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ClinicalHandbook-RAD

The policies and procedures described herein pertain to students beginning matriculation in the clinical internship component of the RAD program during the Fall 2016 semester.

2016-2017

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TABLEOFCONTENTS PAGEIntroduction 4TheCodeofEthicsfortheRadiologicTechnologist 5ClinicalAffiliationsandClinicalSupervisors 6Curriculum 8GradingPolicies 9ClinicalCompetencyEvaluations 9CPRCertification 10HealthForms 10OrientationforClinicalSites 11IdentificationBadges 11RadiationProtectionStandards 11HoldingPatients 12Directvs.IndirectClinicalSupervisionofStudents 12RepeatingRadiographicImages 13ApprovingRadiographicImages 13DocumentationofallRadiographicProceduresPerformedbytheStudent 13ProfessionalLiabilityInsurance 13AttendanceRequirements 13TotalWeeklyHours 14JuryDuty 14BereavementLeave 14MilitaryDuty 14HolidaysandReligiousObservances 14Tardiness,AcademicandClinical 14ProfessionalBehavior 15Harassment 15SubstanceAbuse 15BackgroundChecksandDrugScreening 15InclementWeatherPolicy 16LunchBreak 16ClinicalAssignments 16TransportationtoClinicalEducationSettings 16ClinicalCompetencyinMammography 17DressCode 17DeclaredPregnancyPolicy 17UndeclaredPregnancyPolicy 18StudentorPatientAccidents 18StudentHealthInsuranceVerification 19

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TABLEOFCONTENTS PAGE

UniversalPrecautions 19LatexAllergies 19EmploymentasaTechnologistAide 19HealthInsurancePortabilityandAccountabilityAct(HIPAA) 20ClinicalGrievancePolicy 20FirstYearClinicalInternshipObjectives 21SecondYearclinicalInternshipObjectives 21

APPENDIX PAGEPre-CompetencyEvaluation 25ProfessionalDevelopmentandClinicalPerformanceEvaluation 26ClinicalCompetencyEvaluation 28ClinicalCompetencyRecheck 29ClinicalRotationEvaluation-Midterm 30ClinicalRotationEvaluation-Final 31ClinicalCompetencyExaminations 32

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Introduction1WelcometotheclinicalinternshipcomponentoftheRadiologicTechnologyProgramattheUniversityofHartford.Thepurposeofthemanualistoprovidethestudent,clinicalinstructors,clinicalsupervisorsandclinicalaffiliateswiththepoliciesandproceduresrequiredforasuccessfulclinicalexperience.Themanualprovidesrelevantresourceinformationanddescribesthestructureandfunctionoftheclinicalprogram.ThecontentofthismanualisdesignedtoguidethestudenttowardachievingthemissionoftheRadiographyprogram:tobecomeaneducationally-prepared,clinically-competent,andprofessionalentry-levelradiographer.Pleaserefertothisdocumentifyouhaveanyquestionsregardingclinicalpoliciesandprocedures.Itisthestudent’sresponsibilitytoreadandunderstandallaspectsoftheClinicalHandbook.Studentswillbestrictlyheldtothestandardsdescribedinthishandbook.However,thehandbookisnotacontractbetweentheProgramandourstudents.Wereservetherighttoamendormodifythesepolicies,rules,andproceduresatanytimedeemednecessary.

RadiographyProgram2Theradiographyclinicalcurriculumiscompetency-based.Thepre-competency,clinicalcompetency,andre-checkevaluationsserveastheprimarytoolsforquantitativeassessmentofindividualstudentprogressthroughouttheprogram’sdesignatedclinicalinternshipexperiences.Theseinstruments,aswellasallotherassessmenttoolswerespecificallydesignedtoensureobjectivityandconsistencyastheyareemployedbytheevaluator(s)togradethestudents’clinicalperformance.TheclinicalinternshipexperiencesaredesignatedasRAD320,RAD345,RAD365,RAD415,RAD425,andRAD435.Theseclinicalexperienceinternshipsaccountfor14creditsoftheradiologictechnologyprofessionalcomponentcurriculum.

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TheCodeofEthicsfortheRadiologicTechnologistThemedicalimagingprofessionalisrequiredtoupholdacommitmenttoprofessionalconductinalloftheiractions.StudentsandgraduatesofourProgramareexpectedtonotonlyembodytheseprofessionalstandardsbuttoparticipateinactivitiesthatdemonstratetheircommitmenttosuperbpatientcareandadedicationtowardslife-longlearning.Theseactivitiesinclude,butarenotlimitedto,communityservice,researchandscholarshipinhealthcare,andparticipationinlocal,state,andnationalprofessionalorganizationsinthefield.Insupportoftheseendeavorsandasamethodofprotectingtheintegrityofourprofession,theAmericanSocietyofRadiologicTechnologists(ASRT)hasdevelopedaCodeofEthicsthatmaybeusedbyprofessionalsintheirpursuitoftechnicalandpatientcareexcellence.TheRadiologicTechnologyProgramoftheUniversityofHartfordfullyacceptsthesestandardsandrequiresallofourstudentstoadoptthemwithintheirdailypractice.CodeofEthics*

1. Theradiologictechnologistconductshimself/herselfinaprofessionalmanner,respondstopatientneedsandsupportscolleaguesandassociatesinprovidingqualitypatientcare.

2. Theradiologictechnologistactstoadvancetheprincipleobjectiveoftheprofessiontoprovideservicestohumanitywithfullrespectforthedignityofmankind.

3. Theradiologictechnologistdeliverspatientcareandserviceunrestrictedbytheconcernsofpersonalattributesorthenatureofthediseaseorillness,andwithoutdiscriminationonthebasisofsex,race,creed,religionorsocioeconomicstatus.

4. Theradiologictechnologistpracticestechnologyfoundedupontheoreticalknowledgeandconcepts,usesequipmentandaccessoriesconsistentwiththepurposesforwhichtheyweredesigned,andemploysproceduresandtechniquesappropriately.

5. Theradiologictechnologistassessessituations;exercisescare,discretionandjudgment;assumesresponsibilityforprofessionaldecisions;andactsinthebestinterestofthepatient.

6. Theradiologictechnologistactsasanagentthroughobservationandcommunicationtoobtainpertinentinformationforthephysiciantoaidinthediagnosisandtreatmentofthepatientandrecognizesthatinterpretationanddiagnosisareoutsidethescopeofpracticefortheprofession.

7. Theradiologictechnologistusesequipmentandaccessories,employstechniquesandprocedures,performsservicesinaccordancewithanacceptedstandardofpractice,anddemonstratesexpertiseinminimizingradiationexposuretothepatient,selfandothermembersofthehealthcareteam.

8. Theradiologictechnologistpracticesethicalconductappropriatetotheprofessionandprotectsthepatient'srighttoqualityradiologictechnologycare.

9. Theradiologictechnologistrespectsconfidencesentrustedinthecourseofprofessionalpractice,respectsthepatient'srighttoprivacyandrevealsconfidentialinformationonlyasrequiredbylawortoprotectthewelfareoftheindividualorthecommunity.

10. Theradiologictechnologistcontinuallystrivestoimproveknowledgeandskillsbyparticipatingincontinuingeducationandprofessionalactivities,sharingknowledgewithcolleaguesandinvestigatingnewaspectsofprofessionalpractice.

