Radiologic Technology Program Handbook

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Radiologic Technology Program Handbook 2017-2018 June 14, 2017

INDEX SECTION 1 Program Philosophy/Mission...7 Program Goals...7 Introduction...8 Description of Profession...8 Standard Functions for Radiographers... 9-10 Program Expenses and Approximate Costs 10 Code of Ethics... 11-12 Program Requirements for Graduation...13 Program Grading Scale...13 National Registry...13 Professional Licensure...14 Prerequisites...15 Radiologic Technology Curriculum...15 Clinical Assignments...16 Pregnancy Policy... 17-18 Declaration of Pregnancy...19 Major Medical Leave of Absence...20 Other Leave of Absence...20 Nondiscrimination...20 Reinstatement Policy...20 Withdrawal Policy...21 Student Services, Complaints and Grievances...21 JRCERT Accredited Program 22 Maximum Program Involvement...22 Compliance with JRCERT Standards Policy.22 ICC Drug and Alcohol Abuse Policy 23 2

INDEX SECTION 2 Student Agreement for Clinical Education...25 Clinical Competency System...26 Competency-Based Clinical Education...26 Overview...26 Cognitive and Psychomotor...26 Clinical Participation...26 Category Competency Evaluation...27 Final Competency Evaluation...27 Requirements for Clinical Performance...27 Glossary of Terms... 27-29 Clinical Grades...30 Elective Rotation...31 Time Restrictions for Category Challenges...31 Laboratory Usage and Objectives...32 Intent...32 Goal...32 Location of Facilities...32 Method of Instruction...32 Lab Schedule...32 ICC Radiologic Laboratory...33 ICC Radiologic Laboratory Rules...34 MRI Student Safety Questionnaire...35 General Objectives for Clinical Rotations...36 Categories and Performances... 37-40 Competency Recheck Requirements...41 Clinical Objectives...42 Criteria for Performance and Image Evaluation... 42-44 Steps of Progression for Developing Clinical Proficiency... 45-46 Evaluation Forms...47 Competency-Based Evaluation Sheets...47 Rotation Forms...47 Clinical Log Books and Tally Sheets...48 Category Challenge/Final Challenge...48 PM/Rotation...48 3

Summary Schedule of Clinical Requirements... 49-50 Master Clinical Rotation Schedule... 51-52 Attendance...52 Communicable Diseases... 53-55 Conduct...56 General Safety Rules... 56-59 Radiation Protection for Lab and Clinical...59 Radiation Safety Rules...59 Radiation Exposure Measurement and Monitoring... 59-60 Radiation Safety Committee...60 Accidents...60 Lead Markers...60 Name Tags...60 Safety Eyewear...60 Film Badges...61 Breaks, Meals and Smoking...61 Tobacco-Free Policy...61 Telephone Calls...61 Transportation...61 Non-Scheduled Clinical Time...62 Professionalism...62 Privacy and Ethics: Confidential Information...62 Patient Care...63 Solicitation or Distribution...63 Tips or Gratuities...63 Absence...63 Reporting Absences...63 Tardiness...64 Funeral Leave...63 Professional Organizations...64 Repeat Examinations...64 Fluoroscopy...64 ASRT Position Statement on Fluoroscoping for Positioning...64 Dress and Personal Appearance...64 Progressive Disciplinary System for Clinical Education...65 4

Verbal Warning...65 Written Warning...65 Probation...66 Suspension...66 Dismissal...66 Probationary Students...66 Disciplinary Progression...66 Violations Not Listed in the Table of Disciplinary Actions...66 Behavioral Contract...67 Table of Disciplinary Actions... 68-71 Summary of Most Important Rules...71 Student Learning Outcomes...72 Standards for an Accredited Educational Program... 73-120 Non-Compliance with JRCERT Allegation Form...121 Program Faculty Paul Crum, M.Ed. RT(R) (CT) Program Director Office: Health Science 118 Phone: 662.620.5233 Email: jpcrum@iccms.edu Nita Megginson, BS, RT (R) (M) RDMS Clinical Coordinator Office: Health Science 120 Phone: 662.620.5235 Email: nmmegginson@iccms.edu Rita Fraser, R.T. (R) (CT) Instructor Office: Health Science 121 Phone: 662.620.5234 Email: rkfraser@iccms.edu 5

Section 1 Program Policies (All program policies and procedures are evaluated annually by the Program s Advisory Committee) 6

STATEMENT OF MISSION AND PHILOSOPHY Itawamba Community College Radiologic Technology Program The philosophy and purpose of the Associate of Applied Science degree Radiologic Technology program are consistent with the philosophy and purpose of this college. As an integral part of Itawamba Community College, the Radiologic Technology program offers to the student, regardless of sex, race religion, age, creed or color, the opportunity to obtain a general education in the humanities, biological and social sciences in conjunction with an education in the Radiologic Sciences. The purpose of the Radiologic Technology program is to prepare the graduate to function within the scope of practice of a radiographer. Radiologic Technology education is a planned program of learning which provides academic courses and clinical experience necessary for the graduate to function in the role of a radiographer. Upon completion of the program, the graduate is prepared to practice in the profession and administer direct patient care for the purpose of diagnostic imaging and prepared to write the American Registry of Radiologic Technologists examination. Goal 1: Goal 2: Goal 3: Goal 4: Goal 5: The program will graduate entry-level technologists. Students will be clinically competent. Students will communicate effectively. Students will use critical thinking and problem-solving skills. Students will evaluate the importance of professional growth and development. Revised 7/10 7

