dms clinical handbook

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Diagnostic Medical Sonography

Program

2015-2016

Student Clinical

Handbook

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TABLE OF CONTENTS Pages Introduction 3 PART I: GENERAL INFORMATION LCCC Contacts 4 DMS Mission Statement 5 DMS Goals and Learning Statement 6 Internship timeline Calendar 8 Clinical Affiliate’s Rights and Responsibilities 9 Clinical Performance Objectives 10 Guidelines and Checklist for Internship 13

Clinical Site Orientation 13 Student Schedules 14 Inclement Weather 14

Tardiness/Absenteeism 14 PART II: INTERNSHIP POLICIES Internship Selection Process 15 Internship Dress Code Policy 16 Cell Phone & Social Media Policy 17 Protocol Policy 17 Competency Policy 18 Clinical Instructorship Policy 21 Clinical Instructor Job Description 22 Communication Policy 23 Site Visit Policy 23 Discipline Policy 24 Student Dismissal Policy 25 Site Sharing Policy 26 PART III: FORMS 27 Orientation 29 Time cards 31 Log sheets 38 Record of Internship 52 Leave Request 57 Monthly Goal Forms 55 Monthly Development Evaluation 63 Clinical Rotation/Instructor Evaluation 93 Competency Forms 99 Clinical Visit Student Evaluation 120 PART IV: INTERNSHIP COURSE SYLLABI 122

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INTRODUCTION

The DMS Clinical Handbook is a guide for both the clinical supervisors and the DMS

students regarding the development and the measurement of actual “on the job”

competency in the diagnostic medical sonography department. It should also serve as a

reference for administrative sonographers, clinical instructors, college staff, and students

in resolving questions and problems concerning student performance.

The clinical evaluation system employed by the LCCC DMS Program is a variation of the

Clinical Objective Evaluation concept for measuring the actual competency of students in

performing ultrasound examinations. The purpose of such a system is to correlate the

cognitive experience and the psychomotor experience first learned in the college

environment, and applying it to the diagnostic medical sonography department.

If you are a student, we at LCCC commend you for your hard efforts and applaud your

academic success, which brought you to this point in your education. If you are a clinical

site instructor, we thank you for the time, patience, and dedication that you generously

give to our program and students. We hope that the next 12 months will be full of great

learning opportunities and will be remembered as a rewarding and successful endeavor

for everyone involved.

Within this handbook you will find LCCC policies pertaining to clinical education, clinical

forms, competencies/evaluations, feedback forms, and general checklists & reminders to

help keep everything in order. Please read through all sections of this handbook

thoroughly. Also note that both students and staff may also contact the LCCC DMS Faculty

anytime with questions or concerns.

Thank you.

Adrienne

Adrienne Wade BS, RDMS, RVT

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PART I: GENERAL INFORMATION

LCCC CONTACTS

Adrienne Wade BS, RDMS, RVT

Program Director, DMS Program

Office number: 307-778-4338

Fax number: 307-778-4386

Email: [email protected]

Sheridan Hanson, RDMS

Clinical Coordinator, DMS Program


Fax number: 307-778-4386


Amanda Kutsch

Administrative Assistant, School of HSW


Fax number: 307-778-4386


Laramie County Community College

1400 E. College Ave.

Cheyenne, WY 82007

1-800-522-2993

mailto:[email protected]



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Laramie County Community College Diagnostic Medical Sonography

Mission Statement:

The LCCC DMS Program is dedicated to providing quality education

for its students in order to promote excellence in the art and

science of sonography. Guided by the Mission of the College, the

program strives to provide academic and clinical experiences that

produce competent and compassionate sonographers with a

commitment to performance of quality imaging and the pursuit of

lifelong learning.

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LCCC DMS Goal and Objective:

The sonography profession requires the ability to provide diagnostic sonographic imaging

utilizing critical thinking skills to make judgments in the process. Sonographers are

professionals who must possess high level skills in diagnostic sonographic techniques

under the guidance of a licensed physician. A sonographer is responsible for providing

excellent patient care and gathering adequate data necessary for diagnoses to be

determined.

The LCCC DMS Program’s goal is to prepare competent entry-level sonographers in the

cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains.

Graduates of the LCCC DMS Program will be able to perform, at a minimum, the following

objectives:

Goal 1: Graduates of this program will be technically proficient, being able to consistently

produce images of high diagnostic quality.

Outcomes:

A. Students will obtain, review and integrate pertinent patient data to facilitate

optimum diagnostic results.

B. Students will select appropriate technical factors when scanning patients.

C. Students will perform sonographic procedures appropriately and accurately

recording all anatomic and physiologic information for interpretation by a physician.

D. Students will document and present complete and accurate sonographic findings to

the interpreting physician in order to facilitate patient diagnosis.

E. Students will maintain optimal function of the sonographic equipment.

F. Students will assist physician during invasive ultrasound guided procedures.

Goal 2: Graduates of this program demonstrate problem solving and critical thinking skills.

Outcomes:

A. Students will manipulate technical variables to obtain optimal diagnostic images.

B. Students will evaluate images for diagnostic quality, identifying appropriate solutions

for poor image quality.

Goal 3: Graduates of this program will demonstrate communication skills

Outcomes:

A. Students will demonstrate effective oral communication skills with patients and all

members of the healthcare team.

B. Students will demonstrate effective written communication skills

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Goal 4: Students will provide consistent high quality patient care

Outcomes:

A. Students will provide customer relations skills in patient care and education to

promote overall well-being

B. Students will adapt exam positioning and protocols due to patient condition

C. Students will employ a safe work environment

Goal 5: Students will consistently manifest a professional attitude and honor the SDMS

Code of Ethics

Outcomes:

A. Students will act in a professional manner within recognized ethical and legal

standards

B. Students will demonstrate a respect for diversity and the ability to work with others

and special patient populations

Goal 6: Graduates will have a high potential for advancement and leadership

Outcomes:

A. Students will demonstrate workplace behavior conducive to professional

advancement

B. Students will differentiate between the ARDMS and ARRT exam(s), and additional

certification opportunities

C. Students will demonstrate a commitment to lifelong learning.

Goal 7: Graduates of the program will be successfully employed in an entry-level position

Outcomes:

A. Students will pass the ARDMS SPI on the first attempt.

B. Students will pass the ARDMS AB and/or OB on the first attempt

C. Of those pursuing employment, students will be gainfully employed within 6 months

post-graduation.

D. Students will complete the program.

E. Students will express satisfaction with their education

F. Employers will express satisfaction with LCCC graduate performance

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INTERNSHIP TIMELINE / CALENDAR

Beginning Clinical Experience – Summer Semester 2015

8 weeks: Dates: June 1, 2015 – July 24, 2015

32 Hours per week; not including lunch breaks

1 day PTO

256 Hours Minimum

Days off: July 3rd, July 22nd

SONOGRAPHY CLINICAL EXPERIENCE I – Fall Semester 2015

15 weeks: Dates: August 31, 2015 – December 18, 2015


2 days PTO

480 hours minimum

Days off: September 7th, November 3rd & 25th-29th

SDMS Conference October 1-4 (if not attending students need to go to clinicals)

*Students attending Conference will be leaving September 30th

SONOGRAPHY CLINICAL EXPERIENCE II – Spring Semester 2016

15 weeks: Dates: January 19, 2016 – May13, 2016


2 days PTO

600 hours minimum

Days off: Spring Break: March 16-22

Commencement Ceremony: May 14th, 2016

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Clinical Affiliate’s Rights and Responsibilities

The LCCC DMS Program will establish standards and regulations, which will be designed

to ensure the quality education of the DMS student at all levels in their training.

Each clinical affiliate has an existing contract with the DMS Program and assumes the

responsibility to assist LCCC in its mission to prepare students in an occupation of

changing technology.

To enhance the relationship between the students, the college, and the clinical

education centers, a set of rights and responsibilities of the clinical affiliates has been

created:

Clinical Affiliate Rights Each clinical affiliate in the DMS Program has a right to:

1. Be informed of Program procedures and accreditation requirements.

2. Open and objective communication from Program faculty.

3. Have students respect patients, property, staff, technologists and other personnel

while at their facility.

4. Expect college faculty to adequately prepare students for the clinical experience.

Clinical Affiliate Responsibilities Each clinical affiliate has a responsibility to:

1. Inquire about Program procedures and requirements, if its staff does not have the information or does not understand it.

2. Provide students with adequate department orientation and up-to-date procedure manuals and technique charts.

3. Provide an environment which promotes learning and embodies the professional attitude that students are striving to emulate.

4. Provide the student with adequate opportunities to apply his/her learning. 5. Protect the student from bodily injury while he/she is at the facility.

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CLINICAL PERFORMANCE OBJECTIVES In order to be successful and competent sonographers, students must master various cognitive, affective, and psychomotor skills. To satisfy this primary objective, the DMS program has designed the following master plan to ensure that the numerous expectations for an entry-level sonographer are addressed and subsequently evaluated while a student is in the program. The performance objectives have been divided into two evaluative sections; an employability skills section, and a competency skill objective section. The employability skills objectives must be met and maintained at a 76% or above level during a student’s entire clinical education to continue in the program. Skills in competency skills section have been placed in a sequential manner that will allow the student to build upon prior skills learned. Students must also maintain a 76% or better in this section to remain in the program. The evaluation forms themselves and their instructions for use can be found in the document section of this handbook.

Master Plan of Performance Objectives Part 1: Employability Skills Section (Evaluated all semesters)

Objective Related Academic Course

1. ATTENDANCE: Attends site regularly at prearranged times with NO unexcused absences. Absences are not affecting clinical performance. If NO, also please note on last page of this form.

IMAG 2205

2. PUNCTUALITY: Arrives timely at the clinical site with NO unexcused tardiness. If NO, also please note on the last page of this form.

IMAG 2205

3. APPROPRIATE DRESS AND PROFESSIONAL HYGIENE: Complies with policies outline in the DMS Student Handbook or the Clinical Site’s policy, whichever is more stringent.

IMAG 2205

4. CITIZENSHIP: Student displays honesty and integrity, accepts and abides by organizational and program policies and procedures, accepts responsibility for errors.

IMAG 2205

5. TIME MANAGEMENT: Uses time (including down time) wisely, completes all technical procedures begun, performs duties in an organized, efficient manner.

IMAG 2205

6. TEAMWORK: Displays a respectful manner to fellow technologists/supervisors. Pleasant to work with. Performs as a member of a team with team goal as an objective, willing and available to help others as needed.

RDTK 1520, IMAG 2205, CO/M 1030

OR CO/M 1010

7. CUSTOMER RELATIONS: Respects the patient at all times, establishes rapport with patients. Maintains a helpful and courteous manner with other departments, visitors, physicians, and co-workers. Interactions leave a favorable impression of the student/department/clinical site.

RDTK 1520, IMAG 2205, CO/M 1030

OR CO/M 1010

8. CONFIDENTIALITY: Holds in strict confidence all information concerning patients, visitors, physicians, and co-workers.

RDTK 1520, IMAG 2205

9. SAFETY: Complies with the appropriate policies, quality patient care is displayed as a priority at all times.

IMAG 2205

10. RECEPTIVENESS: Receptive to suggestions and/or corrections, avoids “shopping for answers”, accepts constructive criticism in a positive manner.

RDTK 1520, CO/M 1030 OR CO/M

1010

11. CONTINUOUS IMPROVEMENT: Develops new and appropriate skills building on past learning, makes note of and learns from mistakes, strives to perform assignments to best of his/her ability.

ALL IMAG COURSEWORK

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12. COMMUNICATION: Able to follow directions, expresses ideas clearly and readily, observes appropriate channels of communication.

RDTK 1520, IMAG 2205, CO/M 1030

OR CO/M 1010

13. SKILLS MAINTENANCE: Demonstrates continued competence in areas of past learning, retains and practices skills previously taught.

