Student Handbook Revised January 2010

Metodist University Hospital Scools of Radiologic & Imaging Sciences Nuclear Medicine Tecnology Program Student Handbook Revised January 2010 Table of Contents Topic/Area Table of Contents Listing 1-2 Address Canges Appeals Process Attendance Classroom Requirements Disciplinary Appeal Dismissal Dress Code Due Process Policy Employee Assistance Program (EAP) and Area Crisis Numbers Failure to Report Funeral Leave Grade Appeal Grade Requirements Graduation Requirements Identification Badges Inclement Weater Policy Library Resources Lunc Period Non-discrimination Policy Pregnancy Policy Professional Conduct Professional Organizations Radiation Exposure Monitoring Reporting Accidents Reporting Illness Required Healt Insurance Resignations [Witdraw from program] Student Awards Student Employment Student Healt Services Student Housing Student Records Student Supervision Tuition Refund Vacation Page Number Introduction 3 Metodist Healtcare's Mission Statement 4 Program Mission Statement, Goals, and Objectives 5 Tecnical Standards 6 Admission Criteria 7-8 Program's Educational Credentialing 9 Program Costs: Tuition - Books - Fees 9 Program Policies 10 10 11-12 13 13 13 13 14 15 16 16 16 17 17 18 18 18 18 18 19 20 20 20 21 21 21 22 22 22 23 23 23 24 24 24

Disciplinary Action Grid 25 Holiday Vacation Scedule 26 Overview of Clinical Education 27 Clinical Practicum Education Clinical Facilities: Address - Pone Number - Clinical Instructor List Sample Rotation Scedules 28-29 30 Clinical and Imaging Competency 31 Practical Competencies [Mandatory and Elective] 31-36 APPENDICES SNM-TS-Code of Etics 37 SNM Scope of Practice 38-40 NMTCB-Components of Preparedness 41-43 NMTCB-Task List* 44 NMTCB-Procedures List* 45-46 NMTCB-Equipment List* 47 NMTCB-Parmaceuticals List* 48-49 NMT Program Courses Taugt 50 2

Student Handbook Introduction On bealf of te entire program staff, welcome to te Metodist University Hospital Scool of Nuclear Medicine Tecnology! We are glad you are ere and look forward to working wit you over te next 12 monts as you strive to acquire te didactic knowledge and develop te clinical skills needed to become a Nuclear Medicine Tecnologist. Te next 12 monts will be callenging to say te least. You will see many new and exciting tings. Troug te application and correlation of bot classroom and clinical experiences, I believe you will discover ow interesting, intense, and truly dynamic Medical Imaging, Nuclear Medicine specifically, really is. During te course of te program you will move from being strictly an observer in te early weeks of te program to becoming te primary 'imager'. Te level of supervision you will encounter over te 12 mont program will cange as you expand your didactic knowledge and develop/refine your patient care and clinical imaging skills. In te beginning, you will be strictly an observer and all your clinical activities will be closely monitored and supervised by NMT/MD staff. As skills develop and you are able to demonstrate competency, you will become a muc more active imaging participant and your activities will require decreasing levels of supervision. Remember, your clinical and didactic instructors are ere to elp you as you make tis journey into te world of Nuclear Medicine Tecnology. Let us know wen and ow we may be of assistance. Congratulations on your acceptance into te program and welcome to Nuclear Medicine! Program Director Metodist University Hospital Scool of Nuclear Medicine Tecnology 3

Metodist Healtcare's Mission Statement Metodist LeBoneur Healtcare, in partnersip wit its medical staffs, will collaborate wit patients and teir families to be te leader in providing ig quality, cost-effective patient and family centered care. Services will be provided in a manner, wic supports te ealt ministries and Social Principles of Te United Metodist Curc to benefit te communities we serve. Vision Statement Metodist LeBoneur Healtcare is a fait-based ealtcare system tat, in partnersip wit its pysicians, will be nationally recognized for providing outstanding care to eac patient, acieved troug collaboration wit patients and teir families. Values 1. We will provide service tat exceeds expectations wit respect, professionalism and a spirit of caring. 2. We are dedicated to providing te igest quality of care troug our consistent delivery of te best practices, continuous learning and improvement. 3. Our beavior will be based on fair treatment and te igest etical standards, reflecting te trust placed in us by our patients. 4. We will foster a culture of collaboration, accountability and dependability wit a strong commitment to diversity. 4

Metodist University Hospital Scools of Radiologic & Imaging Sciences Nuclear Medicine Tecnology Program Mission Statement Metodist University Hospital s Nuclear Medicine Tecnology Educational Program, in partnersip wit its medical, tecnical, and educational staff, will prepare students to graduate wit above-average entry-level competency in Nuclear Medicine Tecnology. In addition, students will be taugt and encouraged to provide effective, compassionate care to all patients trougout teir careers. Te clinical and didactic educational experiences will be in accordance wit te Essentials and Guidelines for an Accredited Educational Program for te Nuclear Medicine Tecnologist, tus qualifying te student to sit for nationally recognized examinations. GOALS 1. To provide Metodist Healtcare institutions and surrounding communities wit qualified Nuclear Medicine Tecnologists. 2. To provide te community wit Nuclear Medicine Tecnologists wo are knowledgeable, flexible and adaptable in clinical situations and will provide excellent ealtcare. OBJECTIVES Te Metodist University Hospital - Scool of Nuclear Tecnology will: Enroll qualified students in te program wo possess motivation and potential for successful practice of Nuclear Medicine tecnology. Facilitate development of applied skills in effective communication, critical tinking, and problem solving in te practice of Nuclear Medicine tecnology. Provide clinical experiences tat complement didactic instruction, and develop clinical skills required for professional practice. 5