INTRODUCTION All students enrolled in the Radiologic Technology program at Itawamba Community College will observe all college rules and regulations as stated in the current catalog, which is considered an integral part of the college campus for student clinical assignments. The rules and regulations stated herein represent a contractual agreement between Itawamba Community College and the North Mississippi Medical Center, Merit Health Gilmore Memorial Amory, Baptist Memorial Hospital Golden Triangle, Columbus and OCH Regional Medical Center Starkville. Failure to comply with the rules and regulations stated in the manual will affect student evaluations and could possibly result in dismissal from the Radiologic Technology program. All students are reminded that the Itawamba Community College Radiologic Technology program is directly related to the Radiology Services of the North Mississippi Health System, Merit Health Gilmore Hospital Amory, BMH Golden Triangle and OCH Regional Medical Center Starkville. While working in the clinical setting, remember that the administrative director of the Department of Radiology Services, along with your clinical coordinator and clinical instructor, are responsible and in complete command. DESCRIPTION OF THE PROFESSION The profession of Radiography requires the ability to provide appropriate health care services. Radiographers are highly skilled professionals qualified by education to perform imaging examinations and accompanying responsibilities at the request of physicians qualified to prescribe and/or perform radiologic procedures. The radiographer is able to: 1. Apply knowledge of anatomy, physiology, positioning and radiographic techniques to accurately demonstrate anatomical structures on a radiograph or other imaging receptor. 2. Determine exposure factors to achieve optimum radiographic techniques with minimum radiation exposure to the patient. 3. Evaluate radiographic images for appropriate positioning and image quality. 4. Apply the principles of radiation protection to the patient, self and others. 5. Provide patient care and comfort. 6. Recognize emergency patient conditions and initiate lifesaving first aid and basic lifesupport procedures. 7. Evaluate the performance of radiologic systems, know the safe limits of equipment operations and report malfunctions to the proper authority. 8. Exercise independent judgment and discretion in the technical performance of medical imaging procedures. 9. Participate in radiologic quality assurance programs. 10. Provides patient/public education related to radiologic procedures and radiation protection/safety. 8

STANDARD FUNCTIONS FOR RADIOGRAPHERS Essential Requirements for Admissions and Progression The following essential requirements provide descriptions of basic cognitive, sensory, affective and psychomotor requirements for successful Radiologic Technology program completion. Applicants and students who cannot meet one or more of the requirements will be considered on an individual basis in terms of whether reasonable modification/accommodation can be made. Reasonable accommodations will be examined in accordance with the Americans with Disabilities Act (ADA) as well as the Essential Requirements for Admission and Progression. Any disability must be declared at the beginning of the program. If no disability is declared, the student will be expected to perform at the same standard of all students in the program. In order to successfully complete the Radiologic Technology program, an applicant/student must be able to do the following: Essential Observation Requirements The RT student must be able to: Observe clinical and laboratory demonstrations of patients being x-rayed for pathologic conditions. Read and comprehend text, numbers and graphs displayed in print and on a computer monitor. Display visual and tactile ability sufficient to safely assess and care for patients. Essential Movement Requirements The RT student must be able to: Move freely and safely about the radiology department. Reach radiology bench tops and shelves, patients lying in hospital beds or patients seated in wheelchairs. Travel to numerous x-ray rooms for practical experience. Perform moderately taxing continuous physical work, often requiring prolonged standing. Maneuver stationary and mobile radiology equipment safely performing x-rays on patients. Adjust exposure factors to produce quality radiographs with minimal patient exposure. Use an electronic keyboard to operate radiology instruments and calculate exposure to patients. Maneuver portable and C-arm equipment throughout the hospital. Lift 50 pounds from a lower to a higher level. Essential Communication Requirements The RT student must be able to: Read and comprehend technical and professional materials. Follow verbal and written instructions in order to correctly and independently perform radiology procedures. Clearly instruct patients prior to x-ray procedures. Effectively, confidentially and sensitively converse with patients regarding radiology procedures. 9

