Interprofessional Learning Programme. BSc (Hons) Diagnostic Radiography. Ongoing Achievement Record (OAR) A17 YEAR 1

Interprofessional Learning Programme BSc (Hons) Diagnostic Radiography Ongoing Achievement Record (OAR) A17 YEAR 1 April 2017 1

ONGOING ACHIEVEMENT RECORD (OAR) NAME OF STUDENT ADDRESS....... REGISTRATION NUMBER REGISTRATION DATE.. YEAR OF INTAKE. YEAR OF PROGRAMME. TO BE SIGNED BY THE LINK TUTOR ON COMPLETION OF THE YEAR. Hand in Date Mon 12 th March2018 TO THE BEST OF MY KNOWLEDGE THIS IS A TRUE RECORD OF THE CLINICAL EDUCATION AND PRACTICE CARRIED OUT BY THE ABOVE NAMED STUDENT. SIGNATURE of LINK TUTOR.. DATE. IF FOUND PLEASE RETURN TO: DEPARTMENT OF ALLIED HEALTH PROFESSIONSCANTERBURY CHRIST CHURCH UNIVERSITY CANTERBURY KENT CT1 1QU 2

Ongoing Achievement OAR Assessment of Practice contributes towards 50% the academic component of the program. It assesses your ability to demonstrate understanding, skills and values, commensurate with your stage in education. It also outlines the Standards/Proficiencies you are required to meet by the end of placement. You are assessed on a met/not met basis at the formative stage of your placement and a pass/fail at the summative stage. The formative assessments should provide you with a clear picture of your strengths and AREAS OF DEVELOPMENT. It may also help you identify areas of concern. Areas of concern may relate to either aspects of practice in which you are not achieving in the anticipated time frame or elements of your conduct that is not considered professional. These are related to you professional Competency APT. If concerns are identified, mechanisms will be put in place to work with you and your CLR/Mentor. All the proficiencies detailed in this document have been mapped to theoretical modules and to HCPC standards and must be passed before a student can progress to the next stage of the programme. Each proficiency must be signed (not Ticked) by a staff member/mentor/clr To support your ongoing learning and development and to meet regulatory requirements for supporting learning and assessment in practice, it is essential that you understand that you will be required to share the contents of your OAR with clinical practitioners, academic links and your personal tutor. This sharing ensures that any issues can be identified and addressed in order to give you the opportunity to achieve the requirements in placement to enable your to progress. For this reason you are advised to photocopy assessment documentation after each placement and keep it safe. Any student who is unable to produce their documentation is at risk of being unable to have their competence confirmed. Student Consent I.. (Full name) understand that I will be expected to share the records of my achievement held in this document with Mentor, Academic Links, and my personal tutor. I am aware that this document is my responsibility and that I will need to maintain a copy of all sections to ensure a complete signed set of documentation prior to my final assessment hand in date at the end of the year. Signed.. Date. Printed Name 3

Table of Contents Block 1 checklist 9 Block 2 checklist 10 Block 3 checklist 11 General Placement Competencies Checklist 12 Record of Signatures 13 Program Aims and objectives 14 Placement Structure 17 APT Descriptor 19 Audit Descriptor 21 Placement 1 24 Student Learning Contract 27 Mentor Contract Review 28 Student Mid Placement Reflection 29 Mentor Mid Placement feedback 30 Student End of Placement Review 32 Mentor End of Placement Feedback 33 Professional Competency Apt 35 Reflection on Assessments Proforma 39 Formative Assessment Forms 40 Placement 2 52 Student Learning Contract 54 Mentor Contract Review 55 Student Mid Placement Reflection 56 Mentor Mid Placement feedback 57 Student End of Placement Review 59 Mentor End of Placement Feedback 60 Professional Competency Apt 61 Summative Assessment Forms 66 Placement 3 81 Student Learning Contract 83 Mentor Contract Review 84 Student Mid Placement Reflection 85 Mentor Mid Placement feedback 86 Student End of Placement Review 88 Mentor End of Placement Feedback 89 Professional Competency Apt 90 6

End of Year 1 Reflection Forms 94 APT 97 Audit Forms 105 Record of Clinical Experience 107 Placement Guidelines 117 Reassessment Forms 127 Appendices 129 PiR Forms 139 Mid Placement Reflection Guidance Notes 141 Ward Placement Forms 143 Emergency Contact Form 144 Attendance book 154 7

Induction/Orientation Checklist Aspect 1. Fire regulations, emergency procedure, Infection Control. 2. CPR: location of equipment, emergency telephone number, student s role in CPR. 3. Issues surrounding confidentiality discussed. 4. Health and Safety policies. 5. Informed of mentor / assessor s name. 6. Uniform policy / standards of dress discussed. 7. Placement philosophy discussed. 8. Introduced to staff and environment. 9. Student to inform CLR of Personal Tutor s name and contact details. 10. Rota explained and Hours /Days off policy explained 11. Sickness and absence procedures discussed. 12. Rota Checked and missing weeks/modalities discussed and rescheduled. Yes (Initial / Date) No When all these have been achieved Mentor signature: Student signature: Date: Date: 8

