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 and who are ready to assume patient care responsibilities in all the different settings where respiratory therapy is practiced. To provide our service community with adequate numbers of qualified Respiratory Care graduates to meet the current and burgeoning needs of the industry.
The Respiratory Care Program at Butte College has been successful in meeting the goals of its mission statement by providing our service community with graduates that are highly sought after. The program has had an excellent reputation throughout Northern California and beyond since its first graduating class in 1970. The program grew from its traditional pedagogical cap of twenty-four students to forty students from 2007-2011. The program reduced enrollment to thirty-two with the class entering the program in the fall of 2011 due to required budget cuts in the Health Occupations area. This growth has been supported by equipment grant money through the Chancellor�s Office, an adequate associate faculty pool, an ongoing need in the industry of new graduates, and an increased student interest in the program. A waiting list continues to exist for the program on the main campus. To reduce the impact on the local clinical sites, rotations are being conducted in both the Redding and Yuba City/Marysville areas. Currently there are 47 students enrolled in the first and second years of the program. The program made the decision to reduce enrollment to sixteen students in the Fall of 2020 due to the Covid-19 pandemic and associated limitations with student clinical placement. We are currently in discussions regarding student enrollment numbers in the Fall of 2021 with our program advisory committee.
RT Medical Director Stipend
The RT program is asked for and received $10,000 yearly stipend to compensate our Medical Director for the duties and responsibilities as defined by the Committee on Accreditation of Respiratory Care.
The following are the duties and responsibilities of the Butte College Respiratory Care Program's Medical Director as defined by the Committee on the Accreditation of Respiratory Care (CoARC) Standards for Entry Level into Respiratory Care Professional Practice 2018: 1. Provide competent medical guidance to the program, including curriculum review. 2. Interact with Program Director (PD) and Director of Clinical Education (DCE) to ensure both didactic and supervised clinical instruction meets current practice guidelines. 3. Attend Program Advisory Committee (PAC) meetings 4. Interact with the students in both the classroom and clinical environments (i.e. provide at least (2) two classroom lectures per semester, along with clinical instruction in the hospital setting). The addition of the stipend over the past three years has resulted in our Medical Director being more actively involved with the program. He has consistently attended our yearly PAC meetings, provided classroom lectures for our first and second year students, and interacts daily with the students in the clinical environment. Over the past year, he has reviewed all of the program's curriculum and provided us with his feedback on our content, which is something none of our previous Medical Directors have done.
Faculty replacment computer
The previous laptop computer of the program director of Respiratory Care was purchased in 2011, its internal battery no longer functions, it can't be updated to Windows 10 due to its age, Windows 7 is no longer supported as of January 14, 2020, and runs VERY slowly. With the purchase of the new laptop, the program director has been able to reduce the use of their personal device for Zoom lectures and meetings, and work more efficiently as the new computer has a much faster response rate than the old one.
AHPS 219 Computer Refresh
The (3) desktop computers in AHPS 219 for student use were purchased and installed in 2013 and were running Windows 7 which is no longer supported by as of January 14, 2020. We have had frequent problems with them over the last year and it has limited the students' access to key programs installed on these computers that improve student outcomes. The upgrade is still in process, but the (2) computers that have been replaced are functioning much better than our previous ones.
Zoll monitor/Defibrillator
The Respiratory Care program frequently utilizes the monitor/defibrillator(s) of the EMS program for the instruction of ECG interpretation, Advanced Cardiac Life Support and Pediatric Advanced Life Support certifications. The current monitors/defibrillators are being discontinued due to the company's inability to obtain replacement parts for this series. All of the monitors/defbrillators have required service in recent years and some are currently not functioning correctly. The EMS and RT programs propose a joint purchase of this item, along with the AEDs for use in both programs.
The Respiratory Care program frequently utilizes the monitor/defibrillator(s) of the EMS program for the instruction of ECG interpretation, Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications. The addition of another Zoll Monitor/Defibrillator allows more access to these devices by the students during their ACLS and PALS certification courses condicted by the program in the spring of each year.
SLO Findings FA 2020:
RT 145 is taught in the Fall of each year only; review of competency check offs will not occur until the end of the Fall 2020 semester. RT 115 - program faculty are currently working on updating the History and Physicals for all standardized; this course is taught in the Winter session of each year and we are not able to assess improvements in the evaluation feedback. RT 135 is taught only in the summer of each year; due to Covid 19, the clinical rotations were reduced from 6 weeks to 4 weeks which made it VERY difficult for faculty to complete the assigned competencies., We will not be able to accurately assess our changes to the RT 135 competency list until the summer of 2021 at the earliest.