Communicate with faculty members, fellow students, staff and other healthcare professionals verbally and in a recorded format. Independently prepare patient history prior to radiology examinations. Essential Intellectual Requirements The RT student must be able to: Possess these intellectual skills: comprehension, measurement, mathematical calculation, reasoning, integration, analysis, comparison and self-expression. Exercise sufficient judgment to recognize and correct performance. Essential Behavioral Requirements The RT student must be able to: Manage the use of time and be able to systematize actions in order to complete professional and technical tasks with realistic constraints. Possess the emotional stability necessary to effectively employ intellect and exercise appropriate judgment. Provide professional and technical services while experiencing the stresses of task-related uncertainty and a distracting environment. Be flexible and creative and adapt to professional and technical change. Recognize potentially hazardous materials, equipment and situations and proceed safely in order to minimize risk of injury to patients, self and nearby individuals. Adapt to working with unpleasant orders. Support and promote the activities of fellow students and of healthcare professionals. Promotion of peers helps furnish a team approach to learning, task completion, problem-solving and patient care. Be honest, compassionate, ethical and responsible. The student must be forthright about errors or uncertainty. The student must be able to critically evaluate his/her own performance, accept constructive criticism and look for ways to improve. The student must be able to evaluate the performance of fellow students and tactfully offer constructive criticism. Program Expenses and Approximate Costs *expenses that will be charged to your student account through the ICC Business office: Prior to entering the program: Drug Screen*: $50 Criminal Background Check*: $50 Health exam, immunizations, TB skin test: variable costs by person Upon entering and during the program: College tuition*: $1,200 per semester, plus $700 for summer clinical Textbooks, standardized testing materials, etc.: $1,200 10

Picture ID badges*: $20 Clinical uniforms/shoes: $200 Malpractice Insurance (through the College)*: $20 CPR credentials: $35 Transportation expenses to class and clinical: variable costs by person At completion of program: Passport photos: $10 Temporary MSDH licensure: $25 ARRT exam (after graduation): $200 CODE OF ETHICS FOR THE PROFESSION OF RADIOLOGIC TECHNOLOGY PRINCIPLE 1 The Radiologic Technologist functions efficiently and effectively, demonstrating conduct and attitudes reflecting the profession. 1.1 Responds to patient needs. 1.2 Performs tasks competently. 1.3 Supports colleagues and associates in providing quality patient care. PRINCIPLE 2 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. 2.1 Participates in and actively supports the professional organizations for radiologic technology. 2.2 Acts as a representative for the professional and the tenets for which it stands. 2.3 Serves as an advocate of professional policy and procedures to colleagues and associates in the healthcare delivery system. PRINCIPLE 3 The Radiologic Technologist provides service to patients without discrimination. 3.1 Exhibits no prejudice for sex, race, creed, religion. 3.2 Provides service without regard to social or economic status. 3.3 Delivers care unrestricted by concerns for personal attributes, nature of the disease or illness. PRINCIPLE 4 The Radiologic Technologist practice technology founded on scientific basis. 4.1 Applies theoretical knowledge and concepts in the performance of tasks appropriate to the practice. 4.2 Utilizes equipment and accessories consistent with the purpose for which it has been designed. 4.3 Employs procedures and techniques appropriately, efficiently and effectively. 11

PRINCIPLE 5 The technologist provides the physician with pertinent information related to diagnosis and treatment management of the patient. 5.1 Assumes responsibility for professional decisions. 5.2 Assesses situation and acts in the best interest of the patient. PRINCIPLE 6 The Radiologic Technologist provides the physician with pertinent information related to diagnosis and treatment management of the patient. 6.1 Complies with the fact that diagnosis and interpretation are outside the scope of practice for the profession. 6.2 Acts as an agent to obtain medical information through observation and communication to aid the physician in diagnosis and treatment management. PRINCIPLE 7 The Radiologic Technologist is responsible for protecting the patient, self and others from unnecessary radiation. 7.1 Performs service with competence and expertise. 7.2 Utilizes equipment and accessories to limit radiation to the affected area of the patient. 7.3. Employs techniques and procedures to minimize radiation exposure to self and other members of the healthcare team. PRINCIPLE 8 The Radiologic Technologist practices ethical conduct befitting the profession. 8.1 Assures the patient quality care. 8.2 Provides the public with information related to the profession and its functions. 8.3 Supports the profession by maintaining and upgrading professional standards. PRINCIPLE 9 The Radiologic Technologist respects confidences entrusted in the course of professional practice. 9.1 Protects the patient s right to privacy. 9.2 Keeps confidential information relating to patients, colleagues and associates. 9.3 Reveals confidential information only as required by law or to protect the welfare of the individual or the community. PRINCIPLE 10 The Radiologic Technologist recognizes that continuing education is vital to maintaining and advancing the profession. 10.1 Participates as a student in learning activities appropriate to specific areas of responsibility as well as to the Scope of Practice. 10.2 Shares knowledge with colleagues and associates. 10.3 Investigates new and innovative aspects of professional practice. 12

