Radiologic Technology Program Policy Manual Academic Year 2014 – 2015 2 Radiologic Technology Program Radiologic Technology Faculty Julie Hall, M.P.H, R.T. (R)(CT) Teresa Manis, B.S., R.T. (R) Vickie A. Hensley, B.S., R.T. (R) Program Director Clinical Coordinator Didactic Instructor Clinical Instructors Clinical Affiliates Brad Harris, B.S., R.T (R) Athens Regional Medical Center Jenny Jenkins, A.S., R.T.(R) Turkey Creek Medical Center Noreen Geffert, R.T. (R) Blount Memorial Hospital, Inc. Carrie Trisdale, B.S., R.T.(R) Cookeville Regional Medical Center Sarah Phy, A.A.S.,R.T.(R) Cookeville Regional Medical Center Lesley Sapp, A.A.S., R.T.(R) Cumberland Medical Center Darryl Atkinson, A.S., R.T.(R) Cumberland Medical Center Wawana Walker, R.T. (R) East Tennessee Children’s Hospital Lisa Duncan, R.T. (R) East Tennessee Children’s Hospital Michelle Moorman, A.A.S., R.T. (R)(CT)(MR) Fort Loudoun Medical Center Leslie Gourley, R.T. (R), (CT) (BD) Fort Loudoun Medical Center Kristi Peterson, A.A.S., R.T.(R) Fort Sanders Regional Medical Center Micki Venable, A.A.S., R.T.(R) Fort Sanders Regional Medical Center David Howard, A.A.S., R.T.(R)(CT)(CI)(CNMT) (NCT)(RICS) LeConte Medical Center Pat Gunter, R.T. (R) Jamestown Regional Medical Center Clarence Lane, R.T. (R) Jamestown Regional Medical Center Angie Crowe, A.A.S., R.T. (R) Methodist Medical Center of Oak Ridge Donna Hale, R.T. (R) Methodist Medical Center of Oak Ridge Lindsey Lowery, A.A.S., R.T. (R) Parkwest Medical Center Tiffany Martin, A.A.S., R.T. (R) Parkwest Medical Center Jill Parham, A.A.S.,R.T.(R) Roane Medical Center Carrie Armes, A.A.S., R.T.(R) Roane Medical Center Holly Greenway, A.A.S., R.T. (R) Physicians Regional Medical Center Jenny Jenkins, A.S., R.T. (R) North Knoxville Medical Center Julie Patterson, A.A.S., R.T. (R) North Knoxville Medical Center Deonna Carranza, A.A.S., R.T. (R) LaFollette Medical Center Regina Williams, A.S., R.T.(R) Sweetwater Hospital Association Marla Lawson, A.A.S., R.T.(R) Sweetwater Hospital Association 3 Policies ~ Forms Index Page(s) A Accidents……………………………………………………………………………………………………….…. 44 Advanced Placement……………………………………………………………………………………..……… 20 American Disability Act…………………………………………………………………………………………. 17 Anatomy Testing (defined)…………………………………...…………………………………………….…… 16 ARRT (American Registry of Radiologic Technologist)……………………………………………………… 14 ARRT Code of Ethics 13 ARRT Requirements for Reporting a Felony………………………………………………………………...… 17 ASRT (American Society of Radiologic Technologists)……………………………………………………..… 14 Authorization for Release of Student Information and Acknowledgment……………………………..….. 102 B Background Checks……………………………………………………………………………….…………….. 24 General Information………………………………………………………………………………….……… 24 Program Information for Background Checks………….…………………………………………..…….. 25 Arranging for Background Check Report…………………………………………………………………. 25 Steps to Arrange Background Checks and Drug Screening……………………………………………… 26 LABCORP Locations…………………………………………………………………………………...…….. 30 Background check results are color coded Yellow………………………………………………………… 25 Background check results are color coded Red…………………………………………………………….. 25 Blood and Body Fluid Infection Control Precautions……………………………………….………………... 35 Barriers………………………………………………………………………………………………….……… 35 Disinfection………………………………………………………………………………………………..…… 35 Sharps……………………………………………………………………………………………………..……. 36 Resuscitation………………………………………………………………………………………..…………. 36 Exposure Event…………………………………………………………………………………………..……. 36 Calling In at External Rotations………………………………………………………………………………… 38 Certification……………………………………………………………………………………………….……… 20 Cheating…………………………………………………………………………………………………….…….. 18, 46 Children on Campus………………………………………………………………………………………..…… 18 Clinical Affiliates (list)…………………………………………………………………………………………… 2 Clinical Assignments…………………………………………………………………………………………….. 33 Clinical Competency (defined)…………………………………………………………………………………. 15 Clinical Competency Requirements / Form……………………………………………………………….…. 78 - 80 Clinical Coordinator (defined)……………………………………………………………………………...….. 9 Clinical Education Objectives……………………………………………………………………...…………… 48 - 50 C 4 Clinical Education Physical Skills……………………………………………………………………………….. 51 Clinical Education Plan………………………………………………………………………………………….. 52 Laboratory Objectives………………………………………………………………………………..………. 52 Laboratory Requirements……………………………………………………………………………...…….. 52 Clinical Evaluation Performance……………………………………………………………………….………. 82 Psychomotor………………………………………………………………………………………………..…. 82 Cognitive………………………………………………………………………………………………….…… 82 Affective………………………………………………………………………………………………………. 82 Clinical Exam Competency……………………………………………………………………………………… 77 Clinical Hours/Breaks…………………………………………………………………………………………... 38 Clinical Instructor Primary (defined)……………………………………………………………………….…. 9 Clinical Instructor Secondary (defined)…………………………………………………………………….…. 9 Clinical Instructors (list)…………………………………………………………………………………………. 2 Clinical Objectives/Worksheets………………………………………………………………………………… 53 – 76 Task – Digital Radiography Skills………………………………………………………………………...… 54 Task – Front Desk/File Room…………………………………………………………………………..…… 55 Task - Patient Transport………………………………………………………………………………..…….. 56 Task - Insertion of Enema Tip……………………………………………………………………………..… 57 Task - Barium Bag Preparation…………………………………………………………………..…………. 58 Task - Drawing Up Contrast Agents…………………………………………………………………..…… 59 Task – Venipuncture…………………………………………………………………………………………. 60 Task - Blood Pressure………………………………………………………………………………………... 61 Task - Pulse/Respirations………………………………………………………………………………..….. 62 Task – Opening Sterile Supplies…………………………………………………………………….……… 63 Equipment - Radiographic/Fluoroscopic Rooms………………………………………………………... 64 Equipment – Mobile/Portables Units………………………………………………………………….….. 65 Equipment - C-Arm………………………………………………………………………………………..… 66 Equipment – Cysto…………………………………………………………………………………….…..… 67 Evening Rotation…………………………………………………………………………………………...… 68 External Rotation – Pediatrics……………………………………………………………………………..… 69 Cat Scan (2 week rotation)………………………………………………………………………………..…. 70 Elective Rotation - Interventional Services……………………………………………………………..…. 71 Elective Rotation- Radiation Therapy……………………………………………………………...………. 72 Elective Rotation- Nuclear Medicine……………………………………………………………………..… 73 Elective Rotation- Computed Tomography……………………………………………………..………… 74 Elective Rotation- Ultrasound………………………………………………………………………….…… 75 Elective Rotation- Magnetic Resonance Imaging…………………………………………………………. 76 5 Clinical Participation (defined)………………………………………………………………………………….. 15 Clinical Performance Evaluation (CPE)………………………………………………………………………… 40, 91-94 Clinical Site Disciplinary Action Process……………………………………………………………….……… 46 Clinical Site Grievance…………………………………………………………………………………………… 46-47 Clinical Site Policies……………………………………………………………………………………...………. 33 Clinical Supplies………………………………………………………………………………………………….. 42 Pocket Guide……………………………………………………………………………………………………. 42 Logbook…………………………………………………………………………………………………………. 42 Exam Competency Handbook……………………………………………………………………………..…. 42 Clinical Testing……………………………………………………………………………………………….…… 83 Code of Ethics / Principles (ARRT)……………………………………………………………………………… 13 Communicable Diseases………………………………………………………………………………………….. 35 Compassionate Leave…………………………………………………………………………………………..…. 40 Competency Anatomy Testing………………………………………………………………………………..…. 83 Competency Category (defined)………………………………………………………………………….……… 16 Competency Requirements……………………………………………………………………………….……… 44 Competency Testing (defined)………………………………………………………………………………….. 15 Confidential Information (Patient)……………………………………………………………………………… 43 Consent Form……………………………………………………………………………………..………………. 103 Consideration of Fellow Students……………………………………………………………………..……….. 18 Core Competencies (RSCC Allied Health)……………………………………………………………………… 11 Counseling…………………………………………………………………………………….……………………. 17 D Didactic Instructor (defined)………………………………………………………………………..……………. 9 Direct Supervision (defined)………………………………………………………………………………..……. 15 Dress Code………………………………………………………………………………………………..………. 41 Uniforms / Lab Jackets…………………………………………………………………………….…………. 41 Shoes…………………………………………………………………………………………………………….. 41 Jewelry………………………………………………………………………………………………………….. 41 Hair & Nails……………………………………………………………………………………………………. 41 Miscellaneous………………………………………………………………………………………….………. 41 Drug and Alcohol Policy……………………………………………………………………………………..…… 31 To Report An Occurrence……………………………………………………………………………..………. 31 Further Actions to be taken……………………………………………………………………………..…….. 31-32 Substance Abuse…………………………………………………………………………………………….…. 32 Consent to Drug/Alcohol Testing Form….…………………………………………………………………. 91 6 E Educational Meetings......................................................................................................... ......................................... 14 Electronic Devices……………...................................................................................................... .............................. 18 Equipment Competency (defined)…........................................................................................................................ 15 Exam Competency (defined)…................................................................................................... ............................. 15 Exam Competency Objectives….......................................................................................................... ...................... 77 F Faculty (list)………………………………………………………………………………………..………………. 2 Fire Safety…................................................................................................................................................................. 43 Full-time Student………………………………………………………………………………………..…………. 20 G General Patient Care Requirements……………………………………………………………………………… 81 General RDT Program Grievance Procedure………………………………………………………………..….. 21 Grade Appeal Procedure…………………………………………………………………………………………. 21 Grade Change…………………………………………………………………………………………………..….. 37 Grade Sheet ~ 1st Semester………………………………………………………………………………..……… 87 Grade Sheet ~ 2nd Semester………………………………………………………………………………..…….. 88 Grade Sheet ~ 3rd Semester…………………………………………………………………………………..….. 89 Grade Sheet ~ 4th & 5th Semester…………………………………………………………………………...…… 90 Graduation Requirements…………………………………………………………………………………..……. 17 Grounds for Dismissal…………………………………………………………………………………………….. 23 H Harassment Policy……………………………………………………………………………………………….… 36 Health/Physical Exams………………………………………………………………………………..…………. 34 Hepatitis Vaccination………………………………………………………………………………………….…. 35 Holding Patients………………………………………………………………………………………………..…. 34 I Imaging Approval Policy…………………………………………………………………………………………. 44 Inclement Weather……………………………………………………………………………………..………….. 37 Indirect Supervision (defined)……………………………………………………………………………………. 15 Internal Rotations…………………………………………………………………………………………….……. 33 J JRCERT (defined)………………………………………………………………………………………………….. 12 L Laboratory Simulation (defined)…………………………………………………………………………………. 15 Lead Markers…………………………………………………………………………………………………..…… 43 Liability Insurance……………………………………………………………………………………………..….. 34 7 M Make Up Assignments…………………………………………………………………………………………….. 40 Scheduling Make-up Time ……………………………………………………………………………...……. 39 Assignment Request Form for Missed Clinical Hours…………………………………………………..… 97 Marriage……………………………………………………………………………………………….……………. 40 Mastery Testing (defined)…………………………………………………………………………………...……. 16 Mastery Testing……………………………………………………………………………………………………. 83 Mastery Testing Documentation ~ First Year……………………………………….………………………. 84 Mastery Testing Documentation ~ Second Year………………………………………………………..…… 85 Mastery Level Clinical Competency/ Grade Sheet……………………………………………….………… 86 Mission Statement (Radiologic Technology)……………………………………………………….…………… 10 Mobile Unit/Portable Radiography Guidelines…………………………………...…………………………… 45 P Parking……………………………………………………………………………………………………………… 43 Pediatric Rotation………………………………………………………………………………………..………… 34 Periodic Progress Report (Online also)…………………………………………………………………….…… 95 Personal Health Insurance…………………………………………………………………………………..…… 34 Personal Leave Time…………………………………………………………………………………………..….. 38 Personal Medical Needs……………………………………………………………………………………...…… 34 Personal References/Student Educational Records………………………………………………………...….. 37 Personal Student Information Form……………………………………………………………………...……… 101 Policy Revisions………………………………………………………………………………………..………….. 19 Policy Violations (Points of Final Grade)…………………………………………………………………….…. 45 Program Policy Violations Form….…………………………………………………………….……….…… 98 Pregnancy Policies Options 1, 2, 3 and 4……………………………………………………………………..…. 22 Pregnancy Withdrawal and Declaration Form.………………………………………………….…….….. 96 Professional Behavior (defined)………………………………………………………………………………….. 15 Program Director (defined)……………………………………………………………………………….………. 9 Program Dismissal…………………………………………………………………………………………………. 23 Program Goals…………………………………………………………………………………………………..….. 10 R Radiation Monitoring/ Dosimeters.....……………………………………………………………………….….. 42 Radiation Protection Procedures/Policies……………………………………………………………….…… 33, 47 Readmission Policies……………………………………………………………………………………..……….. 19 Remediation - 3 time/3 year rule………………………………………………………………………..………. 21 Repeat Policy………………………………………………………………………………………………….……. 44 Repeat Policy Form………………………………………………………………………………………….…….. 100 Reporting Communicable Disease………………………………………………………………………….……. 35 Resolution of Allegations of Non-Compliance of JRCERT Standards………………………………….……. 21 8 Retention Policies……………………………………………………………………………………………..……. 19 Revoking Exam Competencies…………………………………………………………………………...………. 45 Room/Equipment/Tasks Worksheets………………………………………………………………………….. 38 Rotation Assignments……………………………………………………………………..……………………… 33 RSCC Library and Library Resource Center………………………………………………………….………… 17 S Scheduled Classes Alternatives………………………………………………………………………………….. 17 Sick Leave or Pregnancy…………………………………………………………..……………………………… 40 Smoking/Smokeless Tobacco..................................................................................................... ............................ 43 Social Media............................................................................................................................................................... 104 Specialty Area Rotations..................................................................................................... ...................................... 34 Standards (JRCERT)..................................................................................................................... ............................. 12 Standards for Readmission (2nd attempt)............................................................................................................... 20 Student Conduct and Disciplinary Sanctions................................................................................... ..................... 23 Student Formal Complaints/Grievances and Due Process................................................................................. 21 Student “Radiographers”......................................................................................................................................... 45 Study/Review of Assignments.................................................................................................. .............................. 37 T Tardiness…………………………………………………………………………………………………….……… 39 Task Competency (defined)……………………………………………………………………………………..... 15 Technologist (defined)……………………………………………………………………………………..……… 9 Telephone/ Cell Phones……………………………………………………………………………………...…… 43 Theft…………………………………………………………………………………………………………………. 44 Time Keeping………………………………………………………………………………………………………. 38 Tips and Gifts………………………………………………………………………………………………..…….. 44 Transfer Student……………………………………………………………………………………………….…… 20 Transportation & Parking Fees…………………………………………………………………………………... 37 TSRT (Tennessee Society of Radiologic Technologists)………………………………………………...……… 14 U Uniforms/Lab Jackets......................................................................................................... ..................................... 41 Unreasonable Absences............................................................................................................................................ 39 W Withdrawal/Failure of RDT Course(s).......................................................................................... ........................ 20 9 Faculty Position Descriptions Program Director A full-time employee of the sponsoring institution with primary responsibilities to include organization, administration, periodic review, continued development, and general effectiveness of the program. In addition to these responsibilities, the Program Director will teach didactic courses/labs, and ensure the effectiveness of the clinical education component of the program. Clinical Coordinator Individual responsible for coordination of all hospital affiliations and the student’s subsequent rotations. Instruction and clinical competency evaluation of students within the scope of site visits. The clinical instructors along with the coordinator will assist all students with problems regarding clinical education. The coordinator also assists the Program Director in curriculum planning and design as well as supervision and assisting all clinical faculty. Didactic Instructor Individual who teaches Radiologic Technology classes on the college campus only. Assists Program Director in curriculum planning and design as well as ensures the effectiveness of the clinical education component of the program. Clinical Instructor (Primary) A registered technologist responsible for record-keeping, clinical instruction, clinical anatomy testing and evaluation of students. The clinical instructor will assist students with all matters regarding clinical education. Clinical Instructor (Secondary) A registered technologist of the clinical affiliate responsible for supervision of students in the absence of primary clinical instructor as college designated personnel. The clinical instructor will assist the student with problems regarding the department if the primary clinical instructor is not available. Technologist Must be a registered technologist with the ARRT. Only registered technologists will be able to sign off on competencies, observe repeats, and complete evaluations. 10 Roane State Community College Radiologic Technology Program Mission Statement, Program Goals, and Student Learning Outcomes __________________________________________________________________ Program Mission The RSCC Radiologic Technology Program seeks as an overall goal to provide students with a complete educational and clinical experience in order to ensure students will achieve all skills necessary for employment as competent entry-level radiologic technologists. This overall goal is further defined as follows: Program Goals and Student Learning Outcomes The Radiologic Technology Program has established goals and student learning outcomes in accordance with Joint Review Committee on Education in Radiologic Technology Standards. The program establishes benchmarks and utilizes a variety of tools to assess whether student learning outcomes are achieved. Tools include but are not limited to student assignments, exams and laboratory assignments, the clinical performance evaluation form, as well as employer, graduate, and exit surveys. Goal: Students will demonstrate clinical competency. Student learning Outcomes: Students will apply appropriate positioning skills. Students will practice/apply appropriate radiation protection. Students will select appropriate technical factors. Goal: Students will demonstrate effective communication skills. Student learning Outcomes: Students will demonstrate effective verbal communication skills with patients and healthcare staff. Students will demonstrate effective written communication skills with patients and healthcare staff. Goal: Students will develop critical thinking and problem-solving skills. Student learning Outcomes: Students will demonstrate the ability to make decisions and use independent judgment. Students will be able to exercise judgment in the technical performance of medical imaging procedures. Students will be able to adapt patient positioning, projections, and technical factors based on patient condition. Goal: Students will model professionalism. Student learning Outcomes: Students will understand the importance of professional growth and continuing education. Students will display professional behaviors in the clinical setting. Revised 7/2014 11 Roane Sate Community College Allied Health Sciences Division Core Competencies Upon completion of the Radiologic Technology Program the graduate will be able to: 1. Communicate verbally and non-verbally with co-workers, staff members, patients, and their families in an effective and appropriate manner 2. Demonstrate a commitment to professional career development and self-directed lifelong learning 3. Identify and respect patients’ differences, values, preferences, and needs 4. Understand and apply relevant legal and ethical concepts within your discipline 5. Work efficiently and effectively in diverse patient-centered care/service environments 6. Demonstrate knowledge and understanding of the structure and function of the human body to include the biological and physical sciences 7. Manage workload whether performed alone or as part of a team in an efficient and effective manner 8. Uphold professional standards and responsibilities to promote quality in practice 9. Solve problems commonly encountered in one’s own work efficiently and effectively 10. Practice safety awareness (techniques, universal precautions, etc.) in the clinic and/or the community 11. Demonstrate an awareness of social responsibility, citizenship, and advocacy, including participation in community and service organizations and activities 12. Demonstrate knowledge of principles, techniques, and equipment appropriate to the discipline Revised and approved 11/2011 12 Joint Review Committee on Education in Radiologic Technology Standards for an Accredited Educational Program in Radiologic Technology www.jrcert.org The Joint Review Committee on Education in Radiologic Technology accredits the Radiologic Technology program. The Standards for an Accredited Educational Program in the Radiologic Sciences are listed below: Standard One: The program demonstrates integrity in the following: Representations to communities of interest and the public, Pursuit of fair and equitable academic practices, and Treatment of, and respect for, students, faculty, and staff. Standard Two: The program has sufficient resources to support the quality and effectiveness of the educational process. Standard Three: The program’s curriculum and academic practices prepare students for professional practice. . Standard Four: The program’s policies and procedures promote the health, safety, and optimal use of radiation for students, patients, and the general public. Standard Five: The program develops and implements a system of planning and evaluation of student learning and program effectiveness outcomes in support of its mission. Standard Six: The program complies with JRCERT policies, procedures, and STANDARDS to achieve and maintain specialized accreditation. Programs are required to comply with these and other administrative requirements for maintaining accreditation. Additional information on policies and procedures is available at www.jrcert.org. 13 American Registry of Radiologic Technologists’ Code of Ethics www.arrt.org Principle 1 The radiologic technologist conducts himself/herself in a professional manner, responds to patient needs and supports colleagues and associates in providing quality patient care. Principle 2 The radiologic technologist acts to advance the principal objective of the profession to provide services to humanity with full respect for the dignity of mankind. Principle 3 The radiologic technologist delivers patient care and service unrestricted by concerns of personal attributes or the nature of the disease or illness, and without discrimination, regardless of sex, race, creed, religion or socioeconomic status. Principle 4 The radiologic technologist practices technology founded upon theoretical knowledge and concepts, utilizes equipment and accessories consistent with the purpose for which they have been designed, and employs procedures and techniques appropriately. Principle 5 The radiologic technologist assesses situations; exercises care, discretion and judgment, assumes responsibility for professional decisions; and acts in the best interest of the patient. Principle 6 The radiologic technologist acts as an agent through observation and communication to obtain pertinent information for the physician to aid in the diagnosis and treatment of the patient and recognizes that interpretation and diagnosis are outside the scope of practice for the profession. Principle 7 The radiologic technologist utilizes equipment and accessories, employs techniques and procedures, performs services in accordance with an accepted standard of practice, and demonstrates expertise in minimizing the radiation exposure to the patient, self and other members of the health care team. Principle 8 The radiologic technologist practices ethical conduct appropriate to the profession, and protects the patient’s right to quality radiologic technology care. Principle 9 The radiologic technologist respects confidences entrusted in the course of professional practice, respects the patient’s right to privacy and reveals confidential information only as required by law or to protect the welfare of the individual or the community. Principle 10 The radiologic technologist continually strives to improve knowledge and skills by participating in continuing educational and professional activities, sharing knowledge with colleagues and investigating new aspects of professional practice. 