Link Tutor Evidence of Practice Checklist Block 1 4 weeks 26.6.17-21.7.17 Mandatory before sign off date Task Completion Date Completion Signature Link Tutor Signature Hospital Induction Completed Student Learning Contract Mentor Learning Contract Review Student Mid Placement Reflection Mentor Mid Placement Review Relevant aspects of APT completed Documented Link Tutor Meeting Clinical Numbers 20 Student end of Placement Review Mentor End of Placement Feedback Attendance Target 112 hours No. of Hours Completed Weekly Sheets x6 Professional Competency Assessment Completion Date: Signature : Comments 9

Block 2 8 weeks 25.9.17-17.11.17 Mandatory before sign off date Task Complete Incomplete Link Tutor Signature Student Learning Contract Mentor Learning Contract Review Student Mid Placement Reflection Mentor Mid Placement Review Relevant aspects of APT completed Documented Link Tutor Meeting Clinical Numbers 50 Student End of Placement Review Mentor End of Placement Feedback Attendance Target 336 hours No. of Hours Completed Weekly sheets x 8 Professional Competency Assessment Pass Fail Signature : Date : Comments 10

Block 3 4 Weeks 12.2.18-9.3.18 Mandatory before sign off date Task Complete Incomplete Link Tutor Signature Placement 1 Checklist complete Placement 2 Checklist Complete Student Learning Contract Mentor Learning Contract Review Student Mid Placement Reflection Mentor Mid Placement Review Documented Link Tutor meeting APT completed Clinical numbers 70 Student End of Placement Review Mentor End of Placement Feedback Student End of Year Review Attendance Target 448 hours No. of Hours Completed Weekly Sheets x4 Professional Competency Assessments Pass Signature : Date : Fail Placement Lead Informed: Date: 11

General Competencies over all Placements Mandatory before sign off date Clinical Assessments Formative Date (Total 6 Radiographer Signature Summative Date (Total 6) Radiographers Signature Link Signature Hand/Wrist Elbow Foot Ankle Knee Chest Fail - resit and evidence of reflection (pg 18) BLS Certificate Manual Handling Certificate FRS Work sheet Modality Worksheets x 4 ( compulsory but not all sections need to be completed fully) Audit Pass CT MRI US RNI Fail Resit 12

Record of Signature This page should contain a record of the signatures of all HPC registered staff that initial and sign documentation within this Assessment of Practice Tool. First Name Surname Initials Status Signature Hospital 13

PROGRAMME AIMS AND OBJECTIVES Diagnostic Radiography Pathway Aims and Learning Outcomes Aims The aims in the Diagnostic Radiography Pathway are: To develop safe, capable, confident, collaborative medical imaging practitioners, who put the needs of the patient at the heart of their professional practice. They must be fit for practice, purpose, award and entry onto the Health Professions Council register; To develop the necessary knowledge, personal and professional skills to enable medical imaging practitioners to work collaboratively, play an increasingly pivotal role in the assessment, examination and management of patients and adapt appropriately to changes in policy and the imaging environment; They should demonstrate a sound preparation for the development of lifelong learning and continuing professional development; Learning Outcomes Knowledge and Understanding On completion of the programme students should be able to: Demonstrate a critical understanding of the theories, models, principles and concepts underpinning medical imaging; Appraise the evidence base for professional practice in medical imaging; Understand the public policy and organisational context for health and social care practice and service delivery related to medical imaging; Explain the process and practice of medical imaging; Explain and review theories about interprofessional relations and models of collaborative practice. 15

Cognitive Skills On completion of the programme students should be able to: Critically analyse information, concepts and processes in relation to medical imaging; Make and justify sound evaluative judgements about the health and welfare needs of patients and carers; Adhere to and, where appropriate, challenge the boundaries, constraints and obligations inherent in professional practice; Analyse critically, reflect upon and evaluate research findings utilising these, where appropriate, to underpin an evidence based approach to practice; Employ skills of critical self-reflection. Subject Specific Skills On completion of the programme students should be able to: Integrate the necessary professional knowledge, values and skills required to undertake a role in medical imaging; Practise safely, competently and confidently in medical imaging, within the boundaries of legal, ethical and professional frameworks, meeting the requirements of the subject benchmarks for the radiography curriculum 1,2 and be eligible to apply for entry to the professional register; Critically appraise the needs of patients and carers, using sound professional reasoning to initiate appropriate interventions in a range of situations across the scope of professional practice; Communicate and work collaboratively with patients, carers and fellow professionals in an appropriate and context specific way; Exhibit the appropriate professional values, attitudes and behaviours expected of an integrated member of the interprofessional health care team; Demonstrate a commitment to lifelong learning and effectively manage their continuing professional development 16

