Student Success Manual 2013-14
2013-14 RADIOGRAPHY PROGRAM Student Success Manual -1- Table of Contents INTRODUCTION / STUDENT SUCCESS....................................................................................... 3 PROGRAM FACULTY ...............................................................................................................................................3 AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGIST - CODE OF ETHICS .............................................4 PROFESSIONAL BEHAVIORS ...............................................................................................................................5 MISSION, GOALS AND PROGRAM OUTCOMES ...........................................................................................7 FACULTY ADVISORS ................................................................................................................................................8 PROGRAM SECRETARY ..........................................................................................................................................8 TUTORS..........................................................................................................................................................................8 ACADEMIC SUCCESS CENTER ............................................................................................................................8 SPECIAL NEEDS ACCOMMODATIONS ............................................................................................................8 RADIOGRAPHY PROGRAM CURRICULUM ...................................................................................................9 COURSE DESCRIPTIONS – OCCUPATIONAL ............................................................................................. 10 COURSE DESCRIPTIONS – GENERAL STUDIES ....................................................................................... 13 GRADUATION REQUIREMENTS ................................................................................................................................ 14 CERTIFICATION – REGISTRY (ARRT) ..................................................................................................................... 14 TEXTBOOKS ............................................................................................................................................................. 15 RESOURCES .............................................................................................................................................................. 17 POLICIES AND PROCEDURES ....................................................................................................... 18 COURSE ATTENDANCE POLICY ..................................................................................................................... 18 COURSE ASSIGNMENTS (WRITTEN OR ORAL).................................................................................................. 21 GRADING POLICY ................................................................................................................................................. 21 COURSE REPEAT POLICY .................................................................................................................................. 22 DISMISSAL FROM RADIOGRAPHY PROGRAM .......................................................................................... 24 STUDENT CODE OF CONDUCT ...................................................................................................................... 24 PLAGIARISM ............................................................................................................................................................. 25 WITHDRAWAL PROCEDURE ............................................................................................................................ 25 ALCOHOL AND OTHER DRUG USE ............................................................................................................... 26 LIABILITY INSURANCE ....................................................................................................................................... 26 HEALTH POLICY .................................................................................................................................................... 26 PREGNANCY POLICY ........................................................................................................................................... 27 RADIATION SAFETY ............................................................................................................................................. 28 FIELD TRIPS .............................................................................................................................................................. 30 FACULTY MEETINGS ........................................................................................................................................... 31 PART-TIME JOBS ..................................................................................................................................................... 30 STUDENT RECORDS ............................................................................................................................................. 31 STUDENT GRIEVANCE PROCEDURE ........................................................................................................... 31 CLINICAL ........................................................................................................................................... 33 GENERAL INFORMATION / PURPOSE....................................... ERROR! BOOKMARK NOT DEFINED.3 CLINICAL AFFLILIATES ...................................................................................................................................... 33 PREPARING FOR CLINICAL............................................................................................................................... 37 CLINICAL ATTIRE AND APPEARANCE POLICY ....................................................................................... 37 CLINICAL SCHEDULES / DOCUMENTS ....................................... ERROR! BOOKMARK NOT DEFINED. CLINICAL REQUIREMENTS............................................................................................................................... 38 RADIOGRAPHIC EXAM CLINICAL COMPETENCY / REVERIFICATION PROCEDURES ........ 39 ACADEMIC TERM COMPETENCY REQUIREMENTS ............................................................................. 40 CLINICAL RADIOGRAPHIC EXAM COMPETENCIES ............................................................................ 41 DIRECT/INDIRECT SUPERVISION AND RADIOGRAPH/IMAGE REPEAT POLICY ................. 43 STANDARD PRECAUTIONS POLICY STATEMENT .................................................................................. 44 LIABILITY WAIVER AND DIRECT SUPERVISION AGREEMENT ............................................................................. 45 STUDENT POLICY ACKNOWLEDGMENT FORM .................................................................................... 46 2 INTRODUCTION STUDENT SUCCESS You will spend the better part of two years completing the courses of the Radiography Program. The courses will be rigorous, and at times you may wonder what you have gotten yourself into, but your perception of intensity has much to do with the amount of time, dedication and commitment you spend towards your chosen profession. Your instructors will create a positive learning environment that will assist you in reaching your academic goals. A large part of your success will be your responsibility. You will be given the tools, guidance and support from program faculty and ancillary college departments and faculty. You will have to absorb a lot of information and apply that information in the laboratory setting and clinical setting. You will have to develop knowledge, exhibit compassion and empathy, and be able to critically think and problem solve on a daily basis in the field of Radiography. These are the expectations that are required in the clinic situation. Every patient, every situation is unique. You cannot memorize all the answers, but you will be expected to apply basic radiography skills that you have learned. You will be educated and held accountable for your professional attributes. What are professional attributes? They are those qualities—over and beyond the knowledge you gain and the skills you learn—which are essential for your success in the classroom and clinic. In broad terms, you will be expected to demonstrate respect for others, communicate effectively, cooperate with fellow students, faculty and clinical staff, and display the reliability and dependability expected of a professional. Treat your classmates, instructors, patients, and co-workers, as you would like to be treated. Those who put forth the utmost efforts will get the most of the program. They learn early on that the classroom instructors, clinical personnel, tutors, counselors, and other college personnel work extremely hard to build a bridge for you to successfully graduate and realize your dream. You can become a Registered Technologist, Radiography (RTR) and enjoy a rewarding and successful career. It is up to YOU, the student, to be successful…we are here to help you achieve your goals. THE RADIOGRAPHY FACULTY Tricia Pedretti Program Director / Instructor 1300 Badger Street – Health Science Center HSC-4080 Office: 608-785-9256 Email: [email protected] Katie Steele Clinical Coordinator / Instructor 1300 Badger Street – Health Science Center HSC-4082 Office: 608-789-4738 Email: [email protected] The Radiography program faculties at Western Technical College reserves the right to make any additions or changes in program policies as deemed necessary at any time throughout the course of the program. Students will be notified of new policies and/or changes in program policies in writing. 3 THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS (ARRT) - CODE OF ETHICS This Code of Ethics is to serve as a guide by whom radiologic technologists may evaluate their professional conduct as it relates to patients, colleagues and other members of the allied professions and health care consumers. The Code of Ethics is not law, but it is intended to assist radiologic technologists in maintaining a high level of ethical conduct. Principle 1 Radiologic technologists shall conduct themselves in a manner compatible with the dignity of their profession. Principle 2 Radiologic technologists shall provide services with consideration of human dignity and the uniqueness of the patient unrestricted by considerations of sex, race, creed, social or economic status, personal attributes or the nature of the health problem. Principle 3 Radiologic technologists shall make every effort to protect all patients from unnecessary radiation. Principle 4 Radiologic technologists shall exercise and accept responsibility for discretion and judgment in the performance of their professional services. Principle 5 Radiologic technologists shall judiciously protect the patient’s right to privacy and shall maintain all patient information in the strictest confidence. Principle 6 Radiologic technologists shall apply only the methods of technology founded upon a scientific basis and not accept those methods that violate this principle. Principle 7 Radiologic technologists shall not diagnose, but in recognition of their responsibility to the patient, they shall provide the physician with all information that they have relative to radiologic diagnosis or patient management. Principle 8 Radiologic technologists shall be responsible for reporting unethical conduct and illegal professional activities to the appropriate authorities. Principle 9 Radiologic technologists should continually strive to improve their knowledge and skills by participating in educational and professional activities and sharing the benefits of their attainments with their colleagues. Principle 10 Radiologic technologists should protect the public from misinformation and misrepresentation. 4 PROFESSIONAL BEHAVIORS Appropriate professional behaviors are expected of all members of the learning community. Experience shows that behaviors demonstrated in the classroom and laboratory do carry over into clinical practice. Professional behaviors, grades, and performance of skill are all integral parts of a resume. These professional behaviors will be reviewed and assessed as by your program advisor/instructors. Students who do not demonstrate appropriate professional behaviors will be dismissed from the program. Four professional behaviors are identified. These expectations apply to you equally in the classroom, laboratory and during your clinical rotations. Each is clarified with a list of supporting behaviors. This list is not intended to be all-inclusive. 1. Demonstrate dependability and punctuality Attend all classes, labs, and scheduled appointments with advisor. Arrive for class, lab, and clinical with ample time to be prepared to participate at the designated starting time. Leave class, lab and clinical at stated time or when dismissed. Follow program policy related to clinical absences and make-up time. Complete and turn in assignments on time. Accept responsibility for actions and outcomes. Work collaboratively with classmates as needed to complete course requirements. Take full advantage of time available in labs by staying on task and involved. Use time effectively. 2. Work effectively and respectfully in the clinical setting. Stay in assigned areas unless permission granted by college staff or RTR. Do not leave for lunch or break in the middle of an exam. Accept assignments from clinical supervisor commensurate with capabilities. Attend to the comfort and safety of all patients. Continually maintain patient confidentiality. Minimize personal business in the clinical setting. Demonstrate a positive attitude toward feedback. 