14 Radiologic Technology Program and Professional Organizations The American Registry of Radiologic Technologists (ARRT) www.arrt.org The ARRT promotes high standards of patient care by recognizing qualified individuals in medical imaging, interventional procedures, sonography and radiation therapy. In support of this mission, the ARRT: Adopts and upholds standards for educational preparation for entry into the profession; Adopts and upholds standards of professional behavior consistent with the level of responsibility required by professional practice; Develops and administers examinations which assess the knowledge and skills underlying the intelligent performance of the tasks typically required by professional practice in the modality. In addition to initial recognition, ARRT provides a mechanism to recognize individuals who continue to demonstrate their qualifications through adherence to the standards of professional behavior and compliance with the continuing education requirements. American Society of Radiologic Technologists (ASRT) www.asrt.org The ASRT is a professional organization which consists of 54 affiliate societies, which represent the 50 states, District of Columbia, Philadelphia, Puerto Rico and Guam. It is through these organizations that information flows back and forth from individual members to the leadership. The affiliates also provide momentum for grassroots efforts affecting state and federal legislative initiatives in the imaging arena. Tennessee Society of Radiologic Technologists (TSRT) www.tsrt.org The TSRT is a state level society, one of the 54 ASRT affiliates whose purpose is to advance the art and science of Radiologic Technology, to assist in establishing and maintaining high standards of education and training, to elevate the quality of patient care, and to improve the welfare and socioeconomics of Radiologic Technologists. Educational Meetings Students who wish to attend educational meetings must receive prior approval from the RDT faculty, both clinical and didactic instructors. These attended educational functions must include topics pertinent to diagnostic imaging. Students will be held accountable for any unprofessional behavior or misconduct during attendance since they are representing RSCC and the Radiologic Technology Program. 15 Program Terms and Definitions Direct Supervision A registered technologist is in the imaging area supervising the performance of radiographic exams by the student. Direct supervision is required prior to and during completion of competency requirements. All portable, surgery exams, and repeat radiographs/images always require direct supervision regardless of level of student competency. Indirect Supervision A registered technologist is in the radiology department and available to assist students in the performance of radiographic examinations (not applicable to mobile/surgery competencies or repeat radiographs/exposures performed by student where direct supervision is always required). Clinical Participation Observation, assisting the registered technologist, performance of radiographic procedures and examinations. Professional Behavior Conduct or actions regarding the didactic & clinical environment. Characterized by or conforming to the technical or ethical standards of a profession and exhibiting a courteous, conscientious, and generally businesslike manner in the workplace. Laboratory Simulation Demonstration of radiographic procedures or examinations followed by student practice, and simulation evaluation of skills on non-energized equipment prior to practice and performance on patients in the clinical setting. Clinical Competency Demonstration of skills and knowledge necessary for the satisfactory performance of optimal radiographs/images. Task Competency Demonstration of competent performance of job tasks performed routinely in the radiology department and in ancillary work areas in preparation for radiographic procedures. Worksheets must be completed as the student is assigned to these areas and submitted by the end of the third semester if availability allows. Equipment Competency Demonstration of competent performance in the manipulation and adjustment of the various radiographic equipment and accessories. Worksheets must be completed for each radiographic/fluoroscopic room, mobile radiographic unit, and C-arm(s). All clinical competency worksheets, with the exception of C-arms, must be completed by the end of the third semester. Completion dates for the C-arm(s) will be the end of the fourth semester. Exam Competency Competency demonstration on radiographic procedures at the clinical affiliate during scheduled clinical hours. Students may perform exam competencies after successful classroom/lab positioning testing. Repeat films will not be accepted for competencies. Exceptions may be made at the discretion of the clinical faculty. 16 Competency Category Divisions or sub-groups of radiographic procedures and examinations determined by anatomical area, equipment usage, or need for contrast media. Mastery Testing Verification of competency exams completed during the program. Exams will not be simulated and must be approved by the clinical instructor. Anatomy Testing Anatomy testing of competency procedures demonstrated in the clinical setting. 17 Didactic Education Information and Campus Policies RSCC Library and Library Resource Center Radiologic Technology students are encouraged to use the resources of the campus library. The program director and clinical coordinator also maintain a small library in the radiology lab. Counseling The program director and faculty are available for counseling and advisement, as needed. Students may be referred to the Counseling and Career Resource Center to meet with a licensed counselor. American Disability Act It is the student’s responsibility to self identify with the Office of Disability Services in order to receive accommodations. Disability Services is located in B-106, ORBC. Only students with official documentation from the Office of Disability services will receive accommodations. Students with documented disabilities should present the Accommodations Plan Form from Disability Services to the instructor no later then the first two weeks of the semester. The Accommodation Form should be immediately returned to Disability Services so accommodations can be finalized. If services are requested later in the semester, Disabilities Services will determine whether accommodations will be feasible. Scheduled Classes Alternatives The faculty secretary will post a note on the doorway of the classroom any time that an instructor is unable to meet the students for a scheduled class. The students are encouraged to take advantage of this additional study time and utilize college resources such as the library, complete labs, or other resources to prepare for other RDT classes. ARRT Requirements for Reporting a Felony www.arrt.org Students found guilty of a felony may be restricted from sitting for the registry, even though they have successfully completed the program. Students with such a record are encouraged to start the pre-application process as soon as possible by scheduling a meeting with the program director for the procedures associated with the ethics review pre-application. Graduation Requirements All students must complete the general education requirements as prescribed by the college and specific requirements set forth for the associate degree sought. Refer to the Degree Requirements section of the RSCC catalog and also appropriate program requirements for graduation. Each student must file an Intent to Graduate Form in the Office of Admissions and Records before the beginning of the semester in which the student expects to graduate. Each student must complete at least 25 percent of the credit hours required for their degree program through Roane State Community College and attain a cumulative GPA of 2.0. All students seeking a degree from Roane State will be required to take the Academic Profile exam prior to being granted the degree. This exam must be taken on the student’s own time and cannot be scheduled during clinical hours or didactic classes. Graduation exercises are held at the end of the spring semester only. Students who anticipate completing their work during the current calendar year are eligible to participate in graduation exercises if their grade point average is sufficient for graduation and an Intent to Graduate Form has been officially processed. 18 Cheating Cheating and other forms of academic and clinical dishonesty are prohibited. The instructor has the authority to assign an "F" or a zero for the exercise or examination, or to assign an "F" in the course, to a student found guilty of academic or clinical misconduct (rrefer to the current college catalog). Consideration of Fellow Students/Patients Cologne, perfume, scented body lotions, and sprays are not allowed in the clinical site or classroom. Electronic Devices Cell phones, pagers, and other electronic devices are not allowed in the clinical site or classroom. If a cell phone rings in class, the student will be asked to leave for the remainder of class. Children on Campus Children must not be brought to class or left unattended in any area of the college. Out of consideration to fellow students, faculty and staff, and for safety reasons; please secure appropriate babysitting services off campus. 19 Program Specific Policies Policy Revisions Future changes in medical care, standards of accreditation, legal, and other socioeconomic factors may necessitate modification or amendment of these policies at any time. Retention Policies The Health Sciences Admissions Committee will evaluate students’ grades at the end of each semester. A student must maintain the following standards or he/she will be dismissed from his/her respective program: 1. 2. A grade of "C" or better in each Radiologic Technology (RDT) course. Completion of RDT courses as specified by the degree checklist. A student must be able to complete courses with the class in which he/she was admitted. A student who cannot graduate with the class in which he/she was admitted will be dropped from that class and must reapply to a subsequent class. Readmission / Admission Policies Readmission Procedures 1. 2. 3. 4. 5. 6. 7. 8. 9. Students applying for readmission must meet all admissions criteria for the selected degree program. The applicant must submit a readmission request in writing to the Program Director at least thirty (30) days prior to enrollment. The request must be a detailed personal reflection of the reason(s) for the unsuccessful performance and a plan of correction. One (1) readmission to an AHS degree program will be permitted. Note: Some degree programs may have a time limitation on discipline-specific or general education courses. This requirement is listed in the program’s admission information located on the specific program web page. The applicant must meet this requirement, if applicable. The applicant applying for readmission may be required to interview with the program director and other program faculty, if applicable, before the review date by the AHS Admissions Committee. Interview requirements are listed on the program webpage. An acceptable level of discipline-specific competency may need to be demonstrated prior to readmission. A student with previous unsatisfactory clinical performance must be recommended for readmission by consensus of the program faculty. Note: The program director will verify that all readmission documents including licensure/credentials are current and valid. Readmission to an AHS degree program is contingent upon the availability of space. Students who are dismissed for reasons associated with academic misconduct or code of ethics violations will not be considered for readmission. Final selection of students will be made by the Allied Health Sciences Admissions Committee. Students may repeat a course once and on a space available basis. Students will be notified by e-mail of their acceptance to an Allied Health Sciences program by the Dean of Allied Health Sciences. Students must acknowledge acceptance and return an e-mail within 10 days. Meeting Minimum Requirements Does Not Guarantee Acceptance. Preference will be given to Tennessee residents. Successful admission and completion of any RSCC Allied Health Sciences program does not guarantee state or national licensure or registration to practice as there may be additional state/national criteria required for attainment of various allied health licenses/certifications. 20 Standards for Readmission (2nd attempt) to Clinical Education Courses Reverify all exam competencies received during the 1st attempt in program during the semester of readmission. Maintain established exam competency requirements for the specific clinical education course. See current semester clinical education syllabus for specific number of exam competencies required. Meet new site orientation requirements. Follow current program policy manual and submit signed form verifying review of manual. Repeat Clinical Objectives/Worksheets for new clinic site regarding different equipment and radiographic rooms during the semester of readmission. Transfer Student A student may be accepted from another institution if that student shows successful completion of all courses attempted at the institution and provides a letter of good standing from the former program director. However, the student capacity of Roane State Community College's Radiologic Technology Program must allow for the transfer. All transfer students must meet the admissions policies of the Allied Health Sciences Admissions Committee. Transfer students from certificate programs will be required to prove proficiency through examination for each credit course. Clinical competencies accepted for transfer must have been performed on patients in the hospital setting. An interview with program faculty is also required. Withdrawal / Failure of RDT Course(s) Any student who chooses to withdraw from the Radiologic Technology program at any time must state their reason(s) in a letter to the Program Director. Any student that chooses to reapply to the program after withdrawing will be required to follow college policy for readmission to the Health Sciences Division. See main heading of “Health Science A.A.S. Programs” in the current college catalog for additional information. SPECIAL NOTE: Students who withdraw after the college’s specified deadline or make below a C in a particular RDT class may finish other RDT courses for the remainder of that particular semester. The student must then follow the steps under readmission to be considered to continue in a subsequent class. Full-time Student in the Radiologic Technology Program Any student that is enrolled in 12 credit hours of didactic and clinical courses is defined as fulltime. Didactic and clinical courses will not exceed 40 hours per week. The student may choose to make up clinical hours that may result in greater then 40 hours per week with prior approval from the Clinical Instructor and Clinical Coordinator. Students may audit an RDT course only if the student has previously passed that course. Advanced Placement Graduates of accredited diploma programs who have successfully passed the national registry examination may pursue a degree at Roane State Community College after acceptance by the Allied Health Sciences Admissions Committee. Refer to the current college catalog. Certification Students successfully completing the Radiologic Technology program may apply to take the certification exam administered by the American Registry of Radiologic Technologists. 21 Remediation - 3 attempt / 3 year rule Applicants found eligible for the A.R.R.T. examination are allowed three attempts to pass the examination. After three attempts, it will be required that the applicant reapply to and graduate from an accredited educational program. Student Formal Complaints/Grievances and Due Process The program’s policy is consistent with RSCC policies outlined in the Student Handbook/Calendar and the current college catalog which can be found on the RSCC website. General RDT Program Grievance Procedure Any grievance related to the RDT Program in general must be submitted in writing to the program director during the semester in which the grievance is perceived by the student. The program director will respond to the grievance in writing within five working days. If the program director’s response fails to resolve the grievance or complaint, the student may appeal in writing within five working days to the Dean of Health Sciences who will, within ten working days, respond in writing to the student. If the Dean’s response fails to resolve the grievance, the student may appeal in writing within five working days to the Vice President for Academic Affairs. The Vice President will respond in writing to the student and all concerned parties within ten working days of receiving the student’s written grievance. Resolution of Allegations of Non-Compliance of JRCERT STANDARDS The program assures a timely and appropriate resolution of complaints regarding allegations of non-compliance with JRCERT standards and appropriate documentation. JRCERT standards are listed in the Program Policy Manual, admission information packet, and in the radiologic technology laboratory on campus. Upon receipt of allegations of non-compliance with the standards, the program director will contact the Dean of the Division of Allied Health Sciences and they will review the complaint. The dean will then proceed by following the college’s due process policy to investigate the complaint. Upon resolution, copies of all documents will be maintained by the Radiologic Technology Program and by the division office. Grade Appeal Procedure Grades, as well as transcript information, withdrawals and other data perceived by a student to be in error, must be appealed within the subsequent semester after the information is posted. If a student believes there are circumstances which warrant an appeal of a grade received for other than academic misconduct, the student must appeal the grade within 45 calendar days following the last day of the end of the semester in which the grade was posted. The appeal process must be initiated by the student and includes the following steps which must be followed in this order: 1. 2. 3. Contact the instructor in writing to ensure that no calculation or administrative error occurred and if it is not possible to resolve the problem at this level (The appeal must be in writing and not by phone or text.) The student must submit in writing an appeal to the division dean or appropriate supervisor of the instructor and the student can expect a written response. If issue is not resolved at this level, then The student can submit the written appeal to the Vice President for Academic Services, whose decision will be final *Protests initiated after the allowed time frame of 45 days will not be reviewed. 22 Pregnancy Policies/Options If a student suspects that she is pregnant at any time during the twenty-two month program, they will receive individual counseling on radiation safety and protection. Pregnant students should refer to the handout provided for specific guidelines provided by the Tennessee Department of Environment and Conservation, Division of Radiological Health. If the student chooses to voluntarily inform officials of her pregnancy, a physician statement verifying the pregnancy shall be submitted by the student. This statement must include a medical release which allows the student to continue with clinical assignments. The pregnant student will have four options after voluntary disclosure: Option 1: In writing, the student may voluntary declare pregnancy while continuing her studies in the program and should comply with the following guidelines: Student should wear a wrap-around apron while participating in or observing any radiographic procedures. Student should not be present in fluoroscopy rooms during the fluoro portion of the examination. Student should not perform surgical examinations. Student should only assist in portable examinations and should wear a lead apron and distance herself from the patient during an exposure made by another technologist. Student should not participate in optional rotations which involve fluoroscopic studies (e.g. G.I. lab or cardiac catheterization lab) Student should wear an additional monitor for fetal exposure along with her regular film badge monitor. The National Council on Radiation Protection and Measurement (NCRP) recommends that the maximum permissible dose equivalent to the embryo-fetus from occupational exposure should be limited to 0.5 rem for the entire gestation period and 0.05 rem per month. The additional monitor should be worn at waist level and underneath a protective lead apron. Student will consult the clinical coordinator about any necessary make-up time. Option 2: The pregnant student may voluntarily declare pregnancy to the faculty and continue in the program without any modifications. Option 3: The student may withdraw from her clinical course and any other course(s) in which she could be exposed to ionizing radiation. This is, of course, based on her own decision or that of her obstetrician. The student will maintain the privilege of re-enrolling the following year in any courses she withdrew from because of pregnancy. Option 4: The student may choose to voluntarily withdraw, in writing, the declaration of pregnancy at any time and continue in the program without any modifications. The voluntary pregnancy declaration and withdrawal of the declaration of pregnancy forms are located on page 96. 