Medical Radiologic Technology Program - Trenholm … Clinical Handbook section contains a...

Medical Radiologic Technology Program

Student Handbook, Clinical Handbook, & Policy Manual

2016-2017

Revised 8/2016

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TABLE OF CONTENTS STUDENT HANDBOOK WELCOME 3 PROGRAM MISSION STATEMENT 3 PROGRAM PURPOSE 3 PROGRAM GOALS 4 SPONSORSHIP 4 PHILOSOPHY OF PROGRAM 4 ACCREDITATION 5 TRENHOLM STATE MISSION STATEMENT 5 TRENHOLM STATE INSTITUTIONAL GOALS 6 EQUAL OPPORTUNITY/EQUAL ACCESS 6 ADVISORY COMMITTEE 6 NATIONAL CERTIFICATION 6 TUITION 7 LIBRARY 7 PHYSICAL EXAMINATIONS 7 COUNSELING AND GUIDANCE 7 STUDENT SERVICES 7 COMPUTER RESOURCES 7 TUTORING SERVICES 7 STUDENTS WITH DISABILITIES 7 GRIEVANCE PROCEDURE 8 PROGRAM EFFECTIVENESS DATA 8 CLINICAL HANDBOOK CLINICAL EDUCATION PLAN 9 CLINICAL EDUCATION ELIGIBILITY 10 CLINICAL EDUCATION ASSIGNMENTS 10 CLINICAL EDUCATION STUDENT RESPONSIBILITIES 10 CLINICAL EDUCATION RULES and REGULATIONS 11 SUPERVISION OF STUDENTS 12 REPEAT POLICY 13 PORTABLE EXAMS 13 NON-TRADITIONAL CLINICAL ROTATIONS 13 ADVANCED IMAGING ROTATIONS 13 COMPETENCY-BASED CLINICAL EDUCATION 14 GENERAL PLAN FOR COMPETENCY BASED CLINICAL EDUCATION 14 CLINICAL COMPETENCY EVALUATION SYSTEM 14 CLINICAL EVALUATIONS 15 INTERVAL COMPETENCY EVALUATION 16 CLINICAL EDUCATION GRADING 16 STUDENT PARTICIPATION LOG 16 CLINICAL COMPETENCY SCHEDULE 17 COMPETENCY RECORD REQUIREMENT 21 CLINICAL EDUCATION PERFORMANCE OBJECTIVES 22 CLINICAL EDUCATION SUMMARY 25

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POLICY MANUAL GRADE POLICY 26 ATTENDANCE POLICY 26 UNSATISFACTORY PERFORMANCE 26 NAME BADGE POLICY 26 DRESS CODE POLICY 26 RADIATION MONITORING DEVICE POLICY 27 CLASSROOM BEHAVIOR POLICY 28 CLINICAL BEHAVIOR POLICY 28 ETHICAL BEHAVIOR POLICY 29 TRANSPORTATION & PARKING POLICY 30 SMOKING & TOBACCO PRODUCTS POLICY 30 ALCOHOLIC BEVERAGE/DRUG USE POLICY 30 WEAPONS POLICY 30 CONFIDENTIAL INFORMATION POLICY 31 SEVERE WEATHER POLICY 32 STRANGERS & THEFT POLICY 32 CELL PHONES & ELECTRONIC DEVICES POLICY 33 STUDENT WITHDRAWAL POLICY 33 READMISSION POLICY 33 STUDENT EMPLOYMENT POLICY 34 STUDENT SUPERVISION POLICY 34 CLINICAL EDUCATION ASSIGNMENTS POLICY 35 CLINICAL INSTRUCTOR POLICY 35 COMPENSATORY LEAVE POLICY 35 STUDENT RECORDS POLICY 35 DISCIPLINARY ACTIONS and STUDENT APPEALS PROCEDURE POLICY 35 STUDENT ADVISORY COMMITTEE POLICY 36 ELECTRICAL EQUIPMENT POLICY 36 FIRE SAFETY POLICY 36 BOMB THREAT POLICY 36 ACCIDENTS/INCIDENTS INVOLVING A STUDENT AT THE CLINICAL SITE POLICY37 ACCIDENTS/INCIDENTS INVOLVING A PATIENT AT THE CLINICAL SITE POLICY 37 INFECTIOUS DISEASES POLICY 37 STANDARD PRECAUTIONS POLICY 37 HEALTH INSURANCE WAIVER POLICY 38 SDMS CODE OF ETHICS 39 RECEIPT FORM PREGNANCY POLICY ACKNOWLEDGEMENT 40 DECLARED PREGNANT STUDENT FORM 41 RADIOLOGY COURSE CURRICULUM 42 COURSE DESCRIPTIONS 43 STUDENT CLINICAL ROTATION CONTRACT 46 RADIOLOGY OVEREXPOSURE QUESTIONNAIRE 47 OVEREXPOSURE NOTIFICATION TO CLINICAL SITE 48 OVEREXPOSURE REPORT 49 INFECTIOUS DISEASE POLICY ACKNOWLEDGEMENT 50 HANDBOOK/POLICY RECEIPT FORM 51

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STUDENT HANDBOOK

WELCOME

The Medical Radiologic Technology Program would like to welcome you to the program and are glad that you have chosen this program in which to pursue your career in this challenging field. Trenholm State Community College is committed to providing quality education, which will give our graduates professional credibility in their fields of study. To accomplish this goal, a unified program of study has been planned for you. Using a competency-based instructional framework, the program has been designed to help you develop essential entry-level skills. As a radiology technology student, you will learn much as you develop into a health care professional. As professionals, we require a lot of ourselves and from you. In setting your goals for advancement, you must never forget that top quality patient care should be your first priority. Classroom instruction are scheduled by the Program Coordinator and Clinical Coordinator and is designed in a manner that allows didactic and clinical topics to be concurrent. The Clinical Instructors and Clinical Staff provide supervision and instruction to the students at the clinical education sites to ensure that the assignments are educational. At no time are students used as replacements for registered technologists or staff. The Clinical Education section of the Student Handbook outlines the plan for clinical education. All students are provided with a Student Handbook, Clinical Handbook, and Policy Manual. This compilation has been prepared to guide you during your training. You are required to read it carefully and thoroughly to be sure you understand what is expected of you while enrolled in this program. The Student Handbook contains a description of: program policies and procedures, curriculum sequence, course descriptions, course schedule, program mission and goals, clinical education section, performance objectives, evaluation strategies, and the criteria for successful completion of competencies necessary for graduation. The Clinical Handbook section contains a description of the competency based clinical education portion of the program, policies of the clinical education centers, services available to the student, and clinical evaluation and competency objectives.

PROGRAM MISSION STATEMENT

The Medical Radiologic Technology program mission is to prepare individuals as entry-level radiographers who are able to fulfill the needs of the medical community in the service area by competently and safely performing diagnostic radiographic procedures on adults and children.

PROGRAM PURPOSE

The purpose of the Medical Radiologic Technology program is to provide educational opportunities in the radiologic sciences to members of the communities supported by Trenholm State Community College. The objectives of the program and its curriculum are designed to achieve the follow goals and learning outcomes:

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PROGRAM GOALS AND OUTCOMES

Goal #1 Upon completion of the program, graduates will demonstrate clinical competence in safely performing diagnostic radiographic procedures. Outcomes:

1. Students will accurately position patients for diagnostic radiographic procedures. 2. Students will practice proper radiation protection for patients, co-workers and self. 3. Students will demonstrate the proper use of radiographic exposure factors.

Goal #2 Upon completion of the program, graduates will demonstrate the necessary communication skills to function effectively in the medical community. Outcomes:

1. Students will communicate effectively within the health care setting. 2. Students will demonstrate effective written communication skills.

Goal #3 Upon completion of the program, graduates will demonstrate critical thinking skills. Outcomes:

1. Students will apply critical thinking skills by modifying standard procedures to accommodate patient conditions. 2. Students will demonstrate critical thinking skills in the evaluation of radiographic images.

Goal #4 Upon completion of the program, graduates will demonstrate a high level of professionalism and will work effectively with supervisory personnel. Outcomes:

1. Students will demonstrate ethical and professional behavior. 2. Students will demonstrate the ability to work effectively with supervisory personnel.

SPONSORSHIP

The Medical Radiologic Technology Program is sponsored by H. Councill Trenholm State Community College, which is a member of the Alabama College System and is accredited by the Southern Association of College and Schools Commission on Colleges (SACSCOC).

PHILOSOPHY OF THE PROGRAM

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The Philosophy of the Medical Radiologic Technology Program is that of a unified instructional program which offers the student the best opportunity for success. The course sequence has been planned with a consideration for the step-by-step development of the student and the integration of didactic course work with clinical experience. The curriculum is designed to be taught over a five semester period, to provide students a reasonable time for completion of the program and to limit student academic and clinical involvement to no more than 40 hours per week. In addition, the curriculum has been developed to incorporate the content areas required by the Joint Review Committee on Education in Radiologic Technology "Standards" and by the State of Alabama Department of Postsecondary Education. These standards are continuously evaluated and accomplished through the direction and guidance of an advisory committee. The faculty strongly believes the radiography student must be able to work in a cooperative setting with other professionals in order to provide quality health care to the total patient. We feel that this individual must have a strong sense of loyalty, both to his/her profession and to his/her patients. He/She should also be encouraged to work continually to improve and advance the standards by which the radiologic technology profession is guided.

