RADIOGRAPHY PROGRAM. Student Handbook Class of 2019

RADIOGRAPHY PROGRAM Student Handbook Class of 2019 TONIA GIBSON, M.S., R.T. (R) Program Director (270) 824-1739 tonia.gibson@kctcs.edu Paula Lange, M.S., R.T. (R) Clinical Coordinator (270) 824-1744 paula.lange@kctcs.edu

Introduction 1

Welcome & Introduction... 5 Program Faculty... 6 Mission Statement & Program Goals... 7 Statement Of Role And Scope... 8 Statement Of Values... 9 Arrt Standard Of Ethics... 10 Philosophy And Goals Of The Program... 15 Description Of The Profession... 16 Graduation Requirements... 17 Program Objectives... 18 Section I: Health & Safety... 19 Health And Safety Policy... 20 Liability Insurance... 21 Radiation Safety For Lab And Clinical... 22 Radiation Monitors... 22 Radiation Dose Action Limits... 23 Proper Radiation Monitor Storage... 23 Protective Lead Aprons And Thyroid Collars... 24 Radiation Exposure Report... 25 Communicable Disease Prevention Policy... 26 Communicable Disease Policy... 27 School Related Accidents And Incident Reports... 28 Clinical Instructor... 28 Program Faculty... 28 Chief Tech Or Designee... 28 Program Director... 28 Student Injury Exposure To Blood Or Body Fluid... 29 Pregnancy Policy... 31 Option # 1... 31 Option # 2... 32 Option #3... 32 Option #4 34 Fire Prevention And Protection Policy... 34 Hepatitis B Vaccine Information... 35 The Disease... 35 Transmission And Risks... 35 The Vaccine... 35 Technical Standards... 36 Section II: Program Information Policies And Procedures... 37 Program Of Study... 37 Academic And Clinical Practice Class Policies... 39 Academic Grading Scale... 40 Academic Probation... 40 Student Action Plan... 41 Academic Suspension... 42 Rules 42 Academic Attendance... 43 Rules... 43 Complaint Resolution Policy 46 Exam Testing Policy... 45 Attendance At Professional Meetings... 46 Scholarship & Honor... 47 Professional Effectiveness Skills... 48 Affective Behaviors... 48 Professional Effectiveness Skills And Classroom Etiquette... 49 Counseling/Advisement Policy Regarding Academics/Behavioral/Clinical... 50 Grounds For Dismissal... 51 2

Learning Resources Available... 52 Student Services Available To All Students... 52 Program Assessment And Governance... 53 Projected Program Cost... 54 Social Media Policy... 55 Policies and Procedures Madisonville Community College.58 Clinical Education... 56 Clinical Rotation Schedule... 58 Section III: Clinical Practice... 56 Clinical Instructor... 59 Clinical Staff Position Description 60 Position Description Clinical Staff... 61 Clinical Competency Evaluation System... 62 Clinical Assessment 62 Clinical Competency Evaluation... 63 Competency Grid By Semester... 65 Student Clinical Files... 67 Rules... 67 Clinical Standards Of Appearance And Attire... 68 Uniform Dress Code... 70 Clinical Performance Observations... 71 Rules... 71 Clinical Behavior... 72 Clinical Patient Care... 72 Bloodborne Pathogen Policy And The Clinical Experience... 74 Radiographic Examinations Objectives... 75 Support Services Objectives... 76 Fluoroscopic And Contrast Media Examination Objectives... 77 Portable Radiography Objectives... 78 Surgical Radiography Objectives... 79 Trauma Rotation Objectives (Evening Shift And/Or Staturday)... 80 Advance Modalities 81 Section IV: Clinical Attendance Policies &Procedures... 82 Tardy Policy... 83 Rules... 84 Procedure... 84 Clinical Attendance... 85 Call In Procedure... 86 Clinical Attendance & Punctuality... 87 Inclement Weather Policy... 88 Inclement Weather Information... 89 Section V: Clincial Practice Policy & Procedures... 90 Clinical Supervision Policy... 91 Repeat Policy... 93 Clinical Schedule 94 Expectations During Low Patient Volume... 95 Attendance in Clinical Areas... 96 Medical Records and Patient Archival Information... 97 Holding Patients... 98 Contrast Media... 99 Standard Precautions... 100 Portable Policy:... 101 Surgical Scrubs (green) 102 Surgery... 103 Student Lunch/Dinner Breaks:... 104 Time Tracking Policy... 105 Daily Patient Log/E*Value Case Logs... 106 Using Communication Devices... 107 Wearable Electronic Devices... 108 3

Section VI Cinical Evaluation/Grading:... 109 CLINICAL GRADING/GRADING SCALE... 110 I. Clinical Attendance And Punctuality... 111 II Professionalism... 112 III. Assignments and Clincial Class Grade... 113 IV. Performance Observation... 114 V. Clinical Competencies & rechecks... 115 Process for Completion of Clinical Competencies 115 Policy on Volunteering for Clinical Practice... 117 Section VII Clinical Forms:... 118 Clinical Grade Record 119 Extra Effort Award... 120 Demerit Recommendation... 121 Recommendation for Competency Check-off Removal 122 Student Action Plan Clinical Education... 123 Merit Notification... 124 Demerit Notification... 125 Clinical Assignment Make-Up... 126 Clinical Performance Check-off 127 Clinical Competency Recheck Evaluations... 128 Completion of Staff Observations of Clinical Performance... 129 First Clinical Semester Performance Observation... 130 Clinical Education Performance Observation(Clinical Practice II-V)... 131 Faculty Evaluation Of Student Progress... 132 First Clinical Semester... 133 Semester II-V 134 Daily Patient Log 136 Daily Patient Log Competencies 137 Clinical Education Facility Evaluation 138 Clinical Education Self Evaluation... 139 Student Self Evaluation... 140 Volunteering for Clinical Practice... 141 Section VII Program Forms Madisonville Community College:... 142 STATEMENT OF UNDERSTANDING - Programl... 143 Statement of Understanding Handbook 144 Program of Study... 145 GRIEVANCE AND JRCERT ACKNOWLEGEMENT FORM... 146 GROUNDS FOR DISMISSAL... 147 Emergency and Contact Sheet... 148 Release Reference Information... 149 Travel Form... 150 Professional Liability Insurance for Health-Related Disciplines Kentucky Community and Technical College System... 151 Professional Standards... 152 Using Communication Devices... 153 Wearable Electronic Devices... 154 Communicable Disease Prevention Policy... 155 Required Documentation (Prescreening) for Clinicals 156 Hazard Communication Program... 158 Pregnancy Policy... 159 Option # 1... 159 Option # 2 159 Option # 3 158 Option # 4 158 Pregnancy/Radiation Safety Verification Form 161 Declaration of Pregnancy... 162 In-Service Signature Form 163 Withdraw of Pregnancy Declaration Form 164 NRC Regulatory guide 165 4

WELCOME The Radiography Program faculty and staff are happy to welcome you to the Madisonville Community College Health Sciences Campus and our Radiography Program. The next two years are sure to be extremely busy and exciting for you. You have set for yourself a very high goal and our hope is that you will achieve success. That success is dependent upon our joint efforts. The faculty are dedicated to the ideals of the Radiography profession and service to humankind. We are pleased to be able to serve you and in turn our community by helping you to become the very best Radiographer possible. INTRODUCTION In order to ensure effective education in the Radiography Program, each individual participating in the program must have a full understanding of the responsibility involved. The handbook provides the student with the necessary information regarding the policies, procedures, and expectations in the Radiography Program. The policies and procedures included in this handbook are meant to be a guide to assist the student in reaching their goal to be a competent Radiographer. Revision of the handbook is an ongoing process and every effort will be made to keep students advised of any changes to the handbook, as well as to minimize the inconvenience such changes might create. Please read the handbook carefully. Any questions regarding the handbook should be directed to Program Faculty Remember that you are responsible for understanding and following the guidelines as is presented in this handbook. Keep your handbook available for easy reference, as it will assist you in your educational process. 5

PROGRAM FACULTY PROGRAM DIRECTOR Tonia Gibson, M.S., R.T.(R)(ARRT) Office: (270) 824-1739 Home: (270) 884-7355 cell: 270 635-3651 Email: tonia.gibson@kctcs.edu CLINICAL COORDINATOR Paula Lange, M.S., R.T.(R)(ARRT)(M)(QM) Office: (270) 824-1744 Home: (270) 830-0564 Email: paula.lange@kctcs.edu CLINICAL FACILITIES Baptist Health Madisonville Clinical Instructors: Kiley Arnett, R.T.(R)(ARRT) 900 Hospital Drive Teria Milligan, R.T.(R)(ARRT) Madisonville, KY 42431 (270) 825-5178 Baptist Health Medical Associates Clinical Instructor: Hannah Winebarger, R.T.(R)(ARRT) 200 Clinic Drive Madisonville, KY 42431 (270) 825-7371 Jennie Stuart Medical Center Clinical Instructors: Linda Fulcher, R.T.(R)(ARRT) 320 W. 18 th Street Leah Slaughter, R.T.(R)(ARRT) Hopkinsville, KY 42240 Melissa Russell, R.T.(R)(ARRT) (270) 887-0133 Methodist Hospital Clinical Instructors: Christa Cole, B.S., R.T.(R)(ARRT) 1305 N. Elm Street Amanda Royster, R.T.(R)(ARRT) Henderson, KY 42420 Joshua Minton, R.T.(R)(ARRT) (270) 827-7150 Fahmi Ramin, R.T.(R)(ARRT) Muhlenberg Community Hospital Clinical Instructors: Melba Keith, R.T.(R)(ARRT) 440 Hopkinsville Street Quinn Phillips, R.T.(R)(ARRT) Greenville, KY 42345 (270) 338-8000 6

MISSION STATEMENT The mission of the Madisonville Community College Radiography Program is to provide Radiography education and clinical experiences to develop a skilled and versatile Radiography workforce. PROGRAM GOALS The Radiography Program at Madisonville Community College serves its communities of interest and its students through meeting and maintaining the following goals: STUDENTS WILL BE CLINICALLY COMPETENT Learning Outcomes: Students will apply positioning skills. Students will select appropriate technical factors. Students will practice radiation protection. STUDENTS WILL COMMUNICATE EFFECTIVELY Learning Outcomes: Students will effectively communicate with patients. Students will demonstrate effective presentation skills. Students will demonstrate written communication skills. STUDENTS WILL USE CRITICAL THINKING AND PROBLEM SOLVING SKILLS Learning Outcomes: Students will perform non-routine examinations. Students will evaluate images (Ones they didn t produce). STUDENTS WILL GROW AND DEVELOP PROFESSIONALLY Learning Outcomes: Students will demonstrate professional behavior. Students will understand ethical decision skills. 7

STATEMENT OF ROLE AND SCOPE The Program implements its mission through a clearly defined set of objectives and outcomes that meet the Standards for an accredited program through the Joint Review Committee on Education in Radiologic Technology. Didactic Instruction The Program follows the American Society of Radiologic Technologist curriculum guide in the presentation of Radiography content. Clinical Education The Program prides itself on the professional behavior and clinical competency skills of its graduates. Clinical rotations through all phases of radiography are required to meet the job demands of the small office to the large hospital. Critical thinking skills and problem solving methods are emphasized. Customer Services The Program teaches and evaluates in the affective domain of patient care. Teamwork, professionalism and patient management skills are assessed throughout the curriculum. Involvement in professional society functions are encouraged. Access Programs The Program provides students with access to counseling, tutoring and job placement services through the Student Affairs department at Madisonville Community College. On going Program and student assessments are performed to improve and enhance Program and student quality. Quality Outcome Assessment All phases of the Program are assessed to insure quality services are provided to the student, employer and future patients. Areas such as instructor s teaching abilities, ARRT scores, post graduate evaluations, employer surveys, student satisfaction surveys, etc. are assessed. The Radiography Advisory Committee is an active integral part of assessing the quality of the Program and providing important input regarding the necessary clinical skills expected of the graduates. 8

STATEMENT OF VALUES The Program respects and recognizes the worth, dignity, and potential of each student. Therefore the Program affirms the following values and beliefs: Commitment to Students Belief in the priority of providing the finest instruction, resources and support services to enhance the growth and development of our students. The Program supports students in clarifying their life-long goals, developing interpersonal skills, and becoming self-sufficient. Commitment to Excellence in Education Belief in providing and being accountable for the quality of education and student support services. Our graduates are prepared to demonstrate their knowledge, in written and oral communication, customer service areas, information technology, clinical procedures, equipment operation, quality assurance, and radiation safety. Commitment of Faculty and Staff Recognition of the importance and contribution of all individuals who collectively create a positive learning environment. All members of the radiography college community should have the opportunity to enhance their potential for purposeful, gratifying and productive lives. Quality Clinical Environment Recognition of the importance of providing a learning environment that is characterized by integrity, clear communication, open exchange of ideas, fairness in evaluations and respect for all individuals. Effective Use of Resources Belief in the effective use of college and program resources to provide quality education and services to its students and community and to be accountable to all of its clinical affiliates. 9

AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGIST ARRT Standard of Ethics 10

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PHILOSOPHY AND GOALS OF THE PROGRAM The Radiography Program sponsored by Madisonville Community College is an Associate of Applied Science program. The students are involved in the educational training for a period of five semesters to fulfill requirements for the certification exam by the American Registry of Radiologic Technologists. The clinical education aspect of the program is based on the attainment of sound educational performance, objectives, and a thorough testing system for clinical competency. It is the purpose of the Radiography Program of Madisonville Community College to produce graduates that are competent technologists, registry eligible, and demonstrate a professional concern for their patients. The students accomplishment of their clinical and academic objectives will prepare them for entrance level skills of a staff Radiographer. The program is affiliated with four clinical facilities: Baptist Health in Madisonville, Jennie Stuart Medical Center in Hopkinsville, Methodist Hospital in Henderson, and Muhlenberg Community Hospital in Greenville. The program has an Advisory Committee, which is comprised of area professionals in the field of Radiography. This committee provides input concerning current practice and employer expectations which helps the program produce quality entry-level graduates. 15

DESCRIPTION OF THE PROFESSION Imaging examinations performed by and accompanying responsibilities assigned to, a radiographer shall be at the direction of physicians qualified to request and/or perform radiologic procedures. Upon completion of the program the Radiographer shall be able to: Apply knowledge of anatomy, physiology, positioning, and radiographic techniques to accurately demonstrate anatomical structures on a radiograph or other imaging receptor. Determine exposure factors to achieve optimum radiographic technique with minimum radiation exposure to the patient. Evaluate radiographic images for appropriate positioning and image quality. Apply the principles of radiation protection for the patient, self, and others. Provide patient care and comfort. Recognize emergency patient conditions and initiate lifesaving first aid and basic lifesupport procedures. Evaluate the performance of radiologic systems, know the safe limits of equipment operation, and report malfunctions to the proper authority. Exercise independent judgment and discretion in the technical performance of medical imaging procedures. Participate in radiologic quality assurance program. Pursue ongoing continuing education. 16

GRADUATION REQUIREMENTS All courses specifically state the required objectives, goals, and outcomes of each course, which will lead to all terminal objectives being met, and the Program s mission completed. Program Graduation Requirements Successful completion of all clinical and graduation competencies. Successful completion of All IMG coursework with at least a C grade. Successful completion of all required general education coursework. Program-required mathematics, physics, and the human anatomy and physiology courses with at least a C grade. General Education Competencies: Students should prepare for twenty-first century challenges by gaining: A. Knowledge of human cultures and the physical and natural worlds through study in the sciences and mathematics, social sciences, humanities, histories, languages, and the arts. B. Intellectual and practical skills, including: Inquiring and analysis. Crucial and creative thinking. Written and oral communication. Quantitative literacy. Information literacy. Teamwork and problem solving. C. Personal and social responsibility include: Civic knowledge and engagement (local and global). Intercultural knowledge and competence. Ethical reasoning and action. Foundations and skills for lifelong learning. D. Integrative and applied learning, including synthesis and advanced accomplishment across general and specialized skills. Technical Competencies: Upon completion of this program, the graduate can: 1. Accurately demonstrate anatomical structures on imaging receptors. 2. Determine exposure factors to achieve optimum radiographic results (or images) with minimum radiation exposure to the patient. 3. Evaluate radiographic images for appropriate positioning and mage quality. 4. Practice radiation protection using the ALARA (As Low as Reasonably Achievable) principle for the patient, self, and others. 5. Provide patient care and comfort. 6. Recognize emergency patient conditions and initiate life-saving first-aid and basic life support procedures. 7. Evaluate the performance of radiologic systems, know the safe limits of equipment operation, 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. Collaborate with members of the health team. 17

PROGRAM OBJECTIVES Upon completion of this program, the graduate radiographer will be able to: Affective Understand and demonstrate respect for the dignity and worth of the individual patient. Develop self-understanding and the ability to make rational decisions. Collaborate with other health care areas in the planning and delivery of health care. Recognize the need for a progressive and continuous plan for personal and professional growth and education. Cognitive Understand the significance of x-rays in the diagnosis and treatment of the various diseases and conditions of the human body. Understand and utilize the principles of radiation protection* in the operation of radiographic equipment. Identify specific anatomy and pathologic conditions in radiographs. Understand the preparation, application and administration of contrast media used in radiographic procedures. Understand the fundamentals of radiation and the principles of physics and chemistry as it applies to radiography. Understand the special requirements of pediatric radiography with emphasis on exposure factors and immobilization. *Based upon the ALARA (As Low As Reasonably Achievable) philosophy Psychomotor Demonstrate correct procedure and positions for each level of clinical performance. Produce quality radiographs. Assume the responsibilities and duties of a graduate radiographer with ability and confidence. 18

Section I: Health & Safety 19

HEALTH AND SAFETY POLICY All students are required to complete prescreening documentation for clinical form to insure the safety and well being of students, staff and patients. Additional screening and immunizations may be requested by clinical affiliates. Yearly TB skin tests are required of all students. Documentation of results must be returned to program faculty by indicated due date. Students are informed about the vaccine for Hepatitis B. If a student becomes ill or injured at the clinical site, he/she must report to the clinical instructor who may have the student report to program faculty, or the employee health nurse or emergency room. The student is required to fill out an incident report at the school in the event of an injury within 24 hours of the incident. All of the program s clinical affiliate policies regarding infection control will be observed. The student is responsible for notifying the program faculty of any limiting disability or condition requiring continuing medical treatment as it is known to the student. It is recommended that the student maintain individual health insurance coverage. All students are required to have a drug screen and criminal background check for admittance to any of their healthcare facilities. Also if you have ever been employed by Baptist Health and fired from your position or asked not to return, you may not attend clinical education at a Baptist Health System facility. All clinical affiliates are smoke free campuses. The students will observe each clinical affiliates smoke free campus policy. The clinical affiliates require all students have an annual flu vaccine. Students are informed of the basic safety guidelines for Magnetic Resonance Imaging (MRI). 20

LIABILITY INSURANCE All Radiography students are required to have professional liability insurance. This insurance is purchased through Madisonville Community College and will be paid with tuition each semester. Each student will submit a copy of proof of payment of his/her liability insurance to the Program Director or Clinical Coordinator each semester. A copy of the policy is on file and available for review. 21