*AdaptedfromtheASRT,2010

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ClinicalAffiliationsandClinicalSupervisors3TheHospitalofCentralConnecticut:NewBritainCampus100GrandStreetNewBritain,CT06050860224-5900Ext.6139or2440PaulaShumanSt.FrancisHospitalandMedicalCenter114WoodlandStreetHartford,CT06105860714-4407MaryKellerMelissaBeginManchesterMemorialHospital71HaynesStreetManchester,CT06040860646-1222Ext.2290or2379NicolePhillipsRockvilleGeneralHospital31UnionStreetRockville,CT860872-5241NancyGallicChristinaGallignanoAlvahThompsonConnecticutChildren’sMedicalCenter282WashingtonStreetHartford,CT06102860545-9103or860545-9124JennaDownesJoshuaHatchConnecticutChildren’sMedicalCenter:FarmingtonOffice399FarmingtonAvenueFarmington,CT06032860284-0277RosanneGowdyCarolVumbaco

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JeffersonRadiology:GlastonburyOffice704HebronAvenueGlastonbury,CT06033860246-6589,Ext.87118LisaBorduaJeffersonRadiology:GranbyOffice18EastGranbyRoadGranby,CT06035860-289-3375ChristineBealsJeffersonRadiology:BloomfieldOffice6NorthwesternDriveBloomfield,CT06002860-289-3375MaryRockMaureenSt.MichelJeffersonRadiology:FarmingtonOffice399FarmingtonAve.Farmington,CT06032860-676-0110LauraPichardoKevinRussellStarlingPhysicians300KensingtonAvenueNewBritain,CT06051860224-6222EllaSmith,ChiefTechnologistRadiologyAssociatesofHartford:GlastonburyOffice31SycamoreSt.,Suite102Glastonbury,CT06033860714-8185PaulArrudaRadiologyAssociatesofHartford:EnfieldOffice9CranbrookBlvd.Enfield,CT06082860714-9410KathrynHall

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ConnecticutOrthopedicAssociates35JolleyDriveBloomfield,CT06002860-242-3000HerryNguyenJohnsonSurgicalCenter148HazardAvenueEnfield,CT06082860-763-7650SusanJandreauJohnsonMemorialMedicalCenter201ChestnutHillRoadStaffordSprings,CT06076860-684-8170KimberlyMjos

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OVERVIEWOFCLINICALCURRICULUM4RAD320:ClinicalExperienceI(2credits):IncludeslaboratoryandclinicalexperiencesforallroutineandsupplementaryradiographicprocedurespresentedinRAD315PositioningI.Eachstudentmustcompleteaspecifiednumberofpre-competencyevaluationsandclinicalfacultyassessmentsduringthissemester.Beforestartingclinical,thestudentwillbecomecertifiedinCPR,completetheStudentOrientationCurriculumGuide,andattendclinicalsiteorientations.Studentswillstartclinicalinapproximatelythe3rdweekofthesemester.ClinicaldaysareTuesdayandThursdayfrom7:30amto4:00pm,8:00amto4:30pmor8:30amto5:00pmforanapproximatetotalof192*hours.Thestudentwillbegranted8hoursofpersonaltimeduringthesemester.RAD345:ClinicalExperienceII(2credits):IncludeslaboratoryandclinicalexperiencesforallroutineandsupplementaryradiographicprocedurespresentedinRAD335PositioningII.Eachstudentmustcompleteaspecifiednumberofclinicalcompetencyevaluationsandrecheckevaluationsduringthissemester.StudentswillstartclinicalduringthefirstweekofthespringsemesterandcontinuetothesecondweekinMay.ClinicaldaysareTuesdayandThursdayfrom7:30amto4:00pm,8:00amto4:30pm,or8:30amto5:00pmforanapproximatetotalof216*hours.Thestudentwillbegranted16hoursofpersonaltimeduringthesemester.

RAD365:ClinicalExperienceIII(2credits):IncludeslaboratoryandclinicalexperiencesduringSummerSessionI.Studentswillsynthesizeandapplytheirdevelopingradiographicimagingandpatientcareskillsatanassignedclinicalsite.Eachstudentmustcompleteaspecifiednumberofclinicalcompetencyevaluationsandrecheckevaluationsduringthissemester.ThisclinicalcourserunsthroughoutSummerSessionI.ClinicaldaysareMondaythroughFridayfrom7:30amto4:00pm,8:00amto4:30pmor8:30amto5:00pm.Studentsreporttotheirassignedclinicalsite40hourseachweek,totalingapproximately216*hoursforthecourse.Thestudentwillbegranted16hoursofpersonaltimeduringthesemester.RAD415:ClinicalExperienceIV(2credits):IncludeslaboratoryandclinicalexperiencesduringSummerSessionII.Studentswillsynthesizeandapplytheirdevelopingradiographicimagingandpatientcareskillsatanassignedclinicalsite.Eachstudentmustcompleteaspecifiednumberofclinicalcompetencyevaluationsandrecheckevaluationsduringthissemester.ThisclinicalcourserunsthroughoutSummerSessionII.ClinicaldaysareMondaythroughFridayfrom7:30amto4:00pm,8:00amto4:30pmor8:30amto5:00pm.Studentsreporttotheirassignedclinicalsite40hourseachweek,totalingapproximately216*hoursforthecourse.Thestudentwillbegranted16hoursofpersonaltimeduringthesemester.RAD425:ClinicalExperienceV(3credits):Includeslaboratoryandclinicalexperiences.Studentswillsynthesizeandapplytheirdevelopingradiographicimagingandpatientcareskillsatanassignedclinicalsite.Eachstudentmustcompleteaspecifiednumberofclinicalcompetencyevaluationsandrecheckevaluationsduringthissemester.ClinicaldaysareMonday,Wednesday,andFridayfrom7:30amto4:00pm,8:00amto4:30pmor8:30amto5:00pm.foranapproximatetotalof312*hours.Thestudentwillbegranted24hoursofpersonaltimeduringthesemester.RAD435:ClinicalExperienceVI(3credits):Includeslaboratoryandclinicalexperiences.Studentswillsynthesizeandapplytheirdevelopingradiographicimagingandpatientcareskillsatanassignedclinicalsite.Eachstudentmustcompleteaspecifiednumberofclinicalcompetencyevaluationsandrecheck

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evaluationsduringthissemester.Eachstudentmustcompletetheprogram’srequired58clinicalcompetenciesbytheendofthesemester.ClinicaldaysareMonday,Wednesday,andFridayfrom7:30amto4:00pm,8:00amto4:30pmor5:00pmforanapproximatetotalof312*hours.Thestudentwillbegranted24hoursofpersonaltimeduringthesemester.*TheonlyexceptiontotherequiredclinicalhoursisaclassconflictattheUniversity.AlettermustbeobtainedfromtheDirectorofClinicalEducationwhensuchaclassconflictexists,inorderforthestudenttohaveearlydismissalfromtheclinicalaffiliate.GRADINGPOLICIESAsyllabusforclinicalcourseswillbedistributedonthefirstdayofeachclass.Eachindividualsyllabuswillcontainthespecificinformationregardingtherequiredminimumnumberofclinicalhours,clinicalcompetencies,recheckevaluations,professionalevaluations,clinicalevaluations,andstudentclinicalsiteevaluations.Eachinstructorwillfollowthesamegradingsystem,whichis:

A= 94-100 C+= 77-79 A-= 90-93 C= 73-76 B+= 87-89 C-= 70-72 B= 83-86 D= 65-69 B-= 80-82 F= below65StudentsmustmaintainaC+averageineachRADdesignatedcourseinordertocontinuewithintheRadiologicTechnologyprofessionalcomponentcurriculum.CLINICALCOMPETENCYEVALUATIONS5ClinicalexperienceIallowsthestudenttocompleteaspecifiednumberofpre-competencyevaluationsandclinicalfacultyassessmentsduringthissemester.Inordertodemonstratecompetencyinperformingradiographicprocedures,eachstudentwillperform58differentclinicalcompetencyevaluationsduringtheirclinicalexperienceII-VIinternships.Theseexaminationsaregradedemployingtheclinicalcompetencyevaluationforms.Thenumberofexaminationsrequiredpersemesterispublishedbysemesterinthesyllabusforeachclinicalexperiencecourse.

Thefollowingprocess,whichwillbeinitiatedbythestudent,isfollowedincompletingtheClinicalCompetencyandRecheckProcedure:

1. Thefour(4)pre-competencyevaluationsmustbeselectedfromthefollowinganatomicregions:chest,abdomen,upperextremity,lowerextremity,shouldergirdleandpelvisgirdle.

2. Two(2)ofthepre-competencyrecheckevaluationswillbecompletedbyaUniversityofHartfordclinicalinstructor.

3. Itistheresponsibilityofthestudenttolocateasuitablecaseforacompetencyevaluation.Thisshouldoccuronlyafterthestudenthasachievedanappropriatelevelofexperienceinaclinicalprocedure.ThestudentmustnotifytheClinicalSupervisororstaffRadiologicTechnologist*that

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theywouldliketoperformaClinicalCompetencyEvaluationpriortothestartofaparticularexam.Oncethecompetencyprocedureisinitiateditmustbecarriedouttocompletion.