23 Program Dismissal Program dismissal will result from any grade below a C in any RDT course, a violation of probationary status, attendance, requested removal of student from a clinical site by the hospital affiliate, or violation of program policies as stated in the Program Policy Manual or the RDT Attendance Policy. The program director will notify the student in the event of dismissal from the program. Students dismissed from the Program may appeal the decision in writing within three (3) working days of dismissal. This appeal should be made to the Dean of Allied Health Sciences who, in turn, will gather information from the parties involved and notify the student within ten (10) working days of the appeal. The student may appeal this decision in writing within three (3) working days to the Vice President of Academic Affairs. The Vice President will review the appeal and notify the student of the decision within ten (10) working days. Student Conduct and Disciplinary Sanctions Refer to the current college catalog which can be found on the RSCC website (www.roanestate.edu). Grounds for Dismissal A student could be dismissed from the Radiologic Technology Program at any time for particular violation(s). These infractions include the following, but are not limited, to one of the policies listed below: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Less than a grade of C in any Radiologic Technology course. Incomplete or falsified information on health physical forms. Cheating in related or professional courses. Falsification of records including exam competency book, logbooks, clocking in/out procedure. The known use of, distribution of, or possession of illegal drugs or controlled substances. Reasonable suspicion of drug or alcohol use during clinical assignments. Sexual Harassment issues as explained in the current RSCC catalog. Unreasonable absences from clinical assignments or didactic classes. Unprofessional or unethical conduct. Unsatisfactory clinical performance. Unsatisfactory clinical evaluations. HIPAA Violations as described by both program and affiliate sites. Performing repeat radiographs without a registered technologist present in the radiographic room at the time of necessary modifications and subsequent exposure to the patient. Performing mobile and/or surgical radiography without a registered technologist in attendance. Radiographing a fellow student, family, or friend without a physician’s order. Holding patients or being in the exam room during exposures other than fluoroscopy/ surgery is not permitted. If a clinical affiliate refuses to allow a student on hospital property, the student will thereby be unable to complete the clinical requirements and thus will receive a grade of F in that clinical course and be dismissed from the program. This also includes a clinical affiliate asking for the removal of a student from the clinic site. Wearing or taking hospital surgery scrubs from the facility premises. Failure to use markers and verify incorrectly marked images. 24 ROANE STATE COMMUNITY COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM STUDENT INFORMATION AND REQUIREMENTS BACKGROUND CHECKS General Information In response to the 2004 Human Resource Standards of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the majority of the major healthcare facilities and agencies that serve as clinical affiliates for RSCC Health Sciences programs will require that all students undergo a background check prior to participating in clinical rotations at their facilities. The background check shall include the following: i) ii) iii) iv) v) vi) Name and Social Security number verification; Seven-year multi-county felony and related misdemeanor criminal record Violent Sexual Offender and Predator Registry Search Tennessee Abuse Registry Employment verification (previous 2), if applicable; FACIS Level 3 includes the following: HHS/OIG list of excluded individuals/entities GSA list of parties excluded from federal programs US Treasury, Office of Foreign Assets Control (OFAC) List of Specially Designated Nationals (SDN) The drug screening consists of urine testing, one of the most common screening methods as well as an accurate and reliable way to detect casual drug use that occurred within the past 72 hours. Testing is performed at Substance Abuse and Mental Health Services Administration (SAMHSA)certified laboratories. Truescreen uses LabCorp to conduct the drug screening. 25 Program Information for Background Checks No student will be permitted to participate in a clinical rotation at a clinical facility without a background check and drug screening. If you are assigned to a Tennova clinical site, you will be required to do background check and drug screening annually. The college must receive a satisfactory search result. Failure to submit the required background check and drug screening report by the due date established by the program director will result in the student not being assigned to a clinical rotation and dismissal from the program. Arranging for Your Background Check and Drug Screening Each student, at his/her expense, will be responsible for acquiring the background check and drug screening report, and authorizing the submission of the results to the College. Estimated cost for the background check is $65.00 and $35.00 for the drug screening, and may be paid by credit or debit card, electronic check, or money order on the website. Students continuously enrolled in the Radiologic Technology program will only be required to have one background check and drug screening with the exception of Tennova clinical sites. Students who have a gap in enrollment in the Radiologic Technology program will be required to have an abbreviated background check and drug screening at his/her expense when re-enrollment occurs. What if my background check results are color coded Yellow? 1. A Yellow-coded report indicates additional information is required. 2. Provide requested information. Failure to provide requested information may result in the student being unable to complete their clinical obligations. What if my background check results are color coded Red in the Criminal background section? 1. A Red-coded report in the Criminal background section indicates the results are not satisfactory and may mean you are not eligible for clinical participation. 2. You should forward the email containing the detailed results from Truescreen to the Program Director at [email protected] or Clinical Coordinator at [email protected]. 3. After your student identification information has been removed from the detailed report, it will be forwarded to your prospective clinical site(s) by the Dean of Allied Health Sciences. The clinical site will evaluate the report. If the clinical site rules favorably, you will be permitted to attend your assigned clinical practice. 4. All documentation will be included in your file for future reference. 5. If the clinical sites rule unfavorably, you will not be able to participate in clinical rotations. As clinical practice is necessary to successfully complete the Radiologic Technology Program requirements, you will be advised to withdraw from the Radiologic Technology Program. Revised: July 2014 26 Steps to arrange drug screening: ROANE STATE COMMUNITY COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM STUDENT INFORMATION AND REQUIREMENTS BACKGROUND CHECKS AND DRUG SCREENING General Information In response to the 2004 Human Resource Standards of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the majority of the major healthcare facilities and agencies that serve as clinical affiliates for RSCC Health Sciences programs will require that all students undergo a background check prior to participating in clinical rotations at their facilities. The background check shall include the following: vii) viii) ix) x) xi) xii) Name and Social Security number verification; Seven-year multi-county felony and related misdemeanor criminal record Violent Sexual Offender and Predator Registry Search Tennessee Abuse Registry Employment verification (previous 2), if applicable; FACIS Level 3 includes the following: HHS/OIG list of excluded individuals/entities GSA list of parties excluded from federal programs US Treasury, Office of Foreign Assets Control (OFAC) List of Specially Designated Nationals (SDN) Program Information Where applicable, the requirement for student background checks will be in effect beginning July 1, 2007. No student will be permitted to participate in a clinical rotation at a clinical facility that requires a background check and drug screening until the College has received a satisfactory search result. Failure to submit the required background check and drug screening report by the due date established by the Program Director will result in the student not being assigned to a clinical rotation and dismissal from the program. Arranging for Your Background Check and Drug Screening Each student, at his/her expense, will be responsible for acquiring the background check and drug screening report and authorizing the submission of the results to the College. Students continuously enrolled in the (Radiologic Technology Program) will only be required to have one background check and drug screening with the exception of Tennova. Students who have a gap in enrollment in the (Radiologic Technology Program) will be required to have an abbreviated background check and drug screening at his/her expense when re-enrollment occurs. 27 STEP 1: What to do if you need a Background Investigation? Below are step-by-step instructions for accessing Application Station: Student Edition to authorize and pay for a background investigation. 1. Click the link below or paste it into your browser: http://www.applicationstation.com 2. Enter the Code: ROANESCCRADTECH-CBC in the Application Station Code field. 3. Click the "SIGN UP NOW" button to create an account. 4. Follow the instructions on the Application Station web site. Note – please store the username and password created for Application Station in a secure location. This information is needed to enter Application Station in the future which includes obtaining a copy of your background investigation report. If you encounter issues with the Application Station: Student Edition or have questions regarding the site, please contact Truescreen’s Help Desk at 888-276-8518, ext. 2006 or [email protected]. Background Investigations are completed, on average, within 3 to 5 business days. Once completed, you will receive an email from Truescreen, [email protected]. Follow the link in the email to access Application Station: Student Edition to view the report. To access the site use the same username and password created at the time you submitted your background check. Application Station includes instructions for disputing information included in the background check should you feel anything is incorrect. The initial background investigation consists of the search components listed below. All records are searched by primary name and all AKAs, a student’s primary address, and all addresses lived within the past seven years. Social Security Number Validation and Verification County Criminal Records Search – all counties of residence lived in the past 7 years National Sexual Offender Registry Search Employment Verification – all employers for the past 7 years Sanctions Base Search OIG/EPLS Search The cost of the Background Investigation is $50.50. Truescreen accepts credit cards and PayPal. Payment is collected within Application Station: Student Edition. 28 STEP 2: What to do if you need a Drug Screen? Below are step-by-step instructions for accessing Application Station: Student Edition to authorize and pay for a drug screen, as well as locate a specimen collection site. Drug screen collection facilities are listed on the final page of Application Station: Student Edition. 1. Click the link below or paste it into your browser: http://www.applicationstation.com 2. Enter the Code: ROANESCCRADTECH-DS in the Application Station Code field. 3. Click the "SIGN UP NOW" button to create an account. 4. Follow the instructions on the Application Station web site. Note – you can use the same username and password created for the background investigation. Please store the username and password created for Application Station in a secure location. This information is needed to enter Application Station in the future which includes obtaining a copy of your drug screen report. If you encounter issues with the Application Station: Student Edition or have questions regarding the site, please contact Truescreen’s Help Desk at 888-276-8518, ext. 2006 or [email protected]. If none of the collection sites listed are convenient (within 30 minute drive), please contact Truescreen’s Occupational Health Screening Department (i.e. TriTrack and Scheduling Hotline) for assistance with locating an alternate location; phone number 800-803-7859. If the initial drug screen is reported as positive/non-negative, you will receive a call from Truescreen’s Medical Review Officer (MRO). The MRO will obtain medical proof as to why you test positive. If you are taking any form of prescription medicine, it is wise to proactively obtain proof from your physician to be provided to the MRO when contacted. This will speed up the process of reporting drug test results. All drug screens conducted for Roane State Community College are 10-panel and tests for: Amphetamines Cocaine Metabolites Marijuana Metabolites Opiates Phencyclidine Barbiturates Benzodiazepines Methadone Propoxyphene Methaqualone You will receive an email from Truescreen, [email protected], once drug test results are available. Follow the link in the email to access Application Station: Student Edition to view the report. The cost of the Drug Screen is $31.00. Truescreen accepts credit cards and PayPal. Payment is collected within Application Station: Student Edition. 29 STEP 3: Results If you receive a “REVIEW” (red X) or “FAIL” (solid red square) on either the background investigation or drug screen, you should forward the email containing the detailed results from Truescreen to the Program Director or Clinical Coordinator at ([email protected] or [email protected] ). After your student identification information has been removed from the detailed report, it will be forwarded to your prospective clinical site(s) by the Dean of Allied Health Sciences. The clinical site will evaluate the report. If the clinical site rules favorably you will be permitted to attend your assigned clinical practice. All documentation will be included in your file for future reference. If the clinical sites rule unfavorably, you will not be able to participate in clinical rotations. As clinical practice is necessary to successfully complete the (Radiologic Technology) program requirements, you will be advised to withdraw from the program Report Delivery Manager Report Delivery Manager (RDM) allows students to distribute an electronic copy of your background check and drug screen results to a third party for clinical rotations. RDM can be found in Application Station: Student Edition. Reports are available to students for 36 months. If reports are needed beyond 36 months, students must print a copy to be distributed as needed. 1. 2. 3. 4. 5. 6. 7. Click the link below or paste it into your browser: http://www.applicationstation.com To access the Report Delivery Manager, choose the “If you are returning” option on the left side of the home page and click “Sign back in.” Enter the username and password created at the time of submitting your background investigation and/or drug screen. Report Delivery Manager can be found at the bottom of the Welcome Back screen. To authorize a new third party to view a background check, click “Create a New Delivery.” Read the “Important Notice”, type your name and click “Agree.” Supply the third party’s contact information: Last Name, First Name and Organization. Report Access Keys are generated, including an Application Station Code and Access PIN. 30 Truescreen recommends that the student contact the third party and provide the Application Station website address, code and PIN to their contact verbally. This method provides the highest level of security. However, the student can also authorize that an e-mail containing this information be sent to the contact at the clinical facility. If you wish to have an email containing the Access Keys to be sent directly to the clinical facility, follow steps 8 and 9. 8. To authorize an e-mail, locate “Other Delivery Options, Option 2” and click “here to send an email.” 9. Provide and confirm the recipient’s e-mail address, and then select either Option 1 or Option 2, which determines what information is sent to the recipient via email. The system provides confirmation that an e-mail has been sent, along with the Application Station Code and Access PIN for future reference. By my signature, I acknowledge that I have received and read the information provided regarding the background check. I am aware that if I have questions about the material herein, it is my responsibility to seek assistance from any (Radiologic Technology Program) faculty member. Student Name (printed):_____________________________________ Student ID Number: ________________________________________ Student Signature: _________________________________________ Date: _____________________________ 19.0 LABCORP 689 Medical Park Drive Lenoir City, TN 37772 (865) 988-6490 Monday – Friday 27.7 LABCORP 4206 Sutherland Avenue Knoxville, TN 37919 (865) 588-2036 Monday – Friday Lunch Drug Screen 34.9 LABCORP 1932 Alcoa Highway Knoxville, TN 37920 (865) 305-9720 Monday – Friday Drug Screen 31 Drug and Alcohol Policy If a faculty member, clinical instructor, or member of the staff at a clinical facility determines that a student is exhibiting suspicious behaviors indicative of drug or alcohol consumption that is impairing that student’s ability to perform in a safe manner in the clinical setting, that person should immediately report the occurrence to the clinical coordinator. The professional(s) observing the student’s behavior must immediately document in writing their observations of the student’s behaviors as well as any incidents observed including interaction with clients and or facility staff. This signed statement should be given to the supervising faculty member and a copy of the statement will be placed in the student’s record. If the professional observing the student is not an RSCC faculty member, the statement should also include information about the person’s position at the facility. To Report An Occurrence (Reasonable Suspicion): All incidents of reasonable suspicion must be immediately reported to the Dean of Allied Health Sciences and/or the Dean of Student Services and Multicultural Affairs. Clinical faculty and clinical facility personnel may contact the Program Director and/or Clinical Coordinator to report the incident. The Program Director and/or Clinical Coordinator will then be responsible for notifying the Dean of Allied Health Sciences and/or the Dean of Students. The reporting of the incident must occur at the time of the incident. Documentation of any witness’s statement is also required. Further Actions to be taken (in accordance with due process for the student): 1. A student cannot be suspended from class/clinical without due process. Therefore, the Dean of Student Services must talk to the student by phone immediately after the occurrence and notify the student of the specific violation. The professional who determined reasonable suspicion must be part of this process. If not present, that professional must fax a written account of the occurrence to the Dean of Students. The Dean of Students must have this information before talking to the student; thus the student can respond to the specific accusation, charge, or allegation. If it is the Dean of Student’s position that there is reasonable suspicion to believe the student is in violation, the student can be summarily suspended until the results of the drug or alcohol test comes back. If the results are positive, the Dean of Students will hold a hearing on the merits. If negative, the student will be allowed back to class/clinical. Faculty may alert security on site to stand by in case a student becomes violent or call the police if necessary. If there is strong indication that the student could become violent, security may be asked to be in the same room. If a student refuses to submit to a drug or alcohol test, the Dean of Students will summarily suspend the student. A disciplinary hearing will follow. The student’s refusal to submit to drug or alcohol testing will greatly affect his/her probability of return to the program. The student signed a contract to submit to testing when he/she entered the program if reasonable suspicion was established. 32 2. The student will be directed to the appropriate facility for drug and /or alcohol testing. The student will incur all cost of transportation and testing. 3. The student will be directed to contact a family member for transportation to a clinic site if drug testing is not available in the facility where the suspicious behavior has been observed. 4. If necessary, the faculty member or clinical facility staff member may call the police to transport the student. Faculty should not restrain nor transport the student. 5. The student will not be allowed to return to the class/clinical until the Dean of Students has met with the student, investigated the incident, received test results, and made a decision based upon the test results. 6. Students may review the avenues for appeal outlined in the RSCC Catalog and Program Policy Manual, in the section designated “Student Conduct and Disciplinary Sanctions”. Substance Abuse The student’s education shall be conducted in an environment free from the effects of any type of substance abuse. The general policy is found under “Disciplinary Offenses” 0240-3-13-.02 in the college catalog. In addition, this RDT Program Policy Manual, outlines the program’s substance abuse policy in detail. Students must sign the form on page 99 during freshman orientation to document their understanding of the substance abuse policy. The form for consent to Drug / Alcohol Testing is located in the forms section of the policy manual on page 99. 