ALL IMAG COURSEWORK

Part 2: Competency Skills Section By the end of Summer II Semester, the student will have demonstrated:

Objective Related Academic Course

1. Participation in Orientation of Department, Institution and Mandatory In-services

IMAG 2205

2. Keeps time records up-to-date IMAG 2205, CMAP 1610 OR CMAP

1685

3. Can correctly use the department phone system, using appropriate telephone etiquette

IMAG 2205

4. Independently powers up and shuts down ultrasound machines IMAG 2205

5. Performs basic processing of patient information and records (filing/transmitting images)

IMAG 2205, CMAP 1610 OR CMAP

1685

6. Independently retrieves patient orders IMAG 2205

7. Obtains patient history and retrieves needed lab values as necessary IMAG 2205

8. Student retrieves prior exam reports to use in correlation to IMAG 2205

9. Correctly identifies the patient RDTK 1520, IMAG 2205

10. Safely transports patients in various conditions (chest tubes, oxygen, suction) with assistance

RDTK 1520, IMAG 2205

11. Gives patient clear instructions IMAG 2205, CO/M 1030 OR CO/M

1010

12. Correctly inputs patient information to include taking a detailed history IMAG 2205

13. Correctly selects machine presets IMAG 2205, IMAG 2215, IMAG 2220,

IMAG 2245, IMAG 2250, IMAG 2252

14. Correctly selects transducer appropriate for exam and patient size IMAG 2205, IMAG 2215, IMAG 2220,

IMAG 2245, IMAG 2250, IMAG 2252

15. Properly centers images for display IMAG 2205, IMAG 2215, IMAG 2220,

IMAG 2245, IMAG 2250, IMAG 2252

16. Correctly annotates images IMAG 2205, IMAG 2215, IMAG 2220,

IMAG 2245, IMAG 2250, IMAG 2252

17. Correctly uses correct settings to include windows, gain settings, depth selection and measurements throughout scan

IMAG 2205, IMAG 2215, IMAG 2220,

IMAG 2245, IMAG 2250, IMAG 2252

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18. Correctly charges patient information and/or routes through appropriate channels

IMAG 2205

19. Maintains a clean and safe environment; straightens and cleans exam and dressing rooms, changes linens as appropriate

RDTK 1520, IMAG 2205, IMAG 2215,

IMAG 2220, IMAG 2245, IMAG 2250,

IMAG 2252

By the end of Fall II semester, the student will demonstrate: Objective Related Academic Course

1. Safely transfers patient to and from wheelchair, bed, or cart to exam table and back

RDTK 1520, IMAG 2205, IMAG 2215,

IMAG 2220, IMAG 2245, IMAG 2250,

IMAG 2252

2. Performs exams in a logical and efficient manner according to department protocol

IMAG 2205, IMAG 2215, IMAG 2220,

IMAG 2245, IMAG 2250, IMAG 2252

3. Correctly uses optimization features to enhance images IMAG 2205, IMAG 2215, IMAG 2220,

IMAG 2245, IMAG 2250, IMAG 2252

4. Recognizes when alternative means of acquiring image are required due to patient’s physical condition, asking for assistance as needed

IMAG 2205, IMAG 2215, IMAG 2220,

IMAG 2245, IMAG 2250, IMAG 2252

5. Correctly takes required images of pathology per department protocol IMAG 2205, IMAG 2215, IMAG 2220,

IMAG 2245, IMAG 2250, IMAG 2252

6. Recognizes pathology on images and documents appropriately IMAG 2205, IMAG 2215, IMAG 2220,

IMAG 2245, IMAG 2250, IMAG 2252

7. Fills out exam worksheets accurately and thoroughly per department protocol

IMAG 2205, IMAG 2215, IMAG 2220,

IMAG 2245, IMAG 2250, IMAG 2252

8. Correctly prepares endovaginal probe for patient use; properly disinfects probe per department policy at completion of procedure

IMAG 2220, IMAG 2250

9. Maintains a sterile field RDTK 1520

10. Can properly transport ultrasound machine for portable exams IMAG 2205, IMAG 2215, IMAG 2245

11. Identifies all equipment on the crash cart and their purpose RDTK 1520

12. Performs (2 or higher) and critiques required competency objectives IMAG 2215, IMAG 2220, IMAG 2245,


13. Performs 5 clinical competencies successfully IMAG 2215, IMAG 2220, IMAG 2245,


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By the end of Spring II semester, the student will demonstrate: Objective Related Academic Course

1. Volunteers to perform all exams IMAG 2215, IMAG 2220, IMAG 2245,


2. Attempts alternative projections due to patient’s physical condition, asking for assistance when needed

IMAG 2215, IMAG 2220, IMAG 2245,


3. Independently performs portable/emergency exams IMAG 2215, IMAG 2220, IMAG 2245,


4. Analyzes own images, recognizing errors and offering solutions with increasing accuracy

IMAG 2215, IMAG 2220, IMAG 2245,


5. Identifies image artifacts and their causes IMAG 2240

6. Sets up sterile field correctly RDTK 1520

7. Displays knowledge of and properly assists with invasive procedures RDTK 1520

8. Works independently; requires little assistance IMAG 2215, IMAG 2245

9. Displays sonography and general medical knowledge necessary to function in a healthcare setting

RDTK 1520, IMAG 2215, IMAG 2220,

IMAG 2245, IMAG 2250, IMAG 2252

10. Successfully completed all required clinical competencies IMAG 2215, IMAG 2220, IMAG 2245,


11. Demonstrates proficiency as an entry-level sonographer IMAG 2215, IMAG 2220, IMAG 2245,


12. Assists in maintaining optimal function of sonography equipment IMAG 2215, IMAG 2220, IMAG 2245,


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GUIDELINES OF INTERNSHIP and CHECKLISTS

Remember all necessary immunization records must be current and on file You must have an active CPR card prior to beginning internship and keep current Dress code is determined by your site You will have approx. 4 weeks off, which must be taken according to the schedule. Internship hours cannot exceed 40 per week. Internship hours cannot be paid. Any days missed for sickness or personal reasons must be made up within one month of

the end of the normal internship experience timeline. Students that miss more than 40 hours of cumulative internship time will dismissed from

the program When you are sick, you must contact both the site and the school prior to your scheduled

start time. Excessive absences may be associated with unreliability, and therefore may affect your clinical applications grade.

All forms will be due by the end of the corresponding clinical experience.

Checklist: Prior to Internship Interview scheduled and performed if needed

CPR card sent to site if needed

Immunization records sent to site if needed

Background check and drug screen completed

Schedule finalized with site

Policies (dress code, parking) understood

Orientation Training completed if needed

Checklist: Daily during internship

Daily time recorded

Clinical log sheet updated

Finished all unresolved tasks

Communicated with staff on progress

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Checklist: For each clinical experience Submit completed orientation form

Submit time sheet and log sheets to LCCC

Submit Monthly Development Evaluations

Complete Monthly Goal Sheets

Submit Completed Competencies

Submit Clinical Experience Evaluation Form

CLINICAL SITE ORIENTATION

The student should complete the LCCC DMS Clinical Orientation form as soon as possible upon

beginning clinicals (see form section). When completed, the form should be returned to the

DMS Clinical Coordinator within a week, and a copy should be retained by the student for their

records.

STUDENT SCHEDULES Students are to be scheduled for no more than 40 hours in any week. The clinical internship is designed for the student to complete 32-40 hours of scanning each week. The student and the site should mutually agree on a daily/weekly schedule. Once a schedule has been decided, any changes must be made with the supervising sonographer at the site in writing. Students should receive at least a half-hour lunch break during the day, not to exceed one full hour. The practice of a student staying through the lunch hour to “bank” time or to leave early on a routine basis should not be allowed by the site. Additionally, schedules should not be adjusted for sole personal benefit for the student. Students are expected to be with patient whenever possible whether scanning or observing no matter what the exam is. Whenever patients are not available, students are expected to spend their time studying for their DMS Courses. Leaving early from internship is generally discouraged. Missed hours will need to be made up at a later date.

INCLEMENT WEATHER If a student is unable to reach his/her clinical site due to severe weather or road closures, the student may miss clinical for that day, following the normal absence notification, and make-up procedures without penalty. Make-up days can also occur during finals week.

TARDINESS / ABSENTEEISM Tardiness is not tolerated on the job and it should not be tolerated from the student. Students are to be at their clinical assignment ready to begin scanning at the agreed upon start time. This may require the student to show up 10-15 minutes early. A sonographer is to sign the student time sheet. Accurate time records are being required of the student and if the student is habitually late or leaving early on a regular basis LCCC faculty should be notified immediately.

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The school has established the following rules regarding tardiness & absenteeism.

1. Students must be in the department, in uniform, and ready to begin by the listed start time according to the clock within the department.

2. If the student will be tardy or absent, the student must call both the appropriate personnel at the clinical site and an LCCC instructor.

3. Calls should be made prior to the internship start time with the exception of emergencies. The clinical site along with LCCC will collaboratively determine whether or not a situation was deemed an emergency.

4. Student failure to make proper notifications will be considered unexcused, and will reflect on the student’s grade for that clinical experience (refer to syllabus).

5. Excessive absences and tardiness will adversely affect the student’s grade. Additionally, students are required to document a minimum number of hours throughout their internship.

6. Students that miss more than 40 hours of cumulative internship time in one semester will dismissed from the program.

7. All missed time must be made up by the student during scheduled semester breaks. All changes to student’s schedule and/or leaves of absence must be approved first by the clinical site supervisor and then the DMS Program Director in writing. Students must fill out and submit a Leave Request Form/Schedule Change Form and get approved before any changes in the student’s schedule.

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PART II: INTERNSHIP POLICIES The following pages consist of the internship polices set forth by the LCCC DMS Program. Please note that students should always follow hospital and departmental policies first and foremost. Always ask for clarification if needed.

INTERNSHIP SELECTION PROCESS It is the goal of the LCCC DMS Faculty to provide a positive and successful internship for our students and clinical affiliates. When placing students for their internship experience, the DMS Program has the challenge of balancing the needs of the students, internship sites and the overall DMS Program. Students are informed early on in the program that relocation is likely for this component of their sonography training.

Process: The program director and clinical coordinator will finalize commitments from the participating clinical affiliates the spring before internship starts. Students are asked not to contact sites without permission from the DMS faculty. Students will be informed of which specific sites are available for internship for their class and each site’s general characteristics.

Students will provide: A list indicating what type of internship experience they wish to receive in regards to type of

clinical placement. This should be based on their personal interests within the field of sonography not strictly on location.

Students will list 3 clinical site * placements from those available.

At least one of the 3 clinical site choices must not be in Cheyenne.

Students will list one clinical site that is the least preferred with an explanation for this choice.

The DMS faculty will attempt to make matches for all students according to personality of student and clinical site atmosphere, students’ educational outcomes, and overall quality of preceptorship with entry level sonographer experience.

Students are not guaranteed a site of their choice.

If students refuse to accept their clinical site assignment they may be dismissed from the program.

Students are responsible for all living and travel expenses associated with the clinical experience.

Students may be required to travel during their preceptorship to meet all imagining requirements.

Students may be required by certain clinical affiliates to interview successfully for their internship assignment.

Clinical Sites may request a specific student. If possible the program will attempt to honor such a request.

* Students will submit a detailed description of what they hope to gain from their clinical experience. Students must explain what their ultimate goal is for a clinical experience and specify the type of environment they would prefer, i.e. fast pace, medium pace or slow pace learning environment.

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INTERNSHIP DRESS CODE POLICY

LCCC DMS students are required to present a professional image, which is clean, safe, neat, and well groomed. The following standards, developed in accordance with local agency guidelines, apply whenever students are at clinical sites requiring uniforms. Students attending clinical experiences inappropriately dressed will be sent home to change and the incident will be reflected on their evaluation. The following table illustrates the dress code guidelines established by LCCC.

APPROPRIATE INAPPROPRIATE/NOT ALLOWED

Uniforms Follow the dress code of the clinical site OR wear dark pants with a solid color shirt and a lab coat

Faded, torn or ripped. Spandex, gauze, sheer, lacy, T-shirts with emblems, or leather material. Sleeveless, spaghetti straps, backless, low-cut or tight fitting.