Metodist University Hospital Scools of Radiologic & Imaging Sciences Nuclear Medicine Tecnology Program Tecnical Standards To perform te duties and responsibilities of a Nuclear Medicine Tecnologist and to be granted final admission into te Metodist Scool of Nuclear Medicine Tecnology, te prospective student must meet te following standards: In order to determine visual image quality, te student must possess te visual ability to: 1. Differentiate subtle sades of gray and colors. 2. Conceptually visualize uman anatomy in bot 2 and 3 dimensions. In order to properly prepare and/or administer radionuclides, radioparmaceuticals, and/or [wen applicable] appropriate interventional agents, te student must ave te manual dexterity and ability to develop te skills tat would enable te student to accurately prepare, reconstitute, and witdraw appropriate patient doses. 6

Admissions Criteria: Metodist University Hospital Scool of Nuclear Medicine Tecnology Maximum enrollment capacity is 12 students per year. Students are selected in April and admitted to te program in May of eac year. Applications may btained from te Scool of Nuclear Medicine Tecnology by calling, writing, or visiting our website - www.metodistealt.org : Wendy Blankensip, Program Director & Cief Instructor Metodist University Hospital - Scool of Nuclear Medicine Tecnology 1265 Union Avenue Mempis, TN 38104 (901) 516-8099 blankenw@metodistealt.org Applications are accepted for consideration from Dec 1 st troug postmark of Marc 1 st of te year of application. Te following are requirements and procedures for application and/or FINAL acceptance into te Metodist University Hospital - Scool of Nuclear Medicine Tecnology: Candidate must: 1. Submit a completed application ensuring all information is accurate and toroug. A. Be at least 18 years of age. B. Be a graduate of an accredited program in Radiologic Tecnology C. Be a registered or registry-eligible Radiologic Tecnologist D. Satisfy and provide proof of all publised didactic pre-requisites 2. Submit official copies of transcripts from R.T. program and ALL post-secondary education. 3. Report for and complete sceduled interviews wit te Educational Program's Admissions Committee. 4. Notify Program Director, as directed and in timeframe required, of acceptance of student position and intention to begin program in May of specified year. 5. Submit to and pass a pysical examination and drug screen as administered by te Associate Healt Department of Metodist University Hospital. 6. Applicant must be in satisfactory pysical, mental, and emotional ealt as determined by Metodist University Hospital Associate Healt Department. 7. Meet te tecnical standards for performing te duties of te Nuclear Medicine Tecnologist as establised by te Administration of te Scool of Nuclear Medicine Tecnology. 8. Assure tat tree reference letters are received by te Scool by stated deadline. 9. Assure all te above mentioned materials are received by te Scool of NMT by stated deadline. 7

10. In te event an applicant as been or is employed by Metodist Healtcare, e/se must ave a positive reire eligibility status in order to gain final acceptance into te NMT program. 11. Applicants wo meet te above requirements will be informed of acceptance for consideration of admission. Tose wo do not meet te requirements will be notified as well. 12. An equal opportunity is offered to eac applicant regardless of sex, race, religion, or origin. 8

Program's Educational Credentialing Metodist University Hospital s Scool of Nuclear Medicine Tecnology is accredited by te Joint Review Committee on Educational Programs in Nuclear Medicine. Upon graduation, a certificate-of-completion is awarded. Tis certificate, along wit te signature of te Program Director, entitles te graduate to sit for national Registration/Certification examinations in Nuclear Medicine Tecnology. Metodist University Hospital Scools of Radiologic Science and Imaging as a document of articulation wit te Arkansas State University Radiologic program. Wit a minimal 2.0 cumulative GPA, graduates from te Metodist program will document 34 credit ours at ASU toward te Bacelor of Science degree*. Tis articulation agreement is subject to cange witout notice. * Tese ours are in addition to any oter ours awarded for Radiologic Tecnology programs. Tuition: Books: Fees: Program Costs $4,500 for te 12 mont JRCNMT - Accredited Program Montly payments of $375.00 will be due on te 15 t of eac mont. Tuition sould be paid in full by May 6 t. Failure to pay all debts to NMT Scool will result in not being eligible to sit for boards. Approximately $800 for all books and related educational materials Students must independently purcase ALL required books prior to te beginning of classes $ 25 (approximately) for required liability insurance $ 50 non-refundable Application fee $150 non-refundable Student Activities Fee NOTE Metodist University Hospital Scool of Radiologic and Imaging Sciences is NOT accredited for title IV funding 9

Address Canges - Policy: Te Program Director is to be notified IN WRITING witin one week following a cange of name, address, pone number, or e-mail address. Appeals Process - Policy: Program Policies Te Scool of Nuclear Medicine Tecnology as establised an Appeals Board for resolving any grading and/or disciplinary concern(s) or question(s) tat may arise from any student. Te seven (7) member Appeals Committee will meet on an as-needed basis, in te event a student cooses to appeal an administrative decision or action. Te Committee will arbitrate a final and binding decision in accordance wit te establised policies and procedures for te Metodist University Hospital Scoo f Nuclear Medicine Tecnology. Any student may present a written appeal for a grading and/or disciplinary action or question. Written appeals must be submitted witin one (1) week of te actual event. To initiate te process, te student must present tree (3) signed originals of is/er written appeal. All tree (3) originals must be submitted to eiter te Scool s Program or Medical Director witin one (1) week of te actual event. Te written appeal sould include te following as related to te event/occurrence in question: Date of event Date of Appeal s presentation to Scool s Program or Medical Director Student s detailed account/description/explanation of te event Any collaborative information or documentation te student would like taken into account Te Committee will convene witin two (2) weeks from te date te written appeal is presented. At tat time, committee members will review all information submitted, conduct face-to-face interviews wit involved parties, and review faculty s written rebuttal, scool policies, etc. After private discussions among members, te Committee will formulate a final decision. Decisions of te Committee are final. Candidates will be notified, in writing, regarding te Committee s decision. 10