5 Develop a plan of action in response to feedback. Critique own performance and share that self-assessment. Maintain professional demeanor at all times. Assure that personal cell phones are not on their person or used in patient care areas. 3. Work effectively and respectfully with peers and instructors demonstrating mature communication skills. Avoid interrupting others. Respond during interactions using appropriate verbal and nonverbal style. Communicate in respectful manner. Respect personal differences of others. Share fully with lab or project partner in accomplishing assigned task. Use correct grammar and expression in verbal communication. Avoid use of offensive statements. Write legibly and complete assignments with acceptable quality. Listen actively. Accept limits to own knowledge on subject manner. Consult with instructor when a student’s behavior endangers another member of the class or in the event of an ethical breach of conduct 4. Assume responsibility for personal and professional growth. Recognize problem or need. Assume responsibility for own actions. Demonstrate a positive attitude toward feedback. Maintain an open line of communication with individual offering critique. Develop a plan of action in response to feedback. Assume responsibility for all learning. 6 MISSION, GOALS AND PROGRAM OUTCOMES Program Mission The Radiography Program is an integral part of the Heath and Public Safety Division of Western Technical College and shares its mission and values. The program is committed to being the first choice in our region for the education of students in Radiologic Science in order to produce successful entry level radiographers. The Radiography faculty values the success of our students and is accountable for providing excellence in student learning based on the diverse needs of each student and our program is built on a foundation of integrity, teamwork and respect. Program Goals 1. 2. 3. 4. The Radiography Program will build upon the principles of general education in producing graduates who exhibit a high potential of success in the field of Radiography. The Radiography Program builds upon the principles of occupational specific education by developing the student’s ability to function as an entry-level radiographer. Students will exhibit a high degree of satisfaction with their educational experience at Western Technical College and the Radiography Program. Employers will exhibit a high degree of satisfaction with graduates of the Radiography Program. Program Student Learning Outcomes Goal 1: The Western Radiography Program will build upon the principles of general education in producing graduates who exhibit a high potential of success in the field of Radiography. a. Apply mathematical concepts b. Transfer social and natural science theories into practical applications c. Demonstrate ability to value self and work ethically with others in a diverse population d. Use technology effectively e. Make decisions that incorporate the importance of sustainability Goal 2: The student will effectively communicate professionally as an entry-level radiographer. a. Use effective communication skills Goal 3: The student will critically think as an entry-level radiographer. a. Apply critical thinking and problem solving skills in the practice of diagnostic radiography b. Carryout the production and evaluation of radiographic images Goal 4: The student will be clinically competent as an entry-level radiographer. a. Provide quality patient care b. Practice radiation safety principles c. Apply computer skills in the radiographic clinical setting Goal 5: The student will demonstrate the professionalism of an entry-level radiographer. a. Model professional and ethical behavior consistent with the A.R.R.T. Code of Ethics 7 ADVISORS Each student will be assigned a faculty advisor. We ask that you make an appointment to meet with your advisor at least once during a semester. Your advisor is another key to your success. At these meetings you will be able to express problems, gain assistance in your study habits, learn how the instructors have evaluated your progress, and in general discuss any way in which you can be successful. Faculty office hours will be posted outside their office doors and if these times are not convenient for you, please feel free to leave a voicemail message or email the program faculty listed below. PROGRAM SECRETARY Kathy Gregerson HSC 4031 608-785-9233 Students who are unable to reach a program instructor you can contact the program secretary, Kathy Gregerson. She is also the one who will be contacted if you are in class and your family has an emergency. She will locate you or notify the instructor to give you the message. TUTORS A number of second year students volunteer to tutor the first year students. The tutors will be able to assist you with learning program specific materials, practicing patient care techniques, along with any other aspects of the course that will enhance your learning. These second year students are great resources as they have already “walked in your shoes”. Contacting the Academic Success Center to request tutoring assistance is the first step of this process. Do not wait until it is too late in the semester realize the benefit of tutoring help. ACADEMIC SUCCESS CENTER The Academic Success Center, located in Coleman room 227 also offers help in the fundamental math, science, and English skill as well as in entry-level courses. It is also the place to hone your “student skills” as a reader, note taker, or test taker. Tutoring assistance is arranged through this center. This department also offers Student Skills Seminars with topics related to assisting and ensuring student success. Taking advantage of these would be well worth while. They are offered each fall and spring semester. Their contact information is 608-785-9198 or at http://www.westerntc.edu/services/ SPECIAL NEEDS ACCOMMODATIONS Western’s services for students with disabilities are coordinated by an Instructional Support Specialist. They are located in the Welcome Center on the La Crosse main campus. More information is available at www.westerntc.edu/services/disability.asp. Students with a diagnosed disability are encouraged to contact Disability Services. Requests should be received prior to the third week of classes and will be held in confidence. 8 RADIOGRAPHY PROGRAM CURRICULUM Lecture Hours Lab Hours Clinical Hours Semester Credits Fall (First Year) Radiographic Procedures 1 Intro to Radiography Radiographic Imaging 1 Radiography Clinical Practice 1 3 2 2 0 4 2 2 0 5 3 3 2 College Math Total: 3 10 0 8 0 0 0 8 (128 term total) 0 8 526-170 526-191 526-192 Spring (First Year) Radiographic Imaging 2 Radiographic Procedures 2 Radiography Clinical Practice 2 2 3 0 2 4 0 801-195 Written Communication 3 Total: 526-149 526-158 526-159 526-168 804-107 3 16 Total 3 5 3 0 0 0 16 (256 term total) 0 8 6 16 14 Total Summer (First Year) 8 weeks Radiography Clinical Practice 3 0 0 3 Race, Ethnic, & Diversity Studies Total: 3 3 0 0 16 (128 term total) 0 18 Fall (Second Year) Imaging Equipment Operation Radiographic Quality Analysis Modalities Radiography Clinical Practice 4 3 1 3 0 0 2 0 0 Speech Total: 3 9 0 2 Spring (Second Year) Radiographic Pathology Radiation Protection and Biology Radiography Clinical Practice 5 1 3 0 0 0 0 Intro to Sociology Introduction to Psychology Total: 3 3 10 0 0 0 536-198 Summer (Second Year) 8 weeks Radiography Clinical Practice 6 0 0 526-174 ARRT Certification Seminar 2 526-193 809-172 526-194 526-195 526-196 526-199 801-198 526-189 526-197 526-190 809-196 809-198 0 0 0 16 (256 term total) 0 20 0 0 16 (256 term total) 0 0 16 16 (128 term total) 3 6 Total 3 2 3 3 3 14 Total 1 3 2 3 3 12 Total 2 2 4 Total Total: General Anatomy and Phys. 806-177 Prerequisite = 4 credits 3 Total Credits 70 Prerequisite grade - must have a "C" or above in all courses. Disclaimer: The above information is subject to change without notice. 9 COURSE DESCRIPTIONS – OCCUPATIONAL Fall - First year Radiographic Procedures 1 5 credits: 3 lecture, 2 lab (4 lab hour session) Description: Prepares radiography students to perform routine radiologic procedures on various parts of the body including the upper body, hip, pelvis and ankle. Students apply knowledge of human anatomy to position the patient correctly to achieve the desired result. Prerequisite: Admission to Radiography program General Anatomy and Physiology Introduction to Radiography 3 credits: 2 lecture, one lab (2 lab hour session) Description: Introduces students to the role of radiography in health care. Students apply legal and ethical considerations to patient care and pharmacology in the radiologic sciences. Prerequisite: Admission to Radiography program Radiographic Imaging 1 3 credits: 2 lecture, one lab (2 lab hour session) Description: Introduces radiography students to the process and components of analog imaging. Students determine the factors that affect image quality including contrast, density, detail, and distortion. Prerequisite: Admission to Radiography program Radiography Clinical Practice 1 2 credits: all clinical Description: This beginning level clinical course prepares radiography students to perform radiologic procedures on patients with extensive supervision and direction. Students apply radiation protection and standard precautions in the production of radiographs in a health care setting while adhering to legal and ethical guidelines. An emphasis of the course is the development of communication and critical thinking skills appropriate to the clinical setting. Prerequisite: Admission to Radiography program Spring - First year Radiographic Imaging 2 3 credits: 2 lecture, one lab (2 hour lab session) Description: Explores film processing components as well as the principles and operation of digital imaging systems found in diagnostic radiology. Factors that impact image acquisition, display, archiving and retrieval are discussed. Guidelines for selecting exposure factors and evaluating images within analog and digital systems. Principles of digital system quality assurance and maintenance are presented. Prerequisites - Introduction to Radiography Radiographic Procedures 1 Radiographic Imaging 1 10 Radiographic Procedures 2 5 credits: 3 lecture, 2 lab (4 hour lab session) Description: Prepares radiography students to perform routine radiologic procedures on various parts of the body including the skull and spine. Students apply knowledge of human anatomy to position the patient correctly to achieve the desired result. Prerequisites - General Anatomy and Physiology Introduction to Radiography Radiographic Procedures 1 Radiographic Imaging 1 Radiography Clinical Practice 2 3 credits: all clinical Description: This second level clinical course prepares radiography students to perform radiologic procedures on patients with extensive supervision and direction. Students apply radiation protection and standard precautions in the production of radiographs in a health care setting while adhering to legal and ethical guidelines. An emphasis of the course is the development of communication and critical thinking skills appropriate to the clinical setting. Prerequisites - Radiography Clinical Practice 1 Introduction to Radiography Radiographic Procedures 1 Radiography Imaging 1 Summer Session - First year Radiography Clinical Practice 3 2 credits: all clinical Description: This third level clinical course prepares radiography students to perform radiologic procedures on patients with supervision and direction. Students apply radiation protection and standard precautions in the production of radiographs in a health care setting while adhering to legal and ethical guidelines. An emphasis of the course is the demonstration of communication and critical thinking skills appropriate to the clinical setting. Prerequisites - Radiography Clinical Practice 2 Radiographic Procedures 2 Fall - Second year Imaging Equipment Operation 3 credits: all lecture Description: Introduces radiography students to the principles and application of x-ray technology. Students analyze how x-rays are produced and determine the corrective actions necessary for common equipment malfunctions Prerequisites - Radiographic Imaging 2 Pre/Co-requisite: Radiographic Quality Analysis Radiographic Quality Analysis 2 credits: one lecture, one lab (2 hour lab session) Description: Prepares radiography students to analyze radiographic images for quality. Students apply quality control tests to determine the causes of image problems including equipment malfunctions and procedural errors. Prerequisites - Radiography Procedures 2 Radiographic Imaging 2 Pre/Co-requisite Imaging Equipment Operation 11 Modalities 3 credits: all lecture Description: Introduces radiography students to imaging modalities with an emphasis in computed tomography and cross-sectional anatomy. Prerequisites – Radiography Clinical Practice 3 Radiography Clinical Practice 4 3 credits: all clinical Description: This fourth level clinical course prepares radiography students to perform radiologic procedures on patients with supervision and direction. Students apply radiation protection and standard precautions in the production of radiographs in a health care setting while adhering to legal and ethical guidelines. Students are encouraged to demonstrate independent judgment in the performance of clinical competencies. Prerequisites - Radiography Clinical Practice 3 Pre/Co-requisite: Radiographic Quality Analysis Spring - Second year Radiographic Pathology 1 credit: lecture Description: Prepares radiography students to determine the basic radiographic manifestations of pathological conditions. Students classify trauma related to site, complications, and