RADIATION SAFETY FOR LAB AND CLINICAL POLICY & PROCEDURES RADIATION MONITORS All students are required to wear their radiation monitor whenever they are at risk of being exposed to ionizing radiation. Any student present without his/her film monitor will be required to report to program faculty immediately for further instructions. Each student is responsible for his/her radiation monitor. If your radiation monitor is lost or damaged, you will not be allowed to continue your clinical or lab experiences until a replacement monitor arrives (which may require several days). This results in missing valuable clinical and lab experiences. Demerits may be given for each clinical day missed due to the lost radiation monitor. RADIATION SAFETY To ensure the safety of the student, radiation safety regulations must be followed at all times. Students must not hold image receptors, patients or contrast under any circumstances during any radiographic procedure. Students must not hold patients during any radiographic procedure when an immobilization method is the appropriate standard of care. Never expose yourself or a fellow student for test exposure or demonstration. Stay behind protective barriers during radiographic exposure. Radiation monitors are to be worn at the collar level at all times including fluoroscopic procedures. Care should be taken to keep the monitor outside of the lead apron and in a consistent location day to day. A school approved lead apron must be worn during mobile and/or fluoroscopic imaging. During fluoroscopic exams, the student shall not turn their back to the fluoroscope. Radiation monitor must be worn to all lab sessions and clinical facilities. Radiation monitor and holders will be issued to each student. At the beginning of the month, old radiation monitors are to be turned in and new ones issued. A student may not take a new monitor without turning in the previous month s old monitor. Students will shield all patients as long as the protective shielding does not interfere with imaging the pertinent anatomy for the procedure and the patient is able to tolerate the shielding. Students are to practice the cardinal principles of radiation protection, Time, Distance, Shielding. Practice radiation protection using the ALARA (As Low As Reasonably Achievable) principal for patient, self and others. 22

RADIATION DOSE ACTION LIMITS The Clinical Coordinator will monitor radiation exposure each month. Students receiving a minimal reading will not be notified. Any student receiving a reading above 1mrem in a month will be notified by the Clinical Coordinator and will sign off on his/her individual reading using the program s Radiation Exposure Report form. Students receiving a high radiation exposure (10 mrem or greater in one month) will discuss the situation with the faculty to determine the cause. Repeated high exposure rates would warrant demerits on the clinical grading form under the area of Professionalism for failure to follow program policy and procedure relating to radiation monitors and radiation protection, if found that improper safety by the student is the cause. After graduation, the permanent record of radiation dose will be housed with the Program. To obtain a copy of these records, the student must request the information be released. It is the goal of this program that each graduate practice safe radiation procedures which results in dosages as low as reasonable achievable (ALARA). PROPER RADIATION MONITOR STORAGE When not in use, the radiation monitor should be secured in an area away from extreme heat, humidity, cold, moisture, sunlight and other sources of radiation. Therefore, radiation monitors should not be placed around tanning beds, computers, microwaves and not within an area without temperature control, such as a parked car. Improper use, handling, and storage of a radiation monitor will render an invalid radiation reading or irreparable damage. Common Examples of Misuse are: Washing/drying uniform with the monitor left on it. Leaving the monitor in a car. (The dash, cab and trunk are all unacceptable) Leaving the monitor on an apron in a diagnostic room. Not wearing the monitor. Carrying the monitor in a purse and placing the purse beside a tanning bed, computer or microwave. Should something unexpected happen to the radiation monitor, the student must report it to the Clinical Coordinator immediately. The Clinical Coordinator will make note of the incident and review the monthly report from the reporting agency to establish the effect, if any, on the accumulated dose for that month s radiation monitor. Radiation safety will be stressed in all courses. Classes on radiation safety will be taught in IMG 104, fall semester. IMG 224 is a more advanced course which also deals with radiobiology and state and federal radiation regulations. 23

PROTECTIVE LEAD APRONS and THYROID COLLARS When it is not possible for the student to remain behind a protective lead barrier, a full wrap lead apron and thyroid collar must be worn. Instances when this occurs are during mobile and fluoroscopic imaging. Protective full wrap lead aprons are purchased by the Program in a variety of sizes with appropriate sizes housed at each clinical educational facility where mobile and fluoroscopic procedures are performed. Each student is responsible for purchasing his/her thyroid collar. The thyroid collar must be worn anytime the lead apron is worn. Each student is required to bring his/her thyroid collar to the clinical education facility when he/she is assigned to portables, surgery, fluoroscopy and advanced modalities where fluoroscopy is used (ex. Interventional Angiography). Should the student forget to bring his/her thyroid collar to clinical he/she will not be allowed to actively participate in their clinical assignment and may only observe from behind a protective lead barrier. If the thyroid collar is lost it will be the student s responsibility to replace the collar and he/she will not be allowed to continue his/her clinical experience until the collar is replaced which could be several days. Procedure Students will verify that all program owned lead aprons are present at the facility each week through a checklist system. Missing aprons must be reported to Program faculty immediately. Students are responsible to report when the aprons need repair. Each clinical education facility housing the program s full wrap lead aprons examines the aprons for holes or cracks annually. Should the integrity of an apron be compromised the apron is removed from the facility. Demerits may be issued for failure to follow Program policy and procedures 24

MADISONVILLE COMMUNITY COLLEGE RADIATION EXPOSURE REPORT Student: Date: Month/Year: Reading Accumulated Exposure Deep mrems Deep mrems Eye mrems Eye mrems Shallow mrems Shallow mrems Rotations Date Facility Room Faculty Signature Date Counseling Student Signature Date 25

COMMUNICABLE DISEASE PREVENTION POLICY All Radiography students, in order to protect themselves, fellow health care personnel, and patients, will comply with each of the following: Uniforms and lab coats will be fresh each day. All equipment will be thoroughly cleaned, disinfected, or sterilized between patients according to appropriate procedures for each piece of equipment regardless of the patient s diagnosis. Good hand washing practices will be carried out before and after patient contact. Disposable gloves will be worn in all cases when contact with blood or body fluids is anticipated. Disposable gloves are MANDATORY for all patient transfers. Disposable gloves are considered a part of the uniform dress code, a pair of gloves should be in the student s uniform pocket at all times. Masks will be worn when it is likely that blood or body fluids could splash in the nose or mouth. A gown will be worn should a splash of blood or body fluids onto the skin or clothing be anticipated. Cuts, scratches, or other non-intact skin will be covered to avoid contact with blood or body fluids. Goggles or other eye protection will be worn when a splash of blood or body fluid into the eye is anticipated. Blood or body fluid inadvertently coming in contact with the skin should be quickly and thoroughly washed away. Students that experience exposure to blood or body fluid will report to their clinical instructor and follow the clinical affiliate s and the program s exposure protocol. Students with a communicable disease will avoid patient contact until resolved. 26

COMMUNICABLE DISEASE POLICY Any student who has or contracts a communicable disease as so stated by a physician will be dismissed from theory and clinical with an excused absence. Depending upon the type of communicable disease, the student may request special permission from his/her faculty member to attend a theory course to avoid losing out on didactic information. Make-up work will be assigned on an individual basis. All theory and clinical work must be made up; i.e. tests, assignments, and quizzes. It is the student s responsibility to request make up work and to keep up with what he/she has missed. Re-entry is contingent on a signed physician s statement stating the student is no longer communicable. 27

SCHOOL RELATED ACCIDENTS AND INCIDENT REPORTS Rules Accident school coverage is only provided by MCC for the student while attending class or clinicals. When an incident occurs, notify a clinical instructor as soon as possible and then notify program faculty. An incident report is written documentation of the facts concerning injury to patient or student. Fill out a form as soon as possible no matter how trivial the incident may appear to be at the time (within 24 hours). In addition to the incident form, submit a summary of the incident to be kept in the student s program file. Personal injuries and illness requiring medical treatment becomes the financial responsibility of the student. The College s insurance policy can change at any time due to the type of coverage and company insured with. Procedure Responsibility Student Clinical Instructor Action Notifies clinical instructor or supervisor (in the absence of instructor) as soon as possible after incident (within 24 hours). Notifies program faculty as soon as possible. KCTCS incident form must be filled out within 24 hours of incident. Clinical instructor or program faculty will direct student to proper place to seek treatment dependent upon severity of injury. Gives fully completed incident form to appropriate person (facility form to Radiology Supervisor and school form to Program Director). Gives incident summary to program faculty, as well as a copy of the incident form. Arranges payment for personal injury or sickness. Assists student in filling out appropriate forms. Advises the student to seek medical attention if injured. Reports documentation to Clinical Coordinator or Program Director. Program Faculty Assists student in filling out forms. Files summary in student program file. Reports documentation to Program Director. Provides student with school accident form. Chief Tech or Accepts responsibility for student in absence of instructor. Designee Assists student in filling out forms. Program Director Reviews all documentation. 28

STUDENT INJURY EXPOSURE TO BLOOD OR BODY FLUID Infectious Diseases Each clinical facility is expected to practice standard precaution procedures in the care of patients with infectious diseases. The student radiographer is educated in, and is expected to be knowledgeable in the practice of these precautions and care for these patients. Clinical grades are awarded according to student performance. Refusal to render care to any patient in a manner which follows the clinical facilities guidelines may result in dismissal from the program. Procedure for Accidental Exposure to Blood or Body Fluid All contaminated needle sticks or bloody body fluid splash to mucous membrane or open skin should be treated as if there is a potential risk of pathogen exposure. If a student sustains a puncture wound: o Withdraw the needle or other object immediately. o Immediately wash hands/area of puncture wound. o Encourage increased bleeding for a few seconds and use gentle pressure at the site of the puncture. o Wipe away any blood. If a student receives a spray of splash of body fluids: o To eyes, nose or mouth irrigate with a large amount of water. o To a break in the skin, follow procedure for puncture wound (above). The student will report the incident immediately to the clinical instructor and program faculty. The student must complete an exposure form according to the policy of the clinical facility. The student will follow the clinical facilities procedures for reporting and follow-up of the exposure. Any required incident report should be completed before leaving the facility. The student will seek a risk assessment and determination of recommended screening, treatment and/or follow up from the Infection Control Practitioner or clinical instructor. 29

Student Injury Exposure Report Student Name: Date: Clinical Facility: Radiographer: Description of Injury Exposure: Completion of required reports and evaluation as required. Screening, advice, referral for testing, treatment and counseling. Analyze the occurrence regarding implication, if any, for future practice. Student Signature Date Radiographer Signature Date Program Director Signature Date Upon completion, this form will be placed in the student s program file. 30

PREGNANCY POLICY The National Council of Radiation Protection (NCRP) advises that control measures should be taken to avoid or reduce the risk of ionizing radiation exposure to the human embryo or fetus. It should be noted, however, that the risks or probability of detectable effects induced by medical diagnostic exposure are very small. It is the policy of the Madisonville Community College Radiography Program to provide reasonable radiation protection to student radiographers occupationally exposed to radiation. Students that declare their pregnancy are expected to follow additional protective measures detailed within this policy which have been developed to restrict the fetal radiation dose not more than 0.05 rem (0.5 msv) per month of pregnancy. (NCRP Report No. 116) All Radiography students at Madisonville Community College will be given a copy of the United States Regulatory Commission (USNRC) Regulatory Guide 8.13 which concerns prenatal radiation exposure. Upon enrollment and annually all Radiography students will attend an inservice which will provide an opportunity for questions and discussion regarding these guidelines and this policy. It is the student that must make the final decision in regards to declaring a pregnancy. It is also the student s decision as to the acceptance or non-acceptance of minimal risk or radiation exposure to the embryo or fetus. Once the pregnancy has been declared (declaration form in forms section of handbook) the following options are available to the student. Note: A student may undeclare their pregnancy at any time after it has been declared. Option # 1 If the student so decides to declare, the student will not be treated any differently than a nonpregnant student. Course objectives, attendance, clinical rotations, etc., will still be adhered to. The student will be required to read NRC appendix 8.13 which are INSTRUCTIONS CONCERNING PRENATAL RADIATION EXPOSURE. The student shall wear an additional radiation monitor at the waist level at all time while in clinical and laboratory situations. The student shall wear a wrap-around lead apron during exposures to radiation. Lead aprons of 0.5 mm lead equivalent are considered sufficient to attenuate 88% of the beam at 75 kvp. Above 75 kvp, aprons with 1.0 mm lead recommended. There would be no modification to clinical rotations. The student will be required to present monthly physician s statements stating that the student may continue in the program. The student will be required to wear a white maternity uniform with school identification patches. 31

Option # 2 If the student so decides to declare, and the student wishes to minimize their exposure to radiation a modified clinical schedule will be developed. The student s competency status would be evaluated to determine if competency could be met without arbitrarily affecting their clinical objectives and rotations. Note: modifying a clinical rotation may mean that clinical objectives and competencies may not be completed on time and the program may be extended for the student until all requirements for graduation are completed. The student will be required to read NRC appendix 8.13 which are INSTRUCTIONS CONCERNING PRENATAL RADIATION EXPOSURE. The student shall wear an additional radiation monitor at the waist level at all time while in clinical and laboratory situations. The student shall wear a wrap-around lead apron during exposures to radiation. Lead aprons of 0.5 mm lead equivalent are considered sufficient to attenuate 88% of the beam at 75 kvp. Above 75 kvp, aprons with 1.0 mm lead recommended. The student will be required to present monthly physician s statements stating that the student may continue in the program. The student will be required to wear a white maternity uniform with school identification patches. Option #3 Should pregnancy occur during the early part of the program, the said student may drop the program at that point to minimize any possible danger to her unborn baby and return the following year at approximately the same time to complete the program. The reasoning is that a student s schedule may have to be altered in order to protect the fetus from radiation exposure and excessive absences could occur which could result in a W (withdrawal). In altering the student s schedule, the student may not meet the required clinical objectives of the program such as mastering fluoroscopy, portable Radiography and other vital clinical education rotations. It may then be difficult to verify a student s level of competency for that particular semester or for graduation. Option #4 The student has the option of withdrawal of the declaration of pregnancy at any time. The form for written withdrawal of declaration is included in the forms section of the handbook. Although it is both procedure and practice of this program to offer the utmost in radiation protection to the students, the college or its affiliates will not assume liability of the mother or child in case of pregnancy. Information regarding a student s leaving due to pregnancy will be held in utmost confidence. 32

It is both the procedure and practice of this program to offer maximum radiation protection to the student. The program always requires safe radiation practices in accordance with the ALARA concept. 33

FIRE PREVENTION AND PROTECTION POLICY Rules Know procedures in the event of fire. Know locations of fire alarms and fire equipment in school and radiology departments. Know how to use fire extinguishers and which to use for various fires. NOTE: ABC extinguishers are located throughout the departments and can be used for any fire, which may occur. Never endanger yourself or your patient should a fire exist. Report fire and electrical hazards to supervisor. Procedure Responsibility Student Action Prevention of Fires *NOTE: The Health Sciences Campus and all clinical affiliates are smoke and tobacco free campuses. Investigates suspicious fire hazards. Keeps passageways, fire exits and corridors clear at all times. Knows location of all fire fighting equipment and their use. Reports fire hazards to immediate supervisor. Event of Fire Removes patient from immediate area when fire or smoke exists. Pulls fire alarm. Calls operator reporting location. Controls fire using proper extinguishers or hose. Closes all doors, thereby confining the fire. Disconnects electrical equipment, i.e., circuit breakers and combustibles, those not engaged in extinguishing the fire. 34

HEPATITIS B VACCINE INFORMATION The Disease Hepatitis B virus, one of at least three Hepatitis viruses, is an important cause of viral Hepatitis. The illness caused by or related to Hepatitis B are serious, resulting in death in about 1% of those infected. Complications of the disease include a variety of liver disorders, including cirrhosis and cancer. Most patients recover completely, but about 6-10% become chronic carriers and can continue to transmit the virus to others. There may be as many as.5-1.0 million carriers in the United States. Transmission and Risks The disease is transmitted chiefly through contact with infected blood and blood products. Hospital staff, therefore, is at increased risk of acquiring the disease. The risk for hospital personnel can vary, both among hospitals and within hospitals. Though the risk of acquiring Hepatitis B through the clinical experience is probably lower in some facilities due to the low incidence of the disease, the decision to receive or decline the vaccine deserves your careful consideration. The Vaccine Various pharmaceutical companies have developed vaccines, which provide protection from Hepatitis B. Field trials have shown 80-95% efficacy in preventing infection among susceptible persons. The duration of protection and the need for booster doses is not yet known. Adult vaccination consists of three intramuscular injections of vaccine. The second and third doses are given at one and six months respectively, after the first. The program requires documentation of three vaccinations or a positive antibody titer (lab report required). 35

TECHNICAL STANDARDS Radiography involves the provision of direct care for individuals and is characterized by the application of verified knowledge in the skillful performance of radiological technical functions. Therefore, all applicants should possess sufficient: Visual acuity, such as is needed in the accurate preparation and administration of contrast media and for the observation necessary for patient assessment and nursing care; Auditory perception to receive verbal communication from patients and members of the health team and to assess health needs of people through the use of monitoring devices such as cardiac monitor, stethoscopes, intravenous infusion pumps, fire alarms, etc.; Gross and fine motor coordination to respond promptly and to implement the skills, including the manipulation of equipment, positioning and lifting patients required in meeting health needs related to radiologic technology; Communication skills (speech, reading, writing) to interact with individuals and to communicate their needs promptly and effectively, as may be necessary in the patient s/client s interest, and Intellectual and emotional functions to plan and implement care for individuals. 36

Section II: Program Information Policies and Procedures 37

PROGRAM OF STUDY Upon successful completion of the program, the graduate will be eligible to write the American Registry of Radiologic Technologist examination in Radiography. Course currently required are listed in their sequence of completion below: General Education Requirements (25-27 credits) Course Required Hrs Grade Semester ENG 101 Writing I 3 BIO 137 Human Anatomy & Physiology I w/lab 4 BIO 139 Human Anatomy & Physiology II w/ Lab 4 MAT 150 College Algebra 3 PHY 172 Physics for Health Sciences or PHY 152 Introduction to Physics (Physics course preferred for MCC Radiography program) or PHY 171 Applied Physics Heritage or Humanities 3 Social & Behavioral Sciences 3 Oral Communications 3 *** CPR must be valid to met Radiography Program Eligibility Requirements and must be kept current throughout the program. *** Documentation for digital literacy as defined by KCTCS is required prior to admission to IMG courses. 2-4 First Semester Course IMG 104 IMG 106 IMG 108 IMG 109 Second Semester Course IMG 114 IMG 116 IMG 118 IMG 119 Third Semester Course IMG 209 Fourth Semester Course IMG 214 IMG 216 IMG 219 Fifth Semester Course IMG 224 IMG 226 IMG 228 IMG 229 Course Title Introduction to Radiography Patient Care in Radiography Radiographic Procedures I Clinical Practice I Course Title Image Production & Acquisition Advanced Patient Care in Radiography Radiographic Procedures II Clinical Practice II Course Title Clinical Practice III Course Title Imaging Equipment Basic Computed Tomography Clinical Practice IV Course Title Radiation Protection & Biology Radiographic Pathology Radiography Seminar Clinical Practice V 38

ACADEMIC AND CLINICAL PRACTICE CLASS POLICIES Rules Any Radiography course grade less than C results in automatic dismissal from the program. If a student fails a related college course required for graduation, he/she will be required to repeat the course at a time that would not conflict with their Radiography curriculum schedule. A grade of C in BIO 137 & BIO 139 Anatomy and Physiology I & II is a condition for graduation. No student will be excused from scheduled Radiography classes to take college courses. Procedure Responsibility Student Clinical Coordinator Program Director Action Maintains Radiography course grades of C or better. Makes up failed related college course at a time that will not conflict with normal curriculum schedule. Must observe scheduled classes. May appeal to Program Director if grade is below C. Advises student at mid-term conferences, and when deemed necessary, that grade is below C and is unsatisfactory. Enforces above stated rules. Informs Program Director at mid-semester of students with below a C average. Reviews all rules and makes decisions pertaining to disciplinary action. 39