Attendance, Tardy and Absence Reporting - Policy: Regular attendance is an essential expectation of a Nuclear Medicine tecnologist in order to provide quality patient care. Absenteeism and tardiness become undesirable abits tat are unfortunately very difficult to cange. Tis policy is establised to ensure prompt and regular attendance by te student and to provide uniform guidelines for monitoring and supervising absence. 1) All students will be in te Clinical or Didactic education center from 8:00 a.m. until 4:00 p.m., Monday troug Friday. 2) Te Program Director is responsible for upolding scool standards as outlined in tis policy and responsible for maintaining records of attendance. If te student's attendance becomes unsatisfactory, te attendance record will be reviewed and progressive counseling will result. 3) Eac student will be allowed five (5) days of absence for sickness. All days missed beyond tese five sick days will be deducted from annual vacation time assigned by te Program Director; all days must be made up beginning wit te first day of vacation. An absence is considered to be any time a student is not in is/er assigned area. Te only exceptions will be if te student is sent ome by Associate Healt or if te student is ospitalized. Tese occurrences will need discussion between te program director and te student. If a student is sent ome by Associate Healt, e/se must present a pysician s note specifying te date of return. Te student must ceck back in troug Associate Healt before returning to clinical rotation. 4) Exclusions from te attendance policy standards are limited to: A. State of Emergency designated by te Program Director B. Jury Duty C. Military Leave (excanged for vacation time) D. Sceduled Vacation E. Holidays (except wen absent te day before or after witout advance permission of te Program Director) F. Professional Leave 5) See Failure to Report Policy. Failure to report is fai ing to notify te Program Director of intent to be tardy or absent. If te Program Director is not available you must contact te Administrative Assistant. Te notification must be made by a pone call, and tat notification must be made BY 8:30 A.M. FOR EACH DAY OF TARDY OR ABSENCE. A pone message left wit anyone else is NOT acceptable. Te Scool and te assigned clinical site need to know of a student's intention to be absent or tardy. Failure to report is a serious offense and will result in progressive corrective action. First - failure to report will result in te student being placed on a 1-day suspension. Second - failure to report will result in 3-day suspension Tird failure to report will result in termination from te education program. 11

6) If te student is absent te day before or te day after a oliday, witout advance permission,te oliday will be counted as a day of absence also. 7) An official attendance record will be maintained on eac student and is subject to periodic review. Tese records will be available to your future employers if te student signs an information release wen applying for employment. 8) Continued absence calls for te following response: Days of Absences Action 4-6 Written warning 7-9 Second written warning 10 Termination from te program 9) Te possibility exists for igly unusual or extraordinary circumstances to warrant a special review of te attendance policy. In suc cases, te Program Director reserves te rigt to make exceptions to te policy. 10) Any student acquiring an absence period on te day of a sceduled quiz, test, or examination must ave prior approval of te Program Director or Clinical Coordinator. Students will be allowed to take te quiz, test, or examination; owever, a deduction of ten points will be assessed against te actual grade received. 11) Regular class attendance is te student's obligation, and te student is responsible for all work including tests, and written work of all class meetings. No rigts or privileges exist wic permits a student to be absent from any given number of class meetings. Te Scools of Radiologic Sciences and Imaging gives eac instructor te autority to regulate attendance for is/er class. Instructors wi l keep attendance records in eac class. If a student misses tree consecutive classes, or misses more class time tan te instructor deems advisable, te instructor will report tese facts to te Program Director for appropriate action. A student may be dismissed from te educational program for missing tree consecutive class periods. If a student is absent from class on te day of a sceduled test, e/se will be expected to take tat test during te next class meeting. 10 points will automatically be deducted from te test grade. Students will be allowed to make-up one test per course (Instrumentation, Procedures 109, Pysics...). If a student misses a second test e/se will receive a 0 grade for tat test. Exception to tis policy will be made for tose students wo ave an unavoidable conflict and make arrangements wit te instructor to take a sceduled test in advance. 12) Tardiness is defined as arriving after 8:00 a.m. to te center for te beginning of te day or leaving te clinical center between 3:00 and 4:00 p.m. at te end of te day. Te Program Director is responsible for maintaining records relating to tardiness. Continued tardiness calls for te following responses: Tardies Action 3 Tardy Periods Written Warning 6 Tardy Periods Termination from scool results on te 6t tardy period 12

