RADIOLOGIC TECHNOLOGY PROGRAM MANUAL 2014-2015

Transcription

RADIOLOGIC TECHNOLOGY
PROGRAM MANUAL
2014-2015
PROGRAM MANUAL/STUDENT REVIEW
RESPONSIBILITY/RIGHTS STATEMENT
This is to acknowledge that I have purchased my personal copy of the Radiologic
Technology Program Manual. It has been presented and reviewed with me by the
Program Faculty. I have read and understand the contents thereof. I hereby agree to
abide by its regulations. I understand that this form needs to be submitted to the
Radiologic Technology Program by the end of the first week of school. NO
SUBSTITUTE FORM WILL BE ACCEPTED.
Radiation Protection policies and doses have been reviewed with me concerning the
placement of the radiation badge on the program uniform, the monthly radiation dose
limit, the procedure for reviewing the monthly badge reports and the documentation of
radiation doses that go over the Program’s monthly dose limit.
I agree to have my name, address and phone number released to professional
organizations/health care agencies requesting that information.
I agree to have information regarding my attendance and performance released for
financial aid purposes.
I understand that I may not participate in the Radiologic Technology Program until I
have all records on file in the Program Office (health, CPR, HBV, TB) and that these
records must be kept updated or I could be withdrawn from the program.
I understand that information that has been disclosed to me form the patient’s record is
protected for confidentiality by state law. State law prohibits me from making any
disclosure of such information without the specific written consent of the person to
whom such information pertains, or as otherwise permitted by state law. A general
authorization for the release of medical or other information is not sufficient for this
purpose.
____________________________________________________
Student Signature
____________________________________________________
Printed Name
_________________________________________________
Date
SUBSTANCE ABUSE POLICY RELEASE FORM
I have read the Substance Abuse Policy of North Arkansas College and agree as a
student in the Radiologic Technology Program to comply with all aspects of the policy
as written, including but not limited to urine, blood, or breathalyzer testing.
I agree that a drug testing facility is authorized by me to provide the results of
appropriate test(s) to North Arkansas College Radiologic Technology Program. I agree
to indemnify and hold the Institution and testing lab harmless form and against any and
all claims, causes of action, demands, liabilities or judgments arising out of any claim
related to 1) compliance of the Institution with federal and state law and 2) the
Institution’s interpretation, use and confidentiality of the test results, except when the
Institution or lab is found to have acted negligently with respect to such matters.
I further understand that failure to adhere to conditions specified in this policy will result
in my dismissal from the program. Furthermore, I agree to abide by the provisions for
determining suspension and to follow the conditions of reacceptance as outlined.
______________________________________________
Student Signature
______________________________________________
Printed Name
_________________________________________
Date
ADDENDUM TO POLICY
By Arkansas State Law, there will be no smoking on any grounds owned by the
hospitals. “Grounds means the buildings in and on which medical facilities
operate together with all property owned by a medical facility that is contiguous to
the buildings in which medical services are provided.” Grounds do include
parking lots owned by the hospital, which means no smoking in your cars on
hospital grounds. Any student, faculty, or facility member that smokes on
hospital grounds will be asked to leave and will not be able to return for any
clinicals at the hospital. If you are unable to return to the clinical facility, you will
be dismissed from the program.
________________________________________
Student Signature
_________________________________________
Printed Name
____________________________________
Date
UNIVERSAL PRECAUTIONS STATEMENT
I have been given written and verbal information regarding Universal Precautions. I
agree to use Universal Precautions during clinical and simulated laboratory practice.
I understand that my failure to use Universal Precautions may result in exposure to
blood borne pathogens including Hepatitis B Virus (HBV) and Human Immunodeficiency
Virus (HIV).
In the event that I experience an exposure to HBV or HIV as a result of my failure to
follow universal precautions, I hereby release and hold harmless North Arkansas
College, its Board of Trustees, officers, agents and employers from any and all liability,
responsibility, damage or loss, whether known or unknown, existing or potential, that I
may ever claim as a result of any contact or consequence that may arise from my
exposure.
____________________________________________________
Student Signature
____________________________________________________
Printed Name
_________________________________________________
Date
COMPLETE ONLY IF EXPOSED TO BODY FLUIDS
Radiologic Technology Program
STATEMENT OF MEDICAL OPTIONS FOLLOWING EXPOSURE TO BODY FLUIDS
(complete after exposure)
You have been exposed to blood or body fluids. Realizing that several diseases,
including HIV and Hepatitis , are transmitted via blood and body fluids, we the faculty of
the Radiologic Technology Program, strongly recommend that you seek medical care.
Medical care options include, but are not limited to:
1.
the emergency or outpatient department of the agency in which the
exposure occurred (at personal expense);
2.
the county health department;
3.
the private physician of your choice;
4.
the Arkansas AIDS Foundation.
It is vital that you understand that YOU ARE RESPONSIBLE FINANCIALLY FOR ANY
EXPENSES INCURRED IN THE COURSE OF TREATMENT OR TESTING. NEITHER
NORTH ARKANSAS COLLEGE NOR THE CLINICAL AGENCY WILL ASSUME ANY
LIABILITY (FINANCIAL OR OTHERWISE) REGARDING THE EXPOSURE
INCIDENT.
I have read the above and understand the options and financial responsibilities.
___________________________________________
Student Signature
____________________________________________
Printed Name
_______________________
Date
RADIOLOGIC TECHNOLOGY PROGRAM MANUAL
TABLE OF CONTENTS
PART I: INTRODUCTION
Introduction ............................................................................................................
Mission Statement and Program Goals ...................................................................
Program Director, Clinical Coordinator, and Clinical Instructor ...............................
Clinical Education Settings and Clinical Instructors .................................................
Observation Centers ...............................................................................................
Curriculum ............................................................................................................
Accommodations for Student with Special Needs ...................................................
Textbook List for Fall Semester (Freshmen) ...........................................................
Textbook List for Fall Semester (Sophomore) .........................................................
Textbook List for Spring Semester (Freshmen) .......................................................
Textbook List for Spring Semester (Sophomore) ....................................................
Program Cost Analysis ............................................................................................
JRCERT Standards .................................................................................................
1
2
3
5
6
7
8
9
10
11
12
13
14
16
PART II: POLICIES
Grading Policies ......................................................................................................
Policy for Make-Up Tests ........................................................................................
Graduation Requirements .......................................................................................
Access to Student Records .....................................................................................
Tuition, Fees, and Expenses ...................................................................................
Criminal Background Checks ..................................................................................
Insurance ............................................................................................................
Holidays and Vacations ...........................................................................................
Policy for Guidance and Counseling .......................................................................
Withdrawal ............................................................................................................
Re-Admission ..........................................................................................................
Student Contact Form .............................................................................................
Probation ............................................................................................................
Termination ............................................................................................................
Emergency Preparedness Information ....................................................................
Bad Weather ...........................................................................................................
Tardies – Classroom and Clinical ............................................................................
Absenteeism – Classroom and Clinical ...................................................................
Harassment and Stalking ........................................................................................
17
18
19
20
20
20
20
21
21
21
21
21
21
21
22
22
22
23
23
23
Student Honor Code................................................................................................
Absence and Tardy Monitoring ...............................................................................
Policy for Student Radiation Exposure ....................................................................
Policy for Student Radiation Monitoring Badge Readings .......................................
Policy for Repeat Examination ................................................................................
Policy for Student Extension ...................................................................................
Conduct – Classroom and Clinical ..........................................................................
Procedure for Unfavorable Clinical Evaluation .......................................................
Academic Grievance Procedure ..............................................................................
JRCERT Grievance Procedure ...............................................................................
Policy for a Strike or Work Stoppage.......................................................................
Policy for Early Release ..........................................................................................
Policy for Reporting Serious Illness and Disease ....................................................
Communicable Diseases.........................................................................................
Accidents ............................................................................................................
Orientation for Workplace Hazards .........................................................................
Policy on Student Pregnancies ...............................................................................
Declaration of Pregnancy ........................................................................................
Policy Governing Uniforms ......................................................................................
Radiologic Technology Patches ..............................................................................
Name Tags ............................................................................................................
Attire and Appearance.............................................................................................
Radiation Monitoring Badges ..................................................................................
Lead Markers ..........................................................................................................
Student Employment Policy ....................................................................................
Cell Phone Usage ...................................................................................................
Mammography Policy ..............................................................................................
Drug Screening Policy .............................................................................................
Immunizations, Physical Form & CPR.....................................................................
Guidelines for HIV and Hepatitis B ..........................................................................
Accidental Exposure to Blood or Body Fluids ..........................................................
Policy for Social Media ............................................................................................
Student Substance Abuse Policy ............................................................................
24
24
24
24
24
24
25
26
26
26
27
27
27
27
27
27
28
29
30
30
30
31
32
32
32
32
33
33
33
34
36
37
38
PART III: CLINICAL INFORMATION
Clinical Environment................................................................................................
Supervision ............................................................................................................
Clinical Assignments ...............................................................................................
Clinical Education Settings ......................................................................................
39
40
40
41
42
Professional Conduct of the Student .......................................................................
Student Responsibility in the Hospital .....................................................................
Routine Duties .........................................................................................................
Developing Clinical Proficiencies ............................................................................
Clinical Grade Determination ..................................................................................
Performance Evaluations ........................................................................................
Clinical Procedures for Performance Exams ...........................................................
Clinical Competency Plan .......................................................................................
Clinical Procedure for Competency Exams .............................................................
Clinical Rotational Assignments ..............................................................................
Clinical Objectives ...................................................................................................
Conditions ............................................................................................................
Success Criteria ......................................................................................................
Office Procedures and Radiographic Record ..........................................................
Radiographic Film Processing .................................................................................
Patient Handling Tasks ...........................................................................................
General Radiography ..............................................................................................
Fluoroscopy ............................................................................................................
Image Evaluation ....................................................................................................
Body Section Radiography ......................................................................................
Mobile Radiography ................................................................................................
Surgery
............................................................................................................
Special Procedures Radiography ............................................................................
Graduate Competencies .........................................................................................
43
44
44
45
45
46
47
48
49
50
52
52
52
53
53
53
54
55
56
57
58
59
59
60
PART IV: FORMS
Forms to be Completed by the Student ...................................................................
Daily Log Book .............................................................................................
Clinical Examination Record Form – Sample ...............................................
Course Evaluations ......................................................................................
Course Evaluation Form – Sample ...............................................................
Clinical Instructor Evaluations.......................................................................
Evaluation of Clinical Instructor Form – Sample ...........................................
Clinical Setting Evaluations ..........................................................................
Student Evaluations of Clinical Setting Form – Sample ................................
Repeat Analysis............................................................................................
Repeat Analysis Form – Sample ..................................................................
61
62
63
64
65
66
67
68
69
70
71
72
Forms to be Completed by Clinical Instructor or Registered Technologist ..............
Time Sheet ...................................................................................................
Student Clinical Time Sheet Form – Sample ................................................
Orientation Checklist ....................................................................................
Orientation Checklist Form – Sample ...........................................................
Monthly Clinical Evaluation of Student .........................................................
Monthly Clinical Evaluation of Student Form – Sample ................................
Minor Rotation Evaluation of the Student .....................................................
Minor Rotation Evaluation of the Student Form – Sample ............................
Performance Evaluation ..............................................................................
Performance Evaluation Form – Sample ......................................................
Competency Evaluation ................................................................................
Sophomore Competency Exam Form – Sample ..........................................
Documentation of Radiation Monitoring Badge Readings over 100 mREM .
Documentation of Rad Monitoring Badge Rdgs over 100 mREM Form – Sample ..
Documentation of Student Contact Form – Sample .....................................
Weekly Clinical Checklist ..............................................................................
Weekly Clinical Checklist Form – Sample ....................................................
Forms to be Completed by Faculty .........................................................................
Guide for Clinical Visits .................................................................................
Guide for Clinical Visits Form – Sample .......................................................
73
74
75
76
77
78
79
81
82
83
84
86
87
92
93
94
95
96
97
98
99
I.
INTRODUCTION
1
2
North Arkansas College
MISSION STATEMENT
The Radiologic Technology Program was established to provide qualified radiologic
technologists for an expanding medical field. Through didactic learning, laboratory
preparation, and clinical experiences, the students develop professional knowledge,
ethical patient care and technical skills. The students will be prepared as entry level
radiographers with the potential of advancing their education and professional careers.
PROGRAM GOALS
GOAL 1: Students will be clinically competent.
GOAL 2:
Outcome 1A:
Students will apply positioning skills with a score of 80% or
above.
Outcome 1B:
Students will utilize radiation protection with a score of 80%
or above.
Students will communicate effectively.
Outcome 2A:
Students will demonstrate written communication skills with
a score of 80% or above.
Outcome 2B:
Students will demonstrate oral communication skills with a
score of 80% or above.
GOAL 3: Students will demonstrate critical-thinking skills.
Outcome 3A:
Students will adjust positioning and procedure protocol for
trauma patients with a score of 80% or above.
Outcome 3B:
Students will critique images for optimal quality with a score
of 80% or above.
3
GOAL 4: Students will model professionalism.
Outcome 4A:
Students will demonstrate work ethics with a score of 80%
or above.
Outcome 4B:
Students will participate in professional seminars with 80%
or above of enrollment per year.
GOAL 5: The Program will provide the community with professional and competent
entry-level radiologic technologists.
Outcome 5A:
Students will complete the program with graduation rates
of 75% or above of student enrollment per year.
Outcome 5B:
Students will evaluate educational satisfaction at
graduation with a score of 80% or above.
Outcome 5C:
Graduates will pass the ARRT Radiography Certification
on the first attempt with a pass rate of 80% or above and a
5-year average of 80% or above.
Outcome 5D:
Graduates pursuing employment will be gainfully employed
within 6 months of graduation with a rate of 80% or above
and a 5-year average of 80% or above.
Outcome 5E:
Employers will evaluate graduate performance satisfaction
one year after graduation with a score of 80% or above.
PROGRAM EFFECTIVENESS DATA
The Radiologic Technology Program’s effectiveness data, including ARRT Registry
Exam Pass Rate, Job Placement Rate and Employer Satisfaction Rate can be
accessed through the JRCERT website: www.jrcert.org.
Revised 11/2012
4
PROGRAM DIRECTOR
The program Director is responsible for the organization, development, and coordination
of the didactical and clinical portions of the radiologic technology program. This
includes, but is not limited to:
1. assures effective program operations,
2. oversees ongoing program assessment,
3. participates in budget planning,
4. maintains current knowledge of the professional discipline and educational
methodologies through continuing professional development, and
5. assumes the leadership role in the continued development of the program.
CLINICAL COORDINATOR
The clinical coordinator is responsible for assisting in the organization, supervision, and
coordination of the clinical education in each of the affiliate clinical settings. This
responsibility includes but is not limited to:
1. correlates clinical education with didactic education,
2. evaluates students,
3. participates in didactic and/or clinical instruction,
4. supports the program director to help assure effective program operation,
5. coordinates clinical education and evaluates its effectiveness,
6. participates in the assessment process,
7. cooperates with the program director in periodic review and revision of
clinical course materials,
8. maintains current knowledge of the discipline and educational
methodologies through continuing professional development, and
9. maintains current knowledge of program policies, procedures, and student
progress.
CLINICAL INSTRUCTOR
In each clinical setting, a technologist is designated to be the Clinical Instructor. In
addition to their responsibilities for the day-to-day operation of the department, these
individuals are responsible for the supervision of the clinical education. The Program
also employs a clinical instructor to work with the students at the clinical setting. This
includes, but is not limited to:
1.
is knowledgeable of program goals,
2.
understands the clinical objectives and clinical evaluation system,
3.
understands the sequencing of didactic instruction and clinical education,
4.
provides students with clinical instruction and supervision,
5.
evaluates students’ clinical competence,
6.
maintains competency in the professional discipline and instructional and
evaluative techniques through continuing professional development, and
7.
maintains current knowledge of program policies, procedures, and student
progress.
5
NORTH ARKANSAS COLLEGE
CLINICAL EDUCATION SETTINGS AND CLINICAL INSTRUCTORS
Susan Coenen, R.T.
Mercy-Berryville
Radiology
214 Carter Street
Berryville, AR 72617
(H) 417-271-3079
(W) 870-423-5263
Danette, Huber, R.T.
Ozarks Medical Center
Radiology
P.O. Box 1100
West Plains, MO 65775
(H) 417-264-4855
(W) 417-257-9111
Kathy Cornelius, R.T.
North Arkansas Regional Medical Center
620 N. Willow Street
Harrison, AR 72601
(H) 870-715-8140
(W) 870-365-2085
Mandy Malotte, R.T.
Mercy-Berryville
Radiology
214 Carter Street
Berryville, AR 72617
(H) 870-423-7259
(W) 870-423-5263
Toni Ferguson, R.T.
Northwest Medical Center
Radiology
P.O. Box 47
Springdale, AR 72765
(H) 501-756-2559
(W) 501-751-5711 x 74660
Tim Payne, R.T.
Northwest Medical Center
Radiology
P.O. Box 47
Springdale, AR 72765
(H) 479-253-4430
(W) 501-751-5711 x 74660
Regina Greer, R.T.
North Arkansas Regional Medical Center
Radiology
620 North Willow Street
Harrison, AR 72601
(H) 870-743-3186
(W) 870-414-4085
Chuck Robinson, R.T.
Stone County Medical Center
Radiology
P.O. Box 510/Hwy. 14 East
Mountain View, AR 72560
(H) 870-652-3419
(W) 870-269-4361
Cody Gregory, R.T.
Cox Medical Center-Branson
Radiology
P.O. Box 650
Branson, MO 65616
© 870-391-5917
(W) 417-335-7223
Jeannie Uchtman, R.T.
Baxter Regional Medical Center
Radiology
624 Hospital Drive
Mountain Home, AR 72653
(H) 870-405-1967
(W) 870-424-1169
Deanna Halbert, R.T.
Cox Medical Center-Branson
Radiology
P.O. Box 650
Branson, MO 65616
(H) 417-332-7045
(W) 417-335-7533
Cassie Walker, R.T.
Arkansas Orthopedic & Sports Medicine
Radiology
224 West Erie
Harrison, AR 72601
(H) 870-688-0032
(W) 870-741-8289
Revised 6/14
6
OBSERVATION CENTERS
Claude Parrish Radiation Therapy Institute
Jon Burnside, R.T. (R)(T)
Dr. Ali Abdelaal
620 North Willow
Harrison, Arkansas 72601
870-414-4213
CARTI
Katrina Clements, R.T. (R)(T)
Dr. R. Bruce White
628 Hospital Drive, Suite A
Mountain Home, Arkansas 72653
870-424-2200
Highland Oncology-Radiation
Brooke Sisney, R.T. (R)(T)
Drs. Ross, Garner and Smith
60 E. Monte Painter Dr.
Fayetteville, AR 72703
479-695-4202
Cox Cancer Center
Benjamin Morris, R.T. (R)(T)
Dr. Dragosljvich
P.O. Box 650
Branson, MO 65615
417-348-8032
7
Curriculum
GENERAL
*
ALDH
@#* BIOL
@*
BIOL
*
CIS
*
ENGL
*
ENGL
*
MAT
*
MAT
*
SOC
1041-3
2214
2224
1103
1013
1023
1011 and
1012
2013
Medical Terminology ................................................. 1-3
Anatomy & Physiology I ............................................ 4
Anatomy & Physiology II ........................................... 4
Introduction to Information Technology ..................... 3
English Composition I ............................................... 3
English Composition II .............................................. 3
Mathematics for Careers & Technology and ............. 1
Mathematics for Careers & Technology or higher ..... 2
Introduction to Sociology ........................................... 3
24-26
AREA OF CONCENTRATION
Freshman Fall:
RADT 1103 Introduction to Radiologic Tech ........................ 3
RADT 1122 Patient Care ..................................................... 2
RADT 1144 Radiographic Procedures I ............................... 4
RADT 1162 Clinical Practice I .............................................. 2
11
Freshman Spring:
RADT 1184 Radiographic Imaging....................................... 4
##
RADT 1203 Radiographic Physics ....................................... 3
RADT 1232 Radiographic Procedures II .............................. 2
RADT 1242 Clinical Practice II ............................................. 2
11
Freshman Summer I:
RADT 1262 Clinical Practice III ............................................ 2
2
Sophomore Summer II:
RADT 2112 Clinical Practice IV............................................ 2
2
Sophomore Fall:
RADT 2123 Radiation Protection ......................................... 3
RADT 2143 Special Procedures .......................................... 3
RADT 2173 Radiographic Pathology ................................... 3
RADT 2193 Clinical Practice V............................................. 3
12
Sophomore Spring:
RADT 2203 Advanced Imaging Modalities ........................... 3
RADT 2222 Radiographic Evaluation ................................... 2
RADT 2253 Clinical Practice VI............................................ 3
RADT 2262 Seminar in Radiologic Tech .............................. 2
10
TOTAL
72-74
* May be taken prior to program acceptance
# Requires prerequisite CHEM 1214-Chemistry I for Health-Related Professions OR a “B” or better grade in each of
two semesters of High School Chemistry
##Prerequisite MAT 1011 plus MAT 1012 or higher
@Must have completed or be in progress for program acceptance.
ET 1134 (Previously MAT 1134) Applied Algebra and Trigonometry will not be accepted as an option for the Math
requirement for this program.
Revised 5/2012
8
ACCOMMODATIONS FOR STUDENTS WITH SPECIAL NEEDS:
North Arkansas College complies with Section 504 of the Rehabilitation Act of 1973 and
the Americans with Disabilities Act of 1990. Students with disabilities who need special
accommodations should make their requests in the following way:

talk to your instructor after class or during office hours about your disability or
special need related to your classroom work; and/or

contact Special Services in Room M-149 or call 870-391-3338 and ask to speak
to Kim Brecklein.
9
TEXTBOOK LIST FOR THE FALL SEMESTER
FRESHMEN
Introduction to Radiologic Technology Text, Mosby’s On-Line Users Guide with Access Code
Laverne T. Gurley and William J. Callaway
Elsevier Publishing Company
RADT 1103: Introduction to Radiologic Technology
Patient Care in Radiography Text, Mosby’s On-Line User’s Guide with Access Code
Ruth Ann Ehrlich
RADT 1122: Patient Care
The Integrated Radiography Workbook
DeAngelis
Health and Allied Science Publishers
Textbook of Radiographic Positioning and Related Anatomy – Text,
Lab Book Vol. 1 & 2, Mosby’s Online Users Guide with Access Code
(Mosby’s On-Line Radiography)
Bontrager & Lampignano
Elsevier Publishing Co.
RADT 1144: Radiographic Procedures I & II
Bontrager’s Handbook of Radiographic Positioning & Techniques
Bontrager & Lampignano
RADT 1162: Clinical Practice I
Radiologic Technology Program Manual
Sondra Richards, Northark Rad Tech
Radiologic Technology Daily Log Book
Radiologic Technology Clinical Procedures Manual
Suzanne Woods, Northark Rad Tech
Introduction to Radiologic Technology Study Guide
Patient Care Study Guide
10
TEXTBOOK LIST FOR THE FALL SEMESTER
SOPHOMORES
Comprehensive Radiographic Pathology Text, Lab Book, Mosby’s On-Line Users Guide
with Access Code (Mosby’s On-Line Radiography)
Eisenberg & Johnson
RADT 2173: Radiographic Pathology
Radiographic Pathology Study Guide
RADT 2173: Radiographic Pathology
Radiation Protection Study Guide
RADT 2123: Radiation Protection
Special Procedures Study Guide
Suzanne Woods, Northark Rad Tech
RADT 2143: Special Procedures
11
TEXTBOOK LIST FOR THE SPRING SEMESTER
FRESHMEN
Radiologic Science for Technologists: Physics, Biology and Protection – Text,
Lab Manual - Mosby’s On-Line Users Guide with Access Code
Stewart C. Bushong
RADT 1203: Radiographic Physics
Radiographic Imaging Study Guide
RADT 1184: Radiographic Imaging
Radiographic Physics Study Guide
RADT 1203: Radiographic Physics
12
TEXTBOOK LIST FOR THE SPRING SEMESTER
SOPHOMORES
Ensuring Image Quality Student Workbook
Mary Lou Walsh Phillips
RADT 2222: Radiographic Evaluation
Mosby’s Comprehensive Review of Radiography
William J. Callaway
RADT 2223: Seminar in Radiologic Technology
Review for the Radiography Examination
D.A. Saia
Appleton & Lange
Radiography Program Review Exam Preparation
D.A. Saia
Appleton & Lange
Seminar Study Guide
Sondra Richards, Northark Radiologic Technology
13
RADIOLOGIC TECHNOLOGY PROGRAM
Program Cost Analysis
Freshman Summer
Immunizations ............................................................................. 250.00
CPR Certification ........................................................................... 60.00
Uniforms (2), Name Tags, Patches, Shoes ................................. 200.00
Freshman Fall
Tuition (11 hours)
Boone County Residents .............................................. $ 869.00
Out-of-County Residents ............................................... 1,133.00
Out-of-State Residents .................................................. 1,914.00
Health Professions Program Fee ................................................ 220.00
Books .......................................................................................... 700.00
Rad Tech Club Dues ....................................................................... 5.00
Lead Markers ................................................................................ 40.00
10 Panel UA Drug Screen ............................................................. 45.00
Freshman Spring
Tuition (11 hours)
Out-of-County Residents ............................................... 1,133.00
Out-of-State Residents .................................................. 1,914.00
Books .......................................................................................... 300.00
Developmental Testing Program (monthly exams) ....................... 50.00
Freshman Summer
Tuition (2 hours)
Out-of-County Residents .................................................. 206.00
Out-of-State Residents ..................................................... 348.00
Health Professions Program Fee .................................................. 40.00
14
Sophomore Summer
Tuition (2 hours)
Boone County Residents ..............................................$ 158.00
Out-of-County Residents .................................................. 206.00
Out-of-State Residents ..................................................... 348.00
Health Professions Program Fee .................................................. 40.00
Sophomore Fall
Tuition (12 hours)
Boone County Residents .............................................$ 948.00
Out-of-County Residents ..............................................1,236.00
Out-of-State Residents .................................................2,088.00
Books .......................................................................................... 200.00
Uniform (1), Name Tags, Patches, Shoes .................................. 100.00
Program Class Photo .................................................................... 25.00
Rad Tech Club Dues....................................................................... 5.00
Sophomore Spring
Tuition (10 hours)
Boone County Residents .............................................$ 790.00
Out-of-County Residents ..............................................1,030.00
Out-of-State Residents .................................................1,740.00
Books .......................................................................................... 150.00
ARRT Registry Exam Application ............................................... 200.00
Program Pin .................................................................................. 30.00
Two-Year Totals
Boone County Residents .......................................................$ 7,112.00
Out-of-County Residents ..........................................................8,264.00
Out-of-State Residents ...........................................................11,672.00
Students are required to have clinical practice at assigned hospitals that require
travel to and from in their personal vehicles.
Although we have made every effort to include all expenses we may have missed
some. Hopefully any missed will be incidentals. The purpose of this is to help you
budget your money for school expenses for the year; but whether or not it is included
on this sheet, it is your responsibility to pay for the required supplies or services at
the time they are due. These prices are subject to change at any time without
notice.
Revised 5/29/14
15
16
JRCERT
STANDARDS FOR AN ACCREDITED EDUCATIONAL PROGRAM
IN RADIOLOGIC SCIENCE
The Joint Review Committee on Education in Radiologic Technology (JRCERT) sets
the standards for the education of professionals in the radiologic sciences and
evaluates educational programs against these standards.
An eight-year accreditation from the JRCERT is awarded to those programs
successfully fulfilling the requirements of the Standards. The Radiologic Technology
program at Northark received the maximum eight-year accreditation in 2007.
The JRCERT Standards are available for students on the following website:
www.jrcert.org
Contact information:
JRCERT
20 N. Wacker Drive, Suite 285
Chicago, IL 60606-3182
(Ph.)
312-704-5300
(Fax) 312-704-5304
E-Mail: [email protected]
17
II. POLICIES
17
GRADING POLICIES
COLLEGE POLICIES
See “Academic Information” in the current Northark catalog.
PROGRAM GUIDELINES
CLASSROOM
The final grade is calculated by specifications made in each course outline.
Assignments are given a grade of “100” if submitted on time, a zero if not.
Students must receive a “C” or above for any general education course required in
Radiologic Technology curriculum.
Students are required to maintain a GPA of 2.0 (C average), on all Radiologic
Technology curriculum courses. This 2.0 GPA must be maintained for program and
graduation requirements. The grading scale is as follows:
100-93 = A
92-84 = B
83-75 = C
74-66 = D
Below 65 = F
Failure of a Radiologic Technology course will result in the dismissal from the program.
This however, does not mean that a student is ineligible to register for other courses at
Northark.
To be eligible to sit for the American Registry of Radiologic Technologists Registry
Exam, all academic requirements for graduation and all clinical criteria must be
successfully completed. No student will be recommended to sit for the Registry
examination until these requirements are met.
Because of the heavy curriculum load during the first and second semesters of
enrollment in the program, it is NOT recommended that students get extra jobs, part-time
or full-time.
CLINICAL
Grades from each Performance Evaluation and end-of-the-month Clinical Evaluation are
graded on an average of the total number of forms submitted for each clinical category.
The Daily Logbook, Time Sheets and Radiation Badges are also due at the end of the
month. A grade of “100” will be given if submitted on time, a zero, if not.
The final grades are calculated by averaging all clinical categories at the end of each
clinical practice course. The percentage will correspond to the grading scale above.
18
POLICY FOR MAKE-UP TESTS
Students in the Radiologic Technology Program will need to complete their make-up
tests as soon as they return to class.
Two points will be deducted from their test grade for not taking the test on the day it is
scheduled in class. Another two points will be deducted from their test grade for each
class day following the test day. If the student misses a test during class and makes the
test up the next class day, a total of four points will be deducted from the test grade; the
second class day, six points and so on.
It is the students responsibility to inform the instructor when he or she has completed the
make-up test. The student must get the answer sheet or Scantron signed and dated by
the Testing Lab proctor. If the instructor is not informed, the make-up test grade will be
calculated from the day the instructor gets the completed test from the Testing Lab.
Students will be allowed to make up ONE test per course per semester. Any other tests
not taken on the scheduled test day will receive a grade of zero (0).
_______________________________________________
Sondra Richards, MS, RT(R)(M), Program Director
_______________________________________________
Suzanne Woods, MS, RT(R), Clinical Coordinator
19
GRADUATION REQUIREMENTS
In order to graduate with an Associate of Applied Science Degree (Terminal Award) from
the Northark Radiologic Technology Program, in 22 months from the time of program
enrollment, the student must fulfill the following requirements:
1. Completion of all Radiologic Technology program curriculum courses with a
“C” or better.
2.
Completion of the Radiologic Technology program with a cumulative college
GPA of 2.0 or better.
3.
Completion of all graduation requirements as outlined under “Academic
Information” in the current Northark catalog.
ACCESS TO STUDENT RECORDS
COLLEGE POLICY
See “Admissions and Registration” in the current Northark catalog.
PROGRAM POLICY
All information released to the public will be through the registrar’s office. If the student
wishes to review any grades or files kept in the Radiologic Technology office, he/she can
request this from the program faculty. All files in the program office are kept confidential.
TUITION, FEES AND EXPENSES
COLLEGE
See “Financial Information” in the current Northark catalog.
Students must provide their own textbooks, uniforms, living accommodations, and
transportation to the clinical sites. Additional miscellaneous items will need to be
purchased through the program such as image identification markers. The charge for
radiation badges will be paid each fall when paying fees. For a list of expenses, see
“Program Cost Analysis” in the front of this manual.
CRIMINAL BACKGROUND CHECKS
Freshmen and sophomore students must have completed Criminal Background Checks
before starting the fall semester clinical rotations. This expense is included when paying
the fall semester fees. If a student does not pass the Criminal Background Check, the
Program Faculty and Clinical Staff will review the Background Check and make a
decision concerning the student’s clinical placement. The clinical site has the right to
refuse a student.
20
INSURANCE
Students must carry liability insurance which is obtained each fall when paying fees.
Students must provide their own health insurance if they wish to have coverage.
HOLIDAYS AND VACATIONS
Holidays will be in accordance with the Northark catalog. Students are off during each
semester break and holidays. No “vacations” are incorporated into the program. The
student will not be assigned to clinicals during final exam week, holidays or semester
breaks.
POLICY FOR GUIDANCE AND COUNSELING
COLLEGE
Academic counseling is provided by the college and staffed by professional counselors.
Confidential assistance is provided in the following areas: educational, career and
testing.
Specific career counseling and guidance for Radiologic Technology is offered by the
program faculty. Information or desired career direction and needs will be researched
and discussed with each student.
WITHDRAWAL
If a student wishes to withdraw from the Radiologic Technology program, he/she must
contact the program director.
RE-ADMISSION POLICY
The student seeking re-admission to the Radiologic Technology program must contact the program
director. Re-admission will be determined by the program’s admission policies and available
clinical space. If a student is terminated from the program two times, he/she must wait 3 years to
reapply.
STUDENT CONTACT FORM
A student’s actions may be documented on the student contact form. After 3 write-ups,
the student will be terminated from the program.
PROBATION
For any infraction of program rules, the program director may place the student on
probationary status. Probational status means that the student must fulfill set goals and
behavior for a specified time without additional infraction of the rules. If the desired
behavior is not accomplished during the specified time or additional unacceptable
behavior documented, the student will be terminated from the program.
21
TERMINATION
Termination from the program will result from:
1.
Failure to obtain at least a “C” in a Radiologic Technology course.
2.
Failure to obtain an overall “C” average at any time.
3.
Excessive absences as stated in the Radiologic Technology Program Manual or Northark
catalog.
4.
Excessive tardies as stated in the Radiologic Technology Program Manual.
5.
Participation in academic dishonesty as outlined in “Academic Information” in the current
Northark catalog or violations of the “Standards of Conduct” and “Academic Integrity” in the
Northark Student Handbook.
6.
Falsifying records, time sheets, etc.
7.
Stealing.
8.
Engaging in illegal possession, sale, or distribution of drugs.
9.
ANY positive drug test.
10.
Illegal possession of weapons.
11.
Misrepresentation or falsification of yourself or another student, as well as patient and/or
agency records.
12.
Unauthorized possession of examinations.
13.
Plagiarism: Using others ideas or words without giving them credit.
14.
Academic cheating or misconduct or using unauthorized notes or technical equipment.
15.
Intoxication or drug usage in class or at the clinical site.
16.
Any activity incompatible with professional behavior. This includes discrimination and any
form of sexual harassment.
17.
Placing patients in danger at the clinical site.
18.
Expelled from a clinical site by the clinical instructor or radiology department administrator.
19.
Activities determined to be dishonest, inconsistent with professional responsibility and
accountability and/or may be detrimental to the protection, safety and welfare of patients
and the public or in any situation when representing the Radiologic Technology Program of
North Arkansas College.
20.
Failure to maintain performance levels stated in a probationary agreement.
21.
Obtaining 3 write-ups on the Student Contact Form.
EMERGENCY PREPAREDNESS INFORMATION
It is the student’s responsibility to provide his/her current address and telephone number to the