Name Tag LCCC name tag or name tag issued by agency. Clearly visible, above the waist.

No name tag or other agency name tag

Lab Coats Must be white, neat, clean and free of wrinkles. Long or short is acceptable.

Crop tops, sweat shirts, colored sweaters

Pants / Jumpsuits Must be dark colored, neat, clean free of wrinkles and mid-ankle or longer.

Leggings, stirrup pants. Form fitting pants. Tucked into socks. Pants too long or too short

Skirts and Dresses Must be dark colored, neat, clean, free of wrinkles, professional style and length – below the knee.

Sundresses, shorts, short skirts

Shoes Must be of dark color and clean with a soft sole and heel covering. White shoes and clean if the agency requires this. Patterns must be reserved in nature.

No open toe shoes, sport sandals, high heels or clogs unless allowed by site.

Dirty Shoes

Hosiery Must be neutral. With pants, socks must cover above the ankle.

Colored hose, contrasting colors or designs, lacy hose.

Undergarments Must be discreet. Required Bright or noticeable colors, patterns or lines such as thongs.

Fingernails Must be short and neat. Artificial nails, bright nail polish or designs.

Hair Must be clean, combed away from the eyes/face and tied back if shoulder length or longer. Mustaches/beards must be neat and trimmed often.

Dirty, in the face, brightly colored (i.e. orange. Purple, not normal hair color), untrimmed facial hair.

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Cosmetics/ Scents Conservative colognes and perfumes in small amounts if allowed by clinical site.

Heavy perfumes, heavily scented hair sprays, heavily scented hand lotions.

Jewelry Conservative and discrete. One ring per hand. Watches same.

Rings that interfere with gloving, large chains, dangling jewelry

Body Piercing Pierced earrings are limited to one pair Visible body piercings including facial and tongue jewelry, multiple ear piercings. Dangling earrings.

Tattoos All tattoos must be covered or not easily visible

Uncovered tattoos on arms, hands, legs, face or other visible areas.

Offensive tattoos

Hair Coloring Natural coloring Unnatural colors (purple, green, pink etc.)

Gum/Candy Discrete use in non-patient areas Bubble gum, chewy candies

All garments that are penetrated by blood must be removed immediately or as soon as feasible. Students must adhere to infection control policies at respective clinical sites as they pertain to contamination of clothing by blood or body fluids.

CELL PHONE USE AND SOCIAL MEDIA POLICY

Cell phones need to be turned off and put away while in the sonography work area in order to adhere to HIPAA standards, and assure phones are not a distraction to the student or department workflow. In the case of an emergency, students can receive calls through the department’s phone system. Personal phones may be used only during scheduled breaks and lunch period.

No patient information or clinical information will be posted on social media websites or sent via

electronic means. No photos will be taken in a clinical setting. Any HIPAA violation is grounds for

DMS Program Dismissal.

PROTOCOL POLICY

Students are to follow the protocols of the clinical site for each examination. LCCC has stressed flexibility and adaptability as strengths that are required by sonographers and feel that students should easily adapt to a different protocol from what we have at school. We ask however, that you have the student follow only one protocol. If at your facility each sonographer has the flexibility to complete their own protocol, please have the sonographers decide on which protocol the student will follow.

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COMPETENCY POLICY

Requirement: Students must demonstrate competence in all 11 procedures identified as mandatory. Students must also demonstrate competence in at least 5 elective procedures. Institutional protocol will determine the required images used for each procedure. Demonstration of competence include requisition evaluation, patient assessment, room preparation, patient management, equipment operation, technique selection, image processing, and image evaluation. All mandatory performance competencies must be successfully completed by students by the end of the DMS Clinical Experience II.

Section A: Mandatory

1. Abdomen Complete

2. Renal Complete

3. Abdomen Limited (i.e. RUQ or Aorta Screening, if applicable)

4. Abdomen Vasculature (i.e. hepatic, renal, and/or Detailed Aortic exam including aortic

branches)

5. Pelvic – Transabdominal

6. Pelvic – Transvaginal

7. 1st trimester OB

8. 2nd trimester full OB scan (Screening)

9. 3rd trimester full OB scan (This exam must at least include EFW as part of the protocol)

10. Thyroid

11. Scrotum and testis

12. Non-cardiac chest (i.e. Thorocentesis, fluid check, and/or chest lump not including breast)

Section B: Elective (Students must demonstrate competence for 5 of the 13 procedures below)

1. Breast

2. Musculoskeletal

3. Adrenals

4. Superficial masses

5. Appendix

6. Abdominal wall

7. Prostate

8. Fetal biophysical profile

9. Carotid duplex

10. Unilateral lower extremity venous

11. Pediatric: GU, GI tract, MSK/hip (Pediatric is NOT neonatal)

12. Infant Brain

13. Student/site choice: Any other final competency exam/procedure not previously signed off.

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The guidelines for performance competencies are as follows:

Any staff sonographer may conduct the competency, but must be RDMS and/or RVT certified

for that exam being proctored. If there is no sonographer registered for that type of exam

(i.e. no RVT employed in the department to conduct a carotid comp), then the best qualified

sonographer/technologist should conduct the competency and have it co-signed by the

interpreting physician.

The student must have demonstrated an appropriate degree of consistency and

independence for this exam. This degree is to be determined by the sonographers at the

clinical site.

A competency attempt must be discussed and agreed upon with the conducting sonographer

prior to the actual attempt.

All attempts must be performed under direct supervision with the conducting sonographer

in the room.

The student may request a specific sonographer to do the comp with under the following

conditions:

o The sonographer requested meets the requirements for performing the competency,

or is highly qualified with this exam if there is no registered sonographer in this

specialty employed at the site.

o The designated clinical instructor may determine the appropriateness for performing

a competency with certain people of varying skills, experience, and sonographic

specialties.

A failed attempt should be documented accordingly on the competency form. Repeat

attempts are to be available time permitting and at the discretion of the primary clinical

instructor.

It is the student responsibility to keep an open line of communication with the site regarding

competencies. An agreed upon timeline that works well for all should be established.

Students should pass competencies within 3 attempts. However, after 3 unsuccessful

attempts at a particular procedure, a formal remediation plan will be developed via

consultation with the Clinical Instructor and the Clinical Coordinator before further attempts

are made.

It is the responsibility of each student to be graded on the required number of exams during

the semester.

If the student fails to complete the required number of competencies by the end of the

semester, an incomplete grade will be given. This disqualifies a student from continuing in

the program. A student who fails to meet these requirements will not be eligible to graduate.

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CLINICAL INSTRUCTORSHIP POLICY

It is strongly encouraged that all staff at each site works with the student. However, a Primary Clinical Instructor must be established between LCCC and the site. The role of the primary clinical instructor goes beyond the basic staff responsibilities to include the additional duties:

Ensure that all pre-internship preparations are completed

Establish the student schedule

Establish each exam protocol the student will use in the event that different staff use different protocols

Be the primary contact person with LCCC

Complete the Monthly goal sheet with the student, or delegate an appropriate substitute

Act in the role of a mediator & decision maker if indicated

Ensure the accuracy of student time cards

Ensure that students are getting the best possible internship experience

Immediately notify LCCC as problems or concerns arise

Submit an copy of your ARDMS card to LCCC annually

Submit department volume stats to LCCC annually

Submit an updated CV to LCCC as changes are made

Complete the JRC-DMS survey at the end of each internship experience

Work with students and effectively communicate throughout the year on student’s improvements, areas to improve and overall student preparedness for the workforce.

In the event that the primary clinical instructor is not registered in all required student concentrations but other sonographers are, a secondary clinical instructor will be established with LCCC. Roles of the secondary clinical instructor are as follows:

Be the primary decision maker for student protocols, evaluations, and competencies for the exams in which the primary instructor is not registered.

Act in the role of the primary clinical instructor during their absence

Participate in regular communication with LCCC

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Clinical Instructor Job Description


Diagnostic Medical Sonography Program

POSITION DESCRIPTION:

Clinical Instructor

Clinical Instructors will be responsible for:

1) SERVING AS A ROLE MODEL TO THE DMS STUDENT;

2) MAKING WORK ASSIGNMENTS FOR THE DMS STUDENT WHILE IN THE CLINICAL EDUCATIONAL

SITE, I.E. SCANNING STAFF ON DOWN TIME, STOCKING ROOMS, CLEANING MACHINES ETC. 3) TRAINING, TEACHING, AND SUPERVISING THE DMS STUDENT DURING THE CLINICAL

INTERNSHIP BY SPENDING AN ADEQUATE AMOUNT OF TIME WITH THE STUDENT TO ENSURE

COMPETENT DEVELOPMENT OF CLINICAL SKILLS; THIS INCLUDES ENCOURAGING OTHER

SONOGRAPHERS’ INTERACTION WITH STUDENT AND ENSURING A COHESIVE LEARNING

ENVIRONMENT FOR ALL WHO COME INTO CONTACT WITH STUDENT. 4) PROVIDING FORMATIVE AND SUMMATIVE EVALUATION OF THE DMS STUDENT'S PROGRESS

USING THE APPROPRIATE EVALUATION TOOLS PROVIDED IN THE STUDENT CLINICAL

HANDBOOK. 5) MAKING APPROPRIATE ADMINISTRATIVE REPORTS CONCERNING DMS STUDENT

ATTENDANCE, ATTITUDE, LEVEL OF PROFESSIONALISM, AND CLINICAL COMPETENCY DURING

THE CLINICAL ROTATION; 6) WORKING WITH THE PROGRAM DIRECTOR AND OR CLINICAL COORDINATOR TO MAINTAIN A

HIGH STANDARD OF CLINICAL EXPERIENCES FOR THE DMS STUDENT DURING THEIR CLINICAL

INTERNSHIP; 7) MAINTAINING AND ADVANCING PERSONALLY IN THE FIELD OF SONOGRAPHY THROUGH

CONTINUING EDUCATION INVOLVEMENT AND APPROPRIATE CREDENTIALS.

Qualifications:

1) Ability to meet accreditation requirements of the Joint Review Committee on Education and Diagnostic Medical Sonography required.

2) Active ARDMS certification in concentrations where teaching and evaluating students or ARRT(S) certified.

3) A minimum of 2 years Clinical Sonography Experience required.

4) Desire to work with student for the duration of preceptorship.

5) Desire to hold Clinical Instructor position and follow through with duties specified for the position.

6) Demonstrate a positive attitude towards the education of students while providing an accessible learning environment.

24

COMMUNICATION POLICY

Because many of our sites are located at a distance from LCCC, it can be difficult to maintain continuous communication regarding the internship. This policy has been established in order to make sure that appropriate communication occurs among the LCCC faculty, clinical site staff, and the student. The guidelines are as follows:

LCCC will conduct 5 personal visits to the clinical site student during the 12 month clinical internship. Refer to the site visit policy for more details.

o An email will be sent from LCCC prior to each visit to discuss the student’s progress and prepare for the visit.

o The same instructor that conducts the visit will make follow up phone call as deemed necessary.

The LCCC Clinical Coordinator will contact the clinical sites at mid-term to perform an evaluation of student performance.

The clinical instructor or another staff member should contact LCCC immediately with any concerns or questions.

SITE VISIT POLICY

Each student will receive one clinical site visit in the summer and two in both the fall and spring

semesters for a total of five site visits from the DMS faculty. The clinical coordinator will submit

a site visit schedule in advance to each facility. Guidelines are as follows:

The student is required to know the dates of site visit and to be present during that day.

If the date of the visit does not work with the clinical site, please contact LCCC to discuss

an alternate date.

An email will be sent to the primary clinical instructor prior to the visit.

The follow-up call will be made as necessary.

