radt handbook

RDTC STUDENT HANDBOOK 0

LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS

FALL 2021 This handbook does not constitute a contract. The Radiologic Technology faculty reserves the right to change this handbook and any of its contents at any time during the program by notifying students in the classroom with a written addendum to the handbook.

Revised June, 2021

G.Greathouse, L. Heyd


COVID-19 PANDEMIC STATEMENT Students are required to wear face masks if not fully vaccinated during all labs while on campus. Any equipment used must be cleaned after use. Face to face labs on campus are presently being performed. However, if the college sees a resurgence in the virus, it is possible that we may have to suspend or reformat labs. The student will be informed of changes in laboratory procedure as soon as possible.


TABLE OF CONTENTS

RADIOLOGIC TECHNOLOGY PROGRAM MISSION STATEMENT ............................................................ 4

PROGRAM GOALS ................................................................................................................................................... 4

COLLEGE MISSION, VISION AND VALUES ...................................................................................................... 4

MASTER PLAN OF EDUCATION .......................................................................................................................... 5

JRCERT ACCREDITATION .................................................................................................................................... 5

PROGRAM POLICIES AND PROCEDURES ........................................................................................................ 6 ACADEMIC DISHONESTY ................................................................................................................................... 6 ACCOMMODATION STATEMENT ...................................................................................................................... 6 AGE REQUIREMENT ............................................................................................................................................. 7 HEALTH AND WELLNESS DIVISION POLICY ON ACADEMICDISHONESTY AND UNPROFESSIONAL BEHAVIOR .............................................................................................................................................................. 7 APPEAL PROCESS ................................................................................................................................................. 7 AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS CODE OF ETHICS ........................................ 7 ARRT FELONY/MISDEMEANOR STATEMENT ................................................................................................ 8 CALCULATORS ..................................................................................................................................................... 8 CAMPUS SERVICES .............................................................................................................................................. 8 CARDIOPULMONARY RESUSCITATION .......................................................................................................... 9 CHANGE OF ADDRESS AND NAME ................................................................................................................... 9 COLLEGE CATALOG ............................................................................................................................................ 9 COLLEGE LABORATORY EXPERIENCE ........................................................................................................... 9 CRIMINAL BACKGROUND CHECKS / DRUG TESTING ................................................................................ 10 CURRICULUM ...................................................................................................................................................... 10 DEFICIENCIES...................................................................................................................................................... 11 ELECTRONIC DEVICES ...................................................................................................................................... 11 EMERGENCY CALLS .......................................................................................................................................... 12 EMERGENCY MEDICAL ASSISTANCE ........................................................................................................... 12 EXIT COMPETENCIES ........................................................................................................................................ 12 FORTY-HOUR WEEK FOR STUDENTS ............................................................................................................. 12 GENERAL ATTRIBUTES NECESSARY FOR ENTRY LEVEL POSITIONS .................................................... 12 GRADING .............................................................................................................................................................. 14 GUESTS AND CHILDREN IN CLASS ................................................................................................................. 14 HEALTH REQUIREMENTS ................................................................................................................................. 14 JURY DUTY .......................................................................................................................................................... 14 LABORATORY MISUSE ...................................................................................................................................... 15 LICENSURE AND REGISTRATION OF RADIOLOGIC TECHNOLOGISTS ................................................... 15 MRI SCREENING .................................................................................................................................................. 15 POSTING GRADES ............................................................................................................................................... 15 PREGNANCY POLICY ......................................................................................................................................... 15 PROBATION ......................................................................................................................................................... 16 PROFESSIONALISM ............................................................................................................................................ 16 PROGRAM COMPLETION .................................................................................................................................. 16 RADIATION PROTECTION ................................................................................................................................. 16 RE-ENTERING RADIOLOGIC TECHNOLOGY ................................................................................................. 17 REPETITION OF COURSES ................................................................................................................................. 18 RADIOLOGIC TECHNOLOGY LABORATORY SAFE OPERATING PROCEDURES ................................... 18 RECORDING OF LECTURES .............................................................................................................................. 20 SMOKE FREE ENVIRONMENT .......................................................................................................................... 20 TELEPHONE NUMBERS - LCCC ...................................................................................................................... 20 TEST REVIEW POLICY ....................................................................................................................................... 21 TEXBOOK RETENTION ...................................................................................................................................... 21 TOUCHING ........................................................................................................................................................... 21

ATTENDANCE POLICIES ..................................................................................................................................... 22


ABSENCES IN THE CLINICAL AREA ............................................................................................................... 22 TARDINESS IN THE CLINICAL AREA .............................................................................................................. 23 ABSENCES/TARDINESS IN LECTURE/LAB .................................................................................................... 23 MAKE-UP CLINICAL HOURS ............................................................................................................................. 23 STUDENTS IN CLINICAL BEYOND SCHEDULED TIME ............................................................................... 23 STUDENT VACATIONS ...................................................................................................................................... 23 PERSONAL TIME ................................................................................................................................................. 23 LIMITED DUTY ASSIGNMENTS AND SPECIAL HEALTH LEAVES ............................................................. 24 STUDENTS WHO HAVE NOT COMPLETED PROGRAM REQUIREMENTS ................................................ 24 CREDIT FOR CONTINUING EDUCATION ACTIVITIES ................................................................................. 24 HOLIDAYS ............................................................................................................................................................ 24 INCLEMENT WEATHER - CLOSING OF COLLEGE ........................................................................................ 25 INTERVIEWS FOR EMPLOYMENT ................................................................................................................... 25

CLINICAL POLICIES ............................................................................................................................................. 26 INTRODUCTION TO CLINICAL EDUCATION EXPERIENCE ........................................................................ 26 ABSENCE OF INSTRUCTOR IN CLINICAL AGENCY ..................................................................................... 28 ALCOHOL AND/OR SUBSTANCE ABUSE IN CLINICAL ............................................................................... 28 ASSIGNMENT OF STUDENTS TO CLINICAL AGENCIES .............................................................................. 28 CLINICAL COMPETENCY EVALUATION ....................................................................................................... 28 CLINICAL SUPERVISION AND COMPETENCY REQUIREMENTS............................................................... 29 CLINICAL COMPETENCY REQUIREMENTS BY SEMESTER ....................................................................... 29 CLINICAL COMPETENCY REQUIREMENTS................................................................................................... 30 MASTER CLINICAL ROTATIONS...................................................................................................................... 31 CLINICAL EDUCATION REQUIREMENTS FOR RADIOLOGIC TECHNOLOGY ........................................ 32 CLINICAL GOALS ................................................................................................................................................ 32 CLINICAL AGENCY POLICIES .......................................................................................................................... 33 CLINICAL EVALUATION ................................................................................................................................... 33 CLINICAL EVALUATION GRADING ................................................................................................................ 33 OBJECTIVES FOR CLINICAL EXAMS .............................................................................................................. 33 DRESS CODE ........................................................................................................................................................ 40 GENERAL KNOWLEDGE WHEN WORKING WITH PATIENTS .................................................................... 41 IDENTIFICATION CARDS .................................................................................................................................. 42 INFECTION CONTROL POLICY ......................................................................................................................... 42 GUIDELINES FOR BODY SUBSTANCE EXPOSURE IN CLINICAL SETTINGS ........................................... 44 LIABILITY INSURANCE ..................................................................................................................................... 45 MEDICAL INSURANCE ....................................................................................................................................... 45 STUDENT CLINICAL SCHEDULES ................................................................................................................... 45 STUDENT INJURIES ............................................................................................................................................ 45 STUDENT RESPONSIBILITY REGARDING CONFIDENTIALITY ................................................................. 45 TELEPHONE NUMBERS - CLINICAL AGENCIES .......................................................................................... 46 UNSATISFACTORY CLINICAL PRACTICE ...................................................................................................... 46 CLINICAL EVALUATION ................................................................................................................................... 46 STUDENT EVALUATION FOR WEEKENDS & EVENING ............................................................................ 114 CLINICAL EDUCATION ASSIGNMENTS ....................................................................................................... 114 VERIFICATION OF RECEIPT ............................................................................................................................ 127 CLINICAL COMPETENCY FORMS .................................................................................................................. 127 CLINICAL COMPETENCY REQUIREMENTS................................................................................................. 128


RADIOLOGIC TECHNOLOGY PROGRAM MISSION STATEMENT As an integral part of our college, the program in Radiologic Technology accepts the mission, vision and values of Lorain County Community College (LCCC Catalog), and functions within the policies of the college. Our mission is to provide students with a workable understanding of radiographic procedures, anatomy and physiology, radiation physics, equipment operation, radiation protection, image evaluation, radiologic pathology, and patient care as applied to Radiologic Technology. Education and training in these areas will result in a professional practitioner, able to serve the public and assist the physician in his/her diagnosis. We further seek to introduce the broad range of advanced specialty areas in Radiologic Technology to encourage lifelong learning beyond the immediate scope of the program.

PROGRAM GOALS Goal 1: Students will be clinically competent.

• Outcome: Students will successfully perform diagnostic imaging procedures. • Outcome: Students will apply radiation protection principals.

Goal 2: Students will communicate effectively with patients and clinical staff. • Outcome: Students will demonstrate excellent written communication skills in the clinical

setting. • Outcome: Students will demonstrate excellent oral communication skills in the clinical setting.

Goal 3: Students will demonstrate critical thinking and problem solving skills. • Outcome: Students will modify routines and procedures to accommodate patient or exam needs. • Outcome: Students will identify resources and solutions when faced with problem situations.

Goal 4: Students will demonstrate professionalism. • Outcome: Students will demonstrate professional behaviors in the clinical environment. • Outcome: Students will follow the ARRT Code of Ethics and make ethical decisions.

Program Effectiveness Measures • Outcome: Graduates will pass the ARRT Exam • Outcome: Employers will be satisfied with the quality of graduates • Outcome: Students/graduates will be satisfied with program quality • Outcome: Graduates will obtain jobs as radiologic technologists • Outcome: Students who enter the program will complete the program

In keeping with the program goals, the program seeks to emphasize and support the following Four Goals of the Radiography Student:

1. Through education and training, TO BECOME EXCELLENT RADIOGRAPHERS, skilled in the application of science.

1. Through workplace experiences, TO BECOME MODEL EMPLOYEES, prepared to contribute to organizational goals.

1. Using head and heart, TO SHOW COMPASSION AND UNDERSTANDING to patients, families and significant others.

1. Through academic preparation, TO PASS THE ARRT REGISTRY EXAM the first time it is taken.

COLLEGE MISSION, VISION AND VALUES

RDTC STUDENT HANDBOOK 5 Mission

Provide opportunities for…

• Individuals to succeed through quality education

• Economies to grow through innovation

Communities to thrive through rich cultural experiences

Vision

Create a vibrant community for all where…

• All students achieve academic and career success

• Industry talent needs are met and businesses start, locate, and grow

• People connect and prosper

Values

We value our role as the community’s college and the opportunity to build the community’s trust in order to educate, adapt, lead, and inspire. We value our role to create a better, more equitable future for our community.

MASTER PLAN OF EDUCATION

A Master Plan of Education for the Radiologic Technology Program is available for student and prospective student review in the Program Director’s office. Details of the program as well as program review materials are available in the Master Plan.

JRCERT ACCREDITATION The Radiologic Technology program at Lorain County Community College is accredited by the Joint Review Commission on Education in Radiologic Technology (JRCERT), 20 N. Wacker Drive, Suite 2850, Chicago, IL 60606-3182, Tel. (312) 704-5300, email: [email protected].


PROGRAM POLICIES AND PROCEDURES ACADEMIC DISHONESTY The college catalog includes a Code of Student Conduct that includes a detailed definition of academic dishonesty. Academic dishonesty is also a violation of the ARRT Code of Ethics, which states “The radiologic technologist practices ethical conduct appropriate to the profession”. The Radiologic Technology program maintains a zero tolerance approach to cheating. Any Radiologic Technology student caught cheating will receive a failing grade for the course and be dismissed from the program. In addition to the above program sanctions, students found to be cheating may be referred to the disciplinary process described in the LCCC Code of Student Conduct. Any student sanctioned by the program for unethical behavior must report the sanction to the ARRT on the ARRT application form. The Academic Dishonesty policy applies in the classroom, the clinical site, and in the college laboratory. Within the Radiologic Technology program, academic dishonesty includes any false information submitted on forms used for documentation of student work, including forms used for documentation of clinical experiences. The LCCC Student Code of Conduct includes the following definitions of Academic Dishonesty: VI. Academic Misconduct:

(A) Cheating (1) Copying from another student’s material. (2) Knowingly obtaining, copying, using, buying, selling, transporting, or soliciting in whole or in part the contents of any test, quiz, exam, project or assignment without specific authorization of the appropriate official. (3) Bribing or the attempt to bribe any person to obtain any test, grade(s), any grade changes(s), or any related information. (4) Buying or selling unauthorized information about any test, quiz, exam, project or assignment. (5) Using electronic devices during the administration of a quiz or exam. (6) Collaborating with others on any academic assignment or exam intended by the instructor to be completed by an individual student. (7) Substituting for another student or permitting any other person to substitute for oneself to take an exam. (8) Using notes, open textbooks or any other type assistance aid during an exam when not authorized by the instructor. (9) Recording any lectures on audio or video tape without instructor’s permission. (10) Failure to comply with posted college laboratory and facility policies as well as posted programmatic policies.

