RADIOLOGIC TECHNOLOGY PROGRAM MANUAL 2014-2015
RADIOLOGIC TECHNOLOGY PROGRAM MANUAL 2014-2015 RADIOLOGIC TECHNOLOGY PROGRAM MANUAL/STUDENT REVIEW RESPONSIBILITY/RIGHTS STATEMENT This is to acknowledge that I have purchased my personal copy of the Radiologic Technology Program Manual. It has been presented and reviewed with me by the Program Faculty. I have read and understand the contents thereof. I hereby agree to abide by its regulations. I understand that this form needs to be submitted to the Radiologic Technology Program by the end of the first week of school. NO SUBSTITUTE FORM WILL BE ACCEPTED. Radiation Protection policies and doses have been reviewed with me concerning the placement of the radiation badge on the program uniform, the monthly radiation dose limit, the procedure for reviewing the monthly badge reports and the documentation of radiation doses that go over the Program’s monthly dose limit. I agree to have my name, address and phone number released to professional organizations/health care agencies requesting that information. I agree to have information regarding my attendance and performance released for financial aid purposes. I understand that I may not participate in the Radiologic Technology Program until I have all records on file in the Program Office (health, CPR, HBV, TB) and that these records must be kept updated or I could be withdrawn from the program. I understand that information that has been disclosed to me form the patient’s record is protected for confidentiality by state law. State law prohibits me from making any disclosure of such information without the specific written consent of the person to whom such information pertains, or as otherwise permitted by state law. A general authorization for the release of medical or other information is not sufficient for this purpose. ____________________________________________________ Student Signature ____________________________________________________ Printed Name _________________________________________________ Date SUBSTANCE ABUSE POLICY RELEASE FORM I have read the Substance Abuse Policy of North Arkansas College and agree as a student in the Radiologic Technology Program to comply with all aspects of the policy as written, including but not limited to urine, blood, or breathalyzer testing. I agree that a drug testing facility is authorized by me to provide the results of appropriate test(s) to North Arkansas College Radiologic Technology Program. I agree to indemnify and hold the Institution and testing lab harmless form and against any and all claims, causes of action, demands, liabilities or judgments arising out of any claim related to 1) compliance of the Institution with federal and state law and 2) the Institution’s interpretation, use and confidentiality of the test results, except when the Institution or lab is found to have acted negligently with respect to such matters. I further understand that failure to adhere to conditions specified in this policy will result in my dismissal from the program. Furthermore, I agree to abide by the provisions for determining suspension and to follow the conditions of reacceptance as outlined. ______________________________________________ Student Signature ______________________________________________ Printed Name _________________________________________ Date ADDENDUM TO POLICY By Arkansas State Law, there will be no smoking on any grounds owned by the hospitals. “Grounds means the buildings in and on which medical facilities operate together with all property owned by a medical facility that is contiguous to the buildings in which medical services are provided.” Grounds do include parking lots owned by the hospital, which means no smoking in your cars on hospital grounds. Any student, faculty, or facility member that smokes on hospital grounds will be asked to leave and will not be able to return for any clinicals at the hospital. If you are unable to return to the clinical facility, you will be dismissed from the program. ________________________________________ Student Signature _________________________________________ Printed Name ____________________________________ Date UNIVERSAL PRECAUTIONS STATEMENT I have been given written and verbal information regarding Universal Precautions. I agree to use Universal Precautions during clinical and simulated laboratory practice. I understand that my failure to use Universal Precautions may result in exposure to blood borne pathogens including Hepatitis B Virus (HBV) and Human Immunodeficiency Virus (HIV). In the event that I experience an exposure to HBV or HIV as a result of my failure to follow universal precautions, I hereby release and hold harmless North Arkansas College, its Board of Trustees, officers, agents and employers from any and all liability, responsibility, damage or loss, whether known or unknown, existing or potential, that I may ever claim as a result of any contact or consequence that may arise from my exposure. ____________________________________________________ Student Signature ____________________________________________________ Printed Name _________________________________________________ Date COMPLETE ONLY IF EXPOSED TO BODY FLUIDS Radiologic Technology Program STATEMENT OF MEDICAL OPTIONS FOLLOWING EXPOSURE TO BODY FLUIDS (complete after exposure) You have been exposed to blood or body fluids. Realizing that several diseases, including HIV and Hepatitis , are transmitted via blood and body fluids, we the faculty of the Radiologic Technology Program, strongly recommend that you seek medical care. Medical care options include, but are not limited to: 1. the emergency or outpatient department of the agency in which the exposure occurred (at personal expense); 2. the county health department; 3. the private physician of your choice; 4. the Arkansas AIDS Foundation. It is vital that you understand that YOU ARE RESPONSIBLE FINANCIALLY FOR ANY EXPENSES INCURRED IN THE COURSE OF TREATMENT OR TESTING. NEITHER NORTH ARKANSAS COLLEGE NOR THE CLINICAL AGENCY WILL ASSUME ANY LIABILITY (FINANCIAL OR OTHERWISE) REGARDING THE EXPOSURE INCIDENT. I have read the above and understand the options and financial responsibilities. ___________________________________________ Student Signature ____________________________________________ Printed Name _______________________ Date RADIOLOGIC TECHNOLOGY PROGRAM MANUAL TABLE OF CONTENTS PART I: INTRODUCTION Introduction ............................................................................................................ Mission Statement and Program Goals ................................................................... Program Director, Clinical Coordinator, and Clinical Instructor ............................... Clinical Education Settings and Clinical Instructors ................................................. Observation Centers ............................................................................................... Curriculum ............................................................................................................ Accommodations for Student with Special Needs ................................................... Textbook List for Fall Semester (Freshmen) ........................................................... Textbook List for Fall Semester (Sophomore) ......................................................... Textbook List for Spring Semester (Freshmen) ....................................................... Textbook List for Spring Semester (Sophomore) .................................................... Program Cost Analysis ............................................................................................ JRCERT Standards ................................................................................................. 1 2 3 5 6 7 8 9 10 11 12 13 14 16 PART II: POLICIES Grading Policies ...................................................................................................... Policy for Make-Up Tests ........................................................................................ Graduation Requirements ....................................................................................... Access to Student Records ..................................................................................... Tuition, Fees, and Expenses ................................................................................... Criminal Background Checks .................................................................................. Insurance ............................................................................................................ Holidays and Vacations ........................................................................................... Policy for Guidance and Counseling ....................................................................... Withdrawal ............................................................................................................ Re-Admission .......................................................................................................... Student Contact Form ............................................................................................. Probation ............................................................................................................ Termination ............................................................................................................ Emergency Preparedness Information .................................................................... Bad Weather ........................................................................................................... Tardies – Classroom and Clinical ............................................................................ Absenteeism – Classroom and Clinical ................................................................... Harassment and Stalking ........................................................................................ 17 18 19 20 20 20 20 21 21 21 21 21 21 21 22 22 22 23 23 23 Student Honor Code................................................................................................ Absence and Tardy Monitoring ............................................................................... Policy for Student Radiation Exposure .................................................................... Policy for Student Radiation Monitoring Badge Readings ....................................... Policy for Repeat Examination ................................................................................ Policy for Student Extension ................................................................................... Conduct – Classroom and Clinical .......................................................................... Procedure for Unfavorable Clinical Evaluation ....................................................... Academic Grievance Procedure .............................................................................. JRCERT Grievance Procedure ............................................................................... Policy for a Strike or Work Stoppage....................................................................... Policy for Early Release .......................................................................................... Policy for Reporting Serious Illness and Disease .................................................... Communicable Diseases......................................................................................... Accidents ............................................................................................................ Orientation for Workplace Hazards ......................................................................... Policy on Student Pregnancies ............................................................................... Declaration of Pregnancy ........................................................................................ Policy Governing Uniforms ...................................................................................... Radiologic Technology Patches .............................................................................. Name Tags ............................................................................................................ Attire and Appearance............................................................................................. Radiation Monitoring Badges .................................................................................. Lead Markers .......................................................................................................... Student Employment Policy .................................................................................... Cell Phone Usage ................................................................................................... Mammography Policy .............................................................................................. Drug Screening Policy ............................................................................................. Immunizations, Physical Form & CPR..................................................................... Guidelines for HIV and Hepatitis B .......................................................................... Accidental Exposure to Blood or Body Fluids .......................................................... Policy for Social Media ............................................................................................ Student Substance Abuse Policy ............................................................................ 24 24 24 24 24 24 25 26 26 26 27 27 27 27 27 27 28 29 30 30 30 31 32 32 32 32 33 33 33 34 36 37 38 PART III: CLINICAL INFORMATION Clinical Environment................................................................................................ Supervision ............................................................................................................ Clinical Assignments ............................................................................................... Clinical Education Settings ...................................................................................... 39 40 40 41 42 Professional Conduct of the Student ....................................................................... Student Responsibility in the Hospital ..................................................................... Routine Duties ......................................................................................................... Developing Clinical Proficiencies ............................................................................ Clinical Grade Determination .................................................................................. Performance Evaluations ........................................................................................ Clinical Procedures for Performance Exams ........................................................... Clinical Competency Plan ....................................................................................... Clinical Procedure for Competency Exams ............................................................. Clinical Rotational Assignments .............................................................................. Clinical Objectives ................................................................................................... Conditions ............................................................................................................ Success Criteria ...................................................................................................... Office Procedures and Radiographic Record .......................................................... Radiographic Film Processing ................................................................................. Patient Handling Tasks ........................................................................................... General Radiography .............................................................................................. Fluoroscopy ............................................................................................................ Image Evaluation .................................................................................................... Body Section Radiography ...................................................................................... Mobile Radiography ................................................................................................ Surgery ............................................................................................................ Special Procedures Radiography ............................................................................ Graduate Competencies ......................................................................................... 43 44 44 45 45 46 47 48 49 50 52 52 52 53 53 53 54 55 56 57 58 59 59 60 PART IV: FORMS Forms to be Completed by the Student ................................................................... Daily Log Book ............................................................................................. Clinical Examination Record Form – Sample ............................................... Course Evaluations ...................................................................................... Course Evaluation Form – Sample ............................................................... Clinical Instructor Evaluations....................................................................... Evaluation of Clinical Instructor Form – Sample ........................................... Clinical Setting Evaluations .......................................................................... Student Evaluations of Clinical Setting Form – Sample ................................ Repeat Analysis............................................................................................ Repeat Analysis Form – Sample .................................................................. 61 62 63 64 65 66 67 68 69 70 71 72 Forms to be Completed by Clinical Instructor or Registered Technologist .............. Time Sheet ................................................................................................... Student Clinical Time Sheet Form – Sample ................................................ Orientation Checklist .................................................................................... Orientation Checklist Form – Sample ........................................................... Monthly Clinical Evaluation of Student ......................................................... Monthly Clinical Evaluation of Student Form – Sample ................................ Minor Rotation Evaluation of the Student ..................................................... Minor Rotation Evaluation of the Student Form – Sample ............................ Performance Evaluation .............................................................................. Performance Evaluation Form – Sample ...................................................... Competency Evaluation ................................................................................ Sophomore Competency Exam Form – Sample .......................................... Documentation of Radiation Monitoring Badge Readings over 100 mREM . Documentation of Rad Monitoring Badge Rdgs over 100 mREM Form – Sample .. Documentation of Student Contact Form – Sample ..................................... Weekly Clinical Checklist .............................................................................. Weekly Clinical Checklist Form – Sample .................................................... Forms to be Completed by Faculty ......................................................................... Guide for Clinical Visits ................................................................................. Guide for Clinical Visits Form – Sample ....................................................... 73 74 75 76 77 78 79 81 82 83 84 86 87 92 93 94 95 96 97 98 99 I. INTRODUCTION 1 2 North Arkansas College Radiologic Technology Program MISSION STATEMENT The Radiologic Technology Program was established to provide qualified radiologic technologists for an expanding medical field. Through didactic learning, laboratory preparation, and clinical experiences, the students develop professional knowledge, ethical patient care and technical skills. The students will be prepared as entry level radiographers with the potential of advancing their education and professional careers. PROGRAM GOALS GOAL 1: Students will be clinically competent. GOAL 2: Outcome 1A: Students will apply positioning skills with a score of 80% or above. Outcome 1B: Students will utilize radiation protection with a score of 80% or above. Students will communicate effectively. Outcome 2A: Students will demonstrate written communication skills with a score of 80% or above. Outcome 2B: Students will demonstrate oral communication skills with a score of 80% or above. GOAL 3: Students will demonstrate critical-thinking skills. Outcome 3A: Students will adjust positioning and procedure protocol for trauma patients with a score of 80% or above. Outcome 3B: Students will critique images for optimal quality with a score of 80% or above. 3 GOAL 4: Students will model professionalism. Outcome 4A: Students will demonstrate work ethics with a score of 80% or above. Outcome 4B: Students will participate in professional seminars with 80% or above of enrollment per year. GOAL 5: The Program will provide the community with professional and competent entry-level radiologic technologists. Outcome 5A: Students will complete the program with graduation rates of 75% or above of student enrollment per year. Outcome 5B: Students will evaluate educational satisfaction at graduation with a score of 80% or above. Outcome 5C: Graduates will pass the ARRT Radiography Certification on the first attempt with a pass rate of 80% or above and a 5-year average of 80% or above. Outcome 5D: Graduates pursuing employment will be gainfully employed within 6 months of graduation with a rate of 80% or above and a 5-year average of 80% or above. Outcome 5E: Employers will evaluate graduate performance satisfaction one year after graduation with a score of 80% or above. PROGRAM EFFECTIVENESS DATA The Radiologic Technology Program’s effectiveness data, including ARRT Registry Exam Pass Rate, Job Placement Rate and Employer Satisfaction Rate can be accessed through the JRCERT website: www.jrcert.org. Revised 11/2012 4 PROGRAM DIRECTOR The program Director is responsible for the organization, development, and coordination of the didactical and clinical portions of the radiologic technology program. This includes, but is not limited to: 1. assures effective program operations, 2. oversees ongoing program assessment, 3. participates in budget planning, 4. maintains current knowledge of the professional discipline and educational methodologies through continuing professional development, and 5. assumes the leadership role in the continued development of the program. CLINICAL COORDINATOR The clinical coordinator is responsible for assisting in the organization, supervision, and coordination of the clinical education in each of the affiliate clinical settings. This responsibility includes but is not limited to: 1. correlates clinical education with didactic education, 2. evaluates students, 3. participates in didactic and/or clinical instruction, 4. supports the program director to help assure effective program operation, 5. coordinates clinical education and evaluates its effectiveness, 6. participates in the assessment process, 7. cooperates with the program director in periodic review and revision of clinical course materials, 8. maintains current knowledge of the discipline and educational methodologies through continuing professional development, and 9. maintains current knowledge of program policies, procedures, and student progress. CLINICAL INSTRUCTOR In each clinical setting, a technologist is designated to be the Clinical Instructor. In addition to their responsibilities for the day-to-day operation of the department, these individuals are responsible for the supervision of the clinical education. The Program also employs a clinical instructor to work with the students at the clinical setting. This includes, but is not limited to: 1. is knowledgeable of program goals, 2. understands the clinical objectives and clinical evaluation system, 3. understands the sequencing of didactic instruction and clinical education, 4. provides students with clinical instruction and supervision, 5. evaluates students’ clinical competence, 6. maintains competency in the professional discipline and instructional and evaluative techniques through continuing professional development, and 7. maintains current knowledge of program policies, procedures, and student progress. 5 NORTH ARKANSAS COLLEGE Radiologic Technology Program CLINICAL EDUCATION SETTINGS AND CLINICAL INSTRUCTORS Susan Coenen, R.T. Mercy-Berryville Radiology 214 Carter Street Berryville, AR 72617 (H) 417-271-3079 (W) 870-423-5263 Danette, Huber, R.T. Ozarks Medical Center Radiology P.O. Box 1100 West Plains, MO 65775 (H) 417-264-4855 (W) 417-257-9111 Kathy Cornelius, R.T. North Arkansas Regional Medical Center 620 N. Willow Street Harrison, AR 72601 (H) 870-715-8140 (W) 870-365-2085 Mandy Malotte, R.T. Mercy-Berryville Radiology 214 Carter Street Berryville, AR 72617 (H) 870-423-7259 (W) 870-423-5263 Toni Ferguson, R.T. Northwest Medical Center Radiology P.O. Box 47 Springdale, AR 72765 (H) 501-756-2559 (W) 501-751-5711 x 74660 Tim Payne, R.T. Northwest Medical Center Radiology P.O. Box 47 Springdale, AR 72765 (H) 479-253-4430 (W) 501-751-5711 x 74660 Regina Greer, R.T. North Arkansas Regional Medical Center Radiology 620 North Willow Street Harrison, AR 72601 (H) 870-743-3186 (W) 870-414-4085 Chuck Robinson, R.T. Stone County Medical Center Radiology P.O. Box 510/Hwy. 14 East Mountain View, AR 72560 (H) 870-652-3419 (W) 870-269-4361 Cody Gregory, R.T. Cox Medical Center-Branson Radiology P.O. Box 650 Branson, MO 65616 © 870-391-5917 (W) 417-335-7223 Jeannie Uchtman, R.T. Baxter Regional Medical Center Radiology 624 Hospital Drive Mountain Home, AR 72653 (H) 870-405-1967 (W) 870-424-1169 Deanna Halbert, R.T. Cox Medical Center-Branson Radiology P.O. Box 650 Branson, MO 65616 (H) 417-332-7045 (W) 417-335-7533 Cassie Walker, R.T. Arkansas Orthopedic & Sports Medicine Radiology 224 West Erie Harrison, AR 72601 (H) 870-688-0032 (W) 870-741-8289 Revised 6/14 6 NORTH ARKANSAS COLLEGE Radiologic Technology Program OBSERVATION CENTERS Claude Parrish Radiation Therapy Institute Jon Burnside, R.T. (R)(T) Dr. Ali Abdelaal 620 North Willow Harrison, Arkansas 72601 870-414-4213 CARTI Katrina Clements, R.T. (R)(T) Dr. R. Bruce White 628 Hospital Drive, Suite A Mountain Home, Arkansas 72653 870-424-2200 Highland Oncology-Radiation Brooke Sisney, R.T. (R)(T) Drs. Ross, Garner and Smith 60 E. Monte Painter Dr. Fayetteville, AR 72703 479-695-4202 Cox Cancer Center Benjamin Morris, R.T. (R)(T) Dr. Dragosljvich P.O. Box 650 Branson, MO 65615 417-348-8032 7 North Arkansas College RADIOLOGIC TECHNOLOGY Curriculum GENERAL * ALDH @#* BIOL @* BIOL * CIS * ENGL * ENGL * MAT * MAT * SOC 1041-3 2214 2224 1103 1013 1023 1011 and 1012 2013 Medical Terminology ................................................. 1-3 Anatomy & Physiology I ............................................ 4 Anatomy & Physiology II ........................................... 4 Introduction to Information Technology ..................... 3 English Composition I ............................................... 3 English Composition II .............................................. 3 Mathematics for Careers & Technology and ............. 1 Mathematics for Careers & Technology or higher ..... 2 Introduction to Sociology ........................................... 3 24-26 AREA OF CONCENTRATION Freshman Fall: RADT 1103 Introduction to Radiologic Tech ........................ 3 RADT 1122 Patient Care ..................................................... 2 RADT 1144 Radiographic Procedures I ............................... 4 RADT 1162 Clinical Practice I .............................................. 2 11 Freshman Spring: RADT 1184 Radiographic Imaging....................................... 4 ## RADT 1203 Radiographic Physics ....................................... 3 RADT 1232 Radiographic Procedures II .............................. 2 RADT 1242 Clinical Practice II ............................................. 2 11 Freshman Summer I: RADT 1262 Clinical Practice III ............................................ 2 2 Sophomore Summer II: RADT 2112 Clinical Practice IV............................................ 2 2 Sophomore Fall: RADT 2123 Radiation Protection ......................................... 3 RADT 2143 Special Procedures .......................................... 3 RADT 2173 Radiographic Pathology ................................... 3 RADT 2193 Clinical Practice V............................................. 3 12 Sophomore Spring: RADT 2203 Advanced Imaging Modalities ........................... 3 RADT 2222 Radiographic Evaluation ................................... 2 RADT 2253 Clinical Practice VI............................................ 3 RADT 2262 Seminar in Radiologic Tech .............................. 2 10 TOTAL 72-74 * May be taken prior to program acceptance # Requires prerequisite CHEM 1214-Chemistry I for Health-Related Professions OR a “B” or better grade in each of two semesters of High School Chemistry ##Prerequisite MAT 1011 plus MAT 1012 or higher @Must have completed or be in progress for program acceptance. ET 1134 (Previously MAT 1134) Applied Algebra and Trigonometry will not be accepted as an option for the Math requirement for this program. Revised 5/2012 8 ACCOMMODATIONS FOR STUDENTS WITH SPECIAL NEEDS: North Arkansas College complies with Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990. Students with disabilities who need special accommodations should make their requests in the following way: talk to your instructor after class or during office hours about your disability or special need related to your classroom work; and/or contact Special Services in Room M-149 or call 870-391-3338 and ask to speak to Kim Brecklein. 9 NORTH ARKANSAS COLLEGE Radiologic Technology Program TEXTBOOK LIST FOR THE FALL SEMESTER FRESHMEN Introduction to Radiologic Technology Text, Mosby’s On-Line Users Guide with Access Code Laverne T. Gurley and William J. Callaway Elsevier Publishing Company RADT 1103: Introduction to Radiologic Technology Patient Care in Radiography Text, Mosby’s On-Line User’s Guide with Access Code Ruth Ann Ehrlich Elsevier Publishing Company RADT 1122: Patient Care The Integrated Radiography Workbook DeAngelis Health and Allied Science Publishers RADT 1122: Patient Care Textbook of Radiographic Positioning and Related Anatomy – Text, Lab Book Vol. 1 & 2, Mosby’s Online Users Guide with Access Code (Mosby’s On-Line Radiography) Bontrager & Lampignano Elsevier Publishing Co. RADT 1144: Radiographic Procedures I & II Bontrager’s Handbook of Radiographic Positioning & Techniques Bontrager & Lampignano Elsevier Publishing Company RADT 1162: Clinical Practice I Radiologic Technology Program Manual Sondra Richards, Northark Rad Tech RADT 1103: Introduction to Radiologic Technology Radiologic Technology Daily Log Book Sondra Richards, Northark Rad Tech RADT 1162: Clinical Practice I Radiologic Technology Clinical Procedures Manual Suzanne Woods, Northark Rad Tech RADT 1162: Clinical Practice I Introduction to Radiologic Technology Study Guide Sondra Richards, Northark Rad Tech RADT 1103: Introduction to Radiologic Technology Patient Care Study Guide Sondra Richards, Northark Rad Tech RADT 1122: Patient Care 10 TEXTBOOK LIST FOR THE FALL SEMESTER SOPHOMORES Comprehensive Radiographic Pathology Text, Lab Book, Mosby’s On-Line Users Guide with Access Code (Mosby’s On-Line Radiography) Eisenberg & Johnson Elsevier Publishing Company RADT 2173: Radiographic Pathology Radiographic Pathology Study Guide Sondra Richards, Northark Rad Tech RADT 2173: Radiographic Pathology Radiation Protection Study Guide Sondra Richards, Northark Rad Tech RADT 2123: Radiation Protection Special Procedures Study Guide Suzanne Woods, Northark Rad Tech RADT 2143: Special Procedures 11 NORTH ARKANSAS COLLEGE Radiologic Technology Program TEXTBOOK LIST FOR THE SPRING SEMESTER FRESHMEN Radiologic Science for Technologists: Physics, Biology and Protection – Text, Lab Manual - Mosby’s On-Line Users Guide with Access Code Stewart C. Bushong Elsevier Publishing Company RADT 1203: Radiographic Physics Radiographic Imaging Study Guide Sondra Richards, Northark Rad Tech RADT 1184: Radiographic Imaging Radiographic Physics Study Guide Sondra Richards, Northark Rad Tech RADT 1203: Radiographic Physics 12 TEXTBOOK LIST FOR THE SPRING SEMESTER SOPHOMORES Ensuring Image Quality Student Workbook Mary Lou Walsh Phillips Elsevier Publishing Company RADT 2222: Radiographic Evaluation Mosby’s Comprehensive Review of Radiography William J. Callaway Elsevier Publishing Company RADT 2223: Seminar in Radiologic Technology Review for the Radiography Examination D.A. Saia Appleton & Lange RADT 2262: Seminar in Radiologic Technology Radiography Program Review Exam Preparation D.A. Saia Appleton & Lange RADT 2262: Seminar in Radiologic Technology Seminar Study Guide Sondra Richards, Northark Radiologic Technology RADT 2262: Seminar in Radiologic Technology 13 NORTH ARKANSAS COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM Program Cost Analysis Freshman Summer Immunizations ............................................................................. 250.00 CPR Certification ........................................................................... 60.00 Uniforms (2), Name Tags, Patches, Shoes ................................. 200.00 Freshman Fall Tuition (11 hours) Boone County Residents .............................................. $ 869.00 Out-of-County Residents ............................................... 1,133.00 Out-of-State Residents .................................................. 1,914.00 Health Professions Program Fee ................................................ 220.00 Books .......................................................................................... 700.00 Rad Tech Club Dues ....................................................................... 5.00 Lead Markers ................................................................................ 40.00 10 Panel UA Drug Screen ............................................................. 45.00 Freshman Spring Tuition (11 hours) Boone County Residents .............................................. $ 869.00 Out-of-County Residents ............................................... 1,133.00 Out-of-State Residents .................................................. 1,914.00 Health Professions Program Fee ................................................ 220.00 Books .......................................................................................... 300.00 Developmental Testing Program (monthly exams) ....................... 50.00 Freshman Summer Tuition (2 hours) Boone County Residents .............................................. $ 158.00 Out-of-County Residents .................................................. 206.00 Out-of-State Residents ..................................................... 348.00 Health Professions Program Fee .................................................. 40.00 14 Sophomore Summer Tuition (2 hours) Boone County Residents ..............................................$ 158.00 Out-of-County Residents .................................................. 206.00 Out-of-State Residents ..................................................... 348.00 Health Professions Program Fee .................................................. 40.00 Sophomore Fall Tuition (12 hours) Boone County Residents .............................................$ 948.00 Out-of-County Residents ..............................................1,236.00 Out-of-State Residents .................................................2,088.00 Health Professions Program Fee ................................................ 240.00 Books .......................................................................................... 200.00 Uniform (1), Name Tags, Patches, Shoes .................................. 100.00 Program Class Photo .................................................................... 25.00 Rad Tech Club Dues....................................................................... 5.00 Sophomore Spring Tuition (10 hours) Boone County Residents .............................................$ 790.00 Out-of-County Residents ..............................................1,030.00 Out-of-State Residents .................................................1,740.00 Health Professions Program Fee ................................................ 200.00 Books .......................................................................................... 150.00 ARRT Registry Exam Application ............................................... 200.00 Program Pin .................................................................................. 