Each site visit must include the following actions:

o The length of visit will vary depending on the needs of students and clinical site.

o The LCCC instructor should make every effort to observe the student perform 3

different types of exams.

o The site visit summary should be completed and a copy made available for the

student. The original which will go into the student’s LCCC folder.

o A meeting with the clinical instructor(s) to discuss student’s performance.

o The LCCC faculty member will also meet with the department supervisor, if time

allows.

o A meeting with the student to discuss goal setting and review of evaluation.

o A group meeting to include department staff, LCCC faculty member, and the

student should be held if the schedule allows.

o Any concerns will include a short term follow-up. The visiting instructor will

communicate student progress with the other LCCC faculty members.

25

DISCIPLINE / REMEDIATION POLICY

Each site has the authority to immediately handle any problems that may arise with the student at the site. Disciplinary action for infractions by the student should be immediate and first handled by the supervisor at the site. Following action at the site, notification of the incident should be made to the DMS Program Director. Plans for remediation will be taken, if needed, by the DMS Program Director in consultation with the DMS Clinical Coordinator, the site staff and student.

STUDENT DISMISSAL POLICY

Grounds for Probation and Dismissal

Students in the DMS Program are required to strive to do their best and to display the professional attitude necessary to promote a positive image of sonography to patients, fellow students, technologists, physicians, the college, and the general public. However, if a student fails to abide by the policies and procedures of this Handbook, they have failed to promote a positive image of their would-be profession, and thus may become subject to probation and/or dismissal. Removal from a Clinical Education Center/Denial of Student Placement A student may be removed from a clinical education center or denied placement for future rotations at a clinical education center at the request of the Clinical Supervisor and the Administrative Technologist of the affiliate. The request must be in writing, directed to the DMS Program Director, and must contain the following items: 1. Objective reason(s) for the request, 2. Documentation of efforts to correct the situation, 3. The results of these efforts, and 4. Any other information supporting the request. The following reason(s) may be considered as grounds for removal from a clinical affiliate and or the denial of student placement for future Clinical rotations resulting in a failing clinical grade: 1. The student has received three incident reports while at that clinical education center 2. The student has demonstrated flagrant abuse of hospital policies and procedures 3. Unacceptable results from a required criminal background check and/or urinalysis

screening test 4. Alcohol and drug abuse or effects while at the clinical site 5. Irreconcilable personality differences 6. Chronic poor performance, which may be characterized by an excessive mistakes, failure to

progress, poor listening and communication skills, and/or consistent failure to follow directions and departmental routines or excessive absences

7. Breech of patient confidentiality 8. Any other circumstances which demonstrate poor student performance overall 9. Breech of the SDMS Code of Ethics

26

Probation Guidelines

A student will be placed on probation if an infraction of any of the various handbook policies occurs. An "Unsatisfactory Performance Contract" will be completed by the student, the Clinical Coordinator, the Program Director, and the Clinical Supervisor (if applicable). Probation will extend to the length of time the contract is drawn up for and/or the satisfaction of the conditions of the contract agreed upon by the parties above. The following infractions will cause the student to be placed on probation: 1. The student receives less than a "C" in a course in the DMS curriculum not containing an

IMAG prefix a. Probation will extend one semester during which time the student must repeat the course (or its equivalent) and earn a "C" or better.

2. The student receives a monthly evaluation of less than 76% (Part I, Part II, or total score) in a clinical internship course

a. Probation will extend one month (or until the next evaluation is completed.) 3. A student is removed from one clinical affiliate at the request of the Clinical Supervisor and the Chief Technologist. (Request must be in writing) a. Probation will extend until completion of the DMS Program in this instance. 4. A student is performing poorly in one or several areas of his/her training. a. Probation will be used and extended at the discretion of the Clinical Coordinator and/or Program Director. 5. Chronic poor performance in either the clinical or didactic aspects of a student's education, which may include excessive absenteeism, poor communication skills, lack of respect, inability to get along with others, or other circumstances which inhibit successful completion of the program. 6. Any situation outlined in the College Handbook stating grounds for probation. 7. The student fails complete a competency with a passing grade after three attempts.

Dismissal Guidelines A student may be removed from the Program based on various infractions of policies outlined in the DMS Program Student Handbook. The authority to dismiss a student from the program rests solely with the Program Director. The following infractions are grounds for removal from the Program: 1. Academic Dishonesty: This includes cheating, plagiarism, or any other attempts to use someone else's work as

one's own. Any student guilty of this may also be subject to expulsion from the college. 2. The student receives a grade of less than a "C" in any course in the DMS Program with an

IMAG prefix. 3. The student receives a second (consecutive) evaluation of less than 76% during clinical

internship. 4. A student is removed from, or denied placement for future rotations at a second clinical

affiliate at the written request of the Clinical Supervisor and the Chief Technologist due to unsatisfactory performance.

5. The failure to respect patient confidentiality.

27

6. Documented patient endangerment. 7. Positive results on a drug screen or misrepresentation regarding drug use. 8. Any criminal activity which bars the student from clinical participation and/or renders him/her ineligible for certification by the ARDMS. 9. The failure to satisfactorily complete the conditions outlined in an "Unsatisfactory

Performance Contract." (Completed for Probation Status) 10. The failure to earn a grade of "C" or better in a DMS curriculum course (not an IMAG prefix)

on the second attempt. 11. The student misses 40 or more hours of clinical in one semester. 12. More than two successive incomplete grades given in the DMS curriculum. 13. Any infraction resulting in expulsion from the college. 14. Any breach of the SDMS code of ethics.

Progression To progress in the sonography program, the student must:

1. Maintain a minimum grade of “C” in each required sonography and support courses. A support course is any course that does not contain the IMAG prefix. A cumulative GPA of 2.0 or above while in the program.

2. Take sonography courses in sequence.

Clinical Dismissal due to unforeseen circumstance This type of dismissal is when a situation comes up at the site such as an unexpected leave of absence, short staffing, or any inability in which the site can no longer accommodate the student internship that is not deemed as any fault from the student. In this case, LCCC will make every effort to find reasonable continuation of the student’s internship at another location. When necessary, students may receive an incomplete grade until course requirements are met.

SITE SHARING POLICY

In order to provide a well-rounded experience for all students, sites may be asked to share two students and to determine an appropriate rotation schedule. It is up to each site to determine whether or not they are willing to be a shared site with another facility. Common reasons for sharing sites are as follows:

A certain specialty is in short supply at some sites. We find this to be especially true with OB and Vascular.

Students may not be able to perform in-patient or emergency care at certain sites.

Students may not be exposed to physician interaction, interventional procedures, or other things that are essential to prepare a student for entry level employment.

Each site should work to communicate the student progress with the other facility.

28

PART III: FORMS It is the student’s responsibility to complete (or have completed by staff), maintain, and return all forms to LCCC by the established deadline. Forms may be submitted in the following ways:

1. Mailed or hand delivered to LCCC 2. Students may deliver documents at seminars for review

* Please copy all forms prior to submission

Time sheets: Students are to complete a time sheet of their daily hours spent in clinical. The time sheet is to be completed with the actual time the student is ready to begin their rotation by one of the staff sonographers when the student arrives and leaves. Falsification of this record is grounds for dismissal from the program and again, the school needs to know if this is occurring. In addition, this time sheet is to be signed by the designated supervisor at each site by the end of the term for that clinical experience. The hours on the sheet must accurately reflect the time spent by the student at the clinical site to within 15 minute increments. Students are not allowed to document more than 40 hours per week. Hours spent in clinical should be productive hours, with the student scanning as the priority. Student may also review case studies or study if time allows when no patients are available and department up keep has been completed. Patient Logs: Students are to complete an examination log of all scans that they were involved with in any manner. This log becomes part of the student’s record, and is kept confidential in a locked location. On a monthly basis, the student will tally the total number of assisted and performed examinations placed under the following categories:

1. Abdominal 2. OB/Gyn 3. Superficial Structures 4. Vascular 5. Misc / Interventional / Other

A minimum of 180 GYN, 180 OB and 360 AB should be completed by the end of the clinical internship. Monthly goal sheet: Beginning in the month of September, the student must complete section A of the monthly goal sheet for the upcoming month with a clinical instructor. After one month’s time, the student must complete section B with the instructor. These sheets are to be maintained by the student as a record, and will be reviewed during LCCC site visits. Six goal sheets will be completed by the end of Spring II semester. Evaluations: (available in document section of handbook)

1. Monthly evaluation forms are completed by the Clinical Instructor in consultation with other RDMS registered sonographers who have observed the student’s performance. These forms are generally completed on a monthly basis.

2. Clinical Visit Student Evaluation forms will be completed by LCCC DMS Faculty during each clinical site visit. These forms will be used to assess the student’s observed performance during the site visit.

29

3. Exam specific performance competencies are to be completed to demonstrate “competency” in specific exams. Refer to the competency policy below for more detailed information.

Forms required for each clinical experience include:

1. Orientation: due within one week of beginning internship

2. Time cards: due once at midterm and once at the end of each semester

3. Log Sheets: due at end of each semester

4. Record of Internship: due at end of each semester

5. Leave Request: prior to date of leave if applicable or upon return date following

illness

6. Monthly Goal Forms: due at end of each month

7. Monthly Development Evaluations: due at the end of each month

8. Clinical Site Evaluation: due at end of each semester

9. Performance competencies: due at end of each month

10. Clinical Visit Student Evaluation: LCCC DMS Faculty complete during clinical visit

11. A minimum of five competencies completed by end of Fall semester

12. All required competencies completed by end of Spring semester.

It is the student’s responsibilities to ensure all forms are completed and turned in by

the assigned deadlines.

Please make additional copies as needed.

30

LARAMIE COUNTY COMMUNITY COLLEGE DMS PROGRAM CLINICAL ORIENTATION FORM

Student: _________________________ Date: _______________ Clinical Site: ____________________ To orient new students to all assigned clinical rotation(s), students should review the following checklist with their clinical supervisor or staff to ensure a smooth transition into the department and facility. Please check off each item below as it is completed. Once the entire form is completed and signed, the student should return the form to the Program’s Clinical Coordinator within a week’s time.

(Mark “√” for completed or “n/a” if not applicable) A. Introduction

a. Staff _____ b. Radiologist(s) _____ c. Department Supervisor(s) _____

B. Department Tour

a. Scanning rooms _____ b. Radiologists’ reading room _____ c. Diagnostic imaging department and special modality areas _____ d. Reference materials to include MSDS _____ e. Location of supplies _____ f. Use of Cidex (or other disinfectant) to include expiration, _____

replenishment, etc. g. Probe disinfection process (required soaking time, etc.) _____ h. Location and use of crash cart(s) and O2 _____ i. Location of Fire Extinguisher(s) _____ j. Break room _____ k. Personal locker/coatroom/student records _____ l. Location of linens, warm blankets, dirty linens, etc. _____

C. Exam protocols

a. Made aware of department’s protocols for each exam ______

D. Operation of Sonography Machines

(Working the machines to include power up, shut down, features (harmonics, dynamic range, etc.), and other special instructions for the safe use and transport of the equipment. Please use the space provided to write any instructions that are specific to each room: Room 1: _______________________________________________________________________________ Room 2:

Room 3:

Room 4:

31

E. Hospital/Clinic Tour

a. CCU/ICU _____

b. Waiting area _____

c. ER and waiting area _____

d. Surgery and waiting area _____

e. Cafeteria _____

f. Central Supply _____

g. Pharmacy _____

h. Business Office _____

i. Out Patient Services _____

j. Hospital floors and clinics _____

k. Laboratory _____

F. Review of Department/Hospital’s Policies and Procedures

a. My reporting time to clinicals is _____ b. Flow of department to include patient check-in, use of department’s

computer for patient registration, notations, sending images to PAC’s, etc. _____

c. Evacuation plan _____

d. Mechanism for calling codes _____

e. Transportation of patients _____

f. Answering telephones _____

g. Patient ID protocols (2 identifiers) _____

h. Use of patient charts _____

i. Cleaning and restocking rooms _____

j. Downtime tasks _____

G. Parking Instructions were provided ______

I acknowledge that I have been properly oriented to this clinical site, and I am expected to follow the department’s policies and procedures that were provided to me. Student’s Signature: ____________________________________________ Date: ________________

Clinical Instructor’s Signature: ____________________________________ Date: _______________

32

DMS INTERNSHIP TIME CARD – BEGINNING CLINICAL EXP. – MIN. 256 HOURS

Enter total hours worked in the appropriate box with 15 minute increments after the hour (i.e. 8.25 hrs. =

8 hrs. and 15 min). Students should intern 32 hours per week to meet clinical requirements. Overtime

(more than 40 hours per week) is not allowed and should not be included in this time card. Students may

take up to 1 hour for a lunch break, though breaks are not to be included.