ACADEMIC GRADING SCALE A = 93-100 B = 86-92 C = 80-85 F = 79 or below Academic Probation Rules Any student who makes less than 80% on an exam in a didactic course is expected to contact program faculty to discuss scheduling a remediation review. Any student who fails two or more consecutive examinations in a didactic course, or whose average is less than 80% will be contacted by program faculty to discuss the student s deficiencies. The program faculty will work with the student to create a plan of action to assist the student in meeting course/program competencies and/or goals. (See Student Action Plan). The student is encouraged to talk with an advisor or a counselor if they are experiencing problems. Procedure Responsibility Student Instructor Program Director Action Maintains a minimal 80% in all Radiography course work. Encouraged to talk with advisor/counselor if experiencing problems. Encourages student with a grade/ratio problem to see an advisor/counselor or schedule remediation review with faculty member. Encourages student with a grade/ratio problem to see counselor. Enforces rules as stated. Places student on probation if student makes a C in any Radiography course. 40

MADISONVILLE COMMUNITY COLLEGE RADIOGRAPHY PROGRAM STUDENT ACTION PLAN Student Name: Date: Course: Following Up Meeting Date: WEAKNESS/STRENGTHS PLAN OF ACTION RECOMMENDED RESOURCES Consequences, as detailed in the student handbook, have been discussed and the student is aware of possible outcomes if the issues leading to this Action Plan are not corrected. Faculty Member: Student: Date: Date: 41

ACADEMIC SUSPENSION Rules If a student fails (below a C ) any Radiography course that warrants automatic dismissal from the program. Procedure: Responsibility Student Action Refer to the Kentucky Community & Technical College System website for detailed explanation of policy. http://www.kctcs.edu/en/students/admission /Academic_Policies/Code_of_Student_Conduc t.aspx 42

ACADEMIC ATTENDANCE For clinical attendance see clinical procedure course outline. Rules Radiography students will be allowed three (3) absences per semester in Radiography classroom courses unless otherwise stated in course syllabus. (See Personal Effectiveness Skills and affective behaviors policy in course syllabi). The fourth (4) absences will result in disciplinary action with possible dismissal from the course (dismissal from Radiography course results in dismissal from the program). Students who are over 15 minutes late for class will be counted as absent for that class. Radiography students are responsible for recording in a timely fashion each absence or tardy in Radiography Attendance Book housed in the designated location. Procedure: Responsibility Student Program Faculty Action Cannot exceed absences as specified in course syllabus. Records all absences and tardies in Attendance Handbook in designated location. When extenuating circumstances present, the student must get approval of the instructor. Reviews all rules and makes decisions pertaining to disciplinary action. 43

RADIOGRAPHY PROGRAM COMPLAINT RESOLUTION POLICY Students have the right to grieve and/or complain. If they believe that they have been dealt with unfairly, they have the right to express this. They are requested to notify the program director in writing within ten school days of any allegations or complaints. *Students should note timeline* Program Director Contact Information: Tonia Gibson M.S., R.T.(R) Madisonville Community College Health Sciences Campus 750 North Laffoon Street Madisonville, KY 42431 Phone: (270) 824 1749 E-mail: tonia.gibson@kctcs.edu The program director will investigate the complaint and will answer the complainant within five school days. (Days can be changed by agreement of both parties). If the complainant is not satisfied with the response, they should notify the Allied Health Division Chair within five school days of the program director s response. He/She will investigate and respond to the complainant within ten school days. (Days can be changed by agreement of both parties) Allied Health Division Chair Contact Information: Stephanie Taylor Madisonville Community College Health Sciences Campus 750 North Laffoon Street Madisonville, KY 42431 Phone: (270) 824 1741 E-mail: stephanie.taylor@kctcs.edu If the complainant is not satisfied with the response from the Allied Health Division Chair, they should notify the Provost within five school days. The Provost will investigate and respond to the complainant with ten school days. (Days can be changed by agreement of both parties) The Provost s decision is final. Provost Contact Information: Madisonville Community College North Campus 2000 College Drive Madisonville, KY 42431 Phone: (270) 824 8609 E-mail If the complainant is not satisfied with this response and the complaint or grievance alleges that the program is not in compliance with JRCERT Standards, they may notify the accrediting agency at: JRCERT 20 N. Wacker Drive, Suite 2850 Chicago, IL 60606-2901 Phone: 312704-5300 Website: www.jrcert.org Revised 07/2015 44

EXAM TESTING POLICY Rules All tests must be made up within three (3) class days after original test was given or as arranged by individual course instructor. Failure to make up a test within the given time results in a zero for the test grade. The student is responsible for scheduling the make-up test time with the instructor the first day of his/her return to school or clinical. The instructor may deduct 5 points from the test score for every class day up to three that the student does not make up a test. The student is to come to the next scheduled class prepared to take a make-up test if the instructor so expresses. The instructor reserves the right to use a different test or format if desired. All cell phones, beepers, pagers or other electronic devices must be placed on vibrate/silent mode or turned off and placed in the area designated by the instructor during testing. Exceptions to this will be at the discretion of the instructor. Refer to course syllabus for any additional requirements. 45

PROFESSIONAL ORGANIZATIONS Students are encouraged to participate in professional and collegiate organizations to gain leadership skills, have additional opportunities for community service, and to broaden their professional outlook. All students are encouraged to join and participate in the Health Occupations Students of America (HOSA) chapter at the Madisonville Community College. All students are encouraged to join and may attend the Kentucky Society of Radiologic Technologists annual meeting and/or student review seminar. All students are encouraged to join American Society of Radiology Technologist (ASRT). ASRT has many resources just for students such as study tools and resources, career assistance and exclusive discounts. Students are encouraged to publicly present papers, exhibits etc., for competition at professional organizations meetings. ATTENDANCE AT PROFESSIONAL MEETINGS Students attending society and educational functions (ex. HOSA) will be excused from Radiography classes. Students that attend society and educational functions (ex. HOSA) will not be required to make up clinical education time. Those students who do not attend the society functions will attend clinical as scheduled. Those students attending society and educational functions (ex. HOSA) and do not attend the specific classes as agreed upon will receive extra class assignments. 46

SCHOLARSHIP & HONOR Students have numerous opportunities for awards, honors and scholarships.* KCTCS All Academic USA Today Who s Who in Community College MCC Student of the Year MCC Student of the Month Gardner Award Outstanding Student o Leadership o Academic o Clinical o Professionalism Henry Award JRCERT - Academic Excellence or Clinical Excellence Phi Theta Kappa Student Ambassadors Leadership MCC Multicultural Student Association *Note: This list is not all inclusive. 47

PERSONAL EFFECTIVENESS SKILLS AFFECTIVE BEHAVIORS Personal effectiveness skills (affective behaviors) are extremely important in the educational process and employment of radiographers. Due to the medical professions emphasis on customer service and teamwork affective behaviors such as professionalism, attitude, the proper use of discretion and judgment, etc., are extremely important. It is the purpose of this program to graduate competent and caring radiographers who exhibit the necessary affective behaviors as deemed important by the ASRT s Practice Standards for Medical Imaging & Radiation Therapy well as the ARRT s Standards of Ethics for the Radiographer. The Radiography faculty will assist the student in forming the necessary behaviors. 48

PERSONAL EFFECTIVENESS SKILLS AND CLASSROOM ETIQUETTE Rules The Health Sciences Campus is a smoke and tobacco free campus. Eating and drinking is allowed in the classroom, however each student is responsible for cleaning up after themselves. Any problems will result with the privilege being taken away. No eating or drinking in the lab or around the computers. Students are responsible for all information discussed during any of the classes. ALL electronic devices must be silent/off and placed out of sight during class. (In the event of an emergency, permission must be granted from instructor to place your phone on your desktop, face down and you must leave the classroom to accept or make a call). This point will be strictly enforced due to the distracting nuisance to you, your classmates and the instructor caused by having your cell phone visible or audible. You may be asked to leave should you be unable to comply with the above behaviors. The instructor will deduct personal effectiveness skill points for any violation mentioned above or any other behaviors that causes a disruption in class. You may be asked to leave should you be unable to comply with the above behaviors. 49

COUNSELING/ADVISEMENT POLICY REGARDING ACADEMICS/BEHAVIORAL/CLINICAL All faculty have an open door policies regarding the students progress in the program. Each student will receive a minimum of two instructor conferences per semester regarding their academic/behavioral and clinical progress. The Program Director will maintain posted office hours with some after 4 p.m. to insure availability to all students after clinical rotations. Advisement for course scheduling will take place with the Program Director and/or the Clinical Coordinator prior to registration for classes each semester. Course considerations beyond the normal Radiography curriculum will be on an individual basis. Career counseling for postgraduate Radiography will be anytime at the student s request. 50

GROUNDS FOR DISMISSAL The Grounds for Dismissal are listed below. It should be noted that a student may be suspended from the program at any time for violation of any of the grounds listed either for academic, disciplinary or patient safety reasons. Due process will be allowed in applicable situations. Failing grades in Radiography and/or other college coursework. Failure to follow policies and procedures in the academic or clinical setting. Failure to follow policies and procedures will be initiated by a verbal warning followed by a written warning, program dismissal may occur as the result of the third offense depending upon the severity of the incident involved. Insubordination such as but not limited to: defiant disregard of radiographer/faculty member s instructions. Conviction relating to distribution of, or possession of illegal drugs or controlled substance. Failure to accomplish clinical assignments and objectives. Unprofessional or unethical conduct or actions which compromise patient safety. Cheating in academic or professional coursework or clinical competency. Clinical Education Center refuses to allow a student into their facility or removes student from facility because of violations such as positive drug screen, crimes against the person such as battery or assault, patient safety issues, crimes based on dishonesty or untruthfulness such as theft, drug or other substance abuse related crimes. Without clinical experiences the student cannot complete all aspects of the program and will be dismissed from the Radiography program. 51

LEARNING RESOURCES AVAILABLE College library Program resources Hospital libraries Baptist Health Allied Health Sciences Building - computer lab Self-tutorial computer software STUDENT SERVICES AVAILABLE TO ALL STUDENTS Job placement Counseling for career/personal needs Financial aid Tutors after hours (when available) Allowing volunteer clinical time Minimum of two conferences per semester with faculty 52

PROGRAM ASSESSMENT AND GOVERNANCE The students input in the program s governance is extremely valuable. There will be several areas of the programs operation that will be evaluated during the students educational experience. Suggestions for improving the program through assessment surveys or in class or personal discussions are welcomed and encouraged. Students also have decision-making responsibilities by serving as class representatives or holding a position on the program s Advisory Committee. 53

RADIOGRAPHY Projected Program Cost ITEM COST Books (estimated) $2,000.00 Tuition (5 semesters) (estimated) 72-76 credits total for degree ID Badge $5.00 HOSA Dues $20.00 Lead Markers $40.00 Uniforms (2) $60.00 Lab Coat (1) $20.00 Shoes (1) Thyroid Collar $70.00 $60.00 Liability Insurance (assessed @ $11/semester) $55.00 Seminar Fees $120.00 Cap & Gown $40.00 Certification Fees $200.00 School pin (optional) $40.00 Hepatitis Vaccine $200.00 Criminal Background Check & Drug Screen (estimated) $100.00 Madisonville Community College is a member of the Kentucky Community & Technical College System and is accredited by Southern Association of Schools and Colleges (SACS). Equal Education and Employment Opportunities M/F/D 54

SOCIAL MEDIA POLICY The use of social media has become an integral part of our society and culture. As such it has begun to transition from an after-work-social channel to an important customer relations and educational tool that has affected much of our professional day to day. Social media channels are powerful tools that can significantly impact professional and organizational reputations and should not be taken lightly. To promote the successful use of social media communications the Kentucky Community and Technical College System (KCTCS) has developed and will continue to update, their policy on the use of social media, in order to assist in the protection of personal and professional reputations and student safety while participating in social media. The KCTCS Social Media Policy should be reviewed by all students enrolled in courses at the College. The policy may be accessed at https:publicsearch.kctcs.edu/policies/adminpolicies/4-20.pdf *Policy is also contained in Clinical Course Syllabus 55

Section III: Clinical Practice Policies and Procedures 56

CLINICAL EDUCATION The clinical education received in this program provides the student with necessary clinical background in the manipulation of equipment, the handling of all types of patients, the setting of proper radiographic techniques, image processing, and office procedures. All areas of these basic skills must be mastered before the student can successfully complete the program and be eligible to be certified by the American Registry of Radiologic Technologists. All clinical and didactic activities assigned to students to meet program and student outcomes are strictly educational. During the program, the student must rotate through the following clinical assignments for the length of time prescribed by the program faculty and clinical instructors. Diagnostic Radiologic Procedures (IVU s, BE s, GI s, routine examinations, etc.) Portable Radiography Surgery Emergency Room/Trauma The hours will be consistent with a second shift approximately 2 p.m. 10 p.m. Ambulatory Care Clinic Image Processing Procedures Office Procedures Advanced Modalities (such as: Angiography, CT, MRI, Heart Cath, Ultrasound, Radiation Therapy, and Nuclear Medicine) ** Weekend Clinic Student may rotate through this clinical area after one - two semesters of clinical (approximately 6 months of clinical experience). The students will be assigned on the 7 a.m. 3 p.m. or 2 p.m. 10 p.m. shift on Saturday. This rotation will be incorporated into the emergency room/trauma rotation if necessary. 57

CLINICAL ROTATION SCHEDULE Baptist Health -Madisonville Surgery Portables Rooms 2 & 3 (Fluoro) Rooms 6 & 7 (diagnostic) Emergency Room (trauma) Weekend Clinic (trauma) CT/MRI Interventional Radiography Ultrasound Office 6 a.m. 2 p.m. 6 a.m. 2 p.m. 7 a.m. 3 p.m. 7 a.m. 3 p.m. 7 a.m. 3 p.m. or 2 p.m. 10 p.m. 7 a.m. 3 p.m. or 2 p.m. 10 p.m. 7 a.m. 3 p.m. 7 a.m. 3 p.m. 7 a.m. 3 p.m. 7a.m. 3 p.m. Baptist Health Medical Rooms 1, 2 & 3 8 a.m. 4 p.m. Group Jennie Stuart Medical Center Surgery 7 a.m. 3 p.m. Portables 7 a.m. 3 p.m. Rooms 3 & 4 (diagnostic) 7 a.m. 3 p.m. Room 5 (Flouro) 8 a.m. 4 p.m. CT 7 a.m. 3 p.m. or 2 p.m. 10 p.m. MRI 7 a.m. 3 p.m. Owensboro Health Surgery 7 a.m. 3 p.m. Muhlenberg Community Portables 7 a.m. 3 p.m. Hospital Room 1 & 2 (diagnostic) 7 a.m. 3 p.m. Room 4 (Fluoro) 12 p.m. 8 p.m. CT 7 a.m. 3 p.m. MRI 7 a.m. 3 p.m. Methodist Hospital Diagnostic, Fluoro 7a.m. 3 p.m. or 2 p.m. 10 p.m. Surgery Portables All specialty rotations will not be scheduled at all clinical education centers but if utilized these are times generally used. *NOTE: All start and end times are approximate based upon the clinical course requirements. 58

Madisonville Community College Radiography Program Position Description Discipline: Position Title(s): Scope of Practice: Education Clinical Instructor/Liaison/Supervisor As defined by community standards of practice, ARRT, ASRT, Kentucky Board of Medical Imaging and Radiation Therapy (KBMIRT.KY.gov) and The Commonwealth of Kentucky Radiation Operator Licensure Position Summary Under the general direction of the Program Director, Clinical Coordinator supports the education process and assists the students during their clinical experience. Facilitates and guides learning experiences and provides input for evaluation of the student s clinical performance according to criteria established by the program. Evaluate competency forms completed by staff radiographers. Serve as the contact person at the clinical site to maintain open communication between clinical facility and the program. Act as the representative for clinical staff at meetings, workshops conducted by the program. Responsible for assisting the program in the education of the staff about the clinical goals, objectives and practice of the competency based clinical education system developed by the program. The clinical instructor is not an employee of Madisonville Community College but has agreed to fulfill this responsibility within the clinical facility in which he/she is employed. Duties and Responsibilities 1. Provides students with clinical instruction/supervision. 2. Maintains knowledge of program goals, objectives and clinical evaluation system. 3. Evaluates student s clinical competence. 4. Becomes familiar with program goals and understands sequencing of didactic instruction and clinical education. 5. Possesses a positive professional attitude toward students and teaching. 6. Assists in maintaining student records regarding attendance and competency testing respecting confidentiality and established policy. 7. May participate in meetings and serves on assigned committees consistent with the goals of the education program. 8. Assists in scheduling clinical assignments assuring proper exposure to all areas of the department to achieve course objectives. 9. Maintains competency in the professional discipline and instructional and evaluative techniques through continuing professional development. 10. Maintains current knowledge of program policies, procedures and student progress. Qualifications 1. Maintains certification and/or demonstrates competency within the discipline for which they have responsibility. 59

2. Holds American Registry of Radiologic Technologists certification or its equivalent and registration in the pertinent discipline. 3. Maintains state Radiation Operator Certificate. 4. Meets JRCERT qualifications. 60

Madisonville Community College Radiography Program Position Description Clinical Staff Scope of Practice: As defined by the community standards of practice, ARRT, ASRT and the Kentucky Board of Medical Imaging and Radiation Therapists (kbmirt.ky.gov), The Commonwealth of Kentucky Radiation Operator licensure Position Summary Under the direction of the Program Director, Clinical Coordinator supports the educational process and assists the student during their clinical experience. Provides supervision of the student during their clinical assignment, provides input regarding the student s clinical performance. The clinical staff member is not an employee of Madisonville Community College but has agreed to this responsibility within the clinical facility in which he/she is employed. Responsibilities 1. Understand the clinical competency system. 2. Understand the requirements for student supervision 3. Support the educational process 4. Maintain current knowledge of program policies, procedures and student progress. 61

CLINICAL COMPETENCY EVALUATION SYSTEM Competency evaluation is used to evaluate the students performance of a specific radiographic examination. One radiographic examination may consist of a single exposure or a series of exposures. The student may elect to perform a competency evaluation after the following criteria has been met: 1. Completing the didactic coursework for a specific radiographic examination. 2. Simulation or competency evaluation in the laboratory setting. 3. Observing and assisting the staff radiographer in the procedure. It is the student s responsibility to determine when he/she feels ready to be evaluated on a specific exam. Students must request to attempt the competency prior to the examination. The staff radiographer will observe the student perform the entire radiographic exam unassisted. In other words, the student interprets the requisition, technical factors, and evaluates the radiographs for quality. The staff radiographer records their observation of the student s performance on the performance check off form. This form is graded on a pass/fail basis. Failure on the competency evaluation does not imply an end to the clinical experience. The student may attempt the competency again when he/she has reviewed the procedure and feels prepared. Successful completion of the competency evaluation does NOT imply an end to the performance of that examination. Students are required to continue performing the examination to maintain a high level of proficiency. A list of terminal competencies has been included in this handbook. The competencies must be performed in technical setting before completion of the program will be recognized. In the event that a student has not completed the required competencies at the time of graduation, the faculty will evaluate the student s clinical records to determine if sufficient opportunities were available for the student to perform the required competency on an actual patient. If lack of opportunities is established, the student will be allowed to demonstrate competency through simulation. CLINICAL ASSESSMENT During the student s clinical education the staff radiographers, clinical instructors, and clinical coordinator will observe the student s performance on an ongoing basis. The student is observed on specific radiographic examinations as well as their patient care and professional behaviors. A student s overall performance is assessed by the clinical instructors and the staff radiographers during each clinical rotation and at predetermined intervals. Midterm and end of semester conferences will be scheduled with the clinical coordinator during each semester in order to review the student s progress. 62