(B) Plagiarism (1) The act of presenting the words, ideas or work of another person as one’s own. (2) Presenting as one’s own the ideas, words, images, or any other supporting material for an academic assignment without appropriate citation of sources. (3) Copying, pasting, downloading or importing any electronic material into work submitted for an academic assignment without appropriate citation of sources. (4) Utilizing copyrighted material in violation of U.S. Copyright Law. (5) Allowing one’s own work to be utilized by another student as if it were that student’s own work.

ACCOMMODATION STATEMENT

RDTC STUDENT HANDBOOK 7 The Disability Services Office exists to serve the needs of students with disabilities - physical, learning and/or emotional. If you are a person with a disability who needs accommodation or assistance, contact the Disability Services Office located in Room 234 in the College Center. Phone extension 4058 AGE REQUIREMENT Students enrolled in the Radiologic Technology clinical sequence must be at least eighteen years of age by October first of the year they begin the clinical portion of the program. HEALTH AND WELLNESS DIVISION POLICY ON ACADEMIC DISHONESTY AND UNPROFESSIONAL BEHAVIOR If a student is dismissed for academic dishonesty and/or unprofessional behavior from an H&W program, they will be permanently ineligible for re-entry into that program. If a student is dismissed from an H&W program or banned from a clinical agency for academic dishonesty, unprofessional behavior, unsafe behavior or code of conduct issues they will be permanently ineligible for re-entry into that program or any other LCCC Allied Health or Nursing program. If a transfer student has been dismissed for academic dishonesty and/or unprofessional behavior from a program at another institution and LCCC faculty become aware of it, the student will be permanently ineligible for entry into any LCCC AH&N program.

Any student case involving dismissal for academic dishonesty and/or unprofessional behavior from an H&W program shall automatically be referred to the College’s Code of Conduct process. The student can be temporarily or permanently removed from the classroom, laboratory, and clinical setting pending investigation and resolution through the Code of Conduct. APPEAL PROCESS Within the Division of Health and Wellness and the Radiologic Technology Program, the students may avail themselves of the right of appeal on evaluations, grades, conduct and complaints of non-compliance with JRCERT policies (available in the program director’s office) by the following process: 1. Discuss the problem with the faculty member involved. The faculty member will respond within

seven days of the discussion; if not satisfied, then discuss the matter with the director of the program. The program director will respond within seven days of the discussion.

2. Make an appointment to discuss the matter with the division dean if not satisfied in step 1. The division dean will respond within one week of this meeting. This is the final step in the Informal Process (Step 1) of the Student Grievance Procedure outlined in the college catalog.

3. Initiate the Formal Grievance Procedure outlined in the College Catalog. See the College Catalog for details of this procedure.

As provided in the College catalog students have the right of appeal to ensure due process, through the Student Grievance Procedure. AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS CODE OF ETHICS The Code of Ethics forms the first part of the Standards of Ethics. The Code of Ethics shall serve as a guide by which Registered Technologists and Applicants may evaluate their professional conduct as it relates to patients, health care consumers, employers, colleagues and other members of the health care team. The Code of Ethics is intended to assist Registered Technologists and Applicants in maintaining a high level of ethical conduct and in providing for the protection, safety and comfort of patients. The Code of Ethics is aspirational.

1. The radiologic technologist conducts herself or himself in a professional manner, responds to patient needs and supports colleagues and associates in providing quality patient care.


2. The radiologic technologist acts to advance the principle objective of the profession to provide services to humanity with full respect for the dignity of mankind.

3. The radiologic technologist delivers patient care and service unrestricted by the concerns of personal attributes or the nature of the disease or illness, and without discrimination on the basis of sex, race, creed, religion or socioeconomic status.

4. The radiologic technologist practices technology founded upon theoretical knowledge and concepts, uses equipment and accessories consistent with the purposes for which they were designed, and employs procedures and techniques appropriately.

5. The radiologic technologist assesses situations; exercises care, discretion and judgment; assumes responsibility for professional decisions; and acts in the best interest of the patient.

6. The radiologic technologist acts as an agent through observation and communication to obtain pertinent information for the physician to aid in the diagnosis and treatment of the patient and recognizes that interpretation and diagnosis are outside the scope of practice for the profession.

7. The radiologic technologist uses equipment and accessories, employs techniques and procedures, performs services in accordance with an accepted standard of practice, and demonstrates expertise in minimizing radiation exposure to the patient, self and other members of the health care team.

8. The radiologic technologist practices ethical conduct appropriate to the profession and protects the patient’s right to quality radiologic technology care.

9. The radiologic technologist respects confidences entrusted in the course of professional practice, respects the patient’s right to privacy and reveals confidential information only as required by law or to protect the welfare of the individual or the community.

10. The radiologic technologist continually strives to improve knowledge and skills by participating in continuing education and professional activities, sharing knowledge with colleagues and investigating new aspects of professional practice.

ARRT FELONY/MISDEMEANOR STATEMENT After graduation from the Radiologic Technology program, graduates sit for the national certification exam given by the American Registry of Radiologic Technologists (ARRT). Ethics rules of the ARRT require the review of any felony or misdemeanor convictions other than routine, non-alcohol-related speeding violations. Certain criminal records may make it impossible to become a registered technologist, based on the ARRT ethics rules. If you have any previous convictions, it is extremely important to discuss this with the program director, Mr. Greathouse, before entering the program, as your criminal background could keep you from professional practice even after you graduate from the program. The ARRT does have the option of a pre-application review of your criminal record so that you can determine ahead of time your eligibility to sit for the ARRT certification exams. CALCULATORS Calculators with the capability to store formulae in memory may not be used on tests. Students will have four-function calculators provided during most tests in the Radiography program. Students may benefit from a calculator with the following functions (most scientific calculators):

LN memory

CAMPUS SERVICES Campus Services has staff on duty 24 hours a day, seven days a week. Campus Services is dedicated to serving the college community by striving to provide a safe and secure environment for students, faculty, staff and visitors. Specific elements of the Campus Services mission include: accident investigation,

x 2 x 1x

RDTC STUDENT HANDBOOK 9 incident/crime investigation, crime prevention, vehicle assists, parking and traffic enforcement, emergency medical assistance and disaster coordination. The Campus Services Office is located in room LC 106 of the LCCC Library/Community Resource Center and may be reached from anywhere on campus by phoning extension 4053 or from off-campus, 440-366-4053 or TDD 440-366-4136. For on-campus emergencies, dial 4444 from a campus phone. If you do not have access to a regular campus phone, activate any of the emergency phones by pushing the large red button. This will put you in touch with the Lorain County 9-1-1 system. (College Catalog) CARDIOPULMONARY RESUSCITATION ALL STUDENTS MUST HAVE COMPLETED AMERICAN HEART ASSOCIATION APPROVED C.P.R. BEFORE ENTERING RDTC 114 AND MUST STILL BE CERTIFIED AT THE TIME OF GRADUATION. Students who have not completed C.P.R. may not enter the clinical courses. Students not certified at the time of graduation will not be considered as having successfully completed the program requirements. CHANGE OF ADDRESS AND NAME In addition to giving a change of address or name to the College Records Office, the student also is requested to give the information to the secretary in the Division of Health and Wellness office suite, room HS 223. COLLEGE CATALOG The LCCC College Catalog contains a vast amount of information regarding services available to students, policies of the college, courses offered, and many other important facts regarding the college. The college catalog is published on the college web site. Included among the many items of interest to students and available in the catalog are: General Education Outcomes Course Withdrawal Procedures Faculty Directory Substance Abuse and Gambling Disability Services Discrimination Academic Dismissal Financial Aid and Scholarships Forgiveness Policy Individualized Learning Support Center Sexual Harassment Student Records Policies COLLEGE LABORATORY EXPERIENCE Radiographic laboratories are classes in which skills and procedures associated with clinical practice are taught. They provide the opportunity to apply classroom learning to a practice situation before performing in a clinical situation. In the lab, the student manipulates radiographic equipment, practices positioning skills, reviews the technical skills of selecting factors on the control panel, makes exposures, processes the film, as well as critiques radiographs and identifies anatomy. The general objectives for laboratory experience are as follows: After participating in a college lab session the student will be able to: 1. Manipulate radiographic equipment for procedure 2. Position all views of procedure 3. Utilize critical thinking skills to accommodate nonroutine procedures 4. Set exposure factors on control panel 5. Make exposure 6. Process film and reload cassette 7. Identify anatomy on radiograph / skeleton 8. Critique radiograph Twice during each Radiographic Procedures lab, students are tested on their positioning and technical skills in the form of lab practicals. Each student is assigned several projections to perform within a designated time limit. The performance is observed and graded by the instructor, utilizing the Lab Practical Grade Sheet (in syllabus). These 2 grades account for a significant portion of the final grade in the Radiographic Procedures courses.

RDTC STUDENT HANDBOOK 10 CRIMINAL BACKGROUND CHECKS / DRUG TESTING Students in the Radiologic Technology program may have criminal background checks and/or drug testing performed, either by the program, the division, the college, or by the clinical agency. College or clinical agency policies may make program continuation/completion impossible based on the results of the criminal background check or drug testing. If a student is denied access to a clinical agency based on the results of a background check or drug test, the student will not be placed in another agency. This will make it impossible for the student to complete the program. CURRICULUM Lorain County Community College Radiologic Technology Health and Wellness Division Associate of Applied Science - Curriculum Code 2045 Students who graduate from the Radiologic Technology program at LCCC will be eligible to take a national registry examination administered by the ARRT. Graduates will have learned the skills

RDTC STUDENT HANDBOOK 11 necessary to be employed in a diagnostic radiology center. Graduates of this program are also prepared for continuing specialized education in other areas of diagnostic imaging. Lorain County Community College has articulation agreements with colleges and universities including programs offered by Lorain County Community College's University Partnership. American Heart Association Healthcare Provider certification is required upon entrance into the program. Course Course Title Credits Contact Hrs. Lec Hrs. Lab Hrs. Clinical Hrs. First Year Fall Semester **ALHN 110 Medical Terminology 3 3 3 0 0 **ALHN 113 Introduction to Patient Care**** 1 2 0 2 0 **BIOG 121 Anatomy and Physiology I 4 5 3 2 0 >**MTHM 158 Quantitative Reasoning -OR- 3 3 3 0 0 **MTHM 168 Statistics 3 3 3 0 0 >**RDTC 110 Introduction to Radiography 3 3 3 0 0 >**RDTC 114 Radiographic Procedures I 4 21 2 3 16

SDEV 101 College 101 1 1 1 0 0 19 Spring Semester >**BIOG 122 Anatomy and Physiology II 4 5 3 2 0 >**RDTC 116 Radiographic Procedures II 4 21 2 3 16 >**RDTC 117 Radiologic Equipment 3 3 3 0 0 >**RDTC 118 Imaging Technique and Processing 4 4 4 0 0 15 Summer Semester >**RDTC 119 Advanced Procedures and Modalities 4 26 2 0 24 4 Second Year Fall Semester >**BIOG 123 Cross-Sectional Anatomy 2 2 2 0 0 ENGL 161 College Composition I 3 3 3 0 0 >**RDTC 211 Image Critique 2 2 2 0 0 >**RDTC 212 Radiologic Pathology 2 2 2 0 0 >**RDTC 213 Radiologic Imaging Science 5 28 3 1 24 14 Spring Semester >ENGL 162 College Composition II 3 3 3 0 0 >**RDTC 234 Trends in Radiology 5 27 3 0 24 >**RDTC 236 Radiobiology and Protection 2 2 2 0 0 SOCY 151 Introduction to Sociology 3 3 3 0 0 13 Total Semester Credit Hours 65 Notes 1. > Indicates that this course requires a prerequisite. 2. ** Indicates that a grade of "C" (2.00) or better must be earned in order to continue in the program sequence. 3. *** Students who have STNA status are not required to take ALHN 113. 4. A student must register for the orientation course when enrolling for more than six credit hours per semester or any course that would result in an accumulation of thirteen or more credit hours. DEFICIENCIES Deficiency notices may be given at any time during a semester. Faculty will notify students and discuss what is needed to correct the deficiency. ELECTRONIC DEVICES Students are not to have audible cell phones or audible beepers in class or clinical. No phone calls, texting, taking of photos or any other use of phones/electronic devices is allowed in class unless

RDTC STUDENT HANDBOOK 12 specifically requested by the instructor. Clinical sites have rules against most electronic devices. All rules of the clinical agency must be followed. EMERGENCY CALLS Emergency calls for students are handled by the LCCC Campus Services Office. EMERGENCY MEDICAL ASSISTANCE Campus Services will summon Emergency Medical Services (EMS) if needed or requested to do so. Campus Services does not transport injured or stricken individuals to hospitals or emergency care centers. Emergency telephones are situated at various locations throughout the campus. They are internal phones only and cannot be used to call off-campus. When using an emergency phone, simply lift the receiver and your call and location will automatically ring into the Campus Service office. To report an emergency from any other campus phone, dial 4444. (College Catalog) EXIT COMPETENCIES Prior to graduation all Radiologic Technology students must satisfactorily have met and completed all course, classroom and clinical objectives. The terminal competencies are listed below. The graduate shall be able to: 1. Use oral and written medical communication; 2. Demonstrate knowledge of human structure, function and pathology; 3. Anticipate and provide basic patient care and comfort; 4. Apply principles of body mechanics; 5. Perform basic mathematical functions; 6. Operate radiographic imaging equipment and accessory devices; 7. Position the patient and imaging system to perform radiographic examination and procedures; 8. Modify standard procedures to accommodate for patient condition and other variables; 9. Process CR and DR images using appropriate software functions and protocols; 10. Determine exposure factors to obtain diagnostic quality radiographs with minimum radiation

exposure; 11. Adapt exposure factors for various patient conditions, equipment, accessories and contrast media

to maintain appropriate radiographic quality; 12. Practice radiation protection for the patient, self and others; 13. Recognize emergency patient conditions and initiate first aid and basic life-support procedures; 14. Evaluate radiographic images for appropriate positioning and image quality; 15. Evaluate the performance of radiographic systems, know the safe limits of equipment operation,

and report malfunctions to the proper authority; 16. Demonstrate knowledge and skill relating to quality control; 17. Exercise independent judgment and discretion in the technical performance of medical imaging

procedures; 18. Complete all required competencies. FORTY-HOUR WEEK FOR STUDENTS In keeping with the requirements of JRCERT, a student may have only a total of 40 hours per week of combined classroom, college laboratory, and clinical experiences. GENERAL ATTRIBUTES NECESSARY FOR ENTRY LEVEL POSITIONS IN RADIOLOGIC TECHNOLOGY

For Prospective Radiologic Technology Students Listed below are important attributes for the radiologic technology professional. If, because of a learning or physical disability or mental or emotional condition, you feel that you cannot meet these criteria, you should make appointments with the Radiologic Technology program director and the Coordinator of the Disability Services Office.