Classroom Requirements - Policy: Te following standards are mandatory for all classes/didactic activity in tis program. 1) Dress Code: Uniforms will be worn wen reporting to class. 2) Students will be prompt to class, no tardiness is allowed. 3) Talking to classmates during class will not be tolerated. 4) No eating, drinking, or smoking in te classroom. 5) No sleeping during class. Tis will result in dismissal from te class period. Disciplinary Appeal - Policy: Any student may present in writing to te Program Dire n appeal for any disciplinary action. Written appeals must be submitted witin one week following te actual date of te action. Te appeals board will be advised to convene for a decision witin two weeks of te appeal submission date. Were legal criminal issues are concerned, te Program Director will follow ospital administrative cannels. Dismissal - Policy: Te Metodist University Hospital Scool of Nuclear Medicine Tecnology reserves te rigt to dismiss any student, at any time, for any or all [but not limited to] te following infractions: 1. Insubordination at any time. 2. Failure to maintain a passing grade point average in eiter didactic or clinical practicum areas. 3. Failure to develop tose qualities considered essential for te etical practice of NMT. 4. Failure to follow any and all procedures of te Metodist University Hospital Scool of Nuclear Medicine Tecnology. 5. Unsatisfactory performance in eiter didactic or clinical practicum areas. Documentation of a student s dismissal action(s) will be placed in te student s permanent scool records. Te student as a rigt to file an appeal as stated in te Appeals Process Section. Dress Code - Policy: Uniforms: Wite, long-sleeved, knee-lengt lab coats are required to be worn at all times. Navy scrub pants and top. Plain-wite T-sirt may be worn under scrub top. Wile traditional styled nursing soes are not required, comfortable walking soes are suggested. No sling-back or open-toed footwear, sandals, tongs, or flip-flops are allowed at any time. 13

Jewelry sould be kept to a minimum and in good taste. Two earrings per ear are permitted. No visible body-piercing jewelry is permitted to be worn at any time including tongue piercing. Fingernails are to be kept at a medium to sort lengt. Artificial nails, or nail tips sould not be worn. No perfume or cologne use is allowed in eiter clinical or didactic settings. No ead gear of any kind, ats, or visors are permitted to be worn during didactic or clinical activities. Due Process Policy: Te Scool of Nuclear Medicine Tecnology as establised an appeals board for resolving grading and disciplinary questions tat may arise from a student. Te appeals board sall consist of te following members: * Te SNMT Medical Director * Te SNMT Program Director * Te MUH Radiology Dept. Manager * One Student NMT Representative * One Senior Level Staff NMT * One Clinical Instructor * One At-Large Faculty Member of alternate ospital allied ealt education program 14

Employee Assistance Program (EAP) - Policy and Program: Troug te Employee Assistance Program, Metodist University Hospital provides a major benefit to Associates and family members by making available independent and objective assistance and referral for marital, family, pastoral, legal, financial, emotional, and cemical dependency problems. Te EAP staff is dedicated to maintaining absolute confidentiality and you may be assured tat no one oter tan te EAP coordinator as access to information pertaining to your inquiry or use of services witout your permission and/or in tose situations wen problems are life treatening. Tis confidential, self-referral service is available, at no carge, to all students of te Metodist University Scool of Nuclear Medicine Tecnology. To contact EAP services, call 901-683-5658 Area CRISIS Numbers Te Mempis and Selby County Library's general information number is 901-415-2717. For information on ealt and social welfare problems, call LINC at 901-415-2700. For specialized elp: Alcoolics Anonymous 454-1414 Cancer Hotline 523-7663 Cild Abuse, Neglect 529-7120 City Information and Complaint Center 576-6500 County Assistance Center 576-4585 Emergency Utility Bill Assistance 576-4630 Deaf Interpreting 327-4233 Emergency Medical Services 523-1313 Emergency Mental Healt Services 577-9400 Family Service 324-3637 Mental Healt Information 272-1111 Mempis Alcool and Drug Council 274-0056 Narcotics Anonymous 276-5483 Poison Control 528-6048 Rape Crisis 528-2161 Te Family Link/Runaway Selter 725-6911 Selby County Office on Aging 525-CARE Suicide and Crisis Intervention 274-7477 Wife Abuse Crisis Center 458-1611 15

Failure to Report - Policy: Failure to report is failing to notify te Scool of intent to be absent or tardy. You must contact te Program Director on te day of tardy or absence. If se is not available, a message sould be left wit te Administrative Assistant. Te notification must be made by a pone call, by 8:30 a.m. FOR EACH DAY OF TARDY OR ABSENCE. A pone message left wit anyone else is NOT acceptable. Te scool needs to know of a student s intention to be tardy or absent. Failure to report is a serious offense and will result in progressive corrective action. One failure to report in any one scool year will result in te student being placed on a 1- day suspension. Second offense will result in a 3-day suspension. Tree failures to report in any one scool year will result in termination from te educational program. Te faculty reserves te rigt to verify te illness of a student. Te student may be required to provide documentation in te form of a pysician s statement if requested. Any time logged as suspension will be made up on te beginning days of te students next sceduled annual vacation. Funeral Leave - Policy: In te event of a deat in te student s immediate family (defined as: spouse, significant oter, cild, parent, grandparent, parent-in-law, sibling, sibling-in-law, grandparent, or grandparent-inlaw), te student is provided a tree [3]day funeral leave. Te student will be required to make up all didactic a clinical practicum work missed. Grade Appeal - Policy: Any student, after conference wit te individual instructor, may present in writing to te Program Director an appeal from a course grade. No appeal may be made after te last day of classes of te next succeeding regular term/semester. Te appeals board will decide te question of grade appeal witin two weeks of te date on te written appeal. Te purpose of te appeals board is to be sure tat all facts are presented so tat te Board can determine weter an unfair treatment as occurred. Depending upon te reason for te appeal, questions typically asked during te appeal are: Was tere a rule? Was te rule known to te student? Was corrective action consistent w/policy regarding progressive corrective action? Has te rule been consistently enforced? Te process will be informal and te student and Scool Representative will ave ample time to present information to te Board. Tis is not a legal proceeding. Te standard tat must be met in determining weter corrective action taken was appropriate and is one of fairness to te student is tis circumstance. 16