CLINICAL COMPETENCY EVALUATION All students must be evaluated on the following competencies in clinical education. These must be completed in order to be considered for successful completion of the radiography program. (* indicates ARRT requirement) 37 mandatory Chest, routine (all clinical sites)* Cervical spine with obliques* Chest, age 1 or younger Thoracic Spine* Chest, age 6 or younger* Lumbar Spine with obliques* Chest, AP (wheelchair and stretcher)* Thoracic Spine* Ribs* Cross-table (horizontal beam) Lateral Spine Finger or thumb* Pelvis* Hand* Hip* Wrist* Cross-table (horizontal beam) Lateral Hip* Forearm* Abdomen, supine* Elbow (including radial head proj.)* Abdomen, upright* Shoulder* Upper GI series (single or double contrast)* Humerus* Small bowel series Trauma Shoulder (Scapular Y, transthoracic or axial)* Barium Enema (single or double contrast) Trauma extremity (upper non-shoulder & lower limb)* Pediatric GI Series Upper or Lower Foot* Portable Chest* Ankle* Portable Abdomen* Tibia and Fibula* Portable Orthopedic* Knee* C-arm (manipulation to obtain more I projection)* Femur* Surgical C-Arm (requiring manipulation around sterile field)* Upper + lower Extremity age 6 years or younger Skill OR Clavicle* Paranasal Sinus OR Geriatric Patient (at least 65 and. physically or cognitively impaired Nasal Bone as a result of aging) Pediatric Upper Extremity Chest* Upper Extremity* Lower Extremity* Pediatric Lower Extremity Of the following 38 radiographic examinations, the student must choose 16* elective examinations for competency evaluations. The remainder may be simulated in the lab prior to graduation. Chest, lateral decubitus* Sternum* Upper Airway (soft tissue neck)* Abdomen decubitus Scapula* Acrominoclavicular Joints* Toes* Calcaneus (Os calcis) * Patella (settegast, hughston)* Intercondyloid Fossa Orthopedic Weight-bearing Bone age Bone Survey Long bone measurement/scanogram Soft tissue extremity (foreign body) Skull*(MCC-M) pr Paranasal Sinuses* (MCC-M) or Nasal Bones* (MCC-M) Zygomatic arches* Mandible (Panorex acceptable)* 63 Scoliosis* Sacrum and/or coccyx* Sarcroiliac Joints* Myelogram* Lumbar Puncture Intravenous Urography* Cystography or cystourethrography (voiding)* Retrograde pyelography Esophagus* Swallowing Dysfunction Study Arthrogram* Hysterosalpingogram* Pediatric Abdomen* (age 6 or under) Pediatric-Mobile Study* (age 6 or under) CT Head or Chest or Abd/Pelvis.

Facial Bones or orbits* Temporomandibular Joints *Indicates ARRT requirement Students are also required to demonstrate competence on the following general patient care activities: CPR, vital signs (blood pressure, temperature, pulse, respiration, pulse oximetry), venipuncture, sterile & aseptic technique, patient transfer, care of patient medical equipment A master list of every competency achieved by each student is kept in the student s clinical folder. 64

Competency Grid by semester Semester I Competencies: The following is a list of the required competencies, the student must complete a minimum of one competency for any of the following categories: Chest Abdomen (noncontrasted: KUB, Upright or decubitus abdomen) Upper Extremity Lower Extremity Semester 2 Competencies: The following is a list of required competencies: Chest (one from each of the clinical sites) Abdomen (noncontrasted: KUB, Upright Abd, or Decub) (2) Upper extremities (2) Lower extremities Pelvis or Spine Semester 3 Competencies: The following is a list of the required competencies: (2) Upper extremities (2) Lower extremities Cervical spine Trauma extremity or Pediatric extremity exam Lumbar spine Pelvis (1)Portable Exam (1) Fluoro Exam, 1 Recomp is required to be completed with a faculty member Semester 4 Competencies: The following is a list of the required competencies: (2) Upper Extremities Ribs Trauma extremity (upper limb) (1)Skull, facial bones or Sinuses exam or any Cranial Category exam Extremity age 6 or younger Abdomen supine & upright (2) Lower extremities (5) Fluoroscopy examinations Trauma extremity (lower limb) (3) required mobile exams (Chest, abd, ortho, c-arm) Chest, age 1 or younger IVU/Hysterosalpingogrm/Cystography or Cystourethrography *Elective-Basic CT scan of each of the following: Head, Chest, Abdomen & Pelvis Three Recomps are required to be completed with a faculty member 65

Semester 5 Competencies: All remaining competencies as required by the ARRT and the program must be completed this semester. The student must also complete three recomps with a faculty member. One of the three recomps for this semester must include a trauma or bedside radiographic exam. In addition, a terminal competency examination with the Program Director is required to complete the clinical graduation requirement of the program. *Please note competency grid is subject to change based upon faculty discretion. 66

STUDENT CLINICAL FILES Each student has a clinical file folder to keep records of written clinical documents such as: ARRT clinical competencies tabulation form, clinical performance check-offs, faculty clinical evaluations of clinical performance, log sheets, clinical coordinator midterm/end semester evaluations for each of the five clinical semesters. The Program utilizes E*Value an electronic documentation system. Beginning with Clinical Practice I, students complete procedure logs, document clinical time, staff observations of clinical performance and facility evaluations with the E*Value system. Rules All folders of documentation are the property of Madisonville Community College. The clinical folder containing any written documents must not be removed without permission from the faculty. Students may ask to see clinical folders during office hours or when necessary. Files are made available to the student/s during clinic class, for weekly record keeping (log sheets, written clinical objectives/room check-offs, etc ). All E*Value student documentation is expected to be accurate, complete and recorded within the system within 48 hours of the clinical assignment. Procedure Responsibility Action Student Keeps accurate records. Completes documentation on time. Keeps clinical files neat. Leaves clinical folders in proper place at all times. Clinical Coordinator Reviews documentation frequently. Keeps folder containing grades and evaluations private. Reviews contents of documentation with student. Reports to program director any student that is having difficulty following procedures. Documents demerits for failure to meet requirements. Recommends dismissal from the program for failure to comply with this policy. Program Director Reviews all records and has final say concerning policy and procedure. 67

CLINICAL STANDARDS OF APPEARANCE AND ATTIRE Patients and hospital employees see the Radiography student as a member of a professional health care team. The student is expected to look professional. If, in the patient s eye the student does not look professional, it may affect the student s ability to interact with the patient. Standards of clinical appearance and attire are set and enforced by the faculty of the Radiography Program. Failure to abide by these standards will result in the student being subject to demerits as outlined in the clinical grading system. Basic Grooming: Meticulous personal hygiene is required. Hair: Hair must be clean and secured away from the face. Natural human hair color and a professional style (no asymmetrical haircut) are required and must meet approval of the instructors. Hair must be kept away from our face. Beard and mustaches : Beards and mustaches are permitted; however, they must be kept short, well trimmed, clean, and of natural human hair color. If a male student wished to grow a beard, he must notify a faculty member. Otherwise, the student is expected to be clean at all times. Nails: Fingernails must be kept short, trimmed and clean. Nail polish must not be chipped and must be clear. Make-up: Conservative application of makeup is allowed with a light shade of lipstick. Fragrance: Any fragrance worn should be mild fragrance. Deodorant should be applied daily and reapplied throughout the day as needed. Jewelry: Jewelry should be kept to a minimum so that it will not interfere with patient care, infection control procedures or your personal safety. (All jewelry is subject to faculty approval). Rings: Wedding bands only. Watches: A watch with a second hand is recommended. Necklaces: A single conservative chain may be worn on the neck inside the uniform collar. Earrings: Only small conservative stud earrings may be worn for pierced ears (must not hang below ear lobe). Only gold, silver or white allowed and only one earring per ear. Only a matched pair of earrings may be worn. Pins: Students must seek prior approval from program faculty for any pins or retractable badge fobs attached to name badge. Hair Accessories: Accessories that are worn in the hair should be appropriate in style and color (gold, silver, black, white, or the color of your hair). Large hairpieces are not allowed. All hair accessories are to be a solid color. Body Piercing/Tattoos: Body piercing and tattoos must not be visible to patients. The tattoo make-up covering must be natural skin color or a sleeve of acceptable uniform colors of white, black or grey top undergarment. Badge Holders: Must be approved before wearing to clinicals. 68

The clinical facilities and MCC will not be responsible for jewelry worn in the clinical area. The best policy is to leave your jewelry at home. You may be asked to remove anything from your person during clinical assignments, if it is deemed unprofessional. Chewing gum is not allowed while on clinical rotations. 69

UNIFORM DRESS CODE Lab Coats Lab coats are mandatory when a student is in an area which requires them to dress in surgical attire. Lab coats embroidered with school logo are worn over surgical scrubs, snapped to the collar and worn at all times when not in surgery. Wrinkled, stained or soiled lab coats are NOT acceptable. Only program approved lab coats (embroidered with school logo) may be worn during other rotations for warmth. The following attire is required for students: School UNIFORM top with embroidered logo (Code Happy white top) White UNIFORM pants (Code Happy Pewter pant) White UNIFORM shoes Approved styles only. White hose or white socks (No ornamentation allowed). Socks must cover ankles. Plain close fitting top or camisole (short or long sleeve) may be worn under uniform top (approved colors white, black or gray. JSMC black only). School approved lead apron (on rotations where needed). Thyroid shield (on rotations where needed). Students wearing skirts must wear pantyhose (white) in surgery. Student Radiographers will present a neat and tidy appearance at all times. Uniforms must be clean, neat and fit properly. Shoes and shoelaces must be clean and polished. Students are responsible for furnishing and laundering their own uniforms. Patient s gowns are not to be worn over uniforms. Students will not wear surgery attire unless scheduled for surgery, or float, clinical assignments. Uniforms must be worn to and from the clinical facility. ** School name badge, RMD (Radiation Monitoring Device), lead markers, pocket procedures book and thyroid shield are considered part of your clinical uniform dress. The student is responsible for having each of these items with them every day they are in school clinicals. Failure to have any of these must be reported to the Program Director or Clinical Coordinator immediately.** Failure to abide by these standards will result in the student being subject to the deduction of points as outlined in the grading system. 70

CLINICAL PERFORMANCE OBSERVATIONS Satisfactory clinical performance observations must be maintained for all clinical assignments. Failure to meet clinical requirements will affect the clinical grade and could result in probation or suspension from the program. Rules: Staff observations of your performance should be submitted from each clinical assignment rotation. It is the student s responsibility to communicate to the technologist that an observation form is being requested to be completed by them. Satisfactory evaluations must be maintained. The number of required performance observations will vary each semester dependent upon clinical rotation assignments. Procedure: Responsibility Student Clinical Coordinator Program Director Action Notifies staff member that on observation form has been assigned to them. Follows up on the return of form. Keeps instructor informed of staff that do not return clinical performance observation. Reviews form electronically or signs written form. Reviews all observations with student. Files observations in proper folders. Notifies student of unsatisfactory performance. Recommends to program director a probationary status when student is not meeting expectations. Reviews all records and has final say concerning policy and procedure. 71

CLINICAL BEHAVIOR The student is expected to adhere to the standards of ethical professional behavior as described in The American Registry of Radiologic Technologists Code of Ethics. Eating and drinking may only occur in the designated area/s at each clinical education site. Food or drinks may not be kept anywhere but in the designated lounge or food storage area. Smoking is NOT allowed on any clinical affiliate campus. Unless there is an emergency, students are not permitted to receive or make personal phone calls at the clinical affiliates. * Students must inform family and/or others the procedure for contacting them during a clinical rotation assignment. First, call Tonia Gibson, Program Director at 270-635-3651 stating that there is an emergency and the student needs to be contacted. Tonia will then immediately transfer the information to the student at his/her assigned clinical facility. Under no circumstances should the student be directly contacted at the clinical facility. * (Clinical Communication Devices Policy) Students are responsible to the staff Radiographer and Clinical Instructor when in the clinical affiliate Radiology Department. Students will make sure that their supervising staff Radiographer knows their whereabouts at all times. Students shall notify Program Faculty or the Clinical Instructor before leaving the department before the normal scheduled time. Students will assist in keeping rooms clean and well stocked. Use of electronic devices in the clinical setting are limited to documentation of clinical records in E*Value and not for personal use. Only designated computers may be used. Personal cell phones are NOT permitted in any clinical facility. Cell phone photos are NOT permitted in any clinical facility. No photos are to be taken in the clinical facility without permission from faculty and departmental administration. Chewing gum is not allowed during any assigned clinical rotation. Wearable electronic devices (Fitbit, Apple watch, etc.) must be approved prior to use. An individual contract must be signed. CLINICAL PATIENT CARE Patient must always be correctly identified (two identifiers). Address patients by their proper title (Mr., Miss, Mrs., Ms., etc.) Provide quality patient care by maintaining a safe patient environment. Student will wash or sanitize hands prior to and after each patient contact (entering patient room or x-ray room and upon leaving). 72

Always assist patients moving onto and off the x-ray tables and aid them in any way to prevent harm. Students should be familiar with the location of emergency carts. In an emergency, get help and stay with the patient until help arrives. Notify the supervising radiographer of any equipment malfunction. Report all incidents or accidents, regardless of how minor to the Clinical Instructor. 73

BLOODBORNE PATHOGEN POLICY AND THE CLINICAL EXPERIENCE Prior to beginning clinical experience, the Radiography student will have completed a Bloodborne Pathogen module. This instruction will be in accordance with the OSHA Bloodborne Pathogen Disease training standard. Once the clinical experience begins the Radiography student will abide by the following rules: Participate in any clinical affiliate required Bloodborne Pathogen training. Follow the clinical affiliate policy and procedure concerning Bloodborne Pathogens. Report any exposure to the designated clinical instructor immediately. If any student is found in violation of the policy he/she will be subject to the clinical grade penalties with possible suspension. 74

RADIOGRAPHIC EXAMINATIONS OBJECTIVES For each radiographic examination the student will: Evaluate the patient s request for pertinent data prior to approaching the patient. Prepare for the examination by preparing radiographic equipment and any aids needed. Select correct imaging receptor. Correctly identify the patient using two patient identifiers. Explain procedure to the patient. Determine patient s condition before allowing movement of patient. Take scout images prior to moving the patient (if necessary). Assist the patient moving onto & off the radiographic table using standard precautions, correct body mechanics and respecting patient privacy. Observe physical and emotional condition of patient. Provide safe storage of patient s belongings. Perform immediate and accurate nursing procedures, when indicated including: patient preparation, maintenance of IV flow, labeling of specimens, and utilization standard precautions. Accurately position the patient. Immobilize the part. Properly identify image with anatomical markers and pertinent patient information. Align central ray and collimator accurately. Set correct source to image distance. Determine correct image receptor placement. Provide the patient with proper instructions (ex. breathing immobilization etc.). Adjust patient positioning as needed for unusual cases. Select the correct exposure factors. Provide radiation protection for the patient, self and others by: limiting field of exposure, providing lead shielding for patient, self and other and selecting appropriate exposure factors. Provide for patient safety after the examination by removing the patient from the room or having someone stay with the patient. Critique image for radiographic quality under direct supervision of radiographer. Identify anatomy and projection from image. Release patient from radiology department. 75

SUPPORT SERVICES OBJECTIVES Image Processing and Patient Transport Office Process patient requisitions. Prepare patient identification mechanism indicating patient s name, file number, date and other pertinent information, if applicable. Verify x-ray requisition information is complete and valid. Notify appropriate personnel of arrival of x-ray requisition. Explain the procedure used in logging appointment in a scheduling book/computer using office copy of prep/exam book for knowledge of preparation and completion time needed for each procedure and the proper sequence of examinations. Describe where to find the procedure code to be used for billing purposes. Provide for the physical needs of the patients if necessary. Demonstrate ethical and professional behavior. Demonstrate proper telephone etiquette. Demonstrate appropriate customer service. Prepare or update patient s archival information indicating all pertinent information to be used for archiving images and radiologists interpretations for future reference. State departmental procedure for releasing images to authorize personnel. Assist physicians and clinical personnel in locating patient s archival images. Perform filing and retrieval tasks. Image Processing Process images correctly. Load and unload image receptors appropriately. Place patient identification on unprocessed images. Identify and locate types of film in the darkroom if applicable. Identify the types of equipment found in the darkroom. Process image receptor. Explain process of implanting, image identifiers (ex. Upright, portable, AP/PA etc.). Explain shuttering process. Identify location and sizes of image receptors and stationary grids. Explain the exposure index (ex. s number) and acceptable exposure range for imaging system in use. Explain/demonstrate process of preparing imaging receptor for re-use after overexposure. Explain the cleaning process for all image receptors. Patient Transport Identify the layout of the facility. Demonstrate correct procedure in identification of patients. (Use of two identifiers) Evaluate the requisition for proper mode of travel and necessity of patient s chart. Assist patient as necessary into transporting vehicle. Demonstrate proper body mechanics. Notify proper nursing personnel of patients leaving/arrivals. Describe and demonstrate cautions involved in transporting patient. Notify proper personnel of patients arrival into Radiology Department. 76

FLUOROSCOPIC AND CONTRAST MEDIA EXAMINATION OBJECTIVES For each fluoroscopic contrast media examination, the student will: Evaluate the patient s request for pertinent information and correct date of exam prior to approaching the patient. Prepare the room for the exam, providing the necessary equipment and supplies. Correctly identify the patient. (Use of two identifiers) Explain the procedure the patient. Assist the patient in moving onto & off the radiographic table using standard precautions, correct body mechanics and respecting patient privacy. Perform immediate and accurate nursing procedures, when indicated: including patient preparation, maintenance of IV flow, labeling of specimens, utilization of standard precautions. Assist the radiologist as needed. Identify the type and amount of contrast media needed for the examination. Assist in the administration of contrast media. Observe patient for adverse reactions and take appropriate actions. Demonstrate proper patient positioning. Demonstrate correct usage of equipment to include radiographic equipment, and fluoroscopic equipment. Select correct exposure factors. Provide radiation protection for the patient, self and others by limiting field of exposure, providing lead shielding for patient, self and others and selecting appropriate exposure factors. Evaluate images for quality under the direct supervision of a radiographer. Identify anatomy and projection from image/s. Release patient from the radiology department. 77

PORTABLE RADIOGRAPHY OBJECTIVES During portable examination, the student will Appropriately identify patient using correct procedure. Demonstrate knowledge of equipment: o Proper use of all locks. o Manipulate radiographic tube (all movements and angulations). o Movement of portable unit. o General cleaning and care. Demonstrate proper procedure for setting up for a portable examination: o Tube placement (distance and angulation). o Image receptor/or plate placement. o Give instruction to patient. o Correct image receptor size/type and placement. o Anatomical lead marker placement. Demonstrate ability to cope with stressful situations such as Intensive Care Units, and trauma situations. Demonstrate proper radiation safety for patient, self and others. o Limit field size. o Shield when possible. o Alert others in area prior to exposure (ex. call out x-ray ). o Wear apron and use exposure cord length. Adjust technical factors as necessary. Evaluate images on technique, position, identification, and evidence of radiation protection under direct supervision of radiographer. Practice standard precautions in all patient care settings. The student will always perform mobile radiographic procedures under the direct supervision of a qualified radiographer. 78