RDTC STUDENT HANDBOOK 13 The following attributes are necessary for the entry level radiologic technologist, and are therefore necessary for the radiologic technology student. Verbal 1. The technologist speaks clearly, concisely, and uses correct vocabulary and grammar for

communication with staff, physicians, students, faculty, patients, and the public. 2. The technologist gives clear, audible verbal instructions to patients at a distance of 10 feet from

the technologist control area. 3. The technologist explains radiographic procedures to patients in understandable terms. Written 1. The technologist clearly writes radiologic readings dictated by the radiologist. 2. The technologist describes in writing various types of incidents that occur to the patient. 3. The technologist writes sentences on patient charts, and requisitions, using correct grammar,

spelling, punctuation, sentence structure, and uses appropriate medical terminology. Visual 1. The technologist must have sight corrected so as to be able to read and adjust the x-ray control

panel, correctly position the patient, observe the patient at a distance of 20 feet, read laboratory results in the patient’s chart, read contrast material labels, use a computer and monitor, and evaluate radiographs.

Auditory 1. The technologist takes blood pressures and will use a stethoscope to hear blood flow. 2. The technologist takes a brief medical history from the patient and will record the verbal

responses of the patient. 3. The technologist must have hearing corrected so as to be able to hear a patient/co-

worker/physician (any of whom may be wearing a surgical mask) at a distance of 20 feet. Touch 1. The technologist will perform venipuncture and take a pulse that require tactile discrimination of

veins, and vein walls. 2. The technologist will load and unload film in the darkroom performed by touch. 3. The technologist will palpate the patient for positioning landmarks. Body Mechanics and Physical Characteristics 1. The technologist will move patients by lifting, and sliding. 2. The technologist will push mobile radiologic, and fluoroscopic equipment from the radiology

department to the operating room, emergency room, and to the patient's room. 3. The technologist will move the patients for proper positioning on the x-ray table. 4. The technologist stands and walks while doing his/her job. 5. The technologist will be able to lift 50 lbs. 6. The technologist has manual dexterity that allows them to manipulate x-ray equipment and adjust

the x-ray tube which is at a height of 80 inches above the floor. Other fine motor skills include keyboarding, drawing medications into a syringe, setting up sterile trays for procedures and donning protective apparel.

7. The technologist must be able to react quickly and appropriately in emergency situations. Intellectual 1. The technologist will use algebra in solving technical factor problems. 2. The technologist will use graphs, curves, and numerical tables for determining heat loading and

heat dissipation for the safe operation of the equipment. 3. The technologist will use mathematics to determine starting levels in tomography. 4. The technologist will use equipment in quality control requiring direct and reciprocal readings,

with some log 10 properties. 5. The technologist will integrate abnormal laboratory test results or patient history with orders for

radiographic procedures. Mental/Emotional 1. The technologist uses problem-solving and critical thinking skills to meet challenges in the

workplace. 2. The technologist does x-ray procedures in the emergency room and operating room.

RDTC STUDENT HANDBOOK 14 3. The technologist must interact with trauma patients, chronically ill patients, acutely ill patients,

and terminally ill patients of all ages. 4. The technologist provides service to all patients, regardless of age, sex, race, national origin,

religion, physical condition, or disease process. 5. The technologist is sensitive to the needs of a culturally diverse patient population. 6. The technologist must be able to demonstrate calm and reasoned judgment. 7. The technologist must be able to follow instructions completely. 8. The technologist has the ability to retain and apply previously learned material.

Ethical/Professional 1. The technologist must demonstrate honesty and integrity in all matters. 2. The technologist must protect the privacy of patients. 3. The technologist must be professional, discreet, reliable and dependable.

GRADING A final course grade in each RDTC course must be a "C" or better, in order for the student to progress to the next semester. GUESTS AND CHILDREN IN CLASS Students must request permission for guests in the classroom. Faculty may choose to deny access for guests in the classroom. No children are permitted in classrooms, college laboratories or clinical agencies. HEALTH REQUIREMENTS A health examination by a physician is required prior to the entrance into an Health and Wellness Program. This form will be made available at the time of acceptance to the first clinical course. This examination must be completed prior to entry to the clinical. The physical examination, x-ray and lab test results must not be older than three months at the date of entry. Upon review of a health examination, a statement from a physician may be requested for the purpose of clarity. Radiologic Technology students who are re-entering the Program after a one-year absence may also be required to have a new physical exam based on Health and Wellness Division policies. The following reports must accompany the health form: 1. Two-Step Mantoux results. (Tine-tests are NOT acceptable.) If a student is a positive reactor to the Mantoux test, then a chest x-ray is required. 2. Diphtheria and Tetanus immunization documented within the past 10 years. 3. Documentation of two childhood or two adult MMR immunizations. 4. Hepatitis B Vaccine (If a student chooses not to receive this vaccine, they must sign their refusal on the health form.) (College Catalog) NOTE: Health care professionals are considered “high risk” for Hepatitis B because of the possibility of contact with blood products. 5. Verification of varicella (chicken pox) disease. If a physician believes that other laboratory tests are necessary to evaluate a student’s overall health, they can be ordered at the physician’s discretion.

JURY DUTY Students will be excused from class and clinical for jury duty, but clinical days missed must be made up and the student will need to make arrangements to keep up with classroom material. Jury duty that extends for a lengthy time (more than one week) may present severe difficulties for the student in keeping up with classroom and clinical objectives. While the program will make every effort to accommodate jury duty assignments, a long jury duty assignment could jeopardize the student’s standing in the program and require reentry under normal reentry rules. This would occur when a long jury duty assignment would make it impossible for the student to achieve the clinical and classroom objectives for the semester.

RDTC STUDENT HANDBOOK 15 LABORATORY MISUSE In this Radiologic Technology Handbook, the following procedures are covered: Safe Operating Procedures for the Quantum DS-4 x-ray equipment and Radiation Protection; Safe Operating Procedures for the OEC Diasonics c-arm. The above procedures cover the safe start up and use, and shut down of all laboratory equipment, and Ohio Radiation Regulations for your protection. Because of the potential inherent dangers that exist if proper procedures are not followed in the Radiologic Technology Laboratory, and because the area is a restricted environment according to the Ohio Administrative Code, (Rule 3701-38-22(a) 3701-38-01 3701-39-10 and 3701-39-13), the following rules have been adopted for the safety of the public, college community, and users of the Radiologic Technology Laboratory. If a faculty member, administrator, or staff person from Lorain County Community College, or state or federal inspector observes or finds a student not following the above rules, and in violation of them either by omission or commission of certain acts, the student displaying such behavior and/or acts will: 1. For a first offense, the program director and/or faculty member will evaluate the severity of the

offense and determine the appropriate disciplinary action, up to and including dismissal from the program.

2. For a second offense, the student will be dismissed from the Radiologic Technology program. LICENSURE AND REGISTRATION OF RADIOLOGIC TECHNOLOGISTS Upon completion of the Radiologic technology program at LCCC, the student is eligible to sit for the American Registry of Radiologic Technologists (ARRT) examination in Radiography. In order to work as a Radiologic Technologist the graduate must pass the ARRT Radiography exam. The current application fee for this exam is $125 and is not included in tuition and fees at LCCC. Further information is available from the ARRT at (651) 687-0048 or at the website http://www.arrt.org/. The State of Ohio also requires licensure of any individual who performs radiography on patients in the state. In addition to a license for the ARRT registered radiographer, the state requires a limited General X-ray Machine Operator (GXMO) license for anyone other than an ARRT registered radiographer. If a student takes a part-time job during their radiography education, or if a graduate of the program is to be employed in Ohio prior to receiving passing results from the ARRT, the GXMO license is needed. Current cost of the application fee and testing fee for the GXMO license is approximately $120, and is not included in tuition and fees at LCCC. Further information is available from the Ohio Department of Health, Radiologic Technology Section by calling (614) 752-4319 or at the website http://www.odh.state.oh.us/ODHPrograms/RLIC/rlic1.htm .

MRI SCREENING All students will be screened for MRI safety upon entry to the program using a screening tool similar to that used for MRI patients. If this screening process discovers any safety concerns for the student, the student’s clinical site will be notified. If the student cannot safely attend MRI observations, the program will need to alter or cancel MRI observation rotations for the student. POSTING GRADES Grades will NOT be posted except to the college’s Learning Management System (CANVAS).

PREGNANCY POLICY A student who becomes pregnant has the option of declaring their pregnancy to the program director. Students who become pregnant are encouraged, but not required, to declare their pregnancy. In order to be considered pregnant by the program, the pregnant student must voluntarily declare her pregnancy to the program director in writing. The program director can provide a form to use for this purpose. A student who chooses not to inform the program director of her pregnancy will not be considered pregnant. The student has the right to withdraw her declaration of pregnancy at any time by written notice to the program director.

http://www.odh.state.oh.us/ODHPrograms/RLIC/rlic1.htm

RDTC STUDENT HANDBOOK 16 Once a student has declared her pregnancy, the program director will review the United States Nuclear Regulatory Guide, (U.S.N.R.G.) 8.13 with the pregnant student. At this time, the student may decide if she wishes to remain in the program. If she does not wish to stay in the program, the student should withdraw and she will be allowed to re-enter the following year in the course from which she withdrew, subject to the re-entry policy. The student may continue in the program without modification throughout her pregnancy, declared or not. If the student is placed on any form of medically required limited duty due to her pregnancy (declared or undeclared), the attendance policy rules which address time missed for medical reasons will apply. PROBATION Students may be placed on clinical and/or theory probation by the faculty within the Division of Health and Wellness. This probation is for minimal achievement in the health careers specialty, and is a warning that improvement is necessary immediately. It is a disciplinary measure used for Policy/Policies infractions, unsatisfactory evaluation (other than at the end of the quarter) or excessive absences. (Notification of probation indicates that one of the above has occurred and a suspension from clinical and a suspension from the program could result, if a further infraction occurs.) If immediate improvement does not occur the student will be dismissed from the program. PROFESSIONALISM Radiologic technology is a people-oriented, hands-on profession that requires proficiency in a wide variety of areas. Radiographers must conduct themselves in a professional manner, support and respect other members of the health care team, respond to patient needs and deliver patient care and service without regard to personal attributes or the nature of disease/illness and without discrimination on the basis of sex, race, creed, religion, culture, or socioeconomic status. The patient’s interaction with members of the radiology staff often determines the patient’s opinion of the department, the profession, and the hospital itself. Employing effective communication and interactive skills, a respectful, caring and concerned attitude and competency in our work can make the patient’s visit more pleasant and can greatly improve the quality of the radiologic images. These aspects of professionalism will improve the impression of the student in the eyes of both the patient and the department in which the student is training. The program maintains a high level of expectation for professionalism at all times in both the clinical and classroom settings. Any Radiologic Technology student exhibiting unprofessional behaviors in the classroom, laboratory, or clinical may be sanctioned by the program, including receiving a failing grade for the course and dismissal from the program. Any student sanctioned by the program for unethical behavior must report the sanction to the ARRT on the ARRT application form. PROGRAM COMPLETION Students enrolled in the Radiologic Technology program must complete the program within five years of being placed in a clinical agency. Course withdrawal, course failure, program re-entry, personal health or family issues may affect the student’s ability to complete the program within this five-year window. RADIATION PROTECTION A. STATE OF OHIO RADIATION PROTECTION RULES Students in the Radiologic Program are expected to conform to the Ohio Department of Health,

Radiation Protection Rules as published by the Ohio Department of Health. Current State of Ohio Radiation Protection Rules are available in the program director’s office.

B. RADIATION DOSIMETRY BADGES

RDTC STUDENT HANDBOOK 17 1. All students in the Program will wear a radiation monitor at all times when using ionizing

radiation during clinical education and energized laboratory procedures. 2. Radiation monitors will be worn outside the lead apron at collar level. 3. The radiation monitor should not be left in a car or laundered. 4. Radiation monitors are to be worn only during clinical education or during college labs.

