RADIOLOGIC TECHNOLOGY PROGRAM PROGRAM POLICIES AND CLINICAL EDUCATION MANUAL

Transcription

1 RADIOLOGIC TECHNOLOGY PROGRAM PROGRAM POLICIES AND CLINICAL EDUCATION MANUAL

2 Yearly Revision(s)/Update(s) - RT Program Director & RT Faculty Revised: 6/2014 6/2015 6//2016 7//2017 2

3 TABLE OF CONTENTS PART I Page I. Program Mission Statement... 9 II. Code of Ethics of the American Society for Radiologic Technology III. Program Overview IV. Course Description V. Service Learning VI. Student/Faculty Expectations VII. Channels of Communication VIII. Course and Instructional Evaluation IX. Student Incident/Injury X. Program Policies A. Program Health Policies B. Communicable Diseases C. Radiation Protection D. CPR Policy E. Health Insurance Policy F. Behavioral/Dress Code for Clinical Experience G. Attendance H. Clinical Remediation I. Progression in R.T. Program J. Disciplinary Action K. Readmission Policy L. Grading Policy M. Transfer/Advanced Placement of Students N. Students with Special Needs O. College Safety and Security P Course/Classroom Policies PART II APPENDICES Memorandum of Agreement 3

4 4

5 Welcome to the Prospective Student or the Incoming Student: As a new student, or as you consider becoming one, we are here to assist you in becoming a highly competent Radiologic Technologist. To help you achieve this, we have created this Manual to provide you with some basic guidelines and important information. The learning experiences you will encounter include professional, clinical and academic behaviors which must be understood and adhered to according to the guidelines. You will sign a Memorandum of Agreement verifying that you understand that and that you agree to the contents within. The handbook has been written as a supplement to other Trocaire College official documents, not as a replacement. All Radiologic Technology students are subject to the current rules and regulations set forth by Trocaire College, the American Registry of Radiologic Technologists (ARRT) and the Joint Review Committee on Education in Radiologic Technology (JRCERT). During your radiologic Technology education, we encourage you to become involved in the Radiologic Technology Club and professional Radiologic Technology organizations and societies. The more involved you are, the more successful you will become in building workforce skills, challenging yourself, experiencing leadership roles and having fun. This health care program is one that takes time and dedication on your part. Graduation does not guarantee passage of the national certification exam; however, the program faculty and staff will strive to prepare you for a success career. We are pleased that you are considering becoming a member of the Trocaire College Radiologic Technology Program or if you have already been admitted to the Program then we welcome and congratulate you! Patty Gauthier, RT(R), BA, MA Academic Program Director of Imaging Sciences Rachel Suto- McCormick, RT(R), MA Professor Carol Weber, RT(R), MS Professor 5

6 6

7 TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM ADJUNCTS/FACULTY Christine Ballard Brooks Memorial (C) (H) Jennifer Bourne- Kenmore (C) Gottstine (H) Cheryl Gacek St. Joseph s (H) gacekc@trocaire.edu Patty Gauthier Director (W) gauthierp@trocaire.edu Danielle Gonser Lab Instructor (C) gonserd@trocaire.edu Lisa Hanavan UPMD (C) hanavanl@trocaire.edu Tim Kerr Sisters (H) kerrt@trocaire.edu Sarah Leuthe BGH (H) leuthes@trocaire.edu Professor Mercy Hospital Women and Children s (W) mccormickr@trocaire.edu (C) (H) Rachel Suto- McCormick Jill Momberger-Gill Mombergergillj@trocaire.edu Jennifer Shotwell ECMC shotwellj@trocaire.edu Casey Stack Brooks Memorial (C) stackc@trocaire.edu (H) Pamela Vance MACC/Lab Instructor (C) vancep@trocaire.edu Carol Weber Professor (W) weberc@trocaire.edu MACC Jamie Wilson BGH wilsonj@trocaire.edu (H) Gary Zakrzewski Veteran s (C) zakrewskig@trocaire.edu (H) (C) = cell phone (H) = Hospital/Clinic (W) = Work 7

8 8

9 TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM I. MISSION STATEMENT - Trocaire College Trocaire College, a private career-oriented Catholic college in the spirit of the Sisters of Mercy, strives to empower students toward personal enrichment, dignity, and self-worth through education in a variety of professions and in the liberal arts. Recognizing the individual needs of a diverse student body, Trocaire College provides life learning and development within a community-based environment. Trocaire College prepares students for service in the universal community. VISION STATEMENT Trocaire is the College where lives are transformed. Our graduates will be the first choice of employers. Mission Statement - Radiologic Technology Program The faculty of the Radiologic Technology Program accepts the philosophy and mission of Trocaire College and functions within its framework. The mission of the Radiologic Technology Program is to provide students with the theoretical foundation, laboratory, and clinical experiences which will prepare them for entry positions in the field of Diagnostic Radiologic Technology. The Radiologic Technology faculty sees as its mission the need to instill those values which will aid the student in his/her development to become a competent practitioner. This education, requiring academic and technical competence, should prepare him/her for a career in Radiologic Technology and foster a desire for continuous learning. The Liberal Arts core curriculum is an integral component of this program. It challenges students not only to discover and confront their own values, beliefs and ideas, but also to sharpen their skills of critical thinking, communication, and problem solving, skills vital to success in life and career. Program Goals/Student Learning Outcomes Goal 1: Students/graduates will demonstrate entry-level clinical competence. Student Learning Outcomes: - Students will utilize appropriate radiographic procedures. - Students will correctly utilize equipment to produce quality radiographic images. - Students will utilize principles of radiation protection. Goal 2: Students/graduates will provide competent and compassionate healthcare to culturally diverse populations. Student Learning Outcomes: - Students will demonstrate competent care to all patients. 9

10 - Students will communicate (oral and written) effectively with a diverse population. Goal 3: Students/graduates will utilize critical thinking and problem solving skills necessary to practice within the radiology profession. Student Learning Outcomes: - Students will assess patient needs, and adapt as required. - Students will identify anatomy, and appropriate levels of quality on radiographic images. Goal 4: Students/graduates will demonstrate professionalism. Student Learning Outcomes: - Students will conduct themselves in a professional and ethical manner. - Students will understand the importance of professional development activities. Goal 5: The Program will graduate entry-level radiologic technologist. (See information on Program s Effectiveness Data) Program Assessment Method Assessment of program effectiveness in the program mission and the program goals will be determined by didactic, clinical, and program effectiveness goals and criteria. DESCRIPTION OF THE PROFESSION Radiologic Technologists use complex radiographic equipment to perform a variety of studies. Responsibilities include, but are not limited to: patient interviews, instruction, and preparation; quality control testing; execution of patient imaging procedures; computer image acquisition and image enhancement; and, patient preparation for various procedures. A medical Radiologic Technologist must demonstrate knowledge and understanding of pathology and pathophysiology in different disease states. A Radiologic Technologist must have an understanding of radiographic physics and instrumentation. The Radiographer must exhibit professionalism in the performance of these duties, demonstrate an empathetic and instructional approach to patient care, and, maintain confidentiality of information as required. Professional growth and development is achieved through participation in medical and technical education and research to enhance the quality of patient care. 10

11 DESCRIPTION of the PROFESSION 1. A Radiologic Technologist (radiographer) uses critical thinking skills and independent judgement to obtain a diagnostic imaging study while maintaining quality patient care and minimizing radiation exposure. 2. Radiologic Technologists take images of parts of the human body for diagnosing medical issues. 3. They prepare patients for radiographic examinations by explaining the procedure and positioning patients so that the parts of the body can be appropriately radiographed. 4. To prevent unnecessary exposure to radiation, radiographers utilize radiation protection devices such as lead shields, or limit the size of the x-ray beam. 5. Radiographers [position radiographic equipment at the correct height and angle over the appropriate area of the patient s body and set controls on the imaging equipment to produce radiographs of the appropriate density, detail and contrast. 6. They use image receptors to produce radiographs. Then the images are processed through use of a computerized acquisition system. 7. Radiographers analyze the images for visual quality and anatomical details. 8. Radiologic Technologists consult with physicians, surgeons and other health specialists. 9. Technologists must follow orders precisely and conform to hospital protocols and standardized regulations concerning the use of radiation to protect themselves, their patients and their coworkers from unnecessary radiation exposure. 10. Additionally, radiographers may keep electronic patient records, prepare work schedules, evaluate purchases of equipment, manage a radiology department and monitor safety and quality. Upon successful completion of the Trocaire College Radiologic Technology Program, the graduate should be able to demonstrate entry level competencies in the above areas of the professional practice. Therefore, all applicants who are admitted to the program and become Radiologic Technologists in training must demonstrate the following abilities and meet the following expectations: 11

12 Observation Visual acuity is necessary for watching patients vital signs and for accurate image acquisition for all radiographic examinations. Communication Hearing and speech needs to be sufficient to communicate effectively and efficiently with all patients. Communications include not only speech, but also reading and writing. The applicant/radiologic Technologist in training must be able to: Read and comprehend technical and professional materials. Follow verbal or written instruction in order to correctly and independently perform procedures. Clearly instruct patients prior to and during procedures. Communicate with faculty members, fellow students, staff and other healthcare professionals verbally and in a recorded format (writing, typing, etc.). Psychomotor The applicant/radiographer in training must have manual dexterity and good physical coordination to position patients and operate and transport radiographic equipment and must have full range of motion, utility of arms, hands and fingers in order to perform examinations and operate equipment. This is also necessary to assist patients on and off examination tables and to assist patients and other Radiologic Technologists with lifting patients out of wheel chairs and off carts onto examination tables when necessary. The applicant/radiologic Technology student in training must be able to push the portable equipment (500 pounds) and maneuver this equipment along with patient equipment in the patient s room. Intellectual The Radiologic Technology applicant/student must: Possess these intellectual skills: comprehension, measurement, mathematical calculation, problem solving, reasoning, integration, analysis, comparison, self-expression and criticism. Be able to exercise sufficient judgment to recognize and correct performance deviations. Be prepared to recognize any condition, whether observed in the radiographic image, or in patient behavior, which may pose immediate threat to health or life and react appropriately. Behavioral and Social The Radiologic Technology applicant/student must: Be able to manage time to complete didactic and clinical tasks within realistic time constraints. Possess emotional health necessary to effectively employ intellect and exercise appropriate judgment. Be able to provide professional and technical services in spite of the stresses of heavy workloads. Be flexible, creative and adaptable to clinical and didactic changes. Recognize potentially hazardous materials, equipment and situations and be able to proceed safely to reduce risk of injury to patient or self. Support and promote the activities of fellow students and health care professionals. 12

13 Be honest, compassionate, ethical and responsible. Always safeguard and preserve the confidentiality of patient information in accordance with office policy. Technical The Radiologic Technology applicant/student must perform radiographic procedures by demonstration appropriate competency in the following: Patient education Patient care and management. Radiation protection. Obtaining appropriate clinical history in order to adapt imaging techniques accordingly. Equipment configuration and operation. Performing radiologic exams. Determining if contrast injection is indicated, and acting accordingly, as in venipuncture. Wearing lead aprons, thyroid shield and/or lead glasses for extended periods of time. It is your responsibility to notify the Program Director/and or Clinical Coordinator if there is any reason you cannot meet the expectations for the Radiologic Technology students described above with or without reasonable accommodations. Availability of Program Standards In order to be an approved and accredited program in Radiography, Trocaire College must meet the "Standards for an Accredited Educational Program in Radiologic Sciences" published by the Joint Review Committee in Education of Radiologic Technology (JRC/ERT). The "Standards" present the minimum accreditation standards for an educational program and include all the requirements for which the program is held accountable. A copy of the "Standards" is available on the RT bulletin board outside the Radiology Laboratory, in the Program Director's Office. 13

14 II. CODE OF ETHICS OF THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS The Code of Ethics forms the first part of the Standards of Ethics. The Code of Ethics shall serve as a guide by which Registered Technologists and Applicants may evaluate their professional conduct as it relates to patients, health care consumers, employers, colleagues and other members of the health care team. The Code of Ethics is intended to assist Registered Technologists and Applicants in maintaining a high level of ethical conduct and in providing for the protection, safety and comfort of patients. The Code of Ethics is aspirational. Principle 1. Principle 2. Principle 3. Principle 4. Principle 5. Principle 6. Principle 7. Principle 8. Principle 9. The Radiologic Technologist conducts herself /himself in a professional manner, responds to patient needs, and supports colleagues and associates in providing quality patient care. The Radiologic Technologist acts to advance the principle objective of the profession to provide services to humanity with full respect for the dignity of mankind. The Radiologic Technologist delivers patient care and service unrestricted by the concerns of personal attributes or the nature of the disease or illness, and without discrimination on the basis of sex, race, creed, religion or socio-economic status. The Radiologic Technologist practices technology founded upon theoretical knowledge and concepts, uses equipment and accessories consistent with the purposes for which they were designed, and employs procedures and techniques appropriately. The Radiologic Technologist assesses situations; exercises care, discretion and judgment; assumes responsibility for professional decisions; and acts in the best interest of the patient. The Radiologic Technologist acts an agent through observation and communication to obtain pertinent information for the physician to aid in the diagnosis and treatment of the patient and recognizes that interpretation and diagnosis are outside the scope of practice for the profession. The Radiologic Technologist uses equipment and accessories, employs techniques and procedures, performs services in accordance with an accepted standard of practice, and demonstrates expertise in minimizing radiation exposure to the patient, self and other members of the health care team. The Radiologic Technologist practices ethical conduct appropriate to the profession and protects the patient s right to quality radiologic technology care. The Radiologic Technologist respects confidences entrusted in the course of professional practice, respects the patient s right to privacy and reveals confidential information only as required by law or to protect the welfare of the individual or the community. 14

15 Principle 10. The Radiologic Technologist continually strives to improve knowledge and skills by participating in continuing education and professional activities, sharing knowledge with colleagues and investigating new aspects of professional practice. III. PROGRAM OVERVIEW RADIOLOGIC TECHNOLOGY - A.A.S. The Radiologic Technology program prepares the graduate to assume the duties and responsibilities of a Diagnostic Radiographer with confidence and ability. The Radiologic Technologist, as a skilled professional and as a member of the health care team, exercises independent judgment and discretion in technical radiographic procedures. The Diagnostic Radiography course is a two year program with lecture and laboratory components provided at the College. Related clinical experience is obtained at area hospitals or health agencies affiliated with Trocaire. In addition to basic entry level skills, the student also has the opportunity to observe the latest advanced imaging modalities. Cardio-Pulmonary Resuscitation Certification (CPR) is required for all students before beginning the Radiologic Technology Program. Transportation to and from the College and/or the clinical affiliates is the responsibility of the individual student. The Radiologic Technology Program is accredited by the JRCERT (Joint Review Committee on Education in Radiologic Technology). Upon completion of the academic and clinical requirements, the graduate receives an Associate in Applied Science degree (A.A.S.), and is eligible to take the national credentialing examination for the American Registry of Radiologic Technologists (ARRT). When a Radiologic Technology student completes an application for the ARRT registry exam, they will be asked about convictions of a crime and pending charges. These questions will also appear on the application form needed to acquire a New York State Radiographer s License to practice. If the answers are in the affirmative, particulars and disposition of each charge must be listed. A conviction is not an automatic bar to licensure and registry; however, each case is considered and investigated on its individual merits. Please make a concerted effort to contact the ARRT ( as soon as possible to inquire as to the process for filing an appeal to have any criminal history (other than parking and speeding violations) reviewed by the ARRT Ethics Committee. Documentation be required confirming restitution of fines and/or other information. Delaying this process could potentially keep a student from participating in the clinical aspect of the Program, and from sitting for the Registry Exam. 15

16 IV. Certification/ Licensing Students eligible to sit for the ARRT Registry exam in Radiologic Technology, must complete an application, verified by the Program director, showing completion of the program. Once that application is submitted with the $200 fee, students will receive notification of available testing window during which they may take the exam. The exam is made up of 220 questions (20 being experimental questions which do not count towards the exam score). The questions cover eight major topics: Patient Interaction and Management; Radiation Physics and Biology; Radiation Protection; Image Acquisition and Technical Evaluation; Equipment Operation and Quality Assurance; Head, Spine and Pelvis Procedures; Thorax and Abdomen Procedures; and Extremity Procedures. Students will be provided 3 hours and 30 minutes in which to complete the exam. A score of 75 must be achieved in order to receive certification from the ARRT. Once a student becomes certified, they must apply to the New York State Department of Health for a license to practice radiology technology in the state of New York. Applications and information about fees can be found on line. The law treats differently those new applicants who have a prior conviction from those who presently hold a license. The standards in section are used to determine whether an applicant for a new license is of good moral character and may be subject to disqualification. Students who have been convicted of any violation of the law or are defendants in a criminal proceeding should contact the NYS Department of Health. It has been the practice of Trocaire College to reimburse the ARRT Registry exam fee to those students who can show proof of having passed the exam. The documents need to be submitted to qualify for reimbursement include copies of the official ARRT score results card, the ARRT certification card and the NYS license. 16

17 Ethics Issues To become a candidate for certification and registration, you must demonstrate good moral character. I have a court conviction and want to apply for admission into a radiography program. The Program Director at the school told me to contact ARRT to see if I am eligible for ARRT certification. Am I going to be eligible or not? The ARRT Ethics Committee conducts ethics reviews and they are the only authority that can act regarding your eligibility. To start the review process, you should go to the ARRT website at On the left side of the web page, click on Ethics, then click on Pre Application Process. This will take you to a printable form that includes submission instructions and address information. ARRT staff will review the documentation to determine if the information is complete and place it on the agenda of the next meeting of the Ethics Committee. The Ethics Committee meets three times per year so it may take several months to complete the review. Every offense is reviewed on an individual basis, so it s impossible to say whether you will be deemed eligible until after the review. It is important to document the date and nature of the conviction, conditions of the court and status of those conditions. The Committee will also be looking for what you have done to correct past offenses and prevent future offenses. If you do not have documentation from the court you should seek copies from your attorney or we will accept a notarized statement attesting to the charge, sentence, status and completion of court conditions. If the Ethics Committee clears the offense, you will receive a letter with the committee decision. You can then provide the letter to the Program Director to document your proactive efforts to report and clear your conviction. You will also be able to truthfully answer NO to the question on the application for certification that asks if you have a conviction. 17

18 TEXTBOOKS/PUBLICATIONS (Includes Requirements & Recommendations) Carroll, Quinn B. Radiography in the Digital Age. Second Edition, Illinois, Charles C. Thomas, 2014 Dutton, A. G., Linn-Watson, T., Torres, L. S. Patient Care in Imaging Technology. Lippincott, Williams & Wilkins. Baltimore, MD. 8 th ed (Recommended) Eisenberg, R.L. and Johnson, N.M. Comprehensive Radiographic Pathology. C.V. Mosby Co. St. Louis, MO. 6 th ed., Fauber, Terri L. Radiographic Imaging & Exposure. C.V. Mosby Co., St. Louis, MO. 4 th ed., Kelley, Lorrie and Peterson, Connie. Sectional Anatomy for Imaging Professionals. Mosby Elsevier, St. Louis, MO. 3 rd Edition 2013 (Recommended) Kendrick, Land Lampignano, J. Bontrager s Textbook of Radiographic Positioning and Related Anatomy. Ninth Edition. Elsevier, Student Workbook for Bontrager s Textbook of Positioning and Related Anatomy. Ninth Edition, Elsevier, Bontrager s Spiral-bound Handbook of Radiographic Positioning and Techniques. Ninth Edition, Elsevier, National Council on Radiation Protection. (NCRP) Federal Reports. New York State, Department of Health: - State Sanitary Code 16 for Ionizing Radiation October 2011, Public Health Law, Section Practice of X-Ray Technology: Article 35 (Amended 2009) -Part 89 Practice of Radiologic Technology Statkiewicz Sherer, Mary Alice, Visconti, Paula J., Ritenour, E. Russell. Radiation Protection in Medical Radiography. C.V. Mosby Co. St. Louis, MO. 7 th ed (Recommended) D. A. Saia, McGraw Hill Professional, Lange Q & A Radiography Examination, 10 th Edition, 2016 (Recommended) 18