ACCREDITATION

The Joint Review Committee on Education in Radiologic Technology (JRCERT) is dedicated to excellence in education and to the quality and safety of patient care through the accreditation of educational programs in the radiologic sciences. The JRCERT is the only agency recognized by the United States Department of Education (USDE) and the Council on Higher Education Accreditation (CHEA) for the accreditation of traditional and distance delivery educational programs in radiography, radiation therapy, magnetic resonance, and medical dosimetry. The JRCERT awards accreditation to programs demonstrating substantial compliance with these STANDARDS. The Joint Review Committee on Education in Radiologic Technology (JRCERT) Standards for an Accredited Educational Program in Radiography are designed to promote academic excellence, patient safety, and quality healthcare. The STANDARDS require a program to articulate its purposes; to demonstrate that it has adequate human, physical, and financial resources effectively organized for the accomplishment of its purposes; to document its effectiveness in accomplishing these purposes; and to provide assurance that it can continue to meet accreditation standards. The JRCERT accreditation process offers a means of providing assurance to the public that a program meets specific quality standards. The process helps to maintain program quality and stimulates program improvement through program assessment. Joint Review Committee on Education in Radiologic Technology 20 N. Wacker Drive, Suite 2850 Chicago, IL 60606-3182 312.704.5300 ● (Fax) 312.704.5304 www.jrcert.org

TRENHOLM STATE MISSION STATEMENT

http://www.jrcert.org/

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http://www.trenholmstate.edu/skins/userfiles/files/CatalogPDF14-15/Intro-Vision-Mission-Goals%20-%20Pgs%208-9.pdf

TRENHOLM STATE INSTITUTIONAL GOALS


EQUAL OPPORTUNITY/EQUAL ACCESS

It is the official policy of the Alabama Department of Post Secondary Education and H. Councill Trenholm State Community College that no person shall, on the grounds of race, color, disability, sex, religion, creed, national origin, or age, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program, activity, or employment. If you have a disability, and may require accommodations, notify the Dean of Students at 420-4332.

RAD ADVISORY COMMITTEE

The continued evaluation and revision of program guidelines are constantly being evaluated through advice and consent from the advisory committee. The committee's responsibilities are defined as the following:

1. Review and approve program goals and objectives of the program. 2. Perform program evaluation regularly to ensure program outcomes are acceptable. 3. Implement measures to improve the program whenever possible. 4. Assist with maintain programmatic accreditation with the Joint Review Committee

on Education in Radiologic Technology. 5. Perform periodic review of program outcomes to ensure goals and objectives are

met. 6. Review and approve the program outcomes assessment plan. 7. Assist program faculty in preparing and submitting the self-study and preparing for

the accreditation site visit. 8. Review and program documentation related to course offerings and

application materials. 9. Advise program officials and make recommendations regarding program policies

and procedures.

NATIONAL CERTIFICATION

Upon successful completion of the radiography program, the student is eligible to sit for national certification exam administered by the American Registry of Radiologic Technologists (ARRT). As in any of the health related professions, it is advisable to be credentialed in your profession. Failure to become a Registered Radiographer will make it very difficult to





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become employed and may hinder your career opportunities. The examination is given on computer any selected day or time at Pearson centers across the United States.

ARRT Eligibility Requirement

For ARRT eligibility requirements please visit the link: https://www.arrt.org/pdfs/Ethics/Ethics-Review-Pre-Application.pdf https://www.arrt.org/Certification/Radiography

TUITION

http://www.trenholmstate.edu/skins/userfiles/files/admission/Tuition%20%26%20Fee%20Schedule%20FA2015.pdf

LIBRARY

http://www.trenholmstate.edu/academics/college-library.cms

HEALTH REQUIREMENTS

Each student accepted into the program is required to: 1. Have a physical examination by a physician 2. Obtain all required vaccines 3. Complete required drug screen. These will be accomplished during the admission process prior to the first day of class. Students will participate in random drug screens periodically throughout the program. All RAD students are individually responsible for obtaining adequate health insurance or for paying any bills incurred for medical treatment while on campus or clinical assignment.

ACADEMIC COUNSELING

The student is provided with academic counseling and guidance by program faculty. Scheduled academic counseling will be held periodically during the semester.

STUDENT SERVICES

http://www.trenholmstate.edu/current-students/about-ssd.cms

COMPUTER RESOURCES

Building H on Trenholm campus houses a computer lab which is open to students to use for the sole purpose of supporting the educational activities of the college.

TUTORING SERVICES

http://www.trenholmstate.edu/current-students/ssc_tutor_2.cms

https://www.arrt.org/pdfs/Ethics/Ethics-Review-Pre-Application.pdf

https://www.arrt.org/Certification/Radiography



http://www.trenholmstate.edu/academics/college-library.cms

http://www.trenholmstate.edu/current-students/about-ssd.cms

http://www.trenholmstate.edu/current-students/ssc_tutor_2.cms

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SERVING STUDENTS WITH DISABILITIES

http://www.trenholmstate.edu/future-students/student-dis.cms

GRIEVANCE PROCEDURE/DUE PROCESS

http://www.trenholmstate.edu/skins/userfiles/files/CatalogPDF14-15/10%20Handbook.pdf

PROGRAM EFFECTIVENESS DATA

For program effectiveness data to include credentialing examination pass rate, job placement rate, and program completion rate, please visit the program webpage at: http://www.trenholmstate.edu/academics/medical-radiology.cms or the Joint Review Committee on Education in Radiologic Technology (JRCERT) at: http://www.jrcert.org/

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http://www.trenholmstate.edu/future-students/student-dis.cms


http://www.trenholmstate.edu/academics/medical-radiology.cms

http://www.jrcert.org/

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CLINICAL EDUCATION

Clinical assignments may be conducted at but not limited to: Baptist Medical Center South (BMCS), Montgomery, Alabama Baptist Medical Center East (BMCE), Montgomery, Alabama Prattville Baptist (PBH), Prattville, Alabama Prattville Imaging Center (PIC), Prattville, Alabama Montgomery Imaging Center (MIC), Montgomery, Alabama East Montgomery Imaging Center (EMIC), Montgomery, Alabama Carmichael Imaging Center (CIC), Montgomery, Alabama Troy Regional Medical Center (TRMC), Troy, Alabama Jackson Hospital (JH), Montgomery, Alabama Vaughan Regional Medical Center (VRMC), Selma, Alabama Jackson Imaging Center (JIC) Central Alabama Veterans Healthcare System (VA-M), Montgomery, Alabama Central Alabama Veterans Healthcare System Chantilly (VA-C), Montgomery, Alabama Central Alabama Veterans Healthcare System (VA-T), Tuskegee, Alabama HighTech Imaging Center, Inc. (HTIC), Montgomery, Alabama Southern Orthopedic Surgeons, Main (SOS-M), Montgomery, Alabama Southern Orthopedic Surgeons, (SOS-P), Prattville, Alabama Montgomery Family Medicine (MFM), Montgomery, Alabama Intergrated Medical Imaging (IMI), Montgomery, Alabama

Clinical education assignments may/will: Be concurrent with academic classes Vary from semester to semester Provided no later than the 1st day of each semester. Vary according to the students' progress in the program. Involve evenings, nights, and weekend rotations. Not be changed without approval by the Clinical Coordinator and/or Program Coordinator. Not be switched with another student without Clinical Coordinator and/or Program Coordinator approval. Total clinical and classroom hours will not exceed ten (10) hours per day or forty (40) hours per week within the Radiology Program curriculum. A student must meet the following criteria as designated by the program:

1. Complete the physical health examination administered by a physician 2. Complete all required vaccinations 3. Be certified in BLS for Healthcare providers cardiopulmonary resuscitation (CPR).

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This certification must be good for the duration of the program. 4. Register for Trajecsys. 5. Be registered in the RAD Medical Radiologic Technology clinical course applicable to that semester 6. Liability insurance is required to be purchased through the college. Liability insurance is included in tuition fees. Liability insurance is only in effect during clinical education that is assigned by TSCC. Student employment is not covered under this policy.

CLINICAL INSTRUCTOR ASSIGNMENTS

The Clinical Instructor will oversee the following activities under the direction of the Clinical coordinator: 1. Daily attendance and clinical instruction and evaluation for each student. 2. Assignments given to the student in the clinical education center. 3. Changes in the clinical schedule must be approved by the Clinical Coordinator and may be done for the benefit of the student's clinical education and/or in an effort to aid the clinical site.

CLINICAL EDUCATION - STUDENT RESPONSIBILITIES

A radiographer's job does not just involve patient care. There are many other tasks a radiographer must do to make the department work efficiently and to ensure quality patient care. These tasks are vital to the smooth daily operation of the department. As a student you must be a part of the “team effort” that is necessary for excellent patient care and be willing to support the effort in the following ways. The students' responsibilities in the clinical education center should be to:

● Demonstrate a professional attitude while interacting with the patients and staff, even when others are not.

● Maintain appropriate relationships with all department personnel at all times. ● Adhere to all departmental policies and regulations set forth by the administrators

and hosting facility. ● Give full attention and cooperation to clinical staff and employees. ● Maintain an attitude free of rudeness or lack of cooperation. ● Keep any personal relationship with any member of an affiliated clinical facility away

from the clinical and academic areas. ● Be open-minded. ● Behave oneself in a manner indicative of someone eager to learn. ● Remain in the assigned area and avoid unnecessary non patient-connected

distractions. ● Arrive at the clinical education center on time and be ready to learn. ● Take the initiative to attempt exams on your own ● Don't take over another student/techs exam. ● Communicate with the clinical instructors on a daily basis. ● Ensure that clinical evaluations are completed by the clinical instructor or assigned

technologist. ● Discuss clinical progress and evaluations on a professional level.

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● Stock rooms with linen and towels, and clean cassettes without being told on a daily basis.

● Help the radiology staff by processing paperwork before or after the exam is completed.

● Make sure that images are approved by assigned technologist prior to letting a patient go.

● Make sure examinations are completed before leaving each day. ● Conversations in the presence of a patient should be made with the patent's

comfort and sensitivities in mind and be in compliance with HIPAA standards. ● Not correct a staff radiographer. ● Not go to the Reading Room unaccompanied by a staff radiographer. ● Not submit images without having a staff radiographer review. ● Wear currently dated radiation monitors in assigned clinical education settings. No

student will be allowed in clinic without properly dated radiation monitors. ● Exchange the radiation monitoring device during the class meeting closest to the

1st day of the month ● Immediately report any accident with or loss of the radiation monitor to the

Radiation Safety Officer (RSO); the Clinical Coordinator ● Read and initial the monthly radiation report which is kept in the Clinical

Coordinator’s office. ● Always exercise good radiation protection practices.

CLINICAL EDUCATION RULES and REGULATIONS

● Students are subject to the rules and regulations of (1) Alabama Community College System, (2) Trenholm State Community College, (3) Radiology Program, and (4) Clinical Facilities.

● All students are required to read and become familiar with the rules and regulations of all the above entities.