Students may not wear college radiation monitors during outside employment for any reason. 5. Radiation monitors are to be changed at the first meeting of college laboratory each month by

the student to whom the badge is assigned. Badges will be distributed in class during summer semester and spring semester of the second year.

6. The theory or laboratory instructor will distribute new radiation monitors. 7. It is the students' responsibility to change their badges each month as scheduled. 8. Loss or accidental exposure of a radiation monitor shall be reported immediately to the

program director. A telephone message shall be left the day of the incident for the program director. Students are not allowed in clinical until the badge has been replaced. The student will be required to make up any time lost during make-up week.

9. Persons who become pregnant are encouraged to declare the pregnancy to the program director (see the Pregnancy Policy). A second badge will then be ordered and issued to the pregnant individual. The second radiation monitor must be worn at waist level, under the lead apron.

C. RADIATION EXPOSURE 1. Radiation exposure of students and instructor/operators will be monitored by the Radiologic Technology program director. Each report will be reviewed as they are received. Reports will be initialed and dated by the program director. In the event that the Program Director discovers any exposure in excess of 375 mrem in any calendar quarter (ALARA level 2), the Program Director will meet with the individual and fill out the Radiation Badge Report Follow-Up ALARA Action report.

2. Records of occupational exposure will be maintained permanently in the Health and Wellness office. Duplicate records will be maintained by the Radiologic

Technology Program Director. Duplicate records for all current students and instructor/operators will be maintained in the laboratory of the Radiologic Technology program

3. All student and instructor/operators will be instructed to wear their monitoring device at the collar, outside of the lead apron.

4. Each year, all employees and students who wore a radiation badge in the previous year will receive an Annual Report of Radiation Exposure, as required by the Ohio Department of Health. Reports will be distributed in class to students who are currently enrolled. Reports will be mailed to any student or employee that is not currently on campus.

RE-ENTERING RADIOLOGIC TECHNOLOGY Persons wishing to re-enter the Radiologic Technology Program will be evaluated on a case-by-case basis and re-admitted contingent upon space available in the clinical area. Students who fail or fail to complete an RDTC course during the first fall semester of the program (RDTC 110 and RDTC 114) will be required to reapply to the program rather than be readmitted. Students who have failed a course for unprofessional or unsafe activities in the clinical site are not eligible for re-entry. (SEE HEALTH AND WELLNESS DIVISION POLICY ON ACADEMIC DISHONESTY AND UNPROFESSIONAL BEHAIOR). The College cannot guarantee the student will be re-admitted to his/her previous clinical agency, or that clinical space will be available for re-entry. Re-entering students must complete all requirements in the Radiologic Technology Program, regardless of whether or not previous clinical hours and competencies were completed and

RDTC STUDENT HANDBOOK 18 credited to the student. Students who wish to be considered for program re-entry must contact a counselor and submit a Clinical Progression Request form, after which they should schedule an appointment to discuss their reentry with the Radiologic Technology program director. Re-entering students who are repeating a clinical course due to failure of that course for excessive absences or tardiness will have the following special rule for the aforementioned repeated clinical course: The student will be allowed 2 tardies and 2 absences only. On the third occurrence of tardiness or the third absence, the student will receive a failing clinical grade for the repeated course and be removed from the program. Reentry students are encouraged to meet with the Clinical Coordinator to arrange for early return to clinical to refresh clinical skills. This is especially important for students who must repeat a non-clinical course, and are then reentering clinical after a full year since previous clinical experiences, or for students who are being placed at a clinical site other than the one at which they were previously placed. Reentry students will be evaluated by their Clinical Instructor during the first month after returning to clinical, and an assessment of prior competency completion will take place. The Clinical Instructor will decide if any of the previously earned clinical competencies need to be repeated by the reentry student. Any or all of the previously earned clinical competencies may be required to be repeated, based on the Clinical Instructor’s evaluation. REPETITION OF COURSES A student who receives a final course grade below "C" in a major Radiologic Technology (RDTC) course must repeat the course before they may continue in the Radiologic Technology sequence. Students may repeat one course in the program. Whenever the student receives a final course grade below "C" in two major courses during the program, they are no longer eligible to continue in the program, and are not eligible for re-entry. RADIOLOGIC TECHNOLOGY LABORATORY SAFE OPERATING PROCEDURES

Safe Operating Procedures for the Quantum DS-4 No individual may operate the x-ray equipment until they have been instructed by a full-time Radiologic Technology faculty member. ONLY Radiologic Technology faculty, Radiologic Technology students, repair and service personnel, and physicists may operate the X-ray machine. X-ray exposures may be made only when a licensed Radiologic Technologist or physicist is present. No x-ray exams are to be performed on living human patients. All procedures are to be performed on the anatomical phantoms, QC test devices, or faculty approved experiments. All exposures must be made with the inner laboratory door fully closed and no individual shall be in the x-ray room during exposures. The inner and outer laboratory is considered a restricted area and shall be occupied only by Radiologic Technology students, faculty and service personnel at any times when

RDTC STUDENT HANDBOOK 19 exposures are being made. The laboratory can be used by other students as deemed necessary by the College, but exposures are never to be made during attendance by non-Radiologic Technology students. The outer laboratory may occasionally be used as needed by students from other programs. Exceptions to these policies can be made only when a Radiologic Technology faculty member is present. All exposures should be made using the techniques located in the technique book or programmed into the generator in the Anatomical Programmed Techniques, unless otherwise instructed by a faculty member. During experiments all exposures should be made based on the experiment instructions. All faculty and students must wear their radiation monitoring badges at the collar while in the laboratory. Reports of radiation exposure recorded by the radiation monitoring badges will be posted in the laboratory in a book used for this purpose. This book is to remain in the laboratory at all times. This facility practices within the ALARA (As Low As Reasonably Achievable) guidelines. All students and faculty are to make every effort to maintain radiation exposure to a minimum both for themselves and “patients” using the techniques and practices learned in RDTC 110, RDTC 114, and throughout the program. The annual exposure limits for faculty and students, in keeping with regulatory requirements, is 5 rem per year. This limit should never be approached by any student employing safe practices and the program will attempt to maintain exposures to no more than 1 rem per year. Safe radiation practices shall be employed and shall include: Collimation of the primary beam to the image receptor by use of the collimator. Do not direct the primary beam to anything except the image receptor. All users of the x-ray equipment are to immediately report any malfunctions, broken equipment or other irregularities regarding the x-ray equipment to a Radiologic Technology faculty member or to the office of the Director of Health and Wellness. Any student who has not yet turned 18 years of age must meet with the Program Director to discuss exposure limits. A copy of the Ohio Radiation Protection rules is available from the Program Director.

Safe Operating Procedures for the OEC 9400 C-arm No individual may operate the C-arm until they have been instructed by a Radiologic Technology faculty member. Students may not Fluoro unless under the direct supervision of a Radiologic Technology faculty member. Only Radiologic Technology faculty, students, repair and service technicians and physicists may operate the C-arm. All exposures must be made with the inner laboratory door fully closed. All persons that are within the inner laboratory during fluoroscopy must wear a lead apron. All faculty and students must wear their radiation monitoring badges at the collar, outside of the lead apron while in the laboratory. Reports of radiation exposure recorded by the radiation monitoring badges will be posted in the laboratory in a book used for this purpose. This book is to remain in the laboratory at all times. The inner and outer laboratory is considered a restricted area and shall be occupied only by Radiologic Technology students, faculty and service personnel at any times when exposures are being made. The laboratory can be used by other students as deemed necessary by the College, but exposures are never to be made during attendance by non-Radiologic Technology students. The outer laboratory may

RDTC STUDENT HANDBOOK 20 occasionally be used as needed by students from other programs. Exceptions to these policies can be made only when a Radiologic Technology faculty member is present. All exposures should be made using the techniques programmed into the c-arm unless otherwise instructed by a faculty member. This facility practices within the ALARA (As Low As Reasonably Achievable) guidelines. All students and faculty are to make every effort to maintain radiation exposure to a minimum both for themselves and others using the techniques and practices learned in RDTC 110, RDTC 114, and throughout the program. The annual exposure limits for faculty and students, in keeping with regulatory requirements, is 5 rem per year. This limit should never be approached by any student employing safe practices and the program will attempt to maintain exposures to no more than 1 rem per year. Safe radiation practices shall be employed and shall include: All individuals must stay out of the primary beam at all times.

Collimation of the primary beam to as small as possible for the imaging being performed. Using pulsed rather than continuous fluoroscopy when possible. Position the image intensifier as close to the phantom or object being imaged as possible. Follow the cardinal principals of time, distance, and shielding. All users of the x-ray equipment are to immediately report any malfunctions, broken equipment or other irregularities regarding the x-ray equipment to a Radiologic Technology faculty member or to the office of the Dean of Health and Wellness. All users of this equipment shall contact the Program Director, Mr. Greathouse, ext. 7197 with any questions regarding these policies or any radiation protection concerns. RECORDING OF LECTURES Taping of lectures or any type of class presentation should not occur without first securing the consent of the instructor. SMOKE FREE ENVIRONMENT Lorain County Community College is a smoke-free environment. Smoking is prohibited on campus. TELEPHONE NUMBERS - LCCC

LCCC Campus Elyria (440) 365-5222

Toll-Free 1-800-995-5222 Division of Health and Wellness ext. 4015 or direct 366-4105

Monique Norfus, MBA Dean ext. 7171 or direct 366-7171 Health and Wellness Division RDTC / Radiologic Technology Full-Time Faculty Gary F. Greathouse, M.S.R.T. RT(R) ext. 7197 or direct (440) 366-7197 Assistant Professor Radiologic Technology Program Director


Lisa Heyd, M. S., RT(R) ext. 7191 or direct (440) 366-7191 Associate Professor Radiologic Technology Clinical

Coordinator

Radiologic Technology College Laboratory, HS 112

ext. 7157

Division of Health and Wellness Counselors Ms. Julie Minarczik

Ms. Lindsey Maurer ext. 7614 ext. 4191

TEST REVIEW POLICY Faculty in the Radiologic Technology program will allow limited time for review of tests. While reviewing tests, students may be limited to one piece of paper for note-taking, and any copying of test questions will be considered a violation of the Academic Dishonesty policy (see page 6). TEXBOOK RETENTION Students should be aware that certain textbooks should not be sold or otherwise disposed of until program completion. The positioning book (RDTC 114) should be retained as it will be used in RDTC 116, 119, and 234. The Physics book (RDTC 117) should be retained as it will be used in RDTC 213 and 236. The technique book (RDTC 116) should be retained as it will be useful in RDTC 213. All books used in the program will be useful to prepare for the ARRT registry exam after graduation. Students should check with the RDTC instructors before disposing of any books for the Radiologic Technology major (RDTC) courses. TOUCHING Please note that during the program you will practice radiographic positioning on each other in the laboratory. This requires frequent touching of each other in a professional manner. If at any time, for ANY reason, during a practice/class/lab session when a student or staff member is practicing positioning with you, or when you are practicing positioning on another student or staff member, you may say the word “STOP”. All students and staff, having agreed upon this keyword, will immediately cease what they are doing. This allows each person involved in the activity to retain complete control over any situation.


ATTENDANCE POLICIES

ABSENCES IN THE CLINICAL AREA Excessive absenteeism is not consistent with the professional behavior expected of student technologists in meeting their responsibilities and obligations to the patients, hospitals or the college. Students must notify the clinical instructor prior to their scheduled starting time on any scheduled shift. Students must call each day that is missed. Failure to do so will result in the student receiving a deficiency notice. Students who have a second occurrence of not calling in for an absence will receive a failing clinical grade for the clinical course and be removed from the program. Prolonged absence (3 consecutive clinical days) or infectious illness requires a written clearance from a physician to return to the clinical area. Severe illness of more than 1 day that is documented by a physician’s notice will count as a single absence. For a student who has missed three days during a semester, the following disciplinary actions will be taken: Third absence during a semester • Deficiency Notice from clinical instructor. Fifth absence during a semester • Failure of the associated clinical course. Student will be removed from clinical. Special circumstances (hospitalization, injury, surgery, pregnancy, illness of an immediate family member, etc.) may require special adjustments to a student’s clinical schedule. If this can be done without compromising the student’s clinical progress, it may be possible for the student to avoid withdrawal from the program. These instances will be evaluated by the Program Director on an individual basis. As a general rule, special circumstances that require the student to miss more than four weeks of clinical