prognosis and locate the radiographic appearance of pathologies. Prerequisite - Radiographic Procedures 2 Radiography Clinical Practice 5 2 credits: all clinical Description: This fifth level clinical course prepares radiography students to perform radiologic procedures on patients with some supervision. Students apply radiation protection and standard precautions in the production of radiographs in a health care setting while adhering to legal and ethical guidelines. Students are encouraged to demonstrate independent judgment in the performance of clinical competencies. Prerequisite - Radiography Clinical Practice 4 Radiation Protection and Biology 3 credits: all lecture Description: Prepares radiography students to protect themselves and others from exposure to radioactivity. Students examine the characteristics of radiation and how radiation affects cell biology. Students apply standards and guidelines for radiation exposure. Prerequisite - Imaging Equipment Operations Radiographic Imaging 2 Pre/Co-requisite: Radiographic Pathology 12 Summer Session - Second year Radiography Clinical Practice 6 2 credits: all clinical Description: This final clinical course requires students to integrate and apply all knowledge learned in previous courses to the production of high quality radiographs in the clinical setting. Students apply radiation protection and standard precautions in the production of radiographs in a health care setting while adhering to legal and ethical guidelines. Students are encouraged to demonstrate independent judgment in the performance of clinical competencies. Prerequisite - Radiography Clinical Practice 5 ARRT Certification Seminar 2 credits: 2 lecture Description: Provides preparation for the national certification examination prepared by the American Registry of Radiologic Technologists. Emphasis is placed on the weak areas of the individual students. Simulated registry examinations are utilized. Prerequisite - Radiography Clinical Practice 5 * PREREQUISITE GRADE TO GRADUATE - MUST HAVE A "C" OR ABOVE IN ALL OCCUPATIONAL COURSES. COURSE DESCRIPTIONS – GENERAL STUDIES Introduction to Psychology (3 credits) 809-198 Description: Understanding and application of schools of psychology, methods used in psychology, identity, motivation, learning, problem solving, creative thinking and testing, perception, stress, frustration, emotional behavior, ego defenses, personality and abnormal behavior. Introduction to Sociology (3 credits) 809-196 Description: A course designed to introduce students to the basic social concepts of the intercultural discipline of sociology. Emphasis is given to the following special areas: culture, socialization, social stratification, and the five institutions, including family, politics, economics, religion, and education. Examples of other topics include demography, deviance, technology, environment, social issues, social change, and social organization. Speech (3 credits) 801-198 Description: Explores the fundamentals of effective oral presentation to small and large groups. Topic selection, audience analysis, methods of organization, research, structuring evidence and support, delivery techniques, and other essential elements of speaking successfully, including the listening process, form the basis of the course. Written Communications (3 credits) 801-195 Description: Teaches the writing process, which includes researching, prewriting, drafting, revising, editing and documentation. Through a variety of writing assignments, the student will analyze audience and purpose, research and organize ideas, and format and design documents based on subject matter and content. 13 General Anatomy and Physiology (4 credits) 806-177 Description: Examines basic concepts of human A & P as they relate to health sciences. Using a body systems approach, the course emphasizes the interrelationships between structure and function at the gross & microscopic levels of organization of the entire human body. It is intended to prepare health care professionals who need to apply basic concepts of whole body A & P to informed decision-making & professional communication with colleagues & patients. Prerequisites - High school biology and chemistry College Math (3 credits) 804-107 Description: This course is designed to review and develop fundamental concepts of mathematics pertinent to the areas of: 1) arithmetic and algebra; 2) geometry and trigonometry; and 3) probability and statistics. Special emphasis is placed on problem solving, critical thinking and logical reasoning, making connections, and using calculators. Topics include performing arithmetic operations and simplifying algebraic expressions, solving linear equations and inequalities in one variable, solving proportions and incorporating percent applications, manipulating formulas, solving and graphing systems of linear equations and inequalities in two variables, finding areas and volumes of geometric figures, applying similar and congruent triangles, converting measurements within and between U.S. and metric systems, applying Pythagorean Theorem, solving right and oblique triangles, calculating probabilities, organizing data and interpreting charts, calculating central and spread measures, and summarizing and analyzing data. Race, Ethnic, and Diversity Studies (3 credits) 809-122 Description: Race, Ethnic, and Diversity is a course that draws from several disciplines to reaffirm the basic American values of justice and equality by teaching a basic vocabulary, a history of immigration and conquest, principles of transcultural communication, legal liability and the value of aesthetic production to increase the probability of respectful encounters among people. In addition to an analysis of majority/minority relations in a multicultural context, the topics of ageism, sexism, gender differences, sexual orientation, the disabled and the American Disability Act are explored. Ethnic relations are studied in global and comparative perspectives. GRADUATION REQUIREMENTS The Associate Degree in Applied Sciences will be awarded to all students who have completed the twoyear technical program and have met program requirements for the Radiography Program. 1. The student must have completed a minimum of 70 semester credits and completed all of the requirements of the program with cumulative grade point average of 2.0 or above. 2. A minimum cumulative grade point average of 2.0 or above in technical core courses (Radiography). 3. Completion of all mandatory and elective radiographic exam competencies. The same requirements for ARRT certification eligibility. Note: Students transferring into Western’s Radiography program must complete 51% of all professional courses required to award the degree at Western Technical College per the JRCERT policy 11.4068. 14 CERTIFICATION - REGISTRY (ARRT) Upon completion of the Radiography Program each student will be awarded an Associate Degree in Applied Sciences (AAS), and will become eligible to write the American Registry of Radiologic Technologists examination. Upon successfully passing this Registry, the graduate becomes certified in radiography and may use the initials RT(R) for Registered Technologist, Radiography. General Qualifications for the American Registry of Radiologic Technologist Certification Testing Candidates must comply with the “Rules of Ethics” contained in the ARRT Standards of Ethics. An Ethics Review Pre-Application may be used for the following circumstances: Criminal proceedings including: o misdemeanor charges and convictions, o felony charges and convictions, o military court-martials; and/or Disciplinary actions taken by a state or federal regulatory authority or certification board; and/or Honor code (academic) violations. This includes but is not limited to compliance with state and federal laws. Those who do not comply with the “Rules of Ethics” must follow the Ethics Review Pre-Application process. (www.arrt.org) TEXTBOOKS COURSE NO. 526-149 526-158 COURSE TITLE SEMESTER 1 Fall Radiographic Procedures I Introduction to Radiography Total Summer Total Fall 22 22 Total Spring TEXTBOOK TITLE AUTHOR Textbook of Radiographic Positioning and Related Anatomy, Bontrager and Anthony, 8th Ed, 2012, *Textbook *Workbook *Online mode code *Handbook (Bundle package) ISBN-978-0-323-17659-0 Introduction to Radiography and Patient Care, Arlene Adler and Richard Carlton, 2012, 5th Ed, ISBN 9781437716467 PUBLISHER Mosby Elsevier Saunders Elsevier 15 526-159 Radiographic Imaging 1 22 Principles of Radiographic Imaging, Richard Carlton, Arlene Adler, 5th Ed, 2006, ISBN 1439058725 Cengage Learning 526-168 Radiography Clinical Practice 1 SEMESTER 2 Spring Radiographic Imaging 2 (SP) Radiographic Procedures 2 (SU) Radiographic Clinical Practice 2 SEMESTER 3 Summer Radiographic Clinical Practice 3 22 Radiography Clinical Manual WTC Bookstore 526-170 526-191 526-192 526-193 526-194 SEMESTER 4 Fall Imaging Equipment Operation No new textbooks required No new textbooks required No new textbooks required No new textbooks required Radiologic Sciences for Technologists, Stewart C. Bushong, Mosby’s Online: Physics and Imaging, 9th Edition, 2008, ISBN 978-0323-04837-8 Mosby Mosby 526-195 Radiographic Quality Analysis Radiographic Image Analysis, Kathy McQuillen, 3th Edition, 2011, ISBN 978143703368 526-196 Modalities No new textbooks required 526-199 Radiography Clinical Practice 4 SEMESTER 5 Spring Radiographic Pathology No new textbooks required Radiographic Protection and Biology Corectec Online Review Course: Students will order themselves through Corectec 526-189 526-197 Radiographic Pathology for Technologists, Mace and Kowalczyk, 5th Ed, ISBN 978-0-323-04887-3 Mosby 16 526-190 526-198 526-174 Radiographic Clinical Practice 5 SEMESTER 6 Spring Radiographic Clinical Practice 6 A.R.R.T. Certification Seminar No new textbooks required. No new textbooks required Usage of the Corectec program will be continued RESOURCES *Library *Radiography Lab Radiographic Phantoms and models Computer Assisted Instructional Aids Radiographic equipment Health Science Center Computer Lab Computer Assisted Instructional Aids All computer labs have the full suite of Microsoft Office Products. PCs have CD, DVD drives, and or USB cables to accept your personal flash drive. 17 POLICIES AND PROCEDURES - Didactic Courses (Lecture/Lab) COURSE ATTENDANCE POLICY Students are expected to attend all scheduled lecture and laboratory sessions. Lecture is a method used to present content that is essential to the profession of radiography. Lab is a method used to enable students a hands-on environment to learn the necessary skills used in the profession of radiography. ATTENDANCE POLICIES Course material may contain subject matter that may be difficult to understand if the student elects not to be present for the lecture or lab. The instructor will not repeat missed material. When asked to make recommendations for scholarships and employment, the instructors take absences into consideration. Instructors prefer that student’s contact them via email if they are going to be absent from lecture or lab. Students missing from 25% or more of a courses total meeting time will receive a failing grade (F) for the course at any point during the term. Lecture 1. If you have missed a lecture, it is your responsibility to obtain missed assignments upon your return. Instructor may change assignment/s and may change point values of makeup assignments at their discretion. 2. If an absence is anticipated due to personal reasons, it must be discussed with the instructor prior to the time of absence. 3. If a student is absent for an EXAM (1st occurrence), they must contact instructor with alternate test arrangements within twenty-four (24) hours. Exam must be taken within three (3) days of illness for full credit of achieved grade. A ten percent (10%) deduction from achieved grade if this policy is not followed. 4. If a student is absent for an exam (2nd occurrence), they must contact instructor with alternate test arrangements within twenty-four (24) hours. Exam must be taken within three (3) days of illness for full credit of achieved grade AND an automatic ten percent (10%) deduction from achieved. 5. If a student is absent for an exam (3rd occurrence), there is no possibility for exam makeup and students will receive a zero for that exam. Laboratory 1. Laboratory experiences are necessary learning experience and students need to attend. 18 2. Students may attend another lab session if absent only if approved by the instructor. There will be no grade reduction for laboratory activity performed at the make-up lab session. 3. If students are unable to attend another lab session, they make it up on their own or with other classmates within one (1) week incurring a ten percent (10%) reduction in their laboratory activity grade. POLICIES AND PROCEDURES - Clinical Courses COURSE ATTENDANCE POLICY Students are expected to attend all clinical assignments. The Health and Public Safety Division in cooperation with affiliate clinical sites require all radiography students to meet the following obligations before they will be eligible to participate in clinical practice courses. It is the student’s responsibility to maintain compliance. If any of these requirements expire, the student is no longer eligible to participate in clinical experience until they have updated these requirements and provided proof of completion to the Welcome Center. Non-compliance in any category listed below will result in a ten (10) percent deduction from achieved percentage total for the student’s clinical grade. Current Background Information Disclosure (BID-National). For the 2013-2014 school year there is a fee of $30.00. If any changes in BID are incurred, i.e.: felony or misdemeanor during the two year program, notify the program director immediately. Starting with the 2014-2015 school year students will pay a fee (approximately $75.00) of for a managing service for their BID and Immunization records. Current American Heart Association Healthcare Provider CPR Certification (expires every 2 years) Current TB (Mantoux test) (expires annually). Results must be submitted and recorded at the Welcome Center prior to the expiration date. Health & Safety Training through Gundersen Health System and Mayo Clinic Health Systems Franciscan Healthcare (expire annually). Students are allowed one (1) clinical absence at no penalty per program year (fall-spring-summer term). All other assigned clinical hours are needed to fulfill the course requirements. There will be a five percent (5%) deduction in the students clinical grade for each additional absence and must complete the student absence form to expedite clinical make-up to program faculty after the first occurrence. These additional absences and the five percent (5%) grade deduction caused by illness, family emergency, or any extenuating circumstances will be evaluated on a case by case basis. 