Student Signature: _______________________Instructor Signature_________________________

Week of:

June ___ June___ June ___ June___

Monday

Tuesday

Wednesday

Thursday

Friday

Other (list)

Total per week: (32 hours)

Week of:

July___ July ___ July___ July___

Monday

Tuesday

Wednesday

Thursday

Friday

Total per week: (32 hours)

Total Internship Hours for Beginning Clinical Experience: ______________

33

DMS INTERNSHIP TIME CARD – CLINICAL EXPERIENCE I MIN. 480 HOURS





Student Signature: _________________________Instructor Signature: _________________________

Week of:

August___ August___ August___ August___ August___

Monday

Tuesday

Wednesday

Thursday

Friday

Other (list)

Total per week:

(32 hours)

34

Week of:

September___ September ___ September ___ September ___ September ___

Monday

Tuesday

Wednesday

Thursday

Friday

Other (list)

Total per week:

(32 hours)

35

Week of:

October___ October___ October___ October___ October___

Monday

Tuesday

Wednesday

Thursday

Friday

Other (list)

Total per week:

(32 hours)

*Please submit your timecard.

36

DMS INTERNSHIP TIME CARD – CLINICAL EXPERIENCE I MIN. 480 HOURS





Student Signature: ______________________ Instructor Signature: _________________________

Week of:

November___ November___ November___ November___ November___

Monday

Tuesday

Wednesday

Thursday

Friday

Other (list)

Total per week:

(32 hours)

37

Week of:

December___ December___ December___ December___ December___

Monday

Tuesday

Wednesday

Thursday

Friday

Other (list)

Total per week:

(32 hours)

Total Internship Hours for Clinical Experience I: _________________


38

DMS INTERNSHIP TIME CARD – DMS CLINICAL EXPERIENCE II – MIN. 600 HOURS






Week of:

January___ January___ January___ January___ January___

Monday

Tuesday

Wednesday

Thursday

Friday

Other (list)

Total per week:

(32 hours)

39

Week of:

February___ February___ February___ February___ February___

Monday

Tuesday

Wednesday

Thursday

Friday

Other (list)

Total per week:

(40 hours)

40

Week of:

March___ March____ March___ March___ March___

Monday

Tuesday

Wednesday

Thursday

Friday

Other (list)

Total per week:

(40 hours)


41

DMS INTERNSHIP TIME CARD – DMS CLINICAL EXPERIENCE II – MIN. 600 HOURS






Week of:

April___ April___ April___ April___ April___

Monday

Tuesday

Wednesday

Thursday

Friday

Other (list)

Total per week:

(40 hours)

42

Total Internship Hours for Clinical Experience II: ________________

Total Internship Hours for DMS Program: ________________


Week of:

May___ May___ May___ Other___ Other___

Monday

Tuesday

Wednesday

Thursday

Friday

Other (list)

Total per week:

(40 hours)

43

LCCC DMS LOG SHEET

Student name: Site:

Supervisor signature: Student signature:

** O=Observed: Observed only.

A=Assisted: Supervising sonographer takes additional images to prove or disprove student’s findings or sonographer must complete exam

due to time constraint P=Performed: Student completes exam independently. It is permissible for supervising sonographer to take

Additional images, but must not disprove student’s findings.

Date

Film ID Exam & Reason Student Role ** Comments

Exam

Tally:

OB GYN ABD Vascular Other *Tally should include Assisted

or Performed exams only.

44

LCCC DMS Program Name:______________________

RECORD OF INTERNSHIP

MONTH

June July Aug Sept Oct Nov Dec

Total Number of Hours

completed

Number of exams: Assisted or Performed Only

OB/GYN

30 %

Gyn/EV

OB 2/3rd

OB 1st

Subtotal:

Abdomen

30%

Complete

Limited

Renal

Breast

Scrotum

Thyroid

Subtotal:

Vascular

Additional

Practice

Carotid

Legs V

Arms V

Arterial

Interventional

Other

Total Exams:

45

LCCC DMS Program

RECORD of INTERNSHIP Name:_________________

MONTH

Jan Feb March April May Final Tally

Internship Min: 1336 hrs

Total Number of Hours

completed

Number of exams: Assisted or Performed Only

OB/GYN

30%

Gyn/EV

OB 2/3rd

OB 1st

Subtotal:

Abdomen

30%

Complete

Limited

Renal

Breast

Scrotum

Thyroid

Subtotal:

Vascular

Additional

Practice

Carotid

Legs V

Arms V

Arterial

Interventional

Other

Total Exams:

The above numbers are accurate to the best of my knowledge:

Signature:________________________Date:__________

46

LARAMIE COUNTY COMMUNITY COLLEGE – DMS Program

Leave Request Form / Schedule Change Form____PTO

Student Name: ______________________________________ Date: _________________________

Clinical Site Location(s):________________________________________________

Requested Change/ Leave of Absence:

______________________________________________________________________________________

______________________________________________________________________________________

_____________________________________________________________________________________

Reason for request:

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

Specific plan to make up any missed clinical hours:

______________________________________________________________________________________

______________________________________________________________________________________

_____________________________________________________________________________________

Student’s Signature: __________________________________________ Date: ______________________

Approved Declined

Clinical Instructor’s Signature:

__________________________________Date:_________________________

Program Director’s Signature:

__________________________________Date:________________________

Notes:

47






______________________________________________________________________________________

______________________________________________________________________________________

_____________________________________________________________________________________

Reason for request:

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________


______________________________________________________________________________________

______________________________________________________________________________________

_____________________________________________________________________________________


Approved Declined


__________________________________Date:_________________________


__________________________________Date:________________________

Notes:

48






______________________________________________________________________________________

______________________________________________________________________________________

_____________________________________________________________________________________

Reason for request:

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________


______________________________________________________________________________________

______________________________________________________________________________________

_____________________________________________________________________________________


Approved Declined


__________________________________Date:_________________________


__________________________________Date:________________________

Notes:

49

Monthly Goal Setting Form: September

Student Name:

Date:

Section A

Take a few minutes to discuss with your clinical instructor an improvement goal to be met next month at this time. The goal should aim for the following objectives:

Achievable for a 1 month goal

Appropriate for a student in sonography

Addresses an area which could use improvement by the student

Sets a specific task in which the end result is measureable (example: Instead of writing

‘improve scan time’, state ‘reduce renal exam time to a 20 minute scan’.

Upon collaborative agreement, write the goal below:

Section B

It should now be a month week later. Review the goal above and discuss with your instructor your improvement and success in meeting this goal.

Has the goal been met to the level indicated? __________Yes __________No

If no, write a short action plan below to discuss how this matter will be resolved.

Student signature: _______ Instructor signature: _________________

Now don’t forget to do next month’s goal setting!!!

50

Monthly Goal Setting Form: October

Student Name:

Date:

Section A

Take a few minutes to discuss with your clinical instructor an improvement goal to be met next month at

this time. The goal should aim for the following objectives:




Sets a specific task in which the end result is measureable (example: Instead of writing ‘improve

scan time’, state ‘reduce renal exam time to a 20 minute scan’.


Section B

It should now be a month week later. Review the goal above and discuss with your instructor your

improvement and success in meeting this goal.



Student signature: Instructor signature:


51

Monthly Goal Setting Form: November

Student Name:

Date:

Section A









Section B







52

Monthly Goal Setting Form: February

Student Name:

Date:

Section A









Section B







53

Monthly Goal Setting Form: March

Student Name:

Date:

Section A









Section B







54

Monthly Goal Setting Form: April

Student Name:

Date:

Section A









Section B






55

Developmental Evaluation’s

There is a copy of the Developmental Evaluation form for each semester of clinical experience. The forms are master copies so please make additional copies as necessary. A developmental evaluation should be completed after each month of the clinical experience. The evaluation should be conducted by the Clinical Instructor. Please allow ample time for Clinical Instructor to properly evaluate and calculate student progress. This form should be fully completed and sent to the DMS Clinical Coordinator for appropriate credit. Punctuality of receipt is recognized and points will be deducted from overall grade for tardy submissions. Evaluations should submitted for the following months in order: Summer Semester (2 forms)

1. June 2. July

Fall Semester (3 forms)

1. August/September 2. October 3. November/ December

Spring Semester (3 forms)

1. January/ February 2. March 3. April/May

56


DMS Program SUMMER SEMESTER Development Evaluation A total of 2 evaluations are to be completed

Student Name: __________________________ Total Grade: ____________

Clinical Education Center: __________________ Date: _______________Month:________

Directions: Place a check in the appropriate column. Check “Yes” if the student has demonstrated mastery of the skill. (Mastery indicates the student has performed and/or can be trusted to perform these skills independently with minimal or no direction.) If the student has not satisfactorily achieved mastery, check “No”, and comment in the space provided. If you or another technologist have not observed the student perform this skill, or if he/she has had not opportunity to perform it, place a check in the N/A column where this situation applies.

Part I: Employability Skills

Completed for ALL SEMESTERS

Yes No

1. ATTENDANCE: Attends site regularly at prearranged times with NO unexcused absences. Absences are

not affecting clinical performance. If NO, also please note on last page of this form.

2. PUNCTUALITY: Arrives timely at the clinical site with NO unexcused tardiness. If NO, also please note

on the last page of this form.

3. APPROPRIATE DRESS AND PROFESSIONAL HYGIENE: Complies with policies outline in the DMS

Student Handbook or the Clinical Site’s policy, whichever is more stringent.

4. CITIZENSHIP: Student displays honesty and integrity, accepts and abides by organizational and

program policies and procedures, accepts responsibility for errors.

5. TIME MANAGEMENT: Uses time (including down time) wisely, completes all technical procedures

begun, performs duties in an organized, efficient manner.

6. TEAMWORK: Displays a respectful manner to fellow technologists/supervisors. Pleasant to work with.

Performs as a member of a team with team goal as an objective, willing and available to help others as

needed.

7. CUSTOMER RELATIONS: Respects the patient at all times, establishes rapport with patients. Maintains

a helpful and courteous manner with other departments, visitors, physicians, and co-workers.

Interactions leave a favorable impression of the student/department/clinical site.

8. CONFIDENTIALITY: Holds in strict confidence all information concerning patients, visitors, physicians,

and co-workers.

9. SAFETY: Complies with the appropriate policies, quality patient care is displayed as a priority at all

times.

10. RECEPTIVENESS: Receptive to suggestions and/or corrections, avoids “shopping for answers”,

accepts constructive criticism in a positive manner.

57

11. CONTINUOUS IMPROVEMENT: Develops new and appropriate skills building on past learning, makes

note of and learns from mistakes, strives to perform assignments to best of his/her ability.

12. COMMUNICATION: Able to follow directions, expresses ideas clearly and readily, observes

appropriate channels of communication.

13. SKILLS MAINTENANCE: Demonstrates continued competence in areas of past learning, retains and

practices skills previously taught.

TOTALS

1. To compute Part I of this form, transfer section totals to the appropriate lines below:

Total Yes: _______ Total No: _______ Total Yes + No: _______

2. Divide total number of Yes by total number of Yes + NO’s and multiply by 100.

Total Yes _______/ Total Yes + No _______ x 100 = _______%

3. Transfer this percentage to the appropriate line on the last page of this form.

Complete Part II as directed at the beginning of the form up to and including the current semester. If a student

has demonstrated only partial mastery of any skill listed, an asterisk (*) should be placed in the “Yes” box rather

than a check mark (X). Please include comments for all No’s and asterisks.