Graduate Skills The following six key skills are embedded progressively within the modules and evidenced in module assessments: 1. Communication; 2. Use of information technology (it); 3. Application of number; 4. Working with others; 5. Problem solving; 6. Improving own learning and performance. Year 1 is a steep learning Curve. All aspects of Radiography are new and to be explored. By the end of the first year, students should be able to: Work in a safe manner Be able to communicate with patients and staff. Carry out a range of basic examinations under supervision Be familiar with the local rules of their hospital. Have a clear understanding of human anatomy and the skeleton. By the end of the second year, students should be able to: Carry out all routine plain film imaging procedures under direct supervision; Carry out a range of mobile radiographic examinations under direct supervision; Assist with fluoroscopic examinations; Begin the development of initial image interpretation skills associated with the commonly seen pathology and trauma; Demonstrate appropriate communication skills and awareness the needs of service users and carers Demonstrate appropriate graduate skills On completion of the programme, students should be able to: Convey ideas and information appropriately by adapting written and verbal communication formats to meet desired outcomes; Select and use appropriate it skills to enhance the achievement of desired aims and outcomes; Demonstrate sound numerical skills and understanding of statistical techniques; Contribute appropriately to the work of interprofessional teams; Utilise current research and other sources of evidence to optimise medical imaging practice; Critically analyse, reflect upon and evaluate published literature from a range of sources; Seek and use self and peer-assessment in supervision for continuing professional development; Critically reflect on own experience and practice. 17

Clinical Placement Structure Year 1 begins with a 4-week OBSERVATIONAL placement, a further two placements of 8 and 4 weeks in duration will occur during the first year. This pattern will allow the student time to reflect, consolidate and begin to apply theory to practice before building on this experience with further academic learning. Students will rotate through a minimum of two clinical sites over the duration of the course. Year 1 will be spent at a single site to allow for consolidation of theory and basic skills. 1. Total Placement requirement for Year 1 is 448 documented hours. You will work shifts between 8-8, 4 days a week as part of your allocation any changes or additional hours must be approved by your CLR. 2. Applications to modify the working week must be made prior to the start of the placement block and must be agreed in writing. This can then be added to the portfolio as evidence. 3. Students must normally sign in on a register provided by the department by 9am unless the agreed hours are different. a. It is recommended that you document morning and afternoon shifts as separate. b. Lunches and breaks are not to be included in the documented hours. 4. Min numbers must be completed in your modalities as per your attendance book. a. 20 hours per week is the Minimum requirement of each student. Due to rotas this may not be possible at all sites as a full allocation. b. If you have not been allocated a placement please speak to your CLR/Link or Placement Lead to organise a shift to allow the Worksheet to be complete 5. No more than 40 working hours are to be completed in any 7-day period without prior approval from your Link Tutor or Placement Lead. 6. All hours must be documented in your Attendance Book and signed. 7. You will be required to fit in with the shift pattern of the department or modality in which your placement is allocated. 8. You will be required to provide evidence of WARD placement hours undertaken during the duration of year 1. a. On completion of your session you must fill in the form supplied in the OAR. Hours are recorded within your attendance book. b. This consists of 28 hours or 3 full shifts whichever is the longest. 9. All hours are worked/taken at the discretion of the dept. Uniform policy must be strictly observed. You are training for a profession where you have responsibility for the well-being of sick and vulnerable patients. Therefore you must be competent to practice Students who do not complete the required clinical hours will not be able to qualify. If necessary, you will be required to makeup and resit periods of placement during holiday time or the Examination Board may defer your qualification of any student, until they have acquired the experience designated within the course documentation. 18

Lieu Time 1. Accrued time may only be taken during a placement block if agreed with the CLR of the placement, in advance. 2. It is not appropriate to ring up in the morning stating you are taking a day off. This will be noted as unauthorised leave, which will be worked back. 3. Time owing is not transferable to another academic year. 4. Written agreement for more than a 2 day period must be obtained. You are training for a profession where you have responsibility for the well-being of sick and vulnerable patients. Therefore, you must be competent to practice Students who do not complete the required clinical hours will not be able to qualify. If necessary, you will be required to makeup and resit periods of placement during holiday time or the Examination Board may defer your qualification of any student until such time as they have acquired the experience designated within the course documentation. All hours stated are Minimum hours required to complete the course, not an ultimate cut off point. ASSESSMENT OF PRACTICE TOOL (APT) Evidence to demonstrate competence in practice This section of the Portfolio will provide evidence of practice experience and practice competence gained within the second year of your programme of study at Canterbury Christ Church University. Successful completion is essential for the award of the degree. The section contains material for each clinical placement. Learning Contract for each clinical block The assessment of practice tool (APT) Checklists for radiographers to assess competence Professional Competency Form Forms for completion of student reflection and record of meetings with mentors Audit of practical experience & Record of examinations 19