19 Students who arrive to clinical and are sent home by clinical staff as it is apparent that they are too ill to be participating in their clinical activities, will receive a five percent (5%) deduction in their clinical grade and must complete the student absence form to expedite clinical make-up to program faculty. Students must pre-arrange making up clinical absences that they are anticipating in the future (ex. family weddings, family vacations, etc) one (1) month prior to the event or will receive a five percent (5%) deduction in their clinical grade. If a student cannot attend their clinical rotation the student MUST: A. Email or call the office of the designated Clinical Coordinator / course facilitator and leave a message. B. Call the clinical site at which they are assigned to report their absence. Contact people and numbers can be found on the Radiography Clinical Blackboard courses. *These calls must be made prior to their scheduled clinical start time. Failure to notify both the Clinical Coordinator and/or the assigned clinical site of any absence will result in a twelve (12) percent deduction from their final achieved grade. A second occurrence to this nature will not be tolerated and this will result in dismissal from the program. Students that must make up clinical time must complete a student absence form (available on the Clinical Practice Blackboard site) and email it to the Clinical Coordinator, within one week of the unanticipated absence. Included must be the reason for the absence and their plan for making up these missed clinical hours. The form will be emailed back to the student after arrangements have been made by the clinical coordinator. The student will print the form and use it as the attendance sheet for the make-up day. This must be turned in with the attendance sheet at its due date. Failure to complete this process in full will result in an eight (8) percent deduction in the final grade. The missed clinical hours must be made up at the specific clinical rotation/department that they have missed. Any extenuating circumstances that arise in advance (weddings, vacations, etc.) must be presented in a timely manner to the clinical coordinator. The request must include the date of the conflict and the date that the student will be making up the missed clinical hours. Schedule changes will be evaluated on an individual basis by the program faculty. Students will be contacted regarding their submission/request directly from the clinical coordinator in a timely manner. Students who have missed clinical days and fail to make the necessary arrangements for making up their experiences will receive a failing grade (F) for the clinical practice course. Students must be on time for all clinical assignments. Tardiness will not be tolerated and students will be required to attend an additional clinical day of experience each time they are tardy. Students are expected to make good use of their time. They are allowed two (2) fifteen (15) minute breaks and a thirty (30) minute lunch. These will be taken when it is convenient to the department and students will not take these during busy patient times. Any inappropriate use of clinical time (extended breaks, extended lunches, not being in assigned area or with assigned technologist) will result in documentation of this incident being put in the student’s personal file. Tardiness is not a professional behavior and is not acceptable. A pattern of unprofessional behavior may be defined as a student being tardy or absent 25% of the total clinical hours of the course or at any point within the academic term. If this occurs the student will receive a failing grade (F) for the clinical practice course. 20 CELL PHONES USAGE IN PATIENT CARE AREAS IS PROHIBITED. THEY MAY ONLY BE USED ON BREAK OR DURING LUNCH. NON-EMERGENT EXCUSED ABSENCE POLICY The Radiography program recognizes and follows the Non-Emergent Excused Absence Policy that can be found in the Western Technical College Student Handbook. COURSE ASSIGNMENTS 1. Completed assignments are due on the required date! 2. Arrangements to makeup quizzes and tests following an absence will be the student’s responsibility to bring to the instructor’s attention. 3. The faculty has the option to: a. Alter the required due date or time of the assignment. b. Maintain the required due date or time of the assignment. c. Alter the assignment. d. Reduce point values for days past due date. e. Reduce the point values for quizzes or tests. f. Not allow for makeup of assignment. GRADING POLICY All didactic and clinical courses are graded as follows: Didactic courses include classroom instruction, laboratory instruction, independent study and collaborative learning (small group) activities, and compliance with program policies and student responsibilities as listed in each course syllabus. Clinical courses include will include clinical competencies, equipment check-offs, observation checkoffs, attendance requirements, and may include other instructional activities and compliance with program policies and student responsibilities as listed in each course syllabus. The course grade will be assigned a letter grade based on the school scale as below. A A/B B B/C C D F 95-100% 90-94% 86-89% 82-85% 78-81% 70-77% Less than 70% 4 grade points 3.5 grade points 3 grade points 2.5 grade points 2 grade points 1 grade point 0 grade points 21 Faculty will not round grade percentages up to the next whole number percentage for grade improvement. The exact whole percentage earned, will be the grade that is recorded. DISCRETIONARY POINTS Weekly there will be two points that faculty will use at their discretion for each program course. Lecture only courses the points will be based on that individual class meeting. Courses that have a lecture and lab component the point value will be reflective of both course meetings. The number of points a student earns will be based on the student’s behavior, attendance, participation, respectfulness and preparedness. These points are non-negotiable and will have documentation associated with the point value given. Below is a description of each point value. Two (2) points: Well prepared for lab and/or lecture, actively participates in lab/lecture, demonstrates high level of respect towards faculty and classmates, and attentive in class. One (1) point: Somewhat prepared for class, some participation in lab/lecture, respectful towards faculty and classmates. Zero (0) points: Student is absent from lab and/or lecture, not prepared for lab and/or lecture, does not participate in class, disrespectful to faculty and/or classmates, inattentive class. A total of thirty (30) points will be categorized as discretionary points. Each instructor will determine where these will be added into their grade book. COURSE REPEAT POLICY Philosophy: The Health and Public Safety Division (HPS) staff supports cooperation between faculty, counselors and students in promoting an environment in which students can succeed. In keeping with this philosophy, the Division staff utilizes student success plans as an integral part of supporting the learning needs of students. To address the needs of students, the Division has established the following policies and procedures. General Policy A student must have a “C “or better or a pass grade on a pass/fail grading scale in all program, health sciences and general studies courses. Students who disagree with a final grade must follow the College grade appeal procedure. Students whose actions significantly endanger patient safety (which includes but is not limited to, alcohol/drug usage or sexual misconduct) will be dismissed from the course, program and/or clinical/internships site immediately. All repeat courses must be successfully completed prior to completing sequential courses in the program. Students who receive a total of three or more non-passing grades (“D”, “F”, or “W”) in the program core and/or science courses will be dismissed from the program. Students may appeal their dismissal to the dean of Health and Public Safety for course re-entry and/or program re-entry. 22 Course Repeat Policy: No student will be allowed to enroll in a course more than twice. Each course drop, withdrawal or failure will count as a course enrollment. Enrollment into a course is on a space availability which includes clinical/internships as well as theory courses. A student seeking to enroll in a program course for a second time must initiate a student success plan prior to enrollment. Enrollment into a course (including clinical/internships as well as theory courses) a second time is based on space availability. Procedure for Course Repeat: A student is required to complete a student success plan with the course instructor and/or program head. The student success plan will address the factors contributing to the lack of success and the action plan for the student, which may include the behavior the student is expected to demonstrate and the time frame for the student to progress. Re-entry in the program may require a student to demonstrate competency skills with a passing grade of a “C” or better as determined by the faculty prior to course enrollment. Written testing and skill testing will be part of the success plan and will need to be completed prior to student being allowed to register for re-entry occupational courses. If the student fails to re-test at a successful level or is unable to demonstrate competent radiographic exam skills, they will not be allowed to re-enter the program. Health and Public Safety Division/Program Re-entry Policy and Process: Students failing a Health and Public Safety Division program may appeal to the Dean of Health and Public Safety. Students will follow the re-entry process and recognize that the dean reserves the right to deny the student program re-entry. Students requesting program re-entry are required to follow the following process: 1. Write a letter of intent requesting re-entry into the program that includes: a. The student’s professional goals b. An examination of the student’s choices and behaviors that prevented successful completion of courses/program c. The student’s plan for change and improvement for program success d. Contact information: Name, program, student ID number, address, phone and email 2. Mail letter of intent to: Dean of Health and Public Safety, Western Technical College, 400 Seventh Street North, K-0211, La Crosse, WI 54601-0908. 3. The Division will contact student to schedule an appeal meeting with the Dean of Health and Public Safety. 4. The student will be notified of the Dean’s decision by letter (email or USPS). Program re-entry is always dependent on space availability. In situations where re-entry is granted, the dean will often refer the student to meet with program faculty to develop a program success plan. The success plan may include (but is not limited to the following): a. Additional courses for remediation b. Competency demonstration c. Required meetings with Western faculty or staff General Anatomy and Physiology Repeat Policy: Students who receive a grade of F or drop/withdraw while receiving a grade of F are required to complete a student success plan and successfully complete (C grade or better) a remediation course 23 prior to re-entry to General Anatomy and Physiology. Remediation coursework may not be taken concurrently with General Anatomy and Physiology. Remediation Courses: General Biology 806-114 A & P Study Skills 513-188 Reading for College Success 808-115 Body Structure and Function 509-300 (Note: this course is not acceptable for Associate Degree graduation credits. Students who receive a grade of a D or drop/withdraw while receiving a grade of D are required to complete a student success plan and participate in faculty-led study sessions. The remediation may be taken concurrently with re-enrollment in General Anatomy and Physiology. Students registering for General A & P without completing the appropriate course work with a C or better will be dropped from the class. DISMISSAL FROM RADIOGRAPHY PROGRAM Students whose actions significantly endanger patient safety will be dismissed from the course, program, and /or clinical/internship site immediately which includes but not limited to alcohol/drug usage or sexual misconduct. Students who do not demonstrate appropriate professional behaviors will be dismissed from the program. Students who fail to comply with the written program guidelines or demonstrate unprofessional behaviors will result in: 1. a meeting with the program faculty 2. a meeting with the program faculty and/or Associate Dean of Allied Health A decision will be made in regards to the student proceeding on in the program after these discussions have taken place. Students are expected to follow all guidelines as printed in Western Student Planner/Handbook and the Radiography Student Success Manual. Non-compliance will result in activation of Western dismissal policy. STUDENT CODE OF CONDUCT As a learning organization, Western monitors student conduct and encourages positive behaviors in support of a positive teaching and learning environment. In the classroom and in all aspects of college life, our goal is to provide the best opportunity for student success for all. The College will take action to prevent and stop any negative behavior that inhibits learning as a result of: 1. 