Part II

Summer Clinical Skills

Yes No N/A

1. Participation in Orientation of Department, Institution and Mandatory In-services

2. Keeps time records up-to-date

3. Can correctly use the department phone system, using appropriate telephone

etiquette

4. Independently powers up and shuts down ultrasound machines

5. Performs basic processing of patient information and records (filing/transmitting

images)

6. Independently retrieves patient orders

7. Obtains patient history and retrieves needed lab values as necessary

8. Student retrieves prior exam reports to use in correlation to

9. Correctly identifies the patient

58

10. Safely transports patients in various conditions (chest tubes, oxygen, suction) with

assistance

11. Gives patient clear instructions

12. Correctly inputs patient information to include taking a detailed history

13. Correctly selects machine presets

14. Correctly selects transducer appropriate for exam and patient size

15. Properly centers images for display

16. Correctly annotates images

17. Correctly uses correct settings to include windows, gain settings, depth selection and

measurements throughout scan

18. Correctly charges patient information and/or routes through appropriate channels

19. Maintains a clean and safe environment; straightens and cleans exam and dressing

rooms, changes linens as appropriate

For students completing Summer Clinicals, stop here and make calculations on next page.

TOTALS:

59

Grade Calculation

PART I GRADE (carry over from page 1). ____________% PART II GRADE (calculate below) ____________ %

1. To compute the student’s clinical skills grade (Part II), transfer all appropriate semester totals to the lines below:

a. Grand Total of “Yes”: _____ X 1 pt. = ________________(e.) b. Grand Total of *’s: _____ X .5 pt. = ________________ (f.) c. Grand Total of “No”: _____ (g.)

2. Divide total number of Yes and asterisk points by the total number of Yes + No + asterisk and multiply by 100. Total Yes (e.) + Total * (f)_______________ Total Yes (e.) ________ + No (g.)________ + * (f) ________ X 100 = _____________%

TOTAL EVALUATION GRADE 1. To compute the student’s total evaluation grade, complete the grid below:

NOTE: To progress in the program, a student must earn a 76% or better in each section (i.e. Part I must equal or be greater than 76% and Part II must equal or be greater than 76%. Failure to perform 76% or above in either section may result in disciplinary action, including probation and/or dismissal.) PART I: Employability Skills Section: _______ x .5 = ______________ PART II: Clinical Skills Section: _______ x .5 = ______________

2. EVALUATION GRAND TOTAL: ______________ %

3. The Grand Total above is the student’s percentage grade. For a letter grade, reference the percentage table below: 93-100% = A 84-92% = B 76-83% = C 75% or less = F

4. Transfer both the percentage grade and letter grade to the space provided on the first page.

Comments: 1. Areas where the student excels:

2. Areas needing improvement:

3. Areas in which the student has had little opportunity to observe or practice:

4. Other comments:

Student’s Comments: Review: This evaluation has been discussed between the below signed student and the clinical supervisor. ________________________________________ _____________________________________________ Clinical Supervisor Date Student Date

60


DMS Program FALL SEMESTER Development Evaluation

A total of 3 evaluations are to be completed


Clinical Education Center: __________________ Date: ___________Month:_____ Directions: Place a check in the appropriate column. Check “Yes” if the student has demonstrated mastery of the skill. (Mastery indicates the student has performed and/or can be trusted to perform these skills independently with minimal or no direction.) If the student has not satisfactorily achieved mastery, check “No”, and comment in the space provided. If you or another technologist have not observed the student perform this skill, or if he/she has had not opportunity to perform it, place a check in the N/A column where this situation applies.



Yes No

1. ATTENDANCE: Attends site regularly at prearranged times with NO

unexcused absences. Absences are not affecting clinical performance. If

NO, also please note on last page of this form.

2. PUNCTUALITY: Arrives timely at the clinical site with NO unexcused

tardiness. If NO, also please note on the last page of this form.

3. APPROPRIATE DRESS AND PROFESSIONAL HYGIENE: Complies with

policies outline in the DMS Student Handbook or the Clinical Site’s policy,

whichever is more stringent.

4. CITIZENSHIP: Student displays honesty and integrity, accepts and abides

by organizational and program policies and procedures, accepts

responsibility for errors.

5. TIME MANAGEMENT: Uses time (including down time) wisely, completes

all technical procedures begun, performs duties in an organized, efficient

manner.

6. TEAMWORK: Displays a respectful manner to fellow

technologists/supervisors. Pleasant to work with. Performs as a member

of a team with team goal as an objective, willing and available to help

others as needed.

7. CUSTOMER RELATIONS: Respects the patient at all times, establishes

rapport with patients. Maintains a helpful and courteous manner with

other departments, visitors, physicians, and co-workers. Interactions

leave a favorable impression of the student/department/clinical site.

8. CONFIDENTIALITY: Holds in strict confidence all information concerning

patients, visitors, physicians, and co-workers.

61

9. SAFETY: Complies with the appropriate policies, quality patient care is

displayed as a priority at all times.

10. RECEPTIVENESS: Receptive to suggestions and/or corrections, avoids

“shopping for answers”, accepts constructive criticism in a positive

manner.

11. CONTINUOUS IMPROVEMENT: Develops new and appropriate skills

building on past learning, makes note of and learns from mistakes, strives

to perform assignments to best of his/her ability.

12. COMMUNICATION: Able to follow directions, expresses ideas clearly and

readily, observes appropriate channels of communication.

13. SKILLS MAINTENANCE: Demonstrates continued competence in areas of

past learning, retains and practices skills previously taught.

TOTALS






Part II


Yes No N/A

1. Participation in Orientation of Department, Institution

and Mandatory In-services


3. Can correctly use the department phone system, using

appropriate telephone etiquette

4. Independently powers up and shuts down ultrasound

machines

62

5. Performs basic processing of patient information and

records (filing/transmitting images)


7. Obtains patient history and retrieves needed lab values

as necessary

8. Student retrieves prior exam reports to use in

correlation to


10. Safely transports patients in various conditions (chest

tubes, oxygen, suction) with assistance


12. Correctly inputs patient information to include taking a

detailed history


14. Correctly selects transducer appropriate for exam and

patient size



17. Correctly uses correct settings to include windows, gain

settings, depth selection and measurements throughout

scan

18. Correctly charges patient information and/or routes

through appropriate channels

19. Maintains a clean and safe environment; straightens

and cleans exam and dressing rooms, changes linens as

appropriate

TOTALS:

63




Part II

Fall Clinical Skills

Yes No N/A

1. Safely transfers patient to and from wheelchair, bed, or

cart to exam table and back

2. Performs exams in a logical and efficient manner

according to department protocol

3. Correctly uses optimization features to enhance images

4. Recognizes when alternative means of acquiring image

are required due to patient’s physical condition, asking

for assistance as needed

5. Correctly takes required images of pathology per

department protocol

6. Recognizes pathology on images and documents

appropriately

7. Fills out exam worksheets accurately and thoroughly per

department protocol

8. Correctly prepares endovaginal probe for patient use;

properly disinfects probe per department policy at

completion of procedure

9. Maintains a sterile field

10. Can properly transport ultrasound machine for portable

exams

11. Identifies all equipment on the crash cart and their

purpose

12. Performs (2 or higher) on all competency objectives

13. Performed:______ clinical competencies successfully

*Students need to have performed a minimum of 5

competencies successfully by the end of the Fall

semester.

64

For students completing Fall Clinicals stop here and make

calculations on next page. TOTALS:

65

Grade Calculation


1. To compute the student’s clinical skills grade (Part II), transfer all appropriate semester totals to the lines below: a. Grand Total of “Yes”: _____ X 1 pt. = ________________(e.) b. Grand Total of *’s: _____ X .5 pt. = ________________ (f.) c. Grand Total of “No”: _____ (g.)










4. Other comments:


66


DMS Program SPRING SEMESTER Development Evaluation

A total of 3 evaluations are to be completed


Clinical Education Center: __________________ Date: _________Month:_______ Directions: Place a check in the appropriate column. Check “Yes” if the student has demonstrated mastery of the skill. (Mastery indicates the student has performed and/or can be trusted to perform these skills independently with minimal or no direction.) If the student has not satisfactorily achieved mastery, check “No”, and comment in the space provided. If you or another technologist have not observed the student perform this skill, or if he/she has had not opportunity to perform it, place a check in the N/A column where this situation applies.



Yes No

1. ATTENDANCE: Attends site regularly at prearranged times with NO

unexcused absences. Absences are not affecting clinical performance. If

NO, also please note on last page of this form.

2. PUNCTUALITY: Arrives timely at the clinical site with NO unexcused

tardiness. If NO, also please note on the last page of this form.

3. APPROPRIATE DRESS AND PROFESSIONAL HYGIENE: Complies with

policies outline in the DMS Student Handbook or the Clinical Site’s policy,

whichever is more stringent.

4. CITIZENSHIP: Student displays honesty and integrity, accepts and abides

by organizational and program policies and procedures, accepts

responsibility for errors.

5. TIME MANAGEMENT: Uses time (including down time) wisely, completes

all technical procedures begun, performs duties in an organized, efficient

manner.

6. TEAMWORK: Displays a respectful manner to fellow

technologists/supervisors. Pleasant to work with. Performs as a member

of a team with team goal as an objective, willing and available to help

others as needed.

7. CUSTOMER RELATIONS: Respects the patient at all times, establishes

rapport with patients. Maintains a helpful and courteous manner with

other departments, visitors, physicians, and co-workers. Interactions

leave a favorable impression of the student/department/clinical site.

8. CONFIDENTIALITY: Holds in strict confidence all information concerning

patients, visitors, physicians, and co-workers.

67

9. SAFETY: Complies with the appropriate policies, quality patient care is

displayed as a priority at all times.

10. RECEPTIVENESS: Receptive to suggestions and/or corrections, avoids

“shopping for answers”, accepts constructive criticism in a positive

manner.

11. CONTINUOUS IMPROVEMENT: Develops new and appropriate skills

building on past learning, makes note of and learns from mistakes, strives

to perform assignments to best of his/her ability.

12. COMMUNICATION: Able to follow directions, expresses ideas clearly and

readily, observes appropriate channels of communication.

13. SKILLS MAINTENANCE: Demonstrates continued competence in areas of

past learning, retains and practices skills previously taught.

TOTALS









Part II


Yes No N/A

1. Participation in Orientation of Department, Institution

and Mandatory In-services


3. Can correctly use the department phone system, using

appropriate telephone etiquette

4. Independently powers up and shuts down ultrasound

machines

5. Performs basic processing of patient information and

records (filing/transmitting images)

68


7. Obtains patient history and retrieves needed lab values

as necessary

8. Student retrieves prior exam reports to use in

correlation to


10. Safely transports patients in various conditions (chest

tubes, oxygen, suction) with assistance


12. Correctly inputs patient information to include taking a

detailed history


14. Correctly selects transducer appropriate for exam and

patient size



17. Correctly uses correct settings to include windows, gain

settings, depth selection and measurements throughout

scan

18. Correctly charges patient information and/or routes

through appropriate channels

19. Maintains a clean and safe environment; straightens

and cleans exam and dressing rooms, changes linens as

appropriate

TOTALS:

69

Part II

Fall Clinical Skills

Yes No N/A

1. Safely transfers patient to and from wheelchair, bed, or

cart to exam table and back

2. Performs exams in a logical and efficient manner

according to department protocol

3. Correctly uses optimization features to enhance images

4. Recognizes when alternative means of acquiring image

are required due to patient’s physical condition, asking

for assistance as needed

5. Correctly takes required images of pathology per

department protocol

6. Recognizes pathology on images and documents

appropriately

7. Fills out exam worksheets accurately and thoroughly per

department protocol

8. Correctly prepares endovaginal probe for patient use;

properly disinfects probe per department policy at

completion of procedure

9. Maintains a sterile field

10. Can properly transport ultrasound machine for portable

exams

11. Identifies all equipment on the crash cart and their

purpose

12. Performs (2 or higher) on all competency objectives

13. Performed:______ clinical competencies successfully

*Students need to have performed a minimum of 11

competencies in the mandatory category and 5

competencies in the elective category for a total of 16

competencies successfully completed by the end of the

Fall semester.