Faculty involved with SLO conversation: Gina Maclean, Donna Davis, Jared Alexis, Erika Twitchell, Lisa Morales, Scott Fedrizzi, Brandon Mortimer, Randi Kious, Chris Lephart, Megan Neufeld, Ryan Wikum, Ivy Spencer, and Errin Spencer
Fill rates for the 2017-2019 fall terms averaged 94.42%; success and retention rates averaged 100% over the same time period for the Respiratory Care program. 89% of the 2019 graduates are licensed respiratory therapists and employed in their field of study; currently 75% of the 2020 graduates are licensed, both of which are above the Vison for Success/Balanced Scorecard standard of 70%. The majority of these graduates were in the 25-49 age range. Covid-19 delays with testing, and changes to the testing matrices and process through the National Board of Respiratory Care are being attributed to a lower than normal licensure rate for the graduating class of 2020.
Over 55% of the 2019 program graduates were economically disadvantaged and students of color; 11% were DSPS students. 44.44% of the Respiratory Care program 2019 graduates are white; 51.85% are students of color (Asian, Hispanic, African American, and American Indian) and 3.7% are unknown/other. In comparison, the 2018-2019 graduates of the college earning an AA/AS degree were 54.59% are white, 24.34% are Hispanic, 9.55% are Asian, 3.09% are African American, 3.37% are American Indian, and 4.31% are unknown/other.
Student success (male and female of all ethnicities) in the Fall of 2018 for the program was 100%; college success during the same time period was 78.54% with female success rates higher than the male students. Focused persistence in the program was 98.31% for the fall of 2018, while the college averaged 55.43% during the same time period.
The Respiratory Care program supports the college in meeting the following Strategic Direction and Priority Themes:
1. Implementing GP: program map development and ongoing review for accuracy for the GP website
2. Meeting enrollment targets: the program continues to have more applications than seats available each year; program enrollment was decreased from 32 to 16 the fall of 2020 due to Covid-19 and hospital limitations on student clinical placement. Program retention rates remain high, averaging 96% from 2017 to 2019.
3. Meeting student achievement goals: 89% of the 2019 graduates are licensed respiratory therapist and currently, 75% of the 2020 graduates are licensed, both of which are above the standard of 70%. Covid-19 delays with testing, and changes to the testing matrices and process through the National Board of Respiratory Care are being attributed to a lower than normal licensure rate for the graduating class of 2020.
4. Closing equity gaps: over 55% of the 2019 program graduates were economically disadvantaged and students of color; 11% were DSPS students. We do not have data on the 2020 graduates and incoming class at this time.
5. Fostering a culture of inclusiveness: over 55% of the 2019 program graduates were economically disadvantaged and students of color; 11% were DSPS students. We do not have data on the 2020 graduates and incoming class at this time.
RECOMMENDATIONS STILL OUTSTANDING:
1. Funding sources be identified for the software, laptops and tablets needed for the program. Ideally, Perkins funding will be identified. Alternatively, other (possibly district) funding should be pursued.
2. That the Respiratory Care Program add a full time faculty member to help reduce the significant overload currently required of the two full time faculty and to provide the opportunity for program expansion if needed.
3. Augmentation of the department budget to allow for reimbursement of all travel necessary to assure proper evaluation of all clinical sites. Mileage has also been funded through the Dean's budget.
ACTIONS STILL TO BE ADDRESSED FROM ABOVE:
1. We are requesting 6 more laptops to be shared with the Aliied Health Programs. These will be utilized for online testing, clinical simulations, etc. We currently do not have enough laptops to allow every student in our classes to use one at the same time.
2. That the Respiratory Care Program add a full time faculty member to help reduce the significant overload currently required of the two full time faculty and to provide the opportunity for program expansion if needed.
3. There have been no augmentations made at this time to allow the DCE to travel to clinical sites. This visit is needed to maintain clinical relationships and ensure that students are having the most appropriate training at their clinical sites. These visits have primarily been paid for by the faculty member out of their own pocket.
The program's goals for the next year include:
1. Professional development in the field for the full time faculty (i.e. attendance at the American Association of Respiratory Care Summer Forum for educators).