30.00 Two-Year Totals Boone County Residents .......................................................$ 7,112.00 Out-of-County Residents ..........................................................8,264.00 Out-of-State Residents ...........................................................11,672.00 Students are required to have clinical practice at assigned hospitals that require travel to and from in their personal vehicles. Although we have made every effort to include all expenses we may have missed some. Hopefully any missed will be incidentals. The purpose of this is to help you budget your money for school expenses for the year; but whether or not it is included on this sheet, it is your responsibility to pay for the required supplies or services at the time they are due. These prices are subject to change at any time without notice. Revised 5/29/14 15 16 JRCERT STANDARDS FOR AN ACCREDITED EDUCATIONAL PROGRAM IN RADIOLOGIC SCIENCE The Joint Review Committee on Education in Radiologic Technology (JRCERT) sets the standards for the education of professionals in the radiologic sciences and evaluates educational programs against these standards. An eight-year accreditation from the JRCERT is awarded to those programs successfully fulfilling the requirements of the Standards. The Radiologic Technology program at Northark received the maximum eight-year accreditation in 2007. The JRCERT Standards are available for students on the following website: www.jrcert.org Contact information: JRCERT 20 N. Wacker Drive, Suite 285 Chicago, IL 60606-3182 (Ph.) 312-704-5300 (Fax) 312-704-5304 E-Mail: [email protected] 17 II. POLICIES 17 GRADING POLICIES COLLEGE POLICIES See “Academic Information” in the current Northark catalog. PROGRAM GUIDELINES CLASSROOM The final grade is calculated by specifications made in each course outline. Assignments are given a grade of “100” if submitted on time, a zero if not. Students must receive a “C” or above for any general education course required in Radiologic Technology curriculum. Students are required to maintain a GPA of 2.0 (C average), on all Radiologic Technology curriculum courses. This 2.0 GPA must be maintained for program and graduation requirements. The grading scale is as follows: 100-93 = A 92-84 = B 83-75 = C 74-66 = D Below 65 = F Failure of a Radiologic Technology course will result in the dismissal from the program. This however, does not mean that a student is ineligible to register for other courses at Northark. To be eligible to sit for the American Registry of Radiologic Technologists Registry Exam, all academic requirements for graduation and all clinical criteria must be successfully completed. No student will be recommended to sit for the Registry examination until these requirements are met. Because of the heavy curriculum load during the first and second semesters of enrollment in the program, it is NOT recommended that students get extra jobs, part-time or full-time. CLINICAL Grades from each Performance Evaluation and end-of-the-month Clinical Evaluation are graded on an average of the total number of forms submitted for each clinical category. The Daily Logbook, Time Sheets and Radiation Badges are also due at the end of the month. A grade of “100” will be given if submitted on time, a zero, if not. The final grades are calculated by averaging all clinical categories at the end of each clinical practice course. The percentage will correspond to the grading scale above. 18 RADIOLOGIC TECHNOLOGY POLICY FOR MAKE-UP TESTS Students in the Radiologic Technology Program will need to complete their make-up tests as soon as they return to class. Two points will be deducted from their test grade for not taking the test on the day it is scheduled in class. Another two points will be deducted from their test grade for each class day following the test day. If the student misses a test during class and makes the test up the next class day, a total of four points will be deducted from the test grade; the second class day, six points and so on. It is the students responsibility to inform the instructor when he or she has completed the make-up test. The student must get the answer sheet or Scantron signed and dated by the Testing Lab proctor. If the instructor is not informed, the make-up test grade will be calculated from the day the instructor gets the completed test from the Testing Lab. Students will be allowed to make up ONE test per course per semester. Any other tests not taken on the scheduled test day will receive a grade of zero (0). _______________________________________________ Sondra Richards, MS, RT(R)(M), Program Director _______________________________________________ Suzanne Woods, MS, RT(R), Clinical Coordinator 19 GRADUATION REQUIREMENTS In order to graduate with an Associate of Applied Science Degree (Terminal Award) from the Northark Radiologic Technology Program, in 22 months from the time of program enrollment, the student must fulfill the following requirements: 1. Completion of all Radiologic Technology program curriculum courses with a “C” or better. 2. Completion of the Radiologic Technology program with a cumulative college GPA of 2.0 or better. 3. Completion of all graduation requirements as outlined under “Academic Information” in the current Northark catalog. ACCESS TO STUDENT RECORDS COLLEGE POLICY See “Admissions and Registration” in the current Northark catalog. PROGRAM POLICY All information released to the public will be through the registrar’s office. If the student wishes to review any grades or files kept in the Radiologic Technology office, he/she can request this from the program faculty. All files in the program office are kept confidential. TUITION, FEES AND EXPENSES COLLEGE See “Financial Information” in the current Northark catalog. RADIOLOGIC TECHNOLOGY PROGRAM Students must provide their own textbooks, uniforms, living accommodations, and transportation to the clinical sites. Additional miscellaneous items will need to be purchased through the program such as image identification markers. The charge for radiation badges will be paid each fall when paying fees. For a list of expenses, see “Program Cost Analysis” in the front of this manual. CRIMINAL BACKGROUND CHECKS Freshmen and sophomore students must have completed Criminal Background Checks before starting the fall semester clinical rotations. This expense is included when paying the fall semester fees. If a student does not pass the Criminal Background Check, the Program Faculty and Clinical Staff will review the Background Check and make a decision concerning the student’s clinical placement. The clinical site has the right to refuse a student. 20 INSURANCE Students must carry liability insurance which is obtained each fall when paying fees. Students must provide their own health insurance if they wish to have coverage. HOLIDAYS AND VACATIONS Holidays will be in accordance with the Northark catalog. Students are off during each semester break and holidays. No “vacations” are incorporated into the program. The student will not be assigned to clinicals during final exam week, holidays or semester breaks. POLICY FOR GUIDANCE AND COUNSELING COLLEGE Academic counseling is provided by the college and staffed by professional counselors. Confidential assistance is provided in the following areas: educational, career and testing. RADIOLOGIC TECHNOLOGY PROGRAM Specific career counseling and guidance for Radiologic Technology is offered by the program faculty. Information or desired career direction and needs will be researched and discussed with each student. WITHDRAWAL If a student wishes to withdraw from the Radiologic Technology program, he/she must contact the program director. RE-ADMISSION POLICY The student seeking re-admission to the Radiologic Technology program must contact the program director. Re-admission will be determined by the program’s admission policies and available clinical space. If a student is terminated from the program two times, he/she must wait 3 years to reapply. STUDENT CONTACT FORM A student’s actions may be documented on the student contact form. After 3 write-ups, the student will be terminated from the program. PROBATION For any infraction of program rules, the program director may place the student on probationary status. Probational status means that the student must fulfill set goals and behavior for a specified time without additional infraction of the rules. If the desired behavior is not accomplished during the specified time or additional unacceptable behavior documented, the student will be terminated from the program. 21 TERMINATION Termination from the program will result from: 1. Failure to obtain at least a “C” in a Radiologic Technology course. 2. Failure to obtain an overall “C” average at any time. 3. Excessive absences as stated in the Radiologic Technology Program Manual or Northark catalog. 4. Excessive tardies as stated in the Radiologic Technology Program Manual. 5. Participation in academic dishonesty as outlined in “Academic Information” in the current Northark catalog or violations of the “Standards of Conduct” and “Academic Integrity” in the Northark Student Handbook. 6. Falsifying records, time sheets, etc. 7. Stealing. 8. Engaging in illegal possession, sale, or distribution of drugs. 9. ANY positive drug test. 10. Illegal possession of weapons. 11. Misrepresentation or falsification of yourself or another student, as well as patient and/or agency records. 12. Unauthorized possession of examinations. 13. Plagiarism: Using others ideas or words without giving them credit. 14. Academic cheating or misconduct or using unauthorized notes or technical equipment. 15. Intoxication or drug usage in class or at the clinical site. 16. Any activity incompatible with professional behavior. This includes discrimination and any form of sexual harassment. 17. Placing patients in danger at the clinical site. 18. Expelled from a clinical site by the clinical instructor or radiology department administrator. 19. Activities determined to be dishonest, inconsistent with professional responsibility and accountability and/or may be detrimental to the protection, safety and welfare of patients and the public or in any situation when representing the Radiologic Technology Program of North Arkansas College. 20. Failure to maintain performance levels stated in a probationary agreement. 21. Obtaining 3 write-ups on the Student Contact Form. EMERGENCY PREPAREDNESS INFORMATION It is the student’s responsibility to provide his/her current address and telephone number to the program faculty. This is necessary for notification of family in case of an emergency or if there is a need to contact the student concerning classes or labs. Each student must provide the clinical instructor at each clinical site with an emergency telephone number. The clinical “Information Sheet” is found in the Clinical Procedures Manual. The Northark Student Planner contains the information for emergency preparedness for emergencies and disasters while at the college. Also, Emergency Preparedness Flip charts can be found mounted near the door in each classroom at the College. BAD WEATHER During the winter months, the college may be closed due to bad weather. These closings will be announced on the radio or television. If the college or public schools in the clinical area close, students are not permitted to attend clinicals because of liability reasons. The students must call their Clinical Instructor concerning the college or school closings that morning. For Northark closing information call, (870) 743-SNOW (870-743-7669). 22 TARDIES Attendance and punctuality are two of your most important responsibilities as a student radiographer. CLASSROOM For all Radiologic Technology classroom courses, each tardy after two will result in one point subtracted from the final semester grade. A tardy in the classroom is defined as arriving 10 minutes past the scheduled starting time for class. Arrival time after 25 minutes from scheduled class time will be considered an absence. CLINICAL A tardy at the clinical site is any time punched in after 7 minutes past assigned time. Time missed being tardy will be made up at the end of your assigned shift that same day. This will be recorded as a tardy. Two tardies within one semester will result in the equivalent of one day of absence and 6 or 8 points deducted from the final clinical grade. ABSENTEEISM CLASSROOM The classroom absences will be in accordance with the attendance policy in each course outline found on the Northark Portal. Students will be considered for dismissal after two weeks worth of missed classes (4 days in the fall or spring semester). CLINICAL Two days of clinical absences are allowed each semester for illness. If absences exceed the two-day limit, 6 points for every 6-hour clinical day missed or 8 points for every 8-hour clinical day missed will be deducted from the final clinical grade at the end of the semester. (One point per hour). Failure to call and notify the clinical instructor on the morning of a clinical absence will result in the equivalent of one day of absence and 6 or 8 points deducted from the final clinical grade at the end of the semester. If extenuating circumstances occur, (emergency surgery, car accident, death in family, etc.) the program faculty will make arrangements on an individual basis. Immediate notification of such absences should be reported to the program faculty. Any day missed in a special rotation (surgery, ER, CT, MRI, etc) has to be made up during a week of R & F rotation. Students must make arrangements with the program faculty and clinical instructors. HARASSMENT AND STALKING See “Sexual Harassment Policy” and “Stalking” in the Northark Student Handbook under Rules and Regulations. 23 STUDENT HONOR CODE The Joint Review Committee on Education in Radiologic Technology, The American Registry of Radiologic Technologists, the American Society of Radiologic Technologists and the North Arkansas College Radiologic Technology Program uphold high standards for our Student Radiologic Technologists’ behavior. As professionals, we expect our students to conduct themselves in an ethical manner that exhibits, but is not limited to: •Professional Integrity •Honesty •Responsibility •Loyalty •Respectfulness ABSENCE AND TARDY MONITORING Absence and tardiness will be monitored and evaluated using the following means and guidelines: 1. Communication between the clinical instructors and program faculty. 2. Documentations on time sheets. Any time written in must be signed, not initialed, by the clinical instructor. Time sheets will be turned in to the program faculty at designated times. POLICY FOR STUDENT RADIATION EXPOSURE Students are not to restrain patients during radiation exposures unless emergency situations arise: protective apparel will be required. Students’ exposure to radiation will be carefully monitored to comply with the Federal Regulations and ALARA principle. (Keeping radiation dose as low as reasonably achievable). An exposure over 100 mREM in one month will be documented. The Program Director and Clinical Instructor will discuss possible causes and preventive measures with the student. (See Documentation Form in section entitled “Forms” in the Program Manual) POLICY FOR STUDENT RADIATION MONITORING BADGE READINGS If a student’s monthly radiation badge reading is over 100mR per month, the following procedure will be followed: 1. A discussion between the student and program director concerning possible reasons for the overexposure. 2. A student contact form completed and signed by the student and program director. 3. A discussion with the appropriate hospital clinical instructor concerning possible reasons for student overexposure. 4. Recommendations made to prevent future overexposure. 5. Documentation of incident available in the program director’s office and appropriate clinical site. POLICY FOR REPEAT EXAMINATIONS In support of professional responsibility for provision of quality patient care and radiation protection, unsatisfactory radiographs shall be repeated only in the presence of a qualified radiographer regardless of the student’s level of competency. All repeat exams will be documented in the Daily Log Book by the attending qualified radiographer. POLICY FOR STUDENT EXTENSION Students, who do not complete all the requirements for the AAS degree in Radiologic Technology at the time of their class graduation, may ask the program director for an extension to complete the requirements. The program director will determine the plan of action for the student. When the criteria have been completed, the student may then file for graduation through the registrar’s office. Program graduates must earn their degrees within 150% of the published program length from the date of matriculation. (Within the next 12 months of their class graduation date). 24 CONDUCT CLASSROOM STUDENTS ARE EXPECTED TO PERFORM ON AN ADULT LEVEL. Each student must take the responsibility for his/her own actions, successes, and failures. If the student disagrees with the instructor, that student should ask questions in a nonchallenging manner. Students should be seeking information in order to learn and understand and not challenge the instructor’s authority. Students are expected to come to class and/or lab prepared for that day’s lesson. Preparedness includes reading the assigned material, preparing assignments on time, and bringing necessary books and materials to class or lab. Tardiness will not be tolerated. Habitual tardiness is a sign of a poor attitude. Tardy students disrupt the class and can interrupt the learning of other students. CLINICAL The clinical site reserves the right to refuse acceptance of any student who is involved in any activity not considered professional or conducive to proper patient care. Students are expected to conduct themselves in a professional manner at all times. Undue conversation, excessive noise, dirty jokes, gossip, and loitering are unprofessional behavior and must be avoided. Do not discuss personal problems with patients or staff. No personal telephone calls are to be made or received during clinical hours unless it is an emergency. Do not seek free medical advice for yourself or family while in clinicals. Do not chew gum while in clinicals. If a student becomes sick or is injured while in clinicals, that student should report to the clinical instructor. A student can receive medical attention at the hospital, but is personally responsible for paying for the care, unless the injury occurred while performing a radiological exam on a patient. REMAIN BUSY! Take initiative to find something to do. Cleaning and stocking the examination rooms or filing are helpful jobs. Be courteous to your patients and all staff. Maintain a cooperative and uncomplaining attitude. You never know when your clinical instructor may be called to give references for you in the future or may be your future employer. Do not compare one clinical site to another. Each facility has their own uniqueness, and exams may be accomplished correctly in more than one way. All hospital and clinical records are confidential. Any request for information concerning a patient should be referred to the clinical instructor. Do not discuss patients and their problems with anyone unless authorized by the clinical instructor. If you sense a problem in the clinical site, contact your clinical instructor immediately. 