SURGICAL RADIOGRAPHY OBJECTIVES During rotation through Surgical Radiography, the student will: Demonstrate knowledge of radiographic equipment to include mobile radiographic unit and C-arm. Demonstrate ability to cope with stressful situations in the OR. Demonstrate proper manipulation of radiographic equipment in a sterile environment Demonstrate proper positioning and technical skills on imaging examination to include: Mobile C-arm Studies C-arm requiring manipulation to obtain more than 1 projection (ex. AP/lat) Surgical C-arm requiring manipulation around a sterile field. Demonstrates proper radiation safety for patient, self, and others: Limit Field Size Alert others in area prior to exposure. Wear appropriate lead apparel and use exposure cord length. Evaluate image for appropriate technique, positioning, and evidence of radiation protection under direct supervision of a qualified radiographer. The student will always perform all mobile surgical radiographic procedures under the direct supervision of a qualified radiographer. 79

TRAUMA ROTATION OBJECTIVES (EVENING SHIFT AND/OR STATURDAY) At the completion of evening clinical rotations, the student will be able to: Function in the radiology department with minimal support personnel. Demonstrate the ability cope with stressful situations such as a severely injured patient. Determine the most appropriate position/projection (i.e. CTL vs. movement of body part) to use when imaging a trauma patient. Demonstrates adaptability and flexibility when dealing with a trauma patient who has limited range of motion. 80

Advanced Modalities For each imaging examination the student will: 1. Verify patient identification and prepare patient appropriately for imaging examination (i.e., remove pt. artifacts). 2. Obtain patient history through appropriate questioning prior to performance of an imaging procedure. 3. Document obtained patient history utilizing the proper medical terminology where appropriate. 4. Under the direction of the supervising technologist, manipulate the imaging equipment. 5. Under the direct supervision of the technologist prepare any contrast or supplies needed for the imaging procedure. 6. Demonstrate appropriate professional behaviors towards patient, family members, staff and other health care professionals at all times. 7. Demonstrate appropriate patient care skills. 8. Explain procedures and answer patient questions appropriate to the level of knowledge achieved in Radiographic Procedures. 9. Practice good radiation protection of patient, self and others. 10. Recognize and respond appropriately to patient s need for medical assistance at any time, while in his/her care or as a result of an adverse contrast reaction. 11. Display effective communication with patient, family members, staff and other health care providers. 12. Keep the imaging area neat, clean and well stocked. 81

Section IV: Clinical Attendance Policies &Procedures 82

TARDY POLICY As an Allied Health professional one is expected to be dependable in all job assignments. Punctuality is one of the most important assets to a radiographer in the medical field. As a student in this program you know that punctuality is strictly enforced to help the graduate better adjust to the work force. Since punctuality is a vital part of dependable performance, records of your tardies are kept to help give future employers accurate information. If the student has excessive tardies from clinical assignments, this could affect the student s chances of gaining valuable knowledge and also affect the clinical grade. The student is allowed three (3) tardies per semester regardless of the reason. More than three (3) tardies will be considered excessive and demerits will be given. Rules The student must notify the clinical coordinator as soon as possible if he/she expects to be late. If late due to unavoidable circumstances on the way to clinical assignments, the student is to report incident to Clinical Coordinator as soon as possible and upon arrival in the clinical area report immediately to the clinical instructor. All time missed must be made up at the end of the same day (if < 15min.) or at the discretion of the Clinical Coordinator. No student is expected to be tardy more than three times during the semester regardless of the reason. More than three tardies in one semester will result in demerits and points will be taken from the clinical grade as follows: 0 3 tardies = No demerits. 4 5 tardies = One demerit each offense. 6 or more tardies = Two demerits each offense and will be considered totally unsatisfactory. In addition to demerits, disciplinary action will be given at the discretion of the instructors. 83

Procedure Responsibility Student Instructor/Clinical Coordinator Program Director Action Notifies instructor as soon as possible. Reports to instructors when arrives in clinical area. Makes up time on date of occurrence at end of day. Documents all tardies. Gives demerits for all tardies over three. Keeps students informed. Counsels student when necessary. Keeps program director informed of potential problems. Reviews all records. Advises instructors. Counsels student when necessary. Makes final decision concerning disciplinary action. 84

CLINICAL ATTENDANCE Attendance is one of the most important assets of a Radiographer in the medical field. As an Allied Health professional one is expected to be dependable in all job assignments. This program strictly enforces the attendance policy to help the graduate better adjust to the work environment. Since attendance is a vital part of a dependable performance, records of your attendance are kept to give future employers accurate information. If the student has excessive absences from clinical assignments, this could affect the student s chances of gaining valuable knowledge and also affect his/her clinical grade. The student is allowed one (1) absence per semester. The one allowed absence may be taken in ½ day increments. Any absence over one (1) during the semester will be considered excessive and the missed clinical assignment must be made up. Any absence over three (3) one demerit will be issued and any absence over four (4) two demerits will be issued for each absence. Reminder: You only have ten (10) points in the attendance category of your clinical grade and taking each absence in half-day increments can cause you to lose all ten (10) points in 4.5 days which could result in clinical course failure. A return to school slip is required for a communicable disease diagnosis and/or Physician ordered restriction. Policy Student must notify the Clinical Coordinator at least one hour prior to scheduled start time of the clinical rotation assignment if he/she expects to be absent. All absences in excess of those allowed by the program per semester must be made up. Make up time must be scheduled by the Clinical Coordinator/Instructors with specific dates and times which match current clinical rotations and level of clinical competency. A Clinical Instructor and/or faculty must be present during the clinical make up time. Demerist will be issued as described above: One demerit will be issued over absence three (3), two demerits over absence 4 and each absence therafter. (See Clinical Grading System Attendance and Punctuality). Demerits are still issued for absences that are made up. The student must notify the Clinical Coordinator if there is an emergency and he/she cannot attend the clinical make up assignment. Failure to meet the arranged clinical make up session will result in the student receiving an additional demerit for failure to fulfill his/her obligation. Radiography students are responsible for recording each absence or tardy in a timely fashion in the Radiography Attendance Book housed in the designated location. 85

Call In Procedure Responsibility Action Student Notifies Clinical Coordinator at least one hour prior to clinical assignment start time. Schedules make up time with Clinical Coordinator. Attends make up sessions as scheduled. Records absence in Radiography attendance book. Clinical Coordinator Documents all absences. Issues demerits for absences in excess of those allowed. Schedules clinical make up assignment. Keeps students informed. Counsels students when necessary. Keeps Program Director informed of potential problems. Program Director Reviews all records. Advises instructors. Counsels student when necessary Makes final decision concerning disciplinary action. 86

CLINICAL ATTENDANCE & PUNCTUALITY Absences Student must notify Clinical Coordinator at least 1 hour prior to clinical assignment start time. The student is allowed one (1) absence per semester in Clinical Practice I, two (2) absences per semester in Clinical Practice II & Clinical Practice III and three (3) absences per semester in Clinical Practice IV & Clinical Practice V. Tardies Any absence over those allotted per semester will result in at least one demerit per occurrence and the missed clinical assignment must be made up. Excessive absences are defined as two (2) or more absences over the allotted amount per semester which will result in two (2) demerits per occurrence. *Note Clinic class attendance is considered clinical attendance. Meaning, a clinic class tardy, missing an entire clinic class or leaving clinic class early will all be considered tardies and documented as such in the attendance book. The student is allowed three (3) tardies per semester without demerit penalty. 4-5 tardies will result in one (1) demerit per occurrence. Any tardy after five (5) will result in two (2) demerits per occurrence. Note All tardies (< 15 min.) from clinical rotations MUST be made up at the end of the day. Note Clinic class tardies are counted as clinical tardies. ***NOTE Tardies and absences MUST be recorded in the attendance by the STUDENT during clinic class following the occurrence. Definitions Tardy 1-5 minutes late, leaving 1-15 minutes early or 1-15 minutes absence during the scheduled clinical day. ½ Absence 16 minutes to half of a clinical day. Absence Over half of a clinical day. *When using E*Value clinical sign-in clock-time is routinely reviewed, clocking-in late (tardy) without explanation (ex. computer network at facility slow, asked to assist Radiographer before signing in to E*Value etc.) may be subject to the demerit penalty. 87

INCLEMENT WEATHER POLICY Academic In the event of a weather delay please follow this schedule to beginning class times: When the college announces a 1-hour delay, the following will apply: o 8:00 class will be cancelled. When the college announces a 2-hour delay, the following will apply: o 8:00 classes will be cancelled. o 9:30 classes will begin at 10:00 and will end at the regular time of 10:45. o Classes scheduled thereafter will follow their prescribed schedule. Clinical Students enrolled in the Safety Notification Alert Process (SNAP) system. MCC will then alert you about campus closings delays, or emergencies using various notification options as phone, text and email messaging. In addition to SNAP, notifications will be sent through KCTCS student email, posted on the college home page and posted on the college Facebook page when accessible. Due to requirements of the program, any clinical time missed due to inclement weather conditions may be made up at the discretion of the program faculty. Do not come to clinicals if you feel the weather conditions are hazardous to your well being, or if the college is closed. Students not reporting to clinicals because of bad weather are required to call the Clinical Coordinator by the hour they are to report. When the college announces a 1-hour delay, the following will apply for clinical; clinical assignments will begin 1 hour later, a 2-hour delay means clinicals begin 2 hours later. When the college announces a closure prior to the end of the day, the clinical assignment will end at the time school closes. 88

MADISONVILLE COMMUNITY COLLEGE Radiography Program Inclement Weather Information Students are encouraged to sign up for SNAP on MCC s opening web page. Notifications will be sent as text messages to your mobile phone. In addition, notifications will be sent to student email and the homepage when accessible. The following is a list of the media resources that will be used to announce any delays and schedule changes. Please keep a copy of the station/s related to your geographic area. Madisonville Hopkinsville WKTG 93.9 FM WHOP 98.7 FM WFMW 730 AM WHOP 1230 AM WWKY (WHRZ) 97.7 FM OOMPH 106.9 FM WTTL 1310 AM Paducah Evansville - TV WKYQ 93.3 FM WEHT 25 (ABC) WFIE (NBC14) WDDJ 96.9 FM WTVW 7 (Fox) WEVV (CBS 44) Paducah TV Bowling Green TV WPSD (Channel 6) WBKO (ABC - 13) Information related to delays and/or schedule changes may also be found on the following websites: On the Web Page: - www.cancellations.com OR MCC Webpage: www.madisonville.kctcs.edu current students 89

Section V: Clinical Practice Polices & Procedures 90

Madisonville Community College Radiography Program Policy and Procedure Clinical Supervision Policy All Radiography students require DIRECT SUPERVISION from a Staff Radiographer in all procedures until the student demonstrates clinical competency in the procedure. Direct Supervision as defined by the JRCERT includes: Radiographer reviews the procedure in relation to the student s achievement. Radiographer evaluates the condition of the patient in relation to the student s knowledge. Radiographer is present during the performance of the procedure. Radiographer reviews and approves the procedure. Indirect Supervision as defined by the JRCERT: Supervision provided by a qualified Radiographer immediately available to assist students regardless of the level of student achievement. Immediately available is interpreted as the presence of a qualified Radiographer adjacent to the room or location where a Radiographic procedure is being performed. This availability applies to all areas where ionizing radiation equipment is in use. Completion of clinical competency requires the following: The student must have completed the didactic course work for the specific radiographic check off. The student must have passed competency evaluation in a didactic or laboratory setting. PRIOR to the examination, the student must request to attempt the competency check-off. The Radiographer will review the requisition and evaluate it in relation to the student s achievement. The Radiographer will evaluate the patient s condition in relation to the student s knowledge. The observing Radiographer must be present during the entire examination. The Radiographer must review and approve the image/s. The Radiographer will require the student to demonstrate a successful critique of the image/s. The Radiographer will complete the competency form and turn the form in to the Clinical Instructor. The Clinical Instructor must review the images for final approval of the competency and must sign/verify the competency form. The Clinical Instructor will indicate pass/fail on form. The Clinical Instructor will turn in all competency check-offs (passed or failed) to the Clinical Coordinator. Competency is NOT a moment in time, the student must maintain competency, if not, a recommendation for removal of a competency may be made and the student will need to re-attain a competency on the procedure. Upon successful completion of competency evaluations, the student may perform these procedures under *INDIRECT SUPERVISION by a Staff Radiographer. 91

Clinical Supervision Policy One Radiographer One Student The JRCERT has defined the ratio of students to Radiographers during the clinical education experience as one Radiographer per student. Therefore: No two students will be in the radiography room at the same time during an imaging procedure. Should an occasion occur where more than one student remains in the room during a procedure, the student positioning the patient will politely request to the other student that he/she must leave the room, if they do not exit on their own. If the student does not leave the room the student positioning the patient will step out of the radiography room and state to the supervising Radiographer: I am not able to continue this exam (name) will not leave the room. Could you help me with this? Or May I have permission to call Tonia/Paula to help me with this? It has been and is always, each Radiography Program student s responsibility to know and follow all Program policies and procedures. 92

Madisonville Community College Radiography Program Policy and Procedure Repeat Policy Any repeat image required of the student MUST be performed in the presence of a qualified Radiographer under direct supervision. Students must document the repeat on his/her procedure log sheet (blue paper form) and should also document the repeat in the notes section of the E*Value PxDx procedure log identifying by name or initials the Radiographer who supervised the repeat image. The paper log sheet must be initialed by the supervising Radiographer. 93

Madisonville Community College Radiography Program Policy and Procedure Clinical Schedule Students are assigned clinical rotations by the clinical coordinator and/or program director. A great effort is made to assure that each student has an equal and fair opportunity to gain clinical skills in each area. A student CANNOT be pulled from their assigned area unless arrangements are made to allow that student to be present when an exam is to be performed in their assigned area (most students would prefer to stay busy and for this reason additional assignments are encouraged but not at the expense of clinical education). Any time a student misses an exam in their assigned area because they have been pulled for an additional assignment; they are to inform the program director and/or clinical coordinator. Students are not scheduled to replace technical staff and their schedule is not to be rearranged in order to cover when the department is experiencing a staffing shortage. Students are allowed one 15 minute break when the clinical assignment is a minimum of 5.5 hours. A clinical instructor or controller will assign this break. If the patient schedule does not afford the student a break, it CANNOT be take in conjunction with the lunch break, leaving early or used as breakfast because the student failed to eat prior to his/her clinical assignment. Any abuse of break times and privileges is grounds for demerits. Students are to required use E*Value Time Tracking to log-in at the beginning, lunch out/in and end of each assigned clinical day. It is expected that the student arrive at least 10-15 minutes prior to the start of his/her clinical assignment rotation to be logged on appropriately. If computer problems are encountered at the clinical facility during the log-on process, a note of explanation on the electronic document is expected and the Clinical Coordinator should be notified as soon as possible to avoid being documented as a tardy. Should the electronic Time Tracking System fail, the student must have his/her clinical time initialed by a Radiographer. 94

Expectations During Low Patient Volume Madisonville Community College Radiography Program Policy and Procedure The program understands that it is the nature of a Radiology Department to occasionally experience periods of low patient volume. It is the program s policy that student s refer to the following list for performance expectations during such times: Clean and stock assigned rooms (or assigned equipment if on surgery/portable rotation). Ask clinical instructor if image receptors need to be cleaned. If so, clean image receptors using the manufacturer s recommended cleaner. Clean and stock dressing rooms. If all of the above has been completed, the student may: Practice positioning techniques with another student. Review positioning technique book. Multiple books, notebooks, study papers are not to be taken into the clinical area. Students may use quiet time to review using one sheet of paper, containing study notes. Ask Radiographer their opinion of your performance and ask for suggestions on how to improve. Students are expected to use their low patient volume time in a productive manner. * Students are required to document how their time was spend during periods of low patient volume on daily patient/procedure log sheets. 95

Madisonville Community College Radiography Program Policy and Procedure Attendance in Clinical Areas Students are expected to attend all scheduled clinical education sessions. Students who are unable to attend a clinical education session MUST inform the Clinical Coordinator no less than 1 hour before clinical assignments are scheduled to begin failure to do so well result in receipt of a demerit. Students may not leave the clinical facility during clinical time without first obtaining the permission of a MCC faculty member. The MCC faculty member will notify the clinical instructors when a student has been granted permission to leave. Permission may be obtained from a clinical instructor ONLY when a student is unable to contact an MCC faculty member. Students must clock in prior to the clinical start time and clock out after ending time using the E*Value Time Tracking system. It is expected that the student arrive at least 10-15 minutes prior to the start of his/her clinical assignment rotation to be logged on appropriately. If computer problems are encountered at the clinical facility during the log-on process, a note of explanation on the electronic document is expected and the Clinical Coordinator should be notified as soon as possible to avoid being documented as a tardy. Students will also use the E*Value Time Tracking to document his/her lunch/dinner break. Students are expected to be at their assigned clinical area dressed in appropriate uniform or assigned clinical rotation attire at the beginning of their clinical assignment and NOT to leave their assigned area prior to the designated end time. 96

Madisonville Community College Radiography Program Policy and Procedure Medical Records and Patient Archival Information Students are allowed access to patient medical records and with this privilege comes the responsibility for maintaining PATIENT CONFIDENTIALITY in compliance with HIPPA (Health Insurance Portability & Accountability Act of 1996) Privacy Rule. Written Records (i.e., copies of exam request). Written medical records may NOT be removed from the Radiology Department. Medical Records may NOT be reproduced at any time for any person without the permission of the supervising Radiographer. Limit viewing of patient electronic images. STUDENTS MUST NOT Discuss patients outside of Radiology Department, except in the classroom setting as part of an educational experience. During a classroom setting when clinical experience is being shared the student is to avoid using any identifying information about the patient. 97

Madisonville Community College Radiography Program Policy and Procedure Holding Patients (revised 3-13-17) Students must not hold imaging receptors during any radiographic procedure. Students must not hold patients during any radiographic procedure when an immobilization method is the appropriate standard of care. The program interprets this statement as: Students are not permitted to hold patients, contrast or imaging receptors under any circumstances during a radiographic procedure. 98

Madisonville Community College Radiography Program Policy and Procedure Contrast Media Barium and/or Hypaque Students may prepare and administer barium orally. When barium is to be administered through any tube other than an enema tube or when barium is to be administered through a colostomy the student must be under the direct supervision of a Radiographer. Students are not allowed to prepare contrast until they successfully complete the didactic portion of GI contrast procedures. They may never hold contrast for patient during any exam. Gastroview (H2O Soluble Oral Iodinated Contrast Media) Students must be under the direct supervision of a Radiographer when preparing gastroview for any exam (example the student should obtain the gastroview and present it to the Radiographer for approval prior to preparation). Heparinized Solutions Students are not to prepare heparinized solutions. Students are not to flush veins with heparinized solutions. Iodinated Contrast Media Students may select and prepare the proper supplies for iodinated contrast exams. All supplies selected for an iodinated contrast exam must be approved by the student s supervising Radiographer (this is the Radiographer who will be performing the exam). Students are not allowed to draw up iodinated contrast media and they are not allowed to perform venipuncture until they successfully complete the didactic components of these topics in the patient care aspect of the program s curriculum. Students MAY draw up contrast media under the DIRECT SUPERVISION of their SUPERVISING RADIOGRAPHER and may perform venipuncture on a patient after successfully completing the didactic laboratory check-off. The venipuncture must be performed under the DIRECT SUEPERVISION of the RADIOGRAPHER PERFORMING THE EXAM. Permission to perform venipuncture must be obtained from the patient, Radiographer and the facility in which the exam is performed. NO STUDENT MAY INJECT CONTRAST MEDIA Any student drawing up contrast media or performing venipuncture without the direct supervision of the Radiographer performing the exam WILL be subject to disciplinary action The responsibility of injecting the CORRECT patient with the CORRECT contrast for the CORRECT exam will remain that of the RADIOGRAPHER who is performing the exam. 99