4. ThestudentprovidesaClinicalCompetencyEvaluationformtotheTechnologistorClinical

Supervisor.Thestudentcompletestheradiographicexaminationinitsentirety–preparestheexaminationroom,communicateswiththepatient,andcompletesalltechnicalcomponentsoftheexamination.Thestudent,underthedirectsupervisionoftheevaluatingtechnologistorclinicalsupervisor,mustperformallfacetsoftheradiographicprocedure.

5. Oncethecompetencyisstarteditmustbecompleted.Theexammaybestoppedifthepatient

orstudentisindangerorifthestudentappearstobeperformingthewrongexam.Ifthestudentattemptstoperformthewrongexam,he/sheautomaticallyfailsthecompetency.

6. Uponcompletionoftheexam,thestudentreviewstheacquiredimageswiththetechnologistorclinicalinstructor,whoimmediatelycompletesthecompetencyevaluationform.Theformisplacedinasealed,signedenvelopeandgiventothestudentorsiteclinicalsupervisorforeventualcollectionbyUniversityfaculty.

7. Studentsarerequiredtoachieveaminimumscoreof85%onallcompetencyevaluations.

Scoresunder85%mustberepeated.Intheeventthatacompetencyprocedureneedstoberepeated,thefinalscoreearnedbyastudentwillequaltheaverageoftheinitialandrepeatcompetencygrade(s).

8. Onaroutinebasis,Universityfacultymembersreviewastudent’sclinicalcompetencycase(s)

duringsitevisits.TheUniversityfacultymembermayalsorequesttoreviewothercasesperformedbythestudent.

9. TheUniversityfacultymemberassessestheclinicalprogressofthestudentusingtheClinical

CompetencyRecheckform.TheUniversityfacultymembertransportsallcompetencyevaluationformstotheUniversity’sDirectorofClinicalEducation.

10. TheDirectorofClinicalEducationreviewstheformsforcompletenessandcorrectness,andthey

areincorporatedintothestudent’sclinicalgradeforthatsemester.Theformsarestoredinthestudents’clinicalfileforanyfuturereview.

*TheRadiologicTechnologistemployedinthisprocessmustbecertifiedbytheARRTforatleastoneyear,statelicensedandnotonnewemployeeprobationattheclinicalsite.ELIGIBILITYREQUIREMENTSFORTHECLINICALINTERNSHIPEXPERIENCE6CPRCertificationAllstudentsarerequiredtobeCPRcertified.TheUniversityofHartfordRadiographyProgramwillcertifyallstudentswhodonothaveaCPRcertificationduringthefirstweekoftheFallsemester.

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HEALTHFORMS7Allstudentsmustarrangetohaveaphysicalexaminationperformedbyanindependentlicensedpractitioner.Thephysicalmustbecompletedbeforeanyclinicalexperiencemaybegin.Theformsareprovidedtothestudentaspartofthestudentorientationprocedure.PDFcopiesoftheformsmustbeuploadedtotheImmunizationTrackercomponentofthestudent’sCastleBranch.comaccount.Youshouldbeawarethatallhealthcareprovidersinvolvedindirectpatientcareactivities,whichincludesradiographers,areatincreasedriskofcontractingHepatitisB.HepatitisBinfectionsarespreadthroughdirectcontactwithaninfectedperson'sblood,bodyfluidsorsaliva.Whilethelikelihoodofyouactuallycontractingthediseaseisminimizedbytheuseofpropermedicaltechniques(UniversalPrecautions),youshouldconsultyourfamilyphysicianregardingyourindividualneedfortheHepatitisBvaccination.Varicellavaccinesaremandatory.Abloodtitermaybeperformedtoestablishthestudent’simmunity.Tuberculosis(TB)testingmustbeperformedonanannualbasis,andresultspresentedtotheDirectorofClinicalEducationinSeptemberofeachclinicalyear.Thefluvaccineismandatoryforallstudents.Studentshavetheoptiontodeclinetheinfluenzavaccineduetohealthorotherpersonalreasons.However,declinationofthefluvaccinemaylimitthestudent’seligibilitytorotateatcertainclinicalaffiliates,andmayrequirethatthestudentwearasurgicalmaskduringtheirclinicalexperience.Asecure,web-basedtrackingsystemisutilizedtouploadandmanageallimmunizationandhealthdocumentation.ORIENTATIONFORCLINICALSITESJeffersonRadiology,TheHospitalofCentralConnecticut,St.FrancisHospitalandMedicalCenter,ECHNaffiliatesandConnecticutChildren’sHospitalandMedicalCenterrequiresite-specificorientationbeforethestartofclinical.ThiswillbearrangedbytheDirectorofClinicalEducationbeforethestartoftheclinicalinternship.PoliciesIDENTIFICATIONBADGESEachstudentmustarriveattheclinicalaffiliatesitewearinghisorherschoolandclinicalsiteIDbadgesandfilmbadge.Additionally,eachstudentmustcomepreparedwiththeirUniversityissuedleadmarkerstousewhenpositioningpatients.ThestudentwillreceiveoneschoolIDbadge,filmbadgeandsetofleadmarkers.Studentsareresponsibleforthecost(s)associatedwiththereplacementoflostitems.RADIATIONPROTECTIONSTANDARDS8OccupationalProtectionStandardsTheProgramwillconstantlymonitorthelevelsofradiationreceivedbythestudentsinallrelatedclinicalandeducationalactivities.EveryeffortwillbemadebytheProgram,andmustbemadebythestudent

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toensurethatthelevelofradiationexposureiskeptwellbelowthoseconsideredsafefortheoccupationallyexposed.Thestudentmustassumeresponsibilityfor:

1. Maintainingpersonalawarenessandresponsibilityofthelevelsofexposuretheyreceive.

2. Monitoringtheirmonthlyreportsintermsofestablishedsafelimits.

3. Adoptingresponsibleattitudes,behaviorsandpracticesregardingtheclinicaluseofradiationtoreducetheirownexposureandthatoftheirpatientstothelowestachievablelevel(ALARA).

4. SubmittingtheirradiationmonitoringdevicesmonthlytotheRadiographyProgramDirectoror

DirectorofClinicalEducation.Thesedevicesaretobewornonlyduringthestudent'sclinicalandon-campusenergizedlaboratoryexperiencesandnotduringapersonalnon-occupationalprocedure.

5. Safeguardingtheirmonitoringdevice.Lostordamageddevicesaretobereportedimmediately

totheProgramDirectororDirectorofClinicalEducationandwillbereplacedatthestudent'sexpense.

6. Wearingamonitoringdeviceinaccordancewiththepolicyofthefacilitytowhichthestudentis

assigned.

7. Wearingamonitoringdeviceduringalllaboratoryexercisesutilizingtheenergizedx-rayfacilityinroom215AofDanaHall.

OccupationalradiationmonitoringresultsareavailablethroughtheDirectorofClinicalEducation’soffice.Itisthestudent’sresponsibilitytochecktheirresultsmonthly.Thestudentisrequiredtoinitialtheoccupationaldosereport,thusindicatingthattheyhavereviewedtheirdosagerecord.Studentsreceivingradiationexposureabove50mRforamonthlyreportmustprovideawrittenexplanationofthepossiblecauseofexposuretotheProgramDirector,withinoneweekofreceivingthereport.HOLDINGPATIENTSStudentradiographerswillnotholdpatientsduringradiographicprocedures.Thiscomplieswithcurrentradiationprotectionguidelines.Ifapatientrequiresassistancetomaintainapositionforaprocedure,mechanicalrestrainingdevices(cushions,etc.)shouldbeemployed.Otherwisearelativeorfriendwhoisnotpregnantornon-radiology(non-pregnant)personnelmayassistthepatient.Protectiveleadglovesandapronshouldbeprovidedandtheassistantshouldnotbeexposedtotheprimarybeam.DIRECTvs.INDIRECTCLINICALSUPERVISIONOFSTUDENTSUntilastudentachievesanddocumentscompetency(completionofclinicalcompetencyevaluation)inanygivenprocedure,allclinicalassignmentsmustbecarriedoutunderthedirectsupervisionofaqualifiedradiographer.Theparametersofdirectsupervisionare:

1. Aqualifiedradiographerreviewstherequestforexaminationinrelationtothestudent'slevelofachievement

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2. Aqualifiedradiographerevaluatestheconditionofthepatientinrelationtothestudent'sknowledgeandlevelofexpertise

3. Aqualifiedradiographerispresentduringtheactualperformanceoftheprocedure

4. Aqualifiedradiographerreviewsandapprovestheradiographicimagesproduced.

5. Onceastudenthasdemonstratedcompetencyinacertainproceduretheyshallperformfurthersimilarproceduresonadditionalpatientswithoutthedirectsupervisionofastaffradiographer.Whenundersuchindirectsupervision,patientsmuststillbemonitoredtoensurethatthestudent'slevelofcompetenceisappropriatefortheconditionofthepatient.Evenunderindirectsupervision,astafftechnologistmustbeimmediatelyavailabletothestudent,shouldasituationwarranttheadditionalexpertiseoftheregisteredtechnologist.