25 PROCEDURE FOR UNFAVORABLE CLINICAL EVALUATION If a student is unhappy with a clinical evaluation of any kind, the following steps are to be taken for a timely resolution: 1. The student must discuss the evaluation directly with the technologist or clinical instructor that completed the form. 2. If the student is still not satisfied with the evaluation, the student will discuss the matter with the program faculty. 3. If a satisfactory agreement has not been accomplished, a meeting with the student, clinical instructor, and program faculty will be arranged. Discussion will focus on the non-compliant areas of the evaluation. 4. If a change is to be made, another evaluation will be performed and recorded. If the student is still not satisfied with the evaluation, the procedure for due process will be followed as stated below. ACADEMIC GRIEVANCE PROCEDURE Students may choose to complete an academic grievance procedure. The following steps are to be taken for a timely resolution. Step 1: If students have grievances concerning an instructor or method of instruction, they should speak with the instructor and/or dean. Step 2: Should a student be unable to resolve the grievance with the instructor or dean, the student may then file a written grievance with the Northark Executive VicePresident of Learning. Step 3: This written grievance will be submitted to the Institutional Standards and Appeals Committee and a meeting with the Standards and Appeals Committee will be scheduled. Step 4: The findings of the Standards and Appeals Committee will be submitted to the Northark President and if a further appeal is requested, a meeting with the President will be scheduled. Step 5: If a further appeal is requested, a final meeting with the Board of Trustees will be scheduled at the next regular Board meeting. JRCERT GRIEVANCE PROCEDURE If complaints concerning non-compliance with JRCERT Standards occur, they will be resolved in the following manner. Step 1: Step 2: The staff/student will first take the problem or question to the Program Director. If the staff/student is unable to find a solution or answer with the Program Director, the staff/student may then contact the JRCERT office. The JRCERT phone number is listed in the front of the Program Manual, Clinical Instructor’s Handbook and the Master Plan. 26 POLICY FOR A STRIKE OR WORK STOPPAGE Should a strike or work stoppage occur at the assigned clinical site, the student will be reassigned until the crisis has ended. POLICY FOR EARLY RELEASE Students complete the program when they have fulfilled the requirements for graduation as outlined in the Radiologic Technology degree plan. Students must complete the 2-year curriculum and may not obtain an early release from the program. POLICY FOR REPORTING SERIOUS ILLNESS AND DISEASE If students become ill and cannot perform their duties or may be contagious, then they should stay home. They must call the clinical instructor at least 15 minutes prior to the shift start. If students become ill at the clinical site, they must notify the clinical instructor immediately, before leaving the facility. 1. 2. 3. 4. The student must inform the program faculty as soon as a serious illness or communicable disease is detected. A serious illness is considered to be any sickness that may continue for more than 2 weeks. A communicable disease is any disease that can be transmitted directly or indirectly from one person to another. The longevity and seriousness of the illness is evaluated to determine if the student will be able to continue with the course of study. After the student is released from the doctor’s care to return to school, a plan between the student and faculty will be made for continuation of educational activities. Accidental exposure to a communicable disease is to be reported to the clinical instructor who will follow the clinical settings guidelines. COMMUNICABLE DISEASES Students should use protective gloves for all procedures in which there may be contact with body fluids (urine, blood, excretion, saliva, etc.) Most contacts will be on patients who have not yet been diagnosed, and therefore, the precautionary procedure of wearing gloves is most important. Students must follow infection control procedures as outlined in the policy manual or infection control manual at the clinical site. ACCIDENTS All accidents that occur while in the clinical area or x-ray lab resulting in patient, hospital personnel, or personal injury, and/or damage to equipment must be reported to the clinical instructor and program faculty immediately. Students may be required to fill out an incident and/or accident report. Students are required to fully understand the proper method of performing procedures and operation of equipment before undertaking the procedure. ORIENTATION FOR WORKPLACE HAZARDS The students will undergo a hospital orientation at their clinical site that will include MSDE and OSHA Guidelines for workplace hazards, fire, safety, hospital codes and policies. The orientation must be completed before or during clinical rotations in the freshman fall semester. 27 NORTH ARKANSAS COLLEGE RADIOLOGIC TECHNOLOGY POLICY ON STUDENT PREGNANCIES As a pregnant student radiographer you may be exposed to a minimal amount of radiation. The following guidelines were made to protect you and your baby. Your gestational dose will be monitored closely and will be limited to 500 millirem for the entire pregnancy. It is your choice to declare or not declare your pregnancy. 1. Declaration of student pregnancy is voluntary. Students are advised to inform the program director, IN WRITING, of their pregnancy as soon as possible and include the estimated conception date and estimated due date. 2. General radiography assignments will be allowed. During pregnancy, the time spent in fluoroscopy, surgery and on portables, will be carefully controlled. 3. Pregnant students will not be allowed to hold patients while exposures are made. 4. If the student declares the pregnancy, a second radiation monitor will be provided to be worn at waist level under the lead apron. This monitor will be identified as the fetal dose monitor. 5. The student's radiation exposure will be continuously monitored to insure that the maximum permissible dose of 500mR during the nine months is not exceeded. 6. When the program director is notified that the student is pregnant, the monthly radiation report will be discussed by the program director and the student. 7. If the student exceeds the maximum gestational dose, she will be withdrawn from all clinical courses for the remainder of her pregnancy. Students may receive an extension to complete the requirements as outlined in the Policy for Student Extensions in the current Program Manual. 8. All attendance, absence, and make-up policies will be equally enforced among all students. 9. If the student must completely withdraw from the Radiologic Technology Program because of pregnancy or delivery, the student may be readmitted into the Program according to the Re-Admission Policy in the current Program Manual. 10. In compliance with Federal Law, students may undeclare their pregnancy at any time. I, __________________________________, have read the pregnancy policies for Radiologic Technology Program applicants. ________________________________________ __________________________ Signature of Student Date 28 DECLARATION OF PREGNANCY As a pregnant Radiologic Technology student: (check one) 1. _____ I am not declaring my pregnancy and will continue in the program without modifications or interruptions. I understand a fetal badge will not be ordered. 2. _____ I am declaring my pregnancy and will continue in the program without modifications or interruptions. I understand a fetal badge will be ordered when the written declaration of pregnancy is submitted to the program. 3. _____ I am declaring my pregnancy and will continue in the program with the following modifications. I understand that a fetal badge will be ordered when the written declaration of pregnancy is submitted to the program. a. The student can perform all fluoro procedures such as getting the patient ready, taking any overheads, and assisting the patient after the exam. During the actual fluoroing of the patient the student will remain behind the control panel window, to avoid any excess radiation. b. The student will be able to go on portable exams with an assisting tech. She will be able to do everything such as patient positioning, but not make the actual exposure. She will need to be out of the room while the assisting tech makes the exposure. c. The performances for surgery can be mocked. The student can perform one C-Arm procedure protected with a lead apron to complete their competency for surgery. After the competency is completed the student is to remain out of surgery for the remainder of their pregnancy. _____________________________________ Student Signature __________________________ Date -------------------------------------------------------------------------------------------------------------------- 4. _____ I am withdrawing my declaration of pregnancy. I understand my fetal badge will be discontinued. _____________________________________ Student Signature ___________________________ Date Revised 5/10 29 POLICY GOVERNING UNIFORMS The student uniform will be approved by the program faculty and purchased by the student. A program shoulder patch is to be sewn on the left sleeve within two inches of the shoulder seam of each uniform top and jacket. If a jacket is worn, the name tag must be worn on the jacket, not covered up on the shirt underneath. If a student is not in proper uniform, the clinical instructor may choose to either send the student home or require the student to stay. Either action requires 6-8 points deducted from the final grade. Proper attire not only includes the uniform, but also the name tag, image markers, radiation badge, and official patch. It is suggested that each student have at least two uniforms. Each student must have at least one uniform. RADIOLOGIC TECHNOLOGY PATCHES Patches are ordered and purchased by the student when ordering uniforms. A patch must be worn on the left sleeve of the student’s shirt or jacket. NAME TAGS Name tags are ordered and purchased by the student when ordering uniforms. Name tags must be worn at all times on the shirt or jacket, whichever is on the outside. Some clinical sites may require additional hospital identification badges. 30 ATTIRE AND APPEARANCE The student is expected to be neat in appearance with clean uniform and shoes. DAILY PERSONAL HYGIENE IS REQUIRED. Body odors or other strong odors such as perfumes or cigarette smoke are not tolerated at the clinical sites! This will include oral hygiene, daily bathing, and use of an effective deodorant. Any deviation is considered improper uniform. UNIFORMS Female: Male: Designated shirt, pants and jacket or v-neck smock and pants. (A nice white tank top must be worn under the V-neck smock top). Designated shirt, pants and jacket or v-neck smock and pants. (A nice white tee-shirt must be worn under the V-neck smock top). SHOES Uniform shoes consist of all white athletic shoes, comfortable and kept very clean. All shoes will be tied with white shoe laces unless approved by program faculty. No open-toe or open-heel shoes are allowed. FACIAL HAIR A mustache or beard is permitted so long as it is kept neatly trimmed. HAIR Must be kept neat and clean and kept back while on duty. Hair below shoulder length must be pulled back with a rubber band or clasp. Natural hair coloring must be maintained (no burgundy, blues, greens, etc!) NAILS Must be kept clean and short. Fake nails are NOT permitted. COSMETICS AND PERFUME Perfume and excessive cosmetics are not permitted. Nail polish is not recommended because of infection control concerns. JEWELRY Only a wedding ring, watch, and one small stud earring in each ear is allowed unless approved by program faculty. No necklaces or bracelets are allowed for your own protection. No other visible body piercing that can be seen or visible through the uniform is allowed. TATTOOS Any tattoo must be covered by the uniform, tattoo patch, or other type of covering. 31 RADIATION MONITORING BADGES All students will wear personnel radiation monitoring badges during all clinical training. When the monitor is worn the following rules shall be observed: 1. Badges shall be worn on the left collar or left upper pocket. 2. Badges shall be worn on the front of the wearer. 3. Badges shall be worn outside a protective apron. An overexposure of a badge is considered presumptive evidence of exposure to the individual. An exposure of over 100mR per month will be documented and the student will follow the policy for badge readings over 100mR per month. LEAD MARKERS Lead markers will be purchased by the student through the program office and must be used during all clinical education. Any student present at the clinical site without lead markers is subject to being dismissed for the day. An extra set of lead markers are kept in the program office in case the first set is lost or destroyed. The student is responsible for replacement. STUDENT EMPLOYMENT POLICY It is not recommended that students work during the first year of the program because of their heavy academic load. Students employed at any clinical facility will not be allowed to receive credit for student clinical time or performances or competencies performed during those working hours. Student time, clinical performances, and competencies will only be performed during regularly scheduled clinical hours. Any student who attempts performances or competencies during paid employee time or any time outside clinical hours may be terminated from the program. Students who are employed at a medical facility may not wear student program radiation badges, use student timesheets or wear any part of the student uniform including name tags or program patches. Students will spend no more than 40 hours per week in the didactic and clinical components of the program. CELL PHONE USAGE Cellular phones, pagers and beepers are not permitted to be turned on or used within the classroom or clinical setting. These devices are disruptive and inconsiderate. See “Cell Phones” in the Northark Student Handbook. 32 MAMMOGRAPHY POLICY It is a requirement of the Joint Review Committee on Education in Radiologic Technology that all Radiologic Technology students be afforded the same opportunities for training in all areas equally; male or female. For training in mammography, if the female students are being afforded the opportunity to experience hands-on training in mammography, then males must have the same opportunity. If institutions affiliated with a JRCERT certified program do not allow males to participate in direct patient contact during mammography or do not allow the presence of a male student in the radiographic room during examination performance, then the female students may not be allowed to participate either. Exclusion of students during any type of procedure based upon gender is discrimination. For accomplishing mammography performance: Indirect experience: all students participate in demonstration/performance under the supervision of a qualified technologist without any patient contact. Simulation aids should be available for increased “real world” simulation. Objective sheets will be completed and returned to the program faculty for grade determination. Any male students choosing to participate in additional observation of breast exams after their official mammography clinical rotation, will have to go to MercyBerryville Hospital in Berryville, AR. Revised 6-15-07 DRUG SCREENING POLICY Please be aware that some clinical settings require criminal background checks and 10Panel Drug Screening* on all people working in their facilities. As a student, you will fall under the policies of the institution in which you will do your clinical. If random drug screening is done on the department/unit you are working in on that day, you may become a part of that screening. Students must pay for hospital orientation drug tests which may include urine, blood or breathalyzer testing. If students are unable to meet the clinical settings policies and are denied clinical access by any clinical setting, they will be terminated from the program. *If you are taking any prescription drug that will or may show up in a drug screen, you must be able to produce a valid drug prescription in your name. IMMUNIZATIONS, PHYSICAL FORM AND CPR Students entering the Radiologic Technology Program will NOT be permitted to begin their clinical education unless the following has been documented by the Program Faculty before their clinical rotation begins: 1. Current CPR Certification (American Heart Association Healthcare Provider). 2. Completed physical form including technical standards. 3. Dates of Hepatitis B Vaccination or Waiver Sheet. 4. Date of current TB test. 5. Date of current Tetanus Vaccination. 6. Date of current Rubella Vaccination. (Arkansas requires documentation of 2 immunizations). 7. Documentation of Chicken Pox (Varicella). 