Madisonville Community College Radiography Program Policy and Procedure Standard Precautions IN COMPLIANCE WITH STANDARD PRECAUTIONS THE FOLLOWING POLICIES WILL BE IMPLEMENTED: It is MANDATORY that each student carry a pair of disposable gloves on their person at all times. Students are not to lift any patient without disposable gloves on. Students must trace any tubes and IV lines running to and from the patient. Students must check IV lines and patient tubes prior to rolling the linens in preparation for a patient lift. Students are to wear the proper protective clothing (gown, gloves, mask, eyewear and shoe covers) anytime there is a possibility of contamination with blood or body fluids. Students are to follow the clinical facilities policy concerning the use of protective gowns. Students are to wear protective gowns over their uniform or scrubs while performing exams that may result in splattering of blood or body fluids (ex. orthopedic c-arm exams often result in splattering). Students are to abide by the clinical facilities policy concerning universal precautions during radiographic procedures. Students who are exposed to blood or body fluids are to report the exposure to their supervising Radiographer. Each facility will instruct you in the proper procedure with dealing with such an incident. Students exposed to blood and body fluid will need to fill out the proper incident forms at their clinical facility and will need to complete an incident form for Madisonville Community College. 100

Madisonville Community College Radiography Program Policy and Procedure Portable Policy: A student may perform a portable radiographic examination only under DIRECT supervision of a qualified Radiographer. 101

Madisonville Community College Radiography Program Policy and Procedure Surgery Scrubs (Greens) The only students who may wear surgery scrubs are those students assigned to areas where scrubs are required. Students who are required to dress in scrubs must: o Wear a uniform to and from the clinical facility. o Not wear any clothing except underwear under their surgery scrubs (underwear does not include a T-shirt). May wear camisole or tank, anything under scrub must not extend beyond scrub sleeves or above V-neck of scrub top. o Wear program lab coat over the scrubs and button the lab coat to the neck when not in the surgical sterile area. o Be dressed surgical scrubs prior to the beginning of the scheduled shift and change from surgery scrubs after the end of the scheduled shift. Each student is expected to be prepared to begin their assignment at the start of their assigned clinical rotation and continue to perform procedures until the end of their assigned clinical rotation. o Females must wear white panty hose when wearing a dress or skirt in surgery. 102

Madisonville Community College Radiography Program Policy and Procedure Surgery Students may perform surgical imaging procedures under the DIRECT supervision of a qualified Radiographer. When a patient is in the surgery room the student must be directly supervised by a qualified Radiographer. A student may set-up the mobile c-arm equipment (connect power cords, input patient data into computer, take hard copy images to the surgery room, etc.) under indirect supervision, only if a patient is NOT in the room. If a patient is in the room, the student is to exit the room and notify his/her supervising Radiographer immediately. Students are not allowed to participate in surgery exams while wearing disposable uniform covers, bunny suits. Students may put on a disposable uniform cover, bunny suit and take equipment to a Radiographer. Surgery students will dress in surgical attire and must wear the uniform lab jacket buttoned to the neck when they are not in surgery. Street clothes (shirts, slacks or dresses) are not to be worn under surgical attire. Females must wear white panty hose when wearing a surgical dress or skirt in surgery. 103

Madisonville Community College Radiography Program Policy and Procedure Student Lunch/Dinner Breaks: Students are to take the amount of time assigned for lunch by the program director and/or clinical coordinator. Students on lunch break are not to be called back early. Students are not required to interrupt their lunch break to perform any task. Students may volunteer to work through lunch (this practice is not encouraged). Students may volunteer to make themselves available to the Radiographer during their lunch break. Students must abide by the lunchtime that is assigned and they cannot choose to change that assigned time. Lunch cannot be manipulated as a convenience for the student (i.e. a student cannot choose to take lunch from 2:30-3:00 p.m. when they are assigned to leave clinicals at 3 p.m. A student cannot choose to take lunch from 7:30-8:00 a.m. because they failed to arrive at 7 a.m. or did not eat breakfast prior to arriving at the clinical facility. Student lunches at all clinical education facilities will be assigned by the controller, clinical supervisor or someone designated by the clinical supervisor. Please refer to Clinical Behaviors for additional expectations regarding student clinical behaviors regarding eating and drinking. 104

Madisonville Community College Radiography Program Policy and Procedure Time Tracking Policy Each student must clock in and out of clinicals. Electronic Time Tracking: The E*Value Time Tracking system will be used, o Students must clock in prior to the clinical start time and clock out after ending time using the E*Value Time Tracking system. It is expected that the student arrive at least 10-15 minutes prior to the start of his/her clinical assignment rotation to be logged on appropriately. If computer problems are encountered at the clinical facility during the log-on process, a note of explanation on the electronic document is expected and the Clinical Coordinator should be notified as soon as possible to avoid being documented as a tardy. o Students should log out for lunch break and log in when lunch break is completed. o You must also clock in or out anytime leaving clinicals on personal business. Each student must personally clock in and out. o Anyone caught falsifying his/her clinical time tracking in any way will be immediately placed on program probation. Falsifying clinical time tracking is considered a severe violation of program policy and will not be tolerated. Paper Time Tracking: Should the electronic system fail the patient log sheet must be used to document clinical time for the day. The staff must initial all times written on the log sheet. 105

Daily Patient Log/E*Value Case Logs Madisonville Community College Radiography Program Policy and Procedure Daily patient log sheets/e*value Case Logs serve as an indicator of student activity and progress at the clinical facility. The log sheets serve as a resource for documentation of student competencies and exams if needed for future reference. A completed log sheet must be turned in for EVERY day the student is scheduled for clinicals. Note: A log sheet must be turned in even on a day the student is absent from clinicals. These log sheets should be filled out as any other with ABSENT written across the form in large letters. A separate log sheet must be turned in for every day. Log sheets should contain the following information: Student Name Facility Rotation A patient descriptor for every exam performed, (ex. geriatric male) assisted or observed. The type of exam performed, assisted or observed. A check should be placed in the appropriate column to indicate whether the exam was performed, assisted or observed. If a competency was completed for the exam it is recorded on the back competency side of the form. If an exam had to be repeated it must be documented. Repeated exams must be initialed by qualified Radiographer that was directly supervising student. Any activity indicating effective utilization of the students time during periods of low patient volume should be documented. Students turning in log sheets indicating low patient volume numbers without appropriate documentation of effective utilization of time will be subject to demerits. 106

Madisonville Community College Radiography Program Policy and Procedure Using Communication Devices The clinical facility phone is not to be used by the student to make personal calls during his/her clinical assignment. Electronic Devices: Cellular phones, CD players, games and other devices are not to be brought into any clinical facility. Cell phones must be left in the student s vehicle. If the student believes it is absolutely necessary to use his/her cell phone or make a phone call, the phone may only be accessed during a designated break/lunch period. o Wearable electronic devices (ex. FitBit, Smart watches etc ) are considered on a case by case basis. A Wearable Electronic Device-Appropriate Use contract must be signed by the student and a faculty member prior to wearing the device to any clinical facility. (Wearable Electronic Device Appropriate Use contract may be found in the Program Forms section of the Handbook) Students must inform family and or others the proper procedure to follow for contacting them during a clinical assignment rotation. First, call Tonia Gibson, Program Direct at (270) 635-3651 stating that there is an emergency and they need to contact the student. She will immediately transfer the information to the student at his/her assigned clinical facility. Under no circumstances should the student be directly contacted at the clinical facility. Cell phone or other electronic photos are NOT allowed to be taken in the clinical facility without special permission from the program faculty and/or Radiology department management. 107

Madisonville Community College Radiography Program Policy and Procedure Wearable Electronic Devices Wearable electronic devices (ex. FitBit, Smart watches etc ) are considered on a case by case basis. A Wearable Electronic Device-Appropriate Use contract must be signed by the student and a faculty member prior to wearing the device to any clinical education center. The conditions below must be agreed upon by the student prior to wearing the device to any clinical facility. Device must be set so there is no audible or visual signal that a text, phone call or voice message is being received If device is incapable of being programmed to work under the conditions listed above the device may not be worn Failure to abide by the conditions listed will result in two demerits being issued on each occurrence *A memo will be sent to the Clinical facilities concerning these conditions for use of the wearable electronic device. Facility staff will be instructed to notify program faculty if there is any violation of the conditions of use. The device must NOT disrupt the student s clinical experience in any manner. 108

Section VI: Clinical Evaluation/Grading 109

CLINICAL GRADING Grading areas have been equally divided into five categories. There are 50 points possible with 10 points from each category. Clinical grading utilizes the merit/demerit system. (Refer to form=clinical Grade Record). Merit A numerical documentation of performance that exceeds the expectations of clinical performance to a notable degree. Merits will be awarded for the following reasons: Perfect attendance. Written thanks from patients or physicians (limit one per semester). Exceeding the required number of competencies by 10 or more (limit one per semester). Extra effort award from staff radiographer or clinical instructor (limit one per semester and must be approved by clinical coordinator). Unusual case study brought to clinic class (limit one per semester Pathology case study format required for credit to be awarded). Students may elect to exchange 3 merits for one clinical compensation day. Exchanged merits can NOT also be used to improve the clinical grade. In other words, merits will add points to your clinical grade or may be exchanged for compensation day. To exchange merits the student must schedule the compensation day at least 24 hours in advance with the Clinical Coordinator. The Coordinator will access the merit notifications from the student s clinical folder. The Coordinator will document EXCHANGED FOR COMP DAY (DATE) in large letters across the merit notification. Students awarded a merit will be notified in writing. This notification will be filed in the student s clinical folder. Demerit A numerical documentation of unsatisfactory performance which will affect the clinical grade. Demerits are assigned by MCC Faculty, but may be recommended by clinical instructors or clinical staff. Explanation of demerits for each category are listed under the appropriate category. Students will be notified in writing when receiving a demerit. This notification will be filed in the student s clinical folder. GRADING SCALE: 47 50 A 43 46 B 40 42 C below 40 D (unacceptable to continue in Radiography program) Final averages will not be rounded. 80% is the minimum grade requirement to remain in the program. 110

I. Clinical Attendance and Punctuality Each student begins the semester with 10 points. Absences refer to call-in procedure The student is allowed 1 absence per semester. The one allowed absence may be taken in ½ day increments. Any absence over 1 day will be considered excessive and the clinical assignment must be made up. Any absence over three (3) one demerit will be issued and any absence over four (4) two demerits will be issued for each absence. Reminder: You have only ten (10) points in the attendance category of your clinical grade taking each absence in ½ day increments can cause you to lose all 10 points in 4-5 days. *NOTE Clinic class attendance is counted as clinical attendance. Missing an entire clinic class (because it is more than 15 minutes) will be counted as a ½ clinical absence. *A return slip is required for a communicable diagnosis and/or physician ordered restrictions. Tardies The student is allowed 3 tardies per semester without demerit penalty. 4-5 tardies will result in one demerit per occurrence. Any tardy after five will result in two demerits per occurrence. *NOTE ALL tardies from clinical rotations MUST be made up at the end of the day. *NOTE Clinic class tardies are counted as clinical tardies. *NOTE Tardies and absences MUST be recorded in the attendance book BY the STUDENT during clinic class following the occurrence. Definitions Tardy ½ Absence Absence 1-15 minutes late, leaving 1-15 minutes early, or 1-15 minutes absence during the scheduled clinical day. 16 minutes to half clinic day. Over half of clinical day. 111

II. Professionalism Each student begins the semester with 10 points. Demerits are given in this category for infractions in dress code, ethics or policy and procedures. Example: Ignoring verbal warning from Clinical Instructor/Clinical Coordinator. Chronic issue with soiled uniform/shoes. Verbal warning precedes the issuance of a demerit. III. ASSIGNMENTS AND CLINIC CLASS GRADES At the end of each clinical rotation the following assignments are due and are worth a total of 5 points. Completed timecards and/or accurate and complete E*Value Time Tracking Daily log sheets Facility evaluation Discussion Board postings for Clinical Practice courses The following assignment is due by the last day of the semester. Room objectives (forms are handed out with clinical syllabus) One demerit is given for each assignment not turned in unless otherwise instructed by the clinical course instructors. One demerit is given for each assignment not completed accurately as outlined in the policies referred to above. Clinic class tests & other class related assignments will be worth 5 points (ex. Portfolio) Clinic class will be utilized for the following: Update students on any new policies and reinforce current policies. Instruct students on new equipment and policy revisions affecting students at clinical facilities. Discuss topics addressed in Faculty/Clinical Instructor meetings. Video presentations of helpful topics, i.e. How to Deal with Difficult People. Opportunity for students to share experiences from clinicals. Any merits earned will be publicly awarded. Professional portfolio development. Minutes AND ATTENDANCE will be kept from each clinic class. Any instructional information or policy covered in clinic class will be considered test material. The tests will be worth a possible 5 points. Scores from each test will be averaged together. This average will be the other 5 points possible for this category. *NOTE See attendance policy on previous page for clinic class attendance policy. 112

IV. PERFORMANCE OBSERVATIONS Staff Radiographer Clinical Education Performance Observations are worth a possible 100 points each. The grade will then be converted to the appropriate values to be recorded on the clinical grade record. The following points will be assigned: Not acceptable Needs to improve Showing improvements Meets expectations Exceeds expectations 0 points 70 points 80 points 90 points 100 points One demerit will be given for each evaluation not turned in and a 0 will be documented as the grade for that evaluation. One demerit will be given for each evaluation not completed accurately as outlined in policy referred to above. Clinical Coordinator/Instructor Evaluations are worth a possible 5 points. The Clinical Coordinator/Instructor will complete this evaluation twice per semester: at midterm and at the end of the semester. 113

V. CLINICAL COMPETENCIES AND COMPETENCY RECHECKS 10 points will be given each semester for completion of all assigned required competencies as outlined in each semester s clinical course syllabus. ALL assigned required competencies AND competency rechecks MUST be completed before the beginning of the next semester. Failure to do so will result in automatic failure of clinicals. Failure of clinicals will result in program dismissal. Students are allowed 3 failed competencies without demerit penalty. Students are allowed 3 failed supplemental images without demerit penalty (supplemental images are defined by the program as projections added to the exam as required by the specific clinical facility/radiologist, examples: scaphoid projection of wrist, scapular Y projection with a shoulder exam, radial head projection with an elbow exam, etc.). 4-5 failures will result in one demerit per occurrence. Any failure over 5 will result in two demerits per occurrence. EXCEPTION Once all assigned required competencies are completed for the semester, the semester, the student will be allowed to attempt further competencies without demerit penalty for failures. This is called the FREE ZONE. Program Faculty believe that clinical competency successfully demonstrated on a specific procedure is NOT a moment in time but must be maintained throughout the program. Therefore, should the student (repeatedly) no longer demonstrate continued competency on a previously completed competency check-off, he/she may have the competency taken away (Radiographer/Clinical Instructor/Clinical Coordinator completes form: Recommendation for Competency Removal). The student must then complete a Clinical Action Plan with guidance from the Clinical Coordinator and/or Program Director and again demonstrate competency on the particular clinical competency check-off. All clinical assignments must be completed prior to the start of the next semester to advance in the program (i.e. competencies, clinical make up days etc.) 114

Madisonville Community College Radiography Program Policy and Procedure Process for Completion of Clinical Competencies 1. The student must request to attempt the competency prior to the examination. 2. The student will present the staff Radiographer with the appropriate form. 3. The Radiographer will assure completion of the entire exam and critique of the image(s) with 100% accuracy. If the student successfully completes the competency: 1. The staff Radiographer will give the completed and signed form to the student. 2. The student must then present the competency form to a clinical instructor for final approval. 3. After reviewing the image(s) the clinical instructor is to write pass or fail on the form, sign the form and place the form in the locked box for pick-up by faculty. 4. Completed forms are NOT to be given back to the student. If the student does NOT successfully pass the competency: 1. The Radiographer should complete competency form and write any comments on form. 2. Reason for failure should be documented on the form by the Clinical Instructor. 3. The Radiographer signs the form and place the form in the locked box for pick-up by faculty. 4. Failed competency forms are NOT to be given back to the student. 115

CLINICAL COMPETENCY RECHECKS Each semester the student will be assigned a specific number of examinations that require a competency recheck. Rechecks can be any exam the student has previously completed a competency on. It is the student s responsibility to assure completion of all required rechecks while program faculty are at the clinical facility. Competency re-checks may be requested by student OR may be assigned by faculty. Refusal to attempt the recheck assigned by faculty will be considered a failure of the recheck. Competency rechecks that are not completed with 100% accuracy will result in one demerit on the first attempt of an exam and will result in two demerits on the second failure of the same exam. The demerits will affect the clinical grade in the area of competencies and recomps. 116

POLICY ON VOLUNTEERING FOR CLINICAL PRACTICE Students that wish to volunteer for additional clinical practice must follow specific guidelines: The student must get prior approval from the clinical coordinator/instructor with specific dates and times which match current clinical rotations and level of skill. Request for volunteering must occur at least 48 hrs. prior to date of request. The student must provide the clinical coordinator/instructors a list of objectives the student would like to accomplish during their rotations. Volunteer time must consist of a minimum of 2 hours at the clinical facility. Complete volunteer request form. A clinical instructor must be present during the volunteer experience. All program policies are in force while volunteering. Volunteerism time cannot be utilized for make-up time unless extenuating circumstances prevail. Failure to meet the scheduled obligation will result in the following: o The student will be counted absent for failure to meet the obligation and commitment. o The student may forfeit future volunteer opportunities. o The student must notify the clinical rotation site and clinical coordinator if there is an emergency and the obligation cannot be fulfilled. 117

Section VII: Clinical Forms 118

CLINICAL GRADE RECORD Student: SEMESTER: ATTENDANCE AND PUNCTUALITY BEGINNING POINTS: 10 MINUS DEMERITS: PLUS MERITS: POINTS FOR SEMESTER: PROFESSIONALISM BEGINNING POINTS 10 MINUS DEMERITS PLUS MERITS POINTS FOR SEMESTER: ASSIGNMENTS AND CLINIC CLASS GRADE ASSIGNMENTS CLINICAL CLASS MINUS DEMERITS PLUS MERITS POINTS FOR SEMESTER: EVALUATIONS: STAFF EVALUATIONS FACULTY EVALUATIONS POINTS FOR SEMESTER: COMPETENCIES AND RECHECKS: ASSIGNED COMPETENCIES 10 MINUS DEMERITS PLUS MERITS POINTS FOR SEMESTER: GRADE FOR SEMESTER: 119

EXTRA EFFORT AWARD Recommended for: For the following reason: Radiographer Signature: Date: EXTRA EFFORT AWARD Recommended for: For the following reason: Radiographer Signature: Date: 120

