must include a TB skin test, chest X-ray if indicated, and Rubella, Rubeola, Varicella and Mumps titers to determine immunity. If no immunity exists, then the student must obtain appropriate vaccinations. The Hepatitis B vaccine is also required. Any future testing required by clinical affiliates or by state law is also the responsibility of the student. Students with chronic medical problems such as diabetes, heart disease, epilepsy and physical limitations will be required to submit a report of current health status relating to their specific condition. The statement will include the physician s assessment as to the student s ability to meet the program objectives and the current medication, which the student is required to take for maintenance. The statement of health must be signed by the physician. Students are responsible for their own medical care and health insurance. 2. Annual Drug testing is mandatory for all Cochise College Health Care students. 3. Fingerprint Cards and background checks are also mandatory. Fingerprinting and criminal backgrounds will be required by the various healthcare facilities that we utilize for clinical education. **A complete criminal background check will be completed prior to program beginning. It is not guaranteed that medical facilities or state certification boards will process applications containing confirmed criminal activity. 4. Transportation students are required to have their own transportation. Clinical sites will be assigned to meet the needs of all students and the program. There are no guaranteed individual clinical placements. Cost for transportation to clinical sites is at the student s expense. There may be an additional cost for accommodations at the student s expense. Rules, Regulations and Procedures Students are expected to comply with the rules, regulations, and procedures of Cochise College and the affiliated clinical sites. Noncompliance with rules, regulations and procedures will be the basis for student dismissal from the Respiratory Care Program. Important Notes 1. The Associate in Applied Science Degree for the Certified Respiratory Therapist (CRT) and Registered Respiratory Therapist (RRT) training requires a Respiratory Care Admission Committee recommendation and acceptance prior to official entry into the program. 2. Students interested in the Respiratory Care Program will consult with the Program Coordinator or Clinical Education Coordinator as early as possible. Early application and advising are highly recommended for any health care program with limited enrollment. The Respiratory Care Program with limited enrollment. The Respiratory Care Program admits students based upon the available clinical seating. 3. The Respiratory Care Program is looking for students who are energetic, dedicated, enthusiastic, reliable, and who possess the desire to deliver quality patient care. Students will be adult learners who are able to adapt to a variety of teaching/learning styles. Competent communication skills are required.

8 Clinical Affiliates for Hospital Instruction Sierra Vista Regional Health Care Sierra Vista, AZ Northern Cochise Community Hospital Wilcox, AZ Holy Cross Hospital Nogales, AZ Kingman Regional Medical Center Kingman, AZ Benson Hospital Benson, AZ Southeast Arizona Medical Center Douglas, AZ Mt. Graham Medical Center Safford, AZ Yuma Regional Medical Center Yuma, AZ

9 Cochise College Respiratory Therapy Admissions Application Respiratory Therapy Program I plan to begin the program in: Spring Please print clearly Legal Name (Last) (First) (Middle) Address (Street) (City) (State) (Zip) Former Name(s) which may appear on transcripts Home Phone Number Cell Phone Number Address Student ID # Person to Notify in a Emergency Phone Number Address Are you currently enrolled in college? [ ] Yes [ ] No If Yes, Name of institution: Address:

10 Previous Colleges Attended: Name of Institution City & State Dates of Attendance From: To: Degree or Diploma: Major: Name of Institution City & State Dates of Attendance From: To: Degree or Diploma: Major: List any prerequisite classes and grades earned: Please note: submit one unofficial transcript of all colleges attended, for advising with Respiratory Therapy Program application. Additionally, an OFFICIAL transcript from each institution attended will need to be submitted to our Records office for evaluation of degree requirements. For more information on evaluation of transcripts or the transfer of international credits, please visit Mail Official transcripts to: Cochise College Transcript Evaluations 901 N. Colombo Avenue Sierra Vista, AZ List any health care experience:

11 Certification I certify that the above statements are true, correct, and complete. I understand that any false statements or intentional misrepresentation of information on this application may be prevent acceptance to the program, dismissal from the Respiratory Care program and from Cochise College. Signature Date Completed applications and unofficial transcripts may be submitted in person or mailed to: Jim Nosek, RRT, BA Program Director of Respiratory Care 901 N. Colombo Avenue Sierra Vista, AZ *Note: Application to the program does not guarantee acceptance, nor does acceptance guarantee completion of the program.

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