Guide to the Assessment Process Assessment for a placement should be completed by the end of the placement but it is recognised that due to variation in a student experience this may not always be possible and the process allows for incomplete activities to be carried forward to the next placement. Thus assessments for the end of placements can described as Formative or Practice, meaning it may be passed or failed, it informs your progress and guides you in evaluating your needs and planning for your next placement after which the assessment is Summative or Assessed, it must be passed. A lot of material is duplicated, this is done deliberately to ensure that development of your skills and knowledge is proceeding in a timely fashion and that you can demonstrate this not once but twice. This is particularly the case for the assessments of clinical competence which are undertaken twice, with a recommended minimum of 5 Days between assessments. Professional Competency Tool This is not to be completed for your first OBSERVATIONAL placement. Be aware of the requirements and ensure your working practices meet expectations. This sheet needs to be completed at the end of every placement block. (apart from placement 1, year 1) Once you have completed your mentor review session your mentor will then meet with your CLR and together will sign this competency sheet. 1. Your Mentor and Clinical Liaison Radiographer will meet and sign during the final week of Placement. 2. If a competency is deemed NOT MET, then this is considered a failed placement. A competency can be passed With Conditions if minor misdemeanours are identified, allowing the competency to be passed overall. 3. If an overall Fail is recorded, students will be offered a tripartite meeting with the Link Tutor and Placement Lead to discuss a Learning Action Plan. a. Support will be put in place for subsequent placements. b. Identify areas of weakness to be improved. c. A recommendation to the Board of examiners with regard to the lenght of the resit period will be decided upon. d. Student Fitness to Practice Policy will be followed if deemed appropriate. e. This if appropriate, it will be instigated immediately and escalated to Head of Dept 4. Failed Placement will be carried to end of year and will be recorded and sent to end of year Board of Examiners. 20

5. Resit opportunities for a failed placement will be given at the failed placement site. Two consecutive failed placements in a year will be automatically referred to Fitness to Practice Procedures. The Assessment of Practice Tool (APT) Assessments are designed to measure knowledge and understanding, cognitive skills, professional skills, graduate skills and health informatics. Each module reflects these learning outcomes, when appropriate, and utilises pertinent assessment methods. The modules are assessed by a variety of means and will require the student to apply theory to practice experience. The modules are also assessed by means of the APT. The summative assessments emphasise the clinical skills and competence based on essential knowledge, understanding, behaviours and attitudes. The Assessment of Practice Tool (APT) is a document intended to demonstrate that the students clinical learning meets the minimum requirements set down by various interested parties, in particular the Health Professions Council Standards of Proficiency (2008), The Society and College of Radiographers Statements for Professional Conduct (2002) and Curriculum Framework for Radiography (2003), the National Occupational Standards for Clinical Imaging(2003) and from the Quality Assurance Agency for Higher Education(QAA),Subject Benchmarks for Radiography and the University Graduate Skills framework Items within it should be completed by any qualified Radiographer, Medical Practitioner or Nurse as and when the student demonstrates the appropriate skills, knowledge or behaviours. The final certification of this document rests with the student s Mentor, or in their absence, with the Link Lecturer. In order to ensure Fitness to Practice the degree cannot be awarded unless the student completes successfully the clinical competencies outlined in the assessment schedule within the Assessment of Practice Tool (APT). Health Professions Council Standards of Proficiency (2013). Clinical Competence Checklists As part of completion of the APT the student must demonstrate competence in a number of radiographic examinations throughout their education and training. These have been selected to represent the range of skills, knowledge and behaviours that a newly qualified Radiographer must have. Certain examinations are specified for different parts of the three-year course. By the end of year 1 a student has already demonstrated competence in six common procedures, by the end of year 2 a student must demonstrate competence in a further seven common procedures on two separate occasions. These are: Hand or Wrist, Elbow, Foot, Ankle, Knee, Chest, 21

(Formative assessments MUST be completed before any summative assessment is considered) Clinical Competence check sheets are provided for the use of Radiographers to observe, assess and certify the ability of students. The supervisor will assess competence using a yes/no, tick box. There will be no assessment of film quality nor will there be a discussion related to the examination. The assessment is deemed complete and passed if there are less than five points assessed as no (except those that are technical fails). Resubmission is permitted for incomplete formative assessments on as many occasions as necessary to achieve completion provided that the supervising radiographer is of the opinion that satisfactory progress is being made. Students will be required to provide evidence of reflection on each incomplete clinical assessment prior to resubmiss Safeguards for the patients It is obligatory that the patient's permission is obtained prior to the assessment performance and that the patient can withdraw that consent at any time. The assessment must be terminated immediately, if, in the supervisor's judgement, the patient is seen to be at risk during the procedure. Audit of Practical Experience and Record of examinations Aims and objectives The purpose of this is to: a) Monitor the performance of students; b) Assess specific aspects of the radiographic process; c) Ensure consistency in the quality of examinations performed by students and provide objective feedback to the student. Students are required to complete a record of examinations that they perform during years 1, 2 and 3. Examinations have been grouped and minimum target levels set for each group. Students must indicate whether the examination was aided/unaided, although some examinations/procedures, e.g. interventional, will always be aided. A minimum of 240 examinations must be completed, of which at least 170 must be unaided, with information recorded in the format below. 22