PROGRAM REQUIREMENTS FOR GRADUATION A. Students must receive a minimum grade of a C in all professional RGT courses to remain in the program. If a student receives below a C in any of the professional courses, he/she will be dismissed from the program. B. Students must receive a minimum grade of a C in all Radiology Technology curriculum courses prior to graduation as stated in the ICC Catalog. C. Students must successfully complete the final challenge of the Clinical Competency- Based System utilized by this program. The student will be withheld from graduation until the Clinical Education System has been mastered. D. A minimum cumulative grade point average of 2.0 must be achieved in order to graduate from Itawamba Community College. A complete listing of institutional graduation requirements for the Associate of Applied Science degree may be found on www.iccms.edu in the ICC Catalog. The following grading scale is utilized in all RGT courses: 95-100... A 88-94... B 80-87... C Below 80... F NATIONAL REGISTRY The American Registry of Radiologic Technologists (ARRT) is the only examining and certifying body for radiographers in the United States. To become a Registered Technologist in Radiography, R.T(R) (ARRT), you must successfully complete the ARRT examination. The ARRT examination is offered any day after graduation. Graduates must make an appointment to take the examination at their convenience. It is suggested that graduates take the examination either immediately or within two months after graduation. Examination dates will be scheduled on an individual basis. One issue addressed for certification eligibility is conviction of a crime, including a felony, a gross misdemeanor or a misdemeanor with the sole exception of speeding and parking violations. All alcoholand/or drug-related violations must be reported. All potential violations must be investigated by the ARRT in order to determine eligibility. Individuals may file a preapplication with the ARRT in order to obtain a ruling of the impact of their eligibility for the examination. This preapplication may be submitted at any time either before or after entry into an accredited program. For preapplication contact the ARRT at: ARRT 1225 Northland Dr. St. Paul, MN 55120-1155 Tel: 651.687.0048 URL: http://www.arrt.org 13

Professional Licensure Mississippi Department of Health Office of Health Protection It is illegal to practice Medical Radiation Technology in Mississippi without being registered or exempted by statute or regulations. Individuals engaging in such practices, or employing nonregistered practitioners, will be subject to criminal and/or civil penalties. To work as a registered radiologic technologist in a hospital located within Mississippi, you are required to hold a valid license granted by the state, and successful completion of the American Registry of Radiologic Technologists (ARRT) examination in radiography and payment of a licensure fee will meet this requirement. From the time you graduate from the program until your registry results are sent to the Mississippi State Department of Radiologic Health you will be able to work under a temporary permit. The temporary permits are issued one time and one time only. Students engaged in radiologic procedures from a Board-approved school are exempt from the licensure law while at the Clinical Education Setting (CES) for clinical radiography courses. Any questions after graduation may be directed to: MISSISSIPPI STATE DEPARTMENT OF HEALTH PROFESSIONAL LICENSURE-RADTECH P.O. BOX 1700 JACKSON, MS 39215-1700 601. 364.7360 14

ITAWAMBA COMMUNITY COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CURRICULUM Prerequisites Semester Hrs BIO 2514 Anatomy and Physiology I...4 BIO 2524 Anatomy and Physiology II...4 ENG 1113 English Composition I...3 MAT 1313 College Algebra...3 RGT 1213 Fundamentals of Radiography...3 Total Hours...17 FIRST YEAR FIRST SEMESTER RGT 1113 Clinical Education I...3 RGT 1312 Principles of Radiation Protection...2 RGT 1413 Imaging Principles...3 RGT 1513 Radiographic Procedures I...3 RGT 1222 Patient Care and Radiography...2 SPT 1113 Public Speaking...3 Total Hours...16 SECOND SEMESTER RGT 1123 Clinical Education II...3 RGT 1523 Radiographic Procedures II...3 RGT 1614 Physics of Imaging Equipment...4 RGT 1424 Digital Imaging...4 Total Hours...13 SUMMER RGT 1136 Clinical Education III...6 Total Hours...6 SECOND YEAR FIRST SEMESTER RGT 2147 Clinical Education IV...7 RGT 2532 Radiographic Procedures III...2 RGT 2131 Ethical and Legal Responsibilities...1 RGT 2922 Radiographic Pathology...2 RGT 1513 General Psychology I...3 RGT 2912 Radiation Biology...2 Total Hours...17 15

SECOND SEMESTER RGT 2157 Clinical Education V...7 RGT 2542 Radiographic Procedures IV...2 RGT 2934 Certification Fundamentals...4 Fine Arts/Humanities Elective...3 Total Hours...16 CLINICAL ASSIGNMENTS Students enrolled in the Radiologic Technology program will be scheduled and rotate through the various Radiology Departments of the North Mississippi Medical Center, Tupelo; North Mississippi Medical Center, West Point; Merit Health Gilmore Memorial, Amory; Baptist Memorial Hospital Golden Triangle, Columbus and OCH Regional Medical Center Starkville. Clinical rotation assignments will be made by the clinical coordinator in conjunction with the clinical instructors of the clinical education centers. Clinical rotation schedules will be posted at the clinical sites and emailed to students. Assignments cannot be changed without permission from the program s clinical coordinator. All students will be responsible to the supervising technologist, the clinical instructors and program faculty. Students will be supervised by a registered technologist in accordance with the JRCERT Standards. In addition, the clinical aspect of the professional program requires strict attendance and some additional financial obligations for students. For example: Attendance during trauma rotations (evening shift) during summer sessions. Students are not employees of the Clinical Education Settings and are not covered by Workers Compensation. All students are required to submit a completed health form prior to being admitted into the clinical setting. This health record will be kept confidential and should include a physical examination, immunization records, medical history and should not be completed prior to four weeks before entering the clinical setting. If this health form is not completed along with necessary immunizations, the student will not be able to enter the clinical area for training. It is highly recommended that students maintain health insurance in the event of illness or injury. In case of any accident or injury to a student, that student will be treated as would a visitor to the clinical facility. RELATED WORK POLICY The program recognizes that local hospitals and clinics may from time to time hire students enrolled in the Radiologic Technology program at Itawamba Community College to work as student radiographers. The program takes no responsibility for any student while he/she is working outside of the program. The student should be aware that the liability insurance required by the College for all 16