REPEATINGRADIOGRAPHICIMAGESWheneverastudentisperformingarepeatradiographaregisteredtechnologistwillbepresentintheradiographicroomtosupervisetheprocedure.Thisincludesanyexaminationwhetherthestudenthaspassedtheirclinicalcompetencyevaluationonthisexaminationornot.TheprojectionrepeatedmustberecordedontheRepeatFormandsignedbythesupervisingtechnologist.APPROVINGRADIOGRAPHICIMAGESAregisteredtechnologistorradiologistmustreviewallradiographicimagingprocedurescompletedbyastudentbeforethepatientisreleasedfromthedepartment.Failuretodosoonthepartofthestudentwillrequireawrittenreportoftheincidenttobeprovidedtotheclinicalinstructoratthatfacility.DOCUMENTATIONOFALLRADIOGRAPHICPROCEDURESPERFORMEDBYTHESTUDENTStudentsmustdocumentallexamsperformedinclinicalontheUniversityofHartfordLogsheet.StatsheetsmustbecompletedandreturnedtotheDirectorofClinicalEducationalongwithlogsheetsattheendofeachsemester.PROFESSIONALLIABILITYINSURANCEAllstudentsarerequiredtohaveprofessionalliabilityinsurancecoveragepriortocommencingtheirclinicalexperience.ThisliabilitycoveragewillbeobtainedbytheUniversityofHartford.ATTENDANCEREQUIREMENTS9Therotationofstudentsthroughaclinicalfacilityenablesthestudenttoobtainthepracticalexperiencenecessarytolearntheskillsofanentry-levelradiographer/radiologictechnologist.Thestudenthastheobligationtotheirclinicalaffiliatetoattendhis/herregularlyscheduleddaysofclinicalexperience.Eachclinicalsyllabus(i.e.RAD320ClinicalExperienceI)willspecifytherequirednumberofclinicalhours,thenumberofclinicalcompetencyexaminationsandre-checkevaluationstobecompletedinorderforagradetobeassignedforthatspecificclinicalcourse.If,duetoextenuatingcircumstances,studentslack 9 Revised 2015, Reviewed 2016

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therequiredhoursforaspecifiedclinicalinternshipthestudentmustarrangetocompletethesehoursthroughtheRadiologicTechnologyDirectorofClinicalEducationandtheClinicalInstructor/Supervisoroftheirassignedclinicalaffiliate.Studentsmustcompletethemake-uptimeapprovalformpriortocompletingthemissedtime.Studentsmustrecordstarttimeandendtimeonclinicalcalendars.Aradiographermustinitialthetimes.Thecalendarswillbeprovidedineachclinicalpacketatthebeginningofeachsemester.Oneprogramofficialandtheclinicalfacilitysupervisormustbenotifiedwhenillnessorextenuatingcircumstancescausethestudenttobeabsentfromtheirclinicalinternship.Notificationtobothpartiesmustbemadewithinthirtyminutesofthescheduledstartingtime.Anysingleabsenceofthreeconsecutivelyscheduledclinicaldaysorlongerrequiresadoctor'snotebeforethestudentmayreturntotheclinicalarea.IfthestudentneglectstonotifytheclinicalsiteandtheDirectorofClinicalEducationoftheabsencethefinalclinicalexperiencegrademaybeloweredby5points.TOTALWEEKLYHOURSStudentsmustnotexceedfortyhoursperweek.AweekextendsfromSundaythroughSaturday.Thefortyhoursaredeterminedbyaddingthetotalhoursofacademicclassroomtime,bothRADdesignatedcoursesandallotherUniversitycourses,andtheassignedclinicalinternshiphoursperweek.JURYDUTYTheUniversityofHartfordRadiographyProgrambelievesinfulfillingtheobligationsofjurydutyandwillsupportstudentswhoarecalledandserve.Uponreceivingasummonsforjuryduty,thestudentmustnotifytheDirectorofClinicalEducationofthedaysofobligation.Jurydutydoesnotcountagainstpersonaltime.Studentsmustdocumenttherequiredjurydutybybringinginaletterfromthecourtdocumentingthedatesoftheirserviceuponreturningtoschool.BEREAVEMENTLEAVEAstudentisgranteduptothreefuneraldaysforthedeathofaparent,sibling,spouse,child,grandparentorequivalentinlaw.Theseabsencesarenotcountedaspersonaldays.Requestforadditionaltimeoffcanbemadebasedonextenuatingcircumstances.MILITARYLEAVETheRadiologicTechnologyProgramfollowsallstateandfederalregulationsconcerningreservistandguardmilitaryactiveduty.TheProgramDirectorandDirectorofClinicalEducationshouldbenotifiedpriortoclinicalinternshipregardingthestatusofmilitaryactiveduty.HOLIDAYSANDRELIGIOUSOBSERVANCESHolidayswillbeobservedaccordingtotheuniversitycalendar.Theprogramrecognizesthatsomestudentsmayhavespecialneedsintheschedulingofclinicaldutiesbecauseofreligiousbeliefsandpractices.ThereforestudentswhoanticipateconflictswithregularlyscheduledclinicalrotationsmustnotifytheDirectorofClinicalEducationinadvanceoftheconflictingdate.ThestudentwillbeabletomakeupthetimeduringthesemesterbreakoratthediscretionoftheDirectorofClinicalEducation.TARDINESS,ACADEMICANDCLINICALEachstudentisrequiredtobepunctualforclinical.Ifforanyreason:weather,transportation,illness,etc.,astudentisunabletobepresentatthescheduledstartingtime,theclinicalfacilityandtheDirectorofClinicalEducationshouldbenotifiedassoonaspossible.Permissionoftheaffiliate'sclinical

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supervisorisrequiredifthestudentrequeststoleavetheclinicalareaearly.Thestudent'soutsidejobresponsibilities,doctor'sappointments,etc.,arenotadequatereasonsforobtainingpermissiontoleavetheclinicalfacilityearly.Tardinessisassessedasbeingfifteenminutespasttheassignedstarttime.Exceptionstotheclinicalattendancepolicyincluderequiredclassesthatconflictwithclinicalhours.Inthisinstance,thestudentmustreceiveawrittenletterfromtheRadiologicTechnologyDirectorofClinicalEducationnotifyingthefacilityofthestudent'sappropriateclinicalschedule.PROFESSIONALBEHAVIORStudentsareexpectedtoabidebythepoliciesandproceduresoftheirassignedclinicalaffiliate.Studentsmaybedismissedfromtheprofessionalcomponentcoursesinradiologictechnologyforbehaviorsdeemedunprofessionalattheclinicalaffiliate.Thesebehaviorsarepresentedateachaffiliate'sclinicalorientationsession.Hospitalcomputersmayonlybeusedfordatabaseentry.Personaluseisprohibited.Studentsmaynotbringpersonalcomputersofanytypetoclinical.Personalcellphones,tabletsorelectronicdevices(i.e.AppleWatch)arenottobeusedintheclinicalenvironmentastheyinterferewiththesophisticatedelectronicequipmentemployedinthefacility.HARASSMENTStudentswillbeheldtotheUniversity’spolicyonharassmentandwillbedealtwithincompliancewiththatpolicyasdetailedinTheSource,theUniversity’sstudenthandbook.SUBSTANCEABUSEStudentswillbeheldaccountabletotheUniversity’spolicyondrugabuseasdetailedinTheSource,theUniversity’sstudenthandbook.Theuseofillicitdrugscanbedetrimentaltothesafetyofyou,thepeoplethatyouarewith,thehealthcaresiteyouareatandthepatientsthatyouareinteractingwith.Studentsareremindedthatdrugscreeningisrequiredpriortothestartofclinicalexperienceinsophomoreyear.AseconddrugscreenmaybeperformedpriortoclinicalrotationsinCT,MRIorUltrasoundduringthefourthyearofstudy.BackgroundChecksandDrugScreening10AllstudentsoftheRADprogramarerequiredtoundergoacriminalbackgroundcheckanddrugscreeningpriortothestartofclinicalexperienceintheFallofsophomoreyear.AnadditionalscreeningpriortothestartofsenioryearmayberequiredofstudentsseekingadvancedstudyinourCT,MRI,orUltrasoundcertificateprograms.Thestudentisresponsibleforclearinganyeligibilityissuesidentifiedduringthescreeningprocess.StudentswhoareunabletoresolvesaiditemsmaybedeniedclinicalplacementandwillnotbeabletocompletetherequirementsoftheRADprogram.Studentswhohaveadditionalinfractionsduringtheirfollow-upscreeningpriortothestartofsenioryearmaybesubjecttoprogramdismissal.Theprogramutilizesanationwidebackgroundcheckanddrugtestingservice,CastleBranch.comtofacilitatethescreeningprocess.Theprocessforobtainingadocumented