Minimum targets towards completion are as follows: 70 by the end of Year 1 170 by the end of Year 2; 240 by the end of Year 3. The table should be completed as shown below, no patient information except a radiology computer system ID no should be entered, clinical indications should be as full as possible to assist auditors in the selection of cases for discussion. Examination & min no s Upper Limb 50 Date Examinatio n ID no Clinical Indications Radiographer signature Aided In line with University policy students will be only permitted 2 attempts at a summative assessment, one attempt plus a re-sit opportunity. All attempts at assessments must be recorded in this OAR using the named forms provided, and for second attempts using the reassessment forms at the end of this section. 1. Wrist Rt 21/12/ 4578912 Fell over cat, fork deformity C 1. Elbow both 22/12/ 4578964? supracondylar # R 2. Lt thumb 22/12/ 4578981 Cricket injury R Under each section a range of examinations must be included. Examination & min no s Upper limb 50 Lower Limb 50 Chest 15 Pelvis 15 Vertebral column 30 Skull /Facial bones 15 (5CT,5Dental, 5 skull/facial bones) Date Examin ation ID no Clinical Indications Radiographer signature Aided 23

Examination & min no s Mobile 20 Paediatric 15 Elderly /infirm 20 Non-ambulant trauma 10 Date Examin ation ID no Clinical Indications Radiographer signature Aided The full record of clinical experience for completion was included in your year 1 portfolio and must be transferred to the end of this section for additional records to be added. Extra sheet provided relating to chest, pelvis and non ambulant trauma Examinations will be subject to a scheduled audit by a University tutor and will take place on the university campus towards the end of each year. (Date to be advised) This audit will involve a discussion of specific examinations chosen by the tutor from the student's Ongoing Achievement Record (OAR). Year 1 Audit Year 1 There will be one combined audit discussion in total 40 minutes taken from the following areas: Upper Limb Lower Limb The format of the discussion is free and guided by the particular cases chosen by the university tutor but specific topic areas must be covered and signed by the tutor if deemed of a satisfactory standard and complete. The forms for audit discussion are included in the relevant placement sections. Topic areas not completed to a satisfactory standard on the initial occasion will be subject to a further discussion to be completed by a given deadline. It is vital that the discussion sticks closely to the parameters in the discussion sheet and that all areas are covered and judged Some areas such as image recording system used and contrast, density and sharpness will probably be judged the same on both sheets but the anatomy and pathology sections be judged differently in the different anatomical regions. Remembering that this is an end of second year examination, the judgement is, has the student satisfactorily answered your questions and demonstrated theoretical and practical knowledge about the case, Yes or No. The use of n/a can only be valid in the pathology section if none of the presented cases contains pathology or normal variants. In year 2 the expectation is that abnormal appearances will be simply identified, classification of pathology and differential diagnosis is not required. 24

Remember that this audit is a part of the examination system and that the professional integrity of the examiner in a viva situation is to be relied on. If the student fails a resit opportunity will be offered. This resit will have a second examiner present, this Moderator will not be involved in the audit but is there as an observer for quality monitoring purposes. This is an official examination and failure to pass will lead to withdrawal from the course subject to Exam Board recommendations after the resit option has been fulfilled. 25

Placement 1 26.6.17-21.7.17 (4 weeks) (Please note that the first placement of 4 weeks is mainly seen as an observation and settling placement and as such it is not expected or appropriate to the level of learning that much of the paperwork be signed off.) Site Name... Link Tutor... CLR... Mentor... 26

Prior to Clinical Placement 1 in University block 1 The student is prepared for placement within the University; this involves discussion of the requirements of clinical placement education and explanation of Ongoing Achievement Record (OAR). Drawing upon the notes made in the Clinical Induction Day and the Introduction to the APT afternoon the student will complete their learning contract for placement 1 of the first year. Please place these from your Year 1 OAR into the Year 2 OAR at the end of the Year. A written agreement will be established between the student and mentor identifying specific learning needs related to the forthcoming learning period. Reference will need to be made to any specific practice outcomes determined within this portfolio. A bank of mentors will be available at each of the clinical sites and the student will be allocated a mentor in week one of their placement at the clinical site by the Clinical Liaison Radiographer (CLR.) Students, may find it helpful to consider their needs in relation to: Knowledge links between academic learning within the university and practice setting Approach the areas of feeling, attitudes and values in a professional context Skill the development of practice skills 27