RDTC STUDENT HANDBOOK 23 experiences (two weeks in summer semester) cannot be accommodated and will require withdrawal from the clinical course. Students will be allowed to miss clinical time for documented bereavement. This time will not count as an occurrence of sick time, but the missed time must be made-up. A maximum of three days can be taken for death of an immediate family member, and a single day will be allowed for a death of extended family members. Bereavement time missed does not count against the student, and the student can still receive the reward for perfect attendance if the bereavement time is the ONLY time missed during the semester. FOR EACH SEMESTER A STUDENT HAS NO ABSENCES AND NO TARDIES FROM CLINICAL, THEY WILL BE REWARDED WITH FOUR ADDITIONAL PERSONAL HOURS. TARDINESS IN THE CLINICAL AREA Students must be on time to clinical. Students will receive a deficiency notice on the third tardy occasion during any one semester. Five occurrences of tardiness during one semester will result in failure of the associated course and removal from clinical. ABSENCES/TARDINESS IN LECTURE/LAB Excessive absences or tardiness in lecture or lab RDTC courses will not be tolerated. Deficiency notices will be used to notify students when these problems threaten the student’s grade or standing in the program. Some courses may also include specific rules regarding attendance policies in the course syllabus. MAKE-UP CLINICAL HOURS For any hours missed due to absence or tardiness, students will make-up the time missed from clinical during specially designated make-up weeks. These weeks will be designated by the college during winter, spring and summer breaks and will be announced to students at the beginning of the semester in which the break occurs. All make-up clinical time will be made up only during these designated times. Once make-up days are scheduled with the clinical instructor, normal attendance policies (Absences in the Clinical Area, Tardiness) are in effect for the rescheduled time. STUDENTS IN CLINICAL BEYOND SCHEDULED TIME All students should leave the clinical at the time they are scheduled to leave. Students should not become involved in cases that cannot be completed before their scheduled departure unless they know that someone else can complete the case for them. Students are not to stay late to “help out”. In unusual circumstances when a unique learning experience is available and a technologist can confirm the unique learning experience, a student can “stay over” to complete the experience. Any additional time accrued in this way (minimum one half hour per occurrence) must be scheduled off by special arrangement with the clinical instructor. All time must be taken off within two weeks after the date when the student stayed late, or the time is lost. “Staying late” time cannot be accumulated or saved to use against make-up time, or for any other reason. STUDENT VACATIONS All students will be expected to arrange their vacation during Semester breaks, Christmas and end of summer sessions. PERSONAL TIME

RDTC STUDENT HANDBOOK 24 Students are entitled to three floating/personal days (24 hours) during the 2-year program. Students may use this time for any clinical assignment. Personal time can be used to leave an assigned shift early. The student must arrange for the use of personal time 24 hours in advance with the Clinical Instructor to avoid any effect on the student’s attendance record (no make-up time, no effect on attendance record). Personal time scheduled less than 24 hours in advance will count as an absence (student will not be required to make up the time, but will not have perfect attendance and this absence will count toward the allotted 3 occurrences of absence per semester). Time missed during personal time will be credited to the student’s total hours, and make-up is not required. During the final semester of the program, if a student has personal time remaining, the student may use their personal time, scheduled in advance, to reduce make-up days. Personal time may be used on evening and/or weekend rotations, but this evening and/or weekend time will be rescheduled (a previously scheduled weekday experience will be moved to an evening/weekend) at another time so that the student does not miss the clinical experience of evening and/or weekend assignments. LIMITED DUTY ASSIGNMENTS AND SPECIAL HEALTH LEAVES Students who have been placed on “limited duty” by a physician may not continue in clinical. The program director may make special arrangements with students for special circumstances (hospitalization, injury, surgery, pregnancy, illness of an immediate family member, etc.), as noted in the attendance policy. If the injury or illness requires more than four weeks of missed clinical, the student will be unable to complete the clinical requirements for the course and must withdraw from the clinical course. STUDENTS WHO HAVE NOT COMPLETED PROGRAM REQUIREMENTS If a student reaches the end of the program and has accrued make-up time that has not been completed or has not completed all required competencies, the student must return to the clinical site immediately after graduation. Unless otherwise arranged with the program director, the student will attend clinical Monday-Friday 8:00 am to 4:30 pm until all program requirements are met. Even though the student may be allowed to participate in commencement, the student will not receive a degree or be eligible for the ARRT registry exam until all competencies and make-up time are completed. CREDIT FOR CONTINUING EDUCATION ACTIVITIES Students may receive credit for attending continuing education programs and activities applicable to the field of radiography. Students can receive up to four hours of clinical time credit per semester for an equal number of hours of continuing education activities. Students must document their attendance and write a short summary of the program(s) attended in order to receive the clinical time credit. The only exception to this rule will be for the annual OSRT meeting. If a student attends the OSRT meeting, they may receive as many hours of clinical time credit as hours of programs attended at the OSRT meeting. The same documentation and written summary rules apply. If students receive 4 or more hours for the OSRT meeting, they may not apply for an additional four hours for the semester in which the OSRT meeting occurred. In the case of attending a meeting, these hours will be used first to give the student credit for any time missed from clinical. Beyond this, and for any hours earned outside scheduled clinical time, hours earned as credit for continuing education activities will be used at the end of the program to reduce scheduled clinical time as long as the student has completed all competency requirements. HOLIDAYS Students are not required to be at clinical facilities on the following holidays, as observed by the College: Labor Day Martin Luther King, Jr. Day Thanksgiving Day and Friday Memorial Day

RDTC STUDENT HANDBOOK 25 Christmas Day Independence Day New Year’s Day Some of the above holidays may be scheduled by the College on alternate dates. Students may arrange make-up time through their clinical instructor to occur on holidays on an hour for hour basis. When clinical agencies celebrate holidays on different dates from the College, there may be limited opportunities for student placement at the agency at the discretion of the agency. INCLEMENT WEATHER - CLOSING OF COLLEGE When classes on the Lorain County Community College campus are canceled, and the college is closed because of inclement weather, all clinical laboratories scheduled to meet during the closed times are canceled. Current college closing procedures require that a decision to close the college be made early enough that radio and TV stations should announce the closing by 6:30 am. Announcements about Lorain County Community College closing are made through the following radio stations: WBEA (Elyria) 107.3 FM WLKR (Norwalk) 1510 FM WEOL (Elyria) 93 AM WLKR (Norwalk) 95.3 FM WRKG (Lorain) 1380 AM WMMS (Cleveland) 100.7 FM WZLE (Lorain) 104.9 FM WGAR (Cleveland) 1220 AM WOBL (Oberlin) 1570 AM WWWE (Cleveland) 1100 AM Announcements also are transmitted on the United Press International wire which serves all AM, FM, and TV stations in the Northeast Ohio area.

When severe weather strikes the area, students are advised to first consider the conditions in their

immediate area relative to traveling safely. Conditions may vary significantly within the service area of the College. Decisions regarding College operations are made on the general status of the overall service area. Students are ultimately responsible for their own safety and travel decisions. Coursework is also the continuing responsibility of students. A decision to be absent from a class for any reason does not exonerate students from their full responsibility to complete all prescribed coursework. (College Catalog)

If the student arrives at clinical to find out that the college has closed, the student can either go home or

may stay at the clinical until conditions improve. Any time accrued during a day when the college is closed will be added to the student’s personal time.

If the college is closed for emergency reasons other than inclement weather, clinical laboratories are NOT

cancelled.

INTERVIEWS FOR EMPLOYMENT Students that have the opportunity to interview for jobs before they graduate must use their own time for job interviews. There is no “free time off” from clinical for interviews.


CLINICAL POLICIES INTRODUCTION TO CLINICAL EDUCATION EXPERIENCE Clinical learning provides an opportunity to transfer knowledge from the classroom to a clinical setting. It provides experience for patient contact, for observing and performing skills, and for practicing problem solving and decision making. The clinical setting provides a learning environment that includes guidance, supervision and immediate feedback from the clinical instructor / technologist. The clinical experience is comprised of: Clinical classes in which the positioning protocols of the facility are reviewed Supervised rotations through required areas of routines, fluoroscopy, surgery, mobiles, genitourinary, special procedures and other imaging modalities Student observation of patient care and procedure performance by a registered technologist Student performance of positioning protocols under the direct supervision of a registered technologist Achievement of clinical objectives for each area Successful achievement of required competency evaluations Continued performance of procedures for experience and proficiency The goals of the clinical education experience are: To promote independence and initiative in the student in order to increase their critical thinking skills and self-confidence To permit and cultivate in the student the ability to organize their duties and responsibilities To improve the proficiency of the student in caring for patients, especially the acutely ill and/ or trauma patient Clinical Education Requirements Students can only perform clinical procedures that have been covered in class and lab. Students must receive direct supervision* by a registered technologist: --on all procedures until competency has been attained. --when performing repeat radiographs, mobile radiography and surgical radiography. Students must receive indirect supervision by a registered technologist on all procedures after competency has been attained.

RDTC STUDENT HANDBOOK 27 Students will record all procedures they have participated in on the Clinical Record Log and this will be given to the Clinical Instructor at the end of each month. Clinical Competencies must be completed as required. Clinical Evaluations must be completed as required. *Direct supervision is defined as follows: -a registered radiographer reviews the request for examination in relation to the student’s achievement -a registered radiographer evaluates the condition of the patient in relation to the student’s knowledge -a registered radiographer is physically present during the entire procedure -a registered radiographer reviews and approves the radiographs Indirect supervision is defined as follows: -a registered radiographer is immediately available to assist student regardless of the level of student achievement (i.e., adjacent room/location) NOTE: Under both direct and indirect supervision, a registered radiographer must be physically present in the room for repeat radiographs and must check radiographs prior to patient dismissal. Clinical Evaluations Semester Evaluation Informal evaluation and feedback, in the form of conversations between student and instructor, takes place during the clinical experience. The clinical instructor will provide formalized evaluation twice each semester (once during 1st semester) in the form of a Clinical Evaluation form (in course syllabus) and conference. The Clinical Evaluation identifies strengths and weaknesses in clinical performance, patient care, and professional demeanor. The Clinical Evaluation form is first completed by the student (“self-evaluation” column) and then given to the Clinical Instructor for his/her assessment. A one-on-one conference takes place to discuss the student’s performance and final evaluation grade. Clinical Evaluation Grade Total program competencies (see table below) must be satisfactorily completed for each semester in order to receive a grade of “satisfactory”. The final clinical grade impacts the academic course grade in the following manner: Students who receive an overall final clinical grade of “A” will receive an increase to their course grade of 3%. Students who receive an overall final clinical grade of “B” will receive an increase to their course grade of 2%. This 2 or 3% increase is only given to students who have achieved an academic/classroom grade of 78% or higher. Students who receive an overall final clinical grade of “C” will receive no addition or subtraction to their course grade. Students who receive an overall final clinical grade of “NI -Needs Improvement” will receive a decrease to their course grade of 3%. Students who receive an overall final clinical grade of “U-Unsatisfactory” will receive an “F” for the course and are not allowed to continue in the Radiologic Technology program until the course is repeated (reentry rules apply). These rules apply to the final clinical course evaluation in RDTC 114, RDTC 116, RDTC 119, RDTC 213, and RDTC 234. Students who receive a deficiency notice in clinical for any reason can receive no higher than a “B” grade overall for clinical. Students who receive a second deficiency in clinical can receive no higher than a “C” grade overall for clinical. Students who receive a third deficiency in clinical can receive no higher than a “NI” grade overall for clinical. Evening / Weekend Evaluation Because the objectives for evening and weekend clinical rotations vary from daytime rotations, students are evaluated separately on an Evening / Weekend Evaluation form (in syllabus). These rotations take place during semesters 3-5 and students are responsible for having 2 evaluation forms completed per semester by the supervising technologist. These forms are then given to the Clinical Instructor as a means of feedback for the final evaluation.

RDTC STUDENT HANDBOOK 28 ABSENCE OF INSTRUCTOR IN CLINICAL AGENCY If the clinical instructor is absent, students are to report to the person designated by the instructor for assignments. ALCOHOL AND/OR SUBSTANCE ABUSE IN CLINICAL In the event that a student is suspected of alcohol or substance abuse (smell of alcohol, appearance of impaired capabilities), this would be considered a gross lack of professionalism. The student will be immediately removed from all patient contact. The program and/or the clinical site reserve the right to have the student immediately tested for drug and/or alcohol use. The incident will be documented and the student will be sent home from clinical, or arrangements will be made to get the student home if they are too impaired. The student will be required to meet with the Program Director to discuss the situation and a plan for improvement prior to returning to clinical. If the improvement plan is accepted by the Program Director and by the clinical site, the student will be allowed to return to clinical. Any subsequent evidence of alcohol or drug abuse will be cause for permanent dismissal from the program. If the student has tested positive for drug or alcohol use, and the clinical site will not accept the student back in clinical, the student will be permanently dismissed from the program. ASSIGNMENT OF STUDENTS TO CLINICAL AGENCIES The Radiologic Technology program makes every effort to send students to all clinical sites every year. We do not close clinical sites due to reduced program enrollment, rather we reduce the number of students in all clinical sites when enrollment is less than the program maximum. We recognize that not all students will be able to attend the clinical site of their choice. Students are placed in clinical sites using a lottery system. Students will draw numbers at registration/orientation, and the lowest number chooses a clinical site first, continuing through all students at the registration/orientation. Students who are placed at a clinical site other than their preference can fill out a Clinical Site Preference form available at registration/orientation. As additional clinical seats open (prior to the beginning of fall semester), students will be placed at their preferred site based on the original lottery numbers. Students will go to the same clinical site for the duration of the program, except when special rotations to another clinical site are arranged by the program. After the program begins in the fall semester, students will be moved only if the program director determines that the program’s students would be better served if students were moved from one clinical site to another (usually due to unusual patterns of program attrition). Students will be offered movement to another clinical site based on the original lottery numbers and the Clinical Site Preference forms filled out at the time of registration/orientation. Reentry students or other unusual circumstances may effect availability of certain clinical sites, as determined by the program director. The college reserves the right to change clinical agency assignment of students, and/or clinical sections at any agency. Due to contractual agreements between Lorain County Community College and each clinical affiliate, the clinical affiliate has the right to ask that a student be removed from the clinical site. CLINICAL COMPETENCY EVALUATION Clinical competency evaluation is the process of assessing the student’s performance of cognitive, affective and psychomotor skills during radiologic procedures. Successful achievement of competency indicates that the student is able to perform the procedure with minimal supervision unless patient condition necessitates assistance. Procedure: 1. Clinical competency evaluations may only be requested on exams that have been covered in lecture and lab. 2. Clinical competency evaluations may be attempted after the students has completed the procedure 3 times with supervision and the registered technologist has initialed the