● If a student is found to be in violation of the rules and/or regulations from any of the above named entities, the Program and/or Clinical Coordinator may seek disciplinary action from the disciplinary committee.

● Should a student be required to leave a clinical facility before the scheduled time the student must notify the Clinical Coordinator and the Clinical Instructor/Supervisor.

● Employment cannot be substituted for clinical education. ● At no time will students be substituted for paid staff during any assigned clinical

rotation. ● If a student is detained in a clinical assignment to complete a procedure for a

minimum of 15 minutes after the end of the shift, the student will be allowed comp time. All comp time must be used the following day in the clinical facility.

● Any time that a student will be absent or tardy to a clinical site the student must first notify the Program Coordinator or the Clinical Coordinator. After the Program Coordinator or Clinical Coordinator has been notified, it is the student’s responsibility to notify the Clinical Instructor at the designated site. If the student cannot reach the clinical instructor directly the student may leave a message for the

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instructor with a technologist or staff member. The student must get the name of the person whom he/she spoke with .

● At each clinical site, students will be expected to clock in and out using Trajecsys. If a student is unable to or forgets to clock in or out, he/she must immediately contact a Program Official via email, office phone or cell phone. In order not to be charged with a tardy or absence, the student must request that the clinical instructor verify the missing time with Program Faculty. Please refer to the class syllabus regarding tardies and/or absences.

● Falsification of any clinical documents is in violation of program policy and student code of conduct. Refer to College Student Handbook. Falsification of clinical documents will be turned over to the disciplinary committee.

● Students may not perform clinical competency evaluations while in employment status at any facility at any time.

● Clinical competencies may not be done on individuals other than patients. A patient is defined as an individual who requires a radiology procedure which has been ordered by a physician.

● A student is never to leave a patient or an exam in progress unless arrangements have been made for the care of the patient and/or completion of the exam.

● The clinical education facility has a Clinical Instructor responsible for the supervision, instruction, counseling, and evaluation of assigned students. The Clinical Instructor (a qualified technologist, ARRT) will supervise the students in the clinical education centers at all times. Supervision of students may be direct or indirect. The type of supervision required is determined by the student’s level of training and documented clinical experience. Direct and Indirect supervision are defined as follows:

SUPERVISION OF STUDENTS

Direct Supervision - means (1) a qualified radiographer* is present in the radiographic room when the student is performing any examination(s); (2) a qualified radiographer reviews the procedure in relation to the students achievement; (3) a qualified radiographer evaluates the condition of the patient in relation to the students knowledge; (4) a qualified radiographer reviews and approves the procedure; (5) a qualified radiographer is present during any student performance of any repeat of any unsatisfactory radiographs. During portable radiography a qualified radiographer must accompany students performing the exam. Portable and surgical radiography must ALWAYS be performed under direct supervision. Direct supervision is given to students who have not completed a competency on the procedure. For students who have completed a competency on the procedure being performed, a qualified radiographer must be present for indirect supervision. Indirect Supervision - allows the student to perform radiographic procedures without the presence of a qualified radiographer in the room. Indirect supervision is only permitted after the student has successfully completed a competency on that particular examination. Indirect supervision requires that a qualified radiographer be near if needed to assist the student (within “earshot).

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*The Trenholm State Community College Radiologic Technology program defines a qualified radiographer as a person who is certified by and maintains registration with the ARRT.

REPEAT POLICY

All “repeat” radiographs performed by a student require Direct Supervision of a qualified radiographer in the radiographic room at the time of the “repeat.”

PORTABLE EXAMS Portable exams - will be performed under direct supervision at all times. Students are not allowed to perform mobile exams without a qualified radiographer present.

NONTRADITIONAL CLINICAL ROTATIONS Evening and night shift rotations are an important part of the clinical preparation of Radiologic Technology students. This rotation expose the student to a different work atmosphere than is experienced during daytime hours. Staffing is different during the evening and departmental protocols may vary because of patient condition. To allow for this experience, the student will be assigned to two weeks of evening shift and one shift on night shift. These rotations may be scheduled in the 3rd, 4th, or 5th semesters of the program. Upon completion of the above assignment, the student will be able to: 1. Identify procedures related to trauma radiography. 2. Experience a higher volume and frequency of critical, emergent-needs patients requiring technical problem solving and critical thinking skills. 3. Demonstrate routine and non-routine imaging procedures related to trauma radiography. 4. Use problem solving and critical thinking skills in the performance of routine and non-routine imaging procedures related to trauma radiography. 5. Complete mandatory and elective clinical education competencies related to routine and non-routine imaging procedures for trauma radiography. 6. Demonstrate the ability to work and communicate with other health care professionals in the treatment of trauma patients. 7. Demonstrate the ability to perform under abnormal stress and high intensity situations. 8. Under the supervision of a qualified technologist R.T.(R)(ARRT), demonstrate independent decision-making related to the performance of radiographic procedures on trauma patients The student may perform examinations for competency evaluations on evening shift and will be evaluated by a technologist working on the evening shift since that technologist will have the opportunity to work closely with the student.

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ADVANCED IMAGING ROTATION ASSIGNMENTS Rotation to a specialty area will not be allowed until completion of all competencies. These competencies must be confirmed with the Clinical Coordinator before advanced rotations will be assigned.

COMPETENCY-BASED CLINICAL EDUCATION

The responsibilities of a radiographer have grown in complexity with the development of more sophisticated procedures and equipment in the medical imaging sciences. It is essential that both the Medical Radiologic Technology program and the student work together to provide the best educational experience possible. During the clinical experience, students must have the opportunity to perform all types of radiographic procedures. Only in this manner will the student be prepared for entry into the profession. The student application of learned skills will be evaluated in the laboratory and during their clinical assignments. Only through the use of a competency-based evaluation system can we determine the proficiency level a student has achieved.

GENERAL PLAN FOR COMPETENCY-BASED CLINICAL EDUCATION

The goal of the Program's clinical competency evaluation system is to measure the students' capabilities in the clinical environment to adequately produce quality diagnostic radiographs of various anatomical parts, and to measure behavioral characteristics (punctuality, professionalism, attitude, cooperation, quality of work, initiative, etc.).

CLINICAL COMPETENCY EVALUATION SYSTEM

Clinical evaluations are done on an online clinical recording system called Trajecsys. Each student will register for an account prior to the beginning of the first semester. Clinical Instructors, at each site, will log in to Trajecsys and use two different evaluation instruments to measure the student’s competency levels: Clinical Competency & Clinical Evaluation Forms. Each semester, the student will be graded on a minimum number of unassisted designated examinations completed. For all examinations, the student will have discussed, practiced, performed, and tested the examination in the laboratory during a previous semester or during the concurrent semester. Students will perform a minimum of two (2) exams on actual patients without assistance before being allowed to “comp” for a grade. The Trajecsys system will not allow a competency to show up until at least 2 like exams have been performed and recorded into the log book by the student. Even after successful completion of the examination, it is at the evaluator’s discretion to complete the form for competency. The evaluator has the right and responsibility to suggest further practice before awarding competency status.

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Note: The assigned technologist cannot request that a student complete a competency evaluation. All clinical competency evaluations must be initiated by the student. The student must inform the Clinical Instructor/assigned technologist that he/she will be “comping” on the exam prior to retrieving the patient and/or seeing the patient. The student shall perform the procedure, have the clinical instructor/assigned technologist review images for accuracy. If the student meets the above criteria then he/she will ask the Clinical Instructor to fill out and submit the corresponding competency form in Trajecsys. The Clinical Competency is very important, and when used properly can give a measure of a student's ability to adequately produce diagnostic radiographs of a specific anatomical part(s). Utilizing the form, one can quickly identify a student's problem area(s). At the end of any given period of time, the program will have documented the student's ability to obtain various diagnostic radiographs. During a competency procedure, the student will be evaluated by the clinical instructor/assigned technologist in several categories. Each category is graded by checking off under the appropriate column as “yes” or “no”. There are no partial points given. The task was done correctly or it was not. Each column is assigned a particular number of points. The student will receive full credit for a “yes” and 0 credit for a “no”. The minimum score to pass a competency is 75%. The table below indicates the minimum scores that must be achieved on competencies per semester.

SEMESTER MINIMUM SCORE MINIMUM COMPS PER SEMESTER

CUMULATIVE TOTALS

1 75% 5 5

2 75% 7 12

3 75% 12 22

4 75% 14 34

5 75% 14 52 (37 mandatory + 15 electives)

The student should never “challenge” the Clinical Instructor’s grade on the competency exam. Should there be an issue regarding a grade, the student should discuss the issue with the Clinical Instructor in a fashion that is professional and non-confrontational. If the issue cannot be resolved, the student should then bring the issue to the Clinical Coordinator so that he/she may try to achieve a resolution. Should the student fail the entire competency examination, he/she must re-test on that procedure. The grade received on the re-test will be averaged with the first grade for one overall grade. Failure to complete competencies required before the last day of the semester will result in a zero for all missing competencies.

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CLINICAL EVALUATIONS

Evaluations are to be completed by the Clinical Instructor/Assigned technologist at the completion of the student's rotation, and will be calculated in the student’s clinical semester grade. The student must possess the skills required to work with other members of the health care team as well as patients while maintaining a positive attitude toward his/her education and job performance. This assessment is designed to help the student recognize whether he/she is developing or has developed these skills. As with the Competency Examinations, the student should not “challenge” the Clinical Instructor’s grade on the Clinical Evaluation. Should there be an issue regarding a grade, the student should discuss the issue with the Clinical Instructor in a fashion that is professional and non-confrontational. If the issue cannot be resolved, the student should then bring the issue to the Clinical Coordinator or the Program Coordinator so that he/she may try to achieve a resolution. **It is the students responsibility to ensure that the competency evaluation and progress evaluation are completed by the evaluator.

INTERVAL COMPETENCY EVALUATIONS

Once a student has successfully completed a required amount of competencies, he/she may be asked to perform, unassisted and unannounced, an Interval Competency Evaluation (progress check). This evaluation may be administered at any time during the semester by the Clinical or Program Staff. If the student fails an Interval Competency Evaluation, his/her initial competency will be voided and the student will be required to retake that initial competency. Grades obtained on Interval Competency exams will be calculated into the student's clinical grade for the semester in which the interval competency was performed.