33 Clinical Education Information & Policies Clinical Site Policies The clinical site has the option of adjusting policy based on the site’s policies and procedures. The adjustment in policy will be discussed and approved by the clinical coordinator for that site only. Therefore you may have a different policy based on your clinic site than students at another site. Radiation Protection Procedures The RSCC Radiologic Technology Program Policy Manual and standard radiation protection procedures will be reviewed with all Radiologic Technology students prior to reporting to assigned clinical sites. All students are required to attend an extensive information session during program orientation which will include radiation safety practices as well as other clinical policies and guidelines. Students must pass two exams based on these sessions before being admitted to clinical assignments. Results of the exams will become a part of the student’s file. Clinical Assignments The clinical coordinator and clinical faculty are responsible for the scheduling of all clinical assignments. Students cannot alter the assignments. A hospital orientation must be completed prior to beginning clinical assignments. Clinical faculty may reassign due to specific clinical needs. Faculty will observe, evaluate and/or counsel students as needed. Faculty will intervene when a student is not progressing by program standards as outlined in the Program Policy Manual. Rotation Assignments Areas of rotation will differ from one semester to the next depending on assigned clinical sites. In the clinical area, the student is responsible for remaining in the assigned area for the purposes of observation, assistance, and practice of examinations. Students must ask the technologist or clinical instructor prior to leaving the assigned area. Each area of rotation through the clinical affiliate will have specific competency objectives outlined for the student. The competency objectives are designed to assist the student in knowing what is expected of him/her, to serve as a guide in his/her learning experience, and are not intended to set limits for the student. The objectives set forth the minimum standards for performance in each clinical area. Internal Rotations Transport /File Room /Front Desk rotations are to be completed in the first two weeks of clinical rotation. All three areas, if available, needs to be completed in a maximum of two weeks. A traditional CPE is not required for the transport, file room, and front desk areas. Radiographic/fluoroscopic rooms Portables/Surgery Outpatient Imaging Emergency Room Imaging Evening Clinic (2nd year, 1-9 p.m. or 2-10 p.m., 96 total hours required) CT 2 week Rotation (4th and 5th semesters) 34 Specialty Area Rotations A student may spend eight hours (one day) per semester observing in a different modality other than diagnostic radiography, such as Nuclear Medicine, Interventional Radiography, Ultrasound, Radiation Therapy, Computed Tomography or Magnetic Resonance Imaging. This will be scheduled by the clinical instructor. Please complete the objective checklist for each area upon rotating through these departments. They are found in the 2nd half of the program policy manual. All competencies and masteries must be completed before observing in a specialty area. Mammography and HSG exams are not available during clinical time. Pediatric Rotation Each student may be scheduled for a rotation at East Tennessee Children's Hospital to give the student experience in working with pediatric patients. Students must complete an online orientation program and present the certificate of completion on the first day of their assignment. An objective worksheet specifically for this rotation and the traditional CPE will be completed by the clinical instructor. Students can go to www.etch.com for parking maps and driving directions. Evidence of having had rubella or documentation of rubella vaccination is required for rotation at East Tennessee Children's Hospital and several other clinical assignments. Students must also have a TB skin test and flu shot within 12 months of their rotation at Children's Hospital. Students that sign a waiver to decline the flu shot will not be permitted for the rotation. Holding Patients Students are never allowed to hold patients or cassettes/grids during routine exposures or mobile radiography. Students are allowed to be in the radiographic room during fluoroscopic and surgical C-arm procedures only. Personal Medical Needs Students should not approach doctors for attention to their personal needs. Students who feel the need for the attention of a physician should make suitable arrangements. Physicians should not be compromised by assigned students at their hospital while attending to their hospitalized patients. Personal Health Insurance It is highly recommended that students carry personal health insurance. Students are responsible for medical expenses incurred for illness or injury while in the program. Students must provide a doctor’s written release stating that they can return to clinical assignments with no restrictions, prior to returning after illness or injury. A copy of this release must be provided to the clinical coordinator and the clinical instructor. Some clinical agencies may require that personal health insurance be carried by the student prior to the clinical experience. Liability Insurance It is mandatory that students have liability insurance. Liability insurance will be purchased before fall semester on an annual basis through the Roane State Community College business office. Documentation must be provided to the clinical instructor prior to the first day of assigned clinics or the student will be sent home until documentation is provided. Health/Physical Exams/Recommendations It is the student's responsibility to obtain a physical exam prior to the 1st clinical day of the 1st semester. An accurate and complete health form must be on file for each student prior to entering clinical assignments and must be updated accordingly. Intentional omission or inaccurate information on medical records can result in dismissal from the program. Pre-existing medical conditions, medications or injuries that could affect clinical performance must be listed. 35 Hepatitis Vaccination It is required that each student receive the hepatitis B vaccination prior to entering the clinic. Clinical facilities require that all students assigned to their site must have at least begun the Hepatitis B series of injections prior to the start of the first clinical day. Reporting Communicable Disease Students with communicable diseases must stay at home until their personal physician releases them. Notify clinical instructor fof explanation of absences. The student may return to clinic after presenting a doctor's release slip to the clinical instructor. This release slip does not negate the possibility of a grade drop due to excessive absences (if student has already used all personal leave time). Communicable Diseases Students will demonstrate safe practices to self and others when working in a clinical environment that might include exposure to blood and body fluids or communicable diseases of any kind. Students will not refuse to work with patients with communicable diseases, but will take appropriate precautions with each patient according to principles of standard precautions. In situations in which the student is unsure of the appropriate precautionary measures needed, refer to the departmental policy and procedure manual, program policy manual, or seek advisement from the clinical instructor. Blood and Body Fluid Infection Control Precautions It is the responsibility of each student to maintain current knowledge and practice of any revisions in standard precautions. It is also the responsibility of each student to immediately report to the clinical instructor and/or clinical coordinator any exposure to blood/body fluids via direct contact or needle stick. These incidents must be documented on specific forms provided by the clinical affiliate. Since medical history and examination cannot identify all clients infected with blood-borne pathogens, blood, and body fluid precautions should be consistently used for all patients. A. Barriers All health care workers should routinely use appropriate barrier precautions to prevent skin and mucous membrane exposure when in contact with blood or other body fluids of any patient. Gloves should be worn for all patients according to the principle of universal precautions. Gloves should also be worn when handling items or surfaces soiled with blood/body fluids and for performing Venipuncture or other vascular access procedures. Gloves must be changed and hands washed after each patient. Masks, protective eyewear or face shields, and gowns or aprons should be worn during procedures likely to generate droplets or splashes of blood or other body fluids. B. Disinfection Hands and other skin surfaces should be washed immediately and thoroughly if contaminated with blood or other body fluids. Hands should be washed after each patient and immediately after gloves are removed. Gloves should be worn for cleaning radiographic areas and items used in these areas. 36 C. Sharps Precautions should be taken to prevent injuries caused by needles, scalpels, and other sharp instruments during disposal of used needles and when handling sharp instruments after procedures. Needles should not be recapped, purposely bent, or broken by hand, removed from syringes, or otherwise manipulated by hand. After use, disposable syringes and needles, scalpel blades, and other sharps should be placed in appropriate sharps containers for disposal. D. Resuscitation Mouthpieces, resuscitation bags, or other ventilation devices should be available and used when mouth-to-mouth respiration is likely to be performed in emergency situations. E. Exposure Event Any student who suspects he/she may have been exposed to or contracted a communicable disease must notify the clinical coordinator immediately. In the event a student has been exposed; appropriate action will be taken to ensure the health and wellbeing of hospital patients, staff, and fellow students. Students with communicable diseases must stay at home until their personal physician releases them. Additionally, they must notify their instructors and clinic site when they must be absent. The student may return to classes/clinic after presenting a doctor’s release slip to the instructor. Release slip does not negate the unexcused absence penalty if student has already used all personal leave time. Harassment Policy Any form of harassment including, but not limited to, racial harassment, sexual harassment, or stalking, is prohibited by Title II of the Civil Rights Act of 1964. All faculty members, students, and staff are subject to this guideline. Any faculty member, student, or staff found to have violated guidelines by engaging in harassing behavior based on race, color, religion, ethnic or national origin, sex, sexual orientation, disability, or age will be subject to disciplinary action which may include dismissal, expulsion, or other appropriate sanction. Any complaints of harassment should be made to the Affirmative Action Officer, Odell Fearn. In the case of student harassment by other students, the Student Affairs Officer, Assistant Vice President for Student Services, Beverly Bonner, will address the complaint. Any student who believes he or she has been subject to harassment at Roane State should complete the following: Immediately contact the nearest person of authority. If the situation occurs on campus, the student will report the occurrence to the program director. If it occurs in the clinical setting, the student will report it to the clinical instructor and the clinical coordinator. The incident will be written up and forwarded to the appropriate administrator that the allegation corresponds to (Affirmative Action Officer or Assistant Vice President for Student Services). The incident will be properly and promptly investigated according to the steps outlined in RSCC Policy PA-02-01. For additional information, please see the above referenced TBR policy, TBR Guideline P-080, or RSCC Policy PA-02-01. 37 Transportation & Parking Fees Roane State's Radiologic Technology students will be responsible for providing their own transportation to all clinical assignments, paying any parking fees that are required, and purchasing any required parking permits. Students will park in designated areas. Personal References/Student Educational Records The program director and clinical personnel will provide reference information to potential employers when authorized by the student to do so. Just about any information provided by a student to RSCC for use in the educational process is considered part of the student’s educational record. The following are examples: *Personal information *Enrollment records *Grades *Schedules Grade Change Any student that receives an "incomplete" grade must remove that "incomplete" before the end of the next semester or the grade automatically converts to an "F". It is the student’s responsibility to ensure that the grade change has been made on the official transcript. Inclement Weather Classes will be cancelled only under extreme weather conditions. Designated radio, television stations, and college website will carry information about Roane State cancellations and delays during bad weather (website: www.roanestate.edu). The student will report to the clinic site at the announced time by the college. When evening classes are cancelled, the student does not have to report for evening clinical rotations or make up the time if the college is closed. Students are advised to have Raider Alert to let them know of college closings due to weather conditions. If RSCC classes have been canceled in a student’s area of residence, then that student is not required to attend clinical assignments. If there is no official cancellation of classes, students must use their own judgment regarding travel on hazardous roads. However, time must be made up by using a personal leave day or by making up the hours if personal time is depleted. Students must call in to the clinic site when they are going to be absent or late due to weather. Points will not be deducted for weather-related absences provided the student calls in to report the absence. Study/Review of Assignments Students will not be allowed to study materials such as physics and exposure during clinical hours. Students are also not allowed to read books or use electronic devices for reading or playing games. A student may utilize slow times in the department to manipulate and practice with equipment, review radiographic exams which may be coming up on their next clinical assignment, or complete worksheets required by the program. Instruction for positioning will take place in the lab on campus. The only exception will be due to an absence of a lab instructor. If this occurs, the clinical instructor will be notified with instructions on what needs to be covered in a demonstration or testing session. Instruction for radiographic anatomy and film critique will take place on campus in scheduled image analysis courses. 38 Room/Equipment/Tasks Worksheets The clinical competency worksheets are the student’s responsibility and will be turned in prior to the due date listed on each worksheet. They should be obtained during the scheduled rotation for that area or diagnostic room, while working with the department registered technologists, or during down time. Personal Leave Time First-year students will receive 8 hours of personal time per semester. Second-year students will receive sixteen hours of personal time for fall and spring semesters. These hours will not have to be made up and will not affect the final clinical course grade. However, the student is responsible for calling their assigned clinical site prior to 8:00 a.m. (Clinical Instructor will discuss acceptable criteria). All personal hours must be used by the last week of the semester or the time will be forfeited. After all excused personal leave time is used, any time missed due to tardiness, absenteeism or leaving early (an accumulation of over 12 hours) is considered unexcused and must be made up and results in a drop of a letter grade for the final clinical course grade. After a drop in the overall clinical grade and a student misses additional time, this will result in another grade drop and student could be put on disciplinary action or possibly dismissed from program. Any missed time up to 30 minutes must be made up the same day, if possible. Any absence that occurs after the excused personal hours is considered unreasonable. (Tardiness - Refer to Tardiness Policy. Time missed due to tardiness has to be made up and will be added to the accumulation of time missed). Time Keeping Students will clock in and out promptly on the online time keeper (Rad School). If the online system is not available, designated persons(s) such as the clinical instructor, team leader, or supervising registered technologist must sign the student in and out each day immediately upon arrival and departure. Clocking in and out on other devices other than clinical computers will result in disciplinary action. Students are responsible for faxing an attendance report to the clinical coordinator during mid and end semester reports. An incomplete for the semester will be given if attendance is not reported in a timely manner. Clinical Hours/Breaks The clinical workday will begin at 8:00 a.m. and end at 4:00 p.m., with a 30-minute break for lunch. Only the clinical instructor or team leader will authorize additional breaks. Lunch breaks are mandatory and cannot be used to leave early for the day. If a student leaves hospital grounds for lunch, they must clock out and in again within their 30 minute lunch. If a student needs to leave a clinical assignment early due to illness or an emergency then clinical faculty must be notified. If clinical faculty is not available, a supervisor must be informed and timesheet must be signed by the supervisor. Calling In at External Rotations If a student is assigned to an external site and is absent, such as East Tennessee Children’s Hospital or another facility for special procedures, then they must call that site as well as their home site/clinical instructor prior to their assigned shift. Text messaging is not an acceptable method of calling in for personal leave time unless given prior approval by clinical faculty. 39 Unreasonable Absences Unreasonable absences from clinical assignments will lead to disciplinary action and possible dismissal from the program since the reduction of a letter grade may result in a grade lower than a C. Disciplinary action may become necessary when the student has used all the excused personal time allowed for the semester. Tardiness Habitual tardiness is defined as 4 occurrences within a semester. The accrued occurrences will result in a drop of a letter grade. Each additional tardy will result in the drop of an additional letter grade. After each occurrence, your clinical instructor will council you accordingly. If the tardy is due to unavoidable circumstances, this must be reported to the clinical coordinator on the day of the occurrence. You are considered tardy after your scheduled start time. There is a two minute grace period, so 8:03 and later is considered tardy. This also applies to evening and external rotations. If the time is more than 30 minutes, then the student must complete the makeup assignment form and submit to the clinical faculty for an approved day and time in which to complete the deficient hours. Text messaging is not an acceptable method for calling in late or for an absence. Exceptions to this policy are entirely at the discretion and judgment of the Clinical Instructor. Scheduling Make-up Time Make up time must be scheduled with the Clinical Instructor at the assigned clinical site at which the student is assigned. An Assignment Request Form must be approved and signed by the Clinical Instructor in order for the make-up time to be counted. Make up time must be scheduled in time blocks of no less than 4 hours, unless the total amount of time is less than 4 hours. Skipping a lunch period cannot be counted as make-up time or for the purpose of leaving early. All students must take the 30-minute lunch that is given during the clinic day. Students who make up time during the regular Monday-Friday week are doing so voluntarily. Students may choose to make up time at the end of the semester or during the exam period of the final week of the semester. Making up time which constitutes a combination of clinical and didactic time greater than 40 hours per week is voluntary on the part of the student. Unexcused absences must be made up by the end of the semester to avoid receiving a final grade of “Incomplete”. If a student receives such a grade, the clinic hours must be made up before the end of the following semester or the “l” will automatically convert to an “F”, resulting in automatic dismissal from the program. It is the students responsibility to follow up with the records office to ensure the grade has been officially been changed in the system. This will also guarantee that the student’s transcript will be correct at time of graduation. First Year Students are only allowed to make up missed clinic time between the hours of 4:00pm8:00pm, Monday thru Friday or during the exam period at the end of the semester. Scheduling make up time will be at the discretion of the clinical instructor and clinical coordinator. Second Year Students are allowed to make up missed clinic time during evening shift hours (4:00pm – 10pm) only or during the exam period at the end of the semester. 40 Make Up Assignments The clinical instructor must give the students a variety of times to choose from for making up clinical assignments. Time made without pre-approval from clinical faculty will not be accepted. If a student does not complete approved make-up time as scheduled, two points will be deducted from the clinical grade and time will need to be rescheduled. A registered technologist must be scheduled to supervise the student's performance. A registered technologist signature as well as a beginning and ending time must be obtained at the onset of the make-up period as well as clocking in and out on the online timekeeping system. A record of exams performed or tasks completed by the student must be recorded by the student. A student will only be allowed one letter grade drop due to missed clinical time. The form for requesting make up time is located in the forms section of the policy manual on page 97. Compassionate Leave Three days consecutive (e.g. Sunday, Monday, and Tuesday) may be authorized for students following a death in the immediate family (spouse, parent, step-parent, children, step-children, brother, sister, grandparent, mother-in-law, father-in-law, or grandchildren). Note: these are NOT three consecutive clinical days, but rather three calendar days. Sick Leave or Pregnancy Any extended absence, whether for pregnancy or illness of any nature, resulting in failure to attend classes or complete competency requirements, will necessitate withdrawal from the program; with the possible option of starting that semester over the next academic year. Proper notice is required due to the selection process and student capacities (refer to Pregnancy Policies/Options, p 22. and Readmission Policies, p.19). Marriage Due to the close working relationship necessary in imaging departments, most hospitals have policies in place which state that employees cannot be married and work in the same department. Since the Radiologic Technology student is much like a hospital employee, it is the program's policy that if a student marries, dates another student or employee at that same clinical affiliate then the student will be transferred to another clinical site. If a relative works in the clinical site that the student is assigned to, the student could be reassigned to another facility. Clinical Performance Evaluation (CPE) Every 2 weeks, an evaluation will be completed on each student. The form will be filled out by a clinical instructor with input from all technologists involved in the assigned rotation. The evaluation form includes areas such as critical thinking skills, patient care, and ability to follow instructions, radiation safety, and initiative. The evaluation will be used in determining a portion of the final course grade and further document any instances of program policy violations. Students with failing scores on a CPE will be subject to disciplinary action, counseling, and possible program dismissal. Completed Clinical Performance Evaluations, Competencies, Masteries, Anatomy Testing and Objective sheets must be locked and secured at all times. 