A Cairman, witout a vote, will moderate te appeal. Eac official board member will ave one vote by secret ballot and te Board decision is final. If te Board believes te action-giving rise to te appeal was in error, te Board as te autority to recommend overturning or modifying te Program Director's decision. Any appeal sould be a last resort. Te student sould use all available resources to resolve te question before it comes to an appeal. Grade Requirements - Policy: Students must maintain a minimum grade point average of 75 in eac didactic class. Failure to maintain an average of 75 will result in termination from te program. Scale utilized: 95-100 = A 75-84 = C 85-94 = B 74 and Below = Failure Clinical Practicum Rotations are graded using scale above. Minimum passing score on a CP rotation is 85. Failure to acieve a passing score may require a stu peat te rotation. Failure of any two Clinical rotations will result in termination from te program. Graduation Requirements - Policy: Before a student enrolled in te Metodist University Hospital Scool of Nuclear Medicine Tecnology can formally graduate, receive te certificate of completion, and sit for te national Registry and/or Certification exa ill te following requirements and or/obligations: 1. Successfully meet all academic requirements of te NMT program as establised by te grading policy and academic standards. 2. Successfully meet all clinical practicum requirements of te NMTS program as establised by te grading and academic standards. 3. Proven clinical competency as required to sit for te national Registry and/or Certification exams. 4. Successfully meet any and all financial obligations accrued/incurred against Metodist Healtcare wile in training. 5. Successfully make up any didactic and/or clinical practicum assignments, times, etc. due to any absence period oter tan vacation and/or sceduled time-off. 17

Identification Badges - Policy: To diminis te possibility of patients and ospital staff mistaking a student as a registered tecnologist, te following policies/rules ave been establised: 1. Students will wear teir Hospital ID badge in plain view, on te left front of cloting wit name visible. 2. Students will orally state teir student status to patients and ospital staff, if in question. 3. Te front of ID badge must be visible & te student's picture, name and position status easily readable. 4. No stickers or oter material[s] tat will/may obscure te front of te ID are permitted. Inclement Weater - Policy In te event of inclement weater, all clinical rotations and classes are subject to cancellation. Te program director will notify you by pone weter scool will be open or closed. You will be notified by 6:30 a.m. on te day of questionable weater conditions. Library Resources - Policy: Nuclear Medicine Tecnology students ave full and free access to te following libraries: 1. Metodist University Hospital Scool of Radiologic Science and Imaging Basement Crews Wing 2. Metodist University Hospital Scool of Nuclear Medicine Tecnology SON 308/309 3. Metodist University Hospital s Graduate Medical Education and Nursing Library Wilson Hall Students must follow ceckout procedures as defined by individual libraries. Students are DIRECTLY responsible for returning and/or placing any and all lost, misplaced, damaged, etc. books, journals, CDs, etc. to specific libraries. Lunc Period - Policy: Eac student will be given a minimum of 30 minutes for te lunc period. Te scool will designate lunc scedules for te students. Altoug occasional variations in lunc sceduling are permitted if requested by clinical leads, students sould take teir lunc at te time assigned by scool officials. Non-Discrimination - Policy: Metodist University Hospital Scool of Nuclear Medicine Tecnology does not discriminate on te basis of age, gender, race, color, on, creed, or disability tat does not interfere wit te performance of te duties and responsibilities of a Nuclear Medicine Tecnologist. 18

Pregnancy Policy A student as te option to inform program officials of er pregnancy. If te student cooses to voluntarily disclose tis information, it must be done in writing. At tat point, te student will be a Declared Pregnant Student. Witout tis document and information, a student cannot be considered pregnant. If a student wises to voluntarily declare teir pregnancy it must be done in writing and submitted to te Program Director. If te student is pregnant, te following guidelines will apply: 1. Te student must submit a statement from a pysician fying pregnancy and expected due date. Te student will ten decide to take an immediate leave of absence OR continue troug te planned clinical rotations. 2. If te student takes an immediate leave of absence and was making satisfactory progress, se may be reinstated at a later date, depending on ours missed (see attendance policy). In te case of spousal pregnancy leave, te pregnancy policy stated applies. It sall be understood tat upon er return, all clinical competencies and rotations missed sall be completed prior to graduation from te program. No certificate will be issued until all requirements av met. 3. If te student elects to continue in te program, tey must: Counsel wit te Program Director and te Radiation Safety Officer of Metodist LeBoneur Healtcare regarding te: v v v nature of potential radiation injury associated wit in-utero exposure regulatory limits establised by te NCRP and te Tennessee Department of Public Healt, and required preventative measures to be taken trougout gestation period. Consult wit te Program Director and Radiation Safety Officer to sign a waiver of release declaring tat Metodist LeBoneur Healtcare is not liable for radiation exposure since te student elects to remain in te Educational Program. 4. Te scool will provide a fetal radiation monitor. Te occupational exposure to te fetus will be limited to 500 millirem in nine (9) monts. Tis is acievable following safe radiation practices. No exceptions to te scool graduation requirements will be made for pregnancy, and all clinical rotations must be completed before graduation. 19