33 NORTH ARKANSAS COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM POLICY AND GUIDELINES FOR HUMAN IMMUNODEFICIENCY VIRUS AND HEPATITIS B In order to reduce the possibility of exposure to Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV) of students, faculty and patients, the Northark Nursing & Allied Health Department will adhere to the following policy. It is recommended that all students and faculty are vaccinated for HBV and receive instructions on universal precautions and other preventive techniques for HIV. HEPATITIS B VIRUS -- VACCINATION Students in Allied Health Programs and faculty involved in clinical courses must present to their Program Director a health record that includes one of the following: 1. evidence of immunization against Hepatitis B; 2. evidence of receipt of at least two doses of the vaccine for Hepatitis B followed later with documentation that all three doses of the vaccine have been received within eight months of the first dose; 3. a confirmed prior illness with Hepatitis B; OR 4. a signed "Hepatitis B Vaccine Waiver". One of the above must be presented to the program director before the individual will be permitted to participate in clinically related learning experiences. HIV Qualified individuals will not be denied admission to the program or employment as faculty on the basis of HIV status. Routine serological assay will not be performed to determine HIV status of applicants. However, all applicants should be aware of the potential health risks involved in pursuing a career in health education and working a health related field. GUIDELINES FOR HIV TESTING Any student who believes himself/herself to be at risk, has an ethical responsibility to know his or her HIV status and therefore has an obligation to be tested for HIV antibody, HBeAg or HBsAg. Testing will be voluntary, yet there may be circumstances in which the clinical agency may request testing. Confidentiality will be maintained. GUIDELINES FOR PREVENTION AND MANAGEMENT OF HIV Students will receive written and verbal information and instructions on universal precautions for blood borne pathogens in accordance with applicable CDC guidelines prior to any exposure to patients. Failure to use universal precautions may result in exposure to blood borne pathogens including Hepatitis B virus (HBV) and Human Immunodeficiency Virus (HIV). 34 HIV POSITIVE If it is determined that a student is sero-positive for HIV and/or clinically demonstrating ARC (AIDS related complex) or AIDS, the student would meet with the Program Director and the Dean of Nursing & Allied Health in collaboration with the attending physician to determine the health care needs of the student and the progression in the program. Every case will be individually evaluated and confidentiality will be maintained. Every student enrolled in the Radiologic Technology program must meet all the objectives and adhere to the class and clinical attendance policy. Therefore, it will need to be determined that the HIV sero-positive student can meet course objectives, perform procedures and tasks, and take care of patients who could be a real threat to the students' health. Also, the possible threat the HIV sero-positive student could pose on patients must be considered. Some students may be counseled to pursue another career because of health risks. HIV-POST POSITIVE Immediate antiseptic procedures should be followed after possible exposure. If an accidental exposure occurs, faculty and students should follow the CDC guidelines for occupational exposure. If needle stick, test for HIV to establish seronegativity first then, retest at 6 weeks, 3 months, 6 months, 1 year. A significant occupational exposure is defined as: 1. 2. 3. A needlestick or cut caused by a needle or sharp that was actually or potentially contaminated with blood or body fluids. A mucous membrane (i.e. splash to the eye or mouth) exposure to blood or body fluids. A cutaneous exposure involving large amounts of blood or prolonged contact with blood--especially when the exposed skin was chapped, abraded, or afflicted with dermatitis. STUDENTS REFUSAL OF CARE In the unlikely event that a student should refuse to care for a patient who is HIV positive, the faculty will: 1. counsel with the student to identify the reasons for the refusal; 2. give factual information regarding HIV; 3. discuss legal and ethical responsibilities of health care professionals in providing care. If the issue is not resolved by the above steps, the faculty may counsel the student as to the appropriateness of a career in health care. Causes of student refusal will be handled on an individual basis considering both the course objectives and individual circumstances. However, the student should realize that he or she is being educated to enter a health profession; therefore, each student is held to the same ethical and legal standards of care under which a professional should be held. The act of permitting a students’ refusal to care for a patient with HIV disease could be interpreted as a discriminatory act against a disabled person (Disabilities Act of 1990). 35 ACCIDENTAL EXPOSURE TO BLOOD OR BODY FLUIDS Exposure is defined as a percutaneous injury, contact of mucous membranes, or contact of non-intact skin with blood or other body fluids or tissues that may potentially contain bloodborne pathogens. In the event of accidental exposure of students or faculty, the following steps are to be instituted: 1. Wound Care/First Aid: a. Clean wound with soap and water, b. Flush mucous membranes with water c. Other wound care as indicated; 2. The exposure will be documented on the incident form that is used by the agency in which the exposure occurred; 3. The completed incident report form will be submitted to the appropriate agency representative (e.g. infection control nurse). The Radiologic Technology Accidental Exposure Form will be submitted to program faculty. 4. The person who is exposed to blood or body fluids will be referred for medical care and/or appropriate testing; however, the decision to obtain medical care or testing will rest solely with the person experiencing the exposure. The health care options available for students or faculty include, but are not limited to: a. the emergency or outpatient department of the agency in which the exposure occurred (at personal expense); b. the county health department; c. the private physician of the individual's choice; d. Arkansas AIDS Foundation The person experiencing the exposure will be asked to sign a statement verifying that they have been told and understand the options. 5. It is vital that STUDENTS UNDERSTAND THAT THEY ARE RESPONSIBLE FINANCIALLY FOR ANY EXPENSES INCURRED IN THE COURSE OF TREATMENT OR TESTING. NEITHER NORTH ARKANSAS COLLEGE NOR THE CLINICAL AGENCY WILL ASSUME ANY LIABILITY (FINANCIAL OR OTHERWISE) REGARDING THE EXPOSURE INCIDENT. 6. If the exposed individual chooses to seek medical care and/or testing, all pre-and post-testing counseling will be provided by the health care provider conducting the testing. 36 RADIOLOGIC TECHNOLOGY POLICY FOR SOCIAL MEDIA To ensure privacy for all faculty, students and patients at the clinical sites, the following policies must be followed or termination from the Program will occur: 1. Students cannot use cell phones, smart phones, tablets, iPads, digital recorders, laptops or any electronic devices during class or clinical rotations unless approved by faculty or staff. Electronic devices can be used before or after class on campus or during lunch breaks at the clinical settings only. 2. All electronic devices must be turned off and kept in book bags, purses, etc., while in class or turned off and placed in lockers at the clinical settings. No electronic devises are allowed to be kept on you personally or your uniform. 3. Patient information is to be kept strictly confidential: No patient information on personal electronic devices, No photographs taken of patients’ information on electronic devices, No patient information posted on any form of social media such as Facebook, Twitter, e-mails, MySpace, or any others not mentioned, No photographs or audio recordings of patients, family or staff members, faculty or peers with any type of electronic devices, No discussion of any clinical experience or any information regarding a clinical experience with any social media such as Facebook, Twitter, emails, MySpace or any others not mentioned. 4. Malicious gossip or information concerning the College, Program, faculty or clinical sites on social media will not be tolerated. 5. Any violation of professional or ethical standards of the Radiologic Technology profession will result in immediate termination from the Radiologic Technology Program. 6. Students are expected to respect & protect private information! Rev. 7/13 37 NORTH ARKANSAS COLLEGE DEPARTMENT OF ALLIED HEALTH Harrison, Arkansas STUDENT SUBSTANCE ABUSE POLICY For students attending Northark, who have demonstrated behavioral changes suspected to be related to the use of drugs1, and for whom the use of those substances is suspected to be endangering their well-being and/or the well-being of others, the following policy shall be enforced: 1. The student will seek counseling from legitimate substance abuse counselors for a period of at least one month. Proof of attendance must be sent to Northark from the counselor every two weeks during such time. 2. The student will sign a contract with Northark in which he or she agrees to random urine and/or blood tests for drugs and/or alcohol at the request of any instructor or Northark employee directly involved with the student. Collection of the urine and/or blood samples from the student will be observed by a representative of the Northark staff or faculty. These tests will be at the student's expense. Delivery of the specimen to the testing laboratory or to a health care provider will be done jointly by a Northark representative and the student. At the time the specimen is released to the testing laboratory or to the health care provider, the student will sign a release statement requesting that the results of the urine and/or blood tests be sent to Northark as well as to the student. 3. Recognizing the potential financial burden unlimited testing could impose on the student, the random tests requested by Northark will be limited to no more than six per calendar year. 4. If any one laboratory test requested by Northark is positive for substances classified in the Diagnostic and Statistical Manual of Mental Disorders, third edition (DSM-III), the student will be suspended from Northark with the following provisions: a. The student will be given an "incomplete" grade for the classes of current enrollment. b. The student may be considered for reacceptance at Northark following the term of suspension, provided the student can demonstrate rehabilitation. Northark would require letters from primary counselors who had assisted the student in his/her substance abuse rehabilitation process. c. Upon return to Northark, the student will agree to the mandates of this policy as outlined in numbers one through four above. Also see “Substance Abuse Policy” in the Northark Student Handbook under “Rules and Regulations”. ______________________________________________________________________ 1The generic meaning of the term "drug", which includes the substance ethyl alcohol (ethanol), is used in this policy. The substance alcohol, by its properties and actions, is a drug and is treated as such. 38 III. CLINICAL INFORMATION 39 CLINICAL ENVIRONMENT You will notice many differences between the academic environment to which you have been accustomed and the clinical environment which you are entering. Most of the differences will prove exciting and stimulating; some will prove to be frustrating and aggravating. How successfully you function and learn in the clinical setting depends in part on how you approach and deal with these differences. Efficient, effective operation of the department to deliver optimal patient services and care is the top priority. This means that the patient’s welfare is considered first. This is consistent with the goals and needs of clinical education. Compared to learning activities conducted on campus in the classroom setting, the learning activities in the clinical setting are frequently much less structured. You must take a more active and responsible role for integrating the academic preparation you had with the individual examinations you are observing and performing. Generally, in the classroom setting, you work independently as you pursue your academic goals. Teamwork and cooperation among the students is not a necessity to achieve academic goals. In the clinical setting, you must pursue your educational goals within the overall goals of the department to deliver quality patient services efficiently and effectively. Rather than functioning independently of the departmental goals, you become part of a health care delivery team and function cooperatively to achieve educational and departmental goals. This includes not only developing the ability to expand your attention so that it includes the mechanics of producing radiographs of optimum quality, but also being aware of the patient as a person and not simply an exam to be completed. SUPERVISION Until a student achieves and documents competency in any given procedure, all clinical assignments shall be carried out under the DIRECT SUPERVISION of qualified radiographers. The parameters of direct supervision are: 1. 2. 3. 4. A qualified radiographer reviews the request for examination in relation to the student's achievement; A qualified radiographer evaluates the condition of the patient in relation to the student's knowledge; A qualified radiographer is present during the conduct of the examination; and A qualified radiographer reviews and approves the radiographs. In support of professional responsibility for provision of quality patient care and radiation protection, unsatisfactory radiographs shall be repeated only in the presence of a qualified radiographer, regardless of the student's level of competency. After demonstrating competency, students may perform procedures with INDIRECT SUPERVISION. Indirect supervision is defined as that supervision provided by a qualified radiographer immediately available to assist students regardless of the level of student achievement. "Immediately available" is interpreted as the presence of a qualified radiographer adjacent to the room or location where a radiographic procedure is being performed. This availability applies to all areas where ionizing radiation equipment is in use. 40 CLINICAL ASSIGNMENTS The student's clinical training consists of 12 hours/week (Tuesday and Thursday) plus ½ hour lunch break during the Freshmen year and 18 hours/week (Monday, Wednesday) plus ½ hour lunch break during the Sophomore year. The students are on duty 7:00 a.m. to 3:30 p.m., 7:30 a.m. to 4:00 p.m. or 8:00 a.m. to 4:30 p.m. and 8:30 a.m. to 5:00 p.m. depending on the requirements of the particular clinical site. During the Summer I Session, students are on duty 4 days a week for 8 hours each day plus ½ hour lunch breaks. During the Summer II Session, students are on duty 4 days a week for 8 hours a day plus ½ hour lunch breaks. Breaks may be taken as time permits. The lunch period is 30 minutes, scheduled by the clinical instructor. Time sheets will be made available from the program office. A student must get the sheets signed by the clinical instructor or registered technologist that day. Time sheets will not be signed after that or a day's absence will be given. These time sheets must be returned to the program office as designated. Remember, the CI or RT fills in the time the student comes in and the time the student leaves that day. The student does not fill in the time on the time sheet. Students will not sign in their own time. Students who sign their own time falsely will be terminated from the Program immediately. Students are assigned to one clinical educational setting during the entire program. Observational rotations will be completed as scheduled. Performance of clinical procedures is supervised by Registered Technologists. Clinical performance is evaluated by registered technologists or the clinical instructor and all clinical forms are signed, not initialed, by them. On rare occasions, at the discretion of the clinical instructor, the student will be shifted from the scheduled area to an area of greater need of patient care. All changes in schedules or clinical assignments will be made through the program office. An evening emergency room rotation will be scheduled in the sophomore fall semester. The student will spend 2 weeks (4 clinical days) on a 1-9:00 p.m. shift plus ½ hour dinner break in the emergency room of their assigned clinical site or the clinical site closest to their home. 41 CLINICAL EDUCATION SETTINGS Arkansas Orthopedic and Sports Medicine: Harrison, AR Baxter Regional Medical Center: Mountain Home, AR North Arkansas Regional Medical Center: Harrison, AR General Radiography General Radiography, Fluoroscopy, Ultrasound, CT, MRI, Nuclear Medicine, Mobile Radiography, Digital Mammography, Cath Lab, Surgery, Emergency Room, Bone Density, Radiation Therapy through CARTI. General Radiography, Fluoroscopy, Ultrasound, CT, MRI, Nuclear Medicine, Mobile Radiography, Digital Mammography, Surgery, Emergency Room, Bone Density, Radiation Therapy through PARTI. Northwest Medical Center: Springdale, AR General Radiography, Fluoroscopy, Ultrasound, CT, MRI, Nuclear Medicine, Mobile Radiography, Digital Mammography, Cath Lab, Surgery, Emergency Room, Bone Density, Radiation Therapy through Highlands Oncology. Ozarks Medical Center: West Plaines, MO General Radiography, Fluoroscopy, Ultrasound, CT, MRI, Nuclear Medicine, Mobile Radiography, Digital Mammography, Cath Lab, Surgery, Emergency Room, Bone Density Cox Medical Center-Branson: Branson, MO General Radiography, Fluoroscopy, Ultrasound, CT, MRI, Nuclear Medicine, Mobile Radiography, Digital Mammography, Cath Lab, Surgery, Emergency Room, Bone Density, Radiation Therapy through Cox Cancer Center. Mercy Hospital-Berryville: Berryville, AR General Radiography, Fluoroscopy, Ultrasound, CT, Mobile MRI, Nuclear Medicine, Mobile Radiography, Digital Mammography, Surgery, Emergency Room, Bone Density Stone County Medical Center: Mountain View, AR General Radiography, Fluoroscopy, Ultrasound, CT, MRI, Mobile Radiography, Mammography, Surgery, Emergency Room, Bone Density 42 PROFESSIONAL CONDUCT OF THE STUDENT 1. You are expected to treat the patients with kindness, courtesy, and respect. When you get patients from the ward or waiting room area, introduce yourself and try to establish rapport. Once the patient is in the exposure room, keep the door closed and make sure that undressed patients are properly gowned or covered up. 2. Professional behavior is not limited to your contact with patients. It is reflected in your attitude and in the way you communicate with physicians, supervisors, and co-workers. 3. Smoking, eating, drinking or chewing gum is permitted only in the lounge or designated areas. 4. Students will not leave their assigned area at any time without permission. 5. Students will not remain in the Radiology Department after regular working hours. If for any reason it is necessary to return, a complete uniform will be worn. 6. When not actively engaged in radiologic work or other duties, students will remain in their assigned areas and not congregate in offices, halls, or other rooms. 7. Personal telephone calls are not encouraged. No one will be called from working areas except in an emergency. No one will leave a patient to talk on the telephone. 