41 Dress Code All students are responsible for reviewing their department’s dress code and adhere to it accordingly. Consult the clinical instructor for specific guidelines. Restrictions may vary from hospital to hospital. The following are the minimum guidelines for dress code. Uniforms/Lab Jackets Students must wear gray uniforms which fit properly and look professional. Lab jackets may be worn with prior approval of the clinical faculty and should be gray or white.. If a shirt is worn under the uniform, it must be solid white. Hoodies/sweatshirts or thermal shirts are not acceptable in the clinical facility. Surgery Scrubs Students must wear proper attire to the clinical facility prior to changing into surgery scrubs. No shorts or torn clothing is permitted. Surgery scrubs are not to be worn outside the facility. Shoes Students must wear all black leather tennis/clinic shoes. Canvas or backless shoes/clogs are unacceptable. Jewelry Students must wear minimal jewelry. Acceptable items include a watch, wedding rings, and one set of small earrings. Bracelets, necklaces, dangling earrings, and facial/oral piercing are not allowed. All piercings with the exception of earrings must be removed prior to all clinical rotations. Hair & Nails* (*must comply with assigned clinical site policies) Long hair that falls over the shoulders should be secured away from the face with barrettes, clips or pony-tail holder. Beards/mustaches are acceptable if kept neat and trim. Fingernails should be kept clean and short. Artificial nails are not allowed. Nail polish can only be worn in neutral shades. Miscellaneous Perfume, cologne, scented lotions and body sprays are not allowed in clinic or didactic classes. Visible tattoos are not permitted. All tattoos must be covered by clothing and not visible to patients and/or staff. Students may be sent home by clinical faculty for violation of this policy. Time missed will need to be made up and points will be deducted from clinical grade. No kind of piercing is allowed. No chewing gum or smokeless tobacco during clinical hours. Final decisions regarding acceptable or appropriate dress will be at the discretion of the program faculty. 42 Clinical Supplies The following clinical supplies must be purchased in the bookstore: Positioning Pocket Guide Students will carry their Pocket Guide when on clinical assignment. The student is required to list routine projections and technical factors in the pocket guide for each examination while observing the procedure in clinic. Exam Logbook Students will carry their logbook during clinical assignments. All exams which a student observes or in which student participates must be logged. Only repeat exams must be initialed by the supervising registered technologist. It may become necessary to purchase several logbooks to complete the program. All logbooks must be turned in to the clinical ccoordinator at the end of summer semester and after completion of the program for ARRT & JRCERT accreditation purposes. Clinical Competency Handbook Students will carry their Competency Handbook when on clinical assignment. The handbook must be presented to the registered technologist for the check-off procedure prior to beginning the examination. It may become necessary to purchase an additional competency handbook to complete the program. All exam competency handbook(s) must be turned in to the clinical ccoordinator at the end of the program for ARRT & JRCERT accreditation purposes. Radiation Dosimeter Monitoring Students will always wear a radiation monitoring device while on clinical assignment or when using the energized x-ray lab on campus. Radiation monitoring badges will be provided by the clinical affiliation for clinic and by the program for the lab on campus. Under no circumstances are students allowed to use the student clinical film badge during employment hours in any ionizing radiology department. Film badges are monitored at this time by the Radiation Safety Officer (RSO) and clinical faculty in each clinical site’s imaging department. Students may view their quarterly radiation monitoring reports within 30 thirty days of receipt by making an appointment with the manager of the imaging department or submitting a request to the clinical instructor. Students will comply with NCRP No. 102C and other applicable guidelines. In the event that a monitor report indicates an exposure of greater then 80 mrem per quarter, the student will be notified, counseled, and monitored closely. The program director and clinical coordinator will consult the clinical site’s RSO or a certified medical physicist in order to establish an action plan to reduce further excessive exposure. For example, a student may temporarily be restricted from clinical areas where radiation exposure is typically higher (e.g. fluoroscopy or surgery). If the student continues to exceed safe radiation exposure limits, disciplinary action may be taken which could include dismissal from the program. 43 Lead Markers Students will use right and left lead markers with a minimum of 2 initials to properly identify the radiographic procedures they perform. Students must purchase their own markers from either their assigned clinical site, the bookstore, or other resources such as internet websites (please check with clinical site before ordering). It is highly recommended that students purchase two sets of markers so students have a set with them at all times. Students that do not have markers will be sent home and points will be deducted from the clinical grade and the time will have to be made up. Students can only perform exam competencies with their initialed personal markers. Points will be deducted from the student’s final clinical grade for failure to use lead markers during a patient exam. If a student fails to use lead markers during an exam competency, it will automatically be revoked. Parking Students will park only in designated areas. It will be necessary to purchase a parking sticker/tag for on campus parking. Students will also be responsible for any parking fees applicable during clinical assignments. Telephone/Cellphones No personal telephone calls are to be placed or received on department phones except in case of an emergency. No cell phones allowed in clinical area! Use of cell phones during clinical hours will result in points off the final clinical grade. When answering the department telephone, always identify the department and yourself. When taking phone messages, write down all pertinent information before delivering the message. Smoking/Smokeless Tobacco RSCC is a tobacco free campus; no smoking or tobacco products are allowed except in designated areas. Smoke breaks during clinic hours are not permitted unless approved by the clinical faculty. The student must check with the clinical instructor/faculty member for approved areas. In non-smoking/tobacco free hospitals, the student will follow hospital policies. Confidential Patient Information / HIPAA All departmental and hospital records are legal documents. Precautions should be maintained to see that only the proper personnel handle these records. Under no circumstances should these charts or information be shown to a patient, a member of the family, or other unauthorized person. Refer to HIPAA requirements as outlined in hospital orientation. HIPAA violations will result in disciplinary action and possible dismissal from the program (see page 100). Radiographs/images must not be shown to the patient or any unauthorized person. If anyone insists upon seeing the radiographs/images, contact the clinical instructor or department supervisor. Fire Safety The student needs to become familiar with: The location of all extinguishers in the work area How to use the fire extinguisher How to report a fire The evacuation procedures 44 Tips and Gifts Acceptance of money from the patient or from persons with whom the hospital does business is not permitted. Anyone wishing to make a donation or gift to the hospital should be referred to a clinical instructor or to the administrator. Theft Any student that steals or tampers with the personal belongings or money of other students, hospital employees, or patients will be reported to the RSCC Disciplinary Committee and immediate dismissal from the program will be recommended to the Admissions Committee. Accidents Immediately report all accidents involving yourself, other personnel, patients, and visitors to your clinical instructor or team leader. Accurate and timely information will be needed for completing reports and other required documents. Imaging Approval Policy According to certain clinical affiliate policies, students must have all of their radiographs/images approved by registered technologists whether or not a competency has been achieved on that particular exam. After viewing the images, the technologist will instruct the student to release the patient. Repeat Policy A registered technologist must directly supervise the student, regardless if they are a 1st or 2nd year student, when repeat exposures are performed. A student can be dismissed from the program for performing unsupervised repeat exposures. Direct supervision means the registered technologist is in the room while the repeat exam is performed. The student must have the technologist sign the logbook at the time of the repeat. . Competency Requirements All competency requirements must be completed at the assigned clinical affiliate or approved external rotation. Students are not allowed to perform exam competencies until the material has been covered in the classroom and exams passed in the campus radiology lab. This is a policy in accord with JRCERT Standards and is mandatory. If the assigned facility has an exam deficiency in a particular category, then the clinical instructor will make arrangements at another site to assist the student in reaching the required number of competencies. As a last resort and with prior approval, a simulation exam may be performed by the student under the direct supervision of the clinical instructor. All details must be well documented by the clinical instructor and placed in the student’s file. A student will never be allowed to float competency requirements from semester to semester due to a student’s lack of interest, initiative, or participation. Students will not use work performed at other hospitals for employment purposes in place of clinical competencies. Failure to complete the required exam competencies per semester will result in a grade less than C in the clinical course. (Under extreme circumstances approved by the clinical coordinator, a student may be given an Incomplete for failure to complete that semester’s required competencies). 45 Revoking Exam Competencies An exam competency will be revoked if the student performs that same exam and it is not deemed diagnostic by a radiologist, team leader, clinical instructor, or staff registered technologist with proper written documentation provided to the clinical faculty. REVOKED and the date will be written across the students exam competency handbook for that particular exam. The student must perform another acceptable, documented exam competency in the competency handbook. If a student should have the same exam competency revoked again, then two points will be deducted from the students final average for each additional failed attempt. Example: *Student successfully obtains competency via R.T. (R) on cervical spine exam *Student performs cervical spine exam independently but is observed and documented as unable to successfully do the exam post-competency (i.e. excessive repeats, incorrect usage or lack of lead markers, poor radiation safety practices, incorrect patient prep, inappropriate patient care) The clinical instructor is notified, reviews exam images, confirms documentation, meets with the student, and revokes the student’s cervical spine competency. *Student attempts to regain cervical spine exam competency, but fails at the attempt. Possibly incorrectly marks the wrong side of the patient, does incorrect exam routine positions, poor positioning resulting in poor images deemed undiagnostic, and etc. Student will have two points deducted from their final average. Student “Radiographers” Students hired by radiology departments will not use work hours in place of scheduled clinical time or make-up time for unexcused absences. A separate film badge must be used for employment regardless of the student’s assigned clinical site. Students cannot clock out of their scheduled student radiographer shift to perform an exam competency and then clock back in. All exam competencies must be performed during a regularly scheduled clinical assignment. Mobile Unit/Portable Radiography Guidelines All students must have a registered technologist present when performing portable/surgery exams, regardless of the student’s competency level. JRCERT does not accept electronic devices as a form of direct supervision. Direct supervision is defined as supervision provided by a qualified registered technologist immediately available to assist the students. "Immediately available" is interpreted as present in the room during the exam. This availability applies to all areas where ionizing radiation equipment is in use, including mobile radiography, surgery and surgery set-ups. A student can be dismissed from the program for performing mobile radiography or fluoroscopy without the supervision of a registered technologist. All students are required to wear leaded aprons while performing portable examinations. Policy Violations (Points off Final Grade) Points will be deducted from students final grade (2 per policy violation) if they do not follow hospital, program or college polices or do not conform to expected and professional behavioral norms. The program director and the clinical faculty will determine the need for points being deducted. The clinical instructor will log the deducted points each semester and write it on the clinical gradesheet. Form for recording policy violation is located in the forms section of the policy manual on page 98. 46 Cheating If cheating occurs during a clinical competency, the student forfeits that clinical competency and it will also result in the student having points deducted from their final course grade or dismissed from the program. If a student is found guilty of compromising a clinical exam competency, the competency will immediately be aborted and documented in the student exam competency handbook. Anything used to help facilitate cheating by the student will be kept by the RSCC faculty and placed in the students permanent records. The Clinical Coordinator and Program Director will be notified of the incident. The Deans of Allied Health Sciences and Student Affairs may also be notified. Refer to current RSCC Catalog. Clinical Site Disciplinary Action Process The program faculty will follow the following process for disciplinary action: 1st infraction – Verbal Warning; a verbal warning will be submitted to the student notifying the student that a policy has been violated. Two points could be deducted at this time depending severity of violation 2nd infraction – Written Warning; Two points will also be taken off the final average of the clinic grade. 3rd infraction – Clinical Probation; Any policy violation that occurs during the probationary period will result in a recommendation from the program director and the program faculty that the student be dismissed from the program for disciplinary reasons. This will result in an overall letter grade drop. 4th infraction – Dismissal from the program. Disciplinary process will be determined by the clinical instructor and will be followed up by the clinical coordinator. Dependent on the severity of the infraction, a student can be subject to immediate dismissal from the program without prior disciplinary action being taken. Disciplinary action taken against any student will become a part of the student’s permanent record. Clinical Site Grievance If a student has a grievance related to a clinical site, the student must contact the site’s Clinical Instructor and/or the program’s clinical coordinator. The incident must be reported to the clinical coordinator or the program director within five (5) working days. The clinical coordinator may involve the program director or the Dean of Allied Health Sciences, as well as the affiliate’s director of imaging services, depending on the nature of the grievance. The program faculty will make every effort to resolve the student’s problem at the program level and will notify students of any decision or action taken within five (5) working days of the reported incident. The student may appeal the decision in writing within five (five) working days, to the Dean of Allied Health Sciences. The dean will gather information from all parties involved and provide a decision within ten (10) working days after the appeal is submitted. 47 The student may appeal to the Vice President of Academic Affairs within five (5) working days after notification of the dean’s decision. Within ten (10) working days, the vice president will submit a written decision to the student and all concerned parties. While enrolled in clinical experience at the facility, students will be subject to applicable policies of the institution and the affiliate. Each party will be responsible for enforcing all applicable policies including that of the other party. Each clinical affiliate provides the training and educational experiences to RSCC Radiologic Technology students as agreed upon in each respective affiliation agreement. In the event that a clinical affiliate has a problem with a student’s conduct or the clinical performance is unsatisfactory to the facility then each affiliate has the sole discretion to request the Radiologic Technology Program to immediately remove the student. This is so each affiliate can preserve the quality of medical services and patient care as outlined in each affiliation contract. Students who have been removed from their clinical site due to unsatisfactory clinical performance or unacceptable behavior will be dismissed from the program. Radiation Protection Policies Following an introduction to the radiation protection policies and procedures of the program, the student will adhere to the following rules: 1. Responsibility to insure the protection of themselves, the patient, and general public from the harmful effects of ionizing radiation to the best of their ability using ALARA principles 2. Always wear a radiation monitoring device while in the clinical setting (any student not wearing a radiation monitor will not be allowed at clinic and the time missed will be considered an absence). Students will always wear a radiation monitoring device when using the energized x-ray lab on campus. Radiation monitoring badges will be provided by the clinical affiliation for clinic and by the program for the lab on campus 3. Wear a lead apron and thyroid shield during procedures such as: fluoroscopy, C-arm procedures, and portable radiography 4. Students will not hold patients or support a cassette during an exposure 5. Maintains personal awareness of the levels of radiation exposure received by monitoring monthly reports 6. Wear a lead apron and thyroid shield during procedures such as: fluoroscopy, C-arm procedures, and portable radiography (dosimeter will be placed outside the lead apron) 7. Properly shield all patients while performing radiographic procedures, regardless of age unless it will negatively affect the quality of the images 8. Stand a minimum of six feet from the patient during mobile radiographic examinations 9. Always use proper collimation 10. Determine the pregnancy status of female patients when appropriate 11. Understand and adhere to the radiation safety rules at the individual clinical site 12. Will not operate fluoroscopic units by themselves. This includes, but is not limited to, spot filming and the operation of the remote control fluoroscopic units for positioning 13. Under no circumstances serve as a model for text exposures/experimentation or radiograph anyone without a physician’s order and proper patient registration Notice: Failure to adhere to this policy may result in immediate dismissal from the program 48 Clinical Education Objectives Specific skills that a student must possess to produce a satisfactory radiograph/image: Evaluation of Requisition Student will be able to: a. Identify procedures to be performed and positions required b. Recall the patient's age and name c. Identify mode of transportation to the clinical area d. Pronounce the patient's name (within reasonable limits) Readiness of Physical Facilities Student will be able to: a. Provide clean table b. Exhibit orderly cabinets and storage space c. Have appropriate size and type of cassettes/image receptor settings ready d. Have supplies ready e. Locate syringes and needles as necessary f. Turn machine "on" and be prepared for exposures g. Turn tube in position necessary for the examination h. Find and re-supply linens if appropriate Patient and Technologist Relationship Student will be able to: a. Select the correct patient by checking two forms of identification. (i.e. ID bracelet, asking patients name and date of birth) b. Assist patient to and from radiographic room c. Assist patient to and from radiographic table d. Keep patient clothed and/or draped for modesty e. Introduce self and explain exam in a calm manner f. Remove glasses, teeth, etc. as necessary g. Talk with patient in a concerned, professional manner h. Give proper instructions for moving and breathing i. Have patient gowned properly j. Follow proper isolation procedure when appropriate k. Verify prep of patient, if needed l. Write history on request m. Initial requests Positioning Skills Student will be able to: a. Position the patient correctly on table (head at the appropriate end, prone or supine) b. Align center of part to be demonstrated to the center of the IR c. Center x-ray beam (CR) to the center of the IR d. Use correct baselines/landmarks e. Oblique the patient correctly if required f. Angle the CR to the center of the IR g. Remove unwanted anatomical parts from the radiographic area via collimation h. Check prior radiographs, if available i. Adjust for body habitus, pathology 49 Equipment Manipulation Student will be able to: a. Turn tube from horizontal to vertical (and vice versa) b. Move the bucky tray and utilize locks c. Identify and utilize tube locks d. Insert and remove cassettes from bucky tray and spot film device e. Select correct accessories (film holder and immobilization devices, sandbags and sponges) f. Operate film advance for automatic changers g. Select factors at control panel h. Measure the patient using calipers i. Use a technique chart j. Identify the film with "R," "L" and other appropriate identifications k. Fill syringes using