Clinical Placement 1 Student/Mentor Requirements 1. A date and time will be set for the formative discussion and completion of the first phase of the formative assessment with the mentor. This is the responsibility of the student and must be undertaken in a timely manner. 2. Date and time for final mentor meeting in week 4. 3. Date and time for mid and final mentor meetings should also be agreed taking into account leave and shift schedules. 4. The Mentor should meet with the student a minimum of twice per placement and if possible at a half-way point as well. 5. During placement the student will complete the formative evidence of learning form providing and identifying evidence of learning to support this placement. The mentor will complete the Mentor Formative Form commenting on the evidence of learning that the student has provided. 6. The Mentor uses the student evidence of learning form as a basis for discussion within the formative assessment. 7. The Mentor identifies which categories of the APT have been certified by clinical staff as Met or Not Met, and signs in the final column. 8. Note is made of clinical staff comments entered, further comments to guide student development in making good deficiencies may be entered by the mentor and /or Link Tutor. After completion of the discussion the student will identify and complete the next learning contract in preparation for placement 2. 28

Observational Placement 1 Week 1 Student Learning Contract Student preparation (completed prior to placement). My learning needs are: 1. I anticipate achieving these by undertaking the following learning experiences: 1. 2. 2. 3. 3. 4. 4. Student Signature... Mentor/Link Tutor Signature... Date... 29

Observational Placement 1 Week 1 - Mentor Learning Contract Review Following discussion with my mentor we have agreed that the following learning opportunities (to encompass staff, service users and resources) will meet my learning needs: Review date: 1. 2. 3. 4. Student Signature... Mentor/Link Tutor Signature... Date... 30

Mid Observational Placement 1 Week 2/3 - Student Reflection of Learning Experience Using reflective processes, describe incidences or experiences which demonstrate progression of learning (to encompass staff, service users and resources) and how they meet my learning needs: This should be supported by evidence of learning if available, i.e. certificates/dates/notes. Review date: 1. 2. 3. 4. 5. Student Signature... Mentor signature... Date... 31

Mid Observational Placement 1 Week 2/ 3 Mentor Mid-Placement Review Please identify student s strengths, areas for development and specific concerns in relation to APT and the Professional Competency APT. If the student as not met any competencies in this competency, this feedback should enable them to see clearly the reason for their failure to pass. Strengths demonstrated by student: Development needs of the student: Concerns to be documented: CLR Informed of Concerns (Name and Date): 32

Link Tutor Informed of Concerns: Details and Date of Action Taken: 1. 2. 3. 4. Student... Mentor... Date. 33

Observational Placement 1 Week 4 Student End of Placement Review Please use this section to reflect on the experiences undertaken during this placement. Identify areas of development for your next placement and reflect on the learning goals you have achieved. 1. 2. 3. Student... Mentor... Date... 34

Observational Placement 1 Week 4 Mentor End of Placement Feedback. Mentor: Acting on feedback from the department please discuss the students progress over the course of this placement. Using the students own reflection, suggest an action plan for development on subsequent placements. Have concerns raised at mid placement review been resolved? Mentor Signature... Student Signature... Date... 35

Professional Competency Guidelines 1. This sheet needs to be completed at the end of every placement block apart from Placement 1. 2. Your Mentor and Clinical Liaison Radiographer will meet and your CLR will sign during the final week of Placement. 3. If a competency is deemed NOT MET, then this is considered a failed placement. A competency can be passed With Conditions if minor misdemeanours are identified, allowing the competency to be passed overall. 4. If the paperwork is not completed, it will be deemed a FAIL of placement 5. If an overall Fail is recorded, students will be offered a tripartite meeting with the Link Tutor and Placement Lead to discuss a Learning Action Plan. a. Support will be put in place for subsequent placements. b. Identify areas of weakness to be improved. c. A recommendation to the Board of examiners with regard to the length of the resit period will be decided upon. d. Student Fitness to Practice Policy will be followed if deemed appropriate. e. This if appropriate, it will be instigated immediately and escalated to Head of Dept. 6. Failed Placement will be carried to end of year and will be sent to end of year Board of Examiners. 7. Resit opportunities for a failed placement will be given at the failed placement site. 8. Two failed placements in a year will be referred to Fitness to Practice Procedures. On the following pages are the Competencies that are required to pass a placement. They DO NOT need to be signed on this placement but are listed to provide Guidance for future placements. Please discuss your performance with your mentor in relation to these Competencies and fill in the form on Pg. 26 with any comments. HCPC Mapping Standards of Conduct, performance and Ethics for Registrants and Prospective Applicants Standards of Proficiency for Radiographers revised August 2012 36