CLINICAL EDUCATION GRADING

See course syllabus.

STUDENT PARTICIPATION LOG

Each student will record in Trajecsys every exam that he/she observed, assisted with, or performed. The clinical record of examinations will be used by the Clinical Coordinator to determine the quality and quantity of clinical experience the student is receiving. The ability to complete Clinical Competency Examinations is based on the documentation provided within the Log Book and therefore is essential to the student’s clinical participation. The Clinical Coordinator will check for the number of exams and the accuracy of the documentation. It is the student's responsibility to ensure that the records are accurate and up-to-date.

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Student Name: ________________________ Date Entered Program _____________

IMAGING PROCEDURE Mandatory or Elective

Date Completed

Patient or Simulated Score

Competency Verified By

CHEST and THORAX

Chest Routine M

Chest, AP (wheelchair or stretcher) M

Chest, Lateral Decubitus E

Ribs M

Sternum E

Upper Airway Larynx (Soft Tissue Neck) E

UPPER EXTREMITIES

Thumb or Finger M

Hand M

Wrist M

Forearm M

Elbow M

Humerus M

Shoulder M

Trauma: Shoulder (Scapular Y, TTL, or Axillary)* M

Clavicle M

Scapula E

Acromioclavicular Joints E

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Trauma: Upper Extremity (Non- shoulder)* M

LOWER EXTREMITIES

Toes E

Foot M

Ankle M

Tibia and Fibula/Lower Leg M

Knee M

Patella E

Femur M

Trauma: Lower Extremity* M

Os Calsis/Calcaneous E

Mandatory or Elective

Date Completed

Patient or Simulated Score


HEAD – Students must select at least one elective procedure from this section.

Facial Bones E

Nasal Bones E

Paranasal Sinuses E

Skull E

Orbits E

Zygomatic Arches E

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Mandible E

TMJ Temporomandibular Joint

E

SPINE AND PELVIS

Cervical Spine M

Cross Table (Horizontal beam) lateral spine M

Thoracic Spine M

Lumbar Spine M

Pelvis M

Hip M

Cross Table (Horizontal beam) Lateral Hip M

Scoliosis Series E

Sacrum/ and or coccyx E

Sacroiliac Joints E

ABDOMEN

Abdomen Supine (KUB) M

Abdomen Decubitus E

Abdomen Upright M

Intravenous Urography E

FLUOROSCOPY STUDIES Students must select either Upper GI or Barium Enema

Upper GI Series (Single or Double Contrast)

E

Barium Enema (Single or Double Contrast)

E

Small Bowel Series E

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Mandatory or Elective

Date Completed

Patient or Simulated

Score


Esophagus E

Cystography/Cystourethrography E

FLUOROSCOPY STUDIES (continued)

ERCP E

Myelography E

Arthrography E

Hysterosalpingography E

Mobile C-Arm Studies

C-Arm Procedure (Requiring Manipulation to obtain more than one projection) M

C-Arm Procedure (requiring manipulation around a sterile field) E

MOBILE STUDIES

Chest M

Abdomen M

Orthopedic M

PEDIATRICS (Age 6 and younger)

Chest Routine (2 – View) M

Upper Extremity E

Lower Extremity E

Abdomen E

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Mobile Study E

Geriatric Patient (Physically or Cognitively Impaired as a result of aging)

Chest Routine M

Upper Extremity M

Lower Extremity M

General Patient Care Requirement: Candidates must demonstrate competence in all six patient care activities listed below. The activities should be performed on patients.

General Patient Care Competencies Date Completed

Score: P/F

Competency Verified By:

CPR Certification

Vital Signs (BP, Pulse, Respiration, Temperature, Pulse Oximetry)

Venipuncture Competency

Care of patient medical equipment (O2 tank, IV tubing etc.)

Sterile and aseptic technique

Patient transfer *Trauma is considered a serious injury or shock to the body. Modifications may include variations in positioning, minimal movement of the body part, etc. Demonstration of competancy must include:

● patient identity verification ● examination order verification ● patient assessment ● room preparation ● patient management ● equipment operation ● technique selection ● patient positioning ● radiation safety

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● imaging processing ● image evaluation

CLINICAL COMPETENCY RECORD REQUIREMENT

● Students must demonstrate competence in all 37 procedures identified as

mandatory (M). ● Procedures should be performed on patients; (cannot be done on phantoms or

simulated). ● Required mandatory competencies may not be done on individuals other than

patients. ● Patient is defined as an individual who requires a radiographic procedure ordered

by a physician. ● Students must demonstrate competence in 15 of the 34 elective (E) procedures. ● Students must select one elective procedure from the head section. Two of the 15

electives imaging procedures must be selected from the fluoroscopy studies section, one of which must be either Upper GI or Barium Enema.

● Elective procedures should be performed on patients; (cannot be done on phantoms or simulated).

● Institutional protocol will determine the positions or projections used for each procedure.

● Demonstration of competence includes requisition evaluation, patient assessment, room preparation, patient management, equipment operation, technique selection, positioning skills, radiation safety, image processing, and image evaluation.

CLINICAL EDUCATION PERFORMANCE EXPECTATIONS

In order for the student to perform clinical practice at an acceptable degree of proficiency he/she must be able to perform each of the items listed.

PATIENT MANAGEMENT

Evaluation of the Requisition The student should:

● Correctly identify the patient. ● Determine the patients mode of transportation. ● Follow instructions as outlined by the requisition. ● Based on the requisition, the patient's chart, or verbal communication, determine: ● Patient’s name ● Appropriate radiographic procedure ● Special considerations indicated ● Possible contraindications ● Information affecting how the patient is to be handled or technical factors to be used ● Equipment to be used ● Completeness of information

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● Prior preparation of the patient as needed ● Discuss with the Clinical Instructor incomplete or unclear requisitions or patient

information. ● Consider the need for alternate positioning to accomplish the examination and offer

the least discomfort to the patient. ● Correctly mark (R, L, supine, erect, decub, etc) the radiograph.

PHYSICAL FACILITIES READINESS

The student should:

● Know the location of linen, bedpans, emesis basins, and emergency drugs (crash carts) in order to secure them when needed.

● Maintain a clean and organized radiology room by: o Folding and replacing linen supplies o Cleaning the radiology table and cassettes as needed o Dusting equipment at appropriate intervals o Checking daily supplies ● Prepare the room for the procedure before the patient enters the room. ● Check emergency drugs for quantity and possible chemical deterioration (check

expiration dates of all drugs).

PATIENT CARE

The student should: ● Respect each patients privacy and concerns. ● Treat each patient with dignity and respect. ● Correctly identify the patient for whom the radiologic procedure is requested. ● Transport the patient to and from radiology without injury to the patient or yourself. ● Explain the examination to the patient or a family member. ● Reassure the patient and answer any questions that the patient may have except

for the results of the exam performed. ● Draw implications from the patient information to allow the examination to be

conducted as efficiently as possible. ● Alert the radiologist to possible contraindications to the requested examination such

as: o Recent duplication of the examination o Effectiveness of patient preparation for the examination o Signs of distress, adverse or emergency ● Manipulate oxygen supply, catheters, or chest tubes with care to avoid disruption of

proper function. ● Never leave babies and small infants alone at any time. ● Assist as much as possible with patients who wait for long periods of time in the

radiology department (talk with them, check their needs, etc).

EQUIPMENT MANIPULATION AND TECHNICAL ADJUSTMENTS

The student should: ● Prepare the room before the patient enters.

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● Note any signs of equipment malfunction and report them immediately. ● If the procedure is a portable examination:

Safely transport the portable unit from the department to the patent's bedside and properly position the unit for the exam.

IMAGE EVALUATION

The student should: ● Perform a review of images for technical and diagnostic quality. ● Assess each image for:

● Correct labeling and dates ● Artifacts, proper markers and correct identification. ● Adequate gray scale/detail is present to provide the diagnostic quality

required for the examination. ● The anatomy and area of interest, or pathology are demonstrated

satisfactorily for diagnostic purposes. ● Ensure that anatomy of interest has not been omitted.

PROFESSIONALISM

The student should exhibit the following traits and characteristics. The identification and development of these traits are part of the clinical education component. Those that are most often expected from the radiographer are:

● Compassion - To demonstrate this trait, the student should: 1. Assist patients, allowing them as much comfort as possible. 2. Take care not to move the patient in any way that might be harmful, painful or needlessly uncomfortable. 3. Not leave those patients alone on the radiographic table that might

fall. 4. Assist patients who wait for long periods of time in the radiology

department (talking with them, checking on their needs, etc). ● Cooperation - To demonstrate this trait, the student should

1. Respect patients’ and personnel’s privacy and dignity. 2. Establish good rapport with other members of the health care team. 3. Accept guidance, suggestions, and constructive criticism without overt

resentment. 4. Exhibit pleasant and helpful behavior with patients and personnel. 5. Follow the rules and regulations of the clinical facility.

● Interest/preparation - To demonstrate these traits, the student should: 1. Be able to perform the radiographic procedures ordered. 2. Possess and use items required to perform the procedures 3. Have the motivation to learn and use alternative methods to perform

the procedures. ● Motivation - To demonstrate this trait, the student should:

1. Perform requested radiographic procedures without being asked or told to do so.

2. Practice skills previously learned to become proficient in them. 3. Ask for assistance in attempting new or complex procedures.

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4. Perform any tasks that are necessary for the efficient function of the radiology department.

● Dependability - To demonstrate this trait, the student should: 1. Be prompt in:

a. arriving at the clinical site early enough to ready your assigned area.

b. approaching radiographic assignments with energy and enthusiasm.

c. returning from breaks and meals at the designated times.

d. proceeding with assignments given and completing them within a reasonable amount of time.

2. Perform your tasks as assigned by the clinical site or at the direction of the clinical instructor and/or clinical staff.

3. Recognize and acknowledge limitations of knowledge and experience. 4. Be honest and truthful.

5. Show flexibility in schedules and breaks. ● Poise & Self-discipline - To demonstrate these traits, the student should:

1. Be pleasant to others even in adverse conditions. 2. Maintain composure in all situations. Never confront clinical staff,

especially in public. Disagreement and misunderstandings should be brought to the clinical coordinator or program director.