aseptic techniques l. Safely drive the mobile unit m. Operate the controls for the mobile unit n. Select proper cassette size and placement thereof o. Adapt for technique changes in focal film distance, grid ratio, collimation, etc. p. Proper archiving of completed images q. Proper dismissal procedure of patient Evidence of Radiation Protection Student will be able to: a. Cone or collimate to part b. Use gonad shields, if appropriate c. Demonstrate utilization of lead apron and gloves, if appropriate d. Produce the film badge as required by the institution e. Select the proper exposure factors f. Adjust exposure technique for motion, when appropriate g. Ask persons in room to step behind the leaded, shielded area Evaluation of Radiograph Student will be able to evaluate the radiographic image for: Anatomical part(s) a. Part is shown in proper perspective b. No motion is present Proper Alignment a. Film is centered b. Part is centered c. Tube is centered d. Patient is oblique or rotated correctly e. Correct IR or film holder and/or grid usage f. No motion, grid lines or artifacts 50 Radiographic Techniques a. b. c. Chart was used correctly (proper contrast and density) Compensation of factors of pathology and body habitus Correct focal spot size and/or time used to produce image sharpness Film Identification or Other Identifications a. b. c. d. "R" and/or "L" in correct location Time or position markers correctly placed Patient information and data can be identified Identify by name and outline involved anatomy Radiation Protection a. Cone or collimation limits are visible b. No repeats c. Gonad shields in place After successful completion of the Clinical Competency Program and with additional clinical experience for development of proficiency-level skills and knowledge, the student will: 1. Be aware of the role of a Radiologic Technologist as a member of the health care team by: a. Maintaining professional attitudes toward patients b. Keeping all patient information confidential c. Assuming responsibility for continuing education 2. Perform radiologic examinations accurately and with a minimum amount of delay by: a. Organizing time and techniques most efficiently b. Practicing procedures in the clinical setting 3. Demonstrate knowledge of techniques, principles, and equipment by: a. Assuming responsibility and accountability for diagnostic value of exams b. Consider the patient's physiological condition in obtaining diagnostic exams 51 Clinical Education Physical Skills Registered technologists including radiologic technology students must be able to perform the following physical skills: A. B. C. D. E. F. G. H. I. J. K. L. M. N. O. STRENGTH: Perform physical activities requiring ability to push/pull objects/persons more than 100 pounds and to transfer objects of more than 100 pounds. MANUAL DEXTERITY: Perform simple motor skills such as standing, walking, handshaking; manipulative skills such as writing and typing, setting up exposure factors on x-ray control panel; manipulating the x-ray tube, bucky tray and x-ray table; injecting contrast, catheterizing patients, calibrating x-ray equipment, adjusting film processors loading/unloading film magazines, etc. COORDINATION: Perform body coordination such as walking, filing, retrieving equipment; eye-hand coordination such as aligning x-ray beam with body part and film tray; computer/keyboard skills; arm-hand steadiness such as taking blood pressures, performing venipuncture, catheterizing, calibration of tools and equipment, etc... MOBILITY: Perform mobility skills such as walking, standing, bending; pushing portable equipment throughout hospital; prolonged standing while wearing leaded aprons during invasive x-ray exams/procedures; manipulate equipment in a sterile setting, such as surgery or special studies; manipulate x-ray equipment 40” above recumbent patients, etc. VISUAL ABILITY: See objects far away and to discriminate colors and to see objects closely as in reading faces, dials, monitors, etc. HEARING: Hear normal sounds (patient/staff communication) with background noise from x-ray generators, computers, etc., and to distinguish sounds. CONCENTRATION: Concentrate on details with moderate amount of interruptions such as patient requests, doctor and staff requests, etc. ATTENTION SPAN: Attend to task/functions for periods up to 60 minutes in length and periods exceeding 60 minutes in length CONCEPTUALIZATION: Understand and relate to specific ideas, concepts, and theories generated and simultaneously discussed. MEMORY: Remember task/assignments given to self and others over both short and long periods of time; duplicate settings/exposure factors of x-ray machine. STRESS: Work with patients who may be very young or old, critically ill or injured, or mentally or physically deficient/impaired; work in other departments such as surgery and emergency room, work with a constantly changing group of staff and resident physicians, medical students, etc. CRITICAL THINKING: Have ability to make clinical judgments when working independently to obtain diagnostic images. COMMUNICATION; Communicate sufficiently for interaction with others in verbal and written form. SUBSTANCE ABUSE: Not use a Schedule 1 drug, does not use amphetamines, narcotics, or any other habit-forming drug unless prescribed by a licensed medical practitioner. INTERPERSONAL: Interact with individuals, families, and groups from a variety of social, emotional, cultural, and intellectual backgrounds. Must be able to establish rapport with patients, colleagues, faculty, and professional staff. 52 Clinical Education Plan The clinical education plan is designed to lead the students through a progressive study of the practical skills and knowledge required to perform the entry-level job skills of a registered radiologic technologist. As the student progresses through phase I, II, and III of the plan, the theories of positioning and related techniques will be demonstrated and practiced in supervised laboratory activities; followed by observation and practice in the clinical area. The final phase of the plan implements a clinical competency program to clinical setting. Phase I: Lecture and written examination Phase II: Lab demonstration, simulated practice & Lab exam Phase III: Clinical observation and practice (with direct supervision) Phase IV: Demonstration of clinical competency Phase V: Clinical practice of competency achieved exams (with indirect supervision) Phase VI: Mastery testing Phase VII: Clinical proficiency Laboratory Objectives After demonstration and practice, the student will, under simulated conditions: 1. Select the correct IR size 2. Determine exposure technique 3. Properly place cassette lengthwise or crosswise 4. Use R or L marker 5. Correctly position marker on cassette 6. Use correct distance 7. Center tube to bucky tray, if applicable 8. Position patient 9. Direct central ray 10. Use correct central ray angle 11. Use correct centering point 12. Demonstrate collimation and shielding 13. Demonstrate communication and patient care skills in simulated exam. Laboratory Requirements Students will follow these guidelines when in the laboratory: A. Attendance is mandatory; demonstrations will not be repeated. Students must provide their own patients for make-up tests. See Procedure course syllabus for precise details. B. Be prompt. C. Handle equipment and accessories with care. D. Take turns playing the patient role. E. Listen carefully to instructions provided during demonstrations. F. Ask questions during practice. G. Observe classmates as they practice. H. Clean up personal food and drink containers. I. Do not energize the tube with personnel, students or visitors present in the lab. J. Close lab door when tube is energized. K. Turn on "in-use" sign when lab is in use. L. Demonstrate communication and patient care skills in simulated exam. M. Complete each lab exam with a minimum score of 70%. Less than a 70% score requires that the exam be repeated in the presence of two instructors. Failure to pass a lab exam on the second attempt will result in a D in the Procedures course and consequent dismissal from the program at the end of the semester. 53 Clinical Objectives / Worksheets 54 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Completed by end of the 2nd semester) Task – Digital Radiography Skills Upon completion of the rotation through any digital radiographic room, the student will have a registered technologist check each of the following steps indicating successful completion of the objectives. a. Enter patient information in to the system b. Set up digital Control Panel for exposure c. Display and store images d. Ability to manipulate images for satisfactory diagnostic quality e. Capability to recall or retrieve images as needed f. Successfully transmit images for interpretation _______________________________________ Registered Technologist Signature __________________ Date _______________________________________ Student Signature __________________ Date 55 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Completed by end of 1st semester) Task – Front Desk/File Room Upon completion of the orientation through the front desk and file room, the student will have a registered technologist or other clerical personnel check each of the following steps indicating successful completion of the objectives. a. Proficient with the departmental telephone system b. Practices good phone etiquette and can transfer calls c. Print films/images from PACS or other imaging system d. Burn CD’s for patient/physician use (if applicable) e. Proficient with the departmental fax system _______________________________________ Registered Technologist /Clerical Signature __________________ Date _______________________________________ Student Signature __________________ Date 56 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Completed by end of 1st semester) Task - Patient Transport Following demonstration of transporting patients, the student will have a registered technologist or transport employee check each of the following steps indicating successful completion of the objectives. a. Transfer the patient from bed to wheelchair safely b. Transfer patient from wheelchair to radiographic table safely c. Transfer patient from radiographic table to wheelchair safely d. Transfer patient from wheelchair to bed safely e. Locate wheelchair locks and safety restraints f. Transfer the patient from bed to stretcher safely g. Transfer the patient from stretcher to radiographic table safely h. Transfer the patient from radiographic table to stretcher safely i. Transfer the patient from stretcher to bed safely j. Locate stretcher locks and safety restraints k. Turn oxygen on and off and regulate flow according to order on chart l. Transferring of IV tubing safely while transporting m. Accurately disconnect and attach leads before and after procedures ____________________________________ Registered Technologist/Transport Personnel Signature _________________ Date ____________________________________ Student Signature __________________ Date 57 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Completed by the end of 3rd semester if availability allows) Task - Insertion of Enema Tip Upon completion of the rotation through the radiographic room designated for barium enema studies, the student will have a registered technologist check each of the following steps indicating successful completion of the task. a. Place the patient in Sim's position b. Lubricate tip generously c. Expose anus and insert tip about 3 inches or until it passes the anal sphincter d. If retention catheter is used, inflate and clamp catheter per radiologist's instructions e. Return patient to supine position __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ Date 58 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (To be completed by the end of the 3rd semester) Task - Barium Bag Preparation Upon completion of the rotation through the radiographic/fluoroscopic room designated for barium enema studies, the student will have a registered technologist check each of the following steps indicating successful completion of the task. a. Attach plain tip to tubing and clamp tubing b. Fill pre-packaged bag with approximately 1500 ml of warm water and shake to mix c. Displace the air in the tubing d. Attach retention catheter, if needed e. Place bag approximately 30 inches above the tabletop __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ Date 59 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Form to be completed at the demonstration during the first Semester at the ORBC Radiology lab) Task - Drawing Up Contrast Agents a. Select appropriate contrast agent b. Attach 1-1/2 inch, 18-gauge needle to 60 cc syringe using sterile technique c. Remove metal cap from bottle d. Wipe rubber stopper with alcohol prep e. Draw air into syringe f. Invert bottle g. Insert needle through rubber stopper into solution h. Inject air into the bottle and solution will run into syringe i. Clear air bubbles from syringe tip j. Attach butterfly needle, if needed, and displace air in tubing __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ Date 60 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Form to be completed at the demonstration during the first Semester at the ORBC Radiology lab) Task – Venipuncture Upon completion of the venipuncture session using the prosthetic arm, the student will have the instructor check each of the following steps indicating successful completion of the task. After the lab session, students may attempt venipuncture and administer contrast in the clinic if site allows. TO BE DONE ONLY UNDER THE DIRECT SUPERVISION of REGISTERED TECHNOLOGIST OR REGISTERED NURSE. Violation of this policy of direct supervision will result in dismissal from the program. a. Collects appropriate materials. (tourniquet, prepping solutions, needles, tape, gauze & gloves) b. Selects needle and extend tubing, leaving it capped for sterility c. Apply tourniquet, allowing veins to distend, then inspect and choose an appropriate vein d. Put on gloves, utilizing standard precautions e. select venipuncture site f. Prepare venipuncture site, prepping with betadine and/or alcohol cleaning in a circular motion starting at point of entry and move outward g. Stabilize the vein h. Enter the skin at a 45-degree angle while holding the needle bevel up (when needle has entered the skin, lower it until it is nearly parallel to the skin, 10-15 degree angle) i. Insert needle into the vein until a backflow of blood is observed j. Secure needle position by loosely taping the tubing down k. Release the tourniquet l. Removes the tubing cap and check for adequate blood flow m. Attach to solution line (syringe, IV's, medications) n. When removing needle after the exam, do not re-cap or re-use. o. Student successfully utilizes aseptic technique throughout the procedure. __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ Date 61 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Form to be completed at the demonstration during the first Semester at the ORBC Radiology lab) Task - Blood Pressure Upon completion of objectives, the student will have a registered technologist check each of the following steps indicating successful completion of the task. a. Gather equipment: sphygmomanometers with self-securing cuff & stethoscope b. Remove clothing from mid to distal humeral area c. Place deflated sphygmomanometer cuff evenly around patient's arm d. Place the bell of stethoscope over the brachial artery (located at the center of the anterior elbow and may be identified by palpation) e. Place the gauge of the sphygmomanometer on a flat surface or attach to loop on cuff so it can be easily read f. Place earpieces of stethoscope in ears g. Tighten the thumbscrew of the pressure bulb and pump the bulb until it reaches 180 mm Hg or until you no longer hear a pulse beat h. Open valve slowly and allow mercury to fall. Listen carefully for the pulse beat to begin and take reading at the level of mercury or on the gauge, where it is first heard; this is the systolic reading i. Continue to listen until pulsations become soft or quiet, or the sound changes from loud to very soft; this is the diastolic reading j. Record reading and remove blood pressure equipment from patient. Normal Ranges: Systolic = 110 - 140 Diastolic = 60 - 90 __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ Date 62 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Form to be completed at the demonstration during the first Semester at the ORBC Radiology lab) Task - Pulse/Respirations Upon completion of objectives the student will have a registered technologist check each of the following steps indicating successful completion of the tasks. PULSE a. Locate pulse Radial/wrist Temporal/ear Carotid/neck Femoral/groin Pedal/foot b. Continue by counting pulsations for 1 minute c. Record reading Respirations Adult’s 60 - 100 beats/minute Infants 70 – 120 beats/minute (10 and under) do not use thumb (has pulse also) do not press hard (compress artery) **best to check immediately following pulse count a. Observe patient's breathing by watching the rise and fall of the chest. b. Determine rate by observing for a full minute Adults 12-20/minute Child(10 and Under) 20-30/min c. Document results. Can be described as: *rapid *shallow *labored *regular * irregular __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ Date 63 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Form to be completed at the demonstration during the first Semester at the ORBC Radiology lab) Task – Opening Sterile Supplies a. Select an appropriate surface for setting up a sterile field b. Open wrapper of sterile object beginning with the farthest wrapper flap and ending with the nearest flap c. Put on sterile gloves (in the appropriate manner) to arrange items on the sterile field d. Arrange items on the sterile try (discard any item with questionable sterility) e. Add items to sterile tray (as requested by Radiologist); do not reach across sterile field __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ Date 64 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Worksheets for each room must be completed by the end of the 2nd semester) Equipment - Radiographic/Fluoroscopic Rooms ~ Set-up Procedures Upon completion of each rotation through each radiographic/fluoroscopic room, the student will have a registered technologist check each of the following steps indicating successful completion of the worksheet. Radiographic /Fluoroscopic Room Number_______________________ a. locates and operate main wall switch b. c. d. turn machine off and on selects upright or table bucky locate controls for exposure factors e. f. g. perform warm up procedure operate tube locks center tube to bucky tray h. adjust collimator i. j. k. turn on field light indicator locate distance indicator adjust tube angulations in all directions l. properly insert and remove cassette from bucky tray m. lock bucky tray in place n. move table travel in all directions o. p. q. r. set controls on console in fluoro set controls on image intensifier operate spot devices attach and remove footboard when needed __________________________________ Registered Technologist Signature _________________ Date __________________________________ Student Signature _________________ Date 65 CLINICAL COMPETENCY OBJECTIVES (Worksheets for each different machine must be completed by the end of the 2nd semester) Equipment – Mobile/Portables Units Upon completion of the rotation for portables/surgery, the student will have a Registered technologist check each of the following steps indicating successful completion of the worksheet for each different model/make of portable equipment. Mobile/Portable I.D. (model/number) _________________________ a. Charge the machine b. Turn the machine on and off c. Adjust controls for exposure factors d. Operate tube locks e. Operate collimator controls f. Operate field light indicator g. Angle the tube h. Drive in forward and reverse __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ Date 66 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Worksheets for each different C-arm must be completed by the end of the 4th semester) Equipment - C-Arm Upon completion of the portable/surgery rotation, the student will have a registered technologist check each of the following steps indicating successful completion of the worksheet for each different model/make of C-arm equipment. C-arm I.D. (model/number) _____________________ a. Operate the equipment for positioning (storage to room mobility) b. Connect cables from C-arm to video and video to power source c. Turn machine on and off in proper sequence d. Adjust controls for exposure factors (fluoroscopic and radiographic) e. Identify tube and intensifier f. Operate all locks: extension, rotation, angulation, and vertical movement, AP to lateral C-arm rotation g. Identify all control panel capabilities h. Collimation and shutter identification (if applicable) i. Attachment of frame for producing radiographs j. Foot pedal and hand switch identification and use k. Sterile technique for attaching cover (if applicable) l. Storage placement, cleaning of equipment and storage covers m. Identify brand of equipment __________________________________ Registered Technologist Signature _________________ Date __________________________________ Student Signature _________________ Date 67 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Worksheet must be completed by the end of the 4th semester) Equipment – Cysto (if available) Upon completion of the portable/surgery rotation, the student will have a registered technologist check each of the following steps indicating successful completion of the worksheet for the surgical cystography room(s). a. Turn machine on and off b. Set proper exposure factors for exam, radiographic and fluoroscopic (if applicable) c. Properly load cassette into tray d. Move table in all directions e. Expose film and development (identification of film) f. Observe sterile technique g. Operate equipment for shut-down __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ Date 68 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Evening hours are scheduled during the fall and spring semesters of the second year and this worksheet must be completed during these assignments) Evening Rotation Each student will have a registered technologist check each of the following steps Indicating successful completion of the rotation. A regular CPE must also be Completed and turned into the clinical instructor for calculation of the clinical education grade. a. Assist the registered technologist in performing routine, mobile and trauma exams b. Enter exams into the computer c. Work as member of a health care team d. Manage workflow by prioritizing and sending for patients e. Develop proficiency, versatility, and independence by participating in a variety of examinations with minimal supervision f. Work toward completion of required exam competencies identified in the Clinical Competency Handbook g. Demonstrate proficiency by performing exams with indirect supervision h. Accurately disconnect and attach leads before and after exams __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ 69 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Worksheet & traditional CPE to be completed while assigned to Children’s Hospital of East Tennessee) External Rotation – Pediatrics Each student will have a registered technologist check each of the following steps indicating successful