10 Revised 2013, Reviewed 2015, Revised 2016

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backgroundcheckanddrugscreenthroughCastleBranch.comisdescribedtostudentsduringanorientationmeetingthatoccurspriortothestartofclinicalexperience.CostsassociatedwiththebackgroundcheckanddrugscreeningarepaidbytheUniversitywithfundscollectedfromRADcoursefees.INCLEMENTWEATHERPOLICYInthecaseofdelayedUniversityopeningduetoinclementweather,thestudentisresponsibleforattendingclinicalbutattheannouncedopeningtimeoftheUniversity.Forexample,ifacademicclassesaredelayeduntil10:00a.m.thenclinicalwillbeginat10:00.ListentoHartfordarearadiostations,watchHartfordareaTVstationsorlogontotheUniversity'shomepageatwww.hartford.edufortheseannouncements.IftheUniversityhasnotannouncedadelayedopening,theProgramDirectorortheDirectorofClinicalEducationhastheoptionofdeclaringadelayedstarttoclinical.TheannouncementwillberecordedinthevoicemailoftheDirectorofClinicalEducationorbyemail.IntheeventtheUniversityisclosingandthestudentisattheclinicalsite,thestudentshouldbedismissedfromclinicalattheclosingtime,i.e.attheannounced2:00p.m.Universityclosing.ClinicalhoursmissedduetoannouncedUniversitylateopeningsorclosingsaredeductedfromtheclinicalrequiredhoursforthesemester.Therefore,studentsarenotpenalizedfor,nordotheyneedtomakeuptimeduetoofficialclosingsforinclementweather.Studentswhoareabsentfromclinicaloutsideoftheseparametersmustmake-uptheclinicaltimemissed.LUNCHBREAKThestudentisallowedonehalf-hourbreakforlunchforeveryeight-hourclinicalexperiencerotation.Lunchassignmentsaretheresponsibilityoftheclinicaleducationsetting'ssupervisor.Inaddition,studentsshouldbeallowedonefifteen-minutebreak,eitherinthemorningorintheafternoon,foreacheight-hourclinicalexperiencerotation.Theclinicaleducationsetting'ssupervisorshouldalsoschedulebreaks.CLINICALASSIGNMENTSStudentswillbeassignedtoaspecificclinicaleducationsettingorsettingsforsemesterrotations.TheRadiologicTechnologyDirectorofClinicalEducationisresponsibleforarrangingtheserotationsbysemester.Withineachclinicaleducationsettingspecificrotations,i.e.trauma,diagnostic,portable,clinic,etc.,willbearrangedthroughthefacility'sdesignatedclinicalsupervisorwithoversightbytheDirectorofClinicalEducation.Studentsarenotallowedtoswitchtheirrotationorclinicalsitebetweenthemselves.Conflicts,whichmayoccur,mustberesolvedthroughtheRadiologicTechnologyProgramDirectororDirectorofClinicalEducationinagreementwiththeclinicaleducationsetting'sJRCERTapprovedanddesignatedclinicalsupervisor.AllclinicalexperiencerotationsarescheduledinaccordancewiththeUniversity'sacademiccalendar.TRANSPORTATIONTOCLINICALEDUCATIONSETTINGSAllclinicalfacilitiesareapproximatelywithina30–45minutetraveldistancefromthemaincampusoftheUniversity.TheUniversitydoesnotprovidetransportationtotheseaffiliates.Eachstudentmust

18

havetheirowncarregisteredoncampus,beacommuterstudent,usethepublictransportationfacilitieslocatedoncampus,orpayforataxitotheirassignedclinicaleducationsetting.Itisastudent’sresponsibilitytopayanyparkingfeesassessedatvariousclinicaleducationsettings.CLINICALCOMPETENCYINMAMMOGRAPHY11Infulfillmentofitsmission,theUniversity'sRadiologicTechnologyProgramprovidesclinicalexperiencetostudentsasentry-leveltechnologistsinradiography.CurrentcriteriafromtheAmericanRegistryofRadiologicTechnologists(ARRT)doesnotlistmammographyasanentry-levelclinicalrequirement.Whilestudentswillhaveacademiccourseworktounderstandthetheoryofmammographicimagingandaspectsofmammographyqualitycontrol,clinicalobservationsinmammographyarenotarequirementoftheprogram.DRESSCODE12Studentswillwearthedesignateduniformsduringtheirclinicalexperienceassignments,adheringtothefollowingdresscode:UNIFORMS:Slategrayscrubsaretobewornastheofficialgarmentforclinicalinternships.Oneitemofthescrubsmustcontaintwoseparatepocketstocarryleadmarkers.Uniformsmustbecleanandwrinklefree.Whiteorblacksockswithmatchingwhite,grayorblackshoes/sneakersaretheonlyacceptablechoiceforfootwear.Awhiteorgray,longsleevedshirtorwhiteorgrayshort-sleevedt-shirtmaybewornundertheuniformtop.HAIR:Thestudent'shairshouldbeneatandclean.Hairlongerthanshoulderlengthwillbepulledbackofftheface.JEWELRY:Jewelrymustbesimpleandkepttoaminimum.PERSONALHYGIENE:Allstudentsarerequiredtobecleanandmaintainappropriatepersonalhygienewithregardtotheirbody,hair,andnails.Noextremestylesarepermitted.PERFUME,AFTERSHAVEANDSCENTEDLOTIONS:Duetopatientsensitivityfrommedicationormedicalconditions,studentsmaynotwearanytypeofscentwhileinclinical.Handandskinlotionshouldbelabeledunscentedifitistobeworninclinical.FINGERNAILS:Artificialfingernailsarenottobeworninclinical.Fingernailsshouldbeshorttomediumlengthtoavoidscratchingthepatient.Fingernailsmaybepaintedinsubduedshadesbutmustbeingoodshape.Researchhasshownthatchippednailpolishcanharborasmanygermsasartificialnails.TATTOOS:Alltattoosmustbecoveredduringclinicalhours.