19 IV. COURSE DESCRIPTION RADIOLOGIC TECHNOLOGY I *BIO 130/130L must be taken prior to or concurrently with RT I coursework. RT 101 Image Acquisition and Evaluation I (3) This course begins with the basics of conventional imaging and x-ray tube construction. Students then examine exposure factors and investigate density/brightness, contrast, blur distortion, beam restriction, filtration, grid use and scatter radiation and their effects on image quality. When appropriate, students work in class on mathematical calculations and evaluate image quality. (Fall Semester) RT 102 Radiographic Procedures I (2)* This course begins with an introduction to the specific nomenclature, as well as underlying principles of radiographic positioning. Routine and advanced positioning studies, correlated with anatomy of the upper and lower extremities, chest, abdomen, thorax and the urinary and digestive systems are presented. (Fall Semester) RT 102 L Applied Radiographic Procedures I (1)* The College Laboratory component of Radiographic Procedures I contains anatomy and positioning applications, as well as image critique sessions. A competency-based system of evaluation is utilized. Two Laboratory Hours (Fall Semester) RT 103 Patient Care and Management I (1)* This course is designed to assist the student to develop both general and specific interactive skills in patient care. It focuses on record maintenance and administrative procedures, ethics and medicolegal issues, patient safety and transfers, vital signs, emergency situations, infection control, oxygen delivery, EKG monitoring, and contrast media. (Fall Semester) RT 104 Clinical Education I (2)* This course requires practical clinical application of knowledge and skills, and involves clinical experiences in general radiographic areas and contrast studies. It is taken concurrently with the didactic components of the semester, and is provided at the College s clinical affiliates. A competency - based system of evaluations is utilized. Two days (Fall Semester) RT 104 Clinical Education I 2 Credit Hours Credits Awarded Minimum Contact Time per week 2 10 hrs./week = 600 mins/week Minimum Instructional Time Total for 15 weeks (Contact time x weeks) 150 hrs. total = 9000 mins Minimum Out of Class Student Work per week Minimum Out of Class Student Work total for 15 weeks (Outside work x weeks) Total of Instructional Contact time and Out of Class student work N/A N/A 150 hrs. total =

20 RADIOLOGIC TECHNOLOGY II Prerequisites: Radiologic Technology I (RT 101, RT 102/102L, RT 103, RT 104) and BIO 130/130L with a grade of C or better. BIO 131/131L must be taken prior to or concurrently with RT II coursework RT 105 Image Acquisition and Evaluation II (3)* This course continues instruction on radiographic imaging principles with an emphasis on radiographic techniques then digital imaging. Students first learn technique selection and the use of automatic exposure control, and technique charts. Mathematical formulas (algebra level) are utilized for technique compensation. Computerized radiography (CR) and direct readout (DR) digital radiography are discussed in terms of image receptors, image acquisition, spatial resolution, contrast resolution, and processing. (Spring Semester) RT 106 Radiographic Procedures II (2)* This course focuses on both routine and advanced positioning studies, correlated with anatomy of the spine, skull, and thorax. (Spring Semester) RT 106L Applied Radiographic Procedures II (1) * The College laboratory component of Radiographic Procedures II contains anatomy and positioning applications of the spine, skull, and thorax correlating with film critique sessions. Again, a competency - based system of evaluation is utilized. Two Laboratory Hours (Spring Semester) RT 107 Patient Care and Management II (1)* This course includes units on pharmacology, drug administration, and the monitoring of medical equipment. In addition, specialized radiographic procedures are discussed throughout this semester. (Spring Semester) RT 108 Clinical Education II (2)* In this semester, clinical experiences are provided in general radiographic areas and contrast studies to include radiography of the skull and spinal column. It is taken concurrently with the didactic components of the semester and is provided at the College s clinical affiliates. A competency - based system of evaluation is utilized. Two days (Spring Semester) RT 108 Clinical Education II 2 Credit Hours Credits Awarded Minimum Contact Time per week 2 10hrs./week = 600 mins/week Minimum Instructional Time Total for 15 weeks (Contact time x weeks) 150 hrs. total = 9000 mins Minimum Out of Class Student Work per week Minimum Out of Class Student Work total for 15 weeks (Outside work x weeks) Total of Instructional Contact time and Out of Class student work N/A N/A 150 hrs. total = 9000 mins 20

21 RT 109 Applied Radiologic Technology I (6) In the first summer clinical component, the student continues to gain experience in general radiographic and contrast studies, as well as portable and surgical radiography. Experiences are provided at the College s clinical affiliates. A competency - based system of evaluation continues to be utilized. Five days per week for a total of six weeks. The Program/College Service Learning Component is included within this session. *Prerequisites: Radiologic Technology II (RT 105, 106, 106L, 107, 108) and BIO 131/131L with a grade of a C or better. RT 109 Applied Radiologic Technology I 6 Credit Hours Credits Awarded Minimum Contact Time per week 6 35 hrs./week = 2,100 mins/week Minimum Instructional Time Total for 6 weeks SUMMER (Contact time x weeks) 210 hrs. total = 12,600 mins Minimum Out of Class Student Work per week Minimum Out of Class Student Work total for 6 weeks (Outside work x weeks) Total of Instructional Contact time and Out of Class student work N/A N/A 210 hrs. total = 12,600 mins RADIOLOGIC TECHNOLOGY III *Prerequisites: Radiologic Technology II (RT 105, 106, 106L, 107, 108) and BIO 131/131L, RT 109 with a grade of a C or better. RT 201 Equipment Operation and Maintenance I (3)* This course covers basic electrical and mechanical examples as applicable to the structure and operation of radiologic equipment. It includes identification of structure and function of x-ray generating devices and circuitry with emphasis on the radiographic tube. (Spring Semester) RT 202 Radiation Physics and Protection (3)* This course explores the interactions between radiation and matter. The electromagnetic spectrum and related radiation concepts are discussed. Students will learn about radiation detection and monitoring and the appropriate units of measurement. All aspects of radiation protection and dose reduction for patients and occupational radiation workers are explained. (Fall Semester) RT 203 Applied Radiologic Pathology (3)* This course provides the student with investigation into the basic principles of radiographic pathology. The student will research a pathologic condition and place emphasis on the disease/injury process, the radiographic appearance and treatment. Normal anatomy and physiology is reviewed and compared with pathologic abnormalities. There is a focus on the changes which occur as a result of disease and injury which necessitates alteration of standard radiographic exposure applications. (Fall Semester) 21

22 RT 205 Clinical Education III (2)* In the second year, students continue to gain general radiographic experiences, as well as begin experiences with special procedures, the emergency room, and other imaging areas. These areas include CT (computerized tomography), MRI (magnetic resonance imaging), Sonography, and Bone Densitometry. All experiences are offered at the College s clinical affiliates. A competency-based system of evaluation is utilized. Two days (Fall Semester) RT 205 Clinical Education III 2 Credit Hours Credits Awarded Minimum Contact Time per week 2 10 hrs./week = 600 mins/week RADIOLOGIC TECHNOLOGY IV Minimum Instructional Time Total for 15 weeks (Contact time x weeks) 150 hrs. total = 9000 mins Minimum Out of Class Student Work per week Minimum Out of Class Student Work total for 15 weeks (Outside work x weeks) *Prerequisite: Radiologic Technology III (RT 201, 202, 203, 205) Total of Instructional Contact time and Out of Class student work N/A N/A 150 hrs. total = 9000 mins RT 207 Radiation Biology (2)* This course begins with the effects of radiation on normal cell biology. Factors influencing the molecular and cellular response are discussed. Stochastic (probalistic) and non-stochastic (deterministic) effects of radiation on tissue, organs, and whole body systems are presented with in-utero and genetic effects. (Spring Semester) RT 209 Advanced Topics for the Radiographer (2)* This course offers the student a variety of integrated topics. Advanced positioning methods, special procedures, interventional radiography and computerized tomography (CT). Numerous special imaging modalities are explored and communicated to the class through student research projects. Career development engages the student with resume preparation and mock interviewing. The student technologist will be prepared to contribute to the diagnostic imaging team upon completion of this course. (Spring Semester) RT 210 Clinical Education IV (2)* Specialty clinical experiences continue as the students demonstrate applications of knowledge and skill. This course is taken concurrently with the didactic components of the semester and is provided at the College s clinical affiliates. A competency - based system of evaluation is utilized. 2 days (Spring Semester) RT 210 Clinical Education IV 2 Credit Hours Credits Awarded Minimum Contact Time per week 2 10hrs./week = 600 mins/week Minimum Instructional Time Total for 15 weeks (Contact time x weeks) 150 hrs. total = 9000 mins Minimum Out of Class Student Work per week Minimum Out of Class Student Work total for 15 weeks (Outside work x weeks) Total of Instructional Contact time and Out of Class student work N/A N/A 150 hrs. total = 9000 mins 22

23 RT 211 Applied Radiologic Technology II (6) * Clinical experience involving general radiography, contrast studies, portable radiography, surgery, and specialty examinations. In addition, the student is provided opportunities for preparation for the American Registry (R) Examination. Five days per week for a total of six weeks. RT 211 Applied Radiologic Technology II 6 Credit Hours Credits Awarded Minimum Contact Time per week 6 35 hrs./week = 2,100 mins/week Minimum Instructional Time Total for 6 weeks SUMMER (Contact time x weeks) 210 hrs. total = 12,600 mins Minimum Out of Class Student Work per week Minimum Out of Class Student Work total for 6 weeks (Outside work x weeks) Total of Instructional Contact time and Out of Class student work N/A N/A 210 hrs. total = 12,600 mins RT 212 Sectional Anatomy for the Radiographer (1) * This course is designed to provide the Radiologic Technology student with an introductory overview of human anatomy, viewed in body sections, as it related to imaging. Anatomical structures are viewed in the axial, coronal and sagittal planes. Emphasis is placed on the head, thorax and abdomen. (Fall Semester) V. Service Learning is a method whereby students learn and develop through active participation in thoughtfully organized service that is conducted in the community and meets the needs of the community. It is a teaching method in which students apply course concepts to real life experiences that meet a community need. Students will apply their willingness to learn through service to others. The experience will provide students with interaction with individuals outside the institutional setting. In keeping with the Mission of Trocaire College and Mission of the Radiologic Technology program, service learning has been incorporated into the Program. Arrangements are made on an annual basis for the students. 23

24 VI. STUDENT/FACULTY EXPECTATIONS Faculty members are here to assist the student in acquiring radiologic knowledge and techniques to meet our combined goals. However, you, the student, must make the decision to learn as well as to have strong motivation to succeed. In order to work together successfully, students and faculty need mutual expectations. Students may expect the following from the faculty: 1. Lectures designed to emphasize important information. 2. Faculty to function as role models. 3. Clinical experiences allowing the application of theoretical knowledge to practice with appropriate supervision. 4. Assignments that are designed to meet classroom objectives and clinical competencies. 5. Assignments that are returned at an agreed upon time. 6. Classes and laboratories that begin and end on time. 7. Office hours observed as stated. 8. Clinical observation to include advanced imaging applications in updated modalities within the field. Faculty expect the following from students: Be informed of, and, adhere to College policies and procedures, as published in the Student Handbook and/or Catalog. These include: academic, financial aid, student services, student conduct, disciplinary action, alcohol, drugs, health program, AIDS & HIV, sexual assaults, smoking, speakers, release of student records, Family Rights, and privacy, etc. Adhere to regulations concerning cheating, plagiarism, and misrepresentation in general, as outlined in Trocaire College Student Handbook. 1. Report to classes and laboratories on time and be prepared to learn. 2. Read assignments and objectives prior to classes and laboratories. Submit any written assignments on time. 3. Report to clinical education center on time, in proper attire according to Code for Professional Behavior, and be prepared to give safe, effective care. 4. Notify the clinical instructor of absence prior to the start of the clinical day (see directions under Program Policies). 5. Treat each patient with dignity and respect. 6. Adhere to clinical instructor's directives in all aspects of patient care. 24

25 7. Maintain confidentiality regarding patient information, which includes strict adherence to HIPAA Guidelines. 8. Seek appropriate guidance. Contact instructor for an appointment during instructor s scheduled office hours. 9. Make and keep scheduled appointments. 10. Complete clinical competencies within required period of time. 11. Check the appropriate bulletin board(s) for current information. 12. Read and initial the personnel monitor report(s) posted on the RT bulletin board. 13. NO cell phones, beepers or text messaging during any learning activities at the College and the Clinical Education Centers (CEC) is considered the College s official means of communication. Students are expected to check this on an ongoing basis. When faculty and students adhere to these expectations, our combined goals will be met. Student-Faculty Appointments Students may make appointments to see faculty members during scheduled office hours or at other pre-arranged times. Office hours will be found posted on individual office doors. Faculty may also be contacted by leaving a message via voice mail or . VII. CHANNELS OF COMMUNICATION - RADIOLOGIC TECHNOLOGY Every RT student is appointed an advisor at each RT level. The advisor is a RT faculty member who assists an individual student in matters related to academic progress within the program/college. If a problem should arise, the student initially sees the faculty member directly involved to seek a resolution. If the student feels the problem has not been satisfactorily resolved, the Program Director should then be consulted. If no resolution is reached, the matter will be brought to the Dean of the Division of Health Professions. Channels of Communication STEP I - Faculty Member Directly Involved (Professor, RT Advisor, Adjunct Faculty and/or or Clinical Instructor) STEP II - Academic Program Director of Imaging Sciences: Patty Gauthier Clinical Placement Coordinator: TBA 25

26 VIII. COURSE AND INSTRUCTIONAL EVALUATION Evaluation of Radiology courses - At the end of every semester, students are asked to constructively evaluate the instructor(s) and courses they have completed. The purpose of evaluation is to rate the course in an objective manner and offer constructive suggestions. This is done on-line via Trocaire website and includes a rating scale and an opportunity to write comments. Evaluation forms are reviewed by the RT faculty and administration. Changes in the curriculum have resulted from student evaluations. An exit interview with each graduate is conducted by the Clinical Coordinator to evaluate the entire program and to discuss future plans. Evaluation of Instruction - At the end of the semester students will also be asked to rate both classroom and clinical instructors. Students are asked to evaluate instructors in an objective manner and have the opportunity to offer constructive suggestions. Students' evaluations are used by faculty members for self-growth and improvement in their individual teaching responsibilities. In addition to students, faculty members are evaluated by peers, administrators and themselves. The total process of evaluation is to ultimately improve the total RT program. IX. STUDENT INCIDENTS/INJURIES A student must report incidents to the instructors or appropriate facility personnel immediately. When an incident occurs at a clinical site, i.e. student injury or patient/client-related mishap, after initial actions are complete, appropriate facility and College forms must be completed. (See Appendix for copy of form). Forms are available through the Coordinator of Health Records. A student who sustains personal injury must report to the Student Health Office for completion of necessary paperwork, as soon as possible after the incident has occurred. X. PROGRAM POLICIES A. PROGRAM HEALTH POLICIES In order to participate in Health Science Programs, the student must be in good health and free from communicable diseases and, further, must be physically (See Technical Standards) and emotionally capable of performing all of the required responsibilities of clinical experiences and meeting program objectives. Students must also meet health requirements of Health Science Program affiliates as stated in clinical affiliate agreements and/or clinical affiliate policies. Students are expected to provide a safe level of patient care and must understand that the welfare of the patient supersedes the special needs of the student. A health report consisting of a medical history, an immunization record and a physical examination is required of each accepted student. The health report "shall be of sufficient scope to ensure that no person shall assume his/her duties unless he/she is free from a health impairment which is of potential risk to patients or personnel or which might interfere with the performance of his/her duties, including the 26

27 habituation or addiction to depressants, stimulants, narcotics, alcohol or other drugs or substances which may alter the individual's behavior." (New York State Department of Health Code [b] [10]). 1. The student must have adequate visual and auditory (with or without hearing aids) acuity, and communication skills necessary to meet objectives of the program. 2. The student must have sufficient physical ability and manual dexterity to meet program requirements including: the physical ability to stand, walk, kneel, lift, bend, push, carry, hold, grasp without restriction and/or assistance and draw up solutions in a syringe. 3. Any students with a seizure disorder must present medical certification, from the attending physician, of being seizure free for one year. 4. Any student who has been treated, hospitalized or absent due to pregnancy, surgery, injury, serious physical and mental illness or emotional disorders must present medical documentation of: a. Ability to participate without restriction in classroom, college laboratories and clinical areas. b. Adequate physical, mental and/or emotional ability to continue in the program of study. 5. Any student who, because of medical restriction, is unable to meet program objectives will be required to withdraw from the respective program. (See Appeals Process) 6. Students must have submitted proper documentation of all required health information or provide a documented statement of medical/religious exemption prior to the commencement of classes and/or continuance in a Health Science Program. 7. New RT Students must meet all immunizations and health record requirements prior to the start of clinic. Yearly TB tests and flu vaccines are required. Students meeting these requirements will be permitted to attend classes, clinic or laboratory experiences. A student may elect NOT to have the flu vaccine. He/she must sign the Declination of Influenza Vaccination for Health Care Personnel form (See Appendix) and may be asked to wear a surgical mask at all times during clinical rotations. 8. The student will be responsible for submitting to the Health Office all required updated immunization records, test results, medical clearance forms, and annual health assessments. Failure to do so will result in suspension of clinical experiences, and in some cases, suspension from class attendance. 9. The College must provide student health information to clinical agencies as required by New York State Department of Health regulations and legal contracts with affiliating agencies. Any student accepted into a Health Science Program at Trocaire College will be required to meet the technical criteria outlined above. Students are advised that the College and clinical agencies associated with the Health Science Programs will rely upon the health information supplied by and for the student. Any 27

28 student who withholds or knowingly submits incorrect health information shall be subject to disciplinary action (Student Handbook). B. LATEX SENSITIVITY STATEMENT If you think you may have an allergy to latex, please see a physician who can administer a blood test to determine your sensitivity. If it is determined that you are sensitive to latex notify your instructors who can help minimize your exposure to latex products. Additionally, complete the Latex Sensitivity form found in the appendix of this manual and submit it to the Clinical Placement Coordinator. C. COMMUNICABLE DISEASES Hands should be washed before and after contact with each patient. The use of gloves does not eliminate the need for washing hands. Any Trocaire College student who has been exposed to and/or has any communicable disease or condition must do the following: 1. The student must contact the Coordinator of Health Records to discuss the condition. ( ) 2. Students will need a written physician s release to once again attend classes or clinical. 3. If the student contracts the flu they must stay home until symptoms subside. Radiation Protection -State and Federal Guidelines The Radiologic Technology program is governed by and strictly adheres to the rules, regulations, and Codes for Radiation Protection of the Student Radiologic Technologist (SRT) and the patient as written in: a. New York State Department of Health, Bureau of Environmental Radiation Protection: 1. Sanitary Code Chapter I - Part Public Health Law - Article 35 - Practice of Radiologic Technology 3. Chapter II Administrative Rules and Regulations, Subchapter L - Part 89 - Practice of X-ray Technology 4. Publications: Newsletter, Articles b. National Council on Radiation Protection and Measures Reports. All RT students are expected to follow the radiation protection practices put forth by the above agencies and presented, discussed, and applied during Radiation Protection lectures and labs. Sample regulations include: c. Consumer Patient Radiation Health and Safety Act of (Title IX of Public Law 97-35). 2. Radiation Exposure and/protection During the course of the Radiology Technology program students will be exposed to ionizing radiation. All students, when working with ionizing radiation, must adhere to the ALARA concept, which means: as low as reasonably achievable. The main components of the ALARA concept are time, distance, and shielding. All students must make the attempt to minimize the time of an exposure, maximize distance for personnel and 28