Professional Conduct - Policy: In accordance wit te policies and procedures governing Metodist Healtcare Associates and Students, NMT students are expected to exibit professional conduct at all times wen engaged in didactic/clinical activities occurring on or related to te campus of Metodist Healtcare Mempis, regardless of pysical location. In addition, all students are expected to conduct temselves in accordance wit te Code of Etics developed by te American Society of Radiologic Tecnologists and Te Society of Nuclear Medicine. Unprofessional beavior toward fellow students, patients, staff, or visitors of any Metodist Healtcare facility will NOT be tolerated and can result in immediate dismissal from te NMT program. Professional Organizations: In order to promote interest in te various concerns, issues and advancing tecnology in te Nuclear Medicine profession today, participation in local, state and regional professional organizations is strongly encouraged. Radiation Exposure Monitoring - Policy: During te first week of te program and PRIOR to arrival to te Scool, eac student will be furnised a body and ring film badge for te purpose of monitoring accumulated radiation dosage. Te student's name, social security number, birt date, and starting date will be furnised to te ospital radiation safety officer. New film badges will be issued to eac student every mont, and te previous mont s film badges must be turned in. Any person receiving an excessive reading on a film badge will receive a notice and report from te Radiological Pysicist/Radiation Safety Officer. Te body film badge must be worn facing away from te body wit noting obstructing te front of te badge. Te ring film badge is to be worn on te student's dominant and wit te detector palm-up. Tese badges sould be protected from eat and wetness, and must be andled carefully. Te RSO maintains te montly printout of accumulated dosage. Additionally, a copy of tis report will be posted in te dosimetry notebook in te Nuclear Medicine classroom. Eac student is required to review te montly dosimetry report wit te Program Director and/or RSO. In addition, te student is to initial is/er individual reading on te report eac mont. A copy of te montly dosimetry report will be maintained in te Dosimetry Report notebook located in te Wilson Hall classroom. 20

Reporting Accidents - Policy: All accidents tat occur during scool ours resulting in patient, ospital personnel or personal injury, and/or damage to equipment MUST be reported IMMEDIATELY to te Clinical Instructor, designated NMT, Instructor, and/or Program Director. Students are required to follow te proper procedure for documenting accidents as outlined in te Metodist Healtcare Manuals. Reporting Illness - Policy: Eac student is required to notify te Program Director wen an illness is experienced and tere is intent to be absent from scool. Reporting conditions: 1. Te student must contact te Program Director @ 516-85 0AM on te day of absence. A. In te event te Program Director is unavailable, te student is to leave a message and a number were tey can be reaced and in addition: B. Contact te Administrative Assistant 516-8099. 2. If absence period exceeds two days, te student must present a pysician s excuse form in order to return to scool. 3. If te illness is of a communicable nature or will affect oter students, patients, or staff, te student will not be allowed to return to scool during te illness period. Te student must present a pysician s excuse form before e/se is allowed to return to scool. 4. In te event of prolonged illness or injury were te number of allowable sick days and time off ours are exceeded, te student as two options: A. Continue in te program and, upon return, make up all missed didactic and clinical work missed; or B. Witdraw from te program and reapply for admission at a later date, in accordance wit routine admissions policies. Required Healt Insurance - Policy: All students are required to maintain ealt insurance, complete wit acute care coverage, during te entire program. Proof of insurance will be required PRIOR to final acceptance. 21

Resignations - Policy: [Witdraw from te program] Notice of Resignation must be submitted in writing to eiter te Program Director or Medical Director. Information to be included is: reason for resignation effective date of resignation Resignation may be witdrawn any time PRIOR to te effective date given. In te event a student resigns in accordance wit proper procedure, e/se may apply for readmission in accordance wit routine admissions policies. Student Awards: All students successfully completing te Program take part in a formal graduation ceremony. At te time of graduation, Student Awards tat may be presented include: R. Micael Fleming, MD Award - presented for Academic Excellence Halford Award - presented for Clinical Excellence Service Recognition Award Student Employment - Policy: It is not te intention of te MH-SNMT to dictate weter or not students may be employed outside of scool ours. However, students sould be mindful of te commitment te NMT program demands and sould plan any outside activities in accordance wit required attendance, assignments, clinical rotations, etc. 22

Student Healt Services - Policy: Te Metodist University Hospital Scool of Nuclear Medicine Tecnology students are provided specific ealt services troug te Metodist Healtcare Associate Healt Service. Te Associate Healt Service initially conducts pre-admission ealt examinations for te Scool of Nuclear Medicine Tecnology. Te Associate Healt Service conducts annual routine T all scool students. Tey also conduct epatitis screenings and oter preventive measures as indicated. Flu vaccination programs and oter inoculations are available on an optional basis. Te Associate Healt Service nurses are available for ealt counseling or rral and for monitoring blood pressure. Students wo ave on-te-job or scool related illnesses are seen in te Associate Healt Service and te Associate Healt Service coordinates t medical status and approval to return to scool. Te Associate Healt Service is responsible for approving students to return to scool following contagious illnesses and medical reasons of absence. All above ealt records on Nuclear Medicine Tecnology students are maintained in te Associate Healt Service. All students of te Metodist University Hospital Scool of Nuclear Medicine Tecnology are allowed te same provisions of ealt service as any oter educational student of te ospital and/or any associate/employee of te system. Injuries or illnesses occurring outside of a scool related experience will not be covered by te Associate Healt Service. Student Housing - Policy: Students are responsible for all food, lodging, and transportation expenses. NMT students are eligible to apply for ousing in Wilson Hall building if space is available. Contact Barbara Brumley DIRECTLY @ 901-516-8886 for availability information. Student Records - Policy: A file on eac student is only maintained in te Program Director s Office. All records are confidential and are treated as suc. Only te Program Director, Medical Director, Clinical Instructor(s), and te student may ave access to te student s file witout te written permission of te student. Te Student File includes te following information: 1. Admission Folder - including: Original program application Transcripts previous education Reference letters Oter correspondence prior to or after acceptance into program 23