3. Exhibit adaptability in new or unusual situations. 4. Follow the rules of the clinical site and medical facility. 5. Exercise self discipline in performing all aspects of your duties. 6. Keep your mind on your responsibilities and follow them through until

the job is completed. 7. Accept criticism positively and benefit as a result.

● Maturity & Judgment - To demonstrate these traits, the student should: 1. Treat patients and others with respect and kindness.

2. Be discreet when discussing patients--do it where family and friends will not overhear.

3. Show the ability to be a responsible technologist that others can depend on.

● Neat Appearance - The student should: 1. Present a professional appearance at all times. 2. Follow the guidelines of the program dress code. 3. Practice good personal hygiene. 4. Refrain from drinking or eating in patient care areas-do this in

designated areas only.

SUMMARY

Clinical Education is an essential portion of your training. Topics presented in the classroom must be put to practical use during the clinical sessions. It is important that you be prompt, courteous, and aggressive in your clinical experiences. Do not be afraid to make mistakes. Just try not to make the same mistake twice! Don’t be afraid to ask questions. It’s always better to ask questions when you are not sure about something.

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Remember, it is your responsibility to make sure that all clinical evaluations and competencies are completed and submitted to the Clinical Coordinator on time. Any time you have a problem, you should first contact the clinical instructor then inform the Clinical Coordinator and/or Program Coordinator if needed.

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Policy Manual

ATTENDANCE POLICY

See course syllabi and College Student Handbook for absence and tardy allowances.

GRADING POLICY & ACADEMIC REQUIREMENTS FOR RAD

The grading system for the Medical Radiologic Technology program is as follows: 93-100 A 84-92 B 75-83 C Below 75 F Program advancement requires students to complete courses in sequence. Any deviation from the established course sequence may cause a disruption in program completion. Students must pass all RAD courses with a minimum grade of 75%. Failure of one(1) or more courses during the five (5) semester program will lead to dismissal from the program. At any time during the program if the student recognizes that he/she does not wish to continue with the program, the student should complete an official withdrawal form located on the Trenholm State Web page.

UNSATISFACTORY PERFORMANCE VIOLATION POLICY

Students who violate program policies will receive an unsatisfactory performance violation. Two (2) Unsatisfactory Performance violations will result in a report to the College’s disciplinary committee. Unsatisfactory behavior includes, but is not limited to: failure to follow clinical rules; leaving an assigned area without permission; violation of uniform policies; disrespectful behavior towards classmates, program staff and/or clinical staff; a complaint issued by any member of the clinical staff; insubordination; etc.

NAME BADGES POLICY

Students who report to school or clinical without their I.D. /name badge will receive a written warning for the first occurrence. Subsequent occurrences will result in an unsatisfactory performance violation.

DRESS CODE POLICY

A student entering the profession of medical radiologic technology must understand that they are entering a field of medicine that requires certain professional standards. Professional dress, appearance, and modes of communication must be of certain

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standards in order to maintain the confidence and care of the patient. Patients under the care of a radiographer present themselves in all ages, cultures and various ethnic origins; therefore trendy modes of dress and appearance are not allowed. Each individual must take responsibility for his/her appearance at all times. Students will follow the dress code outlined below: 1. Each student will be required to purchase uniforms representing the medical

radiologic technology program. Uniforms should be clean, neatly pressed, fit appropriately and worn at all times during school assignments (this includes class days). The only exception to this rule is during final exams. Name badges must be worn at all times in the clinical education centers.

2. Excessive jewelry, make-up, or strong scents will not be permitted. a. Stud earrings only.

b. Males are prohibited from wearing earrings. c. No visible rings, tattoos, or body piercing jewelry allowed. 3. Fingernails should be clean and neatly trimmed. Females may wear nail polish but it must be clear in color. No artificial nails or long nails are allowed. Long nails not only offer a place for bacteria to collect, but may also scratch and injure a patient. 4. Hair must always be clean, neatly-styled, and pulled up if hair touches the

shoulders. Styles and color should be conservative. A male student’s hair should be neatly trimmed and if longer than his shirt collar, pulled back. Beards and mustaches should be neatly trimmed.

5. All students must practice good personal hygiene. Students will be working closely with personnel and patients during their clinical assignments therefore it is of the utmost importance that each student make a conscious effort to keep his/her breath and body free of offensive odors.

6. Athletic type shoes (Nike, Reebok, etc.) may be worn, but must be white or black. White clogs or nursing shoes may be worn.

7. T-shirts worn underneath uniforms must be all white with no logos or writing that will show through the uniform.

8. Lab jacket: (Optional) The lab jacket must be white. No fleece type jackets can be worn.

RADIATION MONITORING DEVICE POLICY

A personal radiation monitoring device must be worn on the collar of the students' uniform at all times while in the clinical education facility. It is the responsibility of the student to exchange monitors on the class day closest to the 1st day of each month. All radiation monitoring devices must be exchanged with the clinical coordinator. All lost dosimeters will be replaced at the expense of the student.

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CLASSROOM BEHAVIOR POLICY

In order to acquire the knowledge and skills necessary to become proficient in the profession of Radiologic Technology, the student must pay strict attention to the instructor during all lecture and lab sessions. This requires good listening skills and participation by asking questions and offering appropriate comments related to the subject matter. Failure to follow these guidelines may result in disciplinary action. Examples include but are not limited to: Type 1 offenses:

● Not paying attention ● Sleeping ● Cell phone usage ● Talking ● Performing tasks unrelated to lesson or lab being taught

1. Upon the first offense, the student will receive a verbal warning and will be dismissed from class. 2. Upon the second offense, the student will be issued an Unsatisfactory Performance Violation. Type 2 offenses:

● Disrespectful behavior or attitude towards an instructor ● Disrespectful behavior or attitude towards classmates ● Academic dishonesty ● Mishandling college property ● Violation of smoking/tobacco policy

1. Upon the first offense, the student will receive a written warning and will be dismissed from class. 2. Upon the second offense, the student will be dismissed from class and will be issued an Unsatisfactory Performance Violation.

CLINICAL BEHAVIOR POLICY

All students must exhibit an attitude of maturity, integrity, professionalism and responsibility toward clinical experiences. The radiologic technology clinical education sites expect students to: attend regularly, be punctual, and work with initiative and enthusiasm. Students must exhibit high standards of behavior at all times. Students will be expected to use good judgment in their actions and conversations with others. Each clinical education center has granted students of this College the privilege of learning in their facility. As

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such, students are expected to demonstrate professional behavior at all times. Each student is responsible for his/her own actions, and must abide by the facilities protocols, policies, rules, and regulations. Please remember that while at clinical assignments, students are representatives of the program, the profession, and Trenholm State. Failure to follow these guidelines may result in disciplinary action. Examples include but are not limited to: Type 1 offenses:

● Not paying attention ● Sleeping ● Not being in assigned area ● Not participating in assigned area (Ex: sitting while exams are being performed) ● Performing classroom assignments/Studying during clinical time ● Out of uniform (including shoes) and/or uniform not clean and free of wrinkles ● No lead markers available ● No name/ID badge ● Violation of smoking/tobacco policy

1. Upon the first offense, the student will receive a written warning. 2. Upon the second offense, the student will be issued an Unsatisfactory Performance

Violation.

Type 2 offenses:

● Cell phone usage ● Disrespectful behavior or attitude towards staff, patients, visitors, etc. ● Confrontational behavior or demeanor

1. Upon the first offense, the student will receive an Unsatisfactory Performance Violation 2. Upon the second offense, the student will be referred to the college disciplinary committee. Type 3 offenses:

● Dismissal/Termination from a clinical site ● Physical altercation in the clinical site ● Verbal or physical threat ● Positive alcohol or drug screen

1. Upon the first offense, the student will be referred to the college disciplinary committee.

ETHICAL BEHAVIOR POLICY

https://www.arrt.org/pdfs/governing-documents/standards-of-ethics.pdf


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https://www.asrt.org/docs/default-source/practice-standards/codeofethics.pdf

TRANSPORTATION and PARKING POLICY

Each student is responsible for providing his/her own transportation to attend clinical assignments and didactic courses. Trenholm State and/or any clinical affiliate is not responsible for any incident or resultant injuries which may occur during travel to and from the campus or clinical education sites. Each student is to follow the parking policies of the college and clinical education centers to which that student is assigned. In addition, please see Trenholm Student Handbook.

SMOKING & TOBACCO PRODUCTS POLICY

Students will observe the smoking and smokeless tobacco or vapor rules of the assigned clinical sites and the College. Most facilities have a smoke free campus (to include parking lots). Smokeless tobacco products may not be used in or around the classroom or clinics. In addition, please see Trenholm Student Handbook.

ALCOHOLIC BEVERAGES/DRUG USE POLICY

Random drug screenings will be performed throughout the program. Failure to report or a positive finding will result in immediate suspension pending verdict of the disciplinary committee. At such time, the program will recommend to the disciplinary committee that the student be withdrawn from all program courses. Until a verdict is rendered by the committee, the student will be unable to participate in any coursework. Should the committee rule to allow the student to progress, all coursework and assignments will be allowed makeup. In the event that a sample is diluted or inconclusive, a repeat test will be done at the student’s expense. Should the student smell or appear to be under the influence of drugs/alcohol, the program faculty should be notified. The student will be sent home, an unsatisfactory performance evaluation will be given, and the student will be reported to the disciplinary committee. See College Handbook for additional information.

WEAPONS POLICY

Students are forbidden to bring firearms, knives, or other weapons to the school or to any health care facility. A student who violates this policy or engages in violence of any type while at the school or the health care facility will be reported to the disciplinary committe. See College Handbook for additional information.

https://www.asrt.org/docs/default-source/practice-standards/codeofethics.pdf

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HIPAA – HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996

Title II of the Health Insurance Portability and Accountability Act of 1996 requires the protection of all individually identifiable health information. This protected health information must be kept confidential whether electronic, paper, or oral. Due to the seriousness of this policy HIPAA violations will be considered a severe offense and therefore the consequences will be severe.