program faculty. This is necessary for notification of family in case of an emergency or if there is a
need to contact the student concerning classes or labs. Each student must provide the clinical
instructor at each clinical site with an emergency telephone number. The clinical “Information
Sheet” is found in the Clinical Procedures Manual.
The Northark Student Planner contains the information for emergency preparedness for
emergencies and disasters while at the college. Also, Emergency Preparedness Flip charts can be
found mounted near the door in each classroom at the College.
BAD WEATHER
During the winter months, the college may be closed due to bad weather. These closings will be
announced on the radio or television. If the college or public schools in the clinical area close,
students are not permitted to attend clinicals because of liability reasons. The students must call
their Clinical Instructor concerning the college or school closings that morning. For Northark
closing information call, (870) 743-SNOW (870-743-7669).
22
TARDIES
Attendance and punctuality are two of your most important responsibilities as a student
radiographer.
CLASSROOM
For all Radiologic Technology classroom courses, each tardy after two will result in one
point subtracted from the final semester grade. A tardy in the classroom is defined as
arriving 10 minutes past the scheduled starting time for class. Arrival time after 25
minutes from scheduled class time will be considered an absence.
CLINICAL
A tardy at the clinical site is any time punched in after 7 minutes past assigned time.
Time missed being tardy will be made up at the end of your assigned shift that same
day. This will be recorded as a tardy. Two tardies within one semester will result in the
equivalent of one day of absence and 6 or 8 points deducted from the final clinical grade.
ABSENTEEISM
CLASSROOM
The classroom absences will be in accordance with the attendance policy in each course
outline found on the Northark Portal. Students will be considered for dismissal after two
weeks worth of missed classes (4 days in the fall or spring semester).
CLINICAL
Two days of clinical absences are allowed each semester for illness. If absences
exceed the two-day limit, 6 points for every 6-hour clinical day missed or 8 points for
every 8-hour clinical day missed will be deducted from the final clinical grade at the end
of the semester. (One point per hour).
Failure to call and notify the clinical instructor on the morning of a clinical absence will
result in the equivalent of one day of absence and 6 or 8 points deducted from the final
clinical grade at the end of the semester.
If extenuating circumstances occur, (emergency surgery, car accident, death in family,
etc.) the program faculty will make arrangements on an individual basis. Immediate
notification of such absences should be reported to the program faculty.
Any day missed in a special rotation (surgery, ER, CT, MRI, etc) has to be made up
during a week of R & F rotation. Students must make arrangements with the program
faculty and clinical instructors.
HARASSMENT AND STALKING
See “Sexual Harassment Policy” and “Stalking” in the Northark Student Handbook under
Rules and Regulations.
23
STUDENT HONOR CODE
The Joint Review Committee on Education in Radiologic Technology, The American Registry
of Radiologic Technologists, the American Society of Radiologic Technologists and the North
Arkansas College Radiologic Technology Program uphold high standards for our Student
Radiologic Technologists’ behavior. As professionals, we expect our students to conduct
themselves in an ethical manner that exhibits, but is not limited to:
•Professional Integrity •Honesty •Responsibility •Loyalty •Respectfulness
ABSENCE AND TARDY MONITORING
Absence and tardiness will be monitored and evaluated using the following means and
guidelines:
1.
Communication between the clinical instructors and program faculty.
2.
Documentations on time sheets. Any time written in must be signed, not initialed, by
the clinical instructor. Time sheets will be turned in to the program faculty at
designated times.
POLICY FOR STUDENT RADIATION EXPOSURE
Students are not to restrain patients during radiation exposures unless emergency situations
arise: protective apparel will be required. Students’ exposure to radiation will be carefully
monitored to comply with the Federal Regulations and ALARA principle. (Keeping radiation
dose as low as reasonably achievable). An exposure over 100 mREM in one month will be
documented. The Program Director and Clinical Instructor will discuss possible causes and
preventive measures with the student. (See Documentation Form in section entitled “Forms”
in the Program Manual)
POLICY FOR STUDENT RADIATION MONITORING BADGE READINGS
If a student’s monthly radiation badge reading is over 100mR per month, the following
procedure will be followed:
1.
A discussion between the student and program director concerning possible reasons
for the overexposure.
2.
A student contact form completed and signed by the student and program director.
3.
A discussion with the appropriate hospital clinical instructor concerning possible
reasons for student overexposure.
4.
Recommendations made to prevent future overexposure.
5.
Documentation of incident available in the program director’s office and appropriate
clinical site.
POLICY FOR REPEAT EXAMINATIONS
In support of professional responsibility for provision of quality patient care and radiation
protection, unsatisfactory radiographs shall be repeated only in the presence of a qualified
radiographer regardless of the student’s level of competency. All repeat exams will be
documented in the Daily Log Book by the attending qualified radiographer.
POLICY FOR STUDENT EXTENSION
Students, who do not complete all the requirements for the AAS degree in Radiologic
Technology at the time of their class graduation, may ask the program director for an
extension to complete the requirements. The program director will determine the plan of
action for the student. When the criteria have been completed, the student may then file for
graduation through the registrar’s office.
Program graduates must earn their degrees within 150% of the published program length
from the date of matriculation. (Within the next 12 months of their class graduation date).
24
CONDUCT
CLASSROOM
STUDENTS ARE EXPECTED TO PERFORM ON AN ADULT LEVEL. Each student
must take the responsibility for his/her own actions, successes, and failures. If the
student disagrees with the instructor, that student should ask questions in a nonchallenging manner. Students should be seeking information in order to learn and
understand and not challenge the instructor’s authority.
Students are expected to come to class and/or lab prepared for that day’s lesson.
Preparedness includes reading the assigned material, preparing assignments on time,
and bringing necessary books and materials to class or lab. Tardiness will not be
tolerated. Habitual tardiness is a sign of a poor attitude. Tardy students disrupt the
class and can interrupt the learning of other students.
CLINICAL
The clinical site reserves the right to refuse acceptance of any student who is involved in
any activity not considered professional or conducive to proper patient care.
Students are expected to conduct themselves in a professional manner at all times.
Undue conversation, excessive noise, dirty jokes, gossip, and loitering are
unprofessional behavior and must be avoided. Do not discuss personal problems with
patients or staff. No personal telephone calls are to be made or received during clinical
hours unless it is an emergency. Do not seek free medical advice for yourself or family
while in clinicals. Do not chew gum while in clinicals.
If a student becomes sick or is injured while in clinicals, that student should report to the
clinical instructor. A student can receive medical attention at the hospital, but is
personally responsible for paying for the care, unless the injury occurred while
performing a radiological exam on a patient.
REMAIN BUSY! Take initiative to find something to do. Cleaning and stocking the
examination rooms or filing are helpful jobs. Be courteous to your patients and all staff.
Maintain a cooperative and uncomplaining attitude. You never know when your clinical
instructor may be called to give references for you in the future or may be your future
employer. Do not compare one clinical site to another. Each facility has their own
uniqueness, and exams may be accomplished correctly in more than one way.
All hospital and clinical records are confidential. Any request for information concerning
a patient should be referred to the clinical instructor. Do not discuss patients and their
problems with anyone unless authorized by the clinical instructor.
If you sense a problem in the clinical site, contact your clinical instructor immediately.
25
PROCEDURE FOR UNFAVORABLE CLINICAL EVALUATION
If a student is unhappy with a clinical evaluation of any kind, the following steps are to be
taken for a timely resolution:
1.
The student must discuss the evaluation directly with the technologist or clinical
instructor that completed the form.
2.
If the student is still not satisfied with the evaluation, the student will discuss the matter
with the program faculty.
3.
If a satisfactory agreement has not been accomplished, a meeting with the student,
clinical instructor, and program faculty will be arranged. Discussion will focus on the
non-compliant areas of the evaluation.
4.
If a change is to be made, another evaluation will be performed and recorded. If the
student is still not satisfied with the evaluation, the procedure for due process will be
followed as stated below.
ACADEMIC GRIEVANCE PROCEDURE
Students may choose to complete an academic grievance procedure. The following steps
are to be taken for a timely resolution.
Step 1:
If students have grievances concerning an instructor or method of instruction,
they should speak with the instructor and/or dean.
Step 2:
Should a student be unable to resolve the grievance with the instructor or dean,
the student may then file a written grievance with the Northark Executive VicePresident of Learning.
Step 3:
This written grievance will be submitted to the Institutional Standards and
Appeals Committee and a meeting with the Standards and Appeals Committee
will be scheduled.
Step 4:
The findings of the Standards and Appeals Committee will be submitted to the
Northark President and if a further appeal is requested, a meeting with the
President will be scheduled.
Step 5:
If a further appeal is requested, a final meeting with the Board of Trustees will be
scheduled at the next regular Board meeting.
JRCERT GRIEVANCE PROCEDURE
If complaints concerning non-compliance with JRCERT Standards occur, they will be
resolved in the following manner.
Step 1:
Step 2:
The staff/student will first take the problem or question to the Program Director.
If the staff/student is unable to find a solution or answer with the Program
Director, the staff/student may then contact the JRCERT office. The JRCERT
phone number is listed in the front of the Program Manual, Clinical Instructor’s
Handbook and the Master Plan.
26
POLICY FOR A STRIKE OR WORK STOPPAGE
Should a strike or work stoppage occur at the assigned clinical site, the student will be
reassigned until the crisis has ended.
POLICY FOR EARLY RELEASE
Students complete the program when they have fulfilled the requirements for graduation as
outlined in the Radiologic Technology degree plan. Students must complete the 2-year
curriculum and may not obtain an early release from the program.
POLICY FOR REPORTING SERIOUS ILLNESS AND DISEASE
If students become ill and cannot perform their duties or may be contagious, then they should
stay home. They must call the clinical instructor at least 15 minutes prior to the shift start. If
students become ill at the clinical site, they must notify the clinical instructor immediately,
before leaving the facility.
1.
2.
3.
4.
The student must inform the program faculty as soon as a serious illness or
communicable disease is detected. A serious illness is considered to be any sickness
that may continue for more than 2 weeks. A communicable disease is any disease that
can be transmitted directly or indirectly from one person to another.
The longevity and seriousness of the illness is evaluated to determine if the student will
be able to continue with the course of study.
After the student is released from the doctor’s care to return to school, a plan between
the student and faculty will be made for continuation of educational activities.
Accidental exposure to a communicable disease is to be reported to the clinical
instructor who will follow the clinical settings guidelines.
COMMUNICABLE DISEASES
Students should use protective gloves for all procedures in which there may be contact with
body fluids (urine, blood, excretion, saliva, etc.) Most contacts will be on patients who have
not yet been diagnosed, and therefore, the precautionary procedure of wearing gloves is
most important. Students must follow infection control procedures as outlined in the policy
manual or infection control manual at the clinical site.
ACCIDENTS
All accidents that occur while in the clinical area or x-ray lab resulting in patient, hospital
personnel, or personal injury, and/or damage to equipment must be reported to the clinical
instructor and program faculty immediately. Students may be required to fill out an incident
and/or accident report. Students are required to fully understand the proper method of
performing procedures and operation of equipment before undertaking the procedure.
ORIENTATION FOR WORKPLACE HAZARDS
The students will undergo a hospital orientation at their clinical site that will include MSDE
and OSHA Guidelines for workplace hazards, fire, safety, hospital codes and policies. The
orientation must be completed before or during clinical rotations in the freshman fall
semester.
27
POLICY ON STUDENT PREGNANCIES
As a pregnant student radiographer you may be exposed to a minimal amount of radiation. The
following guidelines were made to protect you and your baby. Your gestational dose will be
monitored closely and will be limited to 500 millirem for the entire pregnancy. It is your choice to
declare or not declare your pregnancy.
1.
Declaration of student pregnancy is voluntary. Students are advised to inform the
program director, IN WRITING, of their pregnancy as soon as possible and include the
estimated conception date and estimated due date.
2.
General radiography assignments will be allowed. During pregnancy, the time spent in
fluoroscopy, surgery and on portables, will be carefully controlled.
3.
Pregnant students will not be allowed to hold patients while exposures are made.
4.
If the student declares the pregnancy, a second radiation monitor will be provided to be
worn at waist level under the lead apron. This monitor will be identified as the fetal dose
monitor.
5.
The student's radiation exposure will be continuously monitored to insure that the
maximum permissible dose of 500mR during the nine months is not exceeded.
6.
When the program director is notified that the student is pregnant, the monthly radiation
report will be discussed by the program director and the student.
7.
If the student exceeds the maximum gestational dose, she will be withdrawn from all
clinical courses for the remainder of her pregnancy. Students may receive an extension
to complete the requirements as outlined in the Policy for Student Extensions in the
current Program Manual.
8.
All attendance, absence, and make-up policies will be equally enforced among all
students.
9.
If the student must completely withdraw from the Radiologic Technology Program
because of pregnancy or delivery, the student may be readmitted into the Program
according to the Re-Admission Policy in the current Program Manual.
10.
In compliance with Federal Law, students may undeclare their pregnancy at any time.
I, __________________________________, have read the pregnancy policies for Radiologic
Technology Program applicants.
________________________________________ __________________________
Signature of Student
Date
28
DECLARATION OF PREGNANCY
As a pregnant Radiologic Technology student: (check one)
1.