DEMERIT RECOMMENDATION I am recommending a demerit for the following student: (Student s Name) The reason for this recommendation is as follows: Uniform wrinkled No lab coat over scrubs Shoes not clean Inappropriate jewelry Hair not pulled up appropriately Chewing gum Inappropriate nail polish Name not visible on name tag Inappropriate radiation monitor placement No markers brought to clinicals Not having thyroid shields at clinical. Violation of written policy (please describe below) Electronic devices violation Other ( please describe below) Comments: Signature: Date: 121

Recommendation for Competency Check-off Removal I am recommending the following student have his/her competency removed and redemonstrate competency. Student Name Procedure The reason for this recommendation is as follows (list deficiencies): Comments: Radiographer Signature: Date: Faculty Signature: Date: 122

MADISONVILLE COMMUNITY COLLEGE RADIOGRAPHY PROGRAM STUDENT ACTION PLAN CLINICAL EDUCATION Student Name: Date: Course: Following Up Meeting date: WEAKNESS/STRENGTHS PLAN OF ACTION RECOMMENDED RESOURCES Consequences, as detailed in the student handbook, have been discussed and the student is aware of possible outcomes if the issues leading to this Action Plan are not corrected. Faculty Member: Student: Date: Date: 123

MERIT NOTIFICATION This is to notify you that a merit has been placed in your clinical record for the following reason: Student Comment: Faculty Signature: Date: Student Signature: Date: 124

DEMERIT NOTIFICATION This is to notify you that a demerit has been placed in your clinical record for the following reason: Student Comment: Faculty Signature Date: Student Signature: Date: 125

MADISONVILLE COMMUNITY COLLEGE RADIOGRAPHY PROGRAM CLINICAL EDUCATION CLINICAL ASSIGNMENT MAKE-UP Attendance is one of the most important assets to a Radiographer in the medical field. As an Allied Health Professional one is expected to be dependable in all job assignments. As a student in the program you know that attendance is strictly enforced to help the graduate better adjust to the work force. According to attendance records you have exceeded the absences allowed by the program by day/s. Also according to the attendance policy you will be issued demerit/s for exceeding the number of absences allowed by the program and have been assigned a make-up day (refer to: Radiography Program Handbook). You have been assigned: Clinical Education Center: Date and length of assigned clinical make-up experience: Student Signature Faculty Signature 126

Radiographic Procedures Clinical Performance Check-off (rev.9-19-16, 5-16-17, 8-2-17) Examination Clinical Facility Student Name: Date: Patient Type: Amb. W/C Stretcher Trauma Non-trauma Pt. Age Group LIST PROJECTIONS IN THE SPACES BELOW CRITERIA: 1 Completed 0=Incomplete 1. Interpretation of requisition 2. Room set up 3. Identification of correct patient 4. Selects appropriate image receptor/ size /placement 5. Effective patient communication & explanation of procedure 6. Provided patient care / ensured patient safety 7. a. Positioned patient correctly (no rotation, correct degree obliquity) b. Positioned patient correctly, anatomy to CR/IR 8. Immobilized the part 9. Proper use and location of markers* Must be completely displayed on image* 10. Correct central ray placement to IR only 11. Proper use of collimation *Cones to within 1 of involved area or to receptor size. 12. Correct SID 13. Proper breathing instructions and execution 14. Provided radiation protection 15. Evaluated radiograph for quality 16. Identified anatomy / projection 17. Correct equipment usage (ex. bucky not pushed in, wrong distance) 18. Image Processing prepares image/s for interpretation 19. Provided necessary documentation for patient form / chart 20. Proper Control Panel selection (exposure factors) Imaging System Index Range : Position AEC Manual kvp mas Exposure Index Position AEC Manual kvp mas Exposure Index Position AEC Manual kvp mas Exposure Index **THIS EVALUATION SHALL BE COMPLETED WITH 100% ACCURACY BEFORE STUDENT HAS COMPLETED THIS TASK COMPLETELY** Staff Technologist Clinical Supervisor Comments: Image Analysis assigned: Student s Signature Pass Or Noncomp Fail Completed: 127

Clinical Competency Recheck Evaluations (rev. 8-2016,5-2017,8-2017) Examination Affiliate Patient Type Student Name: Date: Positions: (1) (2) (3) (4) (5) (6) (7) (8) 1. Interpretation of requisition 2. Room set up 3. Identification of correct patient 4. Selects appropriate IR /size /placement 5. Effective patient communication & explanation of procedure 6. Provided patient care/ensured patient safety 7. a. Positioned patient correctly (no rotation, correct degree obliquity) b. Positioned patient correctly with anatomy to CR/IR 8. Immobilized the part CRITERIA PASS FAIL N/A 9. Adapted procedure to meet age-specific, disease-specific and cultural needs of patient 10. Proper use and location of markers* Must be completely displayed on image* 11. Correct central ray placement to IR only 12. Proper use of collimation *Cones to within 1 of involved area or to IR size. 13. Correct SID 14. Proper breathing instructions and execution 15. Correct exposure factors AEC or Manual mas kvp - Position AEC or Manual mas kvp - Position AEC or Manual mas kvp - Position AEC or Manual mas kvp - Position AEC or Manual mas kvp - Position 16. Provided radiation protection 17. Evaluated radiograph for quality 18. Identified anatomy / projection 19. Verified proper identification of patient on image 20. Image processing prepares image/s for interpretation 21. Control panel selection (exposure factors) 22. Correct equipment usage (ex. bucky pushed in, wrong distance) 23. Provided necessary documentation on patient form / chart (pt. hx, previous) 24. Released patient PASS FAIL ***THIS EVALUATION SHALL BE COMPLETED WITH 100% ACCURACY BEFORE STUDENT HAS COMPLETED THIS TASK COMPLETELY*** Comments: Faculty Member Student s Signature 128

Madisonville Community College Radiography Program Policy and Procedure Completion of Staff Observations of Clinical Performance The student must: Request a Radiographer observation daily (unless the student is scheduled to be with the same Radiographer for the entire week, at which time only one evaluation for the entire week is necessary). Before sending the observation form to the Radiographer through E* value fill in the following: 1. Student Name 2. Facility 3. Rotation 4. Week 5. Semester 6. Year 7. Date (If the evaluation is for more than one day, ALL dates must be listed individually!) When using the E*Value electronic document system the student must notify the Radiographer that he/she will receive an electronic request via email to complete an Observation of Clinical Performance form in E*Value. If the electronic system should fail and/or a paper forms is used; give the Radiographer the completed form at least one hour before scheduled to leave. The Staff Radiographer will: Complete the form by placing a check in the column which represents observations of the student s clinical performance. (Paper or Electronic). A written comment is required when any area other than average is checked. (Paper or Electronic). The program feels if the student s performance is documented as anything other than average that it is critical to the student s learning experience to have full documentation of the behaviors that placed their performance in that category. Review the form or explain performance observations with the student. Answer any questions the student has about the form or any observations made by the Radiographer. The student must: Sign the form acknowledging that they have received the evaluation and understand the Radiographer s observation of their performance. When using E*Value student access to the form is recorded electronically (date stamped). The program feels it is critical for the student to take the opportunity to ask the Radiographer questions about any area of the performance that is unclear. Calculate clinical grade and record in appropriate blank at bottom right hand of form (see example on following page). When using E*Value clinical document system, this is done electronically the student (read only) and Clinical Coordinator and/or Program Director has access to this information. 129

Madisonville Community College Radiography Program First Clinical Semester Performance Observation Clinical Practice I Student: Facility: Rotation: Week Semester Year Date(s) The purpose of evaluation is not to prove.but to IMPROVE Author Unknown ** Marks other than meets expectations require a written comment 1) Attendance (absences and tardies) Comments: 2) Professional Appearance (follows dress code, hair groomed, nails, shoes, jewelry) Comments: 3) Professional Ethics and Conduct (acts and reacts in professional manner, accepts constructive criticism) Comments 4) Self Confidence (assertive, asks appropriate questions) Comments: 5) Initiative (looks for tasks to complete, uses time productively) Comments: 6) Dependability (completes tasks, follows instructions/directions) Comments: 7) Communication Skills (respectful, gets point across to patients, family members & other health care) Comments: 8) Introductory Patient Care Skills (transports skills, tends to patient s needs) Comments: 9) Radiation Protection (asks and documents LMP, utilizes shielding, protects self) Comments: 10) Introductory Positioning Skills (utilizes correct basic patient and part positions, demonstrates knowledge of image criteria) Comments: 11) Introductory Manipulation of Equipment (correctly utilizes locks, angles, table movement controls, control panel) Comments: 12) Formulating Technique (writes down techniques, demonstrates knowledge of basic techniques) Comments: 13) Organization/Neatness (assigned area neat, organized & well supplied) Comments: Additional Comments: Not Acceptable 0 Needs to Improve 70 Showing Improvement 80 Meets Expectations 90 Exceeds Expectations 100 **Please evaluate student as compared to other beginning students, not experience radiographers or 2n year students. Radiographer Signature Student Signature Grade 130

Madisonville Community College Radiography Program Clinical Education Performance Observation Clinical Practice II - V Student: Facility: Rotation: Week Semester Year Date(s) The purpose of evaluation is not to prove.but to IMPROVE Author Unknown ** Marks other than meets expectations require a written comment 1) Attendance (absences and tardies) Comments: 2) Professional Appearance (follows dress code, hair groomed, nails, shoes, jewelry) Comments: 3) Professional Ethics and Conduct (acts and reacts in professional manner, accepts constructive criticism) Comments 4) Self Confidence (efficiency, speed, projects professionalism) Comments: 5) Initiative (seeks task to complete, uses time productively) Comments: 6) Dependability (completes tasks, follows instructions/directions) Comments: 7) Communication Skills (respectful, gets point across to patients, family members & other health care professionals) Comments: 8) Patient Care Skills (transports skills, anticipates and tends to patient s needs) Comments: 9) Radiation Protection (asks and documents LMP, practices good radiation protection skills for patient, self & others) Comments: 10) Positioning Skills (demonstrates correct patient & anatomical part position) Comments: 11) Manipulation of Equipment (correctly utilizes locks, angles, table movement controls, control pane) Comments: 12) Formulating Technique (knows normal techniques/manipulates for different body habitus, etc) Comments: 13) Critical Thinking Skills (utilizes proper sequences for traumas, manipulates exams to accommodate patient s limitations) Comments: 14) Ability to Critique Films (utilizes appropriate image criteria) Comments: 15) Organization/Neatness (keeps assigned area neat organized & well supplied) Comments: Additional Comments: Not Acceptable 0 Needs to Improve 70 Showing Improvement 80 Meets Expectations 90 Exceeds Expectations 100 Radiographer Signature Student Signature Grade 131

MADISONVILLE COMMUNITY COLLEGE RADIOGRAPHY PROGRAM FACULTY EVALUATION OF STUDENT PROGRESS MID-TERM / END OF SEMESTER Student: Date: Semester: Summary: Number of Absences: Number of Tardies: Professionalism: Extra effort breach of ethics or professionalism Assignments/Clinic Class: Extra effort or problems with folder MERIT DEMERIT Staff Observations (circle one) Less than average Average Above Average Competencies: # of competencies passed this semester: # of competencies failed this semester: Recomps: # of competencies passed this semester: # of competencies failed this semester: Comments: Positioning Technical Factors Other 132

MADISONVILLE COMMUNITY COLLEGE PROFESSIONAL DEVELOPMENT EVALUATION/RADIOGRAPHY FIRST CLINICAL SEMESTER FACULTY EVALUTTION "The purpose of evaluation is not to prove but to IMPROVE" - Author Unknown 1. Attendance (absence and tardies) Comments: 2. Professional Appearance (follows dress code, hair groomed, nails, shoes, jewelry) Comments: 3. Professional Ethics and Conduct (acts and reacts in professional manner; accepts constructive criticism) Comments: 4. Self Confidence (assertive, asks appropriate questions) Comments: 5. Initiative (Looks for tasks to complete, uses time productively) Comments: 6. Dependability (completes tasks) Comments: 7. Communications Skills Not Acceptable 0 133 Needs to Improve 70 (respectful, gets point across to patients, family members and other health care professionals) Comments: 8. Introductory Patient Care Skills (transport skills, tends to patients basic needs) Comments: 9. Radiation Protection (asks and documents LMP, utilizes shielding, protects self) Comments: 10. Introductory Positioning Skills (Utilizes correct basic patient/part positions, CR location and knows evaluation criteria) Comments: 11. Introductory Manipulation of Equipment (correctly utilizes locks, angles, table movement controls, control panel) Comments: 12. Formulating Techniques (WRITES DOWN techniques used demonstrates knowledge of basic techniques) Comments: 13. Organization /Neatness (assigned area neat, organized & well supplied) Comments: Showing Improvement 80 Meets Expectations 90 Exceeds Expectations 100

MADISONVILLE COMMUNITY COLLEGE PROFESSIONAL DEVELOPMENT EVALUATION/RADIOGRAPHY "The purpose of evaluation is not to prove but to IMPROVE" - Author Unknown FACULTY EVALUATION - SEMESTER II - SEMESTER V 1. Attendance (Absence and tardies) Comments: 2. Professional Appearance (follows dress code, hair groomed, nails, shoes, jewelry) Comments: 3. Professional Ethics and Conduct (Acts and reacts in professional manner, accepts constructive criticism) Comments: 4. Self Confidence Not Acceptable 0 Needs to Improve 70 Showing Improvement 80 Meets Expectations 90 Exceeds Expectations 100 (Efficiency and speed, projects professionalism) Comments: 5. Initiative (Seeks tasks to complete, uses time productively) Comments: 6. Dependability (Completes tasks follows instructions/directions) Comments: 7. Communications Skills (Respectful, gets point across to patients family members & other health professionals) Comments: 8. Patient Care Skills (Transport skills, anticipates and tends to patient's needs) Comments: 9. Radiation Protection (Asks and documents LMP, practices good radiation protection skills for patient, self & others) Comments: 10. Positioning Skills (Demonstrates correct patient and anatomical part position, adapts to patient s limitations) Comments: 11. Manipulation of Equipment (Correctly utilizes locks, angles, table movement controls, control panel) Comments: 12. Formulating Techniques (Knows normal techniques/manipulates for different body habitus, etc.) Comments: 13. Critical Thinking Skills (Utilizes proper sequences for traumas, manipulates exams to accommodate patient s limitations) Comments: 14. Ability to Critique Films (Utilizes appropriate image criteria, recognizes reject image) Comments: 15. Organization / Neatness (Keeps assigned area neatly organized & well supplied) Comments: 134

Faculty Comments: Evaluator Signature(s): Date: Evaluator Signature(s): Date: Student Comments: Student Signature: Date: *** Student signature does not mean that he/she necessarily agrees with the evaluation. The student signature means that eh student has read the evaluation and was given the opportunity to ask questions and give input. *** The student comment section is to be used for any comment the student wishes to have on record. 135

STUDENT: MADISONVILLE COMMUNITY COLLEGE DAILY PATIENT LOG DATE: STAFF OBS: FACILITY: ROTATION: Patient Type I.P O.P Exam Obs/Asst X-rayed Effective Communication Y/N Notes 136

MADISONVILLE COMMUNITY COLLEGE DAILY PATIENT LOG COMPETENCIES EXAM INDEX RANGE PT AGE TYPE PROJECTION AEC MANUAL KVP MaS Exposure Index # NOTES RT surveyed One thing I do well: One thing I need to work on: 137

Clinical Education Facility Evaluation (completed by student)(e*value) Please answer YES or NO or SOMETIMES to the following questions. If you answer NO or SOMETIMES please provide an explanation. 1. Did the explanations, theories, techniques, positioning and anatomy coincide with the classroom and lab instruction? Yes No Sometimes 2. Did you receive adequate information on the procedure and supplies needed to effectively perform the exams? Yes No Sometimes 3. Were you allowed to participate in the exams in a manner, which allowed you to gain clinical experience? Yes No Sometimes 4. Were you given direct super vision during all repeat Radiographs? Yes No Sometimes 5. Were you informed of areas in which you needed to improve as your rotation progressed from beginning to end? Yes No Sometimes 6. Were pathological conditions identified for you? Yes No Sometimes 7. Were you allowed to critique your films under the supervision of a Radiographer? Yes No Sometimes 8. If repeats were necessary, were needed corrections explained? Yes No Sometimes 9. Was professionalism exemplified? Yes No Sometimes 10. Was radiation protection practiced? Yes No Sometimes 11. Did the length of rotation allow you to increase your clinical experience? Yes No Sometimes 12. Were you able to understand and effectively operate the equipment? Yes No Sometimes 13. Were your questions satisfactorily answered? Yes No Sometimes 14. Were you informed of expectations that you were evaluated on? Yes No Sometimes 15. If your rotation was a repeat did you prior rotation prepare you for the current rotation? Yes No Sometimes 16. Was the level of supervision that you require provided? Yes No Sometimes NAME: FACILITY/ROTATION: DATE: WEEK 138

Madisonville Community College Clinical Education Self Evaluation (Please list appropriate information in box beside area assistance is requested) Name: A B C Date: Semester: Comments: I. Radiographic Performance a. Positioning b. Technique c. Working Speed d. Radiation Protection e. Judgment-Problem Solving f. Patient Care II. Professional Performance a. Professional Appearance b. Ability to follow instructions c. Co-operation d. Ability to take criticism III. Individual Performance a. Promptness b. Attendance c. Attitude d. Initiative e. Desire to self-improve I have presented this evaluation to the clinical instructor and have discussed my reasons for checking each area evaluated. Date Student Signature I have seen and discussed this evaluation with the student. Date Instructor s Signature Date Program Faculty s Signature 139

Student Self Evaluation (To be completed at End of Summer Semester) Name: Date: You are now completing your first year of training and are halfway to your goal in Radiography. Reflect upon the knowledge and the skills you have developed. Reflect upon your role in the overall care and responsibility for your patients. 1. Which clinical area(s) do you feel most confident in performing and working with at this point in your training? Be specific and provide reasons for your choices. 2. Which clinical area(s) and procedure(s) do you feel least confident in performing and working with at this point in your training? Be specific and provide reasons for your choices. 3. Which Radiographers have provided you with the most instruction, assistance and encouragement? Be specific. 4. What qualities or characteristics do the Radiographers that you have identified above appear to posses that make your experiences with them positive and make them stand out from others? 5. If you were to evaluate your overall participation in the activities and clinical assignments of the department, how would you rate yourself? Unsatisfactory Poor Average/Satisfactory Above Average Below Average Excellent/Superior 6 If you were to describe your attitude toward your experience, training coworkers and your patients, how would you rate yourself? Unsatisfactory Poor Average/Satisfactory Above Average Below Average Excellent/Superior 7. If you were to evaluate your overall progress in clinical training, how would you rate yourself? Unsatisfactory Poor Below Average Average/Satisfactory Above Average Excellent/Superior Student s Signature Date 140

MADISONVILLE COMMUNITY COLLEGE Radiography Program Volunteering for Clinical Practice I want to request volunteer time at on for I understand that according to school policy: Prior approval must be obtained from the clinical coordinator/instructors, with specific dates and times which match current clinical rotations and level of skill. I must provide the clinical coordinator/instructors with a list of objectives I would like to accomplish. A clinical instructor must be present during the rotations. All program policies are in force while volunteering. Volunteerism time cannot be utilized for make up time unless extenuating circumstances prevail. Failure to follow through on my scheduled volunteer time will result in: A clinical absence for failure to meet my obligation and commitment. Forfeiture of future volunteer opportunities. If an emergency arises and I cannot fulfill my obligation, I must notify the clinical rotation site and clinical coordinator ASAP. Objective/s for volunteer request: Student Clinical Coordinator/Instructor 141