2. Clinical Practicum Evaluation forms 3. Didactic Evaluation forms, Grades 4. Attendance and punctuality istory 5. Student Counseling Records (if applicable) 6. Transcript from Metodist University Hospital NMT Program Students can view teir personal file at any time. After graduation, Students must submit a written request to te Scool s Program Director to obtain a copy of teir NMT program transcript. Student Supervision - Policy: Te purpose of te clinical practicum experience is to integrate te teories and principles of NMT learned in didactic lectures and lab exercises wit actual performance of bot imaging and non-imaging procedures. Student tecnologists will be under te supervision of NMTs, Clinical Instructors, Program Director, RSO, and/or Nuclear Medicine Pysicians wile in clinical areas. Te level of direct supervision will vary in accordance wit te student s clinical and education progress. Students must satisfy minimum competency requirements before moving to degrees of less-direct supervision. See Clinical Practicum Education section for more detailed explanation. Tuition Refund Policy - Policy: Te following percentages apply to refund of paid tuition for students tat appropriately witdraw from te Scool of Nuclear Medicine Tecnology. 1. 100% refund: Metodist Healtcare will provide a 100% refund of PAID program tuition if te student witdraws, per procedure, from te program witin te first 60 days* of te program. 2. Te student is responsible for full scool tuition if witdrawal occurs after day 61 of training. * 60 days above are calculated using te official program start date and witdrawal date for te applicable class. Vacation - Policy: In accordance wit radiological ealt policies, student will be granted a minimum of 10 (ten) days vacation per calendar year. All vacation days will be assigned by te NM Program Director. 24

Metodist University Hospital Scool of Nuclear Medici nology Disciplinary Action Grid OFFENSES 1 ST Offense 2 nd Offense Absence from clinical assignment witout autorization. 3 Day Suspension Discarge Consumption or possession of intoxicants on ospital property. Discarge Reporting for scool wile under te influence of an intoxicant. Discarge Arrest and carge of felony or oter serious crime. Suspension until settled Conviction of a felony or oter serious crime. Discarge Unautorized possession of ospital property. Discarge Treatening or figting wit an employee, associate, patient, visitor, or anoter student. Discarge Willful destruction of ospital property. Discarge Gross negligence Discarge OFFENSES 1 st Offense 2 nd Offense 3 rd Offense Unautorized release of confidential information Discarge Unautorized absence from te Nuclear Medicine Departments after reporting in (See Absence/Tardy Policy) 3 Day suspension Discarge Loud or disruptive beavior Counseling Notice Written Warning Discarge Smoking in unautorized areas Counseling Notice Written Warning Discarge Failure to adere to uniform Written Warning One day suspension Discarge 25

Holiday/Vacation Scedule 2010-2011 - Sceduled Time OFF Memorial Day Off 5/31/2010 Independence Day Off 7/5/2010 Labor Day Off 9/6/2010 Holiday Off 12/24/2010 12/27/2010 12/28/2010 12/29/2010 12/30/2010 12/31/2010 MLK Day Off 1/17/2011 Spring Break Off 3/24/2011 3/25/2011 Good Friday Off 4/22/11 Total = 15 days 26

Overview of Clinical Education Te clinical practicum education coursework elps to integrate te cognitive ("classroom") aspect wit te psycomotor and affective skills required of a student nuclear medicine tecnologist in te Nuclear Medicine Tecnology Program. Clinical education involves tree pases or levels of participation: observation, assistance, and performance*. Te student begins clinical participation by first observing an NMT in te execution of duties. Tis participation moves from a passive mode of observation to a more active mode of assisting te NMT in NM procedures. Te rate at wic te student progresses is dependent upon te ability of te student to compreend and perform te various assigned tasks. As te student gains experience in te various procedures, e/se gradually moves to an independent clinical performance stage. At tis point, te student is actually performing te procedure under te direct supervision of an NMT. "Direct Supervision" means tat te qualified NMT: 1. Reviews te request for te examination in relation to te student's acievement; 2. Evaluates te condition of te patient in relation to te student's acievement; 3. Is present during te performance of procedures; and 4. Reviews and approves imaging results, data manipulation, etc. After demonstrating competence in performing a specific radiograpic procedure, te student may be permitted to perform procedures under indirect supervision. "Indirect Supervision" means tat te qualified NMT reviews, evaluates and approves te procedure as indicated above and is immediately available to assist te student regardless of te level of student acievement. "Immediately available" is interpreted as te presence of a qualified NMT adjacent to te room or location were a NM procedure is being performed. Tis availability applies to all areas were radionuclides and/or radioparmaceuticals are employed. During te Student's clinical practicum education, is/er performance is evaluated, on an on-going basis, by site s Clinical Instructor and/or te supervising NMTs. Te student is evaluated on te specific NMT procedures as outlined in tis Handbook, general competence in performing previously mastered procedures, and te development of teir professional skills. * For more detailed explanation - see Student Supervision under te Clinical Practicum Education section. 27