CONFIDENTIALITY/ HIPAA

All patient/client information is confidential. Protecting patient confidentiality is the law. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 came into effect in April 2003. Noncompliance can result in monetary, civil and criminal penalties. The Medical Radiology Technology Program at Trenholm State takes HIPAA violations very seriously. In order to help preserve patient confidentiality, levels of HIPAA violations have been developed and will be strictly enforced for every student that is enrolled in the Medical Radiologic Technology Program at Trenholm State. This policy consists of 3 levels of violations with repercussions outlined in each level. LEVEL 1: Constitutes an act of negligence. Examples of a level one violation include but are not limited to:

● Leaving patient information unattended. ● Turning in assignments with a patients name attached. ● Sharing passwords with other classmates. ● Not signing off of a computer in the clinical setting.

The Level 1 violation will result in a student being given an Unsatisfactory Performance and counseling by instructor. A Level one violation carries over to subsequent semesters. LEVEL 2: Repeat violation of a level one incident within the same semester or subsequent (does not have to be the same incident) will result in a level two violation. Examples of a level 2 violation include but are not limited to:

● Unauthorized access to patient records. ● The discussing of Patients, Patients family and or visitors information with others

not involved in the patients care. ● Discussing Patient, Patient’s family and or visitors information on social media sites. ● Discussing of Patients, Patients family and or visitor’s information where as others

not involved in the direct care of the patient may overhear your conversation. ● Sharing/Discussing the identity of a Patient, Patients family and or visitors outside of

the clinical setting, even if not discussing information regarding their care.

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The level 2 violation will result in the student referall to the disciplinary committee. If dismissed, the student will have to go through the application process for possible re-admission to the program. This offense will stay in the student’s permanent file. If readmitted to the program, any further violation of the HIPAA policy will automatically move the student to a Level 3 violation. LEVEL 3: Additional violation of the Confidentiality/ HIPAA policy after already receiving a Level 2 violation or a malicious offense used to cause harm to a person, or used for personal gain. The level 3 violation will result in student referral to the disciplinary committee. If dismissed, the student will not have the option of returning to the program. The following are some general guidelines for students regarding HIPAA compliance

● Students should not discuss patient/client information with anyone except for clinical personnel and those in the Medical Radiologic Technology Program program who are involved in your education and adhere to the same confidentiality (e.g., faculty, graduate colleagues).

● Client records should never leave the clinical agency. ● Students should never save patient/client sensitive information (with identifying

information) on their computers. ● E-mail correspondence with faculty should also be treated confidentially and

identifying information about patients/clients should not be included. ● All documentation related to clinical clients must be treated as a legal document and

confidentiality respected and maintained. ● Client names should not be included in clinical paperwork, case presentations, or on

notes. ● Photocopying of client records is NOT permitted in any clinical setting. ● Records should not have client’s names or initials when turned in for clinical

paperwork. ● Students should NEVER discuss ANY information, no matter how insignificant it

may seem, on any ● social media site. ● All violations of the confidentiality/ HIPAA will remain active for the duration of the

program.

SEVERE WEATHER POLICY

See College Handbook.

STRANGERS and THEFT POLICY

Proper handling of difficult persons is important. In all cases, make the situation known to your instructor or supervising radiographer and seek immediate assistance, when possible, from qualified health care facility. All students should be watchful for unauthorized persons loitering in or around the facility. Students should promptly report the presence of suspicious persons to appropriate supervisors, security, or administration.

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Cooperation of all employees and students is imperative to minimize the problem of theft. Be certain that supplies and equipment are stored in approved areas and that maximum security measures are observed. Do not bring excessive amounts of money or valuables with you to the clinical site or classroom. The school and/or the health care facility cannot be responsible for the loss or theft of personal items. Theft by students is cause for immediate dismissal from the program.

CELL PHONES and PERSONAL PAGERS POLICY

The use of cellular phones will not be allowed in the classroom or clinical education centers. They must be turned off during lectures and clinical assignments. Any student found using a cellular phone during a lecture or clinical assignment will receive an unsatisfactory performance. Cell phone use and/or possession of a cell phone in the clinical facility will not be tolerated. Upon the 2nd offense of a cell phone in the clinical facility, the student will be reported to the disciplinary committee. Students should instruct relatives and friends not to contact them by telephone at the clinical education centers, except in an emergency situation. Students are prohibited to use the telephone for personal calls except in emergency situations.

STUDENT WITHDRAWAL POLICY

Students wishing to withdraw from the program should notify the Program Coordinator in writing. See College Academic Policies and Regulations.

READMISSION POLICY

Students who interrupt the progression in the Radiography Program must apply for re-admission to the Program. A student who fails to progress during the first semester of the program must reapply for acceptance as a new student. Students failing to progress after/during the second, third, and remaining semesters must submit a re-admission request no later than mid-term of the term prior to a planned re-entry. The program may provide the student a plan for re-admission based on clinical availability. The student may be considered for re-admission only once. Re-admission requires:

1. A 2.5 cumulative GPA in all course work. 2. That no longer than 33 months may elapse from initial admission term to date of graduation. 3. All students who are readmitted must prove competency in all previous clinical coursework as prescribed by the Program and successfully complete all RAD course in which an “F” was received.

a. Proof of competency is demonstrated by exam. The comprehensive exam will be designed by program faculty.

c. The comprehensive exam will cover all previous courses completed at the point of re-entry. d. Any course not repeated during the semester of re-entry will also be added to that semester’s comprehensive exam.

4. Ability to meet and comply with standards and policies in the current College

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Catalog and Student/Clinical Handbook. 5. Students who have been dismissed from one clinical facility are ineligible for re-admission. 6. Any student dismissed for disciplinary reasons from the College/Program will not be considered for re-admission.

Any student that does not complete the program for any reason must reapply.

STUDENT EMPLOYMENT POLICY

Employment of any student, currently enrolled in the Radiology Program at Trenholm State shall be voluntary, the responsibility of the student, and extraneous to the Radiology Program. The medical radiography program does not assume liability for the students’ actions in their capacity as employees of any institution; nor will program faculty become involved in student employment issues. If a student is employed by a clinical affiliate or other employer, the employment may not interfere with the educational program. Students who are employed must exercise proper judgment concerning the number of hours worked each week, to prevent jeopardizing their scholastic or clinical standing. 1. Radiology examinations performed during employment hours may not be

substituted for satisfying clinical education competencies. 2. Students who wish to work in a Radiology department would be advised to do so

after a twelve (12) month period, in which the student has met required competencies.

STUDENT SUPERVISION POLICY

The clinical education center has a Clinical Instructor responsible for the supervision, instruction, counseling, and evaluation of assigned students. The Clinical Instructor (a qualified technologist, RT(R)) will supervise the students in the clinical education centers at all times. Supervision of students may be direct or indirect. The type of supervision required is determined by the student’s level of training and documented clinical experience. Direct and Indirect supervision are defined as follows: Direct Supervision – The supervising technologist is present in the radiology room when the student is performing an examination. The supervising technologist is responsible for assisting the student and assuring proper procedures are followed. The student shall perform the procedure, have the clinical instructor review behind them for accuracy, complete the exam, have them evaluated by the Clinical Instructor, and then submit the exam to the Radiologist. Under no circumstances should the student present an exam in the reading room or by phone without the presence of a staff radiographer. Portable and surgery exams will be performed under direct supervision at all times. Students are not allowed to perform mobile radiography without a qualified technologist to supervise. Indirect Supervision – The student performs examinations without the presence of a technologist in the radiology room. This type of supervision requires that a qualified technologist be immediately available to assist the student if necessary. Only those students that have proven competency in the exam will be allowed indirect supervision.

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Regardless of the competency level of the student, prior to the images being read, and prior to the patient's dismissal, the student must have someone review behind them in order to ensure accuracy. The student shall perform the procedure, have the clinical instructor review behind them for accuracy, process the images, have them evaluated by the Clinical Instructor, and submit the exam to the Radiologist to be read. Under no circumstances should the student present an exam in the reading room or over the phone without the presence of a staff technologist.

CLINICAL EDUCATION ASSIGNMENT POLICY

The Clinical Coordinator will oversee the following activities: 1. Daily assignment of students to a clinical education site, attendance,

and clinical evaluations for each student. 2. Assignment of the student to a room/radiographer in the clinical education center is

the responsibility of the Clinical Instructor. The length of assignment to a room or area will be determined by the Clinical Instructor and the student’s competency level in that area. Student room or radiographer’s assignments will be based on the following:

a. Student’s present documented clinical experience and competency level. b. Student’s clinical education needs. 3. Changes in the clinical schedule may be done for the benefit of the student’s clinical

education progress. This must be approved by the Program Coordinator and/or Clinical Coordinator.

CLINICAL INSTRUCTOR POLICY

The clinical instructors will oversee the following activities: 1. Daily attendance and clinical evaluation for each student. 2. Instruction and guidance in the hands on setting.

3. Assignment of the student to a technologist in the clinical education center.

COMPENSATORY LEAVE POLICY

Comp time will be granted to students in the following instances: Working past normal duty hours equal to or beyond 15 minutes, with approval from the Clinical Instructor. Students are not allowed to arrive more than 10 minutes early to an assigned clinical site except under preapproved circumstances. Comp time will only be issued for hours accrued past the designated time.

STUDENT RECORDS POLICY

Please see the College Student Handbook.

PROGRAM DISCIPLINARY ACTIONS & STUDENT APPEALS PROCEDURE POLICY

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Please see the College Student Handbook.

STUDENT ADVISORY COMMITTEE POLICY

Each class is expected to elect a representative (President) who will participate in Advisory Committee meetings as a class representative. Any student desiring to bring a matter to the attention of the committee may present his/her concerns in written form to the representative and/or the Program Coordinator at any time.

ELECTRICAL EQUIPMENT POLICY

Students are cautioned to exercise special care in the use of electrical equipment, utilizing grounding devices as instructed. Extreme caution is to be observed while using electrical devices around patients or close to plumbing fixtures or moist/damp areas. Under no circumstances are students to tamper with or attempt to adjust or correct electrical wiring or equipment. Immediately report all defects to the appropriate supervisor or instructor.