29 others in the exposure area from the primary beam, and shield themselves, the patient or others when possible. This is a concept the students will learn and utilize during the education process of becoming a Radiologic Technologist. To ensure compliance the student will: Take the time to assure they are properly protected under all circumstances (portables, fluoroscopy, etc.) Practice ALARA concepts. Always wear the badge at the neck level and OUTSIDE the apron. Not allow the body to be in the primary beam. Not hold patients or image receptor (IR) under any circumstances. Take proper precautions with Thermoluminescent Dosimeter (TLD). Do not leave them in radiation areas or use them for personal exposure. 3. Shielding Examples of shielding guidelines are presented in the lecture/lab courses during the Orientation and the semesters. a. RT Students: Proper lead shielding must be worn at all times and especially while involved in fluoroscopy and mobile radiography. b. Patients: The student is expected to exercise sound radiation protection practices for the patient s welfare at all times*. c. Provisions for Radiation Safety Rules require: 1. Mechanical devices (instead of persons) must be used whenever possible to immobilize patients. 2. Women of child-bearing age and persons under the age of 18 must never be used to hold patients. 3. In adherence with JRCERT regulations, students are not to hold patients. 4. Any person other than the patient who remains in an x-ray room during an exposure must be protected with shielding devices such as lead aprons and gloves. 5. Lead shielding should be provided to a patient whenever radiation sensitive organs lie within or near (2 inches) the primary beam unless such shielding would obscure essential diagnostic information. Students are required to abide by all safety precautions. The importance of keeping exposure as low as reasonably achievable (ALARA) through a combination of time, distance and shielding is stressed. 29

30 4. Radiation Monitoring Device The student will be issued a radiation monitoring device (personnel monitors/tld) for use in the clinical education setting. Students cannot participate in any clinical experience or energized laboratory experience without the radiation monitoring device on their person. The student is responsible for changing personnel monitors/tlds at the required time. Badges are distributed by the Radiation Safety Officer (RSO) who will collect the old and distribute the new monitors. Failure to meet the RSO s due date can result in a serious consequences. (see below) If a student becomes pregnant and discloses pregnancy, an additional fetal monitor will be ordered. The fetal monitor should be worn at the waist level. For additional details, please see the section on pregnancy located in the RT Program and Policies Manual which explains the additional paperwork/documentation that must be completed. a. Radiation Monitoring Device Lost/Damaged Students who have lost or damaged their radiation monitoring device are required to do the following: Report the loss to the Radiation Safety Officer within 48 hours. If not reported within 48 hours of having lost or damaged the device, a new radiation monitoring device will be ordered and provided, however, this will be at the student's expense of $ If a student does not declare their TLD as lost or damaged within 5 business days of the occurrence, then in addition to the $20.00 replacement fee, students will be prohibited from attending clinical, and this time away from clinical will be counted as an unexcused absence. Additionally, students reporting lost or damaged TLDs will be required to submit a letter (within 5 business days of the occurrence) addressed to the RSO explaining how the radiation monitoring device was lost or damaged. A statement regarding the proper way to handle and store the radiation monitoring device must be included, as well as the steps that will be taken to assure the incident will not happen again. b. Radiation Monitoring Report/Exposure Records Student/Faculty radiation exposure will be monitored during the entirety of the program and will be maintained by the Program as part of the student s permanent file. A copy of the radiation monitoring report will be filed in the RSO s office for confidentiality. It is the student's responsibility to review report. The most current radiation monitoring report will be posted on the RT bulletin board. Students will be identified by badge number ONLY to ensure confidentiality. Upon review, students will initial that they have read their report. Failure to review and sign the report within a month from the time it was displayed will result in a mini-grade drop on the final clinical grade. The radiation monitoring report will be reviewed upon arrival by the RSO. If a student s radiation limits are outside of the program s designated exposure limits**, the RSO is to notify the Program Director, verbally and in writing ( ) immediately. Additionally, the RSO will notify the student verbally and/or via . At this time the student, upon direction from RSO & Program Director, may be asked to: 1. Cease clinical assignment until investigation into the radiation monitoring report is completed to insure accuracy. 30

31 2. Schedule an appointment to meet in person with the Program Director, Clinical Placement Coordinator, and/or RSO for the necessary course of action and radiation counseling. At this time a radiation physicist will possibly be contacted for input depending on the radiation exposure amount. 3. A course of action and documentation of the outcome of the meeting will be given to the student and placed the student s file to insure the health and safety of the student. ** The program s threshold dose for incidents in which dose limits are exceeded is considered to be an average biannual dose of 120mrem or 1.2mSv. The Annual Occupation Effective Dose Limit to the whole body is 5000mrem or 50mSv. Educational Consideration Effective Dose Limit (if younger than 18 years of age) is 100mrem/yr. or 1mSv or biannual dose of 50mrem or 0.50mSv. All doses are taken from NRC Title 10 of the Code of Federal Regulation, Part 20 (10 CFR 20) 5. Radiation Protection during Pregnancy Should any student suspect pregnancy, the student is HIGHLY RECOMMENDED to meet with the RT Program Director, Clinical Placement Coordinator, and the Radiation Safety Officer, however, DISCLOSURE IS VOLUNTARY. Student radiographers are lectured on x-rays and pregnancy and relative policies are reviewed during Freshmen Orientation. (2). Pregnancy Banked Time The pregnant student will be allowed to bank a maximum of 4 clinic days, which are to be used strictly for maternity leave. The male student will be allowed to bank a maximum of 4 clinic days for paternity leave, with proper medical documentation. 31

32 RADIATION RULES GOVERNED BY ALARA 1. Never hold a patient while making an exposure. 2. Always wear a radiation badge. 3. The radiation badge is worn on the outside of the lead apron. 4. The radiation badge is to be worn at the level of the collar. 5. Never leave your radiation badge in the radiographic (fluoro) exam room. 6. Never wear your radiation badge if you are having medical or dental radiographs taken of yourself. 7. Always stand behind the lead barrier when making an exposure. 8. Always use collimation. 9. Never make an exposure while the door to the exam room is open. 10. Never enter a radiographic room without knocking to be sure an exposure is not in progress. 11. SHIELD! 12. Follow the appropriate rules for radiation safety set by each clinical site. 32

33 C. CPR POLICY CPR certification must be submitted prior to the start of Radiologic Procedures I and must be kept current for the duration of the Radiologic Technology Program. (Students not in compliance will not be allowed to participate in clinical experience until this requirement has been met). A copy of the CPR card or letter stating achievement, must be submitted to the Clinical Placement Coordinator, and the Trocaire College Health Office. Acceptable CPR (2 year) Certifications: American Red Cross Rescuer American Heart Association Health Care Provider Level D. HEALTH INSURANCE POLICY A copy of the student s health insurance card, must be submitted to the RT clinical coordinator and the Trocaire Health Office prior to the start of the Radiologic Technology Program. The RT Clinical Placement Coordinator is responsible for student CPR verification and health insurance verification. E. CLINICAL ASSIGNMENTS - a. The RT Program shall not mandate from students more than (40) hours in one week. This includes formal classes on campus and clinical assignments. b. RT students will be assigned a particular Clinical Education Center (CEC) for each semester/session. Requests by students for specific CECs will NOT be entertained c. It is the responsibility of the student to provide/arrange transportation to/from each of the sites. F. BEHAVIORAL/DRESS CODE FOR CLINICAL EXPERIENCE 1. Expected Behavior at Clinical Site: See Radiologic Technology Code of Ethics for RT Students in section II of Manual. 2. Personal Grooming The personal appearance and demeanor of Radiography students at Trocaire College reflects both the College and Program standards. Students are expected to be professionally groomed at all times. Students not in compliance with the dress code will not be permitted in the clinical area. Instead, they will be sent home to modify/correct the situation, with the expectation that they will have to make arrangements to make-up any time missed from that day s clinical assignment. Professional grooming includes meticulous personal hygiene. * Hair will be clean and neat at all times. * Hair longer than shoulder length must be tied back and kept off the face and chest. * Hair must not be dyed unnatural colors (i.e. purple, lilac, green, turquoise, fire engine red, orange, bright yellow, blue) 33

34 * Head coverings must not be loosely wrapped around the neck. * While in the operating room, head wraps must be contained by surgical attire. * Appropriate colored make-up, applied for day time, and worn in a simple and professional manner, is acceptable. * Nails must be no longer than ¼ inch above the fingertips. * Nail polish of any color, is unacceptable. Only clear or translucent pale pink, white or a color similar to your flesh tone may be worn. Opaque pink, white or flesh tone colors are not permissible. The nail must be visible for purposes of cleanliness. * All tattoos must be covered. * Faces must be clean shaven. Beards, mustaches, and sideburns must be well trimmed. * While in the operating room, beards must be contained by a surgical mask. * No perfumes, colognes, scented hair gels, or fragrant lotions should be applied prior to or during clinicals. * Deodorant/antiperspirant will be used. * Leave jewelry (necklaces, bracelets and rings) at home. A wedding band/wedding set and a watch may be worn. * A maximum of two small, plain, post style earrings may be worn in each ear no dangling earrings, gages, or ornaments larger than a dime. * No other visible body or facial jewelry and/or visible body piercings are allowed. 3. Required Clinical Dress Code: As presented in the Orientation Letter *All clinical attire must be cleaned, pressed, appropriate, and professional. *Mandatory gray scrub uniform shirts (with patch sewn on to left shoulder) and pants (at UMMC black scrub pants must be worn). *Solid white tee shirt: long or short sleeved (no printing visible) *Optional white lab coats with a patch sewn on the left shoulder. *Undergarments are to be unobtrusive and not visible at the sleeves or hem. *White, black or gray socks must be worn and be high enough to cover to above the ankle area. *White, black or gray professional shoes (i.e.: clogs, sneakers) without open backs, toes or arch area perforations are acceptable. Clogs with heel straps may be worn as long as the strap is utilized to secure the foot in the shoe. *Personal monitoring device (TLD) and Identification Markers *Pen and pocket notebook *Trocaire Photo I.D. Badge. 34

35 Hijab/head scarves: must be of a solid white, gray or black color. It should be styled away from your chest so that it does not fall forward to your patient. For operating room rotations, either style your hijab so that it is not covering your neck; or wear the beard, head/neck cover from the operating room. This cover will fit over your head like a hood with ties that go around the front to cover your hijab at your neck. If you must cover your arms with long sleeves, wear an operating room coat/gown over your uniform. Another option is to wear a turtle neck and style your hijab off your neck. Please be aware that protocols for covering hijabs/head scarfs may vary at sites. No student is to leave any site wearing or carrying out attire which is owned by that facility. Failure to adhere to the Trocaire College Dress Code will result in the student being sent home from the Clinical site and a recording of Non Compliance. G. ATTENDANCE POLICY Attendance affects the quality of academic performance. Therefore, prompt and regular attendance in lectures and laboratory sessions, as well as in the clinical education centers, is expected of all students. 1. Academic Attendance a. See current College Student Handbook and current College Catalog for Class/Academic Attendance Policies. b. Each RT courses may have specific attendance policies. Read each syllabus carefully for details. c. College Closing/Cancellation of Classes - Cancellation of classes will be posted. Closures for inclement weather will be announced over all major Buffalo radio and TV stations (e.g. WBEN, WGR, etc.), and the Trocaire Emergency Notification System. Please Note: Attendance will be taken at the start of each class and after the return from a break. As stated in the Trocaire College Student Handbook, Students are expected to attend all regularly scheduled classes. Each instructor will determine the requirements for attendance within specific courses. The following policies and procedures have been determined for all Radiologic Technology didactic courses, unless otherwise stated by an individual instructor in their class syllabus. Should there be an emergent reason for a student to not be able to attend a scheduled class, the student is responsible for phoning or ing the instructor of that class, at least 30 minutes prior to the scheduled start time of the class. Text messages are not an acceptable means of communicating your absence. When a student is absent from class, that student will be responsible for acquiring all notes, hand-outs and assignments from that day. Work which was due to be submitted on the day of the absence must be submitted at the start of the next class, along with any and all work scheduled to be submitted on the 35

36 returning day. If work is not submitted, or if the work is incomplete, a grade of zero will be recorded for that/those particular assignments. If a quiz or test is administered on the day of the absence, no make- up quiz or test will be given unless the student can provide a note explaining the nature of the legal and/or medical issue which prevented them from attending class. Reductions in attendance/participation grades will be derived for individual classes based on the number of hours that class meets each week. However, a grade of FX will be recorded for a student, in any class, when the student has been absent from class two or more times the number of hours that class meets each week. Receiving an FX results in the failure of that class and dismissal from the Program. By providing a note explaining a medical/legal issue which was unavoidable (i.e.: court date, jury duty, probate process, military duty..) then a reduction will still be applied to the final attendance/participation grade. However, this type of excuse will provide the student with an opportunity to take any tests or quizzes that they might have missed. Should an extended amount of time be accruing due to medical or legal issues, it is strongly recommended that the student withdraw from the Program, allowing the possibility of readmission for the future. For classes that meet twice a week: When the first and second absence occurs, a verbal warnings will be issued as a reminder of the consequences related to non-attendance. As stated above, the instructor must be informed of this absence, and the student is responsible to submit, at the start of the next scheduled class, all work due and assigned for that day. Failure to submit assignments will result in a zero being recorded for each assignment. Upon the occurrence of a third absence, the final attendance/participation grade will be reduced by 10%. All other criteria remains the same. If a student is absent a fourth time, an additional 10% (total reduction at this point being 20%) will be deducted from the final attendance/participation grade. All other criteria remains the same. At any time during the same course, should a student be absent beyond two times the number of hours that a particular class meets each week, a grade of FX will be assigned, signifying failure of that course and dismissal from the Program. For classes that meet once a week: When the first absence occurs, a verbal warning will be issued. All other criteria remains the same as that for classes meeting twice a week. 36

37 Should a second absence occur, the student will receive a 20% reduction of the final attendance/participation grade, with all other criteria remaining the same as that for classes meeting twice a week. Upon the occurrence of a third absence, the student will have missed greater than two times the number of hours that class is scheduled to meet each week and a grade of FX will be recorded. This will signify failure of the course and dismissal from the Program. Extenuating circumstances may be considered for review, on an individual basis, by the Program Director and Instructor. 2. Clinical Attendance Starting times may vary as per clinic site/adjunct faculty. Students requiring special arrangements will be reviewed on an individual basis. a. Clinical Absenteeism Policy: In case(s) of absence(s) from the clinical site, it is the student's responsibility to: 1) Call the clinical affiliate at least 30 minutes prior to site start time. 2) Ask to speak with, or leave a message for the assigned adjunct faculty, instructor, and/or radiology department. Text messages will not be accepted as official notification. 3) Adjunct Faculty will notify the Clinical Placement Coordinator of clinical absences. Absences per given course are to be made up according to the clinical time make-up policy. (for additional information refer to section C. Clinical Make-Up Policy) All medical notes and/or legal documentation must be submitted to the adjunct faculty within 1 week from the date of the last absence. Medical notes must indicate student illness or injury. Regularly scheduled medical/dental appointments are not acceptable reasons for excused absences. For additional information regarding absenteeism, please see Non-Compliance attendance Record Form. b. Banked Clinical Hours are granted by the following terms: 1) Proof of attendance at a pre-approved seminar/event, with a complete summary report (See Appendix). In order to receive banked hours for clinical use, the student must have approval from the RT faculty for the specific seminar he/she plans to attend. 2) Students have the opportunity to volunteer as a patient in the Echocardiography Program, which grants two (2) banked hours. This also must be approved. A maximum of 4 hours per semester may be accrued. 3) Banked hours may not be used to shorten the length of the program. They may NOT be used during the last 2 days in any semester/session. 37

38 4) Banked hours may be used during the semester/session they were accrued, or during the following semester. The time will be forfeited if not utilized. 5) Maternity/Paternity - Students will be allowed to bank a maximum of 4 days during the academic semesters and summer sessions. c. Clinical Make-Up Policy: Should a student require clinical make-up hours, he/she is responsible for scheduling the time with the adjunct faculty or clinical instructor of the radiology department at the clinical education center where the absence took place. Written permission must be obtained from the adjunct faculty or clinical instructor in order to verify permission, and this must be submitted to the Clinical Placement Coordinator for approval. (See Make-up Verification Form in the Appendix.) Make-up time must be completed at the specific clinical site where the student was scheduled when the absence(s) occurred. No clinical make-up hours will be scheduled during times when the College is officially closed, nor will they be scheduled during weekends, holidays or evening hours. 1. Fall & Spring Semesters: Make-up dates are to be scheduled and approved by the Clinical Placement Coordinator as soon as possible, following the day that the absence has occurred and must be completed no later final week of the semester. Failure to do so will result in an FX grade for the course. Extenuating circumstances will be reviewed on an individual basis. 2. Summer Clinical Component: Make-up dates must be completed immediately following the last scheduled clinic day of the session. All other rules for making up clinical time remain the same. Extenuating circumstances will be reviewed on an individual basis. 4. Holidays - All holidays observed by the College will be honored for clinical and didactic education. Holidays are printed in the Trocaire College Student Handbook and Planner. Observance of religious holidays should be brought to the attention of the Clinical Placement Coordinator and Program Director for discussion and circumstances will be considered on an individual basis. 5. Bereavement Policy - In the event of the death of a spouse, life partner, parent, sibling, child, mother or father-in law, grandparent, or grandchild, a leave not to exceed three (3) consecutive days within the week of death will be granted. Any time that exceeds the 3 days must be made up. Students must be able to show proof of death in the immediate family. 6. Clinical Remediation When an RT student exhibits difficulty(ies) in clinical psychomotor skills/performance (i.e. patient positioning, radiographic technique, etc.), remediation is highly recommended. The adjunct faculty member(s) and/or clinical instructor will submit the recommendation for remediation. The student is responsible for arranging an appointment with the RT Clinical Coordinator. Whenever possible, remediation will occur within the College laboratory. The clinical remediation form will be will be placed in the student s folder upon completion of the stated objective(s). Failure to follow this procedure will be documented and utilized in conjunction with the student s clinical evaluation(s). (See Remediation form in Appendix) 38

39 H. PROGRESSION IN THE RT PROGRAM If a student is unsuccessful in any one of the Radiography core courses in the major sequence, or if the Objectives for clinical education are not met, the student cannot advance to the next level of the RT Program. Each case will be reviewed by the Program Director and course instructor to determine eligibility for re admission. However, should a student be unsuccessful in any two or more Radiography core courses, the student will not be recommended for readmission to the Program. Failure to meet program requirements contained within this handbook (pertaining to specific, general, didactic, and/or clinical requirements) will also prevent progression within the RT Program. I. DISCIPLINARY ACTION Disciplinary action will be initiated if an RT student fails to follow program policy guidelines and/or meet program requirements. This will include a verbal warning as well as a written warning with consequences potentially leading to Program dismissal should infractions not be rectified accordingly. Students are also expected to follow the Trocaire College Student Handbook. Consequences may include probationary measures, grade adjustments or dismissal. See the Non-Compliance form in Appendix. J. RE-ADMISSION POLICY 1. If an RT student fails to achieve a grade of "C" or better in any RT core course/clinical/labs and/or A&P I and II (lecture/lab) and College Seminar/College Success, the Radiologic Technology Department Faculty will review the following criteria to determine if a student is eligible for readmission. a. Academic Performance: 1. Examinations, quiz grades, homework and course performance 2. Attendance 3. Professionalism/Behavior/Attitude b. Clinical Performance: 1. Clinical Evaluations 2. Clinical Anecdotal Records 3. Clinical Adjunct Faculty Recommendations 4. Attendance 5. Mastery Level Competency Sheet 6. Professionalism/Behavior/Attitude 39

40 c. Radiologic Technology Advisor's recommendation d. Achievement in other required program and core courses. e. Adherence to the ARRT Code for Professional Behavior to include Non-compliance 2. The Director of Radiologic Technology will then notify the student by way of a letter if he/she is has been deemed eligible for readmission to the Radiologic Technology Program. 3. Readmission is contingent upon the following: a. Completed Request for Readmission forms submitted to the Director of the Radiologic Technology Program requesting readmission. (See Appendix) b. Successful completion of RT Program Readmission criteria: which would include the following: 1. Review of assigned media and completion of a one page summary of any two 2. Successful completion of selected laboratory competencies 3. Successful completion of the RT review, multiple choice examination, with a grade of 75% or higher. Students failing to complete all of the above requirements will be denied readmission to the program. A student denied readmission has the right to appeal the decision. A student who desires an appeal should contact the Director of Radiologic Technology. A student is allowed re-admission into the RT Program only once. K. COLLEGE GRADING POLICY The Radiologic Technology Program Grading Policy mirrors Trocaire s Grading Policy Grade (Range) A = A- = B+ = B = B- = C+ = C = C- = 72-74* D+ = D = F = 64 and below *A student cannot progress to the next level in the Radiologic Technology Program if he/she receives any grade below C in ANY of the Radiologic Technology core courses/clinic/lab, as well as College Seminar and/or College Success and Anatomy & Physiology I and II. FX- Failure because of excessive absence. I- Incomplete - See College Catalog under Grading. W- Withdrawal - See College Student Handbook/ Planner WF- Withdrawal failure 40