healthcare students only covers a student s activities while actively participating in the educational program and does not cover a student while employed as a student radiographer. ICC student uniforms (which include name tag and tops) required by the radiologic technology program are to be worn only while attending clinical assignments. Student uniforms are not to be worn when the student is working outside of the radiologic technology program. The student is aware of his/her responsibilities to the program before he/she enters the program; therefore, no changes in the program schedule will be made to accommodate outside work schedules. PREGNANCY POLICY RADIATION SAFETY FOR THE EMBRYO-FETUS Students enrolled in Itawamba Community College s Radiologic Technology program are instructed in proper safety precautions and personnel monitoring prior to being admitted to any ionizing radiation area. Students are required to abide by all safety precautions, and the importance of keeping exposure as low as practical through a combination of time, distance and shielding is stressed. Due to the number and variety of courses in the curriculum and the importance of maintaining a rotation schedule through the various assigned areas without interruption, should any student suspect pregnancy, he/she is recommended to report it immediately to the program director. Female radiography students who become pregnant while in the Radiologic Technology program have the option to: 1. voluntarily inform program officials of the pregnancy, in writing, which would classify the student as declared. 2. not inform program officials of the pregnancy, which would classify the student as nondeclared. 3. may declare pregnancy and choose to: (a) continue the program without modification or interruption, or (b) take a leave of absence from the clinical/program. This request must be submitted in writing to the program director and clinical coordinator. 4. may undeclare pregnancy at any time by submitting written notice of declination to program director and clinical coordinator. The National Council on Radiation Protection and Measurement (NCRP) recommends that the maximum permissible dose equivalent to the embryo-fetus from occupational exposure to the expectant mother should be limited to 0.5 REM (5.0 milliseivert) for the entire gestation period. It is recommended by the NCRP that persons involved in the occupation should notify the supervisor immediately if pregnancy is suspected. Through proper instruction of all safety precautions and personnel monitoring and strict adherence to these precautions, it can be possible to limit all occupational exposure to under 0.5 REM per year and prevent fetal MPD levels from being surpassed. Declared Pregnant Student: A student who has voluntarily informed the program officials in writing of her pregnancy and the estimated date of conception. A student has the right to declare her pregnancy, at such time the precautions listed below will be followed. A student also has the right to not declare her pregnancy, in which case the student will be treated as though she were not pregnant. Once a student has declared her pregnancy, the student also has the right to undeclare her pregnancy at any time. This is in accordance with Federal and State laws. Upon confirmation of pregnancy, the student will: 17

1. Submit a statement from her physician verifying pregnancy and expected due date. The statement should include the physician s recommendation as to which of the following options would be advisable: a. Immediate leave of absence b. Withdrawal from clinical rotations with continued participation in didactic instruction c. Continued full-time status with limited rotations excluding fluoroscopy, surgery and portables. 2. Counsel with program faculty and the Radiation Safety officer regarding the nature of potential radiation injury associated with in-utero exposure, the regulations established by the NCRP and the required preventive measures to be taken throughout the gestation period. 3. Submit in writing within 24 hours her decision as to remaining in the program dependent on the above or resigning from the program. If resignation is the choice, no other action is indicated. 4. Leave of absence will be reviewed on an individual basis by the school medical adviser, program director and clinical coordinator dependent on the physician s recommendation. 5. Be required to attend the regular class schedule only with clinical objectives to be met after delivery, should her physician recommend this option. 6. Be required, if maintaining full-time status, to abide by the following: a. Strict adherence to all safety precautions for protection purposes b. Submit monthly statements from her physician as to any changes or problems in her pregnancy and advisability of continuation full-time. c. Wear two (2) personnel monitoring devices, one placed on the collar and one on the abdomen for fetal monitoring. Readings will be monitored closely by the RSO (Program Director), and the student will be subject to an immediate leave of absence from the clinical environment if at any point the RSO deems it necessary. d. At any time the pregnant student feels that she is working in an unsafe area or under conditions she feels are detrimental, the student should remove herself immediately and report to the Coordinator, Clinical Instructor, Departmental Supervisor and/or Program Director. e. At no time and for no reason will the pregnant student place herself in the primary beam of radiation. 7. Be informed that, dependent on the type of course(s), degree of difficulty of the course(s), her academic standing and length of time out, she may be required to retake the course(s) in its/their entirety. 8. Be required to complete upon her return all clinical competencies and rotations missed or not completed prior to and during her maternity leave. In addition, she will be evaluated by program faculty in those clinical competencies completed prior to time out and will be subject to participation for review purposes should the faculty deem it necessary. 9. Return to full-time status as soon as possible after delivery, but only on the express written permission of her physician. A vacancy will be held for the student for a maximum of six months following delivery. After that time, she will be considered a withdrawal. 18