2. Institutionalize a $10,000 stipend for the program's Medical Director, to compensate for the required duties defined by our accrediting body, the Commitee on the Accreditation of Respiratory Care programs (CoARC)
3. Maintaining program success rates for course completion, program completion, licensure and job placement, with an eye towards any additional measures that could be taken by the program for improvement as well.
Strategy 1 - UpToDate clinical decision support system
Up to date, library housed, current medical literature consolidating information from related medical articles into evidence-based synopsis for both research and clinical uses.
UpToDate® is the premier evidence-based clinical decision support resource, trusted worldwide by healthcare practitioners to help them make the right decisions at the point of care. It is proven to change the way clinicians practice medicine, and is the only resource of its kind associated with improved outcomes.
Medical librarians play a critical leadership role in ensuring that the clinicians in their institution have access to the most current medical literature and best available evidence. UpToDate goes well beyond compiling a list of evidence; we sythesize the latest research with the full body of existing information and make recommendations about how the evidence should be applied at the point of care.
The most trusted and widely used clinical decision support resource in the world, UpToDate has become an essential part of the everyday practice of medicine and is the only evidence-based clinical decision support resource associated with improved outcomes.
Our local physicians and Medical Director involved with our program recommend its use by our students.
We are waiting for further pricing information. It is approximately $5,000.
Strategy 2 - GE Healthcare Carescape R860 Ventilator
Shasta Regional Medical Center respiratory therapy department uses the GE Healthcare Carescape R860 as their primary ventilator. The Respiratory Care program would like to purchase one for the laboratory setting.
Strategy 3 - Zoll Monitor
The Respiratory Care program frequently utilizes the monitor/defibrillator(s) of the EMS program for the instruction of ECG interpretation, Advanced Cardiac Life Support and Pediatric Advanced Life Support certifications. The EMS and RT programs propose a joint purchase of this item, along with the AEDs for use in both programs.
The Respiratory Care program frequently utilizes the monitor/defibrillator(s) of the EMS program for the instruction of ECG interpretation, Advanced Cardiac Life Support and Pediatric Advanced Life Support certifications. The current monitors/defibrillators are being discontinued due to the company's inability to obtain replacement parts for this series. All of the monitors/defbrillators have required service in recent years and some are currently not functioning correctly. The EMS and RT programs propose a joint purchase of this item, along with the AEDs for use in both programs.
Strategy 4 - RT Medical Director
The RT program is asking for $10,000 yearly stipend to compensate our Medical Director for the duties and responsibilities as defined by the Committee on Accreditation of Respiratory Care.
The following are the duties and responsibilities of the Butte College Respirator yCare Program's Medical Director as defined by the Committee on the Accreditation of Respiratory Care (CoARC) Standards for Entry Level into Respiratory Care Professional Practice 2018:
1. Provide competent medical guidance to the program, including curriculum review.
2. Interact with Program Director (PD) and Director of Clinical Education (DCE) to ensure both didactic and supervised clinical instruction meets current practice guidelines.
3. Attend Program Advisory Committee (PAC) meetings
4. Interact with the students in both the classroom and clinical environments (i.e. provide at least (2) two classroom lectures per semester, along with clinical instruction in the hospital setting)
Strategy 5 - SimEMR
SimEMR® is an interactive, web-based, simulated electronic medical record solution that enables students to learn how to electronically chart in today’s hospitals. A step by step process mirroring real-life patient care takes the learner from a patient profile and charting objectives to medication dispensing
Respiratory care students are required to complete computerized charting in all both one of their clinical sites, including medication administration record. Currently these students have no ability to practice these skills prior to their assigned clinical rotations and mistakes are common. Access to a system that allows practice of medical charting and safe medication administration would greatly reduce charting mistakes in our clinical sites. SimEMR is a subscription based product that is purchased on an annual basis for each student.
Strategy 6 - Vital Signs Equipment
Blood pressure cuffs and thermometers
The Respiratory Care program has frequently ran into difficulites accessing the vital signs cart utilized by all of the nursing programs at Butte College. Access to this equipment in the vital signs lab is essential for students' to correctly use thiese devices. The purchase of (2) thermometers and (10) blood pressure cuffs will meet the needs of our program.