11 Revised 2015, Reviewed 2016 12 Revised 2015, Revised 2016

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Theclinicalsupervisoratthestudent’sassignedfacilitymayrequireastudenttoleavetheclinicalareauntilthestudentisincompliancewiththedresscode.Timemissedbythestudentfornon-compliancewiththedresscodewillbeattributedtotardiness.DECLAREDPREGNANCYPOLICY13Thedecisiontoinformtheprogramofapregnancyistheindividualstudent’sdecision.Thedecisionofapregnantstudenttoremainintheprogrambasedonherpregnancyisalsotheindividualstudent’sdecision.Ifthestudentdecidestoinformtheprogramfacultyofherpregnancy,notificationmustbeinwriting.OncethestudenthasdisclosedherpregnancyinwritingtotheRadiologicTechnologyProgramDirector,arrangementswillbemadewiththeRadiationControl/SafetyOfficerand/ortheRadiationPhysicistatherdesignatedclinicalaffiliateand/ortheRadiologicTechnologyProgramDirector.Thismeetingwillallowthestudentandtheradiationsafetyofficer/RadiologicTechnologyProgramDirectortodiscussanyadditionalmeasuresofradiationprotectionrequiredatthatfacilityduringthecourseofthestudent’spregnancy.TheRadiationControlOfficeorRadiationPhysicistwillalsoprovidethestudentwithacopyoftheNuclearRegulatoryCommission’sGuide8.13forthedeclaredpregnantworker.Afterreceivingradiationsafetycounseling,thestudentmustreadandsignaformacknowledgingthatshereceivedcounselingandunderstandsshemustimplementtheappropriatemeasurestoensurethesafetyoftheembryo/fetus.Followingthemeetingbetweenthestudentandradiationsafetypersonnel,arrangementsforthecompletionofthestudent’sclinicalexperienceswillbemadethroughtheradiographyprogramdirector.Withapprovalfromthestudent,accommodationsmaybemadeattheclinicalsiteinorderforthestudenttocompleteherclinicalrotations.Atalltimes,thestudentretainstherighttocompletetheRADprograminitsentiretywithoutmodification.Ifappropriatemodificationsareagreedupon,thestudentmayberequiredtocompletemake-upclinicalhourstoachieverequiredcompetence.Thestudentshouldmakeeveryeffortpossibletocontinuewiththeirnormalclassroomattendance.CompletionoftheprogramandeligibilitytositfortheARRTcertificationexaminRadiographyiscontingentuponthestudent’stimelycompletionofallprogramrequirements.Thedecisiontoinformtheprogramthatsheisnolongerpregnantistheindividualstudent’sdecision.Astudentmaywithdrawadeclarationofpregnancy,inwritingtotheProgramDirector,atanytime.Underthiscircumstance,thestudentretainstherighttocontinuetheirprogressintheRADprogramwithoutmodification.UNDECLAREDPREGNANCYPOLICY14Ifthestudentchoosesnottodeclareherpregnancyandnotifytheprogramfaculty,theprogramwillbeunabletoprovidethenecessaryaccommodationsforthestudentinordertoensureproperprotectiontotheembryo/fetus.However,itisthestudent’srighttocompletetheRADprograminitsentiretywithoutmodification.

13 Revised 2012, Reviewed 2015, Reviewed 2016 14 Revised 2012, Reviewed 2015, Reviewed 2016

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STUDENTORPATIENTACCIDENTSAstudentinjuredasaresultoftheirdirectparticipationoftheirassigneddutiesduringtheirclinicalexperiencemayreceivetreatmentthroughtheemergencyservicesprovidedattheiraffiliateortheirpersonalphysician.Paymentforsuchservicesisthestudent'sresponsibility,asstudentsarenotthehospital’sorclinic’semployees.Inaddition,anincidentreportregardingthenatureoftheaccidentmustbecompletedbythestudentandforwardedtothedepartmentmanager.AnadditionalcopymustbeforwardedtotheRadiologicTechnologyProgramDirector.Intheeventthatastudentisinvolvedinaprocedurewhereapatientisinjured,thestudentmustinformthesupervisingtechnologistoftheirconductduringtheprocedure.Anincidentreportmustbecompletedbythestudenttoproperlyreflectthemechanismofinjury.AcopyoftheincidentreportmustbeforwardedtothedepartmentmanageroftheaffiliateaswellastheRadiologicTechnologyProgramDirector.Anincorrectexambeingperformed,orincorrectpatientbeingimagedalsowarrantthepreparationandforwardingofanincidentreport.STUDENTHEALTHINSURANCEVERIFICATIONTheUniversityofHartfordrequiresallstudentsenrolledintheprofessionalcomponentcoursestobecoveredbytheirownhealthinsurancepolicy,eitherthroughoutsidecoverageorthroughcoverageprovidedbyaUniversityapprovedcarrier.Studentsmustdemonstrateproofofmedicalinsurancecoverage,acopyoftheirmedicalinsurancecard,priortothecommencementoftheirfirstclinicalinternshiprotation.Studentswhodonotcomplywiththispolicywillbeprohibitedfromparticipatinginclinicalinternshiprotations.UNIVERSALPRECAUTIONSDuetotheassociatedriskofindividualsemployedinthehealthcarefieldforcontractingsomeinfectiousagent,eachstudentwillberequiredtoattendtheirclinicaleducationsetting'sIn-ServiceProgramforthefacility'spoliciesregardinguniversalprecautions.Thissessionwillbescheduledpriortothestudent'sfirstassigneddayofclinicalexperience.Inaddition,thetopicofuniversalprecautionsandtheproceduresandtechniquesemployedtoreducethetransmissionofinfectiousagentsarethoroughlycoveredinRAD310:PatientCareI,whichistaughtconcurrentlywiththestudent'sfirstclinicalexperiencecourse.LatexAllergiesLatexfreeproductsareprovidedateachclinicalsiteforthosestudentswhomayhavealatexallergy.Studentsmustutilizelatexfreeproductsforpatientswhoareallergictolatex.Nolatexproductsmustcomeincontactwiththepatient.EMPLOYMENTASATECHNOLOGISTAIDEConnecticut'slicensurelawforRadiologicTechnologistsDOESNOTALLOWunlicensedradiographerstooperateionizingradiationemittingequipmentunlessdirectlyrelatedtoanactivityassociatedwithanacademic/clinicalpracticewhiletheyareenrolledinanaccreditedprogram.Therefore,whilestudentsareenrolledintheUniversityofHartford'sRadiologicTechnologyProgramandareunlicensedtheycannotbeemployedasradiologictechnologists/radiographers.

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UniversityofHartfordRadiologicTechnologyProgramstudentswhoareemployedinmedicalfacilitiesasaradiology(technologist)aidemustcomplywiththefollowingpractices:

1. TheyareNOTtotakeexposuresasacomponentoftheirresponsibilityasaradiologyaide.2. Theymustbeissuedandwearaseparateradiation-monitoringdeviceissuedbythefacilityat

whichtheyareworkingandnottheonewornforclinicalinternship.3. AsradiologyaidestheyareemployeesofthehiringfacilityandareNOTcoveredbythe

University'sliabilityinsurancepolicy.4. Theymustnotifyaprogramofficialregardingtheirhiredstatusasaradiologytechaideandsign

theprogram'swaiverregardingworkasaradiologytechaidestatingthattheUniversityofHartfordisnotresponsibleforthestudent'sactionswhileemployedasatechaide.

5. ThisagreementappliestopositionsascomputedtomographyaidesorMRItechaidesaswellasradiographytechaides.

HEALTHINSURANCEPORTABILITYANDACCOUNTABILITYACT(HIPAA)ComplianceforStudentRadiographersinClinicalandAcademicSituationsStudentsmusthaveaccesstomedicalinformationregardingthepatient'sclinicalhistoryinordertoeffectivelyevaluatepatientsintheircareandensurethatproperradiographicexaminationshavebeenordered.AccordingtoHIPAAguidelinesstudentsarelimitedtoinformationonlynecessaryfortheperformanceoftheirdirectduties.Studentsmustnotdiscusspatientconditionsbyidentifyingtheirnamesinpublicareasofthemedicalfacility,forexamplecafeteriasorelevators,asthisviolatesthepatient'smedicalprivacy.StudentsmustalsobeawareofHIPAAforcomplianceinaddressingissuesrelatedtopatientidentificationinoralandwrittenreportspresentedasacomponentofanacademiccourse.Studentsareadvisedthatwhentheyprovidecasereportstheymaynotrevealanyinformationaboutpatientssuchasthespecificbirthdate,patientname,locationoftreatmentoranyinformationthatcouldbeusedtoidentifyaparticularpatient.Failuretocomplywiththeseguidelinesmayresultindismissalfromtheprogram.CLINICALGRIEVANCEPOLICY15Appealsrelatingtoaradiologictechnologyprogram’sfacultymembers’decisionsintheimplementationofaclinicalpolicycanbemadeonlyonthegroundsofdiscriminatory,unjustorcapriciousaction.Intheeventthatastudentfeelsthatanappealiswarranted,itisthestudent’sresponsibilitytoinitiatetheappealsprocedure.Theappealsprocedureshallnormallybeasfollows:

1. Thestudentshalldiscussthematterwiththefacultymemberassignedtotheclinicalcourse.Thismeetingmusttakeplacewithin10academicdaysoftheoccurrence.