TOTALS:

70

Part II

Spring Clinical Skills

Yes No N/A

1. Volunteers to perform all exams

2. Attempts alternative projections due to patient’s

physical condition, asking for assistance when needed

3. Independently performs portable/emergency exams

4. Analyzes own images, recognizing errors and offering

solutions with increasing accuracy

5. Identifies image artifacts and their causes

6. Sets up sterile field correctly

7. Displays knowledge of and properly assists with invasive

procedures

8. Works independently; requires little assistance

9. Displays sonography and general medical knowledge

necessary to function in a healthcare setting

10. Actively pursuing completion of all required clinical

competencies

11. Demonstrates proficiency as an entry-level sonographer

12. Assists in maintaining optimal function of sonography

equipment

Refer to next section for grade calculations.

TOTALS:

71

Grade Calculation


1. To compute the student’s clinical skills grade (Part II), transfer all appropriate semester totals to the lines below: a. Grand Total of “Yes”: _____ X 1 pt. = ________________(e.) b. Grand Total of *’s: _____ X .5 pt. = ________________ (f.) c. Grand Total of “No”: _____ (g.)










4. Other comments:


72

LCCC DMS PROGRAM

Clinical Rotation and Clinical Instructor Evaluation

Summer Semester

Clinical Education Center

This questionnaire provides you with the opportunity to anonymously express your views

of the clinical rotation site and clinical instructor. Please utilize the comment

section for additional comments.

Yes Needs

Improvement

No N/A

1. Were you adequately oriented

to the department at the

outset of this rotation? If

not, comment:

_______ _______ _______ ______


to the hospital or facility?

________ ________ _______ _______

3. Are updated and complete

procedures manuals and

technique charts provided in

this department?

_______ ________ _______ _______

4. Are exam protocols consistent

within the department, and

from sonographer to

sonographer? If not, specify

which exam protocols are not

consistent:

________ ________ _______ _______

5. Was the opportunity provided

for you to achieve all of

your clinical objectives at

this site or any other

short-term rotation if

applicable? If not, specify

which ones and why:

________ ________ _______ _______

6. Was your clinical instructor

available for assistance?

_______ _______ _______ _______


approachable and willing to

assist with problems?

________ ________ _______ _______

8. Did your clinical instructor

provide adequate direction

and instruction?

_______ _______ _______ _______

9. Did the clinical instructor

provide:

a. Periodic one-on-one

instruction?

b. Regular opportunities for

image evaluation?

c. Clear, easily understood

feedback on your

progress?

_______

_____

_______

_______

_______

_______

_______

_______

_______

_______

_______

_______

73

10. Do you feel that you were

graded fairly and

consistently for:

a. Clinical objectives

b. Monthly evaluations

If not, specify exams,

circumstances, individuals,

etc.

_______

_______

_______ _______ _______

_______

_______

_______

_______

_______

_______

11. Do you feel the clinical

instructor is adequately

prepared to teach in this

setting? If not, explain.

_______ _______ _______ _______

12. Were the supervising

personnel and other staff

supportive of your learning

goals?

_______ _______ _______ _______


treated in a fair and

respectful manner by the

majority of the clinical

staff? If not, explain

_______

_______ _______ _______


or other qualified staff

oversee all of your

repeated exams? If not,

explain.

_______ _______ _______ _______

15. Did this clinical site

challenge you to learn?

_______ _______ _______ _______

16. Would you recommend this

clinical instructor and

education center to other

students?

_______ _______ _______ _______

Summary:

Based on the items evaluated, what do you feel are the clinical rotation's:

1. Greatest Strengths?

2. Areas needing improvement?

3. Other Comments:

74

LCCC DMS PROGRAM


Fall Semester





Yes Needs

Improvement

No N/A




not, comment:

_______ _______ _______ ______



________ ________ _______ _______




this department?

_______ ________ _______ _______



from sonographer to



consistent:

________ ________ _______ _______







which ones and why:

________ ________ _______ _______



_______ _______ _______ _______




________ ________ _______ _______



and instruction?

_______ _______ _______ _______

75


provide:


instruction?


image evaluation?


feedback on your

progress?

_______

_____

_______

_______

_______

_______

_______

_______

_______

_______

_______

_______


graded fairly and

consistently for:





etc.

_______

_______

_______ _______ _______

_______

_______

_______

_______

_______

_______





_______ _______ _______ _______




goals?

_______ _______ _______ _______






_______

_______ _______ _______



oversee all of your


explain.

_______ _______ _______ _______



_______ _______ _______ _______




students?

_______ _______ _______ _______

Summary:




3. Other Comments:

76

LCCC DMS PROGRAM


Spring Semester





Yes Needs

Improvement

No N/A




not, comment:

_______ _______ _______ ______



________ ________ _______ _______




this department?

_______ ________ _______ _______



from sonographer to



consistent:

________ ________ _______ _______







which ones and why:

________ ________ _______ _______



_______ _______ _______ _______




________ ________ _______ _______



and instruction?

_______ _______ _______ _______

77


provide:


instruction?


image evaluation?


feedback on your

progress?

_______

_____

_______

_______

_______

_______

_______

_______

_______

_______

_______

_______


graded fairly and

consistently for:





etc.

_______

_______

_______ _______ _______

_______

_______

_______

_______

_______

_______





_______ _______ _______ _______




goals?

_______ _______ _______ _______






_______

_______ _______ _______



oversee all of your


explain.

_______ _______ _______ _______



_______ _______ _______ _______




students?

_______ _______ _______ _______

Summary:




3. Other Comments

Revised 2-14-2013

INTERNSHIP PERFORMANCE COMPETENCY Laramie County Community College

DMS Program Attempt # ______________________ Pt. MRN #_________________________

Student: ______________________ Evaluator: ______________________ Date: __________________ Hospital/Clinic: _______________________________ Exam: _________________________________ Rating criteria: 3=Performance of the highest quality with no assistance 2=Performance of the highest quality with minimal assistance OR performance of good quality with no assistance 1=Needs moderate of high level of assistance; cannot perform at acceptable standards without help or needs additional imaging after comp was performed 0-=Does not perform at acceptable standards with moderate assistance OR does not attempt to perform To pass this competency, the following conditions must be met:

The attempt must be pre-approved by the evaluator

All ratings on the score sheet must be at a 2 or higher

PERFORMANCE EVALUATION COMMENTS

1. Student demonstrated adequate patient care, safety and

communication skills

3 2 1 0

2. Student properly interpreted the patient requisition, acquired a

history and clinical correlation

3 2 1 0

3. Student prepared the examination room for procedure 3 2 1 0

4. Student demonstrated efficient use of time and energy, and

completed exam within time limit

3 2 1 0

5. Student selected the correct equipment and used it properly 3 2 1 0

IMAGE EVALUATION

6. Student correctly demonstrated knowledge of protocols 3 2 1 0

7. Student correctly positioned the part/patient 3 2 1 0

8. Student selected correct technical factors that resulted in diagnostic

images

3 2 1 0

9. Student demonstrated recognition of normal and abnormal anatomy 3 2 1 0

10. Student used correct annotation 3 2 1 0

11. Student demonstrated evidence of ALARA 3 2 1 0

12. Student properly evaluated the ultrasound images 3 2 1 0

13. Student presented to interpreting physician as indicated 3 2 1 0 N/A

14. Student released patient in accordance with guidelines 3 2 1 0

__________ Successful Attempt _________Unsuccessful attempt Evaluator’s Signature: __________________________________________________________________ Student’s Signature: __________________________________________________________________

79

LCCC DMS Program Clinical Visit Student Evaluation

Student’s Name____________________________________________ Clinical Site __________________________ Date: _______________________ While at the site the student was observed performing _____ scans. 1st _______________________________________________________________ 2nd _______________________________________________________________ 3rd _______________________________________________________________ Technically: (consider all exams observed) Comments: Images were well centered yes no _______________________________________ Depth, Focus was appropriate yes no _______________________________________ Proper Annotation used yes no _______________________________________ Best window used yes no ______________________________________ Measurements correct yes no ______________________________________ Anatomy well demonstrated yes no ______________________________________ Pathology properly imaged yes no ______________________________________ Other: ___________________________________________________________________________________ Patient Interaction: Obtains complete histories yes no ______________________________________ Explains exam to patients yes no ______________________________________ Proper Patient Interaction yes no _____________________________________ Other: __________________________________________________________________________________ Confidence of Student: Student takes initiative yes no ________________________ Does not show frustration during exams yes no ________________________ Willingness to work independently yes no ________________________

80

Presents to Radiologist in an organized manner yes no (n/a) _______________________ Time efficient / Readily chooses images yes no ________________________ Department Teamwork Student understands the functions, protocols and workflow of department Yes No __________________

Student aids staff in daily tasks and workflow of department Yes No __________________ Student is getting along well with all department staff members Yes No __________________ Clinical Records Review Student Internship Handbook reviewed and up to date Yes No __________________ Patient Logs are completed and appropriate Yes No __________________ Clinical hours are appropriate Yes No ________________ Monthly Goal Sheets are completed Yes No__________________ List of Clinical Competencies Completed: ________________________________________________________________________________________________________________________________________________________________________________________________________________________ Staff Comments: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Student Comments: Strengths: ____________________________________________________________ ____________________________________________________________ Weaknesses: ____________________________________________________________ ____________________________________________________________ Improvement since last visit: ________________________________________________________________________________________________________________________________________________________________________________________________________________________

81

Areas of focus before next Site Visit: ________________________________________________________________________________________________________________________________________________________________________________________________________________________ Faculty (site visitor) Comments: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Faculty Signature: _____________________________________ Date:_______________ Student Signature:_______________________________________Date:_______________

82

LARAMIE COUNTY COMMUNITY COLLEGE

DMS Program Course Syllabus

Summer/2015

COURSE NUMBER/TITLE: IMAG 2254 DMS Beginning Clinical Experience

CREDIT HOURS: 6

TIME/ROOM: TBD by Clinical Site

INSTRUCTOR: Sheridan Hanson, AAS, RDMS

Office: HS 224

Office Phone: 307-778-4394


Fax: 307-778-1395 (Attn: Sheridan Hanson)

OFFICE HOURS: Office hours will be posted to D2L

INSTRUCTIONAL MATERIALS TO BE USED:

Previous DMS Course Materials.

COURSE DESCRIPTION:

This course is a beginning supervised clinical experience in an ultrasound imaging

department. Students observe, perform and correlate theory to practice on

examinations of the abdomen, gravid and non-gravid pelvis and small parts. Students

demonstrate knowledge of anatomic structures by correctly operating the sonography

equipment. Students identify pathological processes of disease and normal anatomic

variants. Participation in this course takes place at a hospital or clinic.