Student Name : Date: Competency 1.Personal Appearance a. Abides by University Uniform Policy b. Incorporates Local Hospital Uniform Policy where appropriate 2.Time Management a. Attendance as required and documented daily b. Daily time keeping satisfactory c. Timely completion of Assessments d. Attendance at Link Tutor meetings (Minimum one documented meeting per placement) 3. Organisational Stills a. Organisation of OAR and APT b. Planning of Out-of-Hours sessions c. Planning of Mentor meetings. 4. Communication Skills a. Communicates effectively with Staff and Patients b. Communicates with appropriate staff when informing Dept. of Absence/ delays c. Willingness to interact with other professionals 5. Confidentiality a. Demonstrates good Data protection understanding b. Demonstrates a clear understanding of patient confidentiality 6. Works in a Safe Manner a. Awareness of Local Rules b. Quality of work appropriate to Year. HCPC standard Section 2 and 3 Sections 1,4,10, 11 Sections 1,10, 11 Sections 1,5,8,9 Sections 7 and 8 Sections 1,13,14, 15 Met Met with Conditions Not Met 37

7. Attitude to Work a. Application to daily tasks b. Establishes appropriate relationships with Patients and Staff. Sections 1,2,3,9 Pass/Fail University Informed Tripartite meeting Date Link Tutor Informed: Placement Lead Informed: Date: Action Plan for Subsequent Placements Review date Student Signature: Placement Lead: Link Tutor: Date: 38

Formative Assessment Forms Year 1 39

CANTERBURY CHRIST CHURCH UNIVERSITY DEPARTMENT OF ALLIED HEALTH PROFESSIONS, DIAGNOSTIC IMAGING CLINICAL ASSESSMENT failed assessment reflection PROFORMA Examination Assessed Formative Date Summative. Student Supervising Radiographer Name of Hospital.. Please reflect on the reasons why this assignment was not deemed suitable for passing. Consider what you need to improve and what support you need to access to achieve this. Mentor Signature: Student Signature:... Date:. 40

CANTERBURY CHRIST CHURCH UNIVERSITY DEPARTMENT OF ALLIED HEALTH PROFESSIONS, DIAGNOSTIC IMAGING CLINICAL ASSESSMENT PROFORMA Examination Assessed Hand or Wrist- Formative Date. Student Name of Hospital. Supervising. Grade:. Radiographer Examination Is a pregnancy check. YES/NO identification number appropriate? 1. Request Form (a) (b) (c) (d)* (e) Does the student know what projections to take? Does she/he understand the clinical indications? Has she/he considered viewing old films/reports? (even when films/reports are NOT available) Has she/he checked for signature of the referrer? Has she/he checked the form, for pregnancy of, and the protection status, of the patient? Yes No N/A 2. Preparation of Room and Equipment (a) Is the examination room tidy? (b) Is all equipment set up and ready? (c) Is a suitable preliminary exposure set? (d) Is accessory and protective equipment available? (e) Has attention been given to hygiene and cleanliness? Yes No 3. Initial Care of the Patient Did the student: Yes No N/A (a) (b)* (c)* (d) (e) (f) (g) Greet the patient appropriately? Obtain a positive identity check? Check with the patient the possibility of pregnancy? This MUST be done when appropriate. Ask the patient if he/she had been radiographed before? (even if this information has been given on the request form) Give clear instructions to the patient? Ensure the field was free from opacities and correctly prepared? Check with the patient that the correct area is to be examined? 41

4. Radiographic Procedure Only mark YES if completed on ALL projections. Did the student: Yes No (a) Correctly position patient? (b) Correctly position film? (c) Accurately direct the beam? (d) Accurately locate centring point? (e) Collimate the beam appropriately? (f) Correctly place markers and legends? (g) Correctly adjust all control console settings? (h) Give clear instructions to the patient about breathing and movement? (i) Ensure patient stability/immobility by proper use of immobilisation devices? (j) Use appropriate protection measures for the patient? (k) Use radiation protection for staff and others? (l) Observe the patient during the exposure? (m) Check that the exposure had occurred? 4. Care of patient during and after the examination (a) Was the correct information to the patient / staff on leaving the department / ward? (b) Was care and attention given to the patient's safety? Yes No Supervisor's comments:.......... Number of YES responses Number of NO Responses Number of Technical Fail Five or more boxes ticked no represent an incomplete assessment and resubmission will be required. Assessment: complete / incomplete (delete as necessary) Supervisor's signature:... Date:... Print name... Student's signature:... A 'no' on a starred (*) criterion (1d, 3b and 3c) represents a technical fail. 42

CANTERBURY CHRIST CHURCH UNIVERSITY DEPARTMENT OF ALLIED HEALTH PROFESSIONS, DIAGNOSTIC IMAGING CLINICAL ASSESSMENT PROFORMA Examination Assessed Elbow- Formative Date. Student Name of Hospital. Supervising. Grade:. Radiographer Examination Is a pregnancy check. YES/NO identification number appropriate? 1. Request Form (a) (b) (c) (d)* (e) Does the student know what projections to take? Does she/he understand the clinical indications? Has she/he considered viewing old films/reports? (even when films/reports are NOT available) Has she/he checked for signature of the referrer? Has she/he checked the form, for pregnancy of, and the protection status, of the patient? Yes No N/A 2. Preparation of Room and Equipment (a) Is the examination room tidy? (b) Is all equipment set up and ready? (c) Is a suitable preliminary exposure set? (d) Is accessory and protective equipment available? (e) Has attention been given to hygiene and cleanliness? Yes No 3. Initial Care of the Patient Did the student: Yes No N/A (a) (b)* (c)* (d) (e) (f) (g) Greet the patient appropriately? Obtain a positive identity check? Check with the patient the possibility of pregnancy? This MUST be done when appropriate. Ask the patient if he/she had been radiographed before? (even if this information has been given on the request form) Give clear instructions to the patient? Ensure the field was free from opacities and correctly prepared? Check with the patient that the correct area is to be examined? 43