8. Students may not study during slow periods unless authorized by the Clinical Instructor. 43 STUDENT RESPONSIBILITY IN THE HOSPITAL The primary function of the hospital is patient care. Under no circumstances should the presence of students downgrade the quality of patient care. Therefore, it is your responsibility to: 1. Follow the administrative policies established by the radiology department and the hospital. 2. Report to your assigned work area on time. 3. Notify the clinical instructor at least 15 minutes before your scheduled time in case of illness or absences which are beyond your control. 4. Wear your radiation monitoring badge as outlined in the Program Manual under “Policies”. 5. Check with a registered technologist before leaving the assigned work center. 6. Follow the directions provided by the registered technologist. 7. Ask for advice when indicated. DO NOT experiment with patients. Be industrious and ask questions. 8. Do not discuss clinical information with patients, relatives, or anyone outside the radiology department. ROUTINE DUTIES 1. Students will be assigned to their clinical area by the program faculty. 2. Students will be responsible for: a. performing all examinations assigned to them by a staff technologist. b. checking all supplies in the area to which assigned each morning. c. keeping their assigned areas neat and clean. d. shielding the patient whenever possible. e. maintaining professional attitude. 3. Students will not leave their rooms for break, lunch, or at the end of the day until all work assigned to their room has been completed. Immediately upon return from break or lunch, the student will report to the technologist in charge of their assigned area. 44 DEVELOPING CLINICAL PROFICIENCIES Clinical skills can be developed by the following systematic step-by-step approach: Academic Preparation: Completed on campus by studying radiographic anatomy and positioning and fundamentals of radiography. Observation: Observing registered technologists at work in the hospital. Assisting: Assisting registered technologists in performing radiographic procedures. Supervised Trial Performance: Completing the entire examination under the direct supervision of a technologist. Performance Evaluation: Performing a particular examination by yourself under direct supervision and having the technologist do a performance evaluation for that examination. Performance Maintenance: Perfecting your skills by performing an examination with direct or indirect supervision. If however, a repeat exposure should be necessary, a qualified technologist must be present to provide direct supervision. CLINICAL GRADE DETERMINATION The clinical grade will be determined by averaging grades in the following categories during the semester: 1. 2. 3. 4. Radiation Badge Time Sheets Daily Log Books Repeat Analysis 5. 6. 7. 8. End-of-the-Month Evaluations Clinical Visit Evaluations Performance Evaluations Clinical Competency Evaluations The clinical grades will be averaged for a final grade. All clinical requirements are due at certain designated times. Failure to turn in clinical forms, etc. will result in a zero: Radiation Badge – 23rd of every month All others -- End of every month 45 PERFORMANCE EVALUATIONS Starting with the Clinical Practice I, the student will perform unassisted radiographic examination procedures under DIRECT SUPERVISION of a technologist for evaluation and grade. The forms for the performance evaluations are contained in the Clinical Procedures Manual. A registered technologist will fill out the procedure and image evaluation sheets during the performance. Anatomy sheets will be completed when appropriate performances are completed. Procedure manuals must be kept with the student at all times during clinical rotations until graduation from the program. The students will bring the performance evaluations to the program faculty at the end of the month for grading. Students are expected to complete all freshman performance exams by the end of the sophomore fall semester. 25 bonus points and one extra day off from clinicals will be awarded to those students completing their freshman performances by the end of the sophomore fall semester. A minimum of 3 performances are due the freshman fall semester, after that a minimum of 5 performances per semester (including summer sessions) are required. Five (5) points will be deducted from the final clinical grade if this minimum is not maintained. Keep in mind that this is a minimum. Students are expected to complete as many performances as possible during the semester. Clinical performances and competencies must be performed at the students’ assigned clinical site during assigned clinical time. This JRCERT rule must be followed. ALL clinical performances and competencies are due by the end of the sophomore spring semester. The Daily Log Book must be with you when you enter your clinical rotations. It is your responsibility to document your exams and repeats and to have them readily available when you are in the hospital. 46 CLINICAL PROCEDURES FOR PERFORMANCE EXAMS RADT 1162: CLINICAL PRACTICE I Chest Chest – Wheelchair or Stretcher KUB Abdomen Series (supine or upright) Abdomen Decubitus Finger or Thumb Hand Wrist Carpal Navicular Forearm Elbow Humerus Shoulder Clavicle AC Joints Scapula Toe Foot Os Calcis (Heel) Ankle Tibia-Fibula Knee Intercondyle Patella Femur Hip Pelvis RADT 1242: CLINICAL PRACTICE II Ribs Sternum Cervical Spine Thoracic Spine Lumbosacral Spine Sacrum Coccyx SI Joints Esophagus Upper GI (single or double contrast) Small Bowel Series Barium Enema (single or double contrast) IVP RADT 1261: CLINICAL PRACTICE III Skull Facial Bones Mandible (Panorex acceptable) Nasal Bones Sinuses Zygoma TM Joints Optic Foramina RADT 2112: CLINICAL PRACTICE IV Same as Clinical Practice III including: Respiratory Therapy/Oxygen Administration EKG RADT 2193: CLINICAL PRACTICE V Trauma/ER/ER Patient Assessment Surgery Portables Orthopedics Medical Laboratory Myelogram Sterile Technique Mammogram Pediatrics Arthrogram Heart Cath Bone Density RADT 2253: CLINCAL PRACTICE VI CT – Head, Chest & Abdomen MRI Oncology Ultrasound Nuclear Medicine Digital/Analog Radiography 47 CLINICAL COMPETENCY PLAN Each student enrolled in the Radiologic Technology Program will be responsible for documentation of competency for radiographic examinations and procedures. The clinical competency evaluation is designed to insure that the student has successfully combined knowledge gained in the classroom and the laboratory with the clinical aspects of his/her training. Student observation in clinical education begins with an observation period and moves into a more active phase with the student assisting a registered radiologic technologist in the completion of assigned tasks. As the student gains experience in various procedures, he/she will gradually move into an independent clinical performance stage, actually performing radiographic procedures under the indirect supervision of a radiologic technologist. A specific number of radiologic examinations commonly performed in the radiology department are required for competency. After a student has been graded on a performance exam he or she may then begin the competency examinations under direct supervision. Competency for an exam is achieved when the specified number of exams have been completed. Once exam competency is achieved, these exams may then be performed under INDIRECT SUPERVISION. Exams will be listed on the competency exam sheet (found in the Clinical Procedures Manual), signed by a registered technologist as acceptable, and returned to the program faculty for documentation. Projections and examinations will vary among the clinical sites. Each clinical instructor should utilize the examinations and views unique to each particular clinical site. Exams for competency must be performed without any repeat radiographs. Exams that are simulated, without actually making a radiographic image, will be worth a total of 50 points and not 100 points. Clinical performances and competencies must be performed at the students’ assigned clinical site during assigned clinical time. This JRCERT rule must be followed. Student progress through the clinical competency evaluation is designed to allow each student to progress at an individual rate. All competency examinations must be completed before the end of Clinical Practice VI (sophomore spring semester) to be eligible for graduation. 48 CLINICAL PROCEDURE FOR COMPETENCY EXAMS Chest Femur Chest, AP, (wheelchair or stretcher) Trauma: Lower Extremity Ribs Paranasal Sinuses Sternum Nasal Bones Finger or Thumb Cervical Spine Hand Trauma: Cervical Spine (Cross-Table Lateral) Wrist Thoracic Spine Forearm Lumbosacral Spine Elbow Sacrum and/or Coccyx Humerus Sacroiliac Joints Shoulder Pelvis Trauma: Shoulder (Scapular Y, Transthoracic Hip or Axillary) Cross-Table Lateral Hip Scapula Abdomen Supine (KUB) Clavicle Abdomen (Upright) AC Joints Esophagus Trauma: Upper Extremity (Non-Shoulder) Upper GI Series (Single or Double Contrast) Toe Small Bowel Foot C-Arm Procedure (Orthopedic) Calcaneus (OsCalcis) Portable Chest Ankle Portable Abdomen Tibia-Fibula Portable Orthopedics Knee Pediatric Chest – Routine Patella 49 CLINICAL ROTATIONAL ASSIGNMENTS RADT 1162: CLINICAL PRACTICE I (Freshman Fall) Students observe, assist and perform office procedures, darkroom procedures, patient transport, and routine radiographic procedures including chest, abdomen and upper and lower extremities. Areas of Rotation and Emphasis Observe & Assist Radiology Office Patient Transport Routine Radiography/Fluoroscopy 1 day 2 days 2 weeks Active Participation Routine Radiography/Fluoroscopy RADT 1242: CLINICAL PRACTICE II (Freshman Spring) Students observe, assist and perform routine radiographic procedures and include the thorax, vertebral column, GI tract and GU system. Proficiency in routine radiography and fluoroscopy continues. Areas of Rotation and Emphasis Observe & Assist Routine Radiography/Fluoroscopy Thorax Vertebral Column 1 week 1 week 1 week Active Participation Routine Radiography/Fluoroscopy Thorax Vertebral Column RADT 1262: CLINICAL PRACTICE III (Freshman Summer I) Students observe, assist and perform routine radiographic procedures and include the skull and facial bones. Proficiency in routine radiography and fluoroscopy continues. Areas of Rotation and Emphasis Observe & Assist Routine Radiography/Fluoroscopy Skull Radiography Active Participation Routine Radiography/Fluoroscopy Skull Radiography 50 1 week 1 week RADT 2112: CLINICAL PRACTICE IV (Sophomore Summer II) Same as Clinical Practice III with the addition of: Respiratory Therapy/Oxygen Administration EKG RADT 2193: 1 day 1 day CLINICAL PRACTICE V (Sophomore Fall) Students observe, assist and perform routine radiographic procedures and include the trauma, mobile, and special procedures. Proficiency in routine radiography and fluoroscopy continues. Areas of Rotation and Emphasis Observe & Assist ER/ER Patient Assessment Surgery/Sterile Technique Portable Procedures Mammography/Medical Laboratory Cath Lab Orthopedics 1 week 1 week 1 week 1 week 1 day 1 week Active Participation Routine Radiography/Fluoroscopy Trauma Mobile Procedures Special Procedures RADT 2253: CLINICAL PRACTICE VI (Sophomore Spring) Students observe, assist and perform routine radiographic procedures and include advanced modalities. Proficiency as a staff radiographer is developed. Areas of Rotation and Emphasis Observe & Assist CT MRI Ultrasound Nuclear Medicine Oncology 3 weeks 1 day 1 day 1 day 1 day Active participation Routine Radiography/Fluoroscopy CT/Bone Density Advanced Modalities 51 CLINICAL OBJECTIVES The objectives serve three purposes: 1. To identify the specific behaviors expected of the student in the clinical setting. 2. To identify these behaviors for the clinical supervisor, the technologists, and other personnel in the radiology department. 3. To provide a guide for evaluating student achievement and proficiency. CONDITIONS The objectives are performed in a clinical education setting under the supervision of a technologist. SUCCESS CRITERIA The level of clinical success will depend upon experience in the evaluation of: 1. 2. 3. cognitive skills psychomotor skills behavioral skills Upon completion his/her clinical assignment, the student will exhibit knowledge, understanding and skill in each of the following areas with a competence appropriate to the number of months he or she has been in training. 52 I. II. III. OFFICE PROCEDURES AND RADIOGRAPHIC RECORDS A. Perform the following tasks relating to the Front Office: 1. Log in patients. 2. Assign x-ray and day numbers. 3. Type flash cards, if applicable. 4. File patients card, if applicable. B. Perform the following tasks related to the file room: (if applicable) 1. Construct a film jacket including patient’s name and number, if applicable. 2. Prepare the jacket and films for reading, if applicable. 3. File reports, if applicable. 4. File films, if applicable. RADIOGRAPHIC IMAGE PROCESSING A. Place patient identification on film or plate. B. Develop medical x-ray film by automatic processing methods or process CR plate in reader. C. Prepare processing solutions for automatic processor, if applicable. PATIENT HANDLING TASKS A. Drape or gown patient for examination. B. Transfer patients safely to and from stretchers and chairs. C. Check patient’s chart for contraindications in reference to procedure. D. Ascertain if the patient is prepared for the procedure. E. Use immobilizing devices to restrain patients during exposure if needed. F. Explain the x-ray procedure to the patient or answer questions about the doctor’s instructions. G. Reassure apprehensive parents of pediatric patients. H. Reassure and calm children. I. Receive patients on arrival, introduce yourself, obtain the patient’s name, check arm band. J. Give precise and adequate direction to patient concerning procedures. 53 III. IV. PATIENT HANDLING TASKS: continued K. Observe care to maintain the IV flow and integrity of the unit. L. Make notations of significant patient physical or emotional response to procedures if needed. M. Label specimens. N. Provide radiation protection for personnel and patient. O. Inspect for electrical and mechanical hazards and observe rules of safety. P. Respect rights and expectations of the patients. Q. Respect rights and expectations of all personnel. R. Proper transportation to and from patient rooms or other patient areas outside the radiology. S. Prepare tickets for patients leaving the department, if applicable. GENERAL RADIOGRAPHY A. Equipment and accessories 1. Identify all units of radiographic equipment including: a. generators. b. transformers. c. current phase. d. focal spot sizes. e. tube rating charts, anode cooling charts, if applicable. 2. Select the appropriate: a. imaging plate, grid, bucky or table top. b. sponges, compression bands, sand bags, clamp. c. collimation to field size. B. Radiographic Procedures 1. Perform general radiographic studies and evaluate from the standpoint of: a. radiographic and diagnostic quality. b. accuracy of interpretation of the request. c. positioning of the anatomic part. d. appropriate film size or CR plate size. e. adequate x-ray beam limitation. f. correct markers or identifying information. 54 IV. V. GENERAL RADIOGRAPHY: continued C. Radiographic Technique 1. Select the proper technical factors for routine situations and make appropriate adjustments for the unusual case by manipulating the imaging arrangement. The factors to be altered or arranged include: a. kVp, MA, time and distance. b. screens, grids. D. Radiation Protection and Safety Practices 1. Perform patient handling tasks safely to include: a. transporting and transferring patients. b. checking for patient identification. c. handling patients with infectious diseases. d. providing radiation protection for patients, personnel, and guests by utilizing shields, collimation and other protective devices. e. providing safety from electrical hazards by routinely inspecting equipment. E. Phototiming 1. For those areas where phototiming is used for routine radiography the student will: a. select proper photocell. b. determine the patient’s size. c. select the proper kVp for the examination. FLUOROSCOPY A. Equipment and accessories 1. Identify the following: a. image intensification. b. spot devices. c. phototiming. d. fluoro MA setting. 2. Select the appropriate: a. table angulation. b. restraining and supporting devices. c. barium or other contrast medias and administration devices. B. Radiographic and Fluoroscopic Procedures 1. Perform tasks specific to fluoroscopic procedures a. Assist in the operation and adjustment of: 1) spot filming, if applicable. 2) image intensifier. b. Assist the physician with the non-exposure procedures such as: 1) upper and lower gastrointestinal studies. 2) spine and spinal cord studies. 3) arthrograms. 4) sialograms and other such special procedures using fluoroscopy. 55 V. VI. FLUOROSCOPY: continued C. Contrast Medias 1. Prepare barium mixtures using formulas appropriate to the examination. 2. Select the contrast dispenser appropriate to the examination and specific media. 3. Use sanitation techniques to prepare contrast media dispensers and other contrast utensils and containers. D. Technique 1. Select the proper technical factors for routine and fluoroscopic studies and make appropriate adjustments for the unusual patient. E. Radiation Protection and Safety Practices 1. Perform patient handling tasks safely to include: a. transporting and transferring patients. b. checking for patient identification c. handling patients with infectious diseases d. providing radiation protection for patients, personnel, and guests by utilizing shields, collimation and other protective devices. e. providing safety from electrical hazards by routinely inspecting equipment. IMAGE EVALUATION A. Sort and match images and merge in the proper sequence with patient’s file B. Critique the images to determine adequate visibility of the structures of interest. C. Identify the photographic and geometric deficiencies in images and recommend the necessary corrections. D. Recognize and identify artifacts, if present, on the image. 