_____ I am not declaring my pregnancy and will continue in the program without
modifications or interruptions. I understand a fetal badge will not be ordered.
2.
_____ I am declaring my pregnancy and will continue in the program without
modifications or interruptions. I understand a fetal badge will be ordered when the
written declaration of pregnancy is submitted to the program.
3.
_____ I am declaring my pregnancy and will continue in the program with the
following modifications. I understand that a fetal badge will be ordered when the
written declaration of pregnancy is submitted to the program.
a.
The student can perform all fluoro procedures such as getting the patient
ready, taking any overheads, and assisting the patient after the exam.
During the actual fluoroing of the patient the student will remain behind the
control panel window, to avoid any excess radiation.
b.
The student will be able to go on portable exams with an assisting tech.
She will be able to do everything such as patient positioning, but not make
the actual exposure. She will need to be out of the room while the
assisting tech makes the exposure.
c.
The performances for surgery can be mocked. The student can perform
one C-Arm procedure protected with a lead apron to complete their
competency for surgery. After the competency is completed the student is
to remain out of surgery for the remainder of their pregnancy.
_____________________________________
Student Signature
__________________________
Date
--------------------------------------------------------------------------------------------------------------------
4.
_____ I am withdrawing my declaration of pregnancy. I understand my fetal
badge will be discontinued.
_____________________________________
Student Signature
___________________________
Date
Revised 5/10
29
POLICY GOVERNING UNIFORMS
The student uniform will be approved by the program faculty and purchased by the student.
A program shoulder patch is to be sewn on the left sleeve within two inches of the shoulder
seam of each uniform top and jacket. If a jacket is worn, the name tag must be worn on the
jacket, not covered up on the shirt underneath.
If a student is not in proper uniform, the clinical instructor may choose to either send the student
home or require the student to stay. Either action requires 6-8 points deducted from the final
grade. Proper attire not only includes the uniform, but also the name tag, image markers,
radiation badge, and official patch. It is suggested that each student have at least two uniforms.
Each student must have at least one uniform.
RADIOLOGIC TECHNOLOGY PATCHES
Patches are ordered and purchased by the student when ordering uniforms. A patch
must be worn on the left sleeve of the student’s shirt or jacket.
NAME TAGS
Name tags are ordered and purchased by the student when ordering uniforms. Name
tags must be worn at all times on the shirt or jacket, whichever is on the outside. Some
clinical sites may require additional hospital identification badges.
30
ATTIRE AND APPEARANCE
The student is expected to be neat in appearance with clean uniform and shoes. DAILY
PERSONAL HYGIENE IS REQUIRED. Body odors or other strong odors such as
perfumes or cigarette smoke are not tolerated at the clinical sites! This will include oral
hygiene, daily bathing, and use of an effective deodorant. Any deviation is considered
improper uniform.
UNIFORMS
Female:
Male:
Designated shirt, pants and jacket or v-neck smock and pants. (A
nice white tank top must be worn under the V-neck smock top).
Designated shirt, pants and jacket or v-neck smock and pants. (A
nice white tee-shirt must be worn under the V-neck smock top).
SHOES
Uniform shoes consist of all white athletic shoes, comfortable and kept very clean.
All shoes will be tied with white shoe laces unless approved by program faculty.
No open-toe or open-heel shoes are allowed.
FACIAL HAIR
A mustache or beard is permitted so long as it is kept neatly trimmed.
HAIR
Must be kept neat and clean and kept back while on duty. Hair below shoulder
length must be pulled back with a rubber band or clasp. Natural hair coloring
must be maintained (no burgundy, blues, greens, etc!)
NAILS
Must be kept clean and short. Fake nails are NOT permitted.
COSMETICS AND PERFUME
Perfume and excessive cosmetics are not permitted. Nail polish is not
recommended because of infection control concerns.
JEWELRY
Only a wedding ring, watch, and one small stud earring in each ear is allowed
unless approved by program faculty. No necklaces or bracelets are allowed for
your own protection. No other visible body piercing that can be seen or visible
through the uniform is allowed.
TATTOOS
Any tattoo must be covered by the uniform, tattoo patch, or other type of covering.
31
RADIATION MONITORING BADGES
All students will wear personnel radiation monitoring badges during all clinical training.
When the monitor is worn the following rules shall be observed:
1. Badges shall be worn on the left collar or left upper pocket.
2. Badges shall be worn on the front of the wearer.
3. Badges shall be worn outside a protective apron.
An overexposure of a badge is considered presumptive evidence of exposure to the
individual. An exposure of over 100mR per month will be documented and the student
will follow the policy for badge readings over 100mR per month.
LEAD MARKERS
Lead markers will be purchased by the student through the program office and must be
used during all clinical education. Any student present at the clinical site without lead
markers is subject to being dismissed for the day.
An extra set of lead markers are kept in the program office in case the first set is lost or
destroyed. The student is responsible for replacement.
STUDENT EMPLOYMENT POLICY
It is not recommended that students work during the first year of the program because of
their heavy academic load.
Students employed at any clinical facility will not be allowed to receive credit for student
clinical time or performances or competencies performed during those working hours.
Student time, clinical performances, and competencies will only be performed during
regularly scheduled clinical hours. Any student who attempts performances or
competencies during paid employee time or any time outside clinical hours may be
terminated from the program.
Students who are employed at a medical facility may not wear student program radiation
badges, use student timesheets or wear any part of the student uniform including name
tags or program patches.
Students will spend no more than 40 hours per week in the didactic and clinical
components of the program.
CELL PHONE USAGE
Cellular phones, pagers and beepers are not permitted to be turned on or used within the
classroom or clinical setting. These devices are disruptive and inconsiderate. See “Cell
Phones” in the Northark Student Handbook.
32
MAMMOGRAPHY POLICY
It is a requirement of the Joint Review Committee on Education in Radiologic Technology
that all Radiologic Technology students be afforded the same opportunities for training in all
areas equally; male or female. For training in mammography, if the female students are
being afforded the opportunity to experience hands-on training in mammography, then males
must have the same opportunity.
If institutions affiliated with a JRCERT certified program do not allow males to participate in
direct patient contact during mammography or do not allow the presence of a male student in
the radiographic room during examination performance, then the female students may not be
allowed to participate either. Exclusion of students during any type of procedure based upon
gender is discrimination.
For accomplishing mammography performance:
Indirect experience:
all students participate in demonstration/performance under
the supervision of a qualified technologist without any patient
contact. Simulation aids should be available for increased
“real world” simulation. Objective sheets will be completed
and returned to the program faculty for grade determination.
Any male students choosing to participate in additional
observation of breast exams after their official
mammography clinical rotation, will have to go to MercyBerryville Hospital in Berryville, AR.
Revised 6-15-07
DRUG SCREENING POLICY
Please be aware that some clinical settings require criminal background checks and 10Panel Drug Screening* on all people working in their facilities. As a student, you will fall
under the policies of the institution in which you will do your clinical. If random drug
screening is done on the department/unit you are working in on that day, you may become a
part of that screening. Students must pay for hospital orientation drug tests which may
include urine, blood or breathalyzer testing.
If students are unable to meet the clinical settings policies and are denied clinical access by
any clinical setting, they will be terminated from the program.
*If you are taking any prescription drug that will or may show up in a drug screen, you must be able to produce a valid drug
prescription in your name.
IMMUNIZATIONS, PHYSICAL FORM AND CPR
Students entering the Radiologic Technology Program will NOT be permitted to begin their
clinical education unless the following has been documented by the Program Faculty before
their clinical rotation begins:
1. Current CPR Certification (American Heart Association Healthcare Provider).
2. Completed physical form including technical standards.
3. Dates of Hepatitis B Vaccination or Waiver Sheet.
4. Date of current TB test.
5. Date of current Tetanus Vaccination.
6. Date of current Rubella Vaccination. (Arkansas requires documentation of 2
immunizations).
7. Documentation of Chicken Pox (Varicella).
33
POLICY AND GUIDELINES FOR HUMAN IMMUNODEFICIENCY VIRUS AND HEPATITIS B
In order to reduce the possibility of exposure to Human Immunodeficiency Virus (HIV) and
Hepatitis B Virus (HBV) of students, faculty and patients, the Northark Nursing & Allied
Health Department will adhere to the following policy. It is recommended that all students
and faculty are vaccinated for HBV and receive instructions on universal precautions and
other preventive techniques for HIV.
HEPATITIS B VIRUS -- VACCINATION
Students in Allied Health Programs and faculty involved in clinical courses must present to
their Program Director a health record that includes one of the following:
1. evidence of immunization against Hepatitis B;
2. evidence of receipt of at least two doses of the vaccine for Hepatitis B followed
later with documentation that all three doses of the vaccine have been received
within eight months of the first dose;
3. a confirmed prior illness with Hepatitis B;
OR
4. a signed "Hepatitis B Vaccine Waiver".
One of the above must be presented to the program director before the individual will be
permitted to participate in clinically related learning experiences.
HIV
Qualified individuals will not be denied admission to the program or employment as faculty
on the basis of HIV status. Routine serological assay will not be performed to determine HIV
status of applicants. However, all applicants should be aware of the potential health risks
involved in pursuing a career in health education and working a health related field.
GUIDELINES FOR HIV TESTING
Any student who believes himself/herself to be at risk, has an ethical responsibility to know
his or her HIV status and therefore has an obligation to be tested for HIV antibody, HBeAg or
HBsAg.
Testing will be voluntary, yet there may be circumstances in which the clinical agency may
request testing. Confidentiality will be maintained.
GUIDELINES FOR PREVENTION AND MANAGEMENT OF HIV
Students will receive written and verbal information and instructions on universal precautions
for blood borne pathogens in accordance with applicable CDC guidelines prior to any
exposure to patients. Failure to use universal precautions may result in exposure to blood
borne pathogens including Hepatitis B virus (HBV) and Human Immunodeficiency Virus
(HIV).
34
HIV POSITIVE
If it is determined that a student is sero-positive for HIV and/or clinically demonstrating
ARC (AIDS related complex) or AIDS, the student would meet with the Program Director
and the Dean of Nursing & Allied Health in collaboration with the attending physician to
determine the health care needs of the student and the progression in the program.
Every case will be individually evaluated and confidentiality will be maintained. Every
student enrolled in the Radiologic Technology program must meet all the objectives and
adhere to the class and clinical attendance policy. Therefore, it will need to be
determined that the HIV sero-positive student can meet course objectives, perform
procedures and tasks, and take care of patients who could be a real threat to the
students' health. Also, the possible threat the HIV sero-positive student could pose on
patients must be considered. Some students may be counseled to pursue another
career because of health risks.
HIV-POST POSITIVE
Immediate antiseptic procedures should be followed after possible exposure.
If an accidental exposure occurs, faculty and students should follow the CDC guidelines
for occupational exposure. If needle stick, test for HIV to establish seronegativity first
then, retest at 6 weeks, 3 months, 6 months, 1 year.
A significant occupational exposure is defined as:
1.
2.
3.
A needlestick or cut caused by a needle or sharp that was actually or potentially
contaminated with blood or body fluids.
A mucous membrane (i.e. splash to the eye or mouth) exposure to blood or
body fluids.
A cutaneous exposure involving large amounts of blood or prolonged contact
with blood--especially when the exposed skin was chapped, abraded, or
afflicted with dermatitis.
STUDENTS REFUSAL OF CARE
In the unlikely event that a student should refuse to care for a patient who is HIV positive,
the faculty will:
1. counsel with the student to identify the reasons for the refusal;
2. give factual information regarding HIV;
3. discuss legal and ethical responsibilities of health care professionals in
providing care.
If the issue is not resolved by the above steps, the faculty may counsel the student as to
the appropriateness of a career in health care. Causes of student refusal will be handled
on an individual basis considering both the course objectives and individual
circumstances. However, the student should realize that he or she is being educated to
enter a health profession; therefore, each student is held to the same ethical and legal
standards of care under which a professional should be held. The act of permitting a
students’ refusal to care for a patient with HIV disease could be interpreted as a
discriminatory act against a disabled person (Disabilities Act of 1990).
35
ACCIDENTAL EXPOSURE TO BLOOD OR BODY FLUIDS
Exposure is defined as a percutaneous injury, contact of mucous membranes, or contact
of non-intact skin with blood or other body fluids or tissues that may potentially contain
bloodborne pathogens.
In the event of accidental exposure of students or faculty, the following steps are to be
instituted:
1.
Wound Care/First Aid:
a. Clean wound with soap and water,
b. Flush mucous membranes with water
c. Other wound care as indicated;
2.
The exposure will be documented on the incident form that is used by the agency in
which the exposure occurred;
3.
The completed incident report form will be submitted to the appropriate agency
representative (e.g. infection control nurse). The Radiologic Technology Accidental
Exposure Form will be submitted to program faculty.
4.
The person who is exposed to blood or body fluids will be referred for medical care
and/or appropriate testing; however, the decision to obtain medical care or testing
will rest solely with the person experiencing the exposure. The health care options
available for students or faculty include, but are not limited to:
a. the emergency or outpatient department of the agency in which the exposure
occurred (at personal expense);
b. the county health department;
c. the private physician of the individual's choice;
d. Arkansas AIDS Foundation
The person experiencing the exposure will be asked to sign a statement verifying
that they have been told and understand the options.
5.
It is vital that STUDENTS UNDERSTAND THAT THEY ARE RESPONSIBLE
FINANCIALLY FOR ANY EXPENSES INCURRED IN THE COURSE OF
TREATMENT OR TESTING. NEITHER NORTH ARKANSAS COLLEGE NOR
THE CLINICAL AGENCY WILL ASSUME ANY LIABILITY (FINANCIAL OR