RDTC STUDENT HANDBOOK 29 competency form (top, upper left). Some exceptions to this rule may be made at the discretion of the Clinical Instructor. 3. Student will request competency evaluation when he/she is ready to be evaluated. The request must be made prior to the beginning of the procedure. 4. Only ARRT registered technologists may perform competency evaluations. 5. The student must complete the evaluation with a “Pass” grade in order to meet program requirements. In order to pass, the student must achieve all Required Skills listed with no more than 3 “no” ratings / scores on a single view and no more than 4 “no” ratings / scores on a multiple view procedure. If an evaluation is failed it must be attempted again and successfully completed. An excessive number of failed competencies can result in an “Unsatisfactory” clinical grade. 6. All completed (both Pass and Fail) competency evaluations must be given to the clinical instructor. 7. Clinical Instructors may rescind competencies when a student demonstrates an inability to perform an exam for which the student has already achieved competency. A deficiency notice will accompany the rescinding of any competencies. 8. Competency rechecks will be performed during the final clinical course. Recheck competencies will include a sample of previously completed competencies. All competencies and recheck competencies must be completed prior to program completion CLINICAL SUPERVISION AND COMPETENCY REQUIREMENTS Students may participate in but may not perform clinical competencies on procedures that they haven't been taught in class and lab. Prior to competency in a given exam, students must have direct supervision from a registered technologist. Direct supervision means that the registered technologist is in the exam room with the student during all patient contact. Direct supervision is required for all repeat radiographs, regardless of the student’s competency status. Direct supervision is required for all mobile and c-arm exams regardless of competency status. After competency is achieved, students must have indirect supervision from a registered technologist. Indirect supervision means that the registered technologist is available in an adjacent room or area, within earshot of the student should the student require assistance. This indirect supervision policy means that students cannot perform portable procedures alone, nor can students be assigned to an area where no technologist is immediately available (an ER or outpatient area away from the main department area where no technologist is immediately available). A registered technologist available to the student by phone or beeper is not indirect supervision. The student must declare an attempt at competency of an exam before the case begins. Competency should not be granted “after the fact”. Student competency can be verified only by an ARRT registered technologist. GXMO license holders cannot sign competency forms for students. CLINICAL COMPETENCY REQUIREMENTS BY SEMESTER

SEMESTER COURSE END OF SEMESTER

REQUIREMENTS

TOTAL PROGRAM COMPETENCIES

1 (Fall) RDTC 114 Chest plus 4 5

2 (Spring) RDTC 116 10 15


3 (Summer) RDTC 119 22 37

4 (Fall) RDTC 213 15 52

5 (Spring) RDTC 234 18 plus rechecks 70 plus rechecks

CLINICAL COMPETENCY REQUIREMENTS

70 COMPETENCIES MUST BE COMPLETED - 53 Required, 17 Elective 46 REQUIRED EXAMS

Chest PA & Lat Shoulder Hip Chest-AP Upper Ext.

geriatric** Cross-table lateral hip

Chest pediatric* Shoulder Trauma Y Multi Exams3/more † Chest geriatric** Clavicle Cervical Spine Immobilized chest (if available)

Upper Ext. Trauma (non-shoulder)

Thoracic Spine

Ribs Foot Lumbar Spine Abdomen supine Ankle Cross-table lateral spine Abdomen upright Tibia-Fibula Mobile Chest

Finger Knee Mobile Abdomen Thumb Patella Mobile Extremity Hand Femur Mobile exam/extremity Wrist Lower Ext. Trauma Mobile exam/extremity Forearm Lower Ext. geriatric** C-arm multiple views Elbow Upper/Lower Ext.

Trauma pediatric* C-arm w/ sterile field

Humerus Pelvis C-arm procedure C-arm procedure

7 REQUIRED EXAMS, 11 ELECTIVES BE, UGI, Esophagus plus at least one below:

CT Head plus at least two below:

UGI CT Head BE Skull †† Esophagus Sinuses ††*** Small Bowel series Facial Bones ††*** Cystogram/VCU Orbits ††*** ERCP Zygomatic Arches ††*** Myelography Nasal Bones ††*** Arthrography Mandible ††*** Hysterosalpingography TMJ ††***

42 ELECTIVES Chest decubitus Sacrum/Coccyx C-arm procedure Chest supine (mobile) C-spine flex-ext C-arm procedure Abdomen decubitus L-spine flex-ext C-arm procedure Abdomen pediatric* Scoliosis C-arm procedure Modified swallow SI Joints C-arm procedure IVU/IVP Bone Survey C-arm ERCP Sternum*** Upper Ext. pediatric* Operative Cholangiogram Soft-tissue neck Lower Ext. pediatric* Retrograde Urogram Scapula*** Mobile Exam Misc. exam AC Joints*** Mobile Exam Misc. exam Toe Mobile Exam Misc. exam Calcaneus Mobile Extremity Misc. exam


Standing knees Mobile Extremity Misc. exam Knee tunnel Mobile Extremity Misc. exam †††

* Pediatric competencies must be performed on patients age 6 or younger. ** Geriatric competencies must be performed on patients age 80 or older. *** Three pre-competency checks not required. Only one pre-competency check required. † Three or more exams performed on one patient. †† Students must complete a minimum of two headwork competencies. Clinical instructors may choose to require specific headwork competencies for students at their specific site. ††† An additional pediatric extremity exam may be used, but must be a different exam than the one performed for the required competency.

MASTER CLINICAL ROTATIONS

FIRST YEAR

FALL SEMESTER 14 WEEKS Orientation 1 Office/Transport 1 Chests/Extremities 9 Mobiles 1 Optional (may include Fluoroscopy or OR observation)

2

SPRING SEMESTER 15 WEEKS Chests/ Extremities/Spines/Headwork/Etc. 5 OR 3 Mobiles or IVU 2 Fluoroscopy or IVU 4 Optional 1

SUMMER SEMESTER 10 WEEKS Chest/Extremities/Spines/Headwork/Etc. 2 OR 3 Mobiles or IVU 1 Fluoroscopy or IVU or Specials 2 ER/Trauma Evenings 2

SECOND YEAR

FALL SEMESTER 15 WEEKS Chest/Extremities/Spines/Headwork/Etc. 2 OR 2 Mobiles 2 Fluoroscopy 2 ER/Trauma Evenings 2 Nuclear Medicine ½ Cardiac Catheterization ½ Special Procedures 1 CT 2 US ½ MRI ½

SPRING SEMESTER 15 WEEKS Chest/Extremities/Spines/Headwork/Etc. 3 OR 3 Mobiles 2 Fluoroscopy 2


ER/Trauma Evenings 2 Float/Optional/Recheck Competencies 3

These master clinical rotations are general guidelines. Clinical Instructors may modify these rotations so that they are more representative of the area assignments in the specific clinical agency. Students may arrange optional observation rotations in Mammography and/or Radiation Therapy during Float/Optional weeks by requesting this opportunity from their Clinical Instructor. The program will also arrange optional Radiation Therapy observation rotations for any interested students when this option is not available at the assigned clinical site at the student’s request. CLINICAL EDUCATION REQUIREMENTS FOR RADIOLOGIC TECHNOLOGY The following is a guideline to the number of clinical experience hours students will complete during the program. The actual number of hours may vary based on the current college semester calendar.

FIRST YEAR Fall Semester 216 hrs. 27 days times 8 hours per day (Tuesdays and Thursdays) Spring Semester 240 hrs. 30 days times 8 hours per day (Tuesdays and Thursdays)

SUMMER 320 hrs. 32 hours per week for ten weeks less two holidays (including Weekends and Evenings: Two

weeks [eight evenings] plus one Fri-Sat weekend [two evenings])

SECOND YEAR Fall Semester 344 hrs. 43 days times 8 hours per day (Mondays Wednesdays and Fridays with occasional Weekends

and Evenings: Three Fri-Sat evenings [six evenings]) Spring Semester 352 hrs. 44 days times 8 hours per day (Mondays Wednesdays and Fridays with occasional Weekends

and Evenings: Three Fri-Sat evenings [six evenings]) ___ 1472 Total The above schedule is the routine schedule which will be followed by the college for clinical assignment. This schedule allows the student to complete all RDTC coursework as well as all support coursework within the five semester program plan without exceeding 40 hours per week of scheduled classroom and clinical assignments. Under special circumstances, adjustments to the above schedule may be made to accommodate student needs, when such adjustments will not compromise the educational goals of the program. Any special schedule adjustments will be made by agreement of the student, program director and clinical agency. Variations in the calendar from year to year may mean that the actual number of clinical hours may vary from the above. CLINICAL GOALS

RDTC STUDENT HANDBOOK 33 The following are the goals and clinical objectives for all assignments to clinical education experiences in Radiologic Technology. All students’ experiences will be supervised by a Registered Technologist. The goals of the clinical education hours are: A. To promote independence and initiative in the student so that they can increase their self-

confidence. B. To permit and cultivate in the student the ability to organize their duties and responsibilities. C. To improve the proficiency of the student in caring for the acutely ill, and trauma patient. Specific objectives for class, laboratory and clinical settings are in the RDTC course syllabi and elsewhere in this handbook. CLINICAL AGENCY POLICIES All students are required to follow the policies of the clinical agency to which they are assigned. All clinical sites have policies against substance abuse as outlined in drug-free workplace policies, and often these policies have zero tolerance limits. Students will be informed of applicable policies by the clinical affiliate. CLINICAL EVALUATION During the academic year, students will be evaluated at least once each semester by the clinical instructor, utilizing the evaluation tools found in this handbook and in the course syllabus. Beginning in the third (summer) semester, all students will be evaluated during evening and weekend clinical experiences by the clinical agency personnel responsible for evaluation. Two of these evening/weekend evaluations are required each semester beginning in the summer semester. CLINICAL EVALUATION GRADING Students who receive an overall final clinical grade of “A” will receive an increase to their course grade of 3%. Students who receive an overall final clinical grade of “B” will receive an increase to their course grade of 2%. This 2 or 3% increase is only given to students who have achieved an academic/classroom grade of 78% or higher. Students who receive an overall final clinical grade of “C” will receive no addition or subtraction to their course grade. Students who receive an overall final clinical grade of “NI -Needs Improvement” will receive a decrease to their course grade of 3%. Students who receive an overall final clinical grade of “U-Unsatisfactory” will receive an “F” for the course and are not allowed to continue in the Radiologic Technology program until the course is repeated (reentry rules apply). These rules apply to the final clinical course evaluation in RDTC 114, RDTC 116, RDTC 119, RDTC 213, and RDTC 234. Students who receive a deficiency notice in clinical for any reason can receive no higher than a “B” grade overall for clinical. Students who receive a second deficiency in clinical can receive no higher than a “C” grade overall for clinical. Students who receive a third deficiency in clinical can receive no higher than a “NI” grade overall for clinical. OBJECTIVES FOR CLINICAL EXAMS RADIOGRAPHY ROUTINE Clinical Objectives I. Interpret Requisition A. Decide examination protocol to be performed. B. Check patient’s name, age, and history. C. Check patient’s location and mode of transportation. II. Prepare Radiographic Room A. Clean table; supply fresh linen as appropriate. B. Collect appropriate number and type of image receptors (IR) C. Collect necessary equipment and supplies (sponges, contrast, etc.)

RDTC STUDENT HANDBOOK 34 D. Place IR correctly in Bucky tray or on table with correct marker appropriately placed. E. Set exposure variables. Wash hands. III. Identify and transport patient A. Greet patient; obtain positive identification B. Assess patient for ability to communicate and cooperate. C. Provide instructions for disrobing as appropriate. D. Transport patient to radiographic room. E. Obtain relevant history, including pregnancy status. F. Explain procedure. IV. Perform Examination A. Observe standard precautions as appropriate to the patient and the examination. B. Check for lines, tubes, catheters, equipment. Assist patient to appropriate initial position utilizing proper body mechanics; further assess patient for technical considerations. C. Position body part. D. Position tube for exact central ray alignment. E. Collimate; apply gonadal shielding as appropriate. F. Make any necessary adjustments at console. G. Give necessary breathing instructions; observe patient while making exposure. H. While at console, adjust exposure factors for next image as necessary. I. Return to patient; exchange IR’s; position for next projection. V. Finish Procedure A. Assist patient from room utilizing proper body mechanics. B. Process images. C. Wash hands. D. Analyze images for quality. E. Obtain any needed approvals from supervising radiographer. VI. Complete Follow-through A. Dismiss patient and complete paperwork. B. Clean room; return any supplies; dispose of soiled linens. C. Wash hands.

CHEST Clinical Objectives Upon completion of this rotation, the student radiographer will be able to:

1. Evaluate the requisition for patient information, clinical history, exams requested, and any other pertinent information.

2. Determine appropriate chest protocol. 3. Prepare room with proper size and type of image receptor, and other needed

equipment. 4. Set up equipment to include: SID, CR location, AEC photocell, control panel settings,

etc. 5. If using dedicated chest unit, ensure chest magazine is loaded and know how and

when to reload it; demonstrate knowledge of unit controls. 6. Greet the patient, introduce self to patient and verify identification and exam to be

performed. 7. Demonstrate care, empathy, professionalism and appropriate interpersonal skills

throughout exam. 8. Safely transport and transfer patient utilizing proper body mechanics.