2. 3. 4. Physical or verbal abuse of any person. Disruption of the normal operation of the College. Endangerment of the health, safety or rights of any person. Theft or damage to College property or property of any person on campus. 24 5. 6. Unauthorized entry or use of a College facility. Use, possession, or distribution of drugs, firearms, explosives, dangerous chemicals, etc., or illegal use of alcohol. 7. Academic dishonesty such as plagiarism or cheating. 8. Unethical, inappropriate, or illegal use of technology in the District. 9. Failure to comply with reasonable request of a College official. 10. Violent or threatening behavior, such as, but not limited to: sexual assault, sexual harassment, domestic violence, dating violence, and stalking. PLAGIARISM Failure to use proper citation procedure is considered plagiarism. Students are expected to do their own work and acknowledge someone else’s work when using other sources. Deliberate failure to cite source will result in a failing grade for an assignment. Repeated plagiarism will be grounds for a referral to Student Services and further discipline based on college policy. Falsification of clinical documents is considered academic dishonesty / cheating and is a violation of the student code of conduct. This will result in dismissal from the program. Further information on this can be found in the Western Student Success Planner, under Student Code of Conduct for details. PROGRAM / COURSE WITHDRAWAL PROCEDURE If withdrawal from the Radiography Program becomes necessary, the student is encouraged to contact their program advisor as they need to consider the circumstances carefully. The student must drop a program or courses in which they have chosen not to continue. Thought should be given to the time frame for reimbursement of fees from the College. In addition, students may wish to: 1. Communicate with their instructor(s) and respective division offices (if withdrawing from a program or from college). 2. Contact a college counselor to consider alternative options. If a student does process an official drop from classes: 1. The permanent record will reflect a withdrawal grade (W)*. 2. The student may or may not be eligible for future financial aid. 3. The student may receive a refund of fees paid (if within the stipulated allowable time frame). Any reduction in fees paid will be refunded to the appropriate funding institution, as mandated by federal guidelines, or to the student. If fees have not been paid in full, a credit will be posted to the student’s account. If a student does not process an official withdrawal: 1. The permanent record will reflect a failing grade (F). 2. The student may or may not be eligible for future financial aid. *An official withdrawal within the first 10% of the class will be classified as a registration adjustment and the withdrawal will not be recorded on the student’s permanent records. If a student officially withdraws from school after the first 10% of a semester but prior to the last 25 25% of the term, the student will receive a “W” grade. To maintain a standard in each program, no student is permitted to officially withdraw from school during the last 25% of the semester. In addition, instructors may drop students for non-attendance. Faculty may not drop a student for non-attendance within the last 25% of the semester. Some divisions have specific guidelines to which you will need to refer. A student is not permitted to drop or withdraw from course(s) in which he/she has a pending Student Code of Conduct allegation. ALCOHOL AND OTHER DRUG USE Rationale: The Western Radiography Program recognizes chemical dependency as an illness. At the same time, the abuse of drugs (including legally obtained medication) or alcohol can jeopardize the health, safety and well-being of the student, classmates, patients and faculty and can adversely impact the learning environment. Policy: The Western Radiography Program does not allow the use, sale, transfer or possession of an illegal drug while on campus or clinical. The Western Radiography Program also deems it is totally unacceptable for a student’s attending class or clinical while under the influence of illegal drugs or alcohol. Further, no student shall be under the influence of a legally obtained drug while in class or clinical to the extent that such use or influence may significantly impair the student’s performance. Should this occur the student would be subject to performance counseling up to and including dismissal from the program. A student should notify program faculty if under a legally obtained medication that might adversely affect student performance and/or patient safety. As a condition of enrollment in the program, the student shall notify program faculty of any drug or alcohol statute conviction within 5 days of the conviction. Consequences of Non-Compliance: To promote quality patient care, and a safe learning environment, a student may be subject to testing for drugs or alcohol in his/her urine or blood at his/her expense in the following circumstances: There is a reasonable suspicion that a student is under the influence of a drug or alcohol Following an accident or incident where safety precautions were violated caused by a careless act resulting in injury to a person or damage to equipment A student is found to possess illegal drugs or alcohol on campus or at clinical If there is reasonable suspicion, a faculty member is to immediately question the student and ask for an explanation of the observed behavior. The student will be sent to the school’s counseling service for further evaluation. If drug or alcohol testing is deemed necessary, the student will be required to immediately obtain an appropriate test at a local health care facility. Students may also be required to undergo random testing if there is a known history of alcohol and/or drug abuse. All decisions to require testing will be made by a program faculty member and a member of the Western 26 counseling staff and/or division administrative staff. Counselors can be reached in the Welcome Center or at 608-785-9585 The student will authorize a report to be sent to Western’s ATODA officer. The ATODA officer will contact program faculty if the test is positive. LIABILITY INSURANCE All students are required to pay for their liability (malpractice) insurance. Payment will be made during the registration process. Students will not be permitted to work in the clinical area without verification of course registration. HEALTH POLICY 1. Chronic Health Problems Faculty will require students with chronic health problems to obtain and follow necessary precautions related to the safety and health of others. 2. Extended Illness The Radiography faculty will evaluate extended illness absences. 3. Accidents or Illness during Assigned Clinical Rotations Any accident or illness that occurs during an assigned clinical or laboratory rotation must be reported to the instructor. In cases where emergency services must be rendered, the student will be taken to the nearest hospital emergency room. Any treatment necessary will be administered at the hospital with the consent of either the student or parent/guardian. If an injury should occur, an incident report must be filled out at the affiliated site and placed on file at school. 4. Health Insurance/Student Accident Insurance: This is insurance that each student obtains when they register for clinical / practicum / fieldwork courses. The Health Insurance/Student Accident Insurance covers injuries that you may incur on the way to or from any clinical / practicum / fieldwork experiences, and any injury that you might sustain at the clinical / practicum / fieldwork site. This includes needle sticks or any other injury that you may sustain while performing your clinical / practicum / fieldwork duties as a Western Technical College student. This insurance ONLY covers you for injuries related to these student experiences; your choice of insurance for other portions of your life remains your responsibility. This insurance is considered a secondary insurance to any primary insurance you may have. There is no deductible for this coverage at this time. More information is available on the web. 5. Student Health Center Each student must pay a Health Services Fee which is based on the amount of the total program fee. This allows students to receive health services at the Student Health Center. The Student Health Center located at 13th and Badger Street in the Health Science Center. 6. Immunizations All students must keep the required immunizations up to date. If students allow these immunizations to lapse or expire, they will not be allowed to attend the clinical experience. TB testing must be completed annually. 27 7. Health and Safety Training Students are annually required to complete Health and Safety programs sponsored by both Gundersen Lutheran Medical Center and Mayo Clinic Health Systems Franciscan Healthcare clinical sites. Students will receive information from the Health & Public Safety Division Office or program faculty regarding the process to complete the orientation programs each fall semester. PREGNANCY POLICY It is strongly recommended that a student inform the program faculty of her condition of pregnancy. This is voluntary. When the student declares her pregnancy, it will be in writing. The student will meet with her advisor and/or program head to discuss radiation protection practices during the pregnancy. The student can withdraw the declaration of the pregnancy at any time. The student will have the following options during her enrollment in the program: Option #1 a) The student has the option to withdraw from the presently enrolled radiography science course. b) Withdrawal from the Radiography course will be done in accordance with College policy. c) The student may re-enter the program in the next cyclic offering of radiography science courses. d) The student should be aware that the availability of re-entry into the program is determined by class capacity. Option #2 a) The student has the option to complete the presently enrolled radiography science course. b) The student will be required to wear two film badges; one at waist level and one at collar level. c) The student may voluntarily inform staff radiographers of her pregnant condition during clinical assignments for appropriate and safe assignment of tasks. d) The student may withdraw from the program at the completion of the radiography science course. e) The student may re-enter the radiography program in the next cyclic offering of radiography science courses. f) Availability of re-entry into the program will be determined by class capacity. Option #3 a) The student may continue in the radiography program and will be required to wear two film badges – one at waist level and one at collar level. b) The student may voluntarily inform staff radiographers of her pregnant condition during clinical assignments for appropriate and safe assignment of tasks. c) After delivery, the student will be re-admitted to classes based on a physician’s recommendation. d) It is advisable that the student contacts her advisor and course instructors to make arrangements in making up instructional hours missed due to delivery and convalescence. This should be done to ensure completion of the clinical competencies and radiography science course requirements. 28 Radiation monthly reading for the fetal badge should not exceed 50 mrem per month during the duration of her pregnancy. If the monthly reading exceeds 50 mrem, the student will meet with the Program Director and faculty to discuss appropriate actions. RADIATION SAFETY The Radiography Program and its clinical affiliates operate under the radiation protection concepts of ALARA (As Low As Reasonably Achievable). This principal of employing proper safety procedures benefits both the patient and the radiation worker. Monitoring Badges All students will be required to pay for their radiation monitoring service. Payment is included in Radiologic Science course fees. Students will always wear the radiation monitoring badge in the school laboratory and when assigned to the clinical facilities. They will be responsible for its security and safety. If the student reports to the clinical assignment without the badge, he/she will perform their clinical assignment in a non-radiographic area – file, reception, etc. or he/she may be sent from the site to retrieve their badge. If the student reports to the laboratory without the badge the student will not be allowed to participate in radiation experiments or activities. Badges should be worn outside the lead apron at the collar level. Each student is responsible for exchanging radiation badges quarterly. Radiation Exposure Reports Radiation monitor reports are posted monthly in the campus radiography laboratory. The student will initial the badge report to confirm reviewing the document. The Radiography Program will use the following ALARA Investigational Exposure Levels in regard to exceeding dose level limits: Effective Dose Equivalent (EDE) is equal to 0.3 of the total monthly monitored dose. Dose Limit Protocol The radiation monitor reports are reviewed quarterly by the Program Director. If a student’s dose level is equal to or greater than 300 mrem/quarter, the Program Director will review and discuss with the student and faculty. Students are expected to maintain a yearly dose equivalent of less than 500 mrem/year. Carelessness in radiation protection will not be tolerated and offenses will result in dismissal from the program. RADIATION PRACTICE- STUDENT The student, as a radiation worker, will apply proper radiation practices and policies consistent with clinical policies and the scope of practice in Radiography. 