10. Realize that the student must complete, upon her return, all requirements for graduation, including length of time in the program, required courses, clinical competencies and rotations. No diploma will be issued until all requirements have been successfully met. Declaration of Pregnancy I,, do hereby make this voluntary declaration of pregnancy. My estimated date of conception was, 20. My estimated delivery date is, 20. It has been explained to me that I am making this voluntary declaration of pregnancy in order to meet the requirements of paragraph 801.D.208 of the Regulations for Control of Radiation in Mississippi. I understand that this means my college must take measures to ensure that the total dose to the embryo/fetus during the entire pregnancy from occupational exposure does not exceed 0.5 rem. These measures may include the reassignment of rotations to those that will result in a lower occupational exposure. Employee Department Radiation Safety Officer Date Film Badge # (if already assigned) Date Date of Birth 19

MAJOR MEDICAL LEAVE OF ABSENCE If at any time during enrollment, a student must take a leave of absence for major medical reasons, the student will: 1. Submit the physician s statement as to the nature and severity of the illness and expected time out. If the student wishes to resign, a written resignation must be submitted within 24 hours, if possible. If resignation is the choice, no further steps are necessary. 2. Be informed that dependent on the type of course(s), degree of difficulty of the course(s), the student s academic standing and length of time out, the student may be required to retake the course(s) in its/their entirety. 3. Be required to complete upon return all clinical competencies and rotations missed or not completed prior to and during the leave of absence. In addition, the student will be evaluated by program faculty in those clinical competencies completed prior to time out and will be subject to participation for review purposes should the faculty deem it necessary. 4. Return to full-time status as soon as possible, but only on the express written permission of the attending physician. A vacancy will be held for the student for a maximum of six months. After that time, the student will be considered a withdrawal. 5. Realize that the student must complete, upon return, all requirements for graduation, including length of time in the program, the required courses, clinical competencies and rotations. No diploma will be issued until all requirements have been met. LEAVE OF ABSENCE FOR REASONS OTHER THAN MEDICAL - will be considered on an individual basis. A written request stating the reason(s) for a leave of absence must be submitted and will be decided on by the Medical Adviser and program director after counseling with the student. NONDISCRIMINATION In compliance with Title IV of the Civil Rights Act of 1964; Title IX, Education Amendments of 1972; and Section 504, Rehabilitation Act of 1973, Itawamba Community College makes available its curricular and extracurricular programs and its facilities to every qualified person regardless of race, sex, color, creed, national origin or disability. Itawamba Community College does not discriminate on the basis of race, color, national origin, sex, disability or age in its programs and activities. The following person has been designated to handle inquiries regarding the nondiscrimination policies: Vice President of Student Services, 602 West Hill Street, Fulton, MS 38843, 662.862.8271, TitleIXCoordinator@iccms.edu. REINSTATEMENT POLICY The student who earns a final grade below a C on any Radiologic Technology course will be ineligible to continue in the Radiologic Technology program. Applications for reinstatement must be in accordance with the following policy: 20

a. The student must inform the program director, in writing, of his/her desire to reenter the Radiologic Technology program. b. Reinstatement will be based on the recommendation of the Radiologic Technology Admissions Committee. c. If reinstatement is granted, he/she will reenter the program as a full-time student at the next course offering. d. A student who earns a course grade below C may be reinstated one time only. e. Reentry into the program must occur within one year. f. Beyond one year, the student must reapply and go through the admissions process. WITHDRAWAL POLICY Non-Academic Withdrawal Students who withdraw from the program and/or the College for non-academic reasons will be considered for reinstatement on an individual basis within one year of withdrawal by the Radiologic Technology Admissions Committee (RTAC). Academic Withdrawal or Failure to Progress I Students who withdraw for academic reasons or fail to progress in the professional phase of the Radiologic Technology program in the first professional semester may be readmitted the following year. No position is guaranteed, and all policies, procedures and admission standards must be met. A request in writing for reinstatement must be submitted to the program director by the April 1 deadline. The student must also complete an online application to the program. All previous professional courses will have to be repeated regardless of the previous course grade. STUDENT SERVICES, COMPLAINTS AND GRIEVANCES A complete list of student resources, services and publications (including the Student Guide handbook and ICC Catalog) provided by ICC may be found at the bottom of the ICC website, www.iccms.edu. Students with complaints or grievances should follow the procedures outlined below: 1. Students should seek to resolve issues with instructors first. 2. Grievances not resolved at level 1 may move forward through the appropriate channels - Dean of Health Science Instruction, the Vice-President of Instructional Services and then the President of the College. In order for student complaints or grievances to be acted upon by the President, such complaints must be presented to the President in writing and dated. The President shall serve as judge of final appeal. A Student Complaint Form may be found at the bottom of the ICC Web page, www.iccms.edu. Additional information for filing complaints or grievances may also be found in the ICC Catalog and the ICC Student Guide. 21