FIRE SAFETY POLICY

Students are to acquaint themselves with the specific fire safety policies of the college and facility to which they are assigned. Students should learn the locations and types of fire extinguishers available in the areas which they will be working. In general, steps taken in case of fire should progress as follows: 1. Remove anyone from immediate danger and activate the fire alarm if immediately in

site. 2. Close off area of fire by shutting windows and doors in the immediate area of the

fire. 3. Extinguish and contain the fire, if possible. 4. Assist other personnel in removing other patients or visitors if they are in danger of

fire or smoke. 5. Assist other personnel in closing all doors and windows in the vicinity of the fire and

clearing hallways. 6. Use nearest exit from the building and wait for all clear from the fire department

before re-entering the facility.

BOMB THREAT POLICY

Keep person on the line and get as much information as possible. Listen for background noise and remain calm. After hanging up, call 911. Evacuate immediately. Do not re-enter the facility until all clear is given by proper authority.

ACCIDENTS OR INCIDENTS INVOLVING THE STUDENT AT THE CLINICAL SITE POLICY

1. Immediately report all incidents and/or injuries and accidents to the Clinical Instructor so

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that proper care can be given. 2. If able, the student should notify the Clinical Coordinator and/or the Program Coordinator concerning the nature of the problem. 3. The appropriate incident report forms should be filed. 4. Each student must have medical insurance and or have signed a health insurance waiver. ACCIDENTS OR INCIDENTS INVOLVING A PATIENT AT THE CLINICAL

SITE POLICY

1. An accident or incident must be reported immediately to the clinical instructor. 2. The student should notify the Clinical coordinator and/or the Program Coordinator concerning the nature of the problem. 3. The hospital policy for the accident or incident must be followed. 4. An incident report should be completed and forwarded to the clinical coordinator and/or the program coordinator.

INFECTIOUS DISEASES POLICY

CENTERS OF DISEASE CONTROL (CDC) The following guidelines will be followed by all students enrolled in the Radiology Program at Trenholm State Technical College. It is vital that students be aware of the importance of preventing the spread of infectious diseases. Students come in contact with patients that will either be a carrier of an infectious disease or be susceptible to acquiring an infectious disease. The student must keep in mind that our goal is to help our patients, not complicate their illnesses. If a student should contract an infectious disease, notify the Program Coordinator as necessary precautions will need to be taken.

STANDARD PRECAUTIONS POLICY

Students should follow the universal/standard precautions, recommended by the Centers for Disease Control and Prevention (CDC), in handling any fluid that might contain blood or other body fluids. Universal/Standard Precautions require treating all blood and fluids that may contain blood or blood products as potentially infectious.

● Gloves should be worn whenever exposure to the following is planned or anticipated; blood/blood products/body fluids with visible blood, excretions, secretions, urine, feces, saliva, mucous membranes, wound drainage, drainage tubes, non-intact skin, amniotic, cerebral spinal, pericardial, pleural, peritoneal, synovial fluids.

● Masks and eyewear (or face shields) should be worn during procedures that are likely to generate droplets/splashing of blood/body fluids. This will protect the mucous membranes of the eyes, nose and mouth.

● Gowns/fluid resistant aprons should be worn when there is potential for soiling clothing with blood/body fluids.

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● Proper hand washing can help to prevent the transmission of microorganisms. ● Safety engineered sharps should be used, and used sharps should be placed in an

appropriately labeled puncture resistant container. ● Soiled linen should be handled as little as possible. Gloves should be worn to

handle linen wet with blood or body fluids. ● Waste should be handled as though all body fluids are infectious. Potentially

contaminated articles are store ● Bio hazardous waste should be red bagged. Foot operated trash containers are

located in all exam rooms and should be lined with red bio hazard bags. Bio hazardous waste should be placed in bio hazardous waste bags and placed in the infectious waste collecting barrels located in soiled utility areas.

● All patient care equipment soiled with blood, body fluids, secretions, or excretions shall be handled in a manner which will prevent skin and mucous membrane exposures. Single use, disposable items must be disposed of properly.

● Make sure reusable equipment has been cleaned and reprocessed appropriately prior to subsequent use.

● Never recap needles. Place all contaminated needles, syringes, scalpel blades and other sharp items in designated puncture resistant containers.

● Personal Protective Equipment (PPE) is provided to all employees. Each student is responsible for knowing where the equipment is kept in the department.

● The type of protective barrier(s) should be appropriate for the procedure performed and the type of exposure anticipated. PPE available includes gloves, gowns or aprons, masks and eye protection (or face shields), and resuscitation devices. and disposed of in appropriate containers.

HEALTH INSURANCE WAIVER POLICY

Students release the College or Clinical Facility from any liability while in transit to, while attending, or returning from participation in any activity which is part of and a requirement of the student(s) curriculum. Clinical affiliates may provide emergency treatment for injuries or illness of students, while in the Clinical Facility engaged in the teaching-learning experiences, with said treatment being the financial responsibility of the individual receiving treatment unless treatment is the result of a negligent or willful act or omission of the Clinical Facility or its employees. Said injury or illness will be reported to the College.

CODE OF ETHICS FOR THE PROFESSION OF MEDICAL RADIOLOGY TECHNOLOLGIST POLICY

Last Revised: September 1, 2015 Published: September 1, 2015

PREAMBLE


PURPOSE


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CODE OF ETHICS


RULES OF ETHICS





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Trenholm State Community College

Medical Radiologic Technology Program Pregnancy Policy

It is the policy of the Medical Radiologic Technology Program to keep individual exposure to ionizing radiation to the absolute minimum, especially during pregnancy. Should a student become pregnant during her progression through the program, she may voluntarily inform the Program faculty, in writing, of her pregnancy and the estimated date of delivery. In the absence of this voluntary written disclosure, a student cannot be considered pregnant. If the student does voluntarily inform the program faculty of her pregnancy, the student is a declared preganant student and the following guideline will be in effect:

1. The program coordinator and clinical coordinator will discuss with the student factors to be considered in cases of pregnancy based of NCRP Report # 116 “Exposure Limitations to Ionizing Radiation” and Nuclear Regulatory Communission regualtions regarding the declarred pregnant worker/student.

2. The student is offered the following alternatives after consultation with the program and clinical coordinators.

a. Immediate withdrawal, in good standing, from the program. The student may apply for readmission to the program according to the Radiologic Technology Readmission Policy outline in this handbook.

b. Continuation in the program, after being given specific instruction regarding radiation safety practices and additional radiation monitoring.

3. Should the student choose to remain enrolled in the program, the following requirements must be met:

a. The student must bring a monthly report from her physician stating that she is physically fit to continue in the Radiologic Technology Program. The first report from her physician must include a projected delivery date.

b. The student will be issued a second radiation dosimeter to be worn at the waist level.

c. The radiation exposure received by the unborn child, as measured by the waist dosimeter, will not exceed the recommended dose limit of 50 mrem (0.5 mSv) monthly or 0.5 rem (5 mSv) for the entire gestation period.

After carefully reading and understanding the above pregnancy options under section 2, I choose option ___________ and agree to abide by the requiements of this option as indicated by my signature below. I understand that, at any time during my pregnancy, I may withdraw my disclosure of pregnancy by submitting such in writing to the Program Coordinator. ________________________________________ _________________________ Student Signature Date ________________________________________

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Printed Name

Declared Pregnant Student Form

I, __________________________________, wish to declare that I am pregnant. My estimated date of delivery is ____________________________. In making this declaration, I wish to be afforded the protection which is specified in accordance with the Alabama State Board of Health, Office of Radiation Control Chapter 420-3-26-03 (I3)(a) specifically that the unborn child shall not receive an excess of 50 mrem (0.5 mSv) monthly dose limit or 500 mrem (5 mSv) during the term of the pregnancy. I also understand that i must consult with my physician and provide a monthly report from my physician stating I am physically fit to continue in the Radiologic Technology Program. ________________________________________ __________________________ Signature of Student Date Receipt of Declaration Acknowledged: ________________________________________ Signature of Program Faculty

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Medical Radiology Technology

Course Curriculum Course # Course Cr. Hrs. Fall Semester (1st year) *MTH 100 Intermediate Algebra 3 *BIO 201 Anatomy & Physiology I 4 ORI 101 College Orientation 1 RAD 111 Intro to Radiography 2 RAD 112 Radiographic Procedures I 4 RAD 113 Patient Care 2 RAD 114 Clinical Education I 2 Total 18 Spring Semester (1" Year) *BIO 202 Anatomy & Physiology II 4 RAD 122 Radiographic Procedures II 4 RAD 124 Clinical Education II 5 RA D 125 Imaging Equipment 3 Total 16 Summer Semester (1st Year) *ENG 101 English Composition I 3 RAD 134 Clinical Education III 5 RAD 135 Exposure Principles 3 RAD 1 36 Radiation Protection & Biology 2 Total 13 Fall Semester (2nd Year) SPB 107 Public Speaking or SPH 106 Fund. Oral Comm. 3 PSY 200 General Psychology 3 RAD 212 Image Eva!. & Pathology 2 RAD 214 Clinical Education IV 8 Total 16 Spring Semester (2nd Year) Humanities Elective 3 RAD 224 Clinical Education V 8 RAD 227 Review Seminar 2 Total 13 Total Credit Hours 76

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Radiology Course Descriptions