2. Ifthesituationcannotberesolvedinsuchaconference,thestudentmayrequestinwritingameetingwiththeRadiographyProgramDirector.Thismeetingmusttakeplacebeforeanadditional10academicdayshaveelapsed.

15 Reviewed 2015, Reviewed 2016

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3. Ifthesituationcannotberesolvedinsuchaconference,thestudentmayrequestinwritingameetingwiththeChairoftheDepartmentHealthSciences.Thismeetingmusttakeplacebeforeanadditional10academicdayshaveelapsed.

4. Ifthesituationisnotresolvedatthismeeting,thestudentmaytaketheappealinwritingtotheDeanoftheCollegeofEducation,Nursing,andHealthProfessions(ENHP).TheDeanshallscreentheevidencepresentedbythestudentanddeterminewhethertheappealwarrantsfurtherinvestigation.Ifso,theappealandtheevidenceshallgototheChairoftheacademicstandingcommitteeofENHP.

5. TheChairshallcallameetingoftheacademicstandingcommittee,andthecommitteeshallreviewtheappealbyhearingalltheevidencepresentedbystudentandfacultymember.BoththestudentandthefacultymemberwillbeinvitedtomeetwiththeAcademicStandingCommitteetorespondtoquestionsconcerningwrittenmaterialthateitherpartyhaspresented.Theacademicstandingcommitteemeeting(s)shallbeconvenedwithin20daysofreceivingthechargeandevidence.

6. Afterinvestigatingtheappeal,thecommitteeshallsubmitadetailedreportandrecommendation(s)totheDeanoftheCollegeofENHP.Thecommitteeshallmakethefinaldeterminationofthecase.

7. TheDeanoftheCollegeofENHPshallinformtheconcernedpartiesofthedecision(s)ofthecommittee.Thereshallbenofurtherappeal.

FIRSTYEARCLINICALINTERNSHIPOBJECTIVESUponcompletionofthefirstyearoftheclinicalinternshipexperiencethestudentwill:

1. Demonstratecompetencyinproperpatientcareandtheperformanceofradiographicexaminationsofthechest,abdomen,upperandlowerextremities,shoulder,hip,pelvis,spine,bonythoraxandmobileradiography:

a. Evaluatetherequisitionforcorrectexaminationandmedicalhistory.b. Demonstrateproperphysicalfacilitiesreadiness.c. Demonstrateproperpatient-radiographerrelationship.d. Manipulateradiographic,andmobileimagingequipmenteffectively.e. Demonstratecorrectpositioningskills.f. Demonstrateevidenceofradiationprotectionstandardsfortheprotectionofthe

patientandtheoperator.g. Demonstrateeffectivepatientcareskills.h. Correctlydemonstratetheanatomicalregionofinterest.i. Properlyselecttechnicalfactors.j. Properlyapplyappropriateimageidentification.k. Identifyartifacts

2. Displaytheappropriateinterpersonalrelationshipswithsupervisors,peers,patients,

radiologistsandotherhealthcareproviders.3. ComplywithHIPAAregulationsinregardstopatientconfidentialityandaccesstoprivatepatient

information.

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SECONDYEARCLINICALINTERNSHIPOBJECTIVESUponcompletionofthesecondyearoftheclinicalinternshipexperienceinadditiontotheaboveobjectivesthestudentwill:

1. Demonstratecompetencyinproperpatientcareandtheperformanceofradiographicexaminationsofthecervical,thoracic,&lumbarspine,skull,upper&lowergastrointestinaltract,urinarytract,hepatobiliarytract,C-armfluoroscopyprocedures,myelographyexams,ORimaging,andotheradvancedprocedures.

a. Evaluatetherequisitionforcorrectexaminationandmedicalhistory.b. Demonstrateproperphysicalfacilitiesreadiness.c. Demonstrateproperpatient-radiographerrelationship.d. Manipulateradiographic,andmobileimagingequipmenteffectively.e. Demonstratecorrectpositioningskills.f. Demonstrateevidenceofradiationprotectionstandardsfortheprotectionofthe

patientandtheoperator.g. Demonstrateeffectivepatientcareskills.h. Correctlydemonstrateoftheanatomicalregionofinterest.i. Properlyselecttechnicalfactors.j. Properlyapplyappropriateimageidentification.k. Identifyartifacts,andutilizeappropriateinterventionforartifactcorrection.

2. Adjusttechnicalfactorsbaseduponclinicalindication,patientbodyhabitus,patientageand

status,andsuspectedpathologiccondition.3. Identificationofpathologicalconditionsthatmaybepresentontheresultantimages.4. CompleteallPACS,RIS,HIS,andothercomputerproceduresnecessarytosuccessfullycomplete

theexamination.

5. Becomeanintegral,productivehealthcareprovideratthefacilitytowhichtheyareassigned.

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APPENDIX

25

UNIVERSITY OF HARTFORD RADIOLOGIC TECHNOLOGY PROGRAM

PRE-COMPETENCY EVALUATION

IMAGINGPROCEDURE:

STUDENT: DATE:

FACILITY: PT.ID# Instructions:Utilizethefollowingscaletoassessthestudent’sperformanceofthemedicalimagingprocedure. Thestudentmustachieveaminimumgradeof34pointstodemonstrateprocedurepre-competency.

1.Performsthetaskwithdifficulty 2.Satisfactorilymeetsexpectations 3.Above/exceedsexpectations 1 2 31. Preparesroomand/orequipmentforappropriateexam. 2. Introducesselftopatient. 3. Verifiesidentityofpatientaccordingtoclinicalsiteprotocol. 4. Verifiesexamrequestwithpatienthistory. 5. Explainsproceduretothepatientusingage-appropriatelanguage. 6. Demonstratescompassionandconcernforthepatient’smodestyandcomfort. 7. Ensuressafetyofpatientandothersduringradiographicprocedure. 8. Demonstratescorrectpositioningskills. 9. Practicesradiationprotectionforpatient,selfandcoworkers. 10. Utilizesanatomicalmarkers. 11. Evaluatesthepatient’sconditionandmodifiestheexamasnecessary. 12. Properlymanipulatesequipmentandcontrols. 13. Correctlydemonstratestheanatomicalregionofinterest. 14. Communicateseffectivelywithradiologist,radiographersandothers. 15. Acceptsconstructivecriticismandresponsibilityforerrors. Total

Total/45Comments

TechnologistSignature____________________________________ Date

StudentSignature________________________________________ Date

26

UniversityofHartfordProfessionalDevelopmentandClinicalPerformanceEvaluation

Student:___________________________________________________________Date:_______________ClinicalSite:___________________________________Evaluator:_________________________________________________________4.Excellent 2.Average 0.NotDemonstrated3.AboveAverage 1.BelowAverage N/A.NotApplicable PatientCare Points1 ChecksordersandreviewswithRTtoensurereason-diagnosisisrelativetoexam 2 Obtainsdetailedhistoryfromthepatientandproperlyrecordstheinformation 3 Speaksprofessionallyinanaudibletoneofvoice:clearly/distinctlywithsufficient

volume 4 Followssiteprotocolregardingpatientidentificationbeforeexamisperformed 5 Usesappropriateradprotection-shieldingandpropercollimation 6 Showsconcernforpatient'sneedsandmaintainsasafeenvironmentthroughout

procedure 7 Referstopatientbypropernameandcommunicateswell,showssufficientconcern 8 Followsstandardprecautionsandcleansandtidiesroombeforeandaftereach

patient 9 Studentrespondsappropriatelyduringcriticalsituations RadiographicAbilities/WorkPerformance/UseofEquipment 10 Demonstratesknowledgeofradiographicequipment 11 Selectsandproperlyadaptstechnicalfactorsbasedontheclinicalsituation 12 Demonstratesproperuseofpatienttransportequipment(WC,Stretcher,etc.) 13 Performsexamseffectivelyandefficientlytoincreasepatientcomfort 14 Worksindependentlywithfocusontaskathand 15 Markimagescorrectlyduringexam-properpostprocess 16 Abletoobtainqualityimagesforlevelreached-properlypositionspatient 17 Doesnotunnecessarilyrepeattasks/images-abletomodifyroutinebasedonpt.