MAXIMUM PROGRAM INVOLVEMENT The maximum required hours of clinical assignments cannot exceed 10 hours per day, and clinical and didactic involvement cannot exceed a total of 40 hours per week. Students will not be exploited. AN ACCREDITED PROGRAM The ICC Radiologic Technology program is accredited by the Joint Review Committee on Education in Radiologic Technology. The Joint Review Committee on Education in Radiologic Technology (20 N Wacker Dr, Suite 900, Chicago, IL 60606, 312.704.5300) coordinates site visits of programs according to a regular schedule and is responsible for the overseeing of adherence of the STANDARDS for an Approved Educational Program in Radiologic Sciences. The Standards may be found at www.jrcert.org and are also found on pages 73-114 of this handbook. Program documents relating to the accreditation process may be requested and reviewed at any time by an ICC student or applicant. Compliance with JRCERT Standards Policy: The Radiologic Technology program strives at all times to be in compliance with the JRCERT Standards for an Accredited Educational Program in Radiologic Sciences. If an individual or student has a reason to believe that there have been infractions of the Standards, a complaint can be brought to the program s attention by using the Non-compliance Allegation Form located on page 114 of this handbook. In the event of a complaint, the following may be used as an opportunity to resolve the problem: 1. The student must be aware of the standards and the regulations within. Each standard is listed in the Program Handbook, and they may also be found on the official website for the JRCERT, http://www.jrcert.org. 2. Student grievances should originate at the department level with the program director, and the resolution of the grievance should be sought at the department level. Upon receipt of the allegation form, located in the Program Handbook, the program director will review and share it with the program faculty to determine if the noncompliance issue exists. Within ten (10) days after receiving the complaint form, the program director and faculty will schedule a meeting with the individual filing the allegation to discuss the complaint. 3. If the complaint is legitimate, the program faculty will develop a plan to bring the situation into compliance. 4. Should further arbitration prove necessary, or if the party filing the complaint is not satisfied with the result, a meeting will be scheduled with the student, Program Director and the Dean of Health Science Instruction. If necessary, further discourse may involve the College s Vice- 22

President of Instructional Services, President and/or the JRCERT in an effort to have the grievance resolved. ICC DRUG AND ALCOHOL ABUSE POLICY Drug and alcohol abuse has been recognized as a leading threat to the health and well-being of college students and employees. It is the intention of Itawamba Community College to provide a drug-free workplace for all employees and students. The unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited at Itawamba Community College. As a member of the college community, and subject to the laws and policies which bind the institution s activities and interests, it shall be the personal responsibility of each student to adhere to such stated policies. Any student admitted to the Itawamba Community College s health-related programs must notify the chairperson, director and/or his/her adviser when using prescription drugs which effect behavior. Any student exhibiting behavior that indicates he/she is under the influence of alcohol or any mind-altering substance may be required to have a drug and/or alcohol screening test performed immediately. Students associated with any situations involving drug or alcohol use may be subject to immediate screening and/or testing. Test results must be submitted to the Dean of Health Science Instruction or his/her designee. A positive confirmation test or refusal to submit to testing may result in dismissal from the program. If the student wishes to seek readmission to the program, he/she must meet admission requirements and submit proof of counseling/treatment in an appropriate rehabilitation program. The student may appeal this action by following the college appeals process. Students suspected or charged with being under the influence of alcohol and/or any mind-altering substance may be denied access to clinical educational facilities pending further investigation of such suspicion or charges. In all such cases, the College will respect and abide by the policies of the institution providing clinical educational facilities. Students found to be in violation of this policy may be subject to disciplinary or legal action as stated under policies JCDAC/JCDAC-R1. Clinical training is provided by area institutions or facilities who agree to admit Itawamba Community College students in health-related programs to the respective institution or facility for training. All students admitted into a health-related program requiring clinical training shall agree that admission into the program is contingent upon abiding by the policies of the institutions or facilities providing clinical training. Students admitted to and entering health-related programs will be required to sign a form verifying they have been informed of this policy and agree to the stated conditions of the policy. Each health-related program shall be responsible for informing students admitted to such program of this policy and for developing a form and obtaining signature which demonstrate an awareness and understanding of this policy. This shall be done in an orientation session or no later than the end of the student s first week of classes. Cross Ref: JCDAB-R/JCDAC-R1, JCDAC 23

SECTION 2 CLINICAL EDUCATION 24

Student Agreement for Clinical Education WHEREAS,, (hereinafter called Student) is enrolled as a student in the Radiologic Technology program at Itawamba Community College; and WHEREAS, Itawamba Community College and (name of clinical site), (hereinafter called CEC), have entered into a cooperative agreement for clinical experience as part of the Radiologic Technology program; and WHEREAS, said agreement provides that students enrolled in the program will not be considered employees of the CEC for any purpose whatsoever, and that each student, prior to participation in the program, will be required to execute and furnish to the CEC a form stating that the student recognizes and agrees as to certain matters regarding the relationship of Student to CEC. NOW THEREFORE, Student states his/her agreement to and understanding of the following: (1) There is no contract of hire or apprenticeship, expressed or implied, between Student and CEC, and there is no employer/employee relationship. (2) Student will receive no payment or compensation from CEC and has no expectation of any payment or compensation. (3) Student s work, activities, services, studies or duties at CEC while he/she is in the Radiologic Technology program of Itawamba Community College are for the purpose of providing clinical education and experience to Student and are not performed in furtherance of the business of CEC. (4) Student understands and has been advised that he/she is not and will not be an employee of CEC as defined in the Mississippi Workers Compensation Law and is not entitled to any benefits under said law. (5) Student is subject to the cooperative agreement of affiliation (or other title of the agreement) between Itawamba Community College and CEC. (6) Student is personally responsible for purchasing and maintaining his/her own student liability insurance with professional and personal coverage in amounts to be determined by CEC, and proof of such coverage has been or will be furnished to CEC prior to and during participation of the Student in the Radiologic Technology program on the premises of CEC. THIS the day of, 20. 25 Student