Section VIII: Program Forms 142

STATEMENT OF UNDERSTANDING Student Name: Program: Radiography Program College: Madisonville Community College As a student of this program, I agree to the rules, regulations, policies and procedures as stated below. 1. The program requires a period of assigned, guided clinical experiences either in the college or other appropriate facility in the community. 2. For educational purposes and practice on live models, I will allow other students to practice procedures on me and I will practice procedures on them under the guidance and direct supervision of my instructor. The nature and educational objectives of these procedures have been fully explained to me. No guarantee or assurance has been given to me by any representative of the college as to any problem that might be incurred as a result of these procedures. 3. These clinical experiences are assigned by the instructor for their educational value and thus no payment (wages) will be earned or expected. 4. It is understood I will be a student within the clinical facilities that affiliate with my college and will conduct myself accordingly. I will follow all required and published personnel policies, standards, philosophy, and procedures of these agencies. I will agree, at my own expense, to obtain all health screenings, immunizations, criminal background checks, and drug screenings as required by the affiliating agency. 5. I have been provided a copy of, read, and agree to adhere to the college s policies, rules, and regulations related to the program for which I am applying. 6. I understand that information regarding a patient or former patient is confidential and may be used only for clinical purposes within an educational setting according to the Health Insurance Portability and Accountability Act of 1996 (HIPAA). 7. I understand the educational experiences and knowledge gained during the program do not entitle me to a job; however, if all educational objectives and licensure requirements are successfully attained, I will be qualified for a job in this occupation. 8. I understand any action on my part inconsistent with the above understandings may result in suspension of training. 9. I understand that I am liable for my own medical and hospitalization expenses. 10. I understand that I will be accountable for my own actions; therefore, I will carry a minimum $1,000,000/$3,000,000 (or a greater amount of as required by the Facility) limited professional liability insurance during the clinical phase of the program. I have read and understand each term above, and agree to abide by this statement of understanding. To be signed by legal guardian if applicant is a minor. Student Signature: Date: As the legal guardian of the student named above, I agree to the above conditions. 143

Madisonville Community College Radiography Program Statement of Understanding I have read and understand the information contained within the Radiography Program Handbook and agree to adhere to these stated policies and procedures. Student s Signature Date 144

Madisonville Community College Radiography Program Program of Study I have received a copy of the general education courses for the Radiography Program Course IMG 104 IMG 106 IMG 108 IMG 109 FIRST SEMESTER Course Title Introduction to Radiography Patient Care in Radiography Radiographic Procedures I Clinical Practice I Course IMG 114 IMG 116 IMG 118 IMG 119 SECOND SEMESTER Course Title Image Production & Acquisition Advanced Patient Care in Radiography Radiographic Procedures II Clinical Practice II Course IMG 209 THIRD SEMESTER Course Title Clinical Practice III Course IMG 214 IMG 216 IMG 219 Course IMG 224 IMG 226 IMG 228 IMG 229 FOURTH SEMESTER Course Title Imaging Equipment Basic Computed Tomography Clinical Practice IV FIFTH SEMESTER Course Title Radiation Protection & Biology Radiographic Pathology Radiography Seminar Clinical Practice V Student Signature Date 145

Madisonville Community College Radiography Program GRIEVANCE AND JRCERT ACKNOWLEDGEMENT FORM I have been explained the purpose of accreditation and have been provided the opportunity to review and question The Standards for an Accredited Program by the JRCERT. I also have been informed of the College s grievance procedure, as well as concerns regarding accreditation and how to convey such concerns. Student Signature Date 146

Madisonville Community College Radiography Program GROUNDS FOR DISMISSAL The Grounds for Dismissal are listed below. It should be noted that a student may be suspended from the program at any time for violation of any of the grounds listed either for academic, disciplinary or patient safety reasons. Due process will be allowed in applicable situations. Failing grades in Radiography and/or other college coursework Failure to follow policies and procedures in the academic or clinical setting. Failure to follow policies and procedures will be initiated by a verbal warning followed by a written warning, program dismissal may occur as the result of the third offense depending upon the severity of the incident involved. Insubordination such as but not limited to: defiant disregard of radiographer/faculty member s instructions. Conviction relating to distribution of, or possession of illegal drugs or controlled substance. Failure to accomplish clinical assignments and objectives. Unprofessional or unethical conduct or actions which compromise patient safety. Cheating in academic or professional coursework or clinical competency. Failure to adhere to KCTCS Student Code of Conduct. Clinical Education Center refuses to allow a student into their facility or removes student from facility because of violations such as positive drug screen, crimes against the person such as battery or assault, patient safety issues, crimes based on dishonesty or untruthfulness such as theft, drug or other substance abuse related crimes. Without clinical experiences the student cannot complete all aspects of the program and will be dismissed from the Radiography program. Student Signature Date 147

Madisonville Community College Radiography Program Emergency and Contact Sheet Name: Address: Home Phone: Cell Phone: Work Phone: Email Address: Emergency Contact Person: Address: Phone: Emergency Contact Person: Address: Phone: 148

Madisonville Community College Radiography Program Radiography Authorization to Release Reference Information I hereby authorize the Program Director and/or instructors in the Radiography Program of Madisonville Community College to release information concerning my performance while enrolled in the program. This information should only be released to prospective employers of which I have given the Program Director and/or instructors as references. This information may be given out by letter or via telephone conversation. Student Signature Date 149

Madisonville Community College Radiography Program Travel Form This is to confirm that (student s name) has permission to participate in any trip necessary to the Radiography Program. I understand that the trips may involve going out of town for overnight or for several days. I will not hold Madisonville Community College or any faculty thereof responsible for any accidents or bodily injury that may occur to the above named student. Student Signature Date 150

Application Professional Liability Insurance for Health-Related Disciplines Kentucky Community and Technical College System Name Home Address Social Security (Street) (City) (County) (State) College District Campus List of Covered Programs (Check One) Bio-Medical Equipment Clinical Lab Tech Culinary Arts Dental Hygiene/Dental Assisting Diagnostic Medical Sonography Interdisciplinary Early Childhood Education EMT/Paramedic Health Information Tech Human Services Massage Therapy Medical Assistant Medical Information Tech Office Systems Tech Medicaid Nurse Aid Nurse Aid Nuclear Medicine Nursing Assistant Nursing/PN & RN Occupational Therapy Pharmacy Technology Phlebotomy Physical Therapist Assistant Radiography Respiratory Care Surgical Technology Teacher Education I agree to notify the Business Office in writing of any incident that may result in a claim. Date Signed (Applicant) Student premium per semester is $11.00 (Pro-rating is not permitted). Fee is accessed to each clinical practice course. Students must enroll in the professional liability insurance program prior to any clinical (patient care) activity. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (Items below line for College use only) PAYMENT: Cash Amount Received Check Credit Card Date Payment Received By (Initial) 151

Madisonville Community College Radiography Program Professional Standards A student entering the profession of Radiography must understand that they are entering a field of medicine that requires certain professional standards that other career choices may not. Professional dress, appearance, and modes of communication must be of certain standards in order to maintain the confidence and care of the patient. Patients under the care of a Radiographer present themselves in all ages, cultures, and of various ethnic origins; therefore trendy modes of dress and appearances are not allowed. The program has an established dress code and a code of conduct you must follow throughout the Radiography Program. Your signing of the Professional Standards form indicates that you understand the requirements of the program and that you agree to abide by these standards. Applicant Signature Date College Representative Signature Date 152

Madisonville Community College Radiography Program Policy and Procedure Using Communication Devices The clinical facility phone is not to be used by the student to make personal calls during his/her clinical assignment. Electronic Devices: Cellular phones, CD players, games and other devices are not to be brought into any clinical facility. Cell phones must be left in the student s vehicle. If the student believes it is absolutely necessary to use his/her cell phone or make a phone call, the phone may only be accessed during a designated break/lunch period. o Wearable electronic devices (ex. FitBit, Smart watches etc ) are considered on a case by case basis. A Wearable Electronic Device-Appropriate Use contract must be signed by the student and a faculty member prior to wearing the device to any clinical facility. (Wearable Electronic Device Appropriate Use contract may be found in the Program Forms section of the Handbook) Students must inform family and or others the proper procedure to follow for contacting them during a clinical assignment rotation. First, call Tonia Gibson, Program Direct at (270) 635-3651 stating that there is an emergency and they need to contact the student. She will immediately transfer the information to the student at his/her assigned clinical facility. Under no circumstances should the student be directly contacted at the clinical facility. Cell phone or other electronic photos are NOT allowed to be taken in the clinical facility without special permission from the program faculty and/or Radiology department management. I have read and understand this policy. Signature: Date: 153

Madisonville Community College Radiography Program Policy and Procedure Wearable Electronic Devices Wearable electronic devices (ex. FitBit, Smart watches etc ) are considered on a case by case basis. A Wearable Electronic Device-Appropriate Use contract must be signed by the student and a faculty member prior to wearing the device to any clinical education center. The conditions below must be agreed upon by the student prior to wearing the device to any clinical facility. Device must be set so there is no audible or visual signal that a text, phone call or voice message is being received If device is incapable of being programmed to work under the conditions listed above the device may not be worn Failure to abide by the conditions listed will result in two demerits being issued on each occurrence *A memo will be sent to the Clinical facilities concerning these conditions for use of the wearable electronic device. Facility staff will be instructed to notify program faculty if there is any violation of the conditions of use. The device must NOT disrupt the student s clinical experience in any manner. I have read and understand this policy. Signature: Date: 154

Madisonville Community College Radiography Program Communicable Disease Prevention Policy All Radiography students, in order to protect themselves, fellow health care personnel, and patients, will comply with each of the following: Uniforms and lab coats will be fresh each day. All equipment will be thoroughly cleaned, disinfected, or sterilized between patients according to appropriate procedures for each piece of equipment regardless of the patient s diagnosis. Good hand washing practices will be carried out before and after patient contact. Disposable gloves will be worn in all cases when contact with blood or body fluids is anticipated. Disposable gloves are MANDATORY for all patient transfers. Disposable gloves are considered as part of the uniform dress code, a pair of gloves should be i the student s uniform pocket at all times. Masks will be worn when it is likely that blood or body fluids could splash in the nose or mouth. A gown will be worn should a splash of blood or body fluids onto the skin or clothing be anticipated. Cuts, scratches, or other non-intact skin will be covered to avoid contact with blood or body fluids. Goggles or other eye protection will be worn when a splash of blood or body fluid into the eye is anticipated. Blood or body fluid inadvertently coming in contact with the skin should be quickly and thoroughly washed away. Students that experience exposure to blood or body fluid will report to their clinical instructor and follow clinical exposure protocol. Students with a communicable disease will avoid patient contact until resolved. I HAVE READ AND WILL ABIDE BY THE ABOVE POLICY Student Signature Date 155

Name: Madisonville Community College Radiography Program Required Documentation (Prescreening) for Clinical Students must complete this form and provide documentation of each item on the due date. If you are noncompliant with these requirements you are at risk for termination from the Radiography program because you will not be allowed to participate in your clinical rotation assignment. Item and Information Due date Compliant CastleBranch is our vendor for Drug Screen and Background checks. You must purchase these through the CastleBranch website (both tests, cost approximately $100.00) Negative results could affect your program eligibility Drug Screen Ten panel drug screen Background Check National background check CPR Certification -Must be the American Heart Association Healthcare Provider course OR American Red Cross Healthcare Provider course. Copy must be front and back of the card, card must be signed. This is the two year certification and must be active until graduation from Radiography program. CPR re-certification will occur during Program Orientation if CPR certification expiration date is prior to graduation date. Professional Liability Insurance -Please provide a copy of your professional liability insurance. This comes from KCTCS and is embedded in your tuition. Hepatitis B -There must be documentation of one of the following: 3 vaccinations #1 #2 #3 OR Positive antibody titer (lab report required) Results: Varicella (Chicken Pox) -There must be documentation of one of the following: 2 vaccinations #1 #2 OR Positive antibody titer (lab report required) Results: OR Medically documented history of disease with dates: Tdap: Tetanus, diphtheria and pertussis 1 booster within the last 10 years Date: Program Orientation Program Orientation 1 st day of semester First day of class First day of class First day of class MMR immunization generally consists of Measles, Mumps & Rubella combined vaccination but must prove immunity to all three Measles (Rubeola) -There must be documentation of one of the following: First day of 2 vaccinations at least 28 days apart #1 #2 OR class Positive antibody titer (lab report required) Results: Mumps -There must be documentation of one of the following: First day of 2 vaccinations at least 28 days apart #1 #2 OR class Positive antibody titer (lab report required) Results: Rubella -There must be documentation of one of the following: First day of 2 vaccinations at least 28 days apart #1 #2 OR class Positive antibody titer (lab report required) Results: HIV/AIDS Certification All Radiography students must complete a 4 hour HIV/AIDS course. First day of This course is available at no charge from the Kentucky Department for Public Health. Create a log class in with password at: https://ky.train.org Select your course- HIV/AIDS Professional Education in KY Making it Count- online Module: 1021131 Web link to HIV/AIDS course print the certificate. You will need one copy for your records and another copy for the program. Date of certificate: The items below must be current Influenza -There must be documentation of the following: A flu shot administered during the current flu season PLUS the Influenza Vaccine Affidavit with box checked for having received vaccination OR Flu season Nov. 1 to March 31 156

Influenza Vaccine Affidavit with box checked to decline vaccination TB Skin Test -There must be documentation of one of the following: 1 step TB Skin test OR If positive results, provide a clear Chest X-Ray Date: Adapted with permission MCC OTA Program-K.Qualls rev. First day of class 157

Madisonville Community College Radiography Program Hazard Communication Program I a student in the Radiography Program at the Madisonville Community College, Health Sciences Campus, have had the Written Hazard Communication Program explained and do understand that in some classroom procedures I may be exposed to hazardous materials. Student Signature Date Program Director Signature Date 158

Madisonville Community College Radiography Program Pregnancy Policy A student who becomes pregnant at any time during the program should declare the fact to the program director as soon as possible, but is not required. Once declared the program director and a radiation safety officer will counsel the student and the student will choose one of several options. Option # 1 If the student so decides to declare, the student will not be treated any differently than a nonpregnant student. Course objectives, attendance, clinical rotations, etc., will still be adhered to. The student will be required to read NRC appendix 8.13 which are INSTRUCTIONS CONCERNING PRENATAL RADIATION EXPOSURE. The student shall wear an additional radiation monitor at the waist level at all time while in clinical and laboratory situations. The student shall wear a wrap-around lead apron during exposures to radiation. Lead aprons of 0.5 mm lead equivalent are considered sufficient to attenuate 88% of the beam at 75 kvp. Above 75 kvp, aprons with 1.0 mm lead recommended. There would be no modification to clinical rotations. The student will be required to present monthly physician s statements stating that the student may continue in the program. The student will be required to wear a white maternity uniform with school identification patches. Option # 2 If the student so decides to declare, and the student wishes to minimize their exposure to radiation a modified clinical schedule will be developed. The student s competency status would be evaluated to determine if competency could be met without arbitrarily affecting their clinical objectives and rotations. Note: modifying a clinical rotation may mean that clinical objectives and competencies may not be completed on time and the program may be extended for the student until all requirements for graduation are completed. The student will be required to read NRC appendix 8.13 which are INSTRUCTIONS CONCERNING PRENATAL RADIATION EXPOSURE. The student shall wear an additional radiation monitor at the waist level at all time while in clinical and laboratory situations. The student shall wear a wrap-around lead apron during exposures to radiation. Lead aprons of 0.5 mm lead equivalent are considered sufficient to attenuate 88% of the beam at 75 kvp. Above 75 kvp, aprons with 1.0 mm lead recommended. The student will be required to present monthly physician s statements stating that the student may continue in the program. The student will be required to wear a white maternity uniform with school identification patches. 159

Option #3 Should pregnancy occur during the early part of the program, the said student may drop the program at that point to minimize any possible danger to her unborn baby and return the following year at approximately the same time to complete the program. The reasoning is that a student s schedule may have to be altered in order to protect the fetus from radiation exposure and excessive absences could occur which could result in a W (withdrawal). In altering the student s schedule, the student may not meet the required clinical objectives of the program such as mastering fluoroscopy, portable Radiography and other vital clinical education rotations. It may then be difficult to verify a student s level of competency for that particular semester or for graduation. Option #4 The student has the option of withdrawal of the declaration of pregnancy at any time. The form for written withdrawal of declaration is included in the forms section of the handbook. Although it is both procedure and practice of this program to offer the utmost in radiation protection to the students, the college or its affiliates will not assume liability of the mother or child in case of pregnancy. Information regarding a student s leaving due to pregnancy will be held in utmost confidence. It is both the procedure and practice of this program to offer maximum radiation protection to the student. The program always requires safe radiation practices in accordance with the ALARA concept. I have read the pregnancy policy and understand its contents. Student Signature Date 160

I verify by my signature below that: Madisonville Community College Radiography Program Pregnancy / Radiation Safety Protection Verification Form I have notified the Madisonville Community College Radiography Program faculty of my pregnancy. I have been advised by program faculty in regard to protective measures as well as the risks associated with radiation exposure to the fetus. I have also been advised to and/or have read the appendix to U.S. Nuclear Regulatory Commission Regulatory Guide 8.13. I have received an additional radiation monitor that I am wearing at the level of the waist to monitor radiation dose to the fetus. It has been explained to me that by wearing a 0.5 mm lead equivalent protective apron, the dosage to the abdomen/pelvis can be reduced by more that 88% at 75 kvp. It has also been explained to me that a lead apron of 1.0 mm lead equivalent should be worn when the beam is above 75 kvp. I have had the opportunity to discuss question concerning radiation safety during my pregnancy with the program faculty. Furthermore, I understand that should additional questions arise, I may again consult with the faculty. I do understand the risks involved to myself and the fetus during my pregnancy related to radiation safety. I elect to remain in the Program without modifications and adhere to the requirements as stated in Option #1 of the Pregnancy Policy. I do understand the risks involved to myself and fetus during my pregnancy related to radiation safety. I elect to remain in the Program with modifications and adhere to the requirement as stated in Option #2 of the Pregnancy Policy. I do understand the risks involved to myself and the fetus and I withdraw from the program as stated in Option #3 with the option of returning the following year at the point where I left. Student Name (printed) Program Director Signature Student Signature Date Date 161

Madisonville Community College Radiography Program Pregnancy Declaration Form Declaration of Pregnancy To: Radiography Faculty I am declaring that I am pregnant. I believe I became pregnant in, (only the month and year need be provided) I understand that my occupational radiation exposure will not be allowed to exceed 0.05 rem (0.5 msv) per month during my pregnancy. Name (please print) Signature Date 162

Madisonville Community College Radiography Program Pregnancy Policy In-Service Signature Form I have received a copy of the Instruction concerning prenatal radiation exposure Regulatory Guide from the U.S. Nuclear Regulatory Commission, Regulatory Guide 8.13. I have read and understand the material and have been given the opportunity to ask questions. I understand that I may contact the program faculty if I desire more information. Name (please print) Signature Date 163

Madisonville Community College Radiography Program Withdraw of Pregnancy Declaration Form Withdraw of Pregnancy Declaration To: Radiography Faculty I choose to no longer declare pregnancy. Name (please print) Signature Date Clinical Coordinator (Print) Signature Date 164

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