OTHERWISE) REGARDING THE EXPOSURE INCIDENT.
6.
If the exposed individual chooses to seek medical care and/or testing, all pre-and
post-testing counseling will be provided by the health care provider conducting the
testing.
36
POLICY FOR SOCIAL MEDIA
To ensure privacy for all faculty, students and patients at the clinical sites, the following
policies must be followed or termination from the Program will occur:
1.
Students cannot use cell phones, smart phones, tablets, iPads, digital recorders,
laptops or any electronic devices during class or clinical rotations unless approved
by faculty or staff. Electronic devices can be used before or after class on
campus or during lunch breaks at the clinical settings only.
2.
All electronic devices must be turned off and kept in book bags, purses, etc., while
in class or turned off and placed in lockers at the clinical settings. No electronic
devises are allowed to be kept on you personally or your uniform.
3.
Patient information is to be kept strictly confidential:
 No patient information on personal electronic devices,
 No photographs taken of patients’ information on electronic devices,
 No patient information posted on any form of social media such as
Facebook, Twitter, e-mails, MySpace, or any others not mentioned,
 No photographs or audio recordings of patients, family or staff members,
faculty or peers with any type of electronic devices,
 No discussion of any clinical experience or any information regarding a
clinical experience with any social media such as Facebook, Twitter, emails, MySpace or any others not mentioned.
4.
Malicious gossip or information concerning the College, Program, faculty or
clinical sites on social media will not be tolerated.
5.
Any violation of professional or ethical standards of the Radiologic Technology
profession will result in immediate termination from the Radiologic Technology
Program.
6.
Students are expected to respect & protect private information!
Rev. 7/13
37
DEPARTMENT OF ALLIED HEALTH
Harrison, Arkansas
STUDENT SUBSTANCE ABUSE POLICY
For students attending Northark, who have demonstrated behavioral changes suspected
to be related to the use of drugs1, and for whom the use of those substances is
suspected to be endangering their well-being and/or the well-being of others, the
following policy shall be enforced:
1. The student will seek counseling from legitimate substance abuse counselors for a
period of at least one month. Proof of attendance must be sent to Northark from the
counselor every two weeks during such time.
2. The student will sign a contract with Northark in which he or she agrees to random
urine and/or blood tests for drugs and/or alcohol at the request of any instructor or
Northark employee directly involved with the student. Collection of the urine and/or
blood samples from the student will be observed by a representative of the Northark
staff or faculty. These tests will be at the student's expense. Delivery of the
specimen to the testing laboratory or to a health care provider will be done jointly by
a Northark representative and the student. At the time the specimen is released to
the testing laboratory or to the health care provider, the student will sign a release
statement requesting that the results of the urine and/or blood tests be sent to
Northark as well as to the student.
3. Recognizing the potential financial burden unlimited testing could impose on the
student, the random tests requested by Northark will be limited to no more than six
per calendar year.
4. If any one laboratory test requested by Northark is positive for substances classified
in the Diagnostic and Statistical Manual of Mental Disorders, third edition (DSM-III),
the student will be suspended from Northark with the following provisions:
a. The student will be given an "incomplete" grade for the classes of current
enrollment.
b. The student may be considered for reacceptance at Northark following the term
of suspension, provided the student can demonstrate rehabilitation. Northark
would require letters from primary counselors who had assisted the student in
his/her substance abuse rehabilitation process.
c. Upon return to Northark, the student will agree to the mandates of this policy as
outlined in numbers one through four above.
Also see “Substance Abuse Policy” in the Northark Student Handbook under “Rules and
Regulations”.
______________________________________________________________________
1The generic meaning of the term "drug", which includes the substance ethyl alcohol (ethanol), is
used in this policy. The substance alcohol, by its properties and actions, is a drug and is treated as
such.
38
III. CLINICAL INFORMATION
39
CLINICAL ENVIRONMENT
You will notice many differences between the academic environment to which you have been
accustomed and the clinical environment which you are entering. Most of the differences will
prove exciting and stimulating; some will prove to be frustrating and aggravating. How
successfully you function and learn in the clinical setting depends in part on how you approach
and deal with these differences.
Efficient, effective operation of the department to deliver optimal patient services and care is the
top priority. This means that the patient’s welfare is considered first. This is consistent with
the goals and needs of clinical education.
Compared to learning activities conducted on campus in the classroom setting, the learning
activities in the clinical setting are frequently much less structured. You must take a more active
and responsible role for integrating the academic preparation you had with the individual
examinations you are observing and performing.
Generally, in the classroom setting, you work independently as you pursue your academic
goals. Teamwork and cooperation among the students is not a necessity to achieve academic
goals. In the clinical setting, you must pursue your educational goals within the overall goals of
the department to deliver quality patient services efficiently and effectively. Rather than
functioning independently of the departmental goals, you become part of a health care delivery
team and function cooperatively to achieve educational and departmental goals. This includes
not only developing the ability to expand your attention so that it includes the mechanics of
producing radiographs of optimum quality, but also being aware of the patient as a person and
not simply an exam to be completed.
SUPERVISION
Until a student achieves and documents competency in any given procedure, all clinical
assignments shall be carried out under the DIRECT SUPERVISION of qualified radiographers.
The parameters of direct supervision are:
1.
2.
3.
4.
A qualified radiographer reviews the request for examination in relation to the
student's achievement;
A qualified radiographer evaluates the condition of the patient in relation to the
student's knowledge;
A qualified radiographer is present during the conduct of the examination; and
A qualified radiographer reviews and approves the radiographs.
In support of professional responsibility for provision of quality patient care and radiation
protection, unsatisfactory radiographs shall be repeated only in the presence of a qualified
radiographer, regardless of the student's level of competency.
After demonstrating competency, students may perform procedures with INDIRECT
SUPERVISION.
Indirect supervision is defined as that supervision provided by a qualified radiographer
immediately available to assist students regardless of the level of student achievement.
"Immediately available" is interpreted as the presence of a qualified radiographer adjacent to the
room or location where a radiographic procedure is being performed. This availability applies to
all areas where ionizing radiation equipment is in use.
40
CLINICAL ASSIGNMENTS
The student's clinical training consists of 12 hours/week (Tuesday and Thursday) plus ½
hour lunch break during the Freshmen year and 18 hours/week (Monday, Wednesday)
plus ½ hour lunch break during the Sophomore year. The students are on duty 7:00
a.m. to 3:30 p.m., 7:30 a.m. to 4:00 p.m. or 8:00 a.m. to 4:30 p.m. and 8:30 a.m. to 5:00
p.m. depending on the requirements of the particular clinical site.
During the Summer I Session, students are on duty 4 days a week for 8 hours each day
plus ½ hour lunch breaks.
During the Summer II Session, students are on duty 4 days a week for 8 hours a day
plus ½ hour lunch breaks.
Breaks may be taken as time permits. The lunch period is 30 minutes, scheduled by
the clinical instructor.
Time sheets will be made available from the program office. A student must get the
sheets signed by the clinical instructor or registered technologist that day. Time sheets
will not be signed after that or a day's absence will be given. These time sheets must
be returned to the program office as designated. Remember, the CI or RT fills in the
time the student comes in and the time the student leaves that day. The student does
not fill in the time on the time sheet. Students will not sign in their own time.
Students who sign their own time falsely will be terminated from the Program
immediately.
Students are assigned to one clinical educational setting during the entire program.
Observational rotations will be completed as scheduled. Performance of clinical
procedures is supervised by Registered Technologists. Clinical performance is
evaluated by registered technologists or the clinical instructor and all clinical forms are
signed, not initialed, by them.
On rare occasions, at the discretion of the clinical instructor, the student will be shifted
from the scheduled area to an area of greater need of patient care. All changes in
schedules or clinical assignments will be made through the program office.
An evening emergency room rotation will be scheduled in the sophomore fall semester.
The student will spend 2 weeks (4 clinical days) on a 1-9:00 p.m. shift plus ½ hour
dinner break in the emergency room of their assigned clinical site or the clinical site
closest to their home.
41
CLINICAL EDUCATION SETTINGS
Arkansas Orthopedic and
Sports Medicine:
Harrison, AR
Baxter Regional
Medical Center:
Mountain Home, AR
North Arkansas
Regional Medical Center:
Harrison, AR
General Radiography
General Radiography, Fluoroscopy, Ultrasound, CT, MRI,
Nuclear Medicine, Mobile Radiography, Digital Mammography,
Cath Lab, Surgery, Emergency Room, Bone Density, Radiation
Therapy through CARTI.
Surgery, Emergency Room, Bone Density, Radiation Therapy
through PARTI.
Northwest Medical Center:
Springdale, AR
Therapy through Highlands Oncology.
Ozarks Medical Center:
West Plaines, MO
Cath Lab, Surgery, Emergency Room, Bone Density
Cox Medical Center-Branson:
Branson, MO
Therapy through Cox Cancer Center.
Mercy Hospital-Berryville:
Berryville, AR
General Radiography, Fluoroscopy, Ultrasound, CT, Mobile MRI,
Surgery, Emergency Room, Bone Density
Stone County
Medical Center:
Mountain View, AR
Mobile Radiography, Mammography, Surgery, Emergency Room,
Bone Density
42
PROFESSIONAL CONDUCT OF THE STUDENT
1.
You are expected to treat the patients with kindness, courtesy, and respect.
When you get patients from the ward or waiting room area, introduce yourself and
try to establish rapport. Once the patient is in the exposure room, keep the door
closed and make sure that undressed patients are properly gowned or covered
up.
2.
Professional behavior is not limited to your contact with patients. It is reflected in
your attitude and in the way you communicate with physicians, supervisors, and
co-workers.
3.
Smoking, eating, drinking or chewing gum is permitted only in the lounge or
designated areas.
4.
Students will not leave their assigned area at any time without permission.
5.
Students will not remain in the Radiology Department after regular working hours.
If for any reason it is necessary to return, a complete uniform will be worn.
6.
When not actively engaged in radiologic work or other duties, students will remain
in their assigned areas and not congregate in offices, halls, or other rooms.
7.
Personal telephone calls are not encouraged. No one will be called from working
areas except in an emergency. No one will leave a patient to talk on the
telephone.
8.
Students may not study during slow periods unless authorized by the Clinical
Instructor.
43
STUDENT RESPONSIBILITY IN THE HOSPITAL
The primary function of the hospital is patient care. Under no circumstances should the
presence of students downgrade the quality of patient care. Therefore, it is your
responsibility to:
1.
Follow the administrative policies established by the radiology department
and the hospital.
2.
Report to your assigned work area on time.
3.
Notify the clinical instructor at least 15 minutes before your scheduled time
in case of illness or absences which are beyond your control.
4.
Wear your radiation monitoring badge as outlined in the Program Manual
under “Policies”.
5.
Check with a registered technologist before leaving the assigned work
center.
6.
Follow the directions provided by the registered technologist.
7.
Ask for advice when indicated. DO NOT experiment with patients. Be
industrious and ask questions.
8.
Do not discuss clinical information with patients, relatives, or anyone
outside the radiology department.
ROUTINE DUTIES
1.
Students will be assigned to their clinical area by the program faculty.
2.
Students will be responsible for:
a.
performing all examinations assigned to them by a staff technologist.
b.
checking all supplies in the area to which assigned each morning.
c.
keeping their assigned areas neat and clean.
d.
shielding the patient whenever possible.
e.
maintaining professional attitude.
3.
Students will not leave their rooms for break, lunch, or at the end of the day
until all work assigned to their room has been completed. Immediately
upon return from break or lunch, the student will report to the technologist
in charge of their assigned area.
44
DEVELOPING CLINICAL PROFICIENCIES
Clinical skills can be developed by the following systematic step-by-step approach:
Academic Preparation:
Completed on campus by studying
radiographic anatomy and positioning and
fundamentals of radiography.
Observation:
Observing registered technologists at work in
the hospital.
Assisting:
Assisting registered technologists in
performing radiographic procedures.
Supervised Trial Performance:
Completing the entire examination under the
direct supervision of a technologist.
Performance Evaluation:
Performing a particular examination by
yourself under direct supervision and having
the technologist do a performance evaluation
for that examination.
Performance Maintenance:
Perfecting your skills by performing an
examination with direct or indirect
supervision. If however, a repeat exposure
should be necessary, a qualified technologist
must be present to provide direct supervision.
CLINICAL GRADE DETERMINATION
The clinical grade will be determined by averaging grades in the following categories
during the semester:
1.
2.
3.
4.
Radiation Badge
Time Sheets
Daily Log Books
Repeat Analysis
5.
6.
7.
8.
End-of-the-Month Evaluations
Clinical Visit Evaluations
Performance Evaluations
Clinical Competency Evaluations
The clinical grades will be averaged for a final grade. All clinical requirements are due
at certain designated times. Failure to turn in clinical forms, etc. will result in a zero:
Radiation Badge – 23rd of every month
All others -- End of every month
45
PERFORMANCE EVALUATIONS
Starting with the Clinical Practice I, the student will perform unassisted radiographic
examination procedures under DIRECT SUPERVISION of a technologist for evaluation
and grade.
The forms for the performance evaluations are contained in the Clinical Procedures
Manual. A registered technologist will fill out the procedure and image evaluation
sheets during the performance. Anatomy sheets will be completed when appropriate
performances are completed.
Procedure manuals must be kept with the student at all times during clinical rotations
until graduation from the program. The students will bring the performance evaluations
to the program faculty at the end of the month for grading. Students are expected to
complete all freshman performance exams by the end of the sophomore fall semester.
25 bonus points and one extra day off from clinicals will be awarded to those students