41 L. TRANSFER/ADVANCED PLACEMENT STUDENTS - Policy: The Radiologic Technology Program of Trocaire College has instituted a policy to accept transferring and advanced standing students. Purpose: To establish guidelines for accepting students outside of the normal application process. Procedure: 1. There must be a vacancy before any discussion takes place with a perspective student. 2. The transferring student must be attending or did attend a program within the past 3 years that the ARRT/JRCERT deems accredited. 3. The perspective student must complete an application form and submit the College application fee. 4. The Program Director and at least one other faculty member of the Radiologic Technology Program will interview the perspective student. After the interview the Program Director will initiate contact with the Program Director of the school the student attended or is attending. The student is responsible for furnishing all pertinent records from the school that he/she previously attended. 5. Since transfer candidates will vary in their achievements and competencies, a step by step testing criteria will be developed for each individual. This criteria must be documented before any testing begins and both the Program Director and candidate must sign this document. The candidate will be furnished course objectives, and be provided access to school resources to prepare for testing. The document will indicate a cost the candidate must pay prior to the testing. If the student has credentials is deemed acceptable for admission, the payment received will be credited toward the tuition expense. 6. The testing criteria to be developed will be based on didactic and clinical competencies of the Radiologic Technology Program at Trocaire College. The transferring student must take all final examinations for courses that the Program Director deems necessary. The appropriate instructor will grade the final examinations. If the student does not score 75% or better on the final examinations, the Program Director will decide if the course must be repeated. A student may be provided one opportunity to retest on a final exam only if the student goes through a remedial process. 7. It will be made clear to the candidate how clinical competency is tested and achieved. The transfer student must document clinical competence according to the College policy before graduating. 8. The student that transfers in, must pay the School s tuition fees upon being granted approval for admission regardless of when in the program cycle the student transfers in. The student will also be responsible for any book purchases necessary for the remaining didactic courses. 9. Based upon the results of the examinations, the applicant s previous transcripts and academic experience, the Program Director will determine whether the applicant s academic standing warrants admission. General Education courses taken more than five years prior to application for transfer may not be accepted. 41

42 M. SERVICES FOR STUDENTS WITH DISABILITIES Trocaire College offers students with disabilities reasonable academic accommodations and services to enable them to fully participate in the mainstream of the educational process. In compliance with Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990 and Amendment Act of 2008, the College provides services on an individual basis for students with disabilities. Students are required to provide documentation to indicate need for services. Students are encouraged to contact the Coordinator of Disabilities ( ) at the time of admission to the College. Services or academic accommodations will be based on individual needs and course requirements. They include, but are not limited to, extension of time for testing, tutoring, note-taking, readers and writers for examinations, ipads for use of recording of reading material and lectures, learning materials in special format, and assistive technology. 1. Responsibilities: Every student has a responsibility to provide documentation from a qualified licensed professional of their disability prior to accommodations. Every student has a responsibility to follow recommendations and established procedures for academic support. 2. General Guidelines for Documentation: a. Student must make an appointment with the Coordinator of Disability Services. b. The Coordinator of Disability Services will conduct an initial intake interview. In this interview the student will be expected to identify themselves as having a disability and will be asked to provide documentation that includes a diagnosis or an assessment of a disability. c. If the student has: 1. no prior documented disability then the student will be referred for appropriate evaluation. 2. a prior documented disability, the student will be granted provisional accommodations for 30 calendar days until up-to-date documentation is provided. Failure to adhere to the above stated timeframe will result in the suspension of accommodations until the documentation is delivered. d. After proper documentation has been submitted, please allow at least (5) business days before accommodations are granted. e. A letter will be given to a student s instructors informing them of the accommodations. 42

43 f. Students must sign up in the PCAS at least three (3) days before the test/exam/quiz is to take place. Accommodations will not be granted without the appointment. g. Students must meet with the Coordinator of Disability Services at the start of each semester to review/update accommodations. In determining the acceptability of documentation, Trocaire College follows Best Practices: Disability Documentation to Higher Education, including the Seven Essential Elements of Quality Disability Documentation. See the website at 3. Confidentiality Information regarding a student s disability is considered confidential and will be shared only with those at Trocaire College who need to know. That includes administrators, faculty and staff who have access to disability relation information, only in so far as it affects their functioning in their respective areas of responsibilities. N. COLLEGE SAFETY AND SECURITY Campus Safety and Security at Trocaire College works in conjunction with students, faculty, and staff toward ensuring their security throughout the campus. Trocaire employs uniformed guards through a private security service. The guards work closely with the Buffalo Police Department. In order to support emergency services on and around the Trocaire campus, we rely upon a strong working relationship with not only the Buffalo City Police Department, but also the Buffalo Fire Department. We also call on the services provided by local first responders. In keeping with the Cleary Act, we provide vital information and statistics about incidents on and around the campus community in an annual security report published on the Department of Education website. We believe in a well-informed community; in keeping with this, notices of pertinent security related happenings and incidents are posted on security boards throughout campus. For additional information contact Director of Facilities, Choate Campus Room Crime Prevention The key to a safe and secure environment in any area is crime prevention. Campus Safety and Security utilizes uniformed guards in most cases when classes are in session. The college also utilizes security cameras which are installed in several areas on campus. Crime prevention is a joint effort however, and cannot be accomplished without the assistance of the entire Trocaire community of students, faculty, and staff. The security committee has composed a list of several crime prevention and safety tips which are distributed at the beginning of each semester. In addition to uniformed security officers, there is a campus-wide Security Advisory Committee comprised on faculty, staff, administration and students. 43

44 2. Campus Safety and Security Phone Numbers : Main Desk Choate Campus : Emergency Choate Campus Only after 6:30 p.m. (use an outside line) : Director of Facilities 3. Fire Safety: If the alarm sounds, all occupants of the building must vacate immediately. Close office and classroom doors. Should an alarm sound while an exam is being taken, hand exams and answer sheets to the instructor as you exit the room unless your safety is otherwise jeopardized. Revised 6/2015 Revised 7/6/16 Revised 7/

45 TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY COURSE/CLASSROOM POLICIES Testing Policy 1. Examination dates will be noted on class syllabi. 2. If an absence occurs on a test date, the student must present documentation, before or on the next scheduled meeting day for that class, explaining that the absence was unavoidable. Acceptable documentation provided to the respective faculty member includes: A medical or legal excuse on official letterhead Proof of death of an immediate family member Written request for observance of religious obligation. If proper documentation is submitted, the student will be afforded the opportunity to be provided with an equivalent test, project, paper, or alternate make-up exam. Without proper documentation, a permanent grade of zero (0) will be recorded for missed assignments/tests, etc. 3. Examination grades will be determined from computer answer sheets only. This will be the only indicator of the student s grade. There are no exceptions. 4. Computer answer sheets will not be handed back to the student. If the student wants to review his/her answer sheet, it is the individual s responsibility to arrange an appointment with the instructor. 5. The examinations will be handed back to the students during a class period for a review of each question. Following the review, exams will be returned to the instructor and maintained in individual student files. 6. If a student receives an examination grade below 75%, it is highly recommended that the student make an appointment with the professor to review the exam/grade. Final Examinations 1. Final examinations in the Radiologic Technology courses occur during the last two (2) weeks of the college academic semesters. Students are EXPECTED TO BE IN ATTENDANCE at the assigned time. Final exams will not be re-arranged for any reason (i.e. vacations, weddings), except in extenuating circumstances (i.e., illness, death of immediate family member). Members of the military who must be absent at the time of a scheduled final exam due to service related responsibilities, should speak with the Program Director and the course instructor to make optional testing arrangements. Failure to take the final exam at the assigned time will result in a grade of zero (0) for that exam. 2. Students are required to be present and/or available on the Tuesday and Thursday of the last week of the semester. 45

46 Extra Credit Student grades are based on criteria explained in course syllabi. At no time is extra credit given to boost grades in a course. Academic Dishonesty Academic Integrity Policy Academic endeavors demand personal honesty from all participants in order to foster an environment in which optimal learning can take place. Academic integrity is consistent with Trocaire s mission and culture. Definitions: Academic dishonesty may be defined as: A. Cheating giving or receiving answers on required/evaluative material, using materials or aids forbidden by the instructor, alteration of academic records, unauthorized possession of examinations, or the falsification of admissions, registration or other related college materials. B. Plagiarism the offering of someone else s work as one s own, using material from another source without acknowledgement including the reprinting and/or importing in whole or in part term papers found on internet sites without acknowledgement. C. Interference interfering with the work of another student either by obtaining, changing, or destroying the work of another student. D. Buying or selling of term papers, homework, examinations, laboratory assignments and computer programs/assignments. E. Falsifying of one s own or another s records. F. Knowingly assisting someone who engages in items A-E above. Penalties: Penalties that may be imposed include, but are not limited to the following: A. Faculty may impose the following penalties within the context of a course, 1. Lowering of a grade or failure for a particular assignment. 2. Lowering a grade, failure and/or dismissal from the course. B. The Program Director responsible for the student s curriculum may impose harsher measures within context of the College such as, 1. Disciplinary probation may include mandatory repeat of a course, etc. 2. Dismissal from the program. C. The Program Director may recommend to the Vice President for Academic Affairs and Planning that the student be suspended / dismissed from the College. D. The Vice President for Academic Affairs and Planning may suspend the student from the College for a period of one semester or more. When deemed appropriate the student may be dismissed from the College. Classroom Policy During Test Taking All personal belongings are required to be placed in the front of the room, or on the windowsill ledge. This is to include, but is not limited to: books, papers, backpacks, book bags, purses, cell phones, and pagers. Cell phones are to be turned off, including vibration mode. Cell phones are not to be used as calculators. No ear pieces are to be used. Hair should be styled away from the face. No hats or hoods are to be worn during testing. 46

47 Shoes must remain on at all times during testing. No food or beverages are allowed during testing. Students are not allowed to ask questions of any kind during tests, quizzes and/or exams unless he/she is verifying a typographical error. Attendance Policy ATTENDANCE IS MANDATORY. As taken from the Trocaire College Student Handbook: Students are expected to attend all regularly scheduled classes. Each instructor will determine the requirements for attendance within specific courses. Any student having absences greater than what is allowed (as noted in the course syllabus) will see a lowering of the final grade. Specifics for individual courses are stated in the course syllabus. Attendance will be taken at the start of each class. Should there be an emergent reason for not being able to attend class, a phone call to the instructor must be made at least 30 minutes prior to the scheduled start time of that particular class. Text messages are not acceptable means of communicating your absence. A student who is absent from a class is held responsible for all work which was due on that date, quizzes and tests which were performed on that date, information provided during class and work assigned on that date. Please make an effort to have a classmate provide you with updates from the time you have missed and realize that work handed in late can and may have points deducted should you not follow the proper policy. Tardiness Policy Classes begin promptly. Tardiness will not be tolerated; it is very disruptive to classmates as well as instructors. If you are going to be tardy a phone call must be placed to the instructor at least 15 minutes prior to the scheduled start time of the class. Text messages will not be accepted as official notification. If you are not present when attendance is taken at the start of class, or if you have not called to leave a message saying you are going to be late, then you will be considered tardy. Tardiness will result in a lowering of your final grade. Late 2 times = 1 mini step grade drop Late 3 times = 2 mini step grade drops More than 3 times = 1 full step grade drop Ex: (B+) to (B) Ex: (B+) to (B) to (B-) Ex: (B+) to (C+) Cell Phone Policy Cell phones must be silenced or shut off and out of sight during class/laboratory. Cell phones will not be used as a time piece or a calculator. (See Non-Compliance Form Category I) Dress Code: During the lecture part of classes, students may wear comfortable, appropriate and presentable clothing. It is expected that outfits will be clean and will not contain any offensive language or pictures. Tube tops, halter tops, deep-set necklines, and very short, tight skirts and shorts should not be worn to class. Shirts and blouses must extend to the waistband. Underwear should not be visible above pants that are riding below the hip line. Sunglasses and hats are not to be worn in the classroom. 47

48 During lab sessions students will be expected to dress in their scrub uniforms. This creates an atmosphere of professionalism and prepares the student for active participation in simulating radiologic positions. Social Media Policies The student will respect the policies of confidentiality related to social media. Any statements, pictures or expressions that could cause harm or injury to an individual or to the school will be considered grounds for dismissal from the program. Recording of class is prohibited without prior approval. This includes tape recordings, video recordings, mobile/cell phone recordings, etc. Under no circumstance may any item be posted to on-line services such as You Tube or Facebook. 48

49 PART II Clinical Education Page 1. Structure of Clinical Education for RadiologicTechnology Program Supervision - Clinical Education Policy Course Descriptions: RT RT RT RT RT RT

50 50

51 I. STRUCTURE OF CLINICAL EDUCATION FOR RADIOLOGIC TECHNOLOGY PROGRAM Clinical Education for Radiologic Technology at Trocaire College is divided into six units. Each unit will be termed Clinical Education. The six units include the following: 1. RT Clinical Education I 1st Semester Freshman 2. RT Clinical Education II 2nd Semester Freshman 3. RT Clinical Education III - Applied Radiologic Technology I Summer Session Freshman 4. RT Clinical Education IV 1st Semester Sophomore 5. RT Clinical Education V 2nd Semester Sophomore 6. RT Clinical Education VI - Applied Radiologic Technology II Summer Session Sophomore The syllabus for each Clinical Education Unit will include the following criteria: 1. Course Descriptions for (freshman or sophomore students) and Prerequisites. 2. Type of Supervision 3. Objectives 4. Grading System 5. Competencies required during specific clinical units Clinical folders will be kept and these will contain the following: ARRT Radiography Clinical Competency Requirements (blue) Check List for Competency Testing (orange) Clinical Competency Evaluations Forms: Semester/Session (white) ARRT Mandatory/Electives (blue) Repeats (green) Pediatrics (yellow) Geriatrics (purple) C-arm (orange) Daily Log Sheet- (white) Repeat/Reject Log Sheet (white) Clinical Education Midterm/Final Evaluation- (white) Non-Compliance form (pink) Clinical Orientation to Policies and Procedures regarding Health & Safety (gold) Incident Report Form (white) Latex Sensitivity Form (white) 51

52 Reference for Clinical Education Courses: 1. Curriculum Guide for Program in Radiologic Technology - The American Society of Radiologic Technologists- ASRT 2. Standards for an Accredited Educational Program in Radiologic Sciences. 3. Content Specifications for the Examination in Radiography - ARRT 4. Standards set by the Joint Review Committee on Education in Radiologic Technology - JRCERT II. SUPERVISION - CLINICAL EDUCATION CENTER A. Freshman Level Supervision/Direct Supervision Direct Supervision is defined as a licensed radiographer/ clinical instructor actually present for all radiographic procedures at the specific exposure site. Until students achieve the program's required competency in a given procedure, all clinical assignments are carried out under direct supervision of qualified radiographers. Following are the parameters of direct supervision. 1. The qualified radiographer reviews the procedure in relation to the student's achievement. 2. The qualified radiographer evaluates the condition of the patient in relation to the student's knowledge. 3. The qualified radiographer is present during the procedure. 4. The qualified radiographer reviews and approves the procedure. In support of professional responsibility for provision of quality patient care and radiation protection, unsatisfactory radiographs shall be repeated only in the presence of a qualified radiographer, regardless of the student's level of competency. (Source: Standards) B. Sophomore Level Supervision/Indirect Supervision Indirect Supervision is defined as that supervision provided by a qualified radiographer (and/or Clinical Instructor) immediately available to assist students regardless of the level of student achievement. "Immediately available" is interpreted as the physical presence of a qualified radiographer adjacent to the room or location where a radiographic procedure is being performed. This availability applies to all areas where ionizing radiation equipment is in use. (Source: Standards) The clinical instructor or adjunct faculty members are present at the affiliate to review the request for examinations, evaluate patient condition, assign patients to students, assist students and evaluate radiographs with the student. In support of professional responsibility for provision of quality patient care and radiation protection, unsatisfactory radiographs shall be repeated only in the presence of a qualified radiographer, regardless of the student's level of competency. (Source: JRCERT Standards 4.4) 52

53 III. COURSE DESCRIPTIONS RT 104 Clinical Education I (fall) This course has two components designed for the first semester freshman student. It first includes the Clinical Orientation component of the program, and second, the student s first clinical rotation in an affiliated Clinical Education Center (CEC). Clinical Orientation and rotation take place on Tuesdays and Thursdays. The student will remain in the Clinical Education Center for one semester to become oriented to the radiology department procedures, protocols, and patient care. The student begins with site orientation and case observation. As the semester advances, he/she progresses from an observer to a more active participatory role. The student learns to perform radiologic procedures under direct supervision, gaining experience for competency evaluation. Prerequisite - None Clinical Orientation/Introduction (COI): The student receives instruction in the following topics as a means to prepare him/her for the clinical environment: Introduction to Equipment Basics of an X-ray Exam Positioning/Medical Terminology Digital Radiography Professionalism in the Clinical Setting OSHA & HIPAA Kaleida Health and Catholic Health Systems Introduction Nursing Principles Proper Body Mechanics/Patient Lifting and Transport Venipuncture and Vital Signs Advisement Beginnings Abdominal Landmarks and Anatomy Medical Ethics Aseptic Technique The Culturally Responsive Healthcare Professional Fundamentals of Radiologic Science and Healthcare Healthcare Communication Program Policies and Clinical Center Orientation JRCERT accreditation and policies 53

54 Clinical Goals: The student experience includes clinical participation with: 1. Observation 2. Assistance to the Radiographer 3. Practice/performance under direct supervision of assigned examination 4. Critique of produced images Type of Supervision: Direct supervision by College Instructor(s) and/or Clinical Adjunct Faculty; Refer to Program policy Program Policies and Clinical Education Manual Objectives: The student will demonstrate competency in the following domains: Cognitive, affective, and psychomotor. Students will be able to complete a basic routine patient examination. Students will demonstrate professional behavior in the clinical setting. Grading System: RT Clinical Education I (fall) Grades are based on the following: Maximum Percentage Points 1 Written (COI) Examination % 2 --Clinical Competency Practical Evaluations 25% 1 - Final Clinical Competency Evaluation 50 20% Attendance 15% Preparation/Appearance/Uniform 15% Terminal Competency: With the successful completion of RT 104 Clinical Education I, the student will have complied with policies presented in the Trocaire College Student Handbook, Radiologic Technology Program Policy Manual, and the Code of Ethics of the American Registry of Radiologic Technologists. All semester competencies must be completed during the semester, or the student will fail RT 104. The student may not advance to the next level within the Radiologic Technology Program. Course Description RT 108 Clinical Education II (spring) This course is designed for the second semester freshmen student. It includes the components for continued basic instruction, plus enhancement of the student's clinical participation. Spring CEC assignments are usually the same as the fall assignments for the freshman student. 54

55 The student continues to perform under direct supervision, gaining further experiences for competency evaluation in the broad categories of chest, abdomen, upper and lower extremities, spine, skull and facial bones, portables/mobile radiography and operating room procedures. Prerequisite: RT 104, BIO 130 Anatomy and Physiology (Lecture and Lab) with a grade of "C" or better. Clinical Goals: The student experience includes clinical participation with: 1. Observation. 2. Assistance to the radiographer. 3. Practice/performance under direct supervision of assigned examinations. 4. Critique of produced images. Type of Supervision: Direct Supervision by College Instructor(s) and/or Clinical Adjunct Faculty; Refer to Program policy in Program Policies and Clinical Education Manual. Objectives: The student will demonstrate competency in the following domains: Cognitive, affective, and psychomotor. Students will be able to complete a basic routine patient examination. Students will demonstrate professional behavior in the clinical setting. Grading System: RT Clinical Education II (spring) Grades are based on the following: Maximum Points Percentage 6 - Clinical Competency Practical Evaluations 25% 1 - Midterm Clinical Competency Evaluation 50 25% 1 - Final Clinical Competency Evaluation 50 20% Attendance 15% Preparedness/Appearance/Uniform 15% Terminal Competency: With the successful completion of RT 108 Clinical Education II, the student will have complied with policies presented in the Trocaire College Student Handbook, Radiologic Technology Program Policy Manual, and the Code of Ethics of the American Registry of Radiologic Technologists. All standard semester competencies must be completed during the semester or the student will fail RT 108. The student may not advance to the next level within the Radiologic Technology Program. The student is also encouraged to strive for completion of competencies listed in the Radiography Clinical Competency Requirements designated by the ARRT (blue sheet). 55