56 VII. BODY SECTION RADIOGRAPHY – GENERAL TOMOGRAPHY A. Equipment and Accessories 1. Identify the following: a. generator. b. transformer c. current phase d. all tube rating charts 2. Select the following: a. screen and grid. b. accessory equipment, head clamps, sandbags c. diaphragm d. angulation of the table e. proper pin for movement f. fulcrum sittings B. Radiographic Procedures 1. Perform body section radiographic studies and evaluate from the standpoint of: a. radiographic and diagnostic quality. b. accuracy of interpretation of the request. c. positioning the anatomic part. d. appropriate film size or CR plate size. e. adequate x-ray beam limitations. f. correct markers or identifying information. C. Radiographic Technique 1. Select the proper technical factors for routine situations and make appropriate adjustments for the usual case by manipulating the imaging arrangement. The factors to be altered or arranged include: a. kVp, MA, time and distance b. screens, grids. D. Radiation Protection and Safety Practices 1. Perform patient handling tasks safely to include: a. transporting and transferring patients. b. checking for patient identification c. handling patients with infectious diseases d. providing radiation protection for patients, personnel, and guests by utilizing shields, collimation and other protective devices. e. providing safety from electrical hazards by routinely inspecting equipment. 57 VIII. MOBILE RADIOGRAPHY A. Equipment and Accessories 1. Identify the following: a. type of radiographic equipment. b. incoming power source. c. line voltage and compensator. d. connections for wall sockets. e. battery recharger. 2. Select the appropriate: a. imaging plate, grid. b. supportive items such as sponges, etc. c. radiation protection devices. d. safety factors guarding against electrical hazards. B. Radiographic Procedures 1. Perform all routine portable radiographic studies and evaluate: a. image quality. b. positioning. c. anatomical parts identified. d. correct markers. e. collimation. f. film size. C. Radiographic Technique 1. Make adjustments in exposure factors specific to portable radiography. 2. Identify those common problem areas such as patient’s ability, traction, casts, etc., which may affect technique. D. Radiation Protection and Safety Practices 1. Adjust these practices routinely performed in general radiography to mobile units: a. transporting and transferring patients. b. checking for patient identification. c. handling patients with infectious diseases. d. providing radiation protection for patients, personnel, and guests by utilizing shields, collimation and other protective devices. e. providing safety from electrical hazards by routinely inspecting equipment. 58 IX. X. SURGERY A. Equipment and Accessories B. Radiographic Procedures 1. The student will be able to demonstrate knowledge and understanding as well as dexterity in the examination and care of the confined patient and the patient undergoing surgery. 2. The student will perform routine surgical radiographic studies and evaluate for: a. quality. b. positioning. c. anatomical parts. d. correct markers. e. collimation. f. field size. C. Radiographic Technique 1. Make adjustments in exposure factors specific to portable radiography or cysto. 2. Identify those problem areas which may affect technique such as surgical clamps, casts, splints. D. Sterile Areas 1. Identify the following: a. areas that are “off limits” in the surgical suite due to sterile technique. b. sterile drapes, trays, clothing. c. areas in the surgery suite assigned to x-ray equipment and personnel. d. proper attire for x-ray personnel in surgery. SPECIAL PROCEDURE RADIOGRAPHY A. Assist in setting the x-ray machine controls for exams performed in the special’s room. B. Assist in setting up trays for special procedures. C. Assist in selecting appropriate catheters, guide wires, needles, and syringes for special studies. D. Assist in the preparation of contrast media for pressure injection. E. Assist in positioning the patient for radiographs. F. Assist in performing patient handling tasks specific to special procedures. G. Practice radiation safety during special procedures. H. Practice aseptic techniques in handling materials and supplies necessary to the procedure. I. Clean pressure injector equipment. J. Load film changers, if applicable. K. Perform all duties of the darkroom technologist, if appropriate. L. Calculate heat units for multiple exposures, if applicable. M. Ready images for interpretation, if applicable. 59 GRADUATE COMPETENCIES 1. Demonstrate knowledge and skills relating to verbal, non-verbal and written medical communication in patient care intervention and professional relationships. 2. Demonstrate knowledge of human structure, function, and pathology. 3. Provide basic patient care and comfort and anticipate patent needs. 4. Provide appropriate patient education. 5. Apply principles of body mechanics. 6. Perform basic mathematical functions. 7. Understand basic x-ray production and interactions. 8. Operate medical imaging equipment and accessory devices. 9. Position the patient and medical imaging equipment to perform examination and procedures. 10. Modify standard procedures to accommodate for patient condition and other variables. 11. Exercise independent judgment and discretion in the technical performance of medical imaging procedures. 12. Demonstrate knowledge and skills relating to medical image processing. 13. Determine exposure factors to obtain diagnostic quality radiographs with minimum radiation exposure. 14. Adapt exposure factors for various patient conditions, equipment, accessories and contrast media to maintain appropriate radiographic quality. 15. Practice radiation protection for the patient, self and others. 16. Recognize emergency patient conditions and initiate first aid and basic life-support procedures. 17. Evaluate radiographic images for appropriate positioning and technical quality. 18. Evaluate the performance of medical imaging systems. 19. Understand the safe limits of equipment operation. 20. Recognize equipment malfunctions and report them to the proper authority. 21. Demonstrate knowledge and skills relating to quality assurance activities. 22. Support the profession’s code of ethics and comply with the profession’s scope of practice. 60 IV. FORMS 61 FORMS TO BE COMPLETED BY THE STUDENT Several forms will need to be completed by the student periodically. Each form serves a different purpose, as described below. You will find samples of each form on the pages following the descriptions. DAILY LOG BOOK COURSE EVALUATIONS CLINICAL INSTRUCTOR (CI) EVALUATIONS CLINICAL SITE EVALUATIONS REPEAT ANALYSIS 62 DAILY LOG BOOK Every clinical day, a log must be kept to identify the exams that have been accomplished. The form includes a place for the following information – date, patient number, exam, and a place for indication if you performed the exam independently, assisted, or just observed the exam. This information must be completed for each exam done during your clinical training. These forms are bound into a notebook and must be kept with the student throughout the clinical training. Columns for the number of films and repeats have been included for your convenience in completing repeat analyses. All radiographs that have to be repeated must be in the presence of a qualified radiographer and signed in the signature column of the log book. 63 North Arkansas College Radiologic Technology Program CLINICAL EXAMINATION RECORD Name:________________________________ DATE NUMBER EXAMINATION OBSRV 64 Month:_______________________ ASSTD PERF # IMAGES #REPTS SIGNATURE COURSE EVALUATIONS Course Evaluations are now performed on Portal at the end of the semester. Evaluations may be completed on Scantron Forms if needed. Information such as strong and weak areas of content, evaluation accuracy, and relativity is reported. This evaluation is used to restructure and revise courses to better fit the students’ needs. 65 North Arkansas College Radiologic Technology Program Course Evaluation Using a #2 pencil, please complete this evaluation by answering the following questions concerning this course and placing your response in the appropriate box on the Scantron provided. On the Scantron, place the course name on the “Name” line, and the current date on the “Date” line. Please omit other lines. A = Strongly Agree B = Agree C = Disagree D = Strongly Disagree E = Does Not Apply 1. The material reflected course objectives. 2. Textbooks, handouts, resources, etc. were adequate for class. 3. Adequate time was allotted for material presentation. 4. Adequate time was allowed for questions and answers. 5. Attendance and grading policies were clearly stated. 6. Lecture room was conductive to learning. 7. Guest lecturers were meaningful to class. 8. Tests adequately covered the material. 9. Test were graded and returned in a reasonable time. 10. The course was well organized. Please make comments on the back of the Scantron. 66 CLINICAL INSTRUCTOR (CI) EVALUATIONS This evaluation is completed on the Scantron Form at the end of each clinical semester. This information evaluates the clinical instructor and will be used to identify problem areas to that improvements may be used. These evaluations are confidential and will promote better communication between college faculty and the Clinical Instructors. 67 North Arkansas College Radiologic Technology Program Clinical Instructor Evaluation Using a #2 pencil, please complete this evaluation by answering the following questions concerning your clinical instructor(s) and placing your response in the appropriate box on the Scantron(s) provided. On the Scantron, place the clinical instructor name on the “Name” line, and the current date on the “Date” line. Please omit other lines. A = Strongly Agree B = Agree C = Disagree D = Strongly Disagree E = Does Not Apply 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. This instructor utilizes assignments, demonstrations and other aids to reinforce retention levels. This instructor is courteous to the student and willingly answers questions. This instructor gives instructions clearly. This instructor is knowledgeable on the subject material pertaining to his/her department. This instructor has the knowledge and necessary manual skills to demonstrate procedures. The instructor is organized and presents radiological procedure in a logical sequence. The instructor exhibits positive characteristics to aid in student’s professional development. This instructor is suitably dressed for their profession/job. The instructor demonstrates proper disciplinary methods to all students fairly and consistently. The instructor is available to answer questions and give assistance when needed. Please make comments on the back of the Scantron. 68 CLINICAL SITE EVALUATIONS This evaluation is completed on the Scantron Form at the end of each semester. This information includes identification of the site’s strengths and weaknesses. Results from this evaluation will be used to help the clinical sites identify problem areas and seek improvements. These forms are confidential and will promote better communication between college faculty and clinical site personnel. 69 North Arkansas College Radiologic Technology Program Clinical Site Evaluation Using a #2 pencil, please complete this evaluation by answering the following questions concerning your clinical site(s) and placing your response in the appropriate box on the Scantron(s) provided. On the Scantron, place the clinical site on the “Name” line, and the current date on the “Date” line. Please omit other lines. A = Strongly Agree B = Agree C = Disagree D = Strongly Disagree E = Does Not Apply 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. The introduction to the department and hospital facility and staff was performed satisfactory. My responsibilities in assigned areas were explained thoroughly. The Technologists’ supervision, availability and communications were sufficient. The relationship with the Radiologist(s) was professional. The cleanliness of the department was evident. There was a variability of clinical exams. An explanation of the exam was given in detail. The quality of technical work was optimum. The equipment was up-to-date and functional adequately. A caring attitude from technologist to patient was displayed. Please make comments on the back of the Scantron. 70 REPEAT ANALYSIS FORM This form is used to help the students become aware of their repeats and the causes. The procedure for analysis is included on the form. This is due at the end of each clinical month, starting in the Freshmen Spring semester. 71 RADIOLOGIC TECHNOLOGY PROGRAM REPEAT ANALYSIS Name ___________________________________________ Date_________________ Hospital _______________________________________________________________ This analysis is for the clinical days from __________________ to _________________ Reasons for Repeat Number of Images 1. Too Dark ______________ 2. Too Light ______________ 3. Patient Motion ______________ 4. Centering ______________ 5. Positioning ______________ 6. Other ______________ ______________ ______________ Percentage 1. Total number of images taken during this time period. ______________ 2. Total number of repeats taken during this time period. ______________ 3. Calculate 4. Multiply by 100 to get % of repeats. 2 . 1 ______________ ______________% Analysis 1. Analyze the above information and give reasons for repeated images. 2. What is the most common reason for repeat? 3. How can you correct this problem? 72 FORMS TO BE COMPLETED BY THE CLINICAL INSTRUCTOR OR A REGISTERED TECHNOLOGIST Several forms will need to be completed by the clinical instructor or a registered technologist periodically. Each form serves a different purpose, as described below. You will find samples of each form on the pages following the descriptions. TIME SHEET ORIENTATION CHECKLIST WEEKLY CLINICAL CHECKLIST MONTHLY CLINICAL EVALUATION OF THE STUDENT MINOR ROTATION EVALUATION OF THE STUDENT CLINICAL PERFORMANCE EVALUATIONS CLINICAL COMPETENCY EVALUATIONS DOCUMENTATION OF RADIATION MONITORING BADGE READINGS OVER 100mREM 73 TIME SHEET This form documents the time the student arrives at the clinical site and leaves the clinical site. The clinical instructor or RT documents the clinical time and signs the form every clinical day. 74 STUDENT CLINICAL TIMESHEET Class Date Date Date Date Date In Lunch Out Lunch In Out Time: Time: Time: Time: Signed: Signed: Signed: Signed: In Lunch Out Lunch In Out Time: Time: Time: Time: Signed: Signed: Signed: Signed: In Lunch Out Lunch In Out Time: Time: Time: Time: Signed: Signed: Signed: Signed: In Lunch Out Lunch In Out Time: Time: Time: Time: Signed: Signed: Signed: Signed: 75 ORIENTATION CHECKLIST This form is completed when the student first enters the clinical site. The student is given an orientation and the checklist is dated and signed by the technologist. The student will then return the form to the program faculty for grade determination. 76 North Arkansas College RADIOLOGIC TECHNOLOGY ORIENTATION CHECKLIST Student___________________________________________ Date_________________________ Clinical Site______________________________________________________________________ 1 Tour of facility ___________ 2 Tour of department ___________ 3 Policy & Procedures A. Location of policy and procedure books ___________ B. ___________ 4 Orientation to chain of command Location of equipment A. Carts ___________ B. Wheelchairs ___________ C. IV poles ___________ D. Oxygen tanks ___________ E. Crash cart ___________ F. Emergency drug trays ___________ G. Telephones ___________ 5 Disaster/Code/Fire Procedures ___________ 6 Telephone Orientation ___________ 7 Personal Item Storage ___________ 8 Smoking Policy ___________ 9 Parking Policy ___________ 10 Clock-in, Clock-out Procedure ___________ 11 Lunch Policy ___________ 12 Tech Lounge Policy ___________ ______________________________________ Student Signature ___________________________________ Technologist Signature 77 WEEKLY CLINICAL CHECKLIST The students will be evaluated weekly by the Clinical Instructor at the clinical site. Each completed form will be graded accordingly and kept in the student’s file in the program office. This grade will be a part of the student’s clinical grade each semester. If deficiencies are not corrected by the next clinical check, a grade of zero will be given. 78 Radiologic Technology Program WEEKLY CLINICAL CHECKLIST Student _______________________________________________________________ Facility______________________________________ Date ___________________ UNIFORM 1. Keeps uniform and shoes clean and neat 2. Wears name ID properly 4. Wears radiation badge properly 5. Keeps hair neat and wears jewelry properly 6. Uses markers properly YES ______ ______ ______ ______ ______ NO ______ ______ ______ ______ ______ ATTITUDE 6. Is enthusiastic and cooperative 7. Accepts constructive criticism and suggestions 8. Is honest and trustworthy 9. Is courteous and respectful to staff and patients 10. Communicates efficiently YES ______ ______ ______ ______ ______ NO ______ ______ ______ ______ ______ DEPENDABILITY 11. Arrives at the proper time 12. Calls when absent or tardy 13. Completes Log Book/Technique Book 14. Accepts responsibility willingly 15. Completes his/her own assignments YES ______ ______ ______ ______ ______ NO ______ ______ ______ ______ ______ PROFESSIONAL BEHAVIOR 16. Uses free time constructively 17. Is willing to help others 18. Adheres to facility rules and regulations 19. Follows instructions 20. Adheres to ASRT Code of Ethics for professional behavior YES ______ ______ ______ ______ NO ______ ______ ______ ______ ______ ______ COMMENTS ___________________________________________________________ ______________________________________________________________________ ______________________________ STUDENT ____________________________ FACULTY 79 MONTHLY CLINICAL EVALUATION This form is used to evaluate the student’s ethical professional behavior. It is completed by the clinical instructor at the end of each month of your clinical training. Each completed form will be graded by the program faculty and kept in the student’s file in the Rad Tech Office. This grade will be a portion of the student’s clinical grade. 