completing their freshman performances by the end of the sophomore fall semester.
A minimum of 3 performances are due the freshman fall semester, after that a minimum
of 5 performances per semester (including summer sessions) are required. Five (5)
points will be deducted from the final clinical grade if this minimum is not maintained.
Keep in mind that this is a minimum. Students are expected to complete as many
performances as possible during the semester.
Clinical performances and competencies must be performed at the students’ assigned
clinical site during assigned clinical time. This JRCERT rule must be followed.
ALL clinical performances and competencies are due by the end of the sophomore
spring semester.
The Daily Log Book must be with you when you enter your clinical rotations. It is your
responsibility to document your exams and repeats and to have them readily available
when you are in the hospital.
46
CLINICAL PROCEDURES FOR PERFORMANCE EXAMS
RADT 1162:
CLINICAL PRACTICE I
Chest
Chest – Wheelchair or Stretcher
KUB
Abdomen Series (supine or upright)
Abdomen Decubitus
Finger or Thumb
Hand
Wrist
Carpal Navicular
Forearm
Elbow
Humerus
Shoulder
Clavicle
AC Joints
Scapula
Toe
Foot
Os Calcis (Heel)
Ankle
Tibia-Fibula
Knee
Intercondyle
Patella
Femur
Hip
Pelvis
RADT 1242:
CLINICAL PRACTICE II
Ribs
Sternum
Cervical Spine
Thoracic Spine
Lumbosacral Spine
Sacrum
Coccyx
SI Joints
Esophagus
Upper GI (single or double contrast)
Small Bowel Series
Barium Enema (single or double contrast)
IVP
RADT 1261:
CLINICAL PRACTICE III
Skull
Facial Bones
Mandible (Panorex acceptable)
Nasal Bones
Sinuses
Zygoma
TM Joints
Optic Foramina
RADT 2112:
CLINICAL PRACTICE IV
Same as Clinical Practice III including:
Respiratory Therapy/Oxygen Administration
EKG
RADT 2193:
CLINICAL PRACTICE V
Trauma/ER/ER Patient Assessment
Surgery
Portables
Orthopedics
Medical Laboratory
Myelogram
Sterile Technique
Mammogram
Pediatrics
Arthrogram
Heart Cath
Bone Density
RADT 2253:
CLINCAL PRACTICE VI
CT – Head, Chest & Abdomen
MRI
Oncology
Ultrasound
Nuclear Medicine
Digital/Analog Radiography
47
CLINICAL COMPETENCY PLAN
Each student enrolled in the Radiologic Technology Program will be responsible for
documentation of competency for radiographic examinations and procedures. The
clinical competency evaluation is designed to insure that the student has successfully
combined knowledge gained in the classroom and the laboratory with the clinical
aspects of his/her training.
Student observation in clinical education begins with an observation period and moves
into a more active phase with the student assisting a registered radiologic technologist
in the completion of assigned tasks. As the student gains experience in various
procedures, he/she will gradually move into an independent clinical performance stage,
actually performing radiographic procedures under the indirect supervision of a
radiologic technologist.
A specific number of radiologic examinations commonly performed in the radiology
department are required for competency. After a student has been graded on a
performance exam he or she may then begin the competency examinations under
direct supervision. Competency for an exam is achieved when the specified number
of exams have been completed. Once exam competency is achieved, these exams
may then be performed under INDIRECT SUPERVISION.
Exams will be listed on the competency exam sheet (found in the Clinical Procedures
Manual), signed by a registered technologist as acceptable, and returned to the
program faculty for documentation.
Projections and examinations will vary among the clinical sites. Each clinical instructor
should utilize the examinations and views unique to each particular clinical site.
Exams for competency must be performed without any repeat radiographs.
Exams that are simulated, without actually making a radiographic image, will be worth a
total of 50 points and not 100 points.
Clinical performances and competencies must be performed at the students’ assigned
clinical site during assigned clinical time. This JRCERT rule must be followed.
Student progress through the clinical competency evaluation is designed to allow each
student to progress at an individual rate. All competency examinations must be
completed before the end of Clinical Practice VI (sophomore spring semester) to be
eligible for graduation.
48
CLINICAL PROCEDURE FOR COMPETENCY EXAMS
Chest
Femur
Chest, AP, (wheelchair or stretcher)
Trauma: Lower Extremity
Ribs
Paranasal Sinuses
Sternum
Nasal Bones
Finger or Thumb
Cervical Spine
Hand
Trauma: Cervical Spine (Cross-Table Lateral)
Wrist
Thoracic Spine
Forearm
Lumbosacral Spine
Elbow
Sacrum and/or Coccyx
Humerus
Sacroiliac Joints
Shoulder
Pelvis
Trauma: Shoulder (Scapular Y, Transthoracic
Hip
or Axillary)
Cross-Table Lateral Hip
Scapula
Abdomen Supine (KUB)
Clavicle
Abdomen (Upright)
AC Joints
Esophagus
Trauma: Upper Extremity (Non-Shoulder)
Upper GI Series (Single or Double Contrast)
Toe
Small Bowel
Foot
C-Arm Procedure (Orthopedic)
Calcaneus (OsCalcis)
Portable Chest
Ankle
Portable Abdomen
Tibia-Fibula
Portable Orthopedics
Knee
Pediatric Chest – Routine
Patella
49
CLINICAL ROTATIONAL ASSIGNMENTS
RADT 1162:
CLINICAL PRACTICE I (Freshman Fall)
Students observe, assist and perform office procedures, darkroom procedures, patient
transport, and routine radiographic procedures including chest, abdomen and upper and lower
extremities.
Areas of Rotation and Emphasis
Observe & Assist
Radiology Office
Patient Transport
Routine Radiography/Fluoroscopy
1 day
2 days
2 weeks
Active Participation
RADT 1242:
CLINICAL PRACTICE II (Freshman Spring)
Students observe, assist and perform routine radiographic procedures and include the thorax,
vertebral column, GI tract and GU system. Proficiency in routine radiography and fluoroscopy
continues.
Observe & Assist
Thorax
Vertebral Column
1 week
1 week
1 week
Thorax
Vertebral Column
RADT 1262:
CLINICAL PRACTICE III (Freshman Summer I)
Students observe, assist and perform routine radiographic procedures and include the skull and
facial bones. Proficiency in routine radiography and fluoroscopy continues.
Observe & Assist
Skull Radiography
Skull Radiography
50
1 week
1 week
RADT 2112:
CLINICAL PRACTICE IV (Sophomore Summer II)
Same as Clinical Practice III with the addition of:
Respiratory Therapy/Oxygen Administration
EKG
RADT 2193:
1 day
1 day
CLINICAL PRACTICE V (Sophomore Fall)
Students observe, assist and perform routine radiographic procedures and include the trauma,
mobile, and special procedures. Proficiency in routine radiography and fluoroscopy continues.
Observe & Assist
ER/ER Patient Assessment
Surgery/Sterile Technique
Portable Procedures
Mammography/Medical Laboratory
Cath Lab
Orthopedics
1 week
1 week
1 week
1 week
1 day
1 week
Trauma
Mobile Procedures
Special Procedures
RADT 2253:
CLINICAL PRACTICE VI (Sophomore Spring)
Students observe, assist and perform routine radiographic procedures and include advanced
modalities. Proficiency as a staff radiographer is developed.
Observe & Assist
CT
MRI
Ultrasound
Nuclear Medicine
Oncology
3 weeks
1 day
1 day
1 day
1 day
Active participation
CT/Bone Density
Advanced Modalities
51
CLINICAL OBJECTIVES
The objectives serve three purposes:
1.
To identify the specific behaviors expected of the student in the clinical setting.
2.
To identify these behaviors for the clinical supervisor, the technologists, and
other personnel in the radiology department.
3.
To provide a guide for evaluating student achievement and proficiency.
CONDITIONS
The objectives are performed in a clinical education setting under the supervision of a
technologist.
SUCCESS CRITERIA
The level of clinical success will depend upon experience in the evaluation of:
1.
2.
3.
cognitive skills
psychomotor skills
behavioral skills
Upon completion his/her clinical assignment, the student will exhibit knowledge,
understanding and skill in each of the following areas with a competence appropriate to
the number of months he or she has been in training.
52
I.
II.
III.
OFFICE PROCEDURES AND RADIOGRAPHIC RECORDS
A.
Perform the following tasks relating to the Front Office:
1.
Log in patients.
2.
Assign x-ray and day numbers.
3.
Type flash cards, if applicable.
4.
File patients card, if applicable.
B.
Perform the following tasks related to the file room: (if applicable)
1.
Construct a film jacket including patient’s name and number, if
applicable.
2.
Prepare the jacket and films for reading, if applicable.
3.
File reports, if applicable.
4.
File films, if applicable.
RADIOGRAPHIC IMAGE PROCESSING
A.
Place patient identification on film or plate.
B.
Develop medical x-ray film by automatic processing methods or process CR
plate in reader.
C.
Prepare processing solutions for automatic processor, if applicable.
PATIENT HANDLING TASKS
A.
Drape or gown patient for examination.
B.
Transfer patients safely to and from stretchers and chairs.
C.
Check patient’s chart for contraindications in reference to procedure.
D.
Ascertain if the patient is prepared for the procedure.
E.
Use immobilizing devices to restrain patients during exposure if needed.
F.
Explain the x-ray procedure to the patient or answer questions about the
doctor’s instructions.
G.
Reassure apprehensive parents of pediatric patients.
H.
Reassure and calm children.
I.
Receive patients on arrival, introduce yourself, obtain the patient’s name,
check arm band.
J.
Give precise and adequate direction to patient concerning procedures.
53
III.
IV.
PATIENT HANDLING TASKS: continued
K.
Observe care to maintain the IV flow and integrity of the unit.
L.
Make notations of significant patient physical or emotional response to
procedures if needed.
M.
Label specimens.
N.
Provide radiation protection for personnel and patient.
O.
Inspect for electrical and mechanical hazards and observe rules of safety.
P.
Respect rights and expectations of the patients.
Q.
Respect rights and expectations of all personnel.
R.
Proper transportation to and from patient rooms or other patient areas
outside the radiology.
S.
Prepare tickets for patients leaving the department, if applicable.
GENERAL RADIOGRAPHY
A.
Equipment and accessories
1.
Identify all units of radiographic equipment including:
a.
generators.
b.
transformers.
c.
current phase.
d.
focal spot sizes.
e.
tube rating charts, anode cooling charts, if applicable.
2.
Select the appropriate:
a.
imaging plate, grid, bucky or table top.
b.
sponges, compression bands, sand bags, clamp.
c.
collimation to field size.
B.
Radiographic Procedures
1.
Perform general radiographic studies and evaluate from the
standpoint of:
a.
radiographic and diagnostic quality.
b.
accuracy of interpretation of the request.
c.
positioning of the anatomic part.
d.
appropriate film size or CR plate size.
e.
adequate x-ray beam limitation.
f.
correct markers or identifying information.
54
IV.
V.
GENERAL RADIOGRAPHY: continued
C.
Radiographic Technique
1.
Select the proper technical factors for routine situations and make
appropriate adjustments for the unusual case by manipulating the imaging
arrangement. The factors to be altered or arranged include:
a.
kVp, MA, time and distance.
b.
screens, grids.
D.
Radiation Protection and Safety Practices
1.
Perform patient handling tasks safely to include:
a.
transporting and transferring patients.
b.
checking for patient identification.
c.
handling patients with infectious diseases.
d.
providing radiation protection for patients, personnel, and guests by
utilizing shields, collimation and other protective devices.
e.
providing safety from electrical hazards by routinely inspecting
equipment.
E.
Phototiming
1.
For those areas where phototiming is used for routine radiography the
student will:
a.
select proper photocell.
b.
determine the patient’s size.
c.
select the proper kVp for the examination.
FLUOROSCOPY
A.
Equipment and accessories
1.
Identify the following:
a.
image intensification.
b.
spot devices.
c.
phototiming.
d.
fluoro MA setting.
2.
a.
table angulation.
b.
restraining and supporting devices.
c.
barium or other contrast medias and administration devices.
B.
Radiographic and Fluoroscopic Procedures
1.
Perform tasks specific to fluoroscopic procedures
a.
Assist in the operation and adjustment of:
1)
spot filming, if applicable.
2)
image intensifier.
b.
Assist the physician with the non-exposure procedures such as:
1)
upper and lower gastrointestinal studies.
2)
spine and spinal cord studies.
3)
arthrograms.
4)
sialograms and other such special procedures using
fluoroscopy.
55
V.
VI.
FLUOROSCOPY: continued
C.
Contrast Medias
1.
Prepare barium mixtures using formulas appropriate to the
examination.
2.
Select the contrast dispenser appropriate to the examination and
specific media.
3.
Use sanitation techniques to prepare contrast media dispensers and
other contrast utensils and containers.
D.
Technique
1.
Select the proper technical factors for routine and fluoroscopic
studies and make appropriate adjustments for the unusual patient.
E.
1.
a.
b.
checking for patient identification
c.
handling patients with infectious diseases
d.
providing radiation protection for patients, personnel, and
guests by utilizing shields, collimation and other protective
devices.
e.
equipment.
IMAGE EVALUATION
A.
Sort and match images and merge in the proper sequence with patient’s file
B.
Critique the images to determine adequate visibility of the structures of
interest.
C.
Identify the photographic and geometric deficiencies in images and
recommend the necessary corrections.
D.
Recognize and identify artifacts, if present, on the image.
56
VII. BODY SECTION RADIOGRAPHY – GENERAL TOMOGRAPHY
A.
Equipment and Accessories
1.
a.
generator.
b.
transformer
c.
current phase
d.
all tube rating charts
2.
Select the following:
a.
screen and grid.
b.
accessory equipment, head clamps, sandbags
c.
diaphragm
d.
angulation of the table
e.
proper pin for movement
f.
fulcrum sittings
B.
1.
Perform body section radiographic studies and evaluate from the
standpoint of:
a.
radiographic and diagnostic quality.
b.
accuracy of interpretation of the request.
c.
positioning the anatomic part.
d.
appropriate film size or CR plate size.
e.
adequate x-ray beam limitations.
f.
correct markers or identifying information.
C.
1.
Select the proper technical factors for routine situations and make
appropriate adjustments for the usual case by manipulating the
imaging arrangement. The factors to be altered or arranged include:
a.
kVp, MA, time and distance
b.
screens, grids.
D.
1.
a.
b.
checking for patient identification
c.
handling patients with infectious diseases
d.
devices.
e.
equipment.
57
VIII. MOBILE RADIOGRAPHY
A.
1.
a.
type of radiographic equipment.
b.
incoming power source.
c.
line voltage and compensator.
d.
connections for wall sockets.
e.
battery recharger.
2.
a.
imaging plate, grid.
b.
supportive items such as sponges, etc.
c.
radiation protection devices.
d.
safety factors guarding against electrical hazards.
B.
1.
Perform all routine portable radiographic studies and evaluate:
a.
image quality.
b.
positioning.
c.
anatomical parts identified.
d.
correct markers.
e.
collimation.
f.
film size.
C.
1.
Make adjustments in exposure factors specific to portable
radiography.
2.
Identify those common problem areas such as patient’s ability,
traction, casts, etc., which may affect technique.
D.
1.
Adjust these practices routinely performed in general radiography to
mobile units:
a.
b.
checking for patient identification.
c.
handling patients with infectious diseases.
d.
devices.
e.
equipment.
58
IX.
X.
SURGERY
A.
B.
1.
The student will be able to demonstrate knowledge and understanding as well as
dexterity in the examination and care of the confined patient and the patient
undergoing surgery.
2.
The student will perform routine surgical radiographic studies and evaluate for:
a.
quality.
b.
positioning.
c.
anatomical parts.
d.
correct markers.
e.
collimation.
f.
field size.
C.
1.
Make adjustments in exposure factors specific to portable radiography or cysto.
2.
Identify those problem areas which may affect technique such as surgical clamps,
casts, splints.
D.
Sterile Areas
1.
a.
areas that are “off limits” in the surgical suite due to sterile technique.
b.
sterile drapes, trays, clothing.
c.
areas in the surgery suite assigned to x-ray equipment and personnel.
d.
proper attire for x-ray personnel in surgery.
SPECIAL PROCEDURE RADIOGRAPHY
A.
Assist in setting the x-ray machine controls for exams performed in the special’s room.
B.