1. Students will be behind the lead lined control area when making an exposure. 2. All doors or lead lined curtains must be closed in each radiographic room for all examinations. 3. When assisting for fluoroscopic procedures, the student must wear a lead apron and should remain at least two feet away from the table during fluoroscopy. Other radiation protection devices, such as thyroid shields, leaded gloves and glasses and portable lead shields, are available and should be utilized whenever applicable. 29 4. When performing portable examinations, the student must stand at least six feet from the x-ray source and wear a lead apron when the exposure is being made. If the student is not making the exposure, he/she must leave the room. 5. No student will perform a radiographic exposure on any person that has not been ordered by a physician. 6. Students MUST NOT hold patients OR imaging receptors during any radiographic procedure. RADIATION PRACTICE – PATIENT Prior to any radiographic examination being performed, a licensed practitioner must provide a proper prescription for the exam ordered. This must be written and include the patient’s name, ordering physician, examination to be performed and indications. Any questions about the order should be directed to a staff radiologist. Prior to the patient being radiographed, the student, under the guidance of a staff technologist or instructor, should follow the steps for informed consent: 1. Verify the identity of the patient. 2. Explain the procedure requested to the patient. 3. Obtain and correlate patient history. 4. Check for patient pregnancy. 5. If the information correlates, the examination may be performed. If any information does not correspond, check with the ordering physician, nursing floor, or a radiologist. 1. Female patients of childbearing age are to be asked if there is any possibility of pregnancy. This information may be correlated by use of the ten-day rule. In the event of possible pregnancy, the patient’s physician will be consulted. 2. The radiation field is to be collimated only large enough to include the anatomical part being imaged. Radiation field size must never exceed film size. Exposure factors must produce the minimum amount of exposure needed to obtain a diagnostic radiographic image. 3. Gonadal shielding will be used on all patients unless such shielding obscures essential diagnostic information. If a radiographic image needs to be repeated, under no circumstances is any student to perform the repeat exposure without the direct supervision of a staff technologist. There is no exception to this policy. (See page 43) 30 FIELD TRIPS Class field trips will be scheduled during the two years of your education. These trips pertain to your education and are professionally enlightening. All students in the class are encouraged to attend class field trips. The trips will cost each of you a certain sum of money that will be announced at least one month prior to the trip. Attendance at the WAERT Student Spring Symposium is encouraged. FACULTY MEETINGS Your instructors conduct meetings at least once a week. If you wish the faculty to discuss a class problem, please advise one of the instructors in advance. You will need to supply the Program Director with a written narrative on the issue you wish to have discussed. You may also be present at the meeting if you obtain permission from the program director. PART-TIME JOBS The faculty realizes that most students will be employed part-time while attending school. However, students must make all efforts to attend classes and clinical assignments in order to complete their academic obligation. Students should make their academic education a priority and work with their employers to accommodate their specific schedules. Lack of attendance due to part-time employment may greatly affect in a negative way, your academic success. STUDENT RECORDS An advisor’s file is maintained for each student, including previous scholastic record, didactic and clinical evaluations. The file consists primarily of a continuing record of the student’s progress through the program. A permanent file of radiation monitoring is kept in program files. STUDENT GRIEVANCE PROCEDURE When a student believes he/she has a concern with a member of the staff at WESTERN (staff meaning any person employed by the district), the following procedure should be followed: If the situation is related to harassment or sexual harassment the student should immediately contact the Title IX Coordinator / Student Development Manager, Kumm Building Room 100 or (608) 785-9880. If the situation is related to grading, the student must utilize the Grade Appeal Procedure for resolution which is located in the Student Planner 2010-2011, page 116. This is also available electronically on Western’s website (www.westerntc.edu). 31 For other grievances the student has the opportunity to follow the following steps: Step 1 Within five (5) days of the date on which the concern occurred, the student is ENCOURAGED to meet with the staff member and discuss the concern. It is hoped that most concerns can be resolved within this step. The Student Grievance Officer (SGO) may consult with the grievant and respondent at any time and may have an advocate with non-speaking participation present at any meeting/s that will provide advice and support during the meeting/s. If the staff member and the student are not able to resolve the concern OR is the student feels uncomfortable meeting with the staff member, the student can proceed to Step 2. Step 2 The student may request a meeting with the respondent and/or the respondent’s direct supervisor (Student Service Office will assist in identifying supervisor’s name) in a timely fashion to discuss the concerns relating to the staff member. This step shall not be a pre-condition for submission of a formal written grievance. If the student feels the concern is unresolved at this step, he/she may proceed to Step 3. Step 3 The student may submit the grievance in writing within thirty (30) business days of the occurrence by completing the Student Grievance form located on Western’s website (www.westerntc.edu/grievance/default.asp). This along with supporting documentation (if applicable) should be delivered to the SGO in the Kumm Center, Room 100. The SGO will act as the mediator between grievant and respondent to come to a resolution. If there is no resolution then proceed to Step 4. Step 4 If the grievance is not resolved to the satisfaction of the grievant, he/she may request within ten (10) business days to the SGO for the grievance to be heard by the Student Grievance Committee. This committee will be formed within ten (10) business days and a hearing date will be scheduled. Grievant and respondent both have the right to present a statement on his or her behalf. The committee will deliver its findings and recommendations within ten (10) business days to the SGO and a copy to the grievant and respondent within five (5) business days. No appeal shall be permitted unless there are allegations of a lack of due process or other specific error or omission. If there is an appeal proceed to Step 5. Step 5 The appealing party shall file, in writing, to the Office of the President within ten (10) business days of the date of the committees decision. The president shall make a decision regarding the appeal within thirty (30) days after the appeal has been filed with the office of the president. The decision of the president shall be final unless there are allegations of discrimination in which the grievant would appeal to the Western District Board. Students with complaints of program non-compliance with the JRCERT Standards may contact the JRCERT at the address below. The program will respond to the allegations within 30 days of being contacted by the JRCERT. 32 The Western Radiography Program is accredited by the: Joint Review Committee on Education in Radiologic Technology 20 North Wacker Drive, Suite 2850 Chicago, IL 60606-3182 (312) 704-5300 e-mail: www.jrcert.org CLINICAL / GENERAL INFORMATION PURPOSE OF CLINICAL Clinical education is an integral part of the curriculum of the Radiography Program at Western Technical College. It is during the clinical education component of the program that the student is given the opportunity to apply knowledge and skills learned in the classroom/laboratory setting to actual patients. This is done under supervision of a clinical instructor who is a registered radiographer as well as other qualified staff radiographers at each clinical site. Through various clinical rotations, students are given the opportunity to work with a variety of patient types, in a variety of clinical settings and various hourly shifts. In addition, students will be exploring the modality areas of the radiology profession which will include areas such as CT, MRI, Ultrasound and Radiation Oncology. These areas will be provided after instruction received in the fall semester of the second year. Radiography departments are busy 24 hours per day; 7 days a week and our clinical schedules may include any of these hours. Clinical assignment to pm/weekend shifts will help students to gain valuable experience in trauma, surgery and other types of patient situations that are not encountered during the normal workday. These odd hour shifts will not exceed 25% of the total clinical assignment time. These rotations will begin second semester in Radiography Clinical Practice 2. CLINICAL EDUCATION AFFILIATES / RELATIONSHIPS The affiliate for clinical education for student training is an approved facility by its accrediting agencies operating under the direction of a qualified person. The affiliate is approved by the JRCERT, meeting the essentials for student training by providing: a. A variety and volume of radiological procedures providing learning experience. b. Qualified personnel in the department responsible for department activities. The clinical personnel agree to directives set forth by the sponsoring institution of the student program include: a. Professional atmosphere. 33 b. Methodology for the evaluation process of students. c. Periodic meetings for program orientation and updating. d. Abide by student scheduling and assignments made by academic faculty. e. Encourage in-service programs to keep in tune with recent procedures and trends within the profession. Students shall abide by clinical policy during assignments to the facility with regard to: Parking facilities. Assigned area for changing clothes and security for personal belongings. Provision for eating meals (cafeteria or lunchroom where meals can be purchased and eaten. Ethical conduct at all times. Coffee breaks if convenient. All other clinical site policies as they relate to professional behaviors expected to be demonstrated by students. The students and faculty of the Radiography Program are invited guests within the clinical sites. Relationships between the Program and the clinical institutions have been established and nurtured with considerable and painstaking effort. Any breach of conduct that would potentially jeopardize this relationship is considered extremely serious. Upon review, if the student is found to be at fault in such a breach, dismissal from the Program is likely. Breaches of conduct include: Failure to show up for any portion of assigned clinical time without following proper procedure for notifying clinical site and Clinical Coordinator. Arriving late or leaving early from the clinical site. Jeopardizing the safety of patients, staff, or self. Use of abusive or inappropriate language. Inappropriate or unethical behaviors including failure to follow uniform code. Breech of patient confidentiality including discussions of clinical situations outside the clinical and/or classroom environment. Use of drugs or alcohol. Student disregard to comply with specific clinical site policies. 34 At no time, should the student be a substitute for salaried technologists who are responsible for the department activities and responsibilities The faculty of Western is responsible for the didactics and training for students. The students may avail themselves of in-service programs sponsored by the Radiology Department or other service departments of the hospital as it relates to patient care and improved articulation. CLINICAL AFFILIATES AND TELEPHONE NUMBERS Black River Memorial Hospital 711 West Adams St. Black River Falls, WI Winona Healthcare 855 Mankato Ave. Winona, MN Mayo Clinic Health Systems Franciscan Healthcare 800 West Avenue S. La Crosse, WI Krohn Clinic 610 West Adams St. Black River Falls, WI Mayo Clinic Health System Franciscan Healthcare Sparta 310 West Main St. Sparta, WI Gundersen Health System 1836 South Avenue La Crosse, WI Gundersen Health System - Onalaska 3100 S. Kinney Coulee Rd. Onalaska, WI Mile Bluff Medical Center 1050 Division St. Mauston, WI Tomah Memorial Hospital 321 Butts Ave. Tomah, WI Mayo Clinic Health System Franciscan Healthcare Lake Tomah Clinic 325 Butts Ave. Tomah, WI54660 Vernon Memorial Hospital 507 S. Main St. Viroqua, WI Veterans Adminstration Medical Center / Tomah VA 500 E. Veterans St, Tomah, WI 54660 (715) 284-5361 (507) 454-3650 Hospital (608)785-0940 Ext. 2490 Clinic (608)782-9760 Ext. 6276 (715) 284-1815 (608) 269-2132 or 786-0324 Ext. 242 (608) 775-2503 (608) 775-8923 (608) 847-6161 (608) 372-2181 (608) 374-1531 (608) 637-4350 (608) 372 3971 35 Mayo Clinic Health System Franciscan Healthcare Onalaska 191 Theater Rd. Onalaska, WI Gundersen Health System - Sparta 314 Oak St. Sparta, WI Gundersen Health System - Prairie du Chien 610 East Taylor St. Prairie du Chien, WI Gundersen Health System - Tomah 1330 N Superior Ave. Tomah, WI (608) 392-5768 (608) 269-6731 (608) 326-6646 (608) 372-4111 PREPARING FOR THE CLINICAL ROTATION 1. Each student will be required to have a National Criminal Background Inquiry completed prior to his or her clinical assignment. This is done during the admissions process. 