RAD 111 Introduction to Radiography This course provides students with an overview of radiography and its role in health care delivery. Topics include the history of radiology, professional organizations, legal and ethical issues, health care delivery systems, introduction to radiation protection, and medical terminology. Upon completion students will demonstrate foundational knowledge of radiologic science. RAD 112 Radiographic Procedures I This course provides students with instruction in anatomy and positioning of the Chest and Thorax, Upper and Lower Extremities, and Abdomen. Theory and laboratory exercises will cover radiographic positions and procedures. Upon completion of the course students will demonstrate knowledge of anatomy and positioning skills, oral communication and critical thinking in both the didactic and laboratory settings. RAD 113 Patient Care This course provides students with concepts of patient care and pharmacology and cultural diversity. Emphasis in theory and lab is placed on assessment and considerations of physical and psychological conditions, routine and emergency. Upon completion, students will demonstrate / explain patient care procedures appropriate to routine and emergency situations. RAD 114 Clinical Education I This course provides students with the opportunity to correlate instruction with applications in the clinical setting. The student will be under the direct supervision of a qualified practitioner. Emphasis is on clinical orientation, equipment, procedures, and department policies. Upon completion of the course, students will demonstrate practical applications of specific radiographic procedures identified in RAD 112. RAD 122 Radiographic Procedures II This course provides students with instruction in anatomy and positioning of spine, cranium, body systems and special procedures. Theory and laboratory exercises will cover radiographic positions and procedures with applicable contrast media administration. Upon completion of the course students will demonstrate knowledge of anatomy and positioning skills, oral communication and critical thinking in both the didactic and laboratory settings. RAD 125 Imaging Equipment This course provides students with knowledge of basic physics and the fundamentals of imaging equipment. Topics include information on x-ray production, beam characteristics, units of measurements, and other imaging equipment components. Upon completion, students will be able to identify imaging equipment as well as provide a basic explanation of the principles associated with image production. RAD 124 Clinical Education II

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This course provides students with the opportunity to correlate previous instruction with applications in the clinical setting. Students will be under the direct supervision of a qualified practitioner. Practical experience in a clinical setting enables students to apply theory presented thus far and to practice radiographic equipment manipulation, radiographic exposure, routine radiographic positioning, identification, and patient care techniques. Upon completion of the course, students will demonstrate practical applications of radiographic procedures presented in current and previous courses. RAD 135 Exposure Principles This course provides students with the knowledge of factors that govern and influence the production of radiographic images and assuring consistency in the production of quality images. Topics include factors that influence density, contrast and radiographic quality as well as quality assurance, image receptors, intensifying screens, processing procedures, artifacts, and state and federal regulations. Upon completion students will demonstrate knowledge of radiographic imaging processing, quality assurance, and explain factors that influence the production of radiographic images. RAD 136 Radiation Protection and Radiobiology This course provides students with principles of radiation protection and biology. Topics include radiation protection responsibility of the radiographer to patients, personnel and the public, principles of cell radiation interaction, and factors affecting cell response. Upon completion students will demonstrate knowledge of radiation protection practices and fundamentals of radiation biology. RAD 134 Clinical Education III This course provides students with the opportunity to correlate previous instruction with applications in the clinical setting. Students will be under the direct supervision of a qualified practitioner. Practical experience in a clinical setting enables students to apply theory presented thus far and to practice radiographic equipment manipulation, radiographic exposure, routine radiographic positioning, identification, and patient care techniques. Upon completion of the course, students will demonstrate practical applications of radiographic procedures presented in current and previous courses. RAD 212 Image Evaluation and Pathology This course provides a basic understanding of the concepts of disease and provides the knowledge to evaluate image quality. Topics include evaluation criteria, anatomy demonstration and image quality with emphasis placed on a body system approach to pathology. Upon completion students will identify radiographic manifestations of disease and the disease process. Students will evaluate images in the classroom, laboratory and clinical settings. RAD 214 Clinical Education IV This course provides students with the opportunity to correlate previous instruction with applications in the clinical setting. Students will be under the direct supervision of a qualified practitioner. Practical experience in a clinical setting enables students to apply theory presented thus far and to practice radiographic equipment manipulation,

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radiographic exposure, routine radiographic positioning, identification, and patient care techniques. Principles of computed tomography and cross sectional anatomy will be presented. Upon completion of the course, students will demonstrate practical applications of radiographic procedures presented in current and previous courses. RAD 227 Review Seminar This course provides a consolidated and intensive review of the basic areas of expertise needed by the entry level technologist. Topics include basic review of all content areas, test taking techniques and job seeking skills. Upon completion the student will be able to pass comprehensive tests of topics covered in the Radiologic Technology Program. RAD 224 Clinical Education V This course provides students with the opportunity to correlate previous instruction with applications in the clinical setting. Students will be under the direct supervision of a qualified practitioner. Practical experience in a clinical setting enables students to apply theory presented thus far and to practice radiographic equipment manipulation, radiographic exposure, routine radiographic positioning, identification, and patient care techniques. Principles of other imaging modalities will be presented. Upon completion of the course, students will demonstrate practical applications of radiographic procedures presented in current and previous courses

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Trenholm State Community College Medical Radiologic Technology Program

Student Clinical Rotation Contract Student Name: ______________________ Student Number: ____________________ I understand that the primary objective of the Radiologic Technology Program at Trenholm State Technical College is to prepare students to perform competently as safe, professional Radiologic Technologist. In order to achieve this objective, it is necessary that each student complete hours of clinical experience in a health care facility. Such experience is educational in nature and is designed to develop each student’s professional skills in order that, upon graduation, each student may demonstrate entry-level competence. As a condition of enrolling in the Medical Radiologic Technology Program and subsequently participating in clinical experiences at all clinical affiliates, I understand: 1) I am a student at the college, enrolled in a clinical course requiring my presence at a health care facility; 2) I am not an employee of the institution or of the health care facility as it relates to my clinical participation; 3) I am not expecting and will not receive compensation for participating in the clinical course from either the institution or the health care facility; 4) I am not guaranteed employment at the health care facility as a result of participation in the clinical course. 5) My participation is entirely educational and I will engage in no activities that will entitle me to compensation from either the healthcare facility or the College. ______________________________ _________________________________ Student Signature Clinical Coordinator/Radiology Program ______________________________ _________________________________ Date Date

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Radiation Overexposure Questionnaire Student Name: ______________________ Monitoring Period: ___________________ Clinical Site: ________________________ Exposure Reading: ___________________ 1. Was the dosimeter placed or stored near ionizing radiation? ð no ð yes If yes, please describe:_________________________________________ 2. Were you accidentally exposed to ionizing radiation? ð no ð yes If yes, please describe: ________________________________________ 3. Did you hold a patient during an x-ray exposure? ð no ð yes If yes, please describe: ________________________________________ 4. Did your clinical rotation during this monitoring period include a high number of fluoroscopy procedures (including c-arm)? ð no ð yes If yes, please describe: ________________________________________ 5. Did your clinical rotation during this monitoring period include a high number of mobile procedures? ð no ð yes If yes, please describe: ________________________________________ 6. Other than those listed questions 4 & 5 were you involved in any procedures requiring a high exposure to ionizing radiation? ð no ð yes If yes, please describe: ________________________________________ 7. Were there any unusual incidents or is there any additional information which would help explain your dose (e.g., carrying your dosimeter through security checkpoints at an airport or federal courthouse, etc.) ð no ð yes If yes, please describe: ________________________________________ Student Signature: __________________________________ Date: ________________

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Trenholm State Technical College


Overexposure Notification to Clinical Site

Student Name: ________________________ Monitoring Period: ___________________ Clinical Site: __________________________ Exposure Reading: ___________________ Overexposure Questionnaire completed: ð no Comment: _________________________________________________________ ð yes Findings: __________________________________________________________

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Trenholm State Technical College


Overexposure Report

Student Name: ________________________ Monitoring Period: ___________________ Clinical Site: __________________________ Exposure Reading: ___________________ Overexposure Questionnaire completed: ð no Comment: ______________________________________________________________ ð yes Findings: _______________________________________________________________ Overexposure Notification sent to clinical site: ð no Comment: ______________________________________________________________ ð yes Findings: _______________________________________________________________ Action: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Follow-Up Needed: ð no ð yes Follow-up Action: ________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Student Signature: _____________________________ Date: ______________________

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RSO Signature: _______________________________ Date: ______________________

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Infectious Disease PolicyAcknowledgement Form

The Medical Radiologic Technology Program has set the following as an infectious disease policy. All students must complete a medical form prior to admission into the Program. The form includes information about infectious diseases. In the event that a student contracts an infectious disease while enrolled in the Program, the student must notify the Program Coordinator as soon as the disease is diagnosed. Any student who has an infectious disease will not be allowed to participate in the clinical portion of the Program. The student will be allowed to remain in the didactic portion of the Program as long as it can be determined through a physician’s statement that the disease is not a threat to fellow students. As soon as the student becomes non-infectious, as determined by a letter from the student’s physician, the student will be allowed to return to the clinical and didactic portions of the Program. Students should be aware that this policy and the duration or nature of the illness could require the student to attend the program longer than the stated five semesters. If a disease will make a student chronically infectious, the decision to allow the student to return to the clinical portion will depend on the potential threat to the patients and hospital personnel. The decision will be made by the College and will be based on current medical knowledge and consultation with physicians and College administrators. All students must sign this form. Signature implies that the student is aware of the policy and his/her obligation under the policy. Students who do not abide by the policy or delay informing the Program Coordinator of their condition, maybe subject to discplinary actions. _______________________________ ________________________________ Student’s Signature Student’s Printed Name _______________________________ Date _______________________________ Program Coordinator’s Signature _______________________________ Date

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MEDICAL RADIOLOGIC TECHNOLOGY PROGRAM HANDBOOK & POLICY RECEIPT FORM

Trenholm State and the Medical Radiologic Technology program have provided me with the College’s Student Handbook (http://www.trenholmstate.edu/skins/userfiles/files/CatalogPDF14-15/10%20Handbook.pdf) and the Radiology Program Handbook, Clinical Handbook, and Policy manual. The college and the program have established policies, codes, and rules that must be understood and complied with throughout the duration of the program. I have read and understand the policies of the program and the college and agree to abide by all of the policies and guidelines as stated and amended in the Radiology Handbook (Student, Clinical, & Policy), and Trenholm State Student Handbook. By my initial and signature of this document, I am agreeing to comply with all of the following policies of the College and the Medical Radiologic Technology Program. ________________________________________ _________________________ Student Name (Print) Date ________________________________________ Student Signature


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SIGNATURE PAGE

My signature indicates that I have reviewed and appoved this document last revised. __________________________ _________________ Laurie C. Burnett Date Program Coordinator Medical Radiologic Technology Program __________________________ _________________ Angela Davis Date Clinical Coordinator Medical Radiologic Technology Program __________________________ _________________ Dr. Tracie Carter Date Lead Division Director Health Services Chair __________________________ _________________ Lee Ammons Date Dean of Instruction __________________________ _________________ Jackie Davis Date Program Advisory Committee Chair

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