Assist in setting up trays for special procedures.
C.
Assist in selecting appropriate catheters, guide wires, needles, and syringes for special
studies.
D.
Assist in the preparation of contrast media for pressure injection.
E.
Assist in positioning the patient for radiographs.
F.
Assist in performing patient handling tasks specific to special procedures.
G.
Practice radiation safety during special procedures.
H.
Practice aseptic techniques in handling materials and supplies necessary to the procedure.
I.
Clean pressure injector equipment.
J.
Load film changers, if applicable.
K.
Perform all duties of the darkroom technologist, if appropriate.
L.
Calculate heat units for multiple exposures, if applicable.
M.
Ready images for interpretation, if applicable.
59
GRADUATE COMPETENCIES
1.
Demonstrate knowledge and skills relating to verbal, non-verbal and written medical
communication in patient care intervention and professional relationships.
2.
Demonstrate knowledge of human structure, function, and pathology.
3.
Provide basic patient care and comfort and anticipate patent needs.
4.
Provide appropriate patient education.
5.
Apply principles of body mechanics.
6.
Perform basic mathematical functions.
7.
Understand basic x-ray production and interactions.
8.
Operate medical imaging equipment and accessory devices.
9.
Position the patient and medical imaging equipment to perform examination and
procedures.
10.
Modify standard procedures to accommodate for patient condition and other variables.
11.
Exercise independent judgment and discretion in the technical performance of medical
imaging procedures.
12.
Demonstrate knowledge and skills relating to medical image processing.
13.
Determine exposure factors to obtain diagnostic quality radiographs with minimum
radiation exposure.
14.
Adapt exposure factors for various patient conditions, equipment, accessories and
contrast media to maintain appropriate radiographic quality.
15.
Practice radiation protection for the patient, self and others.
16.
Recognize emergency patient conditions and initiate first aid and basic life-support
procedures.
17.
Evaluate radiographic images for appropriate positioning and technical quality.
18.
Evaluate the performance of medical imaging systems.
19.
Understand the safe limits of equipment operation.
20.
Recognize equipment malfunctions and report them to the proper authority.
21.
Demonstrate knowledge and skills relating to quality assurance activities.
22.
Support the profession’s code of ethics and comply with the profession’s scope of practice.
60
IV.
FORMS
61
FORMS TO BE COMPLETED BY THE STUDENT
Several forms will need to be completed by the student periodically. Each form serves a
different purpose, as described below. You will find samples of each form on the pages
following the descriptions.
DAILY LOG BOOK
COURSE EVALUATIONS
CLINICAL INSTRUCTOR (CI) EVALUATIONS
CLINICAL SITE EVALUATIONS
REPEAT ANALYSIS
62
DAILY LOG BOOK
Every clinical day, a log must be kept to identify the exams that have been accomplished.
The form includes a place for the following information – date, patient number, exam, and
a place for indication if you performed the exam independently, assisted, or just observed
the exam. This information must be completed for each exam done during your clinical
training. These forms are bound into a notebook and must be kept with the student
throughout the clinical training. Columns for the number of films and repeats have been
included for your convenience in completing repeat analyses.
All radiographs that have to be repeated must be in the presence of a qualified
radiographer and signed in the signature column of the log book.
63
CLINICAL EXAMINATION RECORD
Name:________________________________
DATE
NUMBER
EXAMINATION
OBSRV
64
Month:_______________________
ASSTD
PERF
# IMAGES
#REPTS
SIGNATURE
COURSE EVALUATIONS
Course Evaluations are now performed on Portal at the end of the semester.
Evaluations may be completed on Scantron Forms if needed. Information such as strong
and weak areas of content, evaluation accuracy, and relativity is reported. This
evaluation is used to restructure and revise courses to better fit the students’ needs.
65
Course Evaluation
Using a #2 pencil, please complete this evaluation by answering the following questions
concerning this course and placing your response in the appropriate box on the Scantron
provided.
On the Scantron, place the course name on the “Name” line, and the current date on the
“Date” line. Please omit other lines.
A = Strongly Agree
B = Agree
C = Disagree
D = Strongly Disagree
E = Does Not Apply
1.
The material reflected course objectives.
2.
Textbooks, handouts, resources, etc. were adequate for class.
3.
Adequate time was allotted for material presentation.
4.
Adequate time was allowed for questions and answers.
5.
Attendance and grading policies were clearly stated.
6.
Lecture room was conductive to learning.
7.
Guest lecturers were meaningful to class.
8.
Tests adequately covered the material.
9.
Test were graded and returned in a reasonable time.
10.
The course was well organized.
Please make comments on the back of the Scantron.
66
CLINICAL INSTRUCTOR (CI) EVALUATIONS
This evaluation is completed on the Scantron Form at the end of each clinical semester.
This information evaluates the clinical instructor and will be used to identify problem areas
to that improvements may be used. These evaluations are confidential and will promote
better communication between college faculty and the Clinical Instructors.
67
Clinical Instructor Evaluation
concerning your clinical instructor(s) and placing your response in the appropriate box on
the Scantron(s) provided.
On the Scantron, place the clinical instructor name on the “Name” line, and the current
date on the “Date” line. Please omit other lines.
A = Strongly Agree
B = Agree
C = Disagree
E = Does Not Apply
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
This instructor utilizes assignments, demonstrations and other aids to reinforce
retention levels.
This instructor is courteous to the student and willingly answers questions.
This instructor gives instructions clearly.
This instructor is knowledgeable on the subject material pertaining to his/her
department.
This instructor has the knowledge and necessary manual skills to demonstrate
procedures.
The instructor is organized and presents radiological procedure in a logical
sequence.
The instructor exhibits positive characteristics to aid in student’s professional
development.
This instructor is suitably dressed for their profession/job.
The instructor demonstrates proper disciplinary methods to all students fairly and
consistently.
The instructor is available to answer questions and give assistance when needed.
68
CLINICAL SITE EVALUATIONS
This evaluation is completed on the Scantron Form at the end of each semester. This
information includes identification of the site’s strengths and weaknesses. Results from
this evaluation will be used to help the clinical sites identify problem areas and seek
improvements. These forms are confidential and will promote better communication
between college faculty and clinical site personnel.
69
Clinical Site Evaluation
concerning your clinical site(s) and placing your response in the appropriate box on the
Scantron(s) provided.
On the Scantron, place the clinical site on the “Name” line, and the current date on the
“Date” line. Please omit other lines.
A = Strongly Agree
B = Agree
C = Disagree
E = Does Not Apply
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
The introduction to the department and hospital facility and staff was performed
satisfactory.
My responsibilities in assigned areas were explained thoroughly.
The Technologists’ supervision, availability and communications were sufficient.
The relationship with the Radiologist(s) was professional.
The cleanliness of the department was evident.
There was a variability of clinical exams.
An explanation of the exam was given in detail.
The quality of technical work was optimum.
The equipment was up-to-date and functional adequately.
A caring attitude from technologist to patient was displayed.
70
REPEAT ANALYSIS FORM
This form is used to help the students become aware of their repeats and the causes.
The procedure for analysis is included on the form. This is due at the end of each clinical
month, starting in the Freshmen Spring semester.
71
REPEAT ANALYSIS
Name ___________________________________________ Date_________________
Hospital _______________________________________________________________
This analysis is for the clinical days from __________________ to _________________
Reasons for Repeat
Number of Images
1.
Too Dark
______________
2.
Too Light
______________
3.
Patient Motion
______________
4.
Centering
______________
5.
Positioning
______________
6.
Other ______________
______________
______________
Percentage
1.
Total number of images taken during this time period. ______________
2.
Total number of repeats taken during this time period. ______________
3.
Calculate
4.
Multiply by 100 to get % of repeats.
2
.
1
______________
______________%
Analysis
1.
Analyze the above information and give reasons for repeated images.
2.
What is the most common reason for repeat?
3.
How can you correct this problem?
72
FORMS TO BE COMPLETED BY THE CLINICAL INSTRUCTOR OR A
REGISTERED TECHNOLOGIST
Several forms will need to be completed by the clinical instructor or a registered
technologist periodically. Each form serves a different purpose, as described below. You
will find samples of each form on the pages following the descriptions.
TIME SHEET
ORIENTATION CHECKLIST
WEEKLY CLINICAL CHECKLIST
MONTHLY CLINICAL EVALUATION OF THE STUDENT
MINOR ROTATION EVALUATION OF THE STUDENT
CLINICAL PERFORMANCE EVALUATIONS
CLINICAL COMPETENCY EVALUATIONS
DOCUMENTATION OF RADIATION MONITORING BADGE READINGS
OVER 100mREM
73
TIME SHEET
This form documents the time the student arrives at the clinical site and leaves the clinical
site. The clinical instructor or RT documents the clinical time and signs the form every
clinical day.
74
STUDENT CLINICAL TIMESHEET
Class
Date
Date
Date
Date
Date
In
Lunch Out
Lunch In
Out
Time:
Time:
Time:
Time:
Signed:
Signed:
Signed:
Signed:
In
Lunch Out
Lunch In
Out
Time:
Time:
Time:
Time:
Signed:
Signed:
Signed:
Signed:
In
Lunch Out
Lunch In
Out
Time:
Time:
Time:
Time:
Signed:
Signed:
Signed:
Signed:
In
Lunch Out
Lunch In
Out
Time:
Time:
Time:
Time:
Signed:
Signed:
Signed:
Signed:
75
This form is completed when the student first enters the clinical site. The student is given
an orientation and the checklist is dated and signed by the technologist. The student will
then return the form to the program faculty for grade determination.
76
Student___________________________________________ Date_________________________
Clinical Site______________________________________________________________________
1
Tour of facility
___________
2
Tour of department
___________
3
Policy & Procedures
A.
Location of policy and procedure books
___________
B.
___________
4
Orientation to chain of command
Location of equipment
A.
Carts
___________
B.
Wheelchairs
___________
C.
IV poles
___________
D.
Oxygen tanks
___________
E.
Crash cart
___________
F.
Emergency drug trays
___________
G.
Telephones
___________
5
Disaster/Code/Fire Procedures
___________
6
Telephone Orientation
___________
7
Personal Item Storage
___________
8
Smoking Policy
___________
9
Parking Policy
___________
10
Clock-in, Clock-out Procedure
___________
11
Lunch Policy
___________
12
Tech Lounge Policy
___________
______________________________________
Student Signature
___________________________________
Technologist Signature
77
The students will be evaluated weekly by the Clinical Instructor at the clinical site. Each
completed form will be graded accordingly and kept in the student’s file in the program
office. This grade will be a part of the student’s clinical grade each semester.
If deficiencies are not corrected by the next clinical check, a grade of zero will be
given.
78
Student _______________________________________________________________
Facility______________________________________
Date ___________________
UNIFORM
1. Keeps uniform and shoes clean and neat
2. Wears name ID properly
4. Wears radiation badge properly
5. Keeps hair neat and wears jewelry properly
6. Uses markers properly
YES
______
______
______
______
______
NO
______
______
______
______
______
ATTITUDE
6. Is enthusiastic and cooperative
7. Accepts constructive criticism and suggestions
8. Is honest and trustworthy
9. Is courteous and respectful to staff and patients
10. Communicates efficiently
YES
______
______
______
______
______
NO
______
______
______
______
______
DEPENDABILITY
11. Arrives at the proper time
12. Calls when absent or tardy
13. Completes Log Book/Technique Book
14. Accepts responsibility willingly
15. Completes his/her own assignments
YES
______
______
______
______
______
NO
______
______
______
______
______
PROFESSIONAL BEHAVIOR
16. Uses free time constructively
17. Is willing to help others
18. Adheres to facility rules and regulations
19. Follows instructions
20. Adheres to ASRT Code of Ethics for
professional behavior
YES
______
______
______
______
NO
______
______
______
______
______
______
COMMENTS ___________________________________________________________
______________________________________________________________________
______________________________
STUDENT
____________________________
FACULTY
79
MONTHLY CLINICAL EVALUATION
This form is used to evaluate the student’s ethical professional behavior. It is completed
by the clinical instructor at the end of each month of your clinical training. Each
completed form will be graded by the program faculty and kept in the student’s file in the
Rad Tech Office. This grade will be a portion of the student’s clinical grade.
80
MONTHLY CLINICAL EVALUATION
Student_______________________________________________________________
Facility_______________________________________Date_____________________
For any mark less than an “8”, please explain on the last page.
6
Very little knowledge
of procedures; lacks
skills
Poor patient
positioning
techniques – could
possibly injure patient
Disorganized; does
not handle
interruptions
QUALITY OF CLINICAL PERFORMANCE
7
8
9
Fair knowledge;
Sufficient knowledge Has above average
needs frequent
for acceptable
knowledge & skill
instruction
performance
Seldom skillful at
Occasionally has
Positions skillfully
patient positioning
problems with patient most of time
positioning
10
Outstanding knowledge
of procedures; very
skillful
Very skillful at patient
positioning
Demonstrates
some organization;
has difficulty when
interrupted
Requires maximum
supervision, takes
more time than
normal
Somewhat
organized, slowed
slightly when
interrupted
Requires
supervision, but
learns reasonably
well
Organized; handles
interruptions
Well-organized; handles
interruptions skillfully
Requires minimum
supervision; grasps
new ideas
Requires minimum
supervision; extremely
quick; intelligent
Utilizes equipment
carelessly
Utilizes equipment
satisfactorily & safely
Utilizes equipment
skillfully & safely
Seldom follows
charts, or clinical
notebooks
Seldom uses
proper radiation
protection
Occasionally is
skillful at technique
Refuses to perform
procedures once
checked off
Totally incompetent in
critiquing own work
Frequently refuses
to perform
procedures
Inadequate; needs
improvement
Occasionally refuses
to perform
procedures
Adequate at image
critique
Never uses lead
markers
Seldom uses lead
markers
Occasionally uses
lead markers
Usually follows
charts & skillful at
technique
Usually
conscientious
about radiation
protection
Willing to perform
procedures most of
the time
Usually able to
recognize abnormal
results
Usually uses lead
markers
Utilizes equipment
skillfully & safely; shows
resourcefulness
Most skillful at following
charts & setting
technique
Always uses proper
collimation, shielding &
protects others
Requires maximum
supervision; very
slow, unable to
comprehend new
ideas
Cannot utilize
equipment; wastes
supplies
Never uses technique
charts; avoids
learning technique
Never uses proper
shielding, collimation
Occasionally uses
radiation protection
methods
81
Most willing to perform
procedures even after
being checked off
Critiques own work most
skillfully
Always uses lead
markers
Comments from Evaluator:
____________________________________
Signature of Evaluator
__________________________
Date
Comments from Student:
I agree with this evaluation _____________
I disagree with this evaluation ___________
_____________________________________
82
__________________________
Date
This form is used to evaluate the student’s ethical and professional behavior when the
student is completing a short rotation such as CT, MRI, ER, etc. It is completed by the
technologist in that rotational area. Each completed form will be graded by the program
faculty and kept in the student’s file in the Rad Tech Office. This grade will be a portion of
the student’s clinical grade.
83
Student's Name: ________________________________
Hospital: ___________________
Rotation: ________________________________________
For any mark less than an
"8", please explain below.
1
Attendance
2
Punctuality
3
Appearance
4
Proper Uniform
5
Professional Attitude
6
Acceptance of Criticism
7
Responsible
8
Communication Skills
9
Initiative
10
Completion of Objectives
Needs
Improvement
Unsatisfactory
6
7
Date: ____________________
Average
8
Above
Average
9
Excellent
10
Comments: __________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
______________________________________
Evaluator's Signature
84
__________________________________
Student's Signature
CLINICAL PERFORMANCE EVALUATION
These forms are purchased as a bound book in the college bookstore by each student. It
should be kept with the student in the clinical site and must be completed by a registered
technologist. It is used when the student feels he/she can perform a particular exam
without assistance. The technologist will complete the evaluation form and the student
will bring it to the program faculty for grade determination and recording. This grade will
be used to calculate a portion of the clinical grade.
A minimum of three (3) are due the freshman fall semester and a minimum
of five (5) performances are due each semester after that.
85
Radiologic Technology
PERFORMANCE EVALUATION FORM
Student_______________________________________________________________________________ Date____________________________________
Procedure/Exam________________________________________________________________________ Patient #_________________________________
Projection______________
Performance Evaluation
1.
Evaluation of Requisition
2.
Physical Facilities Readiness
3.
Patient Care
4.
Equipment Operation
5.
Positionary Skills
6.
Evidence of Radiation Protection
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
Image Evaluation
7.
Anatomical Parts
8.
Proper Alignment
9.
Radiographic Techniques
10. Image Identification
11. Radiation Protection
Comments: _________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________ ___
Instructor Signature _________________________________________________________
Date ______________________________________
Student Signature __________________________________________________________
Date ______________________________________
86
PERFORMANCE EVALUATION
1. Evaluation of Requisition
a.
b.
c.
d.
e.
identified procedures to be performed
identified the patient’s name and age
identified patient location and mode of
transportation
acknowledged any pathological conditions
acquired appropriate clinical patient history
2. Physical Facilities Readiness
a.
b.
c.
verified that equipment is operational
provided a clean and orderly work area
obtained appropriate supplies for examination
3. Patient Care
a.
b.
selected the correct patient
introduced himself/herself to patient and briefly
explain the procedure
c. requested last menstrual period (LMP) date of
female patients between the ages of 12-60
d. transported patient to appropriate imaging area
e. verified if patient is properly prepared for the
examination
f. identified, when appropriate, that there are no
contraindications for performing procedure
g. provided safe storage for patient’s belongings
h. provided appropriate assistance to
radiographic table based on patient’s condition
i. maintained patient dignity and modesty
through proper gowning and covering for the
patient
j. talked to patient in a concerned, professional
manner
k. applied universal precautions as established
by the Centers for Disease Control
l. provided proper instructions for moving and
breathing
m. checked patient’s condition at regular intervals
n. provided for patient security if the patient is left
alone in the radiographic room
IMAGE EVALUATION
4. Equipment Operation
a.
b.
c.
d.
e.
f.
g.
h.
i.
maneuvered the x-ray tube and bucky utilizing
appropriate controls and locks
selected the proper film, film holder, grid, etc.
selected appropriate FFD (SID)
manipulated image receptor, as appropriate,
for accurate imaging
measured the patient
used immobilization devices, as needed
referred to technique chart
selected exposure factors
used equipment so as not to exceed
recommended safety guidelines
5. Positioning Skills
a.
b.
c.
d.
positioned the patient
aligned center to part to be demonstrated to
the center of the film
set the correct tube angle
set the correct FFD (SID)
6. Evidence of Radiation Protection
a.
b.
c.
d.
e.
collimated to part
used gonadal shields, if appropriate
demonstrated use of lead apron, gloves, and
lead blockers, if appropriate
selected proper exposure factors
adjusted exposure factors for motion,
pathology or patient size when appropriate
7. Anatomical Parts
a.
b.
c.
8. Proper Alignment
a.
b.
c.
d.
film centered
part centered
tube centered
patient aligned correctly
9. Radiographic Techniques
a.
b.
c.
d.
technique chart used correctly (proper contrast
and density
compensation of exposure factors for
pathology
correct exposure factors used to produce
diagnostic image
correct film, screen, grid, FFD(SID), and OFD
(OID)
10. Film Identification and/or Other Identifications
a. right and left markers properly displayed (free
of pertinent anatomy)
b. accessory markers visible, if required (minute,
hour and directional)
c. patient information and date identified
a.
b.
c.
87
part shown in proper position
adequate detail (no motion)
identified anatomical structures
evidence of collimation
gonadal shields in place, if required
NO REPEATS
CLINICAL COMPETENCY EVALUATION
After a student has been evaluated on a particular performance examination, he/she may then
work on a competency evaluation for that particular examination. Competencies will be
evaluated and signed by a registered technologist. Grade determination and recording will be
the responsibility of the program faculty. The student must bring a copy of the form to the
program faculty where it will be graded and documented in the Rad Tech Office.
Copies of Competency Sheets are due at the end of each month starting in the Freshman
Spring Semester.
88
All procedures must be completed whether:
M: Mandatory or
E: Elective
---------------------------------------------------------Bold: Can use phantom or simulation
SOPHOMORE COMPETENCY EXAM SHEET
STUDENT NAME: __________________________________________
TOTAL
DATE
IMAGING
PROCEDURE
M
Chest - Routine
M
“
M
Chest AP
M
E
PT ID# /
PHANTOM
DATE: ________________________________
ACCEPTABLE
RT SIGNATURE
CHEST & THORAX
2
1
(Wheelchair or Stretcher)
1
Ribs
1
Sternum
M
E
UPPER EXTREMITY
1
Finger or Thumb
M
1
Hand
M
2
Wrist
M
“
M
Forearm
M
“
M
Elbow
M
“
M
Humerus
M
“
M
Shoulder
M
“
M
1
Trauma: Shoulder (Scapular Y,
Transthoracic or Axillary)*
M
1
Scapula
E
1
Clavicle
E
1
AC Joints
E
1
Trauma: Upper Extremity
2
2
2
2
(Nonshoulder)*
M
*Trauma is considered a serious injury or shock to the body. Modifications may include variations in positioning, minimal movement of
the body part, etc.
89
(PAGE 2)
M: Mandatory or
E: Elective
STUDENT NAME: _______________________________________________________
TOTAL
DATE
EXAM NAME
M
E
PT ID# /
PHANTOM
ACCEPTABLE
RT SIGNATURE
LOWER EXTREMITY
1
Toe
E
2
Foot
M
“
M
1
Calcaneus (OsCalcis)
2
Ankle
M
“
M
Tibia-Fibula
M
“
M
Knee
M
“
M
2
2
E
1
Patella
2
Femur
M
“
M
Trauma: Lower Extremity*
M
1
E
HEAD
1
Paranasal Sinuses
E
1
Nasal Bones
E
* Trauma is considered a serious injury or shock to the body. Modifications may include variations in positioning, minimal movement of
the body part, etc.
90
M: Mandatory or
E: Elective
(PAGE 3)
STUDENT NAME: _______________________________________________________
TOTAL
DATE
EXAM NAME
M
Cervical Spine
M
“
M
E
PT ID#/
PHANTOM
ACCEPTABLE
RT SIGNATURE
SPINE AND PELVIS
2
1
Trauma: Cervical Spine
2
Thoracic Spine
M
“
M
Lumbosacral Spine
M
“
M
E
*
(Cross Table Lateral)
2
Sacrum
1
and/or
E
Coccyx
1
Sacroiliac Joints
2
Pelvis
M
“
M
Hip
M
“
M
Cross Table
Lateral Hip
M
2
1
E
ABDOMEN
1
1
Abdomen Supine
(KUB)
Abdomen-Upright
* Trauma is considered a serious injury or shock to the body.
M
M
Modifications may include variations in positioning, minimal movement of the body part,
etc.
91
M: Mandatory or
E: Elective
(PAGE 4)
STUDENT NAME: _______________________________________________________
TOTAL
DATE
EXAM NAME
M
E
PT ID#/
PHANTOM
ACCEPTABLE
RT SIGNATURE
FLUOROSCOPY
STUDIES
1
2
1
E
Esophagus
Upper GI Series
E
Single or Double Contrast
“
E
Small Bowel
Series
E
SURGICAL STUDIES
1
C-Arm Procedure
(Orthopedic)
M
MOBILE STUDIES
1
Portable Chest
M
1
Portable Abdomen
M
1
Portable Orthopedic
M
Chest Routine
M
1
CPR
M
1
Vital Signs
M
1
Sterile & Aseptic
Technique
M
1
Venipuncture
M
1
Transfer of Pt.
M
1
Care of Pt. Med. Equip.
M
PEDIATRICS
(Age 6 or younger)
1
GENERAL PATIENT
CARE
(BP, Pulse, Resp.)
(e.g. oxygen tank, IV tubing)
*Trauma is considered a serious injury or shock to the body. Modifications may include variations in positioning, minimal movement of the body part,
etc.
92
PERFORMANCE EVALUATION
1. Evaluation of Requisition
a.
b.
c.
d.
e.
identified procedures to be performed
identified the patient’s name and age
identified patient location and mode of
transportation
acknowledged any pathological conditions
acquired appropriate clinical patient history
2. Physical Facilities Readiness
a.
b.
c.
verified that equipment is operational
provided a clean and orderly work area
obtained appropriate supplies for examination
3. Patient Care
a.
b.
selected the correct patient
introduced himself/herself to patient and briefly
explain the procedure
c. requested last menstrual period (LMP) date of
female patients between the ages of 12-60
d. transported patient to appropriate imaging area
e. verified if patient is properly prepared for the
examination
f. identified, when appropriate, that there are no
contraindications for performing procedure
g. provided safe storage for patient’s belongings
h. provided appropriate assistance to
radiographic table based on patient’s condition
i. maintained patient dignity and modesty
through proper gowning and covering for the
patient
j. talked to patient in a concerned, professional
manner
k. applied universal precautions as established
by the Centers for Disease Control
l. provided proper instructions for moving and
breathing
m. checked patient’s condition at regular intervals
n. provided for patient security if the patient is left
alone in the radiographic room
IMAGE EVALUATION
4. Equipment Operation
a.
b.
c.
d.
e.
f.
g.
h.
i.
maneuvered the x-ray tube and bucky utilizing
appropriate controls and locks
selected the proper film, film holder, grid, etc.
selected appropriate FFD (SID)
manipulated image receptor, as appropriate,
for accurate imaging
measured the patient
used immobilization devices, as needed
referred to technique chart
selected exposure factors
used equipment so as not to exceed
recommended safety guidelines
5. Positioning Skills
a.
b.
c.
d.
positioned the patient
aligned center to part to be demonstrated to
the center of the film
set the correct tube angle
set the correct FFD (SID)
6. Evidence of Radiation Protection
a.
b.
c.
d.
e.
collimated to part
used gonadal shields, if appropriate
demonstrated use of lead apron, gloves, and
lead blockers, if appropriate
selected proper exposure factors
adjusted exposure factors for motion,
pathology or patient size when appropriate
7. Anatomical Parts
a.
b.
c.
8. Proper Alignment
a.
b.
c.
d.
film centered
part centered
tube centered
patient aligned correctly
9. Radiographic Techniques
a.
b.
c.
d.
technique chart used correctly (proper contrast
and density
compensation of exposure factors for
pathology
correct exposure factors used to produce
diagnostic image
correct film, screen, grid, FFD(SID), and OFD
(OID)
10. Film Identification and/or Other Identifications
a. right and left markers properly displayed (free
of pertinent anatomy)
b. accessory markers visible, if required (minute,
hour and directional)
c. patient information and date identified
a.
b.
c.
93
part shown in proper position
adequate detail (no motion)
identified anatomical structures
evidence of collimation
gonadal shields in place, if required
NO REPEATS
DOCUMENTATION OF RADIATION MONITORING BADGE READINGS
OVER 100 mREM
This form is used to document a student’s monthly radiation badge reading if it is over
100mREM. The program director will document a consultation with the student on the
student contact form and the clinical instructor will complete this form after consultation
with the student. The student will then return the completed form to the program office.
The clinical instructors will receive copies for their files.
94
DOCUMENTATION OF RADIATION MONITORING BADGE READINGS OVER 100
mREM
Student ________________________________________
Date _______________
Clinical Site ___________________________________________________________
Radiation Badge Reading _____________mREM for the month of _________________
If a student’s radiation badge reading is over 100 mREM for any month, the following
procedure will be followed and documented:
DATE
1.
Discussion between student and program director concerning
reasons for overexposure.
____________
2.
3.
4.
A student contact form signed by the student and program
director.
____________
Discussion with the clinical instructor concerning possible
reasons for overexposure.
____________
Recommendations made by the clinical instructor to prevent
future overexposure.
____________
POSSIBLE REASONS AND RECOMMENDATIONS ___________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
_________________________________________
_____________________
Date
_________________________________________
Signature of Program Director
_____________________
Date
_________________________________________
Signature of Clinical Instructor
_____________________
Date
95
DOCUMENTATION OF STUDENT CONTACT
Student _______________________________________
Date_________________
Instructor ______________________________________________________________
REASON FOR CONTACT ________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
PROGRAM POLICY _____________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
ACTION TO BE TAKEN __________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
__________________________________
________________________________
Signature of Instructor
96
FORMS TO BE COMPLETED BY FACULTY
The following form is to be completed by the Program Faculty. Description and sample
forms follow.
GUIDE FOR CLINICAL VISITS
97
GUIDE FOR CLINICAL VISITS
This form is completed when the program faculty visit the clinical site. It is signed by the
clinical instructor and the faculty member.
98
Guide for Clinical Visits
Hospital__________________________________
Date_______________________
THE FOLLOWING AREAS WERE COMPLETED DURING THIS CLINICAL VISIT:
_____ 1.
Checked for a complete student uniform.
_____ 2.
Checked all tardies and absences.
_____ 3.
Assessed the attitude of the student.
_____ 4.
Discussed the student’s stage of progress.
_____ 5.
Checked student’s radiographic images.
_____ 6.
Collected completed student evaluations.
_____ 7.
Other – see additional comments.
ADDITIONAL COMMENTS: ______________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
_________________________________
Clinical Instructor
________________________________
Faculty Instructor
99

RADIOLOGIC TECHNOLOGY PROGRAM MANUAL 2014-2015

Transcription

Similar documents

Radiologic Technology Program Miles City Site

Tarheel Technology Highlights

Bellin Health`s School of Radiologic Technology

Five College Registration

Information Packet Mills-Peninsula Health Services School of

The Karate Dojo

Issue 5, July 2012

PDF - Mitchell Williams

Computer Maintenance and Repair I Course Syllabus

Incomplete Grade - Office of the Registrar