SECTION 2 RADIOLOGIC TECHNOLOGY CLINICAL COMPETENCY SYSTEM As required by the Joint Review Committee on Education in Radiologic Technology, the program utilizes a competency-based method of clinical education. The following section will explain this program s system and provide the clinical objectives which will progress through Clinical Education I - V. The Clinical Competency Evaluation method of observing and evaluating student performance in the clinic is used by this program. COMPETENCY-BASED CLINICAL EDUCATION Overview: It is the intent of Clinical Objective Evaluation to provide a standardized format for the evaluation of clinical performance within ICC s educational program. Cognitive, Psychomotor and Affective Skills: It is commonly acknowledged that the cognitive (classroom), psychomotor (clinical) and affective (values) aspects of curriculum occur simultaneously and are very much integrated. To ensure meaningful clinical participation, the student should have mastered those cognitive competencies deemed necessary to ensure a meaningful clinical participation aspect of the program. Those cognitive competencies normally include: Radiographic Procedures, Anatomy and Physiology, Radiographic Exposure and Radiation Protection. Clinical Participation: As can be visualized from the flow chart on page 44, the integrated cognitive, psychomotor and affective aspects encompass themselves into the clinical participation stage. 1. The student begins his/her clinical participation by first assisting a practicing Radiologic Technologist in the execution of duties. 2. This participation moves from a passive mode of observation to a more active mode of assisting the Radiologic Technologist in radiographic examinations. The rate of student progress is dependent upon the ability of the student to comprehend and perform the various tasks assigned to him/her. (Behavioral objective accomplishments). 3. As the student gains experience in various procedures, he/she gradually moves into an independent clinical performance stage. At this point the student is actually performing the procedure under the direct supervision of a Radiologic Technologist. 26

Category Competency Evaluation: When the student has performed the procedure(s) at an acceptable level of performance within the recommended number of trials and the specific times, he/she will request a category competency examination in which he/she will demonstrate his/her skill and competency in that particular category of radiographic examinations. If the student fails the competency evaluation, continuation of the clinical participation stage for additional experience in the category of exams is required. A student will not progress to the next category until he/she has successfully completed the preceding category. The student will continue to produce these examinations while pursuing experience and/or the required number of examinations to apply for the next category competency evaluation. If a student fails a category after the third attempt, that student is immediately dismissed from the program. Final Competency Evaluation: Upon the successful completion of the required category evaluations, the student will request a final competency evaluation. If a student fails one or more of the requirements of the exam, he/she shall return to that area of weakness and obtain additional experience. After this experience, the student shall be reevaluated. A successful completion (PASS) of the final competency evaluation completes the requirements for the clinical performance, provided all other requirements are met. Complete Requirements For Clinical Performance: This approach provides the student with the opportunity to progress at an individual rate consistent with his/her ability, knowledge and motivation. Though the student may successfully complete a category competency evaluation early in the clinical education, continuing performances will remain aggressive in order to excel in the final competency evaluation. GLOSSARY OF TERMS Rotation Evaluations: Every rotation requires an evaluation. These are white forms and are found at your main clinical site. You must have one at the beginning of each rotation and have it signed daily by the technologist with whom you work each day. At the end of the rotation, the form must be completed by the technologist with whom you worked the most during the rotation. If you worked with more than one technologist during the rotation, the form should be signed and completed by at least two of the technologists with whom you worked. The form is then submitted to the clinical instructor at your main clinical site. Make sure you put the dates of the rotation, including the month, days and year. Also make sure your name is on the rotation evaluation. These forms are graded. Equipment Check-off Forms: These are located at your main clinical site and must be checked off for each room of equipment in which you work, plus a C-Arm and any off-site rotations. The number of equipment checkoffs depend on how many rooms are associated with your clinical site. Performances: White pages following Exam Competencies. These are not graded. You, the student, performs the procedure with help. Some procedures require five performances; some require one performance. You should obtain all of the performances possible throughout the entire two years. These must be signed by the technologist with whom you work on the performance. Any registered technologist can sign and watch you do these. Technologists are allowed to help you, but you should be doing the majority of the procedure, like aligning the tube with the IR and setting the technique. Clinical Instructor Grades: Blue sheets. These are graded. After you have completed a Performance, you can receive a Clinical Instructor grade. Tell the technologist you want this for a grade BEFORE you get the patient. 27