2. Winona Healthcare and the Tomah VA Medical center also require additional Criminal Background Inquiry. 3. Students are required to carry malpractice insurance during all semesters that they are involved with clinical. This is automatically added to your registration bill each semester. 4. All students must keep the required immunizations up to date. If this is not taken care of in a timely manner, the student will not be allowed to attend the clinical experience. 5. Students will be required to complete a Health and Safety program sponsored by Gundersen Health System (GHS) and Mayo Clinic Health Systems Franciscan Healthcare (MCHSFH). Students will receive information from the Health & Public Safety Division regarding the completion process. These orientation sessions must be completed prior to the beginning of clinical education assignments on an annual basis. Failing to comply will prohibit students from participating in their clinical assignments. 6. Completed American Heart Association Healthcare Provider CPR Certification must be continually maintained throughout the program. 7. All students will report to their clinical assignments in the school uniform with name badge, radiation monitoring badge, and personal identification markers. In addition, students must adhere to the dress code policies at all times during their clinical rotations. If any of the following is not acceptable or is a violation of the dress code, you may be dismissed from the clinical site to correct deficiency. Failure to have any of the above listed items not completed will result in the student not being allowed to attend their clinical rotations. 36 PROFESSIONAL APPEARANCE AND ATTIRE The personal appearance and demeanor of Radiography Program students at Western Technical College reflect both the school and program standards and are indicative of the student’s interest and pride in his/her profession. The clinical instructor will send any student reporting to the clinical assignment in improper uniform or attire, in soiled or untidy uniform and/or dirty shoes, or those who do not have their name and radiation badge or personalizes markers home. Western Technical College Radiography Program students will wear their uniform for all clinical assignments or when officially representing the college for a designated occasion such as Career Day Programs, etc. CLINICAL UNIFORM POLICY 1. Approved uniform/scrubs for the division with school emblem patch on left sleeve. (Red top / Black bottoms) 2. Name badge - visible to public, and identified with Western. (will be ordered prior to beginning of program) 3. School emblem - displayed on sleeve to public - exception, if assigned to surgical rotation and wearing surgical lab coat. 4. Shoes - clean preferably white tennis shoes. Dirty, dingy or torn tennis type shoes and “Crocs” with holes are not permitted. 5. Hair - if long hair, to be secured in such a way to prevent falling in front of face, or other manner offensive to patients and compromising sterile fields. Men, clean-shaven, or beard and mustaches neatly trimmed. 6. Attire - cleaned and pressed uniforms. Wrinkled and dirty uniforms are not acceptable. Uniform pants and tops must fit properly. The student uniform will appropriately cover the student’s body/skin when bending reaching or changing positions during the performance of exams. 7. Pants - School uniform scrubs. Pant legs will not be cuffed and pant legs will be of a length as to not drag on the floor. 8. Socks – Plain basic colors only. 9. If T-shirts worn under uniform top, it must either 1) not show below the uniform sleeve, or 2) must reach the wrist. T-shirt, if worn, will be white and not contain logos or writing. T shirt will not hang below uniform top. If you are prone to being cold, consider purchasing the lab coat. 10. Wear name badge outside of lab coat/uniform top. 11. The wearing of artificial fingernails during clinical assignment will not be permitted. The possibility of fungal infection is a concern in patient care situations. 12. There will be no displaying of body art or non-traditional piercings that might be considered offensive. Employment settings have policies that do reserve the right to deny student clinical/practicum/fieldwork placement if body art or piercings are found to be offensive to those in that setting. The wearing and displaying of jewelry in the health care or public safety setting is 37 generally limited to wrist watches and wedding rings or small non-dangling earrings. The purpose of this limitation is related to infection control, safety and public perception of the student representing Western Technical College while they are participating in clinical education. If students have significant visible body art and piercings, the college is unable to guarantee that they will be able to be placed for the multiple clinical/practicum/fieldwork experiences that most programs require. Students must cover the body art with clothing or dressings or remove the piercings in order to complete their clinical rotation. This policy will be enforced by program faculty and clinical affiliates. It is the student’s decision whether or not to enter the program based on the uncertainty of being accepted at those clinical sites. 13. Only ear lobe piercings are allowed. No more than 2 stud earrings per lobe are allowed and gauges are prohibited. Nose, eyebrow, tongue, lip, and any other non-traditional piercings are prohibited. 14. No perfume or cologne. 15. No smoking while in uniform. It is not allowed on student’s breath or clothing. 16. Safety and patient care concerns are the primary issues in the follow-through of this policy. Non-compliance (any of the above items): Individual will be removed from clinical site until deficiency is corrected. CONFIDENTIAL INFORMATION While attending your clinical assignment you may have access to information regarding a patient’s medical information. Students are expected to maintain confidentiality in a professional manner. A breech of patient confidentiality will result in dismissal from the Radiography Program. CLINICAL REQUIREMENTS AND ADDITIONAL ACTIVITIES Clinical experience is a key component in developing the fine motor skills required to be a successful radiographer. Fulfilling the required clinical education element assists students in their skill development as well as, applies their knowledge and skills learned in the classroom and laboratory to actual patients. Students will also develop necessary critical thinking skills during their various clinical rotations. Students must seek out additional clinical activities when there is “down-time” in their assigned area. This could include positioning review and practice with staff radiographers and fellow students. Other opportunities such as reviewing related course information, working on current assignments, reading professionally related information, and reviewing radiographic images are allowed. Patient experiences always come before any ancillary activities while attending clinical. Students are not allowed to participate/observe in modality areas until that course material has been covered in the classroom. CLINICAL SCHEDULES The Clinical Coordinator has the responsibility of assigning students to their clinical rotations. During the two-year program, each student will be assigned to numerous clinical sites and various shifts which 38 may include PM/Weekends that allow for experiences in a variety of patient situations. Students will receive their clinical schedule prior to the start of the subsequent semester. This will give the students ample time to make the necessary personal arrangements to ensure their attendance during their assigned rotations. Students will be required to travel to many extended clinical sites and must have reliable transportation. Students working part time jobs must arrange their work schedule so as not to compromise their scheduled clinical hours and assignments of their education. CLINICAL DOCUMENTS Falsification of clinical documents is considered academic dishonesty/cheating and is a violation of the student code of conduct. This will result in dismissal from the program to all parties involved. BREAKS Students are permitted during each four-hour assignment, limited to 15 minutes each. Omission of breaks is not to be used to shorten clinical day. Ask permission from supervising radiographer assigned to your area or school staff prior to leaving your assignment. In general, try to schedule your breaks at a time that does not take away from patient experiences. Develop some independence; you are encouraged to take a break with your RTR. Do not leave in the middle of a patient exam for a break or lunch. CLINICAL PROCESS / CLINICAL REQUIREMENTS Observation and application of radiologic positioning, radiographic procedures and radiographic techniques are attained by students at various clinical facilities. These experiences are under the supervision of college instructors, staff radiographers and radiologists. Students will be assigned to specific radiographic rooms or imaging areas to observe and participate in the activities and exams being performed. Once students have experienced and applied their positioning and exam knowledge sufficiently, they may attempt an exam competency on a patient. After obtainment of an exam competency, students are expected to maintain competent performance of that skill for the duration of the program. In any clinical term, the instructor may request a student to perform a radiographic exam previously mastered under the instructor’s direct observation. At any point within the program that the student regresses to unacceptable competency performance in a previously mastered skill, the competency will be removed. After remedial activities assigned to the student by the instructor are completed, the student may again attempt competency on a patient. STUDENT CLINICAL PERFORMANCE EVALUATION Students will be evaluated periodically by radiographers at the clinical site. Student performance evaluation is based upon specific levels of technical and professional competency, and provides an opportunity for guidance and assistance when student improvement is deemed necessary. All evaluations are reviewed by the student and the program faculty/advisor. Clinical personnel and students are encouraged to complete the form together to clarify any areas of concern. A rating that is questioned by the student should be discussed with the evaluator. Differences not resolved at this point should be directed to the program faculty/advisor at which time a conference will be held. RADIOGRAPHIC EXAM CLINICAL COMPETENCY PROCEDURES All students attempting clinical competency will follow the procedures listed below: 39 1. The student will inform the faculty member or registered radiographer of a competency attempt, and provide the proper competency form PRIOR to the radiographic exam. 2. The registered/staff radiographer will evaluate the competency attempt from start to finish and document student performance by completing the appropriate exam competency form. The competency will be granted if the student satisfactorily completes all competency criteria and will be denied if mastery of exam skills is not evident. 3. For granted competencies, a faculty member will evaluate the films and competency criteria with the student when faculty members are visiting clinical sites. Students must be prepared to discuss the exam and the radiographic images at a knowledgeable level. At this time, the faculty member in his/her professional opinion will grant competency or reject the competency. Students must maintain competence of these radiographic exams at all times throughout the duration of the program. 4. For those competencies that are denied, the completed form will be hand delivered to a program faculty member while at the clinical site, scan and email to the clinical coordinator, or mailed in the provided self-addressed stamped envelope. 5. These procedures will be strictly adhered to and the faculty will evaluate competency progress throughout the academic term. Also, competencies previously granted in preceding academic terms will be scrutinized and, if maintenance of skill level is not adequate, the competency will be withdrawn. The student will have to make a new competency attempt under the above-stated procedures. Clinical competencies can only be obtained during your assigned clinical rotations. Competency attempts during hours not assigned by the instructor will not be accepted. Re-verification Process The re-verification process is a learning experience directed to the second year radiography student to reconfirm successful maintenance of radiographic exam skills and knowledge. Continued application of radiographic skills and knowledge of previously obtained radiographic exam competencies is a key component of professional development. Students must continue to develop psychomotor skills and apply radiographic exam knowledge in a variety of patient care situations during clinical experiences. The re-verification process is a learning experience to assist the student in continued learning and positive re-enforcement of their skill maintenance. The following are the guidelines of this learning activity. 1. Exam re-verification of previously obtained competencies can be performed on only those exams where the initial competency process has been completed no sooner than one calendar month prior to re-verification. 