completion of the rotation. a. Demonstrate use of immobilization devices and techniques used in pediatric radiography b. Properly shield pediatric patients c. Closely collimate on each projection/position d. Communicate effectively with the patient, parents and staff e. Evaluate the radiograph f. Produce identical densities on follow-up studies g. Assist the registered technologist in performing the examinations and procedures h. Work toward completion of required exam competencies identified in the Clinical Competency Handbook i. Perform one exam on a pediatric patient with minimal assistance __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ Date 70 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Worksheet to be completed during each 2 week rotation in Cat Scan in the 4th and 5th semesters) Cat Scan * Upon completion of this rotation the student will have a registered technologist check each of the following steps indicating successful completion of the rotation. a. Locate and operate main wall switch b. Turn machine off and on c. Perform tube warn up d. Control Panel - list/select, patient schedule, exam Rx, routine display, retro-recon and archive e. Transport patients in and out of CT room f. Properly identify patient g. Obtain patient history h. Place patient on table using correct orientation for selected exam (i.e. head first, feet first) i. Position and center patient using correct landmarks for selected exam j. Gantry/Table - Move table, buttons, zero in and out, tilt angle, change cradle, seat belt and attachments k. Observe radiation safety practices l. Identify pertinent anatomy on scans m. Printer/PACs – print, load film, film compose auto and manual, send to PACs, verify n. Understand the education method and experience required to become a Computed Tomography technologist * Competency is required in this rotation ~ CT Head, CT Abdomen (without IV contrast) _________________________________ Registered Technologist Signature ____________________________________ Student Signature _______________ Date _________________ Date 71 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET Elective Rotation - Interventional Services (Special Procedures) Upon completion of this rotation the student will have a registered technologist check each of the following steps indicating successful completion of the rotation. a. Correctly identify patient, verify physicians orders in chart for correct procedure. b. Check patient’s chart for possible contraindications along with pertinent lab work results, such as BUN (blood urea nitrogen) and creatinine levels. c. Assist registered technologist in preparing patient for procedure including ECG monitoring, oximeter readings, and blood pressure d. Successfully put on sterile gown without contamination e. Successfully put on sterile gloves without contamination f. With assistance, set up trays (instruments, materials) under sterile conditions g. If permitted, scrub and assist in passage of catheter under sterile conditions h. Distinguish between catheters, guide wires, and needles *Competency is not required in this area. __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ Date 72 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Worksheet to be completed during assigned 8-hour day in department) Elective Rotation- Radiation Therapy Each student will have a registered technologist check each of the following steps indicating successful completion of the rotation. a. Assist the registered technologist with patient care b. Identify patients c. Transport patients in and out of the treatment room d. Assist the registered technologist in positioning the patient e. Understand the function of the radiation therapy department f. Identify the reasons that radiation therapy is prescribed (i.e. which types of cancer/pathology) g. Understands the education method and experience required to become a radiation therapist. __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ Date 73 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Worksheet to be completed during assigned 8-hour day in department) Elective Rotation- Nuclear Medicine Each student will have a registered technologist check each of the following steps indicating successful completion of the rotation. a. Assist the registered technologist with patient care b. Identify patients, obtains patient history c. Transport patients in and out of the exam room d. Assist the registered technologist in positioning the patient e. Understand the function of the nuclear medicine department and which exams are most commonly ordered f. Identify pertinent anatomy on scans and which specific radionuclides were used g. Observe radiation safety practices h. Understands the education method and experience required to become a nuclear medicine technologist. __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ Date 74 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Worksheet to be completed during assigned 8-hour day in department) Elective Rotation- Computed Tomography Each student will have a registered technologist check each of the following steps indicating successful completion of the rotation. a. Assist the registered technologist with b. Identify patients, obtains patient history c. Transport patients in and out of the exam room d. Assist the registered technologist in positioning the patient e. Understand the function of the computed tomography department and which exams are most commonly ordered f. Identify pertinent anatomy on scans g. Observe radiation safety practices h. Understands the education method and experience required to become a computed tomography technologist. __________________________________ Registered Technologist Signature __________________________________ Student Signature patient care _________________ Date _________________ Date 75 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Worksheet to be completed during assigned 8-hour day in department) Elective Rotation- Ultrasound Each student will have a registered technologist check each of the following steps indicating successful completion of the rotation. a. Assist the registered technologist with patient care b. Identify patients, obtains patient history c. Transport patients in and out of the exam room d. Assist the registered technologist in positioning the patient e. Understand the function of the ultrasound department and which exams are most commonly ordered f. Identify pertinent anatomy on scans g. Learn some patient preps for several exams performed h. Understands the education method and experience required to become an ultrasound technologist. __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ Date 76 CLINICAL COMPETENCY OBJECTIVES/WORKSHEET (Worksheet to be completed during assigned 8-hour day in department) Elective Rotation- Magnetic Resonance Imaging Each student will have a registered technologist check each of the following steps indicating successful completion of the rotation. a. Assist the registered technologist with patient care b. Identify patients, obtains patient history c. Transport patients in and out of the exam room d. Assist the registered technologist in positioning the patient e. Understand the function of the MRI department and which exams are most commonly ordered f. Identify pertinent anatomy on scans g. Learn all safety precautions expected in this area h. Understands the education method and experience required to become a MRI technologist. __________________________________ Registered Technologist Signature __________________________________ Student Signature _________________ Date _________________ Date 77 CLINICAL EXAM COMPETENCY Objectives Requirements Categories Checklist Evaluation Clinical Exam Competency Fulfillment of the exam competency requirements will prepare the student for a career as an entry-level radiologic technology graduate. The student, upon classroom completion of radiographic material and lab assignments, will practice performance of exams on patients under the direct supervision of a registered technologist. When the student feels prepared, he/she will challenge the competency checklist requirements. The checklist is the format that the registered technologist will use in evaluating the skills and techniques of the student. The student will attempt competencies on 48 exams throughout the five semesters in the program. The clinical education syllabus will outline the number of competencies that are required for each semester. The 48 exams are divided between 10 categories. The exam competencies must be chosen from the category distribution list. Exam Competency Objectives The following objectives are to be followed in evaluating the student's competency in performing an examination. The student will correctly identify the patient and: A. Select the correct IR size if applicable B. Correctly align IR and patient C. Use R/L markers correctly D. Use correct SID E. Properly position the patient F. Correctly center tube to cassette/bucky/image receptor. G. Adjust tube angle correctly with proper direction H. Identify correct centering point I. Show evidence of collimation J. Select appropriate technical factors K. Shield the patient 78 Clinical Competency Requirements Candidates must demonstrate competence in all 33 procedures identified as mandatory (M). This includes competency of CT exams. Procedures should be performed on patients; however minimal simulation exams are allowed (as mandated by ARRT) if demonstration on patients is not feasible. Candidates must demonstrate competence in 15 of the 35 elective (E) procedures. Candidates must select one elective procedure from the head section. Candidates must select either Upper GI or Barium Enema plus one other elective from the fluoroscopy section. Elective procedures should be performed on patients; however minimal simulation exams are allowed if demonstration on patients is not feasible. A total of 48 competencies must be achieved before graduation. Simulations will be carried out in the same manner as a traditional exam competency except for the actual exposure. The student must be prepared to answer questions from the simulation instructor pertaining to exposure technique, control panel set-up, and radiographic anatomy demonstrated. Institutional protocol will determine the positions or projections used for each procedure. The student must notify the staff technologist prior to receiving the patient of their intent to challenge the exam for competency. An exam competency may be discontinued by the technologist if at any time they feel the patient’s care and safety are at risk. All exam competencies attempted must be documented in the exam comp logbook; regardless of completion. If an exam comp attempt is aborted please list reason(s) in the exam comp logbook. Repeat images are allowed if due to involuntary/uncontrolled patient motion or equipment malfunction. Requirements: First Semester – 5 Comps / 3 Masteries / 5 Anatomy Second Semester – 10 Comps / 9 Masteries / 10 Anatomy Third Semester – 9 Comps / 5 Masteries / 5 Anatomy Fourth Semester – 12 Comps / 10 Masteries / 10 Anatomy Fifth Semester – 12 Comps / 10 Masteries / 10 Anatomy Demonstration of competence includes requisition evaluation patient assessment patient identification by two methods patient history (to include personal introduction, questions such as possible pregnancy, exam prep completed, pertinent patient history) room preparation patient management equipment operation (SID, tube-to IR centering, tube angle/direction, collimation) technique selection positioning skills (centering point, patient position) lead marker usage radiation safety (collimation, shielding, radiation protection measures) image processing image evaluation . 79 CLINICAL COMPETENCY REQUIREMENTS New Requirements Beginning January 2012 Radiographic Procedure Chest & Thorax Chest Routine Chest AP& Lat * (w/c or stretcher) Ribs Chest Lateral Decubitus Sternum Upper Airway (soft-tissue neck) Mandatory or Elective Date Completed Patient or Simulated Competence Verified By M M M E E E Upper Extremity Thumb or Finger Hand Wrist Forearm Elbow Humerus Shoulder Trauma: Shoulder (Scapular Y, Transthoracic or Axillary)* Clavicle Scapula AC Joints Trauma: Upper Extremity (non shoulder)* M M M M M M M M E E E M Lower Extremity Toes Foot Ankle Knee Tibia-Fibula Femur Trauma: Lower Extremity* Patella Calcaneus (Os Calcis) E M M M M M M E E Cranium / Head **See note below for instructions Skull Paranasal Sinuses Facial Bones Orbits Zygomatic Arches Nasal Bones Mandible (Panorex acceptable) E E E E E E E * Chest & Thorax – revised requirement – AP & Lat is required on w/c or stretcher chest ** Cranium / Head – Candidates must select at least one elective from this section. Radiologic Procedures Mandatory or Elective Date Completed Patient or Simulated Spine & Pelvis Cervical Spine Trauma: C-Spine Exam to include Cross Table Lateral* Thoracic Spine Lumbosacral Spine Pelvis Hip Trauma: Hip to include Cross Table Lat Hip* Sacrum &/or Coccyx Scoliosis Series Sacroiliac Joints M E M M M M M E E E Abdomen Abdomen Supine (KUB) Abdomen Upright Abdomen Decubitus Intravenous Urography M M E E Fluoroscopy Studies ** Upper GI Series (Single or Double Contrast) Barium Enema (Single or Double Contrast) Small Bowel Series Esophagus Cystography/Cystourethrography ERCP Myelography Arthrography E E E E E E E E Surgical Studies C-Arm Procedure (Orthopedic) C-Arm Procedure (Non-Orthopedic) M E Mobile Studies Chest Abdomen Orthopedic M M M Pediatrics (age 6 or younger) Chest Routine Upper Extremity Lower Extremity Abdomen Mobile Study M E E E E Cat Scan Head w/o IV contrast Abdomen w/o IV contrast 80 Competence Verified By M 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. ** Fluoroscopy Studies – Candidates must select either Upper GI or Barium Enema plus one Other elective from this section. 81 . For quality control purposes the clinical faculty may re-check a student on any exam competency at any time. The clinical faculty can evaluate an exam competency and invalidate the competency if they decide it is not diagnostic and does not meet the appropriate criteria. The student must then repeat the invalid competency exam. The ARRT requirements specify that certain clinical procedures may be simulated. Simulations must meet the following criteria: (a) the student is required to competently demonstrate skills as similar as circumstances permit to the cognitive, psychomotor, and affective skills required in the clinical setting; (b) the program director is confident that the skills required to competently perform the simulated task will generalize or transfer to the clinical setting. General Patient Care Requirements Candidates/students must demonstrate competence in all six patient care activities listed below. The activities should be performed on patients; however, simulation is acceptable if state or institutional regulations prohibit candidates from performing the procedures on patients. General Patient Care CPR Vital signs (blood pressure, pulse, respiration) Sterile and aseptic technique Venipuncture Transfer of patient Care of patient medical equipment (e.g., oxygen tank, IV tubing) Date Completed Competence Verified By 82 Clinical Evaluation Performance Overall clinical performance will be evaluated for each rotation. The evaluation will include assessment in the three domains (psychomotor, cognitive, and affective) and will be completed by the technical staff and/or clinical instructor. The student is urged to maintain better than satisfactory performance in his/her clinical assignments and overall performance. The evaluation will serve as a progress indicator and will pinpoint problem areas, possible need for disciplinary measures, and will be used to determine the student’s final grade. The categories in which the student will be evaluated are as follows: PSYCHOMOTOR (clinical skills) 1. Quality of work 2. Quantity of work COGNITIVE (clinical knowledge) 3. Knowledge 4. Attitude 5. Communication 6. Judgment AFFECTIVE (professional conduct) 7. Self-confidence 8. Appearance 9. Professional ethics 10. Initiative 83 Clinical Testing Mastery Testing Fall Semester – 3 Masteries Spring Semester – 9 Masteries Summer Semester – 5 Masteries Fall Semester – 10 Masteries Spring Semester – 10 Masteries Each student has the option of completing 37 Masteries before graduation. Mastery Testing You will perform these procedures on patients at the clinical site with your clinical instructor or designated technologist. It is the student’s responsibility to inform the clinical staff of the intent to do a mastery before the procedure is done. Clinical staff will not notify the students when these exams need to be performed. The competency book and the mastery form must be presented to clinical staff before a mastery can be performed. The number of masteries performed each semester will determine 10% of the overall clinical education grade. You will be expected to perform each procedure according to the clinical site protocol. Each mastery will be evaluated at the level of a competency. The failure of a mastery will result in the corresponding competency being revoked therefore; the competency and the mastery must be repeated. Anatomy Testing Students will be expected to do 10 competency anatomy testing procedures every semester, with the exception of the first and third semester, only 5 will need to be completed. All tests will be on exams that the student has already comped on and will be done according to the availability of the clinical instructor. This is not a scheduled test. This will count for 10% of the overall clinical education grade. This will be a pass/fail score. If a student scores less than ten on a test, this is considered unacceptable and the student will be retested. The student will receive the first attempted score as part of the overall clinical grade. If the student does not have enough competencies to complete the required number of exams for anatomy testing; a random exam can be retested. 84 Roane State Community College Radiography Program Mastery Testing Documentation First Year Student Name: ___________________________ Site: ____________________________________ Fall 3 = 100 2 = 90 1 = 80 Date Spring 9 =100 8 = 90 7 = 80 6 = 70 5 = 60 4 = 50 3 = 40 2 = 30 1 = 20 0= 0 Examination Performed Comp Date Summer 5 = 100 2 = 40 4 = 80 1 = 20 3 = 60 0 = 0 Patient ID Number Tech Initials CI Initials 1 2 3 4 5 6 7 8 9 List any failed Masteries Below: 1 2 3 4 5 Overall Score on Communication Skills: Excellent _____ Very Good_____ Satisfactory_____ Poor_____ Unacceptable_____ 85 Roane State Community College Radiography Program Mastery Testing Documentation Second Year Student Name: ____________________________ Site: _____________________________________ . Fall 10 = 100 9 = 90 8 = 80 7 = 70 6 = 60 Date 5= 4= 3= 2= 1= 50 40 30 20 10 Examination Performed Spring 10 = 100 9 = 90 8 = 80 7 = 70 6 = 60 Comp Date 5= 4= 3= 2= 1= 50 40 30 20 10 Patient ID Number Tech Initials CI Initials 1 2 3 4 5 6 7 8 9 10 List any failed Masteries Below: 1 2 3 4 5 Overall Score on Communication Skills: Excellent _____ Very Good_____ Satisfactory_____ Poor_____ Unacceptable_____ 86 Mastery Level Clinical Competency / Grade Sheet Student’s Name _____________________ Exam Name ____________________ All sections of the Mastery Level Competency must be Achieved. Mastery level competencies must be performed on exams that the student has successfully completed as a competency. Repeats will cause failure of the mastery and repeats must be performed under Direct Supervision (if Mastery results in repeats, exam competency will be revoked. Both competency and mastery will need to repeated). Repeats due to equipment failure or patient motion will not result in failure of the mastery. Mastery Level Competency must be performed under the supervision of the clinical instructor or a designated technologist. Procedure & Image Achieved Did Not Achieve Evaluation of requisition & patient assessment. (Arm band checked and pregnancy question must be asked.) Room readiness Patient care and management Equipment operation & technique selection (Correct Distance – TT, TB or Upright Bucky) Positioning skills before exposure Radiation protection for patient, self and others Transfer of Image data Evaluate anatomical part(s) & alignment Evaluate speed and efficiency Evaluate radiographic technique Evaluate image identification ( correct name/dateCorrect marker and marker placement) Collimation (radiation protection) Film Repeats: Patient’s ID: Date: Technologist Initials: Overall Score on Communication Skills: Excellent _____ Very Good _____ Satisfactory _____ Poor_____ Unacceptable______ 87 Radiologic Technology Program ~ 1st Semester Grade Sheet Student ______________________ Semester/Year________________ Site ___________________________ Rotation Evaluations = 80% of Clinical Grade Evaluation #1 = ______ Evaluation #2 = ______ Evaluation #3 = ______ Total Number of Points Received= ( ) ------------Total Number of Evaluations= ( ) Evaluation #4 = ______ Average of Evaluations= ____________ CPE Average X 80%= _______ Mastery Testing = 10% of Clinical Grade Overall Score on Communication Skills: Excellent _____ Very Good _____ Satisfactory _____ Poor _____ 3 exams = 100 Points 2 exams = 90 Points 1 exam = 80 Points 0 exams = 0 Points Unacceptable______ Exams Passed = ____________ Total Points X 10 %= _________ Anatomy Testing Scores = 10% of Clinical Grade 1. ___________ Each Test Passed = 20 points 2. ___________ Total Points=___________ 3. ___________ 4. ___________ Total Points X 10 %= __________ 5. ___________ CPE Points ________+ MT Points _______+ AT Points____ =_______ (Clinical Average) Clinical Average = _________ - Points off Grade ________ = _________ (Final Grade) (2 pts per violation) 94-100=A 87-93=B 80-86=C Below 80=F (REVISED 7/16/2014) 88 Radiologic Technology Program ~ 2nd Semester Grade Sheet Student _____________________ Site ___________________________ Semester/Year_______________ Rotation Evaluations =80 % of Clinical Grade Evaluation #1= _______ Evaluation #2 = _______ Total Number of Points Received= Evaluation #3 = _______ Total Number of Evaluations= ( ) ------------( ) Evaluation #4 = _______ Evaluation #5 = _______ Average of Evaluations= ____________ Evaluation #6 = _______ CPE Average X 80%= _______ Evaluation #7 = _______ Mastery Testing = 10% of Clinical Grade 9 exams = 100 Points 8 exams = 90 Points 7 exams = 80 Points 6 exams = 70 Points 5 exams = 60 points Overall Score on Communication Skills: 4 exams = 50 points 3 exams = 40 points 2 exams = 30 points 1 exam = 20 points 0 exams = 0 points Excellent _____ Very Good _____ Satisfactory _____ Poor _____ Unacceptable_____ Exams Passed = ____________ Total Points X 10 %= _________ Anatomy Testing Scores = 10% of Clinical Grade 1. ___________ 6. ___________ Each Test Passed = 10 points 2. ___________ 7. ___________ Total Points=___________ 3. ___________ 8. ___________ 4. ___________ 9. ___________ 5. ___________ 10. ___________ Total Points X 10%= __________ CPE Points ________+ MT Points _______+ AT Points _____=_______ (Clinical Average) Clinical Average = ___________ - Points off Grade ________ = _________ (Final Grade) (2 pts per violation) 94-100=A 87-93=B 80-86=C Below 80=F (REVISED 7/16/2014) 89 Radiologic Technology Program ~ 3rd Semester Grade Sheet Student _____________________ Site ___________________________ Semester/Year_______________ Rotation Evaluations =80 % of Clinical Grade Evaluation #1 = ______ Evaluation #2 = ______ Evaluation #3 = ______ Total Number