56 Course Description RT 109 Clinical Education III Applied Radiologic Technology I (summer) For this course, the student will be assigned to a different Clinical Education Center. The summer semester freshman student will continue practice of the RT skills learned in class and in the previous clinical site. The student actively assists the Radiographer in radiographic examinations and performs a variety of examinations under direct supervision. With gained experience in various procedures, he/she gradually moves to an independent clinical performance stage. Students will be provided experiences in each area of the radiology department in order to gain expertise and master radiographic examinations. This includes general radiography, fluoroscopy, portable/mobile studies, and operating room procedures. Because the summer clinical component offers even more opportunity for case/examination variety, students are strongly advised to complete mandatory and elective competencies listed in the Radiography Clinical Competency Requirements designated by the ARRT (blue sheet) during summer clinic. Prerequisite: RT 108, BIO 131 (lecture and lab) with a grade of "C" or better Clinical Goals: 1. Observation. 2. Assistance to the radiographer. 3. Practice/performance under direct supervision of assigned examinations. 4. Critique of produced images. 5. Develop proficiency and confidence in the performance of routine radiographic procedures including: contrast studies, spines, cranium, portables/mobile work and the operating room. 6. Continue development in professional attitude and behavior. Type of Supervision: Direct Supervision by College Instructor(s)/Radiographer(s). Refer to Program policy - Program Polices and Clinical Education Manual. Objectives: The student will demonstrate competency in the following domains: Cognitive, affective, and psychomotor. Students will be able to apply correct positioning and technical skills. Students will demonstrate professional behavior in the clinical setting. Students will adapt positioning skills for non-routine radiographic examinations. 56

57 Grading System: RT Clinical Education III (Summer) Applied Radiologic Technology I Grades are based on the following: Maximum Points Percentage 8 - Clinical Practical Evaluations 20% 1 - Midterm Clinical Competency Evaluation 50 20% 1 - Final Clinical Competency Evaluation 50 20% 1 Service Learning Reflection Paper 10% Attendance 15% Preparedness/Appearance/Uniform 15% Terminal Competency: With the successful completion of RT 109 Clinical Education II, the student will have complied with policies presented in the Trocaire College Student Handbook, Radiologic Technology Program Policy Manual, and the Code of Ethics of the American Registry of Radiologic Technologists. All standard summer session competencies must be completed during this session or the student will fail RT 109. In addition, RT 109CA requires a Service Learning Reflection Paper. This is a one page double spaced, Time RN, Font #12 paper. The written assignment must be completed by the given date and submitted to the Clinical Coordinator. This is a College-wide requirement and is expected to be completed in order to continue to the next level in the RT Program. The student may not advance to the next level within the Radiologic Technology Program if all requirements are not met. Course Description RT 205 Clinical Education IV (fall) This course is designed for first semester sophomore students entering the second year of their clinical education. The student is assigned a new Clinical Education Center and actively assists the Radiographer in radiographic procedures. With more experience in radiographic procedures, the student moves into the indirect supervision clinical performance stage. Actual independent performances are under supervision of the Radiographer, College Instructor or Adjunct Faculty. The student will also participate in special imaging modalities, C-arm, and CT (Computerized Tomography). The student is strongly encouraged to complete mandatory and elective competencies listed in the Radiography Clinical Competency Requirements designated by the ARRT (blue sheet). Prerequisite: RT 109 with a "C" or better. Clinical Goals: 1. Assistance to the radiographer 2. Practice/performance under indirect supervision of assigned examinations 3. Critique produced images. 4. Develop proficiency and confidence in the performance of routine radiographic procedures including: contrast studies, spines, cranium, portables/mobile work and the operating room 5. Continue development in professional attitude and behavior 57

58 6. Participate, develop confidence and begin to function more independently 7. Utilize critical thinking and problem solving skills Type of Supervision: Indirect Supervision - Refer to Program Policy - Program Policies and Clinical Education Manual Objectives: The student will demonstrate competency in the following domains: Cognitive, affective, and psychomotor. Students will be able to apply correct positioning and technical skills. Students will demonstrate professional behavior in the clinical setting. Students will adapt positioning skills for non-routine radiographic examinations. Grading System: RT Clinical Education IV (fall) Grades are based on the following: Maximum Points Percentage 6 - Clinical Practical Evaluations 25% 1 - Midterm Clinical Competency Evaluation 50 25% 1 - Final Clinical Competency Evaluation 50 20% Attendance 15% Preparedness/Appearance/Uniform 15% Terminal Competency: With the successful completion of RT 205 Clinical Education II, the student will have complied with policies presented in the Trocaire College Student Handbook, Radiologic Technology Program Policy Manual, and the Code of Ethics of the American Registry of Radiologic Technologists. All standard semester competencies must be completed during the semester or the student will fail RT 205. The student may not advance to the next level within the Radiologic Technology Program. Course Description RT 210 Clinical Education V (spring) This course is designed for the second semester sophomore student. The student is assigned a new Clinical Education Center. This course provides an opportunity for the student to gain expertise in the skills necessary to become a practicing radiographer. Although the student still has direct supervision, he/she is also expected to perform with indirect supervision and strive for confidence with critical thinking and problem solving. Participation in special imaging modalities and completion of all semester competencies is required. Prerequisite: RT 205 with a grade of "C" or better. 58

59 Clinical Goals: 1. Assistance to the radiographer 2. Practice/performance under indirect supervision of assigned examinations 3. Critique produced images 4. Develop proficiency and confidence in the performance of routine radiographic procedures including: contrast studies, spines, cranium, portables/mobile work and the operating room. 5. Continue development in professional attitude and behavior 6. Utilize critical thinking and problem solving skills/applications in given situations (during competency performances) 7. Participate, develop confidence and begin to function more independently Type of Supervision: Indirect Supervision - Refer to Program Policy - Program Policies and Clinical Education Manual Objectives: The student will demonstrate competency in the following domains: Cognitive, affective, and psychomotor. Students will be able to apply correct positioning and technical skills. Students will demonstrate professional behavior in the clinical setting. Students will adapt positioning skills for non-routine radiographic examinations. Grading System: RT Clinical Education V (spring) Grades are based on the following: Maximum Points Percentage 6 - Clinical Practical Evaluations S/U Midterm Clinical Competency Evaluation Final Clinical Competency Evaluation Attendance 20 Preparedness/Appearance/Uniform 15 Course Description RT 211 Clinical Education VI (summer) - Applied Radiologic Technology II This course is designed for last semester (summer) graduate students. The student is assigned a new Clinical Education Center and performs procedures under direct and indirect supervision by the Radiographer, College Instructor, or Adjunct Faculty. Throughout the summer, the student is also involved in special radiographic procedures and has opportunities in advanced imaging modalities. Through these experiences, the student is able to develop confidence and professionalism in order to perform routine procedures for certification. Prerequisite: RT 210 with a grade of "C" or better. 59

60 Clinical Goals: 1. Assistance to the radiographer 2. Practice/performance under indirect supervision of assigned examinations 3. Critique produced images 4. Develop proficiency and confidence in the performance of routine radiographic procedures 5. Continue development in professional attitude and behavior 6. Utilize critical thinking and problem solving skills/applications in given situations (during competency performances) 7. Participate, develop confidence and be able to function mostly in an independent manner All mandatory/elective competencies listed in the Radiography Clinical Competency Requirements designated by the ARRT (blue sheets) must be completed during summer session (RT 211) or the student will attend clinicals for an additional period of time at a site to be determined by faculty. Students not in compliance will fail RT 211. Type of Supervision Indirect Supervision - Refer to Program Policy - Program Policies and Clinical Education Manual. Objectives: The student will demonstrate competency in the following domains: Cognitive, affective, and psychomotor. Students will be able to apply correct positioning and technical skills. Students will demonstrate professional behavior in the clinical setting. Students will adapt positioning skills for non-routine radiographic examinations. Grading System: RT 211- Clinical Education VI (summer) Applied Radiologic Technology II Grades are based on the following: Maximum Points Percentage 4 - Clinical Practical Evaluations 40% 1 - Final Clinical Competency Evaluation % Attendance 15% Preparedness/Appearance/Uniform 15% Graduate Terminal Competency: At the completion of RT Applied Radiologic Technology II (Clinical Education Summer), the student will be able to: 1. Successfully perform all competencies related to basic and advanced radiographic procedures. 2. Successfully perform the highest level of competencies regarding patient care. 3. Maintain the highest level of interpersonal and communicative relationship. 4. Conform to the Code of Ethics that governs the profession of Radiologic Technology. 5. Utilize both the academic and clinical criteria for successful completion of the American Registry Examination and New York State Requirements. 6. Pursue employment opportunities and continuing education possibilities. 60

61 Students may be eligible at this point to apply to the NYS Department of Health to be issued a RT temporary license. These licenses will not be relinquished to students unless all College financial obligations have been met. Additional Handouts: 1. American Registry of Radiologic Technologists Examiner Handbook and forms 2. New York State Radiologic Technology Licensure Application Form 3. Graduate Exit Interview 4. Graduate Summative Evaluation 5. Clinical Site Evaluation 6. Clinical Instructor Evaluation With the successful completion of RT 211, the student will have complied with policies presented in the Trocaire College Student Handbook, Radiologic Technology Program Policy Manual, and the Code of Ethics of the American Registry of Radiologic Technologists. Clinical Rotations/Observations in Mammography: In accordance with standards set by the Joint Review Committee on Education in Radiologic Technology (JRCERT), it has been determined that Radiologic Technology programs must make every effort to place a male student, should they request it, in a mammography rotation or observation experience. However, programs will not be expected to override clinical affiliate site policies that restrict mammography rotations/observations to female students. Therefore the radiography program sponsored by Trocaire College has revised its policy, effective August 2017, regarding the placement of students in clinical mammography rotations to observe and/or perform breast imaging. (Additionally, the policy may be applied to any imaging procedures performed by professionals who are of the opposite gender of the patient.) Under the new policy, all students, male and female, will be offered the opportunity to participate in clinical mammography rotations/observations. The program will make every effort to place a male student in a clinical mammography rotation/observation if requested; however, the program is not in a position to override clinical setting policies that restrict clinical experiences in mammography to female students. Male students are advised that placement in a mammography setting is not guaranteed and is subject to the availability of a clinical setting that allows males to participate in mammographic imaging procedures. The program will not deny female students the opportunity to participate in mammographic imaging procedures if clinical settings are not available to provide the same opportunity to male students. The change in the program s policy regarding student clinical rotations in mammography is based on sound rationale presented in a position statement on student clinical mammography rotations adopted by the Board of Directors of the Joint Review Committee on Education in Radiologic Technology (JRCERT) at its April 2016 meeting. The JRCERT position statement is included as Addendum A to the program s policy and is also available on the JRCERT Web site, Programs & Faculty, Program Resources. t.org/sites/jrcert2/uploads/documents/mammography_position_statement_final_ pdf 61

62 62

63 APPENDICES Page 1. Clinical Orientation to Policies and Procedures Regarding Health & Safety Master Plan for Clinical Competency Testing Clinical Competency Requirements Imaging Procedures for Mandatory Electives ARRT Checklist of Competency Testing freshmen Checklist of Competency Testing sophomores Clinical Competency Evaluation Form Clinical Competency Repeat Evaluation Form Clinical Competency Pediatric Evaluation Form Clinical Competency Evaluation Form for C-Arm Procedures Examination Log Sheet Repeat/Reject Log Sheet Clinical Competency Midterm/Final Evaluation Clinical Attendance Medical Clearance Latex Sensitivity Form Declination of Influenza Vaccination for Healthcare Personnel Student Incident Report Non-Compliance Program Grievance Policy Remediation Form Make-Up Verification Form Clinical Make-Up Time Sheet Verification of Professional Time Verification of Service Learning Site Evaluation Graduate Exit Interview Graduate Summative Evaluation Employer Evaluation Clinical Grading Forms Request for Re-Admission Re-Admission Request Form Freshman Re-Admission Letter Sample Sophomore Re-Admission Letter Sample Due Process Procedure (Appeal of Academic Decisions) Student Pregnancy Packet Memorandum of Agreement

64 64

65 Trocaire College Radiologic Technology Program Orientation to Clinical Policies and Procedures Regarding Health and Safety By virtue of my signature, I attest to the fact that I have been orientated to the health and safety policies and procedures listed below, at the affiliate clinical site noted. (Source: JRCERT Standard 4.8) Name of Clinical Site Date of Orientation Signature of Instructor Check Areas of Review Student Signature ---Hazards: chemical, fire, electrical ---Emergency Preparedness ---Medical Emergencies ---HIPAA ---Standard Precautions ---Facility Specifics ---Hazards: chemical, fire, electrical ---Emergency Preparedness ---Medical Emergencies ---HIPAA ---Standard Precautions ---Facility Specifics ---Hazards: chemical, fire, electrical ---Emergency Preparedness ---Medical Emergencies ---HIPAA ---Standard Precautions ---Facility Specifics ---Hazards: chemical, fire, electrical ---Emergency Preparedness ---Medical Emergencies ---HIPAA ---Standard Precautions ---Facility Specifics ---Hazards: chemical, fire, electrical ---Emergency Preparedness ---Medical Emergencies ---HIPAA ---Standard Precautions ---Facility Specifics ---Hazards: chemical, fire, electrical ---Emergency Preparedness ---Medical Emergencies ---HIPAA ---Standard Precautions ---Facility Specifics 65

66 66

67 TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM MASTER PLAN FOR CLINICAL EDUCATION TESTING COURSE RT FIRST SEMESTER FRESHMAN CLINICAL EDUCATION I RT SECOND SEMESTER CLINICAL EDUCATION II RT 109 SUMMER SESSION CLINICAL EDUCATION III RT FIRST SEMESTER SOPHOMORE CLINICAL EDUCATION RT SECOND SEMESTER SOPHOMORE CLINICAL EDUCATION RT SUMMER SESSION 1 EXTREMITY 1 CHEST (PA & LAT) ABDOMEN (AP) ABDOMEN COMPLETE (MUST INCLUDE UPRIGHT) UPPER EXTREMITY(2) LOWER EXTREMITY(2) NO. OF EXAMS FROM EACH CATEGORY CHEST (IMMOBILE/NOT PORTABLE) THORAX/SPINE/PELVIS/HIP THORAX (RIBS OR STERNUM) CRANIUM/INSTRUCTORS CHOICE INSTRUCTORS CHOICE (2) MULTIPLE STUDY* FLUOROSCOPIC STUDY (UGI/BE)** MOBILE ABDOMEN/ORTHO MOBILE CHEST UPPER EXTREMITY(2) LOWER EXTREMITY(2) CONTRAST STUDY (2) THORAX/SPINE (3) CRANIUM MOBILE MULTIPLE STUDY(2) INSTRUCTOR S CHOICE(2) MULTIPLE STUDY(1) INSTRUCTORS CHOICE(3) CLINICAL EDUCATION VI ADDITIONAL REQUIRED COMPETENCIES: C-ARM ORTHOPEDIC C-ARM NON ORTHOPEDIC PEDIATRIC CHEST PEDIATRIC NON-CHEST NOTE: Some exams will occur more frequently at some clinical sites compared to others If a clinical affiliate has an insufficient number of these examinations to incorporate them into the evaluation system, those examinations may be simulated. Simulation examinations begin with a grade of 28 points. At no time, during examinations, especially contrast studies, will the patient or examination be jeopardized for the sake of a competency evaluation. 67

68 68

69 TROCAIRE COLLEGE Radiologic Technology Program Clinical Competency Requirements As part of the educational program, candidates must demonstrate competence in the following clinical activities: Ten mandatory patient care activities 37 mandatory imaging procedures 15 elective imaging procedures from a list of 34 One of the 15 elective imaging procedures must be from the head section Two of the 15 elective imaging procedures must be from the fluoroscopy studies section, one of which must be either an UGI or a BE. Demonstration of competence must include: Patient identity verification Examination order verification Patient assessment/history Room preparation Patient management Equipment operation Technique selection Patient positioning Radiation safety Image processing Image evaluation Exit/follow-up instructions Every effort should be made to perform the competencies on actual patients. However, three (3) electives may be simulated if demonstration on patients is not feasible. Simulations begin with a grade of 28. Maximum of 8 mandatory procedures may be simulated if demonstration on a patient is not feasible. Institutional protocol will determine the projections/positions used for each procedure. 69

70 70

71 71

72 72

73 73

74 74

75 75

76 76

77 TROCAIRE COLLEGE CHECKLIST FOR MANDATORY COMPETENCY TESTING (FRESHMEN) NAME CLASS OF 50% of the required competencies must be completed by midterm or two (2) points will deducted from Clinical Education Evaluations for each unaccounted for competency. COURSE MANDATORY RADIOLOGIC PROCEDURES RT104 CLINIC I FALL EXTREMITY 2 Competencies CHEST ROUTINE (PA) & (LAT) SPECIFIC STUDY SATISFACTORY (S) UNSATISFACTORY( U) Attempt 1 Attempt 2 Attempt 3 DATE INSTRUCTOR SITE RT108 - CLINIC II SPRING ABDOMEN (AP) 5 Competencies UPPER EXTREMITY LOWER EXTREMITY LOWER EXTREMITY CHEST (WHEELCHAIR or STRETCHER) SPINE/PELVIS/HIP THORAX (RIBS, STERNUM or SOFT TISSUE NECK) R.T CLINIC III SUMMER ABDOMEN COMPLETE (MUST INCLUDE UPRIGHT) CRANIUM 8 Competencies FLUOROSCOPY STUDY (UGI/BE)** MULTIPLE STUDY* MOBILE ABDOMEN/ or ORTHO MOBILE CHEST *Multiple Studies consist of two (2) or more exams. **All contrast studies must include a minimum of two overheads: Must be acquired before completion of the program. 77

78 78

79 NAME TROCAIRE COLLEGE - RADIOLOGIC TECHNOLOGY PROGRAM CHECKLIST FOR MANDATORY COMPETENCY TESTING (SOPHOMORES) CLASS OF 50% of the required competencies must be completed by midterm or two (2) points will be deducted from Clinical Education Evaluations for each unaccounted for competency. COURSE MANDATORY RADIOLOGIC PROCEDURES RT 205 CLINICAL IV FALL UPPER EXTREMITY 6 Competencies LOWER EXTREMITY FLUOROSCOPY STUDY SPINE/PELVIS/HIP SPINE/PELVIS/HIP RT 210 CLINICAL V SPRING THORAX/RIBS/STERNUM/SOFT TISSUE NECK/ MOBILE 6 Competencies MULTIPLE STUDY MULTIPLE STUDY INSTRUCTOR S CHOICE RT 211 CLINICAL VI MULTIPLE STUDY SUMMER INSTRUCTOR S CHOICE 4 Competencies INSTRUCTOR S CHOICE *C-ARM COMPETENCY C-ARM PROCEDURE (2 or more projections) C-ARM SURGICAL PROCEDURE *PEDIATRIC CHEST (6 years of age and under) SPECIFIC STUDY SATISFACTORY (S) UNSATISFACTORY(U) Attempt 1 Attempt 2 Attempt 3 DATE INSTRUCTOR SITE *GERIATRIC UPPER EXTREMITY LOWER EXTREMITY CHEST ROUTINE *These may be completed at any time. 79