2. Review of the radiographic exam re-verification with a college instructor will be completed within one calendar month from the exam date. The student is encouraged to complete the review process as soon as possible. 3. No more than one re-verification on any one exam competency during the program. 4. The student must complete the student evaluation portion of the re-verification form prior to discussion with the instructor. 5. Any variation from the above will nullify the exam re-verification. 40 ACADEMIC TERM COMPETENCY REQUIREMENTS 526-168…….3 (three) competencies 526-192…….10 (ten) competencies for a total of 13 526-193…….7 (seven) competencies for a total of 20 526-199…….12 (twelve) competencies for a total of 32 526-190…….12 (twelve) competencies for a total of 44 526-198…….5 (five) competencies for a total of 49 Semester Minimum Comps Re-verifications 1st Fall 526-168 3 0 2nd Spring 526-192 13 0 3rd Summer 526-193 20 0 4th Fall (second year) 526-199 32 4-9 5th Spring (second year) 526-190 44 5-10 49 Any combination of competencies or re-verifications 5 6th Summer (second year) 526-198 41 CLINICAL RADIOGRAPHIC EXAM COMPETENCIES As a part of this educational program, candidates must demonstrate competence in the clinical activities as identified in this document. Demonstration of clinical competence means that the program faculty or supervising RTR has observed the candidate performing the procedure. The candidate must have performed the procedure independently, consistently, and effectively. Candidates must demonstrate competence in the areas listed below. *All thirty-one (31) mandatory radiologic procedures/competencies (Single asterisk *) *Fifteen (15) elective radiologic procedures/competencies (Double asterisk **) *One elective imaging procedure from head section *Two elective imaging procedures from the fluoroscopy studies, one of which must be either an Upper GI or a Barium enema *Minimum of Forty-nine (49) procedures/competencies outlined in the above criteria must be completed to meet graduation requirements from the program and eligibility requirement for ARRT certification. The numbers following the procedure/exams designate the minimum number of views required for competency attainment. Upper Extremity *Thumb/Finger (2/3) *Hand (2/3) *Wrist (2/3) *Forearm (2) *Elbow (2/3) *Humerus (2) *Shoulder – Non-Trauma (2) *Trauma Extremity (non-shoulder) *Shoulder-Trauma (to include Scapular Y, Transthoracic or Axillary) (must be different than non-trauma positions) **Clavicle (1/2) **Scapula (2) **A-C joints (2) Gaynor Hart Navicular views Radial Head Obliques of elbow Outlet view Lower Extremity *Foot (2/3) *Ankle (2/3) *Lower Leg (2) *Knee (2) *Femur (2/4) * Trauma Lower Extremity (2) **Patella (Tangential) **Toes (2) **OS calcis (2) Oblique knees (2) Standing knees (2) Holmblad Weight bearing foot (3) Sesamoid bones (1) Miscellaneous Out of ordinary view or exam not listed on this sheet. They may be used to meet or exceed the academic term requirement Spine/Pelvis/Hip *AP pelvis or pelvis for hips (1) *X- table lateral Hip (1) *Hip AP and lat (2) *Cervical Spine (3) **Trauma X-table Lat C-spine (1) *Thoracic spine (2/3) *Lumbar spine (3) **Sacrum and Coccyx (1) **S-I joints (2/3) **Scoliosis Series Oblique Cervical (2) Oblique Thoracic (2) Oblique Lumbar (2) Flexion / Extension spine Thorax *Chest (2) routine *Chest AP (wheelchair / Stretcher) *Ribs (2/4) **Decubitus Chest **Soft Tissue Neck/Upper airway **Sternum (2) S.C. Joints (2) Apical lordotic chest (1) Chest (2) routine (dedicated unit) Pediatric Exams (age 6 or under) *Chest (2) routine **Upper Extremity (2) **Lower Extremity (2) **Abdomen **Mobile Study Special Studies Bone Length Study Hysterosalpingiogram Fluoroscopic/Contrast (UGI or BaE & 1 additional) **UGI (single or double contrast) **BaE (single or double contrast) **Small Bowel Series (2) **IVU with or without tomos **Esophogram (1/2) **ERCP **Cystography/cystourethrography ** Arthrography **Myelography PICC line placement Abdomen *KUB or supine abdomen *Upright abdomen **Decubitus abdomen Mobile *Portable chest *Portable abdomen *Port orthopedic (2) Additional mobile exam Surgical * C-arm (Orthopedic) **C-arm (Non-orthopedic) Retrograde Pyelogram C-arm (non-sterile) Fluoroscan C-Arm Nerve Block Head Work (At least 1 from section) **Skull (2/4) **Sinus Series (2/4) **Facial Bones (2) **Orbits (2) **Mandible (3) **Nasal Bones (2) Pre-MRI orbit (1) Revised 10/2012 42 COMPETENCY LIST CLARIFICATION (SPECIFIC EXAMS) A single Caldwell for Pre-MRI is just that. It does not qualify for orbits or sinuses. If a Pre-MRI Caldwell and a Waters are done on separate patients, they may be combined for a sinus series or orbit series. If you complete a double contrast barium enema that includes decubitus projections, you may count this as two separate competencies (barium enema and decubitus abdomen). DIRECT/INDIRECT SUPERVISION AND IMAGE REPEAT POLICY All images taken by students will have their images checked for quality control purposes by a registered or registry eligible radiographer. In accordance with the Joint Review Committee on Education in Radiologic Technology Standards for an Accredited Educational Program in Radiologic Sciences, the policies for direct and indirect supervision and their relation to film/image repeats is as follows: 1. Direct Supervision Direct supervision exists when a technologist is working with a student in the radiographic room or is observing the student perform a radiographic exam from the control panel area. A qualified radiographer reviews the procedure, evaluates the condition of the patient, is present during the performance of the procedure, and reviews and approves the procedure in relation to the student’s knowledge and achievement. Direct supervision is utilized whenever: 2. a. The student has not yet successfully passed competency testing on that particular exam. b. The student is repeating the radiograph/image projection. Indirect Supervision Indirect supervision exists when a staff technologist is in the general vicinity of the room where a radiographic exam is being performed. Students may perform examinations under indirect supervision only after successfully completing clinical competency testing on that particular exam. 3. Repeat Radiographs/Image Projection All images performed of radiographic exams will be checked and evaluated by a Registered Radiographer. The Registered Radiographer will evaluate the student’s finished radiographs/images as satisfactory or unsatisfactory. The Registered Radiographer will discuss the reason causing the unsatisfactory radiograph/image and the corrective measures that will be taken to obtain good film/image quality. Repeats of unsatisfactory radiographs/images will only be performed in the presence of a Registered Radiographer to assure the corrective measures are performed accurately. (Direct supervision) 43 STANDARD PRECAUTIONS POLICY STATEMENT Because many people who carry highly infectious pathogens (e.g., AIDS virus, hepatitis A & B, etc.) are not aware of it, all students and faculty will strictly adhere to this policy. These safety guidelines are designed to protect the students, faculty, and patients from the spread of infectious diseases. 1. Wear gloves at all times when working with patients where blood/body fluids are evident or likely; i.e., open wound trauma, barium enema tip insertion, IV injection. 2. Wear gloves when wiping blood/body fluids from equipment. Use appropriate cleaning chemicals. 3. Wash hands after handling any blood and body fluids. 4. Use proper hand hygiene during patient care activities. 5. Dispose of linens soiled with blood and body fluids in appropriate containers. 6. All infectious needles, tubing, etc., need to be placed in puncture-proof containers. Do not clip needles or recap needles. 7. All injuries and splashes must be reported to faculty immediately. If faculty is not available, report incident to the department floor supervisor. 8. Any splash of body fluid entering a mucous membrane (eye, nasal passage, and mouth), open cut or wound shall be reported immediately to the faculty. If occurrence at school, student will be referred to the Student Health Center. WESTERN incident report will be filled out. If occurrence at clinical site, student will be sent to the health service or appropriate treatment facility for evaluation and treatment. WESTERN incident report and the respective clinical site incident report will be filled out. The student will pay for cost of any treatment. STUDENT ACCIDENT INSURANCE _____________________________________________________________________ Student Accident Insurance: This is insurance that each student obtains when they register for clinical / practicum / fieldwork courses. For the Radiography Program, these courses are: Radiography Clinical Practice 1, Radiography Clinical Practice 2, Radiography Clinical Practice 3, Radiography Clinical Practice 4, Radiography Clinical Practice 5, and Radiography Clinical Practice 6. This insurance covers injuries that you may incur on the way to or from any clinical/practicum/ fieldwork experiences, and any injury that you might sustain at the clinical/practicum/fieldwork site. This includes needle sticks or any other injury that you may sustain while performing your clinical/practicum/fieldwork duties as a Western Technical College student. This insurance ONLY covers you for injuries related to these student experiences; your choice of insurance for other portions of your life remains your responsibility. This insurance is considered a secondary insurance to any primary insurance you may have. There is no deductible for this coverage at this time. More information is available on the web at: www.gallagherkoster.com. Click on college and university students and scholars, and use the drop down menu to locate Wisconsin Technical Colleges – Western Technical College. 44 This site has been designed especially for you to provide information about the Student Accident Only Insurance Plan. Through Student Access, you can download the Plan Description or Frequently Asked Questions, find information on submitting claims, or email Gallagher Koster with any questions you may have on the coverage available to you. To generate the card the Insured student would: * Go to Western Technical College's page within www.gallagherkoster.com; * Click on "Account Home" under the "My Account" section on the left-hand side of the page; * Enter the requested information to create a Username and Password; * They would then need to click "Authorize Account"; also under the "My Account" section they should enter their Student ID and Date of Birth in the fields provided. This step only needs to be done the first time logging in. * Once logged in, the student can generate their ID Card. Students will need to re-activate this each semester, although do not need to generate a new ID card each semester. POLICY: Performance and Practice of Clinical Skills Students who are enrolled in Health and Public Safety Division courses that require the student to practice clinical skills as identified by the program on student partners, invasive or otherwise, shall be required to read and sign the Liability Waiver and Direct Supervision Agreement. This agreement will be in effect for all courses within the program that require students to practice or perform clinical skills on each other. 45 Western Technical College Health and Public Safety Division LIABILITY WAIVER AND DIRECT SUPERVISION AGREEMENT In consideration of my participation in __________________________________ (program/certificate/course), I hereby release Western Technical College, its officers, employees and agents from any and all liability arising out of my participation. I understand the health and safety concerns involved, and I accept and assume all risk for any harm, injury, or damages that may befall me, foreseen and unforeseen, as a result of my participation. Further, I agree not to practice or perform clinical skills as identified by the program, invasive or otherwise, with a student partner without the direct supervision and/or consent of the instructor. Dated: Signature Printed Name 46 Western Technical College Health & Public Safety Division Radiography Program STUDENT POLICY ACKNOWLEDGMENT FORM I have read and understand the policies relating to the Radiography Student Success Manual and further recognize I may be tested on the information within. Student Name: (Please Print):______________________________________ Student Signature: ______________________________________________ Date: _____________________ STUDENT ACCIDENT INSURANCE ACKNOWLEDGEMENT & DIRECT SUPERVISION AGREEMENT Student Accident Insurance: This is insurance that each student obtains when they register for clinical / practicum / fieldwork courses. I acknowledge, that this insurance covers injuries that you may incur on the way to or from any clinical / practicum / fieldwork experiences, and any injury that you might sustain at the clinical / practicum / fieldwork site. This includes needle sticks or any other injury that you may sustain while performing your clinical / practicum / fieldwork duties as a Western Technical College student. This insurance ONLY covers you for injuries related to these student experiences; your choice of insurance for other portions of your life remains your responsibility. This insurance is considered a secondary insurance to any primary insurance you may have. There is no deductible for this coverage at this time. More information is available on the web. Further, I agree not to practice or perform clinical skills as identified by the program, invasive or otherwise, with a student partner without the direct supervision and/or consent of the instructor. Dated: Signature Printed Name ____________________________________ Student ID Number 47
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