of Points Received= ( ) ------------Total Number of Evaluations= ( ) Evaluation #4 = ______ Average of Evaluations= ____________ CPE Average X 80%= _______ Mastery Testing =10 % of Clinical Grade 1 5 exams = 4 exams = 3 exams = 2 exams = 1 exam = 0 exams = 100 Points 80 Points 60 Points 40 Points 20 Points 0 points Overall Score on Communication Skills: Excellent _____ Very Good _____ Satisfactory _____ Poor _____ Unacceptable_____ Exams Passed = ____________ Total Points X 10 %= __________ Anatomy Testing Scores = 10% of Clinical Grade 1. ___________ Each Test Passed = 20 points 2. ___________ Total Points=___________ 3. ___________ 4. ___________ Total Points X 10%= __________ 5. ___________ CPE Points ________+ MT Points _______+ AT Points____ =_______ (Clinical Average) Clinical Average = _________ - Points off Grade _________ = _________ (Final Grade) (2 pts per violation) 94-100=A 87-93=B 80-86=C Below 80=F (REVISED 7/16/2014) 90 Radiologic Technology Program ~ 4th & 5th Semester Grade Sheet Student _______________________ Semester/Year________________ Site ___________________________ Rotation Evaluations = 80% of Clinical Grade Evaluation #1= _______ Evaluation #2 = _______ Total Number of Points Received= Evaluation #3 = _______ Total Number of Evaluations= ( ) ------------( ) Evaluation #4 = _______ Evaluation #5 = _______ Average of Evaluations= ____________ Evaluation #6 = _______ CPE Average X 80%= _______ Evaluation #7 = _______ Mastery Testing = 10% of Clinical Grade 2e 10 exams = 100 9 exams = 90 8 exams = 80 7 exams = 70 6 exams = 60 Overall Score on Communication Skills: 5 exams = 50 4 exams = 40 3 exams = 30 2 exams = 20 1 exam = 10 Excellent _____ Very Good _____ Satisfactory _____ Poor _____ Unacceptable_____ Exams Passed = ____________ Total Points X 10%= _________ Anatomy Testing Scores = 10% of Clinical Grade 1. ___________ 6. ___________ Each Test Passed = 10 points 2. ___________ 7. ___________ Total Points=___________ 3. ___________ 8. ___________ 4. ___________ 9. ___________ 5. ___________ 10. ___________ Total Points X 10 %= __________ CPE Points ________+ MT Points _______+ AT Points _____=_______ (Clinical Average) Clinical Average = _________ - Points off Grade ______ = _________ (Final Grade) (2 pts per violation 94-100=A 87-93=B 80-86=C Below 80=F (REVISED 7/16/2014) 91 First Semester Evaluation Student:_______________________________________ Date:___________________ Rotation Area:________________________________ Semester:__________________ Objective: Student accomplishes these tasks: 5 Without Any Prompting 1) Appearance - Appears and smells clean without perfume, no visible tattoos, hair back, approved jewelry, and etc. 2) Attitude - Appears interested, asks questions, seems enthusiastic, accepts direction without resistance, values constructive criticism and uses it for personal growth, displays honesty & integrity by assuming responsibility for actions and reporting them to instructor 3) Identification - Correctly identifies patient, introduces self to patient/family, and verifies orders on every patient for each exam to evaluate accuracy 4) Judgment - Awareness of when he/she is ready to comp or master, evaluates difficulty of patient, asks appropriate questions with good timing, engages in appropriate conversations and discussions 5) Competency – Demonstrates accurate positioning skills. Student learns quickly to anticipate next step in frequently performed procedures, understands the “flow” of the imaging department, shows progression in relation to length of time in program 4 With Little Prompting 3 With Occasional Prompting 2 Needs Constant Prompting 1 No Initiative After Prompt 92 6) Patient Communication – Age appropriate, determination of pregnancy, exam explanation, records history, communicates effectively during entire procedure with clear instructions to obtain optimal images 7) Patient Care - Maintains patient safety and privacy as a top priority (ensures patient is covered, provides good instructions, follows HIPPA rules, confirms bed rails are up, call button left within reach and etc.) 8) Efficiency – Productively utilizes any amount of down time (e.g. stock supplies or linen, maintains clean work area before and after exams), acquires appropriate check offs 9) Radiation Protection - Shields all patients and themselves, wears dosimeter, utilizes adequate collimation and radiation protection principles for everyone’s protection 10). Equipment Utilization – provides accurate exposure techniques, correctly manipulates tube, locks, and control panel Strengths: Weaknesses: Additional Comments: 93 Radiography Program Clinical Performance Evaluation Student ______________________________________ Site/Rotation Semester____________________________________ OBJECTIVE a. Adaptability – Exhibits the ability to adapt to new and difficult situations if and when necessary in a professional manner. b. Appearance – Follows dress code and appears professional. Date ____________________________ Exceeds Expectations Routinely Performs Sometimes Performs Needs Improvement Needs Major Improvement (5) (4) (3) (2) (1) : c. d. e. f. g. h. Attitude- Appears interested, asks questions, is enthusiastic and participates fully in rotational assignments Cleanliness – Maintains clean work area before and after exams Communication – Effectively communicates with technologists, radiologists, & patients in order to perform optimal images Competence- Demonstrates competence for previously mastered exams by demonstrating accurate positioning skills. Critical Thinking/Problem Solving- Shows ability to improvise when deviations from the routine are necessary (according to level of training) Efficiency and Organizational SkillsDemonstrates efficiency and organization in performing procedures and selecting optimal exposure factors i. Radiation Protection – Shields all patients and uses collimation to protect the patient and others j. Equipment Utilization- Correctly manipulates tube, locks, and control panel k. Constructive Criticism- Uses to his/her advantage l. Environment – Cleans and stocks room Comments: 94 m. Initiative – Shows motivation in performing new and old procedures n. Ethics – Displays honesty & integrity by assuming responsibility for actions o. Participation – Displays cooperation & assist others independently; willing participant of the health care team p. Patient Care – Performs proper patient care practices and communicates effectively with patients q. Professionalism – Exhibits professional relationships and conduct in all situations r. Quality- Consistently produces radiographs of optimum quality/ utilizes markers s. Dependability- Good attendance and provides the proper notification when absent t. Self-Confidence – Demonstrates selfconfidence according to level of training . Registered Technologist ______________________________________ Student ____________________________________ Additional Comments: __________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ 95 Roane State Community College ~ Radiologic Technology Program Periodic Progress Report for Clinical Education Assignments Student Name_______________________________ Affiliate/Hospital _____________________ Clinical Instructor______________________ Date ____________________________ Semester/Year: ______________________ INSTRUCTIONS: As students, you are constantly evaluated by your instructors in order to monitor your progress during the clinical education component of the program. Please complete the following information and check the appropriate column or columns, which best describes your feelings about your level of proficiency at this point in your education. Once completed return to your clinical instructor to make an appointment to discuss the report and review CPE’s Exam Competencies ________ Masteries_________ Tardies ________ Absences________ Policy Violations= ________________________________________________________ Repeat radiographs/images: mid-semester=_______ mid-semester to semester’s end=_______ Dosimeter Readings to date ________________________________________ Rate your abilities in each of the following areas. 5 (Excellent) 4 (Good) 3 (Fair) 1. PROFESSIONAL CONDUCT 2. ATTITUDE 2 (Poor) 1(Unacceptable) 5 4 3 2 1 Mannerisms, cleanliness, neatness Enthusiasm for profession, interest in assignments 3. COMMUNICATION SKILLS 4. PATIENT CARE SKILLS 5. COOPERATION 6. DEPENDABILITY 7. SELF- CONFIDENCE 8. APPLICATION OF KNOWLEDE 9. ORGANIZATION OF DUTIES Interpersonal skills w/ patients, staff Awareness of emotions, honesty Willingness to assume duties Punctuality and reliability Confidence in personal ability Use of academic information Logical and efficient performance 10. ADAPTABILITY Achievement of routine procedures on nonRoutine patients, assists patients promptly following procedure Clinical Instructor may also complete table if responses are inconsistent with actual student performance and an area is unacceptable. Comments:_________________________________________________________________________________________________ 96 Roane State Community College ~ Radiologic Technology Program Pregnancy Declaration Form I voluntarily disclose my pregnancy. My signature below indicates that I have been informed of my program options concerning clinical assignments while pregnant. I have chosen: (Please circle & initial option number). ____ OPTION 1 ____ OPTION 2 ____OPTION 3 ___________________________________ Student Signature ____________________ Date ____________________________________ Program Director Signature ____________________ Date Roane State Community College ~ Radiologic Technology Program Voluntary Withdrawal of Pregnancy Declaration (OPTION 4) I voluntarily withdrawal my disclosure of pregnancy and wish to proceed in the program without any modifications. __________________________________ Student Signature ___________________ Date __________________________________ Program Director Signature ___________________ Date 97 Assignment Request Form for Missed Clinical Hours Please allow a minimum of 48 hours for clinical faculty approval to complete requested make-up time. If a student attempts to make up missed clinical time without prior approval from the faculty, the time will not be counted. If a student does not report to the clinical assignment at the agreed date and time then points will be deducted from the final course grade. (Two points per violation). Student Name____________________________________________ I have missed __________ hours of clinic time: therefore, I am requesting permission to make up ________ hours according to the following date(s) and time(s). I acknowledge that making up time which constitutes a combination of clinical and didactic time greater than 40 hours per week is voluntary. I am aware that clinical time may be made up during the last week of the semester. The reason for my absenteeism, which requires scheduling of make up time, is: ___________________________________________________________________ ___________________________________________________________________ First year students can only make up time during Mon-Fri, 4pm-8pm or during the last week of the semester. Second year students can make up time during Mon.-Fri. 4p.m.-10p.m. or during the last week of the semester. **No weekend or midnight shifts (10pm-7am) are allowed. Semester: ________________________Date & Time: _______________ *Start Time: ___________ *Exit Time: ___________ *Requires Registered Technologist’s initials Exam Roster (list each exam performed during assigned make-up time) *Attach additional page if necessary ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ____________________________ Student Signature __________________ Date _____________________________ Clinical Faculty Signature ______________________ Date 98 Roane State Community College Radiologic Technology Program Program Policy Violations Notification Form The student indicated below has violated a Radiologic Technology program clinical policy as described in the current Program Policy Manual and the overall clinical grade will be adjusted according to the violation. * This could result in points being deducted or a drop in a letter grade. STUDENT NAME__________________________________________ SEMESTER & YEAR________________________________________ CLINICAL AFFILIATE______________________________________ POLICY VIOLATION________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ PROGRAM POLICY MANUAL PAGE NUMBER(S) ___________________ Total number of policy violations this semester as of this date_______ DISCIPLINARY ACTION TAKEN__________________________________________ ________________________________________________________________________ ________________________________________________________________________ STUDENT SIGNATURE___________________________________________ DATE__________ CLINICAL INSTRUCTOR SIGNATURE_______________________________ DATE__________ 99 Consent to Drug/Alcohol Testing Statement of Acknowledgement of Understanding & Release of Liability I, ______________________________, am enrolled in the Radiologic Technology Program at Roane State Community College. I acknowledge receipt and understand the Health Sciences Division policy with regard to drug and alcohol testing, and the potential disciplinary sanctions, which may be imposed for violation of such policy. I understand the purpose of this policy is to provide a safe working and learning environment for patients, students, clinical and institutional staff, and property. Accordingly, I understand that prior to participating in the clinical experience; I may be required to undergo drug/alcohol testing of my blood or urine. I further understand that I am also subject to testing based on reasonable suspicion that I am using or am under the influence of drugs or alcohol. I acknowledge and understand the intention to test for drugs and/or alcohol and agree to be bound by this policy. I hereby consent to such testing and understand that refusal to submit to testing or a positive result of the testing may result in disciplinary action up to and including dismissal from the Radiologic Technology Program. If I am a licensed health professional, I understand that the state licensing agency will be contacted if I refuse to submit to testing or if my test result is positive. Full reinstatement of my license would be required for unrestricted return to the Radiologic Technology Program. My signature below indicates that: 1. I consent to drug/alcohol testing as required by clinical agencies or as directed by the office of the Dean of Student Services and Multicultural Affairs. 2. I authorize the release of all information and records, including test results relating to the screening or testing of my blood/urine specimen, to the office of the Dean of Student Services and Multicultural Affairs, and Julie Hall, Program Director and other RSCC officials deemed appropriate. 3. I understand that I am subject to the terms of the general regulations on student conduct and disciplinary sanctions of the Roane State Health Sciences Division Drug and Alcohol Policy. I hereby release and agree to hold harmless Roane State Community College, and the Tennessee Board of Regents, their officers, employees and agents from any and all actions, claims, demands, damages, or costs arising from such test(s), in connection with, but not limited to, the testing procedure, analysis, the accuracy of the analysis, and the disclosure of the results. My signature indicates that I have read and understand this consent and release, and that I have signed it voluntarily in consideration of enrollment in the Radiologic Technology Program. _______________________________________________ Student’s Signature ______________ Date 100 Roane State Community College ~ Radiologic Technology Program Repeat Policy Form 1. A student who has not achieved and documented competency in any given procedure must perform that exam in the presence of a registered technologist. 2. All unsatisfactory images must be repeated in the presence of a registered technologist, regardless of the student’s level of competency. 3. The student’s logbook must be initialed by the technologist immediately following the repeated exposure. 4. Students must take individual responsibility to insure that these policies are being adhered to in all cases: a. If asked to perform an exam for which competence has not been documented, inform the supervisor or clinical instructor of the need for assistance. b. If an image is unsatisfactory, ask a registered technologist to be present during the repeat exposure or notify the supervisor of the need for direct supervision. I have read the policies stated above and understand that failure to take personal responsibility for compliance with these policies may result in dismissal from the program. _______________________________________ ______________________ Student Signature Date 101 Personal Student Information *Complete and return to Instructor PLEASE PRINT Student Name ___________________ Last _____________________ _____________________ First Middle Preferred Name/Nickname Street Address City __________________________ State ________ Home Phone ( Cellular Phone ( Zip _________ ) _________________ Work Phone ( ) ________________ Pager ( ) __________________ ) ________________________ E-Mail Address________________________________________________ Social Security Number _________________________________________ Date of Birth _____________ _______ __________ Month Day Year IN CASE OF EMERGENCY ___________________________________________ Name/Relationship ________________ Phone Alternate Phone(s) _____________________________________________________________ **Any change in name or address must be submitted with proper Documentation to the Clinical Coordinator and Clinical Instructor as soon as possible as well as notifying the Admissions Department at RSCC. 102 AUTHORIZATION FOR RELEASE OF STUDENT INFORMATION AND ACKNOWLEDGMENT I, ___________________________ hereby authorize Roane State Community College (“Institution”) including all employees, agents, and other persons professionally affiliated with Institution having information related to the results of my background check and credential check(s) as these terms are generically used by background check agencies, hospitals, clinics and similar medical treatment facilities, to disclose the same to such facilities and the appropriate Institutional administrators and faculty providing clinical instruction at such facilities, waiving all legal rights to confidentiality and privacy. I expressly authorize disclosure of this information, and expressly release Institution, its agents, employees, and representatives from any and all liability in connection with any statement made, documents produced, or information disclosed concerning the same. I understand that a hospital, clinic or similar medical treatment facility may exclude me from clinical placement on the basis of a background check. I further understand that if I am excluded from clinical placement, I will not be able to meet course requirements and/or the requirements for graduation. I release Institution and its agents and employees from any and all liability in connection with any exclusion that results from information contained in a background check. Any hospital, clinic, or similar medical treatment facility to which I am assigned may be required by the Joint Commission on Accreditation of Healthcare Organizations’ policy to conduct an annual compliance audit of five percent (5%) or a minimum of thirty (30) background investigation files. I agree that, upon request from a hospital, clinic, or similar medical treatment facility to which I am assigned, I will provide the results of my background check to be used for audit purposes only. _________________________________ Student Signature _________________________________ Print Name _________________________________ Date (TBR Approved Form 1-6-2006) 103 ROANE STATE COMMUNITY COLLEGE Radiologic Technology Program CONSENT FORM I. I have accessed and read a copy of the Program Policy Manual for the RSCC Radiologic Technology Program. I agree by my signature to abide by the contents within. Failure to abide with the requirements stated herein will result in appropriate action by the Radiologic Technology faculty. SIGNATURE_______________________________ II. I hereby give permission by my signature for the RSCC Radiologic Technology Program to release information regarding my liability insurance and my CPR certification to the clinical facility where I am assigned for required clinical experiences. I also grant permission for RSCC Radiologic Technology Program to release information from my physical form and background check to the clinical facility(s) as required by the facility’s policy and to obtain appropriate radiation monitoring devices. SIGNATURE______________________________ III. DATE______________ I hereby give my permission for photocopying of my written work. I understand that this material is to be utilized by the faculty for curriculum evaluation and development. I understand that my name will not appear on the copy. SIGNATURE______________________________ IV. DATE______________ DATE______________ I hereby give permission for the RSCC Radiologic Technology Program to release my name and address and educational information for purposes of employment and/or educational references. SIGNATURE______________________________ DATE______________ Program Director Signature_________________________________ Date __________ Clinical Coordinator Signature_______________________________ Date __________ Revised 7/14 104 Roane State Community College Radiologic Technology Program Social Media The definition of social networking includes an online service, platform, or site that focuses on building social network or social relations among people. This includes, but not limited to, personal web sites, podcasts, web logs (“blogs”), multi-media and social networking websites such as MySpace, Facebook, Yahoo, YouTube, LinkedIn, Twitter, chat rooms, discussion boards and Wikis such as Wikipedia. It also includes any other sites or medium where text, photographs, links, and other information can be posted or exchanged. All information (including patient or other proprietary information) gained from clinical sites is deemed to be confidential. Sharing of this information in any form (repeating to another individual, posting on social media sites, or etc.) is a breach of confidentiality. This type of unprofessional conduct is a HIPAA violation and will result in disciplinary action and possible dismissal from the program. This encompasses any type of direct or indirect clinic/patient information that could be potentially liked to a patient (including pictures or videos). Student Signature__________________________________________Date____________ Program Director Signature_________________________________ Date____________ Clinical Coordinator Signature________________________________________________________Date_______________ 105 ROANE STATE COMMUNITY COLLEGE Radiologic Technology Program Senior Students I have accessed and read a copy of the Program Policy Manual for the RSCC Radiologic Technology Program. I agree by my signature to abide by the contents within. Failure to abide with the requirements stated herein will result in appropriate action by the Radiologic Technology faculty. SIGNATURE_______________________________ Revised 7/14 DATE______________ 106 The End Revised 7/14
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