80 RADIOLOGIC TECHNOLOGY PROGRAM MONTHLY CLINICAL EVALUATION Student_______________________________________________________________ Facility_______________________________________Date_____________________ For any mark less than an “8”, please explain on the last page. 6 Very little knowledge of procedures; lacks skills Poor patient positioning techniques – could possibly injure patient Disorganized; does not handle interruptions QUALITY OF CLINICAL PERFORMANCE 7 8 9 Fair knowledge; Sufficient knowledge Has above average needs frequent for acceptable knowledge & skill instruction performance Seldom skillful at Occasionally has Positions skillfully patient positioning problems with patient most of time positioning 10 Outstanding knowledge of procedures; very skillful Very skillful at patient positioning Demonstrates some organization; has difficulty when interrupted Requires maximum supervision, takes more time than normal Somewhat organized, slowed slightly when interrupted Requires supervision, but learns reasonably well Organized; handles interruptions Well-organized; handles interruptions skillfully Requires minimum supervision; grasps new ideas Requires minimum supervision; extremely quick; intelligent Utilizes equipment carelessly Utilizes equipment satisfactorily & safely Utilizes equipment skillfully & safely Seldom follows charts, or clinical notebooks Seldom uses proper radiation protection Occasionally is skillful at technique Refuses to perform procedures once checked off Totally incompetent in critiquing own work Frequently refuses to perform procedures Inadequate; needs improvement Occasionally refuses to perform procedures Adequate at image critique Never uses lead markers Seldom uses lead markers Occasionally uses lead markers Usually follows charts & skillful at technique Usually conscientious about radiation protection Willing to perform procedures most of the time Usually able to recognize abnormal results Usually uses lead markers Utilizes equipment skillfully & safely; shows resourcefulness Most skillful at following charts & setting technique Always uses proper collimation, shielding & protects others Requires maximum supervision; very slow, unable to comprehend new ideas Cannot utilize equipment; wastes supplies Never uses technique charts; avoids learning technique Never uses proper shielding, collimation Occasionally uses radiation protection methods 81 Most willing to perform procedures even after being checked off Critiques own work most skillfully Always uses lead markers Comments from Evaluator: ____________________________________ Signature of Evaluator __________________________ Date Comments from Student: I agree with this evaluation _____________ I disagree with this evaluation ___________ _____________________________________ Signature of Student 82 __________________________ Date MINOR ROTATION EVALUATION OF THE STUDENT This form is used to evaluate the student’s ethical and professional behavior when the student is completing a short rotation such as CT, MRI, ER, etc. It is completed by the technologist in that rotational area. Each completed form will be graded by the program faculty and kept in the student’s file in the Rad Tech Office. This grade will be a portion of the student’s clinical grade. 83 North Arkansas College Radiologic Technology Program MINOR ROTATION EVALUATION OF THE STUDENT Student's Name: ________________________________ Hospital: ___________________ Rotation: ________________________________________ For any mark less than an "8", please explain below. 1 Attendance 2 Punctuality 3 Appearance 4 Proper Uniform 5 Professional Attitude 6 Acceptance of Criticism 7 Responsible 8 Communication Skills 9 Initiative 10 Completion of Objectives Needs Improvement Unsatisfactory 6 7 Date: ____________________ Average 8 Above Average 9 Excellent 10 Comments: __________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ______________________________________ Evaluator's Signature 84 __________________________________ Student's Signature CLINICAL PERFORMANCE EVALUATION These forms are purchased as a bound book in the college bookstore by each student. It should be kept with the student in the clinical site and must be completed by a registered technologist. It is used when the student feels he/she can perform a particular exam without assistance. The technologist will complete the evaluation form and the student will bring it to the program faculty for grade determination and recording. This grade will be used to calculate a portion of the clinical grade. A minimum of three (3) are due the freshman fall semester and a minimum of five (5) performances are due each semester after that. 85 North Arkansas College Radiologic Technology PERFORMANCE EVALUATION FORM Student_______________________________________________________________________________ Date____________________________________ Procedure/Exam________________________________________________________________________ Patient #_________________________________ Projection______________ Performance Evaluation 1. Evaluation of Requisition 2. Physical Facilities Readiness 3. Patient Care 4. Equipment Operation 5. Positionary Skills 6. Evidence of Radiation Protection YES NO N/A Projection______________ YES NO N/A Projection______________ YES NO N/A Projection______________ YES NO N/A Image Evaluation 7. Anatomical Parts 8. Proper Alignment 9. Radiographic Techniques 10. Image Identification 11. Radiation Protection Comments: _________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ___ Instructor Signature _________________________________________________________ Date ______________________________________ Student Signature __________________________________________________________ Date ______________________________________ 86 PERFORMANCE EVALUATION 1. Evaluation of Requisition a. b. c. d. e. identified procedures to be performed identified the patient’s name and age identified patient location and mode of transportation acknowledged any pathological conditions acquired appropriate clinical patient history 2. Physical Facilities Readiness a. b. c. verified that equipment is operational provided a clean and orderly work area obtained appropriate supplies for examination 3. Patient Care a. b. selected the correct patient introduced himself/herself to patient and briefly explain the procedure c. requested last menstrual period (LMP) date of female patients between the ages of 12-60 d. transported patient to appropriate imaging area e. verified if patient is properly prepared for the examination f. identified, when appropriate, that there are no contraindications for performing procedure g. provided safe storage for patient’s belongings h. provided appropriate assistance to radiographic table based on patient’s condition i. maintained patient dignity and modesty through proper gowning and covering for the patient j. talked to patient in a concerned, professional manner k. applied universal precautions as established by the Centers for Disease Control l. provided proper instructions for moving and breathing m. checked patient’s condition at regular intervals n. provided for patient security if the patient is left alone in the radiographic room IMAGE EVALUATION 4. Equipment Operation a. b. c. d. e. f. g. h. i. maneuvered the x-ray tube and bucky utilizing appropriate controls and locks selected the proper film, film holder, grid, etc. selected appropriate FFD (SID) manipulated image receptor, as appropriate, for accurate imaging measured the patient used immobilization devices, as needed referred to technique chart selected exposure factors used equipment so as not to exceed recommended safety guidelines 5. Positioning Skills a. b. c. d. positioned the patient aligned center to part to be demonstrated to the center of the film set the correct tube angle set the correct FFD (SID) 6. Evidence of Radiation Protection a. b. c. d. e. collimated to part used gonadal shields, if appropriate demonstrated use of lead apron, gloves, and lead blockers, if appropriate selected proper exposure factors adjusted exposure factors for motion, pathology or patient size when appropriate 7. Anatomical Parts a. b. c. 8. Proper Alignment a. b. c. d. film centered part centered tube centered patient aligned correctly 9. Radiographic Techniques a. b. c. d. technique chart used correctly (proper contrast and density compensation of exposure factors for pathology correct exposure factors used to produce diagnostic image correct film, screen, grid, FFD(SID), and OFD (OID) 10. Film Identification and/or Other Identifications a. right and left markers properly displayed (free of pertinent anatomy) b. accessory markers visible, if required (minute, hour and directional) c. patient information and date identified 11. Radiation Protection a. b. c. 87 part shown in proper position adequate detail (no motion) identified anatomical structures evidence of collimation gonadal shields in place, if required NO REPEATS CLINICAL COMPETENCY EVALUATION After a student has been evaluated on a particular performance examination, he/she may then work on a competency evaluation for that particular examination. Competencies will be evaluated and signed by a registered technologist. Grade determination and recording will be the responsibility of the program faculty. The student must bring a copy of the form to the program faculty where it will be graded and documented in the Rad Tech Office. Copies of Competency Sheets are due at the end of each month starting in the Freshman Spring Semester. 88 All procedures must be completed whether: M: Mandatory or E: Elective NORTH ARKANSAS COLLEGE Radiologic Technology ---------------------------------------------------------Bold: Can use phantom or simulation SOPHOMORE COMPETENCY EXAM SHEET STUDENT NAME: __________________________________________ TOTAL DATE IMAGING PROCEDURE M Chest - Routine M “ M Chest AP M E PT ID# / PHANTOM DATE: ________________________________ ACCEPTABLE RT SIGNATURE CHEST & THORAX 2 1 (Wheelchair or Stretcher) 1 Ribs 1 Sternum M E UPPER EXTREMITY 1 Finger or Thumb M 1 Hand M 2 Wrist M “ M Forearm M “ M Elbow M “ M Humerus M “ M Shoulder M “ M 1 Trauma: Shoulder (Scapular Y, Transthoracic or Axillary)* M 1 Scapula E 1 Clavicle E 1 AC Joints E 1 Trauma: Upper Extremity 2 2 2 2 (Nonshoulder)* M *Trauma is considered a serious injury or shock to the body. Modifications may include variations in positioning, minimal movement of the body part, etc. 89 NORTH ARKANSAS COLLEGE Radiologic Technology SOPHOMORE COMPETENCY EXAM SHEET (PAGE 2) All procedures must be completed whether: M: Mandatory or E: Elective ---------------------------------------------------------Bold: Can use phantom or simulation STUDENT NAME: _______________________________________________________ TOTAL DATE EXAM NAME M E PT ID# / PHANTOM ACCEPTABLE RT SIGNATURE LOWER EXTREMITY 1 Toe E 2 Foot M “ M 1 Calcaneus (OsCalcis) 2 Ankle M “ M Tibia-Fibula M “ M Knee M “ M 2 2 E 1 Patella 2 Femur M “ M Trauma: Lower Extremity* M 1 E HEAD 1 Paranasal Sinuses E 1 Nasal Bones E * Trauma is considered a serious injury or shock to the body. Modifications may include variations in positioning, minimal movement of the body part, etc. 90 All procedures must be completed whether: M: Mandatory or E: Elective NORTH ARKANSAS COLLEGE Radiologic Technology ---------------------------------------------------------Bold: Can use phantom or simulation SOPHOMORE COMPETENCY EXAM SHEET (PAGE 3) STUDENT NAME: _______________________________________________________ TOTAL DATE EXAM NAME M Cervical Spine M “ M E PT ID#/ PHANTOM ACCEPTABLE RT SIGNATURE SPINE AND PELVIS 2 1 Trauma: Cervical Spine 2 Thoracic Spine M “ M Lumbosacral Spine M “ M E * (Cross Table Lateral) 2 Sacrum 1 and/or E Coccyx 1 Sacroiliac Joints 2 Pelvis M “ M Hip M “ M Cross Table Lateral Hip M 2 1 E ABDOMEN 1 1 Abdomen Supine (KUB) Abdomen-Upright * Trauma is considered a serious injury or shock to the body. M M Modifications may include variations in positioning, minimal movement of the body part, etc. 91 All procedures must be completed whether: M: Mandatory or E: Elective NORTH ARKANSAS COLLEGE Radiologic Technology ---------------------------------------------------------Bold: Can use phantom or simulation SOPHOMORE COMPETENCY EXAM SHEET (PAGE 4) STUDENT NAME: _______________________________________________________ TOTAL DATE EXAM NAME M E PT ID#/ PHANTOM ACCEPTABLE RT SIGNATURE FLUOROSCOPY STUDIES 1 2 1 E Esophagus Upper GI Series E Single or Double Contrast “ E Small Bowel Series E SURGICAL STUDIES 1 C-Arm Procedure (Orthopedic) M MOBILE STUDIES 1 Portable Chest M 1 Portable Abdomen M 1 Portable Orthopedic M Chest Routine M 1 CPR M 1 Vital Signs M 1 Sterile & Aseptic Technique M 1 Venipuncture M 1 Transfer of Pt. M 1 Care of Pt. Med. Equip. M PEDIATRICS (Age 6 or younger) 1 GENERAL PATIENT CARE (BP, Pulse, Resp.) (e.g. oxygen tank, IV tubing) *Trauma is considered a serious injury or shock to the body. Modifications may include variations in positioning, minimal movement of the body part, etc. 92 PERFORMANCE EVALUATION 1. Evaluation of Requisition a. b. c. d. e. identified procedures to be performed identified the patient’s name and age identified patient location and mode of transportation acknowledged any pathological conditions acquired appropriate clinical patient history 2. Physical Facilities Readiness a. b. c. verified that equipment is operational provided a clean and orderly work area obtained appropriate supplies for examination 3. Patient Care a. b. selected the correct patient introduced himself/herself to patient and briefly explain the procedure c. requested last menstrual period (LMP) date of female patients between the ages of 12-60 d. transported patient to appropriate imaging area e. verified if patient is properly prepared for the examination f. identified, when appropriate, that there are no contraindications for performing procedure g. provided safe storage for patient’s belongings h. provided appropriate assistance to radiographic table based on patient’s condition i. maintained patient dignity and modesty through proper gowning and covering for the patient j. talked to patient in a concerned, professional manner k. applied universal precautions as established by the Centers for Disease Control l. provided proper instructions for moving and breathing m. checked patient’s condition at regular intervals n. provided for patient security if the patient is left alone in the radiographic room IMAGE EVALUATION 4. Equipment Operation a. b. c. d. e. f. g. h. i. maneuvered the x-ray tube and bucky utilizing appropriate controls and locks selected the proper film, film holder, grid, etc. selected appropriate FFD (SID) manipulated image receptor, as appropriate, for accurate imaging measured the patient used immobilization devices, as needed referred to technique chart selected exposure factors used equipment so as not to exceed recommended safety guidelines 5. Positioning Skills a. b. c. d. positioned the patient aligned center to part to be demonstrated to the center of the film set the correct tube angle set the correct FFD (SID) 6. Evidence of Radiation Protection a. b. c. d. e. collimated to part used gonadal shields, if appropriate demonstrated use of lead apron, gloves, and lead blockers, if appropriate selected proper exposure factors adjusted exposure factors for motion, pathology or patient size when appropriate 7. Anatomical Parts a. b. c. 8. Proper Alignment a. b. c. d. film centered part centered tube centered patient aligned correctly 9. Radiographic Techniques a. b. c. d. technique chart used correctly (proper contrast and density compensation of exposure factors for pathology correct exposure factors used to produce diagnostic image correct film, screen, grid, FFD(SID), and OFD (OID) 10. Film Identification and/or Other Identifications a. right and left markers properly displayed (free of pertinent anatomy) b. accessory markers visible, if required (minute, hour and directional) c. patient information and date identified 11. Radiation Protection a. b. c. 93 part shown in proper position adequate detail (no motion) identified anatomical structures evidence of collimation gonadal shields in place, if required NO REPEATS DOCUMENTATION OF RADIATION MONITORING BADGE READINGS OVER 100 mREM This form is used to document a student’s monthly radiation badge reading if it is over 100mREM. The program director will document a consultation with the student on the student contact form and the clinical instructor will complete this form after consultation with the student. The student will then return the completed form to the program office. The clinical instructors will receive copies for their files. 94 NORTH ARKANSAS COLLEGE Radiologic Technology Program DOCUMENTATION OF RADIATION MONITORING BADGE READINGS OVER 100 mREM Student ________________________________________ Date _______________ Clinical Site ___________________________________________________________ Radiation Badge Reading _____________mREM for the month of _________________ If a student’s radiation badge reading is over 100 mREM for any month, the following procedure will be followed and documented: DATE 1. Discussion between student and program director concerning reasons for overexposure. ____________ 2. 3. 4. A student contact form signed by the student and program director. ____________ Discussion with the clinical instructor concerning possible reasons for overexposure. ____________ Recommendations made by the clinical instructor to prevent future overexposure. ____________ POSSIBLE REASONS AND RECOMMENDATIONS ___________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ _________________________________________ Signature of Student _____________________ Date _________________________________________ Signature of Program Director _____________________ Date _________________________________________ Signature of Clinical Instructor _____________________ Date 95 Radiologic Technology Program DOCUMENTATION OF STUDENT CONTACT Student _______________________________________ Date_________________ Instructor ______________________________________________________________ REASON FOR CONTACT ________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ PROGRAM POLICY _____________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ACTION TO BE TAKEN __________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ __________________________________ Signature of Student ________________________________ Signature of Instructor 96 FORMS TO BE COMPLETED BY FACULTY The following form is to be completed by the Program Faculty. Description and sample forms follow. GUIDE FOR CLINICAL VISITS 97 GUIDE FOR CLINICAL VISITS This form is completed when the program faculty visit the clinical site. It is signed by the clinical instructor and the faculty member. 98 RADIOLOGIC TECHNOLOGY Guide for Clinical Visits Hospital__________________________________ Date_______________________ THE FOLLOWING AREAS WERE COMPLETED DURING THIS CLINICAL VISIT: _____ 1. Checked for a complete student uniform. _____ 2. Checked all tardies and absences. _____ 3. Assessed the attitude of the student. _____ 4. Discussed the student’s stage of progress. _____ 5. Checked student’s radiographic images. _____ 6. Collected completed student evaluations. _____ 7. Other – see additional comments. ADDITIONAL COMMENTS: ______________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ _________________________________ Clinical Instructor ________________________________ Faculty Instructor 99
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