9. Explain the procedure to the patient in understandable terms and answer any questions.

10. In private area, question female patients in childbearing age about the possibility of pregnancy.

11. Assess any variations that may be necessary to the routine protocol due to patient’s condition.

12. Observe catheters, monitors, tubes, lines, IV’s and any other devices/equipment attached to patient.

13. Utilize standard precautions and isolation procedures when appropriate. 14. Utilize extreme care in handling/transferring patients. 15. Position patient for requested procedure. 16. Adjust tube position, collimation and exposure factors. 17. Properly shield patient. 18. While observing the patient, give proper breathing instructions for double inspiration,

take exposure and inform patient that he/she may breathe and move. 19. Process / digitize radiographs. 20. Critique radiographs for artifacts, positioning and anatomy accuracy, technique,

patient identification, shielding, etc. 21. If repeat exam is required, correct errors and have registered technologist in room for

retakes. 22. Dismiss patient and complete paperwork. 23. Clean room. 24. Stock supplies as needed.

GENERAL EXAMS / ROUTINES Clinical Objectives At the completion of this rotation, the student radiographer will be able to:

1. Carefully read the entire requisition to determine a.) type of exam(s) requested and b.) the patient’s clinical history, diagnosis, possibility of pregnancy, pathology, precautions, and any special notations.

2. Determine the appropriate routine/protocol to be followed for the requested exam and patient condition.

3. Prepare room with proper size/type image receptors, positioning aids and accessories. 4. Check the patient’s chart (if available) for pertinent information regarding history,

precautions or procedure to be performed. 5. Wash hands. Clean table and change pillowcase. 6. Greet the patient, introduce self to patient and verify identification and exam to be

performed. 7. Demonstrate care, empathy, professionalism and appropriate interpersonal skills

throughout exam. 8. Safely transport, transfer, and assist patient utilizing proper body mechanics. 9. Explain the examination to the patient in understandable terms; answer any questions

the patient may have concerning the procedure. 10. In private area, obtain patient history, required allergy questionnaire, informed

consent, determination of possible pregnancy for females in child-bearing age. 11. Assess any variations that may be necessary to the routine protocol due to patient’s

condition. 12. Observe catheters, monitors, tubes, lines, IV’s, and any other devices/equipment

attached to patient. 13. Utilize standard precautions and isolation procedures when appropriate. 14. Utilize extreme care in handling/transferring patients, especially trauma patients.


15. Utilize safety devices for protection of patient (i.e., side rails, restraints, compression band, etc.).

16. Have patient put on exam gown if necessary and secure the patient’s valuables. 17. Place proper image receptor in Bucky, film holder or on tabletop. 18. Remove any objects/artifacts that would interfere with or obstruct visualization of

area of interest. 19. Utilize the appropriate marker(s) on the image receptor. 20. Measure the patient to determine correct technical factors. 21. Place appropriate gonadal shielding on patient. 22. Set proper SID and exposure factors. 23. Position the patient according to department protocols for requested examination. 24. Utilize appropriate immobilization devices and explain breathing instructions. 25. Collimate appropriately. 26. While observing the patient, give breathing instructions, take exposure and inform

patient that he/she may breathe and move 27. Remove the exposed image receptor, replace with an unexposed one and position for

next projection. 28. Repeat steps 16-26 until all projections have been completed. 29. Process all radiographs and critique all images. 30. Take repeat radiographs, if necessary, in the presence of a registered technologist. 31. Follow departmental protocols regarding completion of paperwork, computer entries,

and placement of completed exams. 32. Give clear post examination instructions to the patient and dismiss patient. 33. Follow departmental protocol for return of patient to nursing unit/clinical area. 34. Clean room, wash hands, restock supplies, and prepare for next patient.

GENITO-URINARY Clinical Objectives At the completion of this rotation, the student radiographer will be able to:

1. Evaluate the requisition for patient information, clinical history, examination requested, precautions, clinical data and other pertinent information.

2. Gather and check the equipment needed, including cassette, markers, lead apron, immobilization devices,

3. Set up equipment to include: table mat, SID, CR location, tube angulation, AEC, control panel settings, tomogram equipment

4. Prepare syringe(s) with correct amount of contrast media per department protocol. 5. Identify location of emergency equipment, procedure for emergency page, types of

adverse contrast reactions. 6. Wash hands and utilize standard precautions and isolation measures when

appropriate. 7. Greet the patient, introduce self to patient, and verify identification and exam to be

performed. 8. Safety transport, assist, transfer patient utilizing proper body mechanics. 9. Explain the procedure, as well as any side effects, to the patient in understandable

terms, and answer any questions. 10. Obtain patient history including: patient prep, history of allergies, current symptoms,

previous contrast procedure, and check chart for BUN, creatinine, etc. levels 11. In private area, question female patients in childbearing age about the possibility of

pregnancy. 12. Assess any variations that may be necessary to the routine protocol due to patient’s

condition.


13. Observe catheters, monitors, tubes, lines, IV’s and any other devices / equipment attached to patient.

14. Maintain communication with patient. 15. Position patient for scout radiograph, make exposure, and evaluate for positioning,

technique and patient prep. 16. Use appropriate time / position markers, as well as R and L. 17. Use gonadal shielding according to department protocol. 18. Assist with injection of contrast media utilizing standard precautions. 19. Dispose of syringe and needle in designated sharps container. 20. Record time of injection, amount and type of contrast. 21. Observe patient closely for adverse reaction and attend to patient following injection. 22. Stay with patient. 23. Obtain appropriate sequence of films (and tomograms), according to department

protocol. 24. Process / digitize images. 25. Check radiographs with radiologist for additional views. 26. Obtain special views and post void radiograph if necessary. 27. Discharge patient and complete paperwork. 28. Critique radiographs and identify anatomy.

FLUOROSCOPY Clinical Objectives Upon completion of this rotation, the student radiographer will be able to: 1. Prepare fluoroscopic room to include lead aprons and gloves, control panel settings, Bucky tray position, image intensifier, protective devices, radiographic table position, contrast media, image receptors, etc. 2. Check the operation of the fluoroscopic unit, camera, video, digital spots. 3. Prepare contrast / medication: oral barium, barium enema bags, gastrografin, glucagon, crystals, etc.

4. Evaluate the requisition for patient information, clinical history, exams requested, pregnancy status, and other pertinent information. 5. Wash hands. Clean table and change pillowcase. 6. Identify and greet the patient, introduce self to patient and verify identification and exam to be performed. 7. Demonstrate care, empathy, professionalism and appropriate interpersonal skills throughout exam. 8. Safely transport and transfer patient utilizing proper body mechanics. 9. Explain the procedure to the patient in understandable terms and answer any questions. 10. In private area, question female patients in childbearing age about the possibility of pregnancy. 11. Assess any variations that may be necessary to the routine protocol due to patient’s condition. 12. Observe catheters, monitors, tubes, lines, IV’s and any other devices/equipment attached to patient. 13. Utilize standard precautions and isolation procedures when appropriate. 14. Utilize extreme care in handling/transferring patients. 15. Don lead apron. (continued) BARIUM ENEMA / AIR CONTRAST

A. Based on patient assessment, determine the need for a balloon tip vs. straight tip B. Position patient on table in Sim’s position


C. Wash hands and don gloves D. Lubricate enema tip well and gently insert into patient’s anus; if resistance is met, ask

for assistance from technologist / radiologist E. Introduce patient and radiologist F. Assist patient and radiologist during procedure G. Position patient for radiographs according to department protocol and radiologist

directives; complete protocol in expedient manner; process / digitize images H. Assist patient to bathroom I. Wash hands J. Assist patient onto table for post evacuation radiograph

UPPER GI SERIES / SMALL BOWEL SERIES A. Introduce patient and radiologist B. Determine need for barium vs. gastrografin C. Give patient contrast to ingest D. Assist patient and radiologist during procedure E. Take requested radiographs using timer markers and right and left markers

appropriately F. Process / digitize images

G. Complete exam and paperwork. H. Dismiss patient and give post examination instructions. I. Clean room using sanitizer on table and equipment. J. Prepare room for next case.

MOBILES Clinical Objectives At the completion of this rotation, the student radiographer will be able to:

1. Evaluate the requisition for patient information, clinical history, examination requested, precautions, clinical data and other pertinent information.

2. Gather and check the equipment needed, including cassette, markers, lead apron, and immobilization devices.

3. Transport the mobile unit to outside of patient’s room utilizing safe procedures and proper body mechanics.

4. Upon arrival on floor, inform unit secretary, nurse, etc. of purpose and determine special needs of patient and obtain lifting assistance if necessary.

5. Knock on patient’s room door, identify patient verbally and by wristband, greet the patient, introduce self and explain procedure.

6. Wash hands and utilize standard precautions and isolation measures when appropriate.

7. Clear area for mobile unit: move furniture, equipment, etc., and be aware of patient catheters, IV’s, tubes, traction devices, respiratory equipment, and TV monitors.

8. Demonstrate care, empathy, professionalism and appropriate interpersonal skills throughout exam.

9. Position mobile unit in patient’s room. 10. Position tube, measure SID, direct CR, properly collimate. 11. Assist patient into position. 12. Place image receptor under/behind patient and properly position; place appropriate

markers on cassette. 13. If possible, move any objects/artifacts that would interfere with or obstruct

visualization of area of interest. 14. Set proper exposure factors. 15. Don lead apron and place gonadal shielding on patient. 16. Announce to surrounding personnel that exposure is about to be made.


17. Utilize appropriate immobilization devices and explain breathing instructions or observe ventilator and time exposure.

18. Make exposure while observing patient; instruct patient to resume normal breathing. 19. Remove cassette and mobile unit from room, return all equipment and furniture back

to its original position, make sure bed rails are up and bedside table and call button are within patient’s reach.

20. Wash hands and remove isolation garb. 21. Process / digitize radiograph. 22. Critique radiograph according to critique checklist. 23. Identify anatomy. 24. Follow departmental protocols regarding completion of paperwork, computer

entries, and placement of completed exams. 25. Return mobile unit to proper storage place, clean, lock and recharge if necessary.

SURGERY / C-ARM Clinical Objectives At the completion of this rotation, the student radiographer will be able to:

1. Follow protocol of surgery department. 2. Gather and prepare necessary equipment. 3. Wash hands and don protective personal equipment including gown, mask, shoe

covers and hair cap. 4. Identify sterile areas in room and demonstrate awareness of sterile fields. 5. Don lead apron and demonstrate radiation protection for remaining surgical

personnel. 6. Position C-arm / radiographic tube according to procedure protocol. 7. Position image receptor. 8. Identify settings on C-arm control panel and explain their purpose. 9. Prepare the C-arm and auxiliary devices for use. 10. Turn on the system and test it prior to use during the procedure. 11. Set control panel and appropriate exposure factors for radiographic tube. 12. Make exposure when surgeon indicates. 13. Process image. 14. Manipulate and operate the C-arm with direct supervision according to surgeon’s

directives. 15. Explain the following with regard to the C-arm:

a. magnification increase/reduction b. contrast and brightness manipulation c. effect of collimation d. noise reduction e. SSD f. purpose of cone/spacer g. purpose of all handles and locks h. image orientation, i. tube side vs. image intensifier side, j. method of entering patient data k. method of saving images

16. Explain the radiographic protocols for the following surgical procedures: hip pinning, retrograde urogram, cholangiogram, shunt placement, etc.

17. Complete case and paperwork. 18. Review images, identify anatomy and critique radiographs.

RDTC STUDENT HANDBOOK 40 EVENING / WEEKEND Clinical Objectives Upon completion of this rotation, the student radiographer will be able to:

1. Demonstrate the ability to adapt to differences in work environment and procedures. 2. Provide assistance / relief to previous shift personnel. 3. Demonstrate knowledge of protocols, film retrieval, film filing, patient

transportation, etc. 4. Accommodate and compensate radiographic positioning and exposure according to

patient condition, especially in trauma and emergency situations. 5. Use critical thinking skills to make clinically accurate decisions. 6. Utilize standard precautions. 7. Safely transport and transfer patient utilizing proper body mechanics. 8. Gain experience with emergency (trauma) situations. 9. Maintain composure and professionalism in high stress situations. 10. Organize work to expedite cases while considering patient care and comfort.

DRESS CODE Failure to follow this policy will result in the student being dismissed from the clinical and an absence will be recorded. I.UNIFORM A. Female Students 1. White dress or pantsuit or white scrub pants and top. If a V-neck scrub top is worn, a

white crew-neck tee shirt must be worn underneath. Tee shirt sleeves should not extend beyond scrub top sleeves. No "high fashion" uniforms are permitted. (note: for Cleveland Clinic Foundation students only, see notes at end of this policy)

2. A pant liner and/or camisole top may be required by faculty if uniform is too sheer. 3. Full-length slips are required under dress/skirt uniforms. 4. Dress length: Knees should be covered. 5. Shoes: White nurses’ shoes or all white athletic shoes are acceptable. 6. Hose: White. 7. Lab jackets are permitted to be worn with the uniform, sweaters are not permitted B. Male students 1. Shirt: White, short-sleeved, perma-press or white scrub top. If a V-neck scrub top is

worn, a white crew-neck tee shirt must be worn underneath. Tee shirt sleeves should not extend beyond scrub top sleeves. (note: for Cleveland Clinic Foundation students only, see notes at end of this policy)

2. Pants: White uniform pants or white scrub pants. 3. Shoes: All white athletic shoes are acceptable. 4. Socks: White. 5. Belt: White or black. 6. Lab jackets are permitted to be worn with the uniform, sweaters are not permitted

C. Uniforms must be clean, neat and free from excessive wrinkles. The uniform should fit modestly and cannot be so tight as too be overly revealing or provocative.