80 80

81 TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM Clinical Competency Semester/Session Evaluation Form Name: Clinical Site: Semester/Session: Competency In the clinical education setting, the student will demonstrate competencies from the following domains: cognitive, affective and psychomotor. Following each statement, check the point value achieved. Numerical values of 0-2 points may be achieved in each category. A zero in ANY category is an automatic failure, yet the entire form must still be filled out for each exam. PERFORMANCE CRITERIA A. Reads and Interprets Requisition & script prior to calling patient. 2. Correctly interprets terminology, and procedure protocol to include requisition documentation. 1. Limited understanding of terminology, projections procedure protocol. 0. Misinterprets terminology, projections needed, procedure, protocol. B. Patient Relationship - Applies communication skills. Explanation, history and identification verifications are demonstrated. 2. Introduces self, verifies, explains procedure, takes history and LMP/Pregnancy history and provides post exam instructions/assistance. 1. Communicates with patient, leaves some detail out. 0. Does not introduce self, verify, explain or talk to patient acceptably. Omitted LMP/Pregnancy History or does not follow through at end of exam. C. Room/Equipment Setup and Use - Properly sets up room and control panel for procedure. Room reasonably prepared before patient enters. 2. Prepares table, chair, equipment and films, sets control panel and SID. 1. Improperly sets up room, control panel; catches and corrects mistake. 0. Has to be corrected before study is compromised. D. Image Receptor/Direction - Used according to department protocol. 2. Uses correct image receptor, used in the proper orientation. (Landscape/Portrait; CW vs. LW) 1. Uses incorrect image receptor, but is logical in choice and orientation. 0. Uses incorrect image receptor, IR used in wrong orientation. E. Patient Position - Applies class lecture and department protocol. 2. Patient placed in correct position for study. 1. Minor corrections made (Ex: oblique not quite 45 degrees). 0. Patient placed in completely wrong position for study. F. Central Ray/Landmarks - Applies class lecture and department protocols. 2. Correct central ray and landmark use. 1. Acceptable central ray and landmark use, part is sufficiently in field. 0. Correct central ray and/or landmarks are not used. G. Tube/Image Receptor/Part Alignment - Applies class lecture and department protocols. 2. All alignment is correct 1. Alignment slightly off, but acceptable. 0. Alignment inappropriate - part is, or, would be cut off. H. Breathing Techniques/Immobilization (as needed) - Applies class lecture with patient safety in mind. 2. Breathing and immobilizing techniques correctly and creatively applied. 1. Breathing and immobilizing techniques adequate for procedure. 0. Breathing and immobilization techniques are incorrect, not used, or ineffectively applied. 81

82 2 1 0 I. Markers, I.D. - Used according to lecture, legal guidelines and department protocols. 2. Used markers and patient ID correctly, seen on radiograph. 1. Uses markers and ID, not seen on radiograph/not used properly. 0. Does not have/use markers, mismarked a film, and/or does not ID all films properly. J. Technique - Applies technique based on department protocols & technique source. 2. Consults technique charts/control panel and correctly sets all technical factors. 1. Consults technique charts/control panel, makes small error, film not affected. 0. Does not consult technique chart/control panel, uses incorrect technical factors. K. Collimation - Applies class instruction and department protocol. 2. Uses proper collimation (collimation to film or better, part not cut off). 1. Collimates, but should be better for this exam. 0. Does not collimate or collimates, but cuts off part. L. Shielding/Radiation Protection - Applies classroom information and/or department protocol. 2. Shields patient and staff properly; acknowledges awareness of proper shielding. 1. Shields patient, more area could be covered. 0. Does not shield, covers part of interest, or improper use of shield. M. Patient Safety - Applies class lecture and department protocol for safe practices, is aware of patient needs and responds appropriately. 2. Applies safe practices and responds appropriately to patient needs. 1. Acceptably safe practices, good response, unsure of some patient needs. 0. Unacceptable safety measures, and/or unaware of patient needs and/or inappropriate response to patient s needs. N. Work Pattern - Applies logical steps in preparing and performing procedure in a timely manner. 2. All steps follow a logical sequence in a timely manner. 1. Some steps cause wasted time. 0. No logical order, seems confused, disorganized, excessive time taken with study. O. Image Evaluation - Films are properly evaluated for quality and completeness. 2. Identifies all anatomy and positions, properly judges quality (artifacts, etc.). 1. Identifies most anatomy and positions, fairly good judgment of quality. 0. Unable to identify anatomy or position, poor judgment of quality. Total Points KEY 26 POINTS AND ABOVE Satisfactory/Pass 25 POINTS AND BELOW Unsatisfactory/Fail A Zero In Any Category Failure Student Signature Date: Clinical Instructor /Adjunct Signature: Date: *Student must sign this evaluation to verify it has been reviewed. Signature does not imply agreement. 82

83 TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM Clinical Competency Repeat Evaluation Form Name: Clinical Site: Semester/Session: Competency: In the clinical education setting, the student will demonstrate competencies from the following domains: cognitive, affective and psychomotor. Following each statement, check the point value achieved. Numerical values of 0-2 points may be achieved in each category. A zero in ANY category is an automatic failure, yet the entire form must still be filled out for each exam. PERFORMANCE CRITERIA A. Reads and Interprets Requisition & script prior to calling patient. 2. Correctly interprets terminology, and procedure protocol to include requisition documentation. 1. Limited understanding of terminology, projections procedure protocol. 0. Misinterprets terminology, projections needed, procedure, protocol. B. Patient Relationship - Applies communication skills. Explanation, history and identification verifications are demonstrated. 2. Introduces self, verifies, explains procedure, takes history and LMP/Pregnancy History and provides post exam instructions/assistance. 1. Communicates with patient, leaves some detail out. 0. Does not introduce self, verify, explain or talk to patient acceptably. Omitted LMP/Pregnancy history or does not follow through at end of exam. C. Room/Equipment Setup and Use - Properly sets up room and control panel for procedure. Room reasonably prepared before patient enters. 2. Prepares table, chair, equipment and films, sets control panel and SID. 1. Improperly sets up room, control panel; catches and corrects mistake. 0. Has to be corrected before study is compromised. D. Image Receptor/Direction - Used according to department protocol. 2. Uses correct image receptor, used in the proper orientation. (Landscape/Portrait; CW vs. LW) 1. Uses incorrect image receptor, but is logical in choice and orientation. 0. Uses incorrect image receptor, IR used in wrong orientation. E. Patient Position - Applies class lecture and department protocol. 2. Patient placed in correct position for study. 1. Minor corrections made (EX: Oblique not quite 45 degrees). 0. Patient placed in completely wrong position for study. F. Central Ray/Landmarks - Applies class lecture and department protocols. 2. Correct central ray and landmark use. 1. Acceptable central ray and landmark use, part is sufficiently in field. 0. Correct central ray and/or landmarks are not used. G. Tube/Image Receptor/Part Alignment - Applies class lecture and department protocols. 2. All alignment is correct 1. Alignment slightly off, but acceptable. 0. Alignment inappropriate - part is, or, would be cut off. H. Breathing Techniques/Immobilization (as needed) - Applies class lecture with patient safety in mind. 2. Breathing and immobilizing techniques correctly and creatively applied. 1. Breathing and immobilizing techniques adequate for procedure. 0. Breathing and immobilization techniques are incorrect, not used, or ineffectively applied. 83

84 I. Markers, I.D. - Used according to lecture, legal guidelines and department protocols. 2. Used markers and patient ID correctly, seen on radiograph. 1. Uses markers and ID, not seen on radiograph/not used properly. 0. Does not have/use markers, mismarked a film, and/or does not ID all films properly J. Technique - Applies technique based on department protocols & technique source. 2. Consults technique charts/control panel and correctly sets all technical factors. 1. Consults technique charts/control panel, makes small error, film not affected. 0. Does not consult technique chart/control panel, uses incorrect technical factors. K. Collimation - Applies class instruction and department protocol. 2. Uses proper collimation (collimation to film or better, part not cut off). 1. Collimates, but should be better for this exam. 0. Does not collimate or collimates, but cuts off part. L. Shielding/Radiation Protection - Applies classroom information and/or department protocol. 2. Shields patient and staff properly; acknowledges awareness of proper shielding. 1. Shields patient, more area could be covered. 0. Does not shield, covers part, or does not shield patient and/or staff properly. M. Patient Safety - Applies class lecture and department protocol for safe practices, is aware of patient needs and responds appropriately. 2. Applies safe practices and responds appropriately to patient needs. 1. Acceptably safe practices, good response, unsure of some patient needs. 0. Unacceptable safety measures, and/or unaware of patient needs and/or inappropriate response to patient s needs. N. Work Pattern - Applies logical steps in preparing and performing procedure in a timely manner. 2. All steps follow a logical sequence in a timely manner. 1. Some steps cause wasted time. 0. No logical order, seems confused, disorganized, excessive time taken with study. O. Image Evaluation - Films are properly evaluated for quality and completeness. 2. Identifies all anatomy and positions, properly judges quality (artifacts, etc.). 1. Identifies most anatomy and positions, fairly good judgment of quality. 0. Unable to identify anatomy or position, poor judgment of quality. TOTAL POINTS: KEY 26 POINTS AND ABOVE Satisfactory/Pass 25 POINTS AND BELOW Unsatisfactory/Fail A Zero In Any Category Fail Student Signature Date: Clinical Instructor /Adjunct Signature: Date: * Student must sign this evaluation to verify it has been reviewed. Signature does not imply agreement. 84

85 TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM Clinical Competency Pediatric Evaluation Form (6 years old or younger) Name: Clinical Site: Semester/Session: Competency In the clinical education setting, the student will demonstrate competencies from the following domains: cognitive, affective and psychomotor. Following each statement, check the point value achieved. Numerical values of 0-2 points may be achieved in each category. A zero in ANY category is an automatic failure, yet the entire form must still be filled out for each exam. PERFORMANCE CRITERIA A. Reads and Interprets Requisition & script prior to calling patient. 2. Correctly interprets terminology, and procedure protocol to include requisition documentation. 1. Limited understanding of terminology, projections procedure protocol. 0. Misinterprets terminology, projections needed, procedure protocol. B. Patient Relationship - Applies communication skills. Explanation, history and identification verifications are demonstrated. 2. Introduces self, verifies, explains procedure, takes history and LMP/Pregnancy History and provides post exam instructions/assistance. 1. Communicates with patient, leaves some detail out. 0. Does not introduce self, verify, explain or talk to patient acceptably. or does not follow through at end of exam. C. Room/Equipment Setup and Use - Properly sets up room and control panel for procedure. Room reasonably prepared before patient enters. 2. Prepares table, chair, equipment and films, sets control panel and SID. 1. Improperly sets up room, control panel; catches and corrects mistake. 0. Has to be corrected before study is compromised. D. Image Receptor/Direction - Used according to department protocol. 2. Uses correct image receptor, used in the proper orientation. (Landscape/Portrait; CW vs. LW) 1. Uses incorrect image receptor, but is logical in choice and orientation. 0. Uses incorrect image receptor, IR used in wrong orientation. E. Patient Position - Applies class lecture and department protocol. 2. Patient placed in correct position for study. 1. Minor corrections made (EX: Oblique not quite 45 degrees). 0. Patient placed in completely wrong position for study. F. Central Ray/Landmarks - Applies class lecture and department protocols. 2. Correct central ray and landmark use. 1. Acceptable central ray and landmark use, part is sufficiently in field. 0. Correct central ray and/or landmarks are not used. G. Tube/Image Receptor/Part Alignment - Applies class lecture and department protocols. 2. All alignment is correct 1. Alignment slightly off, but acceptable. 0. Alignment inappropriate - part is, or, would be cut off. H. Breathing Techniques/Immobilization (as needed) - Applies class lecture with patient safety in mind. 2. Breathing and immobilizing techniques correctly and creatively applied. 1. Breathing and immobilizing techniques adequate for procedure. 0. Breathing and immobilization techniques are incorrect, not used, or ineffectively applied. 85

86 I. Markers, I.D. - Used according to lecture, legal guidelines and department protocols. 2. Used markers and patient ID correctly, seen on radiograph. 1. Uses markers and ID, not seen on radiograph/not used properly. 0. Does not have/use markers, mismarked a film, and/or does not ID (flash) all films properly. J. Technique - Applies technique based on department protocols & technique source. 2. Consults technique charts/control panel and correctly sets all technical factors. 1. Consults technique charts/control panel, makes small error, film not affected. 0. Does not consult technique chart/control panel, uses incorrect technical factors. K. Collimation - Applies class instruction and department protocol. 2. Uses proper collimation (collimation to film or better, part not cut off). 1. Collimates, but should be better for this exam. 0. Does not collimate or collimates, but cuts off part. L. Shielding/Radiation Protection - Applies classroom information and/or department protocol. 2. Shields patient and staff properly; acknowledges awareness of proper shielding. 1. Shields patient, more area could be covered. 0. Does not shield, covers part, or does not shield patient and/or staff properly. M. Patient Safety - Applies class lecture and department protocol for safe practices, is aware of patient needs and responds appropriately. 2. Applies safe practices and responds appropriately to patient needs. 1. Acceptably safe practices, good response, unsure of some patient needs. 0. Unacceptable safety measures, and/or unaware of patient needs and/or inappropriate response to patient s needs. N. Work Pattern - Applies logical steps in preparing and performing procedure in a timely manner. 2. All steps follow a logical sequence in a timely manner. 1. Some steps create wasted time. 0. No logical order, seems confused, disorganized, excessive time taken with study. O. Image Evaluation - Films are properly evaluated for quality and completeness. 2. Identifies all anatomy and positions, properly judges quality (artifacts, etc.). 1. Identifies most anatomy and positions, fairly good judgment of quality. 0. Unable to identify anatomy or position, poor judgment of quality. Total Points: KEY 26 POINTS AND ABOVE Satisfactory/Pass 25 POINTS AND BELOW Unsatisfactory/Fail A Zero In Any Category Fail Student Signature Date: Clinical Instructor/Adjunct Signature: Date: *Student must sign this evaluation to verify it has been reviewed. Signature does not imply agreement. 86

87 TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM Clinical Competency Evaluation Form for C-Arm Procedures Name: Semester/Session: Clinical Site: C-Arm Procedure: Two or More Projections/Sterile Field In the clinical education setting, the student will demonstrate competencies from the following domains: cognitive, affective and psychomotor. Following each statement, check the point value achieved. A zero in ANY category is an automatic failure, yet the entire form must still be filled out for each exam. PERFORMANCE CRITERIA A. Identifies patient, surgical procedure being performed and location 2. Verifies correct surgery room, type of case and name of patient 1. Limited understanding of type of surgery case or how to ID patient in the OR 0. Unable to find surgery room, unable to identify procedure, does not verify patient ID B. Locates and drives C-arm to appropriate OR room 2. Locates and drives C-arm without assistance 1. Minimal assistance needed 0. Unable to drive C-arm C. Sets up C-arm properly 2. Carefully enters OR room, inquires for correct side, connects and turns on unit 1. Improper setup, but catches error 0. Enters room without being cautious or unable to connect or turn on unit D. Enters patient information 2. Enters all patient information necessary 1. Leaves out some information, needs minimal assistance 0. Unable to enter patient information or forgets to E. Selects settings from C-arm control panel 2. Selects proper settings for motion reduction, fluoro, pulsed fluoro or digital single image 1. Acceptable settings, could be better 0. Unable to select proper control panel settings F Practices radiation safety 2. Wears lead apron, practices ALARA by limiting exposure time 1. Wears lead apron, but room for improvement with ALARA 0. Does not wear lead apron, does not warn staff about radiation when necessary G. Observes and maintains sterile field 2. Properly moves about room without risking contamination of sterile field and staff 1. Needed to be warned by staff of near contamination 0. Unaware of sterile field concepts and distance required or contamination occurs H. Practices patient safety 2. Carefully raises, lowers or tilts C-arm without patient injury 1. Needs to be reminded of possible arm pinch or other danger 0. Unaware of potential for patient injury I. Centering of body part, awareness of patient position under drapes 2. Moves and centers anatomy as directed by surgeon 1. Needs frequent reminders to re-center 0. Fails to center body part adequately for procedure J. Evaluates Image Quality 2. Able to make adjustments as needed 1. Makes some adjustment, could be much better 0. Unable to correct poor image quality K. Able to manipulate images Rotate, Flip, Mirror, Magnify, Save, Recall 2. Shows ability to do all the above image manipulations 1. Able to do all of the above, but with hesitation 0. Unable to do all of the above 87

88 L. Able to work all locks, brakes and manipulate C-arm to necessary positions 2. Can move C-arm with in-out, wig-wag, orbital rotation (AP/LAT), and flip 1. Can perform each movement but with difficulty 0. Unable to adequately manipulate C-arm for surgery M. Able to reset fluoro timer and record total fluoro time 2. Performs the above tasks 1. Able to reset timer, forgets to record time 0. Unable to reset timer alarm or unaware of need to record fluoro time N. Records type of surgery for radiologist 2. Writes down type of surgery for association with images 1. Writes down type of surgery but should be more specific 0. Fails to record any information for radiologist O. Work pattern efficiency 2. Steps are followed in logical sequence in a timely manner 1. Some steps cause wasted time 0. Seems unprepared, confused or takes excessive time Total Points: KEY 26 POINTS AND ABOVE Satisfactory/Pass 25 POINTS AND BELOW Unsatisfactory/Fail A Zero In Any Category Fail Student Signature Date: Clinical Instructor/Adjunct Signature: Date: *Student must sign this evaluation to verify it has been reviewed. Signature does not imply agreement. 88

89

90 TROCAIRE COLLEGE: RADIOLOGIC TECHNOLOGY EXAMINATION LOG SHEET Student: Semester/Session: DATE Daily Total Exams TOTA L EXAM S CHEST & THORAX Chest Routine Chest AP (Wheelchair or Stretcher) Ribs Chest Lateral Decubitus Sternum Upper Airway (Soft-Tissue Neck) Sternoclavicular Joints UPPER EXTREMITY Thumb or Finger Hand Wrist Forearm Elbow Humerus Shoulder Trauma: Shoulder (Scapular Y, Transthoracic or Axillary) Clavicle 90

91 DATE Scapula TOTAL EXAMS AC Joints Trauma: Upper-Non shoulder DATE LOWER EXTREMITY Foot Ankle Knee Tibia-Fibula Femur Trauma: Lower Extremity Patella Calcaneus (Os Calcis) Toe HEAD Skull Paranasal Sinuses Facial Bones Orbits/Orbits for MRI Zygomatic Arches Nasal Bones Mandible (Including Panorex) TMJ s 91

92 DATE SPINE & PELVIS Cervical Spine TOTAL EXAMS Trauma: Cervical Spine (Cross Table Lateral) Thoracic Spine Lumbosacral Spine Pelvis DATE Hip Cross Table Lateral Hip Sacrum and/or Coccyx Scoliosis Series Sacro-iliac Joints ABDOMEN Abdomen Supine (KUB) Abdomen with Upright Abdomen with Decub CONTRAST EXAMS Upper GI Series (Single or Double Contrast) Barium Enema (Single or Double Contrast) Small Bowel Series Esophagus/BAS Video Swallow 92

93 DATE Intravenous Pyelogram (IVP) TOTAL EXAMS Lumbar Puncture ERCP Myelogram/Discogram Arthrogram SURGICAL STUDIES C-Arm Procedure (2-views) C-Arm Procedure Urology Procedures DATE MOBILE STUDIES Chest Abdomen Orthopedic PEDIATRICS (age 6 or younger) Chest Routine Upper Extremity Lower Extremity Abdomen Mobile Study Pediatric Fluoroscopy Exams 93

94 94

95 Trocaire College Radiologic Technology Repeat/Reject Log Sheet Student Name: DATE EXAM OR POSITION REASON FOR REPEAT R.T. THAT DIRECTLY SUPERVISED 95