INSTITUTIONAL COMPETENCIES:

1. Reasoning: Quantitative reasoning ̶ Students’ ability to represent and interpret mathematical

information and apply it to a task Scientific reasoning ̶ Students’ ability to observe, hypothesize, test, analyze, interpret

and reflect on scientific phenomena


83

Problem solving ̶ Students’ ability to analyze a task, apply tools, execute a plan, and reflect on its effectiveness

Information literacy ̶ Students’ ability to access, evaluate, and synthesize appropriate resources for a project, and to use resources ethically

2. Effective Communication:

Written communication ̶ Students’ ability to effectively communicate in writing Verbal communication ̶ Students’ ability to effectively communicate verbally when

giving presentations Interpersonal communication ̶ Students’ ability to effectively communicate

interpersonally in various situations to create meaning together 3. Collaboration ̶ Students’ ability to foster teamwork, consider needs of partners, and work

toward a specific goal as part of a team 4. Human Culture:

a. Cultural Awareness ̶ Students’ ability to distinguish the complexity of cultural elements important to members of a culture

b. Aesthetic analysis ̶ Students’ ability to analyze objective and subjective characteristics of art, music, performance art, literature, architecture, mass media, humanities and other forms of artistic expression

COURSE COMPETENCIES:

1. Perform file room duties with assistance

2. Adhere to universal and standard safety precautions with minimal supervision

3. Prepare imaging room relatively independently

4. Perform patient care with assistance

5. Transport patients with assistance

6. Transfer patients with assistance

7. Complete required patient documentation with assistance

8. Participate as a member of the healthcare team with assistance

9. Adhere to the sonographer code of ethics with supervision

10. Perform image critique with supervision

11. Complete an aortic ultrasound exam with assistance

12. Complete a renal ultrasound exam with assistance

13. Complete a complete abdominal examination with assistance

14. Complete a transabdominal ultrasound of non-gravid female pelvis with

assistance

15. Complete an endovaginal non-gravid pelvis scan with assistance

16. Complete a first-trimester obstetrical ultrasound with assistance

17. Complete an endovaginal ultrasound of the 1st trimester gravid female pelvis

with assistance

18. Complete second/third trimester obstetrical exam with assistance

19. Complete scans of superficial structures with assistance

84

GRADING:

To earn a ‘C’ (400 points) in this course the student must:

Obtain the minimum required hours for Beginning Clinical Experience (20 points)

Meet the minimum criteria on the Developmental Evaluation form & form must be

checked ‘yes’ on the question that asks if student is ready to progress (90 points)

Return Developmental Evaluation at the end of each month (50 points)

Return time card & log sheet forms to LCCC in accordance with the checklist

provided on page 30 ( 90 points)

Return Clinical Site Evaluation forms (50 points)

Obtain a C average on all monthly evaluations (100 points)

To earn a ‘B’ (500 points) in this course the student must:

Meet all of the C grade requirements ( 400 points)

Obtain a B average on all monthly evaluations (100 points)

To earn an ‘A’ (1,000) in this course the student must:

Meet all of the C grade requirements (400 points)

Meet all of the B grade requirements (500 points)

Obtain an A average on all monthly evaluations (100 points)

An ‘F’ (<400 points) will be earned by a student by any on the following:

Not obtaining criteria listed C grade requirements

Failure to turn in required paperwork and forms

Failure to complete required clinical hours

Dismissal from a clinical site

Failing marks on clinical evaluations

Documented Breach of the SDMS Code of Ethics

Documented Breach of patient confidentiality

Missing more than 40 hours of cumulative internship time

STUDENT RIGHTS AND RESPONSIBILITIES:

Students are expected to review and comply with the student rights and responsibilities as outlined in the LCCC Student Handbook. The Student Handbook is available online at http://www.lccc.wy.edu/life/handbook. Students are advised to review the policies found at http://policies.lccc.wy.edu/.

ADA POLICY:

Students with a documented disability needing educational accommodations should contact the Disability Support Services (DSS) each semester by stopping by EEC 222/223, calling (307)

http://www.lccc.wy.edu/life/handbook

http://policies.lccc.wy.edu/

85

778.1359, or e-mailing [email protected]. No accommodations will be provided by the instructor without approval from the DSS.

AUDIT POLICY:

As enrollment in this class requires acceptance into the DMS Program, this class is not available

for audit unless taken by a working sonographer. Need instructor approval.

ATTENDANCE POLICY:

Students are required to be at their clinical site 32 hours per week

No more than 40 hours per week is allowed

Minimal Clinical Hours: 256

Failure to meet these requirements may result in probation and or dismissal.

CELL PHONES AND PED’S

Personal electronic devices: pagers, cellular telephones and other personal electronic devices (PED) must be turned off and out of sight during clinical hours. Any response to a PED must only be completed during break times only. Violation of this policy is grounds for discipline up to and including dismissal from the program.

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Fall/2015

COURSE NUMBER/TITLE: IMAG 2255 Sonography Experience I

CREDIT HOURS: 11


No Classes:

September 30th -October 4th (SDMS Conference)

September 7th Labor day

November 25th-29th Thanksgiving break

November 3rd Advising Day (students are to report to faculty via phone call or

campus visit)

*Please note, students who choose not to attend the SDMS Conference are

required to attend clinicals.


Office: HS 224






Previous DMS Course Materials

COURSE DESCRIPTION:

This is a supervised clinical experience in an ultrasound imaging department. Students

perform and correlate theory to practice on examinations of the abdomen, gravid and

non-gravid pelvis and small parts. Students demonstrate the requested anatomic


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structures by correctly manipulation the equipment and proper transducer usage.

Students identify anatomical structures and pathological processes of disease and normal

anatomic variants. Participation in this course will take place at a hospital or clinic.


1. Reasoning:

Quantitative reasoning ̶ Students’ ability to represent and interpret mathematical information and apply it to a task

Scientific reasoning ̶ Students’ ability to observe, hypothesize, test, analyze, interpret and reflect on scientific phenomena




Written communication ̶ Students’ ability to effectively communicate in writing

Verbal communication ̶ Students’ ability to effectively communicate verbally when giving presentations

Interpersonal communication ̶ Students’ ability to effectively communicate interpersonally in various situations to create meaning together

3. Collaboration ̶ Students’ ability to foster teamwork, consider needs of partners, and work toward a specific goal as part of a team

4. Human Culture:

Cultural Awareness ̶ Students’ ability to distinguish the complexity of cultural elements important to members of a culture

Aesthetic analysis ̶ Students’ ability to analyze objective and subjective characteristics of art, music, performance art, literature, architecture, mass media, humanities and other forms of artistic expression


1. Perform file room duties with assistance

2. Adhere to universal and standard safety precautions with minimal supervision

3. Prepare imaging room relatively independently

4. Perform patient care with supervision

5. Transport patients with supervision

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7. Complete required patient documentation with assistance

8. Participate as a member of the healthcare team with assistance

9. Adhere to the sonographer code of ethics with supervision

10. Perform image critique with supervision

11. Complete an aortic ultrasound exam with supervision

12. Complete a renal ultrasound exam with supervision

13. Complete a complete abdominal examination with supervision

14. Complete a transabdominal ultrasound of nongravid female pelvis with

assistance

15. Complete an endovaginal nongravid pelvis scan with assistance

16. Complete a first-trimester obstetrical ultrasound with assistance


with assistance

18. Complete a second/third trimester obstetrical exam with assistance

19. Complete scans of superficial structures with assistance

GRADING:


Obtain the minimum required hours for Clinical Experience I (50 points)

Meet the minimum criteria on the Developmental Evaluation form & form must be

checked ‘yes’ on the question that asks if student is ready to progress (100 points)

Return Developmental Evaluation at the end of each month (50 points)

Return time card & log sheet forms to LCCC in accordance with the checklist on

page 30. (100 points)

Return Clinical Site Evaluation forms (50 points)


To earn a ‘B’ (550 points) in this course the student must:


Obtain a B on all monthly evaluations (100 points)

To earn an ‘A’ (1,500 points) in this course the student must:

1. Meet all of the C grade requirements (450 points)

2. Meet all of the B grade requirements ( 550 points)

3. Complete all personal goal sheets (50 points)

4. Obtain an A on all monthly evaluations (100 points)

5. Attempt at least five comps (350 points)

An ‘F” (< 450 points) will be earned by a student by any on the following:


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Documented Breach of patient confidentiality Missing more than 40 hours of cumulative internship time



ADA POLICY:

Students with a documented disability needing educational accommodations should contact the Disability Support Services (DSS) each semester by stopping by EEC 222/223, calling (307) 778.1359, or e-mailing [email protected]. No accommodations will be provided by the instructor without approval from the DSS

AUDIT POLICY:



ATTENDANCE POLICY:





Cell Phones and PED’s:

(PED) must be turned off and out of sight during clinical hours. Any response to a PED must only be completed during break times only. Violation of this policy is grounds for discipline up to and including dismissal from the program.



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Spring/2016

COURSE NUMBER/TITLE I MAG 2260 Sonography Experience II

CREDIT HOURS: 13


No Class:

March 14-20 (Spring Break)

April 5th Advising Day (students are to report to faculty via phone call or campus

visit)


Office: HS 224






Previous DMS Course Materials

COURSE DESCRIPTION:

This is a continuation of the clinical experience in an ultrasound imaging department.

Students enhance their scanning and employee skills through clinical practice. The

student will perform and correlate theory by scanning independently of the sonographer

(with minimal supervision) on studies of the abdomen, gravid and non-gravid pelvis, and

small parts examinations.


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1. Reasoning:

Quantitative reasoning ̶ Students’ ability to represent and interpret mathematical information and apply it to a task

Scientific reasoning ̶ Students’ ability to observe, hypothesize, test, analyze, interpret and reflect on scientific phenomena




Written communication ̶ Students’ ability to effectively communicate in writing Verbal communication ̶ Students’ ability to effectively communicate verbally when

giving presentations Interpersonal communication ̶ Students’ ability to effectively communicate

interpersonally in various situations to create meaning together 3. Collaboration ̶ Students’ ability to foster teamwork, consider needs of partners, and work

toward a specific goal as part of a team 4. Human Culture:

c. Cultural Awareness ̶ Students’ ability to distinguish the complexity of cultural elements important to members of a culture

d. Aesthetic analysis ̶ Students’ ability to analyze objective and subjective characteristics of art, music, performance art, literature, architecture, mass media, humanities and other forms of artistic expression


1. Perform patient care with minimal supervision

2. Transport patients with supervision


4. Complete required patient documentation

5. Participate as a member of the healthcare team

6. Adhere to the sonographer code of ethics

7. Perform image critique

8. Complete an aortic ultrasound exam with minimal supervision

9. Complete a renal ultrasound exam with minimal supervision

10. Complete a complete abdominal examination with minimal supervision

11. Complete a transabdominal ultrasound of nongravid female pelvis with

minimal supervision

12. Complete an endovaginal nongravid pelvis scan with minimal supervision

13. Complete a first-trimester obstetrical ultrasound with minimal supervision

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with minimal supervision

15. Complete a second/third trimester obstetrical exam with minimal supervision

16. Complete scans of superficial structures with minimal supervision

GRADING:


Obtain the minimum required hours for Clinical Experience II (200 points)

Meet the minimum criteria on the evaluation form & form must be checked ‘yes’

on the question that asks if student is ready to progress to professional practice (100

points)

Return time card & log sheet forms to LCCC on time (100 points)

Return Clinical Evaluation forms (50 points)


To earn a ‘B’ 650 points) in this course the student must:


Obtain a B average on all monthly evaluations (100 points)

To earn an ‘A’ (2,000 points) in this course the student must:

6. Meet all of the C grade requirements (550 points)

7. Meet all of the B grade requirements (650 points)

8. Complete all personal goal sheets (100 points)

9. Obtain an A average on all monthly evaluations (100 points)

10. Complete all required competencies (600 points)

An ‘F” (< 550 points) will be earned by a student by any on the following:






Failing to pass all performance competencies within 3 attempts


Documented Breach of patient confidentiality

Missing more than 40 hours of cumulative internship time

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ADA POLICY:

Students with a documented disability needing educational accommodations should contact the Disability Support Services (DSS) each semester by stopping by EEC 222/223, calling (307) 778.1359, or e-mailing [email protected]. No accommodations will be provided by the instructor without approval from the DSS

AUDIT POLICY:



ATTENDANCE POLICY:





Cell Phones and PED’s:

(PED) must be turned off and out of sight during clinical hours. Any response to a PED must only be completed during break times only. Violation of this policy is grounds for discipline up to and including dismissal from the program.



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LCCC

DMS Program

Course: IMAG 2254, 2255, & 2260

Summer 2015, Fall 2015 & Spring 2016

I ________________________________, have received, read and understand the

LCCC DMS Student Clinical Handbook, and the LCCC DMS Syllabi and agree to abide by the

regulations and expectations set forth by the LCCC DMS Director and Clinical Coordinator.

______________________________ ________________

Sign Date

Return Signed Form to the Clinical Coordinator prior to beginning your Clinical Experience.

dms clinical handbook

Documents