D. Uniforms must cover the student’s abdomen at all times while the student is in any routine working position.

E. Underwear must be white or neutral skin tone (no patterns) unless it cannot be seen through the uniform. Thongs are not permitted. Underclothes must be under outerwear.

II.ACCESSORIES A. Earrings: None unless ears are pierced, then plain, small post-type earrings. No hoops or

large earrings. Only one earring per ear. B. Body piercing and tattoos: Students may not attend clinical with any visible body piercing

other than the ear lobe, including tongue piercing. The uniform must cover all tattoos. Note that earlobe gauges are currently being looked at by several clinical sites, and rules


prohibiting gauges or limiting their size and/or color may be coming soon. All dress code policies of the clinical site must be followed by the student.

C. Rings: Wearing of engagement or wedding rings is permitted, but is highly discouraged. Rings must be removed when scrubbing or performing special procedures. No other rings are permitted, including nose rings and nose clips.

D. Hats/Caps: No Hats/caps may be worn with the uniform. Exceptions to this rule are headgear that is part of a religious protocol and headgear that is required by the clinical facility (surgical caps, hoods, etc.).

E. Watch: Watches are permitted. F. Necklaces: Should not be visible when in uniform.

G. Must have film markers each clinical day. H. Must have radiation monitor on each clinical day. I. Identification Card: All students are required to purchase a second library card for

identification purposes while in the clinical agencies. The cost of these cards will be $2.00 and this will include punching the card and attaching the collar clip.

The identification card must be worn whenever a student is in the clinical agency and it must be visible.

III. PERSONAL CARE A. Hair

Students may alter their hair color, but altered hair color must be a color and shade that occur naturally in the range of human hair colors.

Female Students: Hair should be arranged neatly away from the face with a ponytail holder or barrette and is not to touch the collar of the uniform.

Male Students: Hair should be arranged neatly away from the face with a ponytail holder or barrette and is not to touch the collar of the uniform. Beards and mustaches are permissible so long as they are neatly trimmed, do not cause a hazard to the student's work, and conform to agency policy. All hair must be professional looking.

B. Makeup is to appear natural and conservative. C. Nails must not extend beyond 1/8-inch of the fingertip. Clear or natural nail polish may be

worn, but may not chipped. Acrylic nails may not be worn. D. Hygiene 1. A clean uniform is to be worn each clinical day. 2. Shoes must be kept polished and have clean shoelaces. 3. Daily bathing prior to working with patients to eliminate body odor is required. 4. Use of antiperspirant is required.

5. No gum chewing. 6. Students may not wear strong perfume or aftershave.

E. Radiologic Technology students at the clinical agency must conform to the above uniform code at all times. Non-white scrubs, knee-length laboratory coats, etc. are not to be worn except when required and provided by the clinical agency.

Cleveland Clinic Foundation (Main and Avon) Students ONLY: I.UNIFORM Note: Either Top or bottom has to be white- no all blue or all white uniforms. Navy Blue or White scrub top (opposite of bottom) Navy Blue or White scrub bottom (opposite of top) All white socks and shoes White undergarments under white top or white bottom White t-shirts or turtlenecks are Ok under top - long or short sleeves OK - short sleeves are not to hand out of top

Warm up jackets must match top Student ID badge Radiation Badge

GENERAL KNOWLEDGE WHEN WORKING WITH PATIENTS

RDTC STUDENT HANDBOOK 42 Students must know the following information for their patients and observe the procedures listed. Failure to observe these procedures will be regarded as being an unsafe student in the clinical area and the student will be dismissed from the program. 1. Name, Age, Sex 2. Weight, if child. 3. Clinical diagnosis. 4. Is this an isolation case? If yes, follow the appropriate precautions. 5. Type of exam ordered and being performed. 6. History of injury if pertinent to the case. 7. Does patient have IV's, catheters, tubes, or other lines? 8. Does patient have allergies (if having contrast media)? 9. Read chart when it is available, as appropriate. 10. Do not leave patients alone unless they have restraining or compression bands on them. 11. Always raise side rails on beds/carts when leaving patient. 12. Always lock wheels on chair/bed/cart before patient transport. 13. Never leave a pediatric patient alone! 14. Collimate the primary beam and shield gonads when shield won't interfere with anatomy required

for examination being done. 15. Is the patient pregnant, when was last menstrual period? 16. Do not perform procedures for which you are not trained. IDENTIFICATION CARDS The library card and student identification (ID) card are one and the same. Besides being able to use the card for taking out library books, it also is used for identification purposes at almost all student activities and for a discount at such events. These ID cards are issued free of charge at the Library. A student must present a copy of his or her class schedule in order to receive one. In order for cards to be valid, they must be updated in the Library each semester, preferably at registration time or at the beginning of the semester by showing one's class schedule. A lost card should be reported immediately to the Library at which time a duplicate card will be issued for a fee. (College Catalog) NOTE: RDTC Technology students are required to have a second ID card (there is a small fee) which is worn for security reasons at the hospitals. INFECTION CONTROL POLICY GENERAL OBJECTIVE: Blood and body fluid precautions will be used consistently for all patients by

students in ALL programs I. BODY FLUIDS PRECAUTIONS A. Gloves 1. Disposable gloves should be donned prior to initiating client care tasks involving

exposure or potential exposure to blood or other body fluids to which universal precautions apply. Gloves:

a. will be worn during all venipunctures. b. will be worn when discontinuing intravenous therapy. c. will be worn when working with blood or body fluid samples. d. will be worn when handling items or surfaces soiled with blood or body fluids. e. will be worn when giving injections. f. will be changed between each patient. B. Masks, Eyewear, and Gowns 1. Masks and eyewear should be worn together or a face shield should be used by workers

prior to any situation where splashes of blood or other body fluids are likely to occur. 2. Gowns or aprons should be worn to protect clothing from splashes with blood or body

fluids.

RDTC STUDENT HANDBOOK 43 3. If large splashes of quantities of blood are present or anticipated, impervious gowns or

aprons should be worn. C. Handwashing – before and after each patient 1. Hands and skin surfaces should be immediately and thoroughly washed if contaminated

with blood, body fluids or potentially contaminated articles. 2. Hands should be washed prior to donning and after removing gloves. D. Cleaning and Decontamination of Spills of Blood 1. All spills of blood and blood contaminated fluids should be promptly cleaned with EPA-

approved germicide or a 1:10 bleach. The worker should wear gloves while following the procedure outlined below:

a. Visible material should be removed with disposable towels. AVOID DIRECT CONTACT WITH BLOOD.

b. If splashing is likely, protective eyewear should be worn along with an impervious gown or apron.

c. The area should be cleaned with the appropriate germicide. d. Soiled cleaning equipment should be disposed of in plastic bags. E. Linen, Soiled With Blood 1. Soiled linen should be handled as little as possible and with minimum agitation. 2. Soiled linen should be bagged at the location where it is used. 3. Linen soiled with blood or body fluids should be placed and transported in bags that are

impervious to leakage. 4. Gloves should be worn when handling contaminated linens/clothing. 5. Shoes (leather) may be brushed-scrubbed with soap and hot water to remove

contamination. 6. Uniforms soaked through with blood must be laundered by the agency's facility. F. Infectious Waste 1. Bulk blood, suctioned fluids, excretions and secretions may be carefully poured down a

drain connected to a sanitary sewer. 2. All disposable equipment and supplies contaminated with blood and/or body fluids must

be disposed in appropriate biohazardous containers. G. Special Policies 1. Needles, Syringes and Other Sharps a. Gloves will be worn when drawing blood or administering an injection. b. Do not recap contaminated needles, syringes or other sharps. c. Do not bend needles after use. d. Do not remove needles from disposable syringes. e. Reusable sharps, instruments and equipment should be returned for reprocessing to

protect the environment from further contamination. f. Disposable syringes must be discarded immediately in a protected disposer. g. All other sharps must be discarded in a protected disposer. 2. Invasive Procedures (includes Surgery, Maternity, Cardiac Cauterization and

Angiography) a. Gloves will be worn for all invasive procedures. b. Surgical masks will be worn for all invasive procedures. c. Masks and protective eyewear will be worn during procedures likely to generate

splashes of blood or other body fluids. d. Gloves and gowns will be worn by personnel handling a placenta or infant until

blood and amniotic fluid has been removed. 3. Laboratory a. Blood and body fluids should be contained in a receptacle with secure lid. b. Mechanical pipetting devices will be used. c. All items listed under Body Fluids Precautions. 4. Resuscitation Equipment

RDTC STUDENT HANDBOOK 44 a. Because of the risk of salivary transmission of other infectious diseases and the

theoretical risk of H.I.V. and H.B.V. transmission during artificial ventilation, disposable airway equipment or resuscitation bags should be used.

b. Pocket mouth-to-mouth resuscitation masks designed to isolate workers from contact with victim's blood, blood-contaminated saliva, respiratory secretions and vomitus.

II. AIRBORNE PATHOGENS PRECAUTIONS A. Tuberculosis 1. Screening each year: All students enrolled in Health and Wellness must participate in a

yearly tuberculosis screening. a. Mantoux (one step). b. Chest x-ray, if Mantoux is positive. * 2. Each student will wear a particulate respirator mask when in direct contact with a client

suspected of having or diagnosed with tuberculosis. 3. Students involved in transporting a client with suspected or diagnosed tuberculosis

should apply the particulate respirator mask to the client. B. Meningitis 1. Masks must be worn by health care providers in direct contact with a client suspected or

diagnosed with meningitis prior to the completion of 24 hours of appropriate antibiotic therapy.

2. Health care providers exposed without a mask to a client suspected or diagnosed with meningitis must follow up with the agency's infection control personnel for evaluation of the need for antibiotic prophylactics.

* A particulate respirator mask filters out particles 1-5 microns in diameter. Sources: Guidelines for Prevention of Transmission of Human Immunodeficiency Virus and Hepatitis B Virus to

Health Care and Public Safety Workers. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, Atlanta, GA. (MMWR 1989; 38 [No. S-6], 1-37).

Prevention and Control of Tuberculosis in U.S. U.S. Department of Health and Human Services, Public Health Service, Center for Disease Control, Atlanta, GA (MMWR 1992; 41 [No. RR-5]).

Uniforms that are contaminated during body fluid spills at the clinical education

center will be laundered by the clinical agency at no charge to the student. GUIDELINES FOR BODY SUBSTANCE EXPOSURE IN CLINICAL SETTINGS Student -- any person who is undergoing specific clinical instruction in an affiliating agency. The students will be informed of the body substance exposure protocol by their instructor or by an educated specialist of the agency during the initial clinical orientation. A body substances exposure occurs when body fluids, especially blood, are splashed on mucous membranes, penetrate open sores on the skin, or a contaminated sharp punctures the skin while performing student duties. Because these occurrences are ways of transmitting Hepatitis B or H.I.V., the Division of Health Careers strongly urges the student to follow these guidelines as soon as possible. If the student is exposed, the initial test must be done within seven days in order to satisfy the requirements of Ohio law mandating the source patient to comply. (Hobson Bill) Guidelines: 1. The student and instructor are responsible for complying with agency protocol at the time of

exposure. The student and instructor need to: a. Appropriately cleanse the area of exposure. b. Notify the unit manager of the exposure. c. Complete an incident form on the day of exposure to the body fluid. d. Determine the tetanus history and follow-up with immunizations as directed by agency

protocol.

RDTC STUDENT HANDBOOK 45 e. Attempt to identify the source of exposure, and if able, obtain informed consent for

antibodies to the Human Immunodeficiency Virus (H.I.V. antibodies) and Hepatitis B Surface antigen from the source patient.

f. Have the student read educational materials about H.I.V. and Hepatitis B. 2. The Division of Health and Wellness recommends that the student be tested for H.I.V. Free

testing sites are available in Lorain and Cuyahoga Counties. The student should be tested at least four (4) times over a one-year period: 1) initial test; 2) at six weeks; 3) at six months; 4) at one year. Counseling is also available at the sites. Refrain from giving blood during the testing period.

3. The Division of Health and Wellness recommends that the student be tested for Hepatitis B Surface Antibodies and if needed, the student should receive the Hepatitis B Vaccine. The student can receive this vaccine at the local Health Department, or can contact his/her physician or go to the nearest emergency department. Immunizations cost approximately $170.00 for three (3) doses over a six month period. If the student is pregnant or becomes pregnant she should consult her physician immediately. (See Student Handbook).

4. If the precise source of the student's exposure is unknown, the student will need a dose of Hepatitis B Immune Globulin, which can be given along with the Hepatitis B Immune Globulin, which can be given along with the Hepatitis B vaccine. The student can receive this at the local public Health Department.

5. The instructor should urge the student to encourage compliance with these guidelines and provide for appropriate counseling to support the student.

LIABILITY INSURANCE Student liability insurance is provided by the college and included in special fees for clinical courses. Clinical agencies require that students carry liability insurance. Students should not purchase their own liability insurance. Please