Strategy 7 - CPR Manikins
(10) CPR Manikins
he Respiratory Care program is requesting the funds to purchase (10) cardiopulmonary resuscitation (CPR) manikins with compression rate monitors to be in compliance with the American Heart Association guidelines for CPR instruction
None.
None
Original Priority | Program, Unit, Area | Resource Type | Account Number | Object Code | One Time Augment | Ongoing Augment |
Description | Supporting Rationale | Potential Alternative Funding Sources | Prioritization Criteria | |||
1 | RT | Operating Expenses | $0.00 | $10,000.00 | ||
RT Medical Director Stipend | The RT program is asking for $10,000 yearly stipend to compensate our Medical Director for the duties and responsibilities as defined by the Committee on Accreditation of Respiratory Care. The following are the duties and responsibilities of the Butte College Respiratory Care Program's Medical Director as defined by the Committee on the Accreditation of Respiratory Care (CoARC) Standards for Entry Level into Respiratory Care Professional Practice 2018: 1. Provide competent medical guidance to the program, including curriculum review. 2. Interact with Program Director (PD) and Director of Clinical Education (DCE) to ensure both didactic and supervised clinical instruction meets current practice guidelines. 3. Attend Program Advisory Committee (PAC) meetings 4. Interact with the students in both the classroom and clinical environments (i.e. provide at least (2) two classroom lectures per semester, along with clinical instruction in the hospital setting) |
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2 | RT | Equipment | $28,681.00 | $0.00 | ||
Zoll Monitor/Defibrillator | The Respiratory Care program frequently utilizes the monitor/defibrillator(s) of the EMS program for the instruction of ECG interpretation, Advanced Cardiac Life Support and Pediatric Advanced Life Support certifications. The current monitors/defibrillators are being discontinued due to the company's inability to obtain replacement parts for this series. All of the monitors/defbrillators have required service in recent years and some are currently not functioning correctly. The EMS and RT programs propose a joint purchase of this item, along with the AEDs for use in both programs. |
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3 | RT | Equipment | $3,000.00 | $0.00 | ||
SimEMR® is an interactive, web-based, simulated electronic medical record solution that enables students to learn how to electronically chart in today�s hospitals. A step by step process mirroring real-life patient care takes the learner from a patient profile and charting objectives to medication dispensing | Respiratory care students are required to complete computerized charting in all both one of their clinical sites, including medication administration record. Currently these students have no ability to practice these skills prior to their assigned clinical rotations and mistakes are common. Access to a system that allows practice of medical charting and safe medication administration would greatly reduce charting mistakes in our clinical sites. SimEMR is a subscription based product that is purchased on an annual basis for each student. |
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4 | RT | Equipment | $1,156.00 | $0.00 | ||
CPR Manikins | The Respiratory Care program is requesting the funds to purchase (10) cardiopulmonary resuscitation (CPR) manikins with compression rate monitors to be in compliance with the American Heart Association guidelines for CPR instruction |
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5 | RT | Equipment | $106.00 | $0.00 | ||
Vital Signs Equipment | The Respiratory Care program has frequently ran into difficulites accessing the vital signs cart utilized by all of the nursing programs at Butte College. Access to this equipment in the vital signs lab is essential for students' to correctly use thiese devices. The purchase of (2) thermometers and (10) blood pressure cuffs will meet the needs of our program. |
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6 | RT | Equipment | $5,000.00 | $0.00 | ||
UpToDate clinical decision support system | UpToDate® is the premier evidence-based clinical decision support resource, trusted worldwide by healthcare practitioners to help them make the right decisions at the point of care. It is proven to change the way clinicians practice medicine, and is the only resource of its kind associated with improved outcomes. Medical librarians play a critical leadership role in ensuring that the clinicians in their institution have access to the most current medical literature and best available evidence. UpToDate goes well beyond compiling a list of evidence; we sythesize the latest research with the full body of existing information and make recommendations about how the evidence should be applied at the point of care. The most trusted and widely used clinical decision support resource in the world, UpToDate has become an essential part of the everyday practice of medicine and is the only evidence-based clinical decision support resource associated with improved outcomes. Our local physicians involved with our program recommend its use by our students. We are waiting for further pricing information. It is approximately $5,000. |
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7 | RT | Equipment | $30,000.00 | $0.00 | ||
GE Healthcare CareScape R860 | This ventilator is used by one of our primary clinic sites. To ensure patient safety, it is best that the students have access and time with this ventilator in the laboratory setting before use on patients. |
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