condition 18 Showsknowledgeofdailyhospital/officepoliciesandHIPAAregulations 19 Consistentlyutilizessuggestionsforimprovingperformance Professionalism Points20 Arrivesontimeandpromptlybeginsassignments-doesnotfrequentlyleaveearlyor

arrivelate 21 Followsdresscodeandcomespreparedtoclinical

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22 Showsinitiative-usestimeappropriatelywhendepartmentisslow-ex.practicespositioning

23 Stayswithassignedtechandnotifiesthemwhenleavingthearea 24 Interactsanddealseffectivelywithsupervisors,peers,patientsandotheremployees 25 Maintainscomposureinallsituations 26 Acceptsadviceandtakesresponsibilityforactions-usesadviceconstructively 27 Hasapositiveattitude,refrainsfromnegativetalkoractions 28 Communicates/workswellwithhealthcareteam/helpsotherswhenavailable TOTALPOINTS Comments:EvaluatorSignature:_________________________________________Date:______________StudentSignature:___________________________________________Date:_____________Revised5/23/16

28

Passing Grade

ClinicalCompetencyEvaluation

ImagingProcedure: Student:___________________________ Date:________ _ Facility: PtID#:___________________________Instructions:Utilizethefollowingscaletoassessthestudent’sperformanceofthemedicalimagingprocedure.

Thestudentmustachieveaminimumgradeof75%todemonstrateprocedurecompetence. FDD+CC+BB+AA+Below60%60%65%70% 75%80%85%90%95-100%

GeneralPerformance–Thestudent:

Score Comments

a.evaluatedtherequisition/order/historypriortoprocedure b.preparedequipment&set-uproomasapplicable c.identifiedandconfirmedthecorrectpatient d.introducedthemselvesandestablishedrapportwithpatient e.appropriatelyquestionedpatient(LMP,symptoms,etc.) f.askedpatienttoremovenecessaryjewelryand/orclothing g.providedpatientwithclearandappropriateinstructions h.implementedallpossibleradiationprotectionmethods

Average ImagingEvaluation–Thestudent:

Projection/Procedure A. B. C. D. E. F.i.properlypositionedthepatient/part j.properlyalignedthesource/part/receptor

k.includedappropriateimageidentifiers/markers

l.appliedsufficientbeamcollimation m.utilizedproperradiographicexposurefactors

n.includedallrequiredanatomicalpartsonimage

Average

TotalAverage: FinalGrade:

AdditionalComments:

EvaluatorSignature: StudentSignature:

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Passing Grade

ClinicalCompetencyRe-Check

Student: Facility: CompetencyDateRange: Re-CheckDate: EvaluatedProcedures: Instructions:Utilizethefollowingscaletoassessthestudent’scurrentcompetencylevel.Selecttwoobjectivesfromeachareathat

areapplicabletocompetencyevaluationsattainedbythestudentduringthespecifieddaterange.FDD+CC+BB+AA+Below60%60%65%70% 75%80%85%90%95-100% 1.RadiationProtection/PatientSafety(selectatleasttwo) Thestudentwasableto: Percentage Comments

1.1)describethemethodsofpatientdosereductionused.

1.2)identifyalternativemethodsofpatientdosereduction.

1.3)describethemethodsofpersonneldosereductionused.

1.4)identifyalternativemethodsofpersonneldosereduction.

1.5)describehowpatientsafetywassafeguardedduringexam.

1.6)identifyalternativelowerdoseimagingmodalities.

Average %

2.Anatomy&Pathology(selectatleasttwo) Thestudentwasableto: Percentage Comments

2.1)identifypertinentanatomicstructures.

2.2)utilizeanatomicevaluationcriteriatoassessexamquality.

2.3)identifyareasofanatomicabnormalityorpathology.

Average %

3.TechnicalAdaptation/CriticalThinking(selectatleasttwo) Thestudentwasableto: Percentage Comments

3.1)confirmwhytheorderedexammatchedtheclinicalindication.

3.2)describehowexamwasadjustedbasedupontheindication.

3.3)adjusttechnicalfactorstoimproveimagequality.

3.4)identifyandcorrectpositioning/technicalerrors,artifacts,etc.

3.5)describemethodsofimprovingexam’sdiagnosticcapability.

Average %

FinalGrade %

AdditionalComments: EvaluatorSignature: StudentSignature:

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ClinicalRotationEvaluation-Midterm-

Student: Facility: ClinicalSupervisor: Semester: Assessment of Clinical Supervisor (Check One)

The clinical supervisor: Strongly Agree

(4) Agree

(3) Somewhat Agree

(2) Disagree

(1) Strongly Disagree

(0)

1. Provides direct clinical instruction to me.

2. Is readily available for guidance and support when needed.

3. Effectively communicates with me regarding my clinical performance.

Assessment of Clinical Site/Staff (Check One)

The clinical site/staff: Strongly Agree

(4) Agree

(3) Somewhat Agree

(2) Disagree

(1) Strongly Disagree

(0)

4. Provided an adequate orientation to the facility.

5. Maintain a welcoming and supportive environment for learning.

6. Provide access to procedures appropriate to my learning needs.

7. Provide direct and indirect supervision appropriate to my level of competence.

8. Are knowledgeable and skilled at clinical instruction.

9. What do you like BEST about your clinical experience at this site so far? 10. What do you like LEAST about your experience at this site so far?

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ClinicalRotationEvaluation-Final-

Student: Facility: ClinicalSupervisor: Semester: Assessment of Clinical Supervisor (Check One)

The clinical supervisor: Strongly Agree

(4) Agree

(3) Somewhat Agree

(2) Disagree

(1) Strongly Disagree

(0)

1. Provided direct clinical instruction to me.

2. Was readily available for guidance and support when needed.

3. Effectively communicated with me regarding my clinical performance.

Assessment of Clinical Site/Staff (Check One)

The clinical site/staff: Strongly Agree

(4) Agree

(3) Somewhat Agree

(2) Disagree

(1) Strongly Disagree

(0)

4. Provided an adequate orientation to the facility.

5. Maintained a welcoming and supportive environment for learning.

6. Provided access to procedures appropriate to my learning needs.

7. Provided direct and indirect supervision appropriate to my level of competence.

8. Was knowledgeable and skilled at clinical instruction.

9. What were the STRENGTHS of the clinical site and staff? 10. Were there any areas of the clinical site that could be improved?

32

UNIVERSITYOFHARTFORDRadiologicTechnologyProgram

ClinicalCompetencyExaminations

Name ClinicalYears:

Mandatory Clinical Competency Exam Date Completed Grade Chest Chest 6 yrs or younger Chest/ Wheelchair or Stretcher Portable Chest KUB Abdomen Flat and Upright Abdomen Decubitus Portable Abdomen Portable Orthopedics Finger Thumb Hand Wrist Forearm Elbow Humerus Trauma Shoulder Non-Trauma Shoulder Clavicle Trauma Upper Extremity Toe Foot Ankle Calcaneus Leg (Tibia and Fibula) Knee Patella Femur Trauma Lower Extremity Non-Trauma Hip Trauma Hip Pelvis Cervical Spine Trauma C-Spine Thoracic Spine Lumbar Spine Sacrum and/or Coccyx Ribs

33

Mandatory Clinical Competency Exam Date Completed Grade Esophagus Study Upper GI Series or Barium Enema Small Bowel Series C arm Procedure - Orthopedic Surgical C-arm Procedure – requires a sterile field Skull Sinuses Geriatric Chest Geriatric Upper Extremity Geriatric Lower Extremity Optional Exams (9 Required; 2 must be Pediatric) Decubitus Chest ERCP Voiding Cystogram/Cystrography Upper Airway (Soft Tissue, Neck) Sternum Scapula Bone Age Scoliosis Series Leg Length Exam Intravenous Urography Operative Cholangiography Arthrogram Myelogram AC Joints SI Joints Nasal Bones Mandible Facial Bones Orbits Zygomatic Arches Hysterosalpingography 2 of the following exams are required optionals Pediatric Exam- Abdomen 6 years or younger

Pediatric Exam- Mobile Study 6 years or younger

Pediatric Exam- Upper Extremity 6 years or younger

Pediatric Exam- Lower Extremity 6 years or younger

Revised8/2012,Revised2015,Revised2016