CANTERBURY CHRIST CHURCH UNIVERSITY DEPARTMENT OF ALLIED HEALTH PROFESSIONS, DIAGNOSTIC IMAGING CLINICAL ASSESSMENT PROFORMA Examination Assessed Foot- Formative Date. Student Name of Hospital. Supervising. Grade:. Radiographer Examination Is a pregnancy check. YES/NO identification number appropriate? 1. Request Form (a) (b) (c) (d)* (e) Does the student know what projections to take? Does she/he understand the clinical indications? Has she/he considered viewing old films/reports? (even when films/reports are NOT available) Has she/he checked for signature of the referrer? Has she/he checked the form, for pregnancy of, and the protection status, of the patient? Yes No N/A 2. Preparation of Room and Equipment (a) Is the examination room tidy? (b) Is all equipment set up and ready? (c) Is a suitable preliminary exposure set? (d) Is accessory and protective equipment available? (e) Has attention been given to hygiene and cleanliness? Yes No 3. Initial Care of the Patient Did the student: Yes No N/A (a) (b)* (c)* (d) (e) (f) (g) Greet the patient appropriately? Obtain a positive identity check? Check with the patient the possibility of pregnancy? This MUST be done when appropriate. Ask the patient if he/she had been radiographed before? (even if this information has been given on the request form) Give clear instructions to the patient? Ensure the field was free from opacities and correctly prepared? Check with the patient that the correct area is to be examined? 45

CANTERBURY CHRIST CHURCH UNIVERSITY DEPARTMENT OF ALLIED HEALTH PROFESSIONS, DIAGNOSTIC IMAGING CLINICAL ASSESSMENT PROFORMA Examination Assessed Ankle- Formative Date. Student Name of Hospital. Supervising. Grade:. Radiographer Examination Is a pregnancy check. YES/NO identification number appropriate? 1. Request Form (a) (b) (c) (d)* (e) Does the student know what projections to take? Does she/he understand the clinical indications? Has she/he considered viewing old films/reports? (even when films/reports are NOT available) Has she/he checked for signature of the referrer? Has she/he checked the form, for pregnancy of, and the protection status, of the patient? Yes No N/A 2. Preparation of Room and Equipment (a) Is the examination room tidy? (b) Is all equipment set up and ready? (c) Is a suitable preliminary exposure set? (d) Is accessory and protective equipment available? (e) Has attention been given to hygiene and cleanliness? Yes No 3. Initial Care of the Patient Did the student: Yes No N/A (a) (b)* (c)* (d) (e) (f) (g) Greet the patient appropriately? Obtain a positive identity check? Check with the patient the possibility of pregnancy? This MUST be done when appropriate. Ask the patient if he/she had been radiographed before? (even if this information has been given on the request form) Give clear instructions to the patient? Ensure the field was free from opacities and correctly prepared? Check with the patient that the correct area is to be examined? 47

CANTERBURY CHRIST CHURCH UNIVERSITY DEPARTMENT OF ALLIED HEALTH PROFESSIONS, DIAGNOSTIC IMAGING CLINICAL ASSESSMENT PROFORMA Examination Assessed Knee - Formative Date. Student Name of Hospital. Supervising. Grade:. Radiographer Examination Is a pregnancy check. YES/NO identification number appropriate? 1. Request Form (a) (b) (c) (d)* (e) Does the student know what projections to take? Does she/he understand the clinical indications? Has she/he considered viewing old films/reports? (even when films/reports are NOT available) Has she/he checked for signature of the referrer? Has she/he checked the form, for pregnancy of, and the protection status, of the patient? Yes No N/A 2. Preparation of Room and Equipment (a) Is the examination room tidy? (b) Is all equipment set up and ready? (c) Is a suitable preliminary exposure set? (d) Is accessory and protective equipment available? (e) Has attention been given to hygiene and cleanliness? Yes No 3. Initial Care of the Patient Did the student: Yes No N/A (a) (b)* (c)* (d) (e) (f) (g) Greet the patient appropriately? Obtain a positive identity check? Check with the patient the possibility of pregnancy? This MUST be done when appropriate. Ask the patient if he/she had been radiographed before? (even if this information has been given on the request form) Give clear instructions to the patient? Ensure the field was free from opacities and correctly prepared? Check with the patient that the correct area is to be examined? 49