Clinical Practicum Education Clinical practicum education takes place in multiple facilities Metodist University Hospital is a 669-bed facility, located at 1265 Union Avenue, Mempis, TN, 38104. 12-14 registered and/or certified Nuclea edicine Tecnologists staff te tree imaging areas. Nuclear Medicine services for tis facility are provided as follows: Nuclear Medicine Department - Performs a wide variety of imaging and non-imaging Nuclear Medicine Procedures Te PET Center - exclusively performs PET/CT procedures OP Center - performs all Nuclear Medicine procedures except cardiac Site Clinical Instructor Address Pone Number University NM Robert Owens 3 rd Floor Tower 1265 Union - 38104 901.516.7363 University PET/CT Ken Tronberry Ground Floor 1388 Madison - 38104 901.276.6413 University Outpatient Ctr Racel Ross Ground Floor 1801 Union Avenue - 38104 901.722.3131 Metodist Nort Hospital is a 200-bed facility, located at 3960 New Covington Pike, Mempis, TN, 38128. 12-14 registered and/or certified Nuclear Medicine Tecnologists staff te tree imaging areas. Te majority of nuclear cardiology procedures are preformed in te imaging area on te 2 nd floor of te ospital. Te outpatient center is located in a free-standing building beind te Hospital. Nuclear Medicine services for tis facility are provided as follows: Nuclear Medicine - Main Department - Performs all Nuclear Medicine Procedures except cardiac Nuclear Cardiology - Second Floor Outpatient Center - performs all Nuclear Medicine procedures except cardiac Site Clinical Instructor Address Pone Number Nort NM: Main Department Linda Nicoll Ground Floor 3960 New Covington Pike 38128 Main - 901.516.5265 Nort NM: Nuclear Cardiology Linda Nicoll 2 nd Floor 3960 New Covington Pike 38128 Nuclear Cardiology 901.516.5170 Nort Outpatient Center Linda Nicoll Ground Floor 3960 New Covington Pike 38128 Outpatient Center 901.516.5217 28

Metodist Sout Hospital is a 200-bed facility, located at 1300 Wesley Drive, Mempis, TN, 38116. Te department is currently staffed wit 5-6 registered and/or certified Nuclear Medicine Tecnologists. At tis facility all Nuclear Medicine procedures are performed in one main department located adjacent to te Radiology Department. Site Clinical Instructor Address Pone Number Sout Jim Franks Ground Floor 1300 Wesley Drive Radiology - 901.516.3809 NM - 901.516.3022 Metodist Germantown Hospital is a 209-bed facility, located at 7691 Poplar Avenue, mantown, TN, 38138. Metodist Germantown is currently staffed wit 9-11 re nd/or certified Nuclear Medicine Tecnologists. Te Outpatient center is located at 1377 Germantown Rd. Sout. Two NMTs staff te facility. Nuclear Medicine services for tis facility are provided as follows: Nuclear Medicine Department - performs all Nuclear Medicine Procedures except cardiac Nuclear Cardiology - First Floor Outpatient Center - performs basic Nuclear Medicine Procedures [NO cardiology] Site Clinical Instructor Address Pone Number Germantown - NM Linda Kroencke Ground Floor 7691 Popular Radiology - 901.516-6999 Germantown - Outpatient Linda Kroencke Ground Floor Center 1377 Germantown Rd. Sout 901.516-6995 LeBoneur Cildren s Medical Center: is te Mid-Sout's premier pediatric ospital and operates te region's only pediatric emergency department and pediatric intensive care unit. A licensed, fully accredited 225-bed center, it is recognized as te region's pediatric specialty referral center. In 2008, LeBoneur s NM department was awarded accreditation by te ACR. Nuclear Medicine services for tis facility are provided as follows: Nuclear Medicine Department - Performs a wide variety of pediatric Nuclear Medicine imaging procedures. Site Clinical Instructor Address Pone Number LeBoneur Cildren s Medical Center Asley Serio 1st Floor Department of Radiology 50 Nort Dunlap Mempis, TN 38103 Radiology 901-287-6041 Nuclear Medicine 901-287-5167 GE Healtcare Nuclear Parmacy is one of te largest and most modern Nuclear Parmacy in te Mempis and Mid-Sout areas. Services provided at tis facility include: Production, Preparation, Compounding, & Distribution of radionuclides/radioparmaceuticals Clinical and didactic radioparmacy training for Student Nuclear Medicine Tecnologists Site Clinical Instructor Address Pone Number General Electric Healtcare [Formerly - Amersam Healt] Bob Irwin 7760 Trinity Rd Suite 102 Cordova, TN 38018 901.396.4090 29

SAMPLE - Clinical Practicum Rotation Scedule SAMPLE - Clinical Assignments 2/25/08-5/16/08 Clinical Hours: 8:00 AM - 3:30 PM* [* 2:30 on Fridays] Clinical assignment Dates Student[s] Approx. # of clinical ours of experience University 2/25/08-4/10/08 Student A 145 ours Sout 2/25/08-4/10/08 Student C 145 ours Germantown 2/25/08-4/10/08 Student B 145 ours Nort 2/25/08-4/10/08 Student D 145 ours PET Clinical assignment Dates Student[s] Approx. # of clinical ours of experience University 4/14/08-5/16/08 Student C 100 ours Sout Germantown 4/14/08-5/16/08 Student D 100 ours Nort 4/14/08-5/16/08 Student A 100 ours PET 4/14/08-5/16/08 Student B 100 ours 30