96 DATE EXAM OR POSITION REASON FOR REPEAT RT WHO DIRECTLY SUPERVISED 96

97 TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION COMPETENCY MIDTERM/FINAL EVALUATION Student Name Semester/Session & Year Site: Freshman/Sophomore (circle one) In a clinical education center, the student is expected to and will demonstrate the competencies listed below. Following each statement, the instructor will check ( ) the appropriate rating box. Rating Scale: 0 points does not consistently demonstrate clinical education competency standards 1 point constantly demonstrates clinical education standards Maximum Point Total = 50 The student will demonstrate competency in cognitive, affective, and psychomotor learning domain through the criteria listed below. A. PROFESSIONAL CONDUCT 0 1 COMMENTS 1. Prompt notification of absence or tardiness. (see Non-Compliance Form) 2. Adheres to assigned break and lunch times. Willing to follow directions from instructor and clinical personnel. 3. Adheres to scheduling assignments, and is clinically prepared; name tags, film badge, markers, pen etc. and pocket notebook. 4. Adheres to departmental and program rules and regulations, including dress code. 5. Maintains a respectful and cooperative relationship with professional staff, and effectively communicates with them. 6. Limits conversations to appropriate time and place. 7. Demonstrates motivation by seeking assignments and willingly tries new tasks, and demonstrates a positive attitude. 8. Accepts constructive criticism, and assumes responsibility for actions. 9. Completes competencies within required period of time, and maintains daily log, repeat/reject sheets. 10. Performs quality tasks during down time (Assists staff, studies, reviews positioning/images, etc.). 97

98 PROFESSIONAL CONDUCT (Cont d) Displays self-confidence with reliability and dependability when performing exams. 12. Maintains patients confidentiality and respects their privacy (HIPPA). 13. Overall performance results in earning patient s confidence. B. PATIENT CARE 0 1 COMMENTS 14. Understands concepts of patient transfer skills, and is able to effectively perform them. Provides patient safety during exams. 15. Attentive to patient s needs. 16. Implements Standard Precautions (Follows isolation technique and self-protection techniques when applicable). C. COMMUNICATION 0 1 COMMENTS (verbal) 17. Able to effectively communicate with professional personnel. 18. Demonstrates effective patient communication skills (volume, tone, eye contact, content, etc.) (written) 19. Properly obtains and records patient history to include proper spelling. D. TECHNICAL COMPETENCY 0 1 COMMENTS 20. Interprets requisition and compares with script before taking an exposure. 21. Prepares room, equipment, and contrast media prior to exam. 22. Correctly identifies patient as per department protocol, and introduces self. 23. Verifies procedure with patient, and provides clear and appropriate instruction. 24. Gives proper changing instructions (Clothes, jewelry, snaps, etc.). Provides for patient modesty. 25. Utilizes references and selects proper routines and positions as per department protocol. 26. Proper use and orientation of IR (Crosswise vs. lengthwise; Landscape vs. Portrait) 98

99 TECHNICAL COMPETENCY (cont d) 0 1 COMMENTS 27. Is familiar with, and able to manipulate radiographic equipment, including fluoroscopic and mobile units. 28. Properly detents tube when applicable and consistently aligns tube - part - IR. Sets proper SID (source - image - distance). 29. Positions patient correctly for various exams to include obliques, and/or rotates body into the proper position(s). 30. Accurately use body landmarks while positioning. 31. Correct use of central ray perpendicular or angled, and correct direction. 32. Familiar and knowledgeable with, and able to select settings on control panel; technique selection appropriate for level. 33. Relays proper breathing instructions and observes patient for movement. 34. Seeks direct supervision when a repeat/reject image is performed and has limited number of repeat/rejects. 35. Knowledgeable in digital image processing, manipulation, and annotation. 36. Demonstrates evidence of ability and knowledge appropriate to clinical level (Freshman vs. Sophomore vs. Graduate). 37. Learns and retains repetitive routine skills. 38. Adjusts to various patient conditions. (Cart/wheelchair exams, cast, various patient tubes, etc.) and applies critical thinking skills to patient condition. 39. Performs exam in an organized manner and routine. E. RADIATION PROTECTION 0 1 COMMENTS) 40. Wears personnel monitoring device and utilizes lead aprons and gloves when necessary, practicing radiation safety rules. 99

100 41. Inquiries, understands, and documents for LMP and possible pregnancy as per department protocol. 42. Routinely applies or acknowledges shielding as per department protocol. F. FILM/IMAGE EVALUATION 0 1 COMMENTS ) 43. Anatomical part is properly aligned on the image receptor with no cut-off. 44. Proper density and contrast are consistently displayed on images. 45. Markers are visualized, and/or in correct location. 46. Collimation applied according to class instruction and department protocol. 47. Images are consistently identified with appropriate patient information. 48. Able to identify projection/position, and related anatomy. 49. Can offer critique of image with regard to diagnostic acceptability. 50. OTHER Subtotal of Points Total Number of Points 50 Maximum Possible Number of Points Should non Compliance Infractions consistently noted by instructors continue to occur throughout the length of time the student is a participant in the Program, and corrective measures are not taken by the student, or the effort made on the part of the student still do not correct the infraction(s), then this will result in a grade of F, and ultimately that student s dismissal from the Program. Student Signature Clinical Instructor/Adjunct Faculty Date Date Student must sign this evaluation to verify it has been reviewed. Student signature does not imply agreement. 100

101 TROCAIRE COLLEGE - CLINICAL ATTENDANCE RADIOLOGIC TECHNOLOGY PROGRAM Clinical Site: Group: Schedule: Clinical Instructor: MONTH DATE 1. Student Name

102 Date(s) of Rotation Observation 1. STUDENT S NAME FLUORO OR GENERAL/ DIAGNOSTIC ER MOBILE SPEC. PROCEDURES *OTHER *Other includes: CT, MRI, Interventional, DEXA, etc. 102

103 LATEX SENSITIVITY STATEMENT As the use of latex gloves and other latex items become more frequent in the 1980 s so did the number of repeated health problems related to latex. Hundreds of items in the health care field contain latex, and latex sensitivity often becomes worse with more frequent exposure to latex. Plan 1: Plan 2: Plan 3: Plan 4: If you think you may have a latex allergy, see a physician called an allergist, and request a blood test to determine your sensitivity. If it is determined you are sensitive to latex, minimize or avoid contact with latex. Check package labels, avoid powdered gloves, select nitrite or vinyl gloves if appropriate/available and wash hands immediately after wearing gloves. Notify your instructor if you develop a skin rash or you have difficulty breathing after using/wearing latex products. Follow any physician recommended treatment of precautions. I have read the above information and had an opportunity to ask questions. I agree to abide by the four step plan to reduce my risk of latex exposure. Student Signature Date Instructor Signature Date 103

104 104

105 TROCAIRE COLLEGE MEDICAL STATUS/CLEARANCE RADIOLOGIC TECHNOLOGY STUDENT NAME: NAME of ATTENDING PHYSICIAN: ADDRESS of ATTENDING PHYSICIAN: PHYSICIAN S OFFICE PHONE NUMBER: CONDITION BEING TREATED: IF PREGNANT - Expected Delivery Date: Physician s recommendation: Immediate leave of absence. Withdrawal from clinical rotations with continued participation in didactic instruction. Continued full-time status with limited participation in fluoroscopy, surgery and mobile radiography and/or other clinical responsibilities/exams. Full participation in all aspects of the classroom without restrictions. Full participation in all aspects of Clinical Education without restrictions. Additional comments pertinent to medical status and Program participation: PHYSICIAN SIGNATURE DATE 105

106 106

107 Declination of Influenza Vaccination for Healthcare Personnel I have been advised to receive the influenza vaccine to protect myself and the patients I serve. I understand that by refusing the vaccination against influenza, that from November 1 to May 1 of the designated year, or a time period as otherwise designated prevalent by the Commissioner of the New York State Department of Health (NYSDOH) I will be required to wear a surgical mask in areas where patients and residents may be present. I have read the information above and declare the following: I am declining the vaccination due to having a severe allergy to eggs (or other components of the vaccine). I am declining the vaccination because I have a medical condition that might worsen by receiving the vaccine I do not wish to receive the vaccine because of religious reasons. I have been informed of the risks and benefits of the vaccine and I do not wish to receive it. I am aware that I can change my mind at any time and accept an influenza vaccination. Name (print): Signature: Date: 107

108 108

109 STUDENT INCIDENT REPORT Name of student filing the report: Date of incident: Time of occurrence: Facility/site: Specific area of the department at which the incident took place: Describe in detail how the incident developed (use the back of this sheet if necessary): Tell what injuries, damages, violations and/or distress was incurred and to whom these occurred: Provide the names of those who witnessed the incident: Add any other information which might be pertinent to this report: Student Signature Program Director s Signature Date Date * Report and file this incident with the Trocaire Student Health Office:

110 110

111 Radiologic Technology Program Non-Compliance Form Student Name: Instructor: Date: Semester/Session: Non-Compliance Incident- Category I Cell Phone Infraction : Radiation Protection Infraction Inappropriate personal appearance and/or violation of dress code Attendance at the mandatory ARRT Registry Exam review session and/or any other mandatory meeting and/or failure to submit mandatory documents in a timely manner. Non-Compliance Incident Category II Action to be Taken 1 st infraction verbal warning 2 nd infractions (per semester/session)- mini grade drop 3 rd infraction - a full letter grade drop. 1 st day absence mini grade drop 2nd day absence additional mini grade drop Action to be Taken Unprofessional/disorderly behavior Leaving assigned clinical area without permission/notification Sleeping/Failure to remain alert Hindering clinical flow Violation of safety rules and/or regulations Failure to comply with Direct/Indirect supervision policy 1 st infraction mini grade drop 2 nd infraction full grade drops 3 rd infraction dismissal from program Unauthorized or intentional misuse of hospital equipment/supplies Poor or negligent patient care or comfort Improper protocol and/or procedures employed Insubordination: repeated negative (verbal or nonverbal) responses, reactions, attitudes; refusal to perform exams at expected competency levels or bias to patient/circumstance; refusal to complete an exam/assignment as requested or required 111

112 Non-Compliance Incident - Category III Action to be Taken Narcotic/alcohol or other drug infraction Theft hospital property/equipment/documents Disclosure of confidential information or HIPAA violation Falsification/tampering with clinical documents Unprofessional/unethical conduct and/or non-compliance with ARRT Code of Ethics of Dismissal from Program and/or College - in accordance with the Radiologic Technology Policies and Procedures Manual and the Trocaire College Catalog and Trocaire College Student Handbook. Possession of weapons Assault, abuse or negligence with respect to any person Academic Dishonesty - cheating, plagiarism, furnishing false information to any college/clinic official or office Causing dissension between or among other program students, program faculty, clinical officials, and/or clinical staff Date of 1 st Infraction Date of 2nd Infraction* Date of 3 rd Infraction* (*When applicable) Student Signature Date Clinical Instructor/Adjunct Date 112

113 Trocaire College Division of Health Professions Radiologic Technology Program Program Grievance Policy When a student believes there are grounds for a grievance, the aggrieved student should meet with the instructor involved in the incident to discuss and attempt to resolve the grievance within five (5) working days. If the incident involves clinical education setting personnel, the aggrieved student shall initially meet with the clinical instructor or clinical coordinator, not affiliate personnel. If the grievance is the result of disciplinary action against the student, the student should meet with the instructor and program director. All meetings will be recorded. If the aggrieved student is not satisfied with the outcome of the initial meeting, the student should follow the grievance procedure outlined in the Trocaire College Student Handbook under the section on Appeal of Academic Decisions. Note: A student may be removed from the clinical site for reasons related to the student s physical or emotional safety and well-being, or for reasons relating to the safety, unprofessional behavior or well-being of patients, students, and faculty or hospital property. Approved by Radiologic Technology faculty on August

114 114

115 TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM Remediation Form Student: Date: Site: Course Title/Number: Area of Deficiency: Recommendations: Signature of Adjunct/CI: Met with Clinical Placement Coordinator: Date: Date: Follow-up/Action Plan: Student Signature: (Indicates I have read this form) Date: Student Comment (optional): 115

116 116

117 TROCAIRE COLLEGE Radiologic Technology Program CLINICAL MAKE-UP TIME VERIFICATION FORM Student Name: Clinical Education Center: Date of approval: I understand that I must be in attendance, and on time, on the date(s) listed below. These dates will constitute the make-up time for the clinical absence(s) I have accumulated. I also understand that if I do not make up all of this time, I will receive an FX grade due to excessive absences. Student Signature: Faculty Signature: Adjunct Faculty Signature: Clinical Make-up Time: Date of Absence Make-up Date/Time Clinical Site 117

118 118

119 TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY CLINICAL MAKE-UP EXAM LOG (Use a new log for each day) STUDENT NAME: DATE: CLINICAL SITE: PATIENT EXAMINATIONS: Clinic START Time: Clinic END Time: Clinical Instructor s Signature: Date: 119

120 120

121 TROCAIRE COLLEGE Radiologic Technology Program Verification of Professional Time FALL SEMESTER Year - SPRING SEMESTER Year - SUMMER SESSION Year - Student Name: Number of Hours in Attendance: Date of Attendance: Topic/Title: Speaker(s): Summary of Main Points: Discuss how this professional time furthered your development (relative to specific learning, etc.). A one to two page typed summary should be attached to this form. *If a typed summary is not submitted, an excused absence will NOT be granted. I,, hereby verify that the above named student was in attendance on (Name of Authorized Person) the following date,, at the professional gathering noted on this form. 121

122 122

123 SUMMER (YEAR) Trocaire College Radiologic Technology Program Service Learning Verification Form Please return completed form to: Pam Jablonicky Coordinator of Service Learning Student Affairs Offices, Phone Community Partner Site: Address: Instructor: Student Name Date Time In Time Out Number of Hours Supervisor Signature Community Partner comments: Instructor comments: 123

124 124

125 TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM Site Evaluation Site: Student Radiographer Level: Date: Semester: This form gives the student an opportunity to evaluate the clinical site, clinical staff, and/or adjunct faculty, supervision, and other related clinical education activities. This student form will be administered at the end of each Semester and Summer Rotation. Answer or complete the following statements: 1. Was this clinical education site conductive to learning? (include strengths and areas in need of improvement) STRENGTHS AREA(S) IN NEED OF IMPROVEMENT 2. Was the quality and quantity of work sufficient? 3. Did learning activities presented at the College correlate with what was presented at this clinical education center? 125

126 4. Were you motivated to reach your potential educational ability? 5. Was the supervision helpful and sufficient? ADDITIONAL COMMENTS: 126

127 TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM GRADUATE EXIT INTERVIEW Student s Name: Current Address: Date: Phone: PERSONAL I. Continuing Education Plans Do you have continuing education plans? A. Advanced Level Degree (i.e. Bachelor s Degree) Circle one: YES NO Comments: B. Advanced Level Certificate (i.e. Diagnostic Medical Sonography) Circle one: YES NO Comments: C. Workforce Development (i.e. -CT) Circle one: YES NO Comments: II. Employment Plans Circle one: A. I have secured a position in Radiologic Technology. B. I am being considered for employment at (Name of Site) C. The radiology position is: Full-time Part-time Per-diem Temporary D. At the present time, I do not have any radiology job promises. E. Will not seek employment until completion of American Registry of Radiologic Technologists Examination ARRT. F. Will not seek employment in the diagnostic imaging field. Reason: III. Program/College Evaluation A. What were the greatest strengths of the program? B. What improvements could be made within the program? C. Were your goals and expectations met in the Radiology Technology Program? Yes No Please explain: 127

128 D. Overall, how satisfied were you with your academic experience in this program? Very Satisfied Satisfied Not Satisfied E. Would you recommend this program to others? Why or why not? F. Were the informational resources (PLC/Library) sufficient and conducive to your learning at Trocaire? Yes No G. Please rate the following areas of the college, on a scale of: 1 = Poor 2 = Fair 3 = Good 4 = Excellent Admissions Process Bookstore services Library -- Availability of materials Library helpfulness of staff Financial Aid helpfulness of staff Security Student Common Areas IV. Miscellaneous a. Do you plan to relocate to a different geographic region? Yes No b. If yes, please indicate to where you plan on relocating V. Additional Comments 128

129 TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM GRADUATE SUMMATIVE EVALUATION Rating: 4 - Demonstrates superior ability; performs with consistent distinction. 3 - Demonstrates above average ability; performs with consistent quality. 2 - Demonstrates average ability; performs with supervision because of limited practice and/or experience. 1 - Demonstrates minimal ability; needs continued supervision and instruction to improve performance. STUDENT: DATE: 1. Attendance/Punctuality Professional appearance and demeanor Adherence to assigned lunch & break times Constructive comments accepts and profits from constructive suggestions Demonstrates accountability for own actions Identifies and records deviations from normal for a patient with an acute and/or chronic health problem Organization and efficiency of work Willingness to work independently and ask questions when appropriate Ability to work cooperatively with other students and with staff Quality of work performed Ability to handle stressful situations Initiative by seeking additional assignments Respect towards patients, staff and peers Willingness to help others Motivation assumes responsibility for professional growth Instructor/Adjunct Faculty Signature 129

130 130

131 RADIOLOGIC TECHNOLOGY PROGRAM EMPLOYER EVALUATION IF YOU HAVE EMPLOYED ANY OF OUR GRADUATES IN THE PAST FIVE (3) YEARS, PLEASE CHECK ( ) THE APPROPRIATE BOX Graduate s Name: Year of Their Graduation: Place Employed: Status: Full-time Part-time Per Diem A. Educational Sufficiency Exceeds Expectation Regularly Meets Expectations Seldom Meets Expectations Not Applicable Is knowledgeable regarding positions required for each examination. Is knowledgeable about radiation safety practices. Is knowledgeable about anatomy and physiology. Is knowledgeable about contrast agents commonly encountered in radiologic practice. Utilizes medical terminology properly. Understands prime exposure factors of mas, kvp, & SID. Understands the concepts of CR, DR & PACS. Employs cultural diversity awareness on a daily basis B. Clinical Competence Produces quality images (Positioning, collimation, marker placement, etc.) Correctly utilizes radiation safety procedures Capable of evaluating images for appropriate image quality. 131

132 Implements changes needed to improve image quality. Adapts to and improvises for patient condition, age, and pathology Completes cases thoroughly. Exceeds Expectation Regularly Meets Expectations Seldom Meets Expectations Not Applicable Properly completes all written documentation pertaining to case. C. Professionalism Maintains patient confidentiality. Demonstrates initiative. Is receptive to constructive criticism and assumes responsibility for actions. Effectively communicates with professional personnel. Signature of Evaluator: Date: 132

133 TROCAIRE COLLEGE Radiologic Technology program Clinical Grading Academic Year: Clinical Education Center: Freshmen Fall Semester Non Compliance Clinical Competencies (4) Clinical Introduction Clinical Competency Evaluation (Final) Final Grade (Point Total) Final Grade (Letter) Y/N S/U 25% 75% Student Name Instructor Signature Date 133

134 134

135 TROCAIRE COLLEGE Radiologic Technology Program Clinical Grading Academic Year: Clinical Education Center: Freshmen Spring Semester Non Compliance Clinical Competencies (8) Second Semester Freshman Mid-term Evaluation Clinical Competency Evaluation (Final) Final Grade (Point Total) Final Grade (Letter) Y/N S/U 50% 50% Student Name Instructor Signature Date 135

136 136

137 TROCAIRE COLLEGE Radiologic Technology Program Clinical Grading Academic Year: Clinical Education Center: Freshmen Summer Session Service Learning Non Compliance Clinical Competencies (10) Second Semester Freshman Mid-term Evaluation Clinical Competency Evaluation (Final) Final Grade (Point Total) Final Grade (Letter) S/U Y/N S/U 50% 50% Student Name Instructor Signature Date 137

138 138

139 TROCAIRE COLLEGE Radiologic Technology Program Clinical Grading Academic Year: Clinical Education Center: Sophomores Fall/Spring Non-Compliance Clinical Competencies (8) Clinical Competency Evaluation (Midterm) Clinical Competency Evaluation (Final) Final Grade (Point Total) Final Grade (Letter) Student Name Y/N S/U 50% 50% Instructor Signature Date 139

140 140

141 TROCAIRE COLLEGE Radiologic Technology Program Clinical Grading Academic Year: Clinical Education Center: Sophomore Summer Session Non-Compliance Clinical Competencies (4) Clinical Competency Evaluation (Final) ARRT Session Attendance Final Grade (Point Total) Final Grade (Letter) Student Name Y/N S/U 100% Y/N Instructor Signature Date 141

142 142

143 REQUEST FOR RE-ADMISSION Please complete this form and return it to the Program Director within 10 business days from receipt. Name Last First Address Street City State Zip Phone Numbers Home Cell I wish to be re-admitted to:, at the, (Indicate the program to which you are seeking re-admission) (Indicate the level at which you wish to be readmitted) at the start of the. (Semester/year) Student Signature Date 143

144 144

145 Trocaire College Radiologic Technology Program Re-admission and Reflection Form Student Name Date Please complete the following questions as part of your request for re-admission to the Radiologic Technology Program. Then, make an appointment with the Program Director to discuss and submit this document within 10 business days of receipt of this form. Please note that completion of this form does not guarantee you will be re-admitted to the Radiologic Technology program. 1. Why were you unsuccessful in your RT course(s)? What went wrong for you? 2. What will you do differently when you repeat this/ these RT course(s)? 3. Why do you deserve to be readmitted to the RT program? 145

146 4. Why do you want to become a Radiologic Technologist? 5. What personal characteristics make someone a successful RT student? Explain the way you demonstrate these characteristics. 6. Formalize and describe an action plan that you will put in place should you be readmitted to the RT program (i.e. work, scheduling, study times, use of RT tutoring services and attendance at open lab.) 146

147 Freshman Re-Admission Dear: To successfully complete the Re-Admission Process for Radiologic Technology, you must agree to adhere to the following requirements: 1. Attend a scheduled meeting with the Program Director, where you will submit the completed Readmission/Reflection activity sheet. 2. From the media listed below select two for review. Upon completion of your reviews, write individual, one (1) page, typed summaries for both selections. These will be submitted on the same day you are scheduled to perform the competencies detailed and listed below. a. Radiation Protection in Medical Imaging- DVD RC78.3.R33, 2013, v.1 RM847.B36, 2009 (needs to be viewed in the library) b. Empathy The Human Connection to Patient Care You Tube: The Cleveland Clinic, Published 2/27/2013. c. Modern Medicine: History of X-rays - with Dr. Scott Klioze, You Tube: Published 5/16/2013. d. The Physics of Medical Imaging, R895.P497, 2009 (can be streamed from the Internet)* e. The Medical Imaging Revolution, RC78.7.D53 M41, 2005(can be streamed from the Internet)* * For streaming, go to: Trocaire College website Library Videos Films on Demand Type in call # The Library is on the 4 th floor of the Choate location ( ). Please bring your Trocaire ID to view the media on campus. 3. A Radiologic Technology review, multiple-choice test, will be administered on the same day that arrangements have been made for you to perform the laboratory competencies. This test encompasses a basic review from first semester RT courses. A grade of 75% must be achieved in order to be considered for readmission. 4. Once the videos are reviewed and the test is completed, you will then be asked to execute seven (7) out of ten (10) competencies listed below. The first 4 competencies will be performed in the CR room; the last 3 competencies will be in the DR room. Selection of the seven will be the instructor s choice. (1) Elbow... AP, both obliques and a lateral (2) Wrist... PA, oblique, lateral and Stetcher s (3) Ankle... AP, oblique and lateral (4) Knee... AP, both obliques, lateral and Tunnel (5) Complete Abdomen... AP supine, AP upright & decubitus (6) Routine Chest... PA and lateral (7) Clavicle... AP and AP axial (8) Shoulder... Internal rotation, external rotation, axillary and Y view (9) Pelvis... AP, Frog-leg (10) Hip AP, lateral and cross table lateral It is recommended that you schedule time to work with an instructor in the RT Laboratory prior to performing competencies. Upon receipt of this letter, please contact the Clinical Placement Coordinator at to confirm an appointment. Reminder: If any of the above requirements are not successfully completed, readmission to the RT Program will be denied. In the event that readmission is granted, all College health records, CPR Certification and proof of insurance must be up to date before an official readmission can be granted. 147

148 148

149 Dear, Radiologic Technology Program Sophomore Re-Admission To successfully complete the sophomore re-admission criteria for the Radiologic Technology Program, you must complete the following requirements: 1.) Pre-Test A Radiologic Technology comprehensive review exam, in multiple choice/matching form, will be administered on the same day which has been scheduled for you to perform competency exercises in the RT laboratory. This exam will include questions from the Radiologic Technology courses you have previously taken. A grade of 75% must be achieved to be considered for readmission. 2.) Skill Performance In the RT Laboratory, students will be required to successfully perform seven (7) of the ten (10) Competencies listed below. Selection of the seven (7) will be the instructor s choice. (1) Shoulder... internal and external rotation, axillary, Y view (2) Cervical... AP, OBL, and Swimmers (3) Unilateral ribs... AP & OBL (upper and lower) (4) Abdomen complete... (flat, upright and decubitus) (5) Upper gastrointestinal... AP, LPO, RAO, Right LAT (6) Lumbar spine... AP, OBL, LAT, SPOT (L-5/ S-1) (7) Sinuses... PA, Caldwell, Waters, and LAT (8) Knee... AP, OBL, LAT, and Patella (Sunrise) (9) Pelvis and Hip... AP pelvis, Frog Leg and Daneilus Miller (10) Wrist... PA, OBL, LAT, both deviations Arrangements to perform the 7 competencies will be made after verifying success on the exam and media reviews have been achieved. It is recommended that the student make arrangements to come into the RT Laboratory to re-familiarize them self with the manipulation of the equipment, prior to performing competencies for re-admission. Reminder: If any of the above requirements are not successfully completed, students will not be granted re-admission to the Radiologic Technology Program. Also, be aware that all College Health Records and CPR Certification must be in order before a student will be permitted to attend a clinical site. Proof of current health insurance and CPR must be provided. Clinical Placement Coordinator s Signature Date 149

150 TITLE: Appeal of Academic Decisions ADMINISTRATIVE REGULATION No. 663 PURPOSE Provides procedures for student appeal of an action or decision on the part of faculty or professional staff affecting a student s academic status. POLICY The college provides for procedural steps by which a student might appeal an academic decision on the following grounds: 1. A practice/policy at variance with accepted College practice/policy. 2. Computer/calculation error. 3. Inconsistent application of grading standards within an instructor s sections of the same course. 4. Capricious or arbitrary application of standards concerning grading, curriculum, or placement status. 5. Allegation of academic dishonesty not supported by evidence. DEFINITIONS Academic decisions decisions affecting the assignment of course grades, academic level placement, curriculum status, and academic dishonesty. Business day day when the administrative offices of the college are open. Administrator the administrator is the director or designee. Appeal of Academic Decisions Form (AADF) form originated in the director or other or Dean s office of the academic area in question documenting the results of each step in the appeal process. Respondent(s) the person or persons making the academic decision. PROCEDURES 1. The steps in the Appeal Process (AP) must be followed in sequence. The only exception should be the lack of availability of the respondents. In that case the student would begin with step two. 2. Step One Meeting with the respondents 150

151 Step one must be completed within thirty (30) business days of the decision date. This date shall begin 2 days after the last day of the term, or the date shown in any letter or other written communication advising the student of any other academic decision. The student consults with the respondent(s), the instructor or other persons responsible for the academic decision, to discuss the issue in question. This step shall not be skipped unless the respondent(s) are unable to meet with the student. The supervisor of the respondent(s) shall make every effort to notify the respondent(s) concerning the appeal, but if that is unsuccessful, the student may start with Step Two. Outcomes of Step One: A. The respondent(s) may find that an error has been made, or that a compromise can be reached, and take the appropriate steps for correction. B. The respondent(s) may uphold their decision, in which case the student may either accept the decision or proceed to Step Two. 3. Step Two Discussion with Program Director or Administrator Step Two must be initiated within ten (10) business days of the completion of Step One and must be completed within the next ten business days of its initiation. In summer sessions, the administrator or Director may take up to 20 days. Step Two may not be skipped. If the student feels his/her grievance exists after conferring with the instructor or other professional, he/she may present the complaint in writing to the Program Director or Supervisor of the Director if the decision has been made by a director. There shall again be an attempt at mediation. The complaint in writing must state the grounds of appeal, as explained in the Policy of this regulation. Outcomes of Step Two: A. A mutually agreeable resolution might be reached. B. The Director or Supervisor may find that the appeal is not timely, is without merit, or does not meet the appeal criteria set forth within the appeal procedure. C. The Director or Supervisor may find that he/she cannot sustain the academic decision. In any case, the Director or Supervisor will note the outcome on the Form, sign it, notify both the student and the respondent(s) of the outcome, and secure their signatures on the AADF. A copy of the form will be given to all parties. At this time, if appropriate, the student will be reminded of the right to proceed to Step Three and any impending deadlines in the appeal process. 151

152 After receipt of the AADF, the student may: a. accept the decision and take no further action b. proceed to Step Three 4. Step Three Appeal Committee Step Three must be initiated within five business days of the completion of Step Two and must be completed within the next ten business days of its initiation. In summer sessions this may take up to twenty days. If the grievance remains unsettled the Director or Dean shall refer the decision to the chief academic officer (CAO). The CAO shall appoint an Appeal Committee to hear the case. The appeal committee shall consist of three faculty members for a grade appeal. The committee will be supplemented by a Director or Dean (appointed by the CAO) for other academic decisions and one other professional. The mandated three faculty will be selected in the following manner: a. The student selects a faculty member. b. The faculty member or other respondent selects another faculty member. c. The CAO selects a faculty member. Efforts shall be made to avoid conflicts of interest for any member of the Appeal Committee. Attendance at the Appeal Committee meeting shall be limited to only persons with pertinent information. The student and the respondent are not present when the other party is presenting. At this step the appeal shall be in writing and shall: 1. Describe the decision form which the appeal is taken, name the respondents, if known, and state the reason for the appeal (noted in Policy above). 2. Include any documents to be relied upon, including grades, reports, correspondence, themes or other papers. 3. Be signed by the student. 4. The CAO shall send copies of the appeal to the respondent, the supervisor of the respondent, and other names parties prior to the Appeal Committee meeting. The respondent comes prepared with documents such as grade books, testing information, reports of actions taken, copies of grading or other policies, and other appropriate evidence. Outcomes of Step Three 1. The Appeal Committee may reverse the decision in the previous step, with a two-thirds vote of the Committee. The AC must render its decision within three business days of the date of the hearing(s). The student and respondent(s) will be informed in writing of the ruling of the AC. 2. The AC may meet informally with either or both parties and obtain a written resolution. Such resolution may grant the student s request or establish a compromise solution. 3. The AC may communicate the committee s decision to the student that the appeal is not timely, without merit, or that it does not meet the appeal criteria set forth within this administrative regulation. 152

153 The AADF shall be completed and signed by the respondents, the student, the supervisor of the respondent(s), and the CAO. This shall terminate the process. GUIDELINES 1. Confidentiality of information is to be maintained at all steps with only those college officials having a right and reason to know being advised and/or consulted about the appeal, and being allowed to attend any meetings or hearings. 2. The CAO is responsible for ensuring that this procedure is administered properly and for resolving procedural issues which may arise. 3. The Vice President, AA keeps notes of any hearing committee meetings and limits the review to clarification of the issues. 4. Tape recordings and verbatim records may be maintained only upon agreement of all parties concerned. Legal advice may be requested by the Hearing Committee through the Office of the President of the college. 5. The procedure does not apply to student appeals of the content of college policies such as academic probation, satisfactory academic progress, academic suspension, readmission, disciplinary actions, or other college policies of a similar nature. 6. The CAO develops standard operating procedures for the Hearing Committee. Tm/tm Approved: Effective: Review Date: 153

154 154

155 Appeal of Academic Decisions Form (Attachment to Reg. 663) REASON FOR APPEAL (From list found in Reg. 663): Step One: Student Meets with Respondent Date of Initial Meeting: Outcome: Student's Name (printed) Student's Name (signature) Respondent(s) Name(s) (printed) Respondent(s) Name(s) (signature) Date: Step Two: Administrator Meets with Student and Respondent (individually or together) Date of Initial Meeting: Outcome: Student's Name (signature) Administrator's Name (printed) Respondent(s) (signature) Administrator's Name (signature) Date: 155

156 Step Three: Appeal of Academic Decisions Committee Meeting Date of Meeting: Outcome: CAO's Name (signature) Date: Deadlines (Business Days) (Fall/Spring Semester) Action *D to D + 30 Complete Step One - meeting with respondents Within 10 days of completing Step One. Initiate Step Two Within 10 days of initiating Step Two Complete Step Two - discussion with administrator or program director Within five days of completing Step Two Within ten days of initiating Step Three Initiate Step Three Complete Step Three - AAD committee action *D = Date of Decision 156

157 STUDENT PREGNANCY PACKET 157

158 158

159 TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY PREGNANCY POLICY Pregnancy Policy (as per Title IX of the Education Amendment) The statute reads No person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity receiving Federal financial assistance. The Radiologic Technology Program does not discriminate against any individual who is enrolled in the program and who is pregnant. Appropriate accommodations and alternate comparable activities will be offered as the situation warrants. Students enrolled in the Radiologic Technology Program are informed about the pregnancy policy and are instructed in proper safety precautions and personnel monitoring. General Statement: It is Trocaire College s policy to provide a radiation safe environment for pregnant students. The program encourages the student to notify the Radiation Safety Officer as soon as possible. Students choosing to declare pregnancy are given the opportunity to do so and will be counseled and assisted by the program faculty to ensure proper radiation safety measures are taken. All student radiographers are lectured on X-rays, pregnancy, risks, and relative policies during Freshman Orientation. The benefits of declaring pregnancy and following radiation protection methods early in the pregnancy are emphasized, but also described as voluntary recommendations. Policy and Procedure: According to New York State Sanitary Code, Chapter 1 Part 16.6(h), (4/18/2001) and the US NRC Regulatory Guide 8.13 Instruction Concerning Pregnant Radiation Exposure (June 99) the pregnant student has the right to decide whether to declare her pregnancy or not. This voluntary decision can be withdrawn at any time. (Declared pregnant woman means a woman who has voluntarily informed the department in writing of her pregnancy.) If she chooses to do so, the declaration of pregnancy must be in writing. The student will complete and submit the form title Pregnancy Declaration. (See appendix). 159

160 Upon declaration of pregnancy by the student, the following procedure will be followed: The student will submit a statement from her physician verifying pregnancy and expected due date. The statement must include the physician s recommendation as to which of the following options would be advisable. Upon declaration, the student is given the following options: 1. Immediate withdrawal from the program for health reasons. 2. Continued full-time status without restrictions in classroom but limited rotation in fluoroscopy and portable/or procedures (high radiation areas), including Radiation Safety precautions. 3. Continue full-time status without restrictions in clinic, classroom and laboratory. The physician s statement (Medical Clearance) shall be submitted to the RSO who discusses the situation with the Program Director. Additionally, a pregnant student has the right at any time, to withdraw/revoke the declaration of pregnancy. Should that occur, the lower dose limit for the embryo/fetus will no longer apply and the student will return to previous clinical expectations/experiences. (USNRC Regulatory Guide 8.13, appendix item 16, June 1999) Options for continuance in the program: 1. A student may withdraw for pregnancy with the option to return to the program at a later date. 2. A student may continue in the program, provided her physician has not placed any physical limitations/restrictions on her medical clearance form. (aside from limited exposure to radiation). If the student chooses to continue, she must complete the following steps: A. Consultation with the College s Radiation Safety Officer prior to continuation in the college laboratory and clinical assignments. At this time, the physician s medical clearance is required. 160

161 B. The RSO and the declared pregnant student will review the Program s Radiation Safety Guidelines and the potential risks involving ionizing radiation to the developing embryo/fetus. This discussion includes the following: The pregnant student will be counseled regarding the nature and potential radiation injury or risk associated with in-utero exposure, the dose equivalent limits established by the NCRP, and, the required preventative measures to be taken throughout the gestation period. Specifically, the pregnant student will be informed of the specific exposure limits as: the dose to the embryo/fetus during the entire pregnancy, due to occupational exposure should not exceed.5 rem (500mrem) or 50 mrem for monthly dose equivalent limit. The RSO will review the past exposure history and may adjust working conditions to avoid a monthly exposure rate of.05 rem (50mrem) to the declared pregnant worker. NYS- Chapter 1, part 16.6 (h). 4/01 Two thermoluminescent dosimeters will be worn throughout the gestational period. One TLD will be worn at the uniform collar, and the other fetal TLD will be worn at the waist level under the lead protective apron to monitor embryo/fetus. (NYS Sanitary Code, Chapter1 Part 16.11, b (2). 4/18/01. The fetal TLD will be changed monthly. A monthly radiation exposure log will be established throughout the gestational period. Analysis of the monthly exposure totals will be reviewed by the RSO and pregnant student. The RT Faculty and clinical instructor shall make every effort to schedule the declared pregnant student, at least for the first 18 weeks of gestation, in areas that do not involve fluoroscopy and portable/or work. ALARA: Time, distance, and shielding principles must be utilized by the pregnant student. If at any time the pregnant student feels (despite clearance from her doctor), that she is working in an unsafe area or under conditions she feels are detrimental to herself, the embryo/fetus, she should report to the Clinical Instructor and RSO immediately. C. Upon completion of the counseling session and receipt of written material, the pregnant student will sign a form attesting to this meeting. (See appendix) 161

162 162

163 RADIOLOGIC TECHNOLOGY PROGRAM PREGNANCY DECLARATION This letter will serve to formally notify the Radiologic Technology Program that I am voluntarily declaring my pregnancy. My estimated due date is:. Additionally, I am aware that I can withdraw this declaration at any time. I understand that, with this declaration in effect, additional steps will be taken to monitor the radiation exposure to my unborn child, as required by the State Code (10 NYCRR 16). I will not hold Trocaire College or the Clinical Education site liable in cases of abnormalities to this pregnancy, which may be caused by radiation exposure. Student Signature Date 163

164 164

165 RADIOLOGIC TECHNOLOGY PROGRAM REVOCATION/ WITHDRAWAL OF DECLARATION OF PREGNANCY FORM This letter will serve to formally notify the Radiologic Technology Program at Trocaire College of my voluntary withdrawal of my declaration of pregnancy. I am aware that lower dose limits for the embryo/fetus will no longer apply. Student Signature Date of Withdrawal 165

166 166

167 RADIOLOGIC TECHNOLOGY PROGRAM PREGNANCY ADVISEMENT This is certify that, a student in the Radiologic Technology program has received instructions and counseling regarding radiation exposure and guidelines to be followed to reduce the risk of ionizing radiation for the duration of the pregnancy. In addition to personal counseling by the Radiation Safety Officer, she has been given copies of: Regulatory Guide 8.13 from the United States Nuclear Regulatory Commission: Instructions Concerning Prenatal Radiation Exposure National Council on Radiation Reports (NCRP) #105 - Radiation Protection for Medical and Allied Health Personnel, Embryonic and Fetal Effects, Sections 3.5 and 4.2 #116 - Limitation of Exposure to Ionizing Radiation, Section 11 Bushong, Stewart. Radiation and Pregnancy Radiologic Science for Radiologic Technologists. Pages th edition,

168 168

169 RADIOLOGIC TECHNOLOGY PROGRAM TLD GESTATION LOG RECORD Name: Badge Number: Gestation Period: Expected Due Date: MONTH/ DATE COLLAR WAIST DEEP DOSE EYE DOSE SHALLOW DOSE INITIALS All documentation reviewed monthly with student and RSO. Radiation Safety Officer Signature RT Student Signature 169

170 170

171 RADIOLOGIC TECHNOLOGY MEDICAL CLEARANCE PREGNANCY FORM Student Name: The above named student is presently enrolled in the Radiologic Technology program at Trocaire College. Due to the nature of the program, this student will be lifting and pushing patients, and have possible exposure to radiation and contagious diseases. We are requesting the following information: Approximate Due Date: Medical Clearance is provided with: No restrictions or limitations for clinic, laboratory or the classroom setting. No restrictions in classroom and laboratory; limited participation in high radiation areas (fluoroscopy, surgery and mobile/portable radiography). Medical Clearance is NOT provided. Recommend immediate leave of absence or program withdrawal. Any additional comments pertinent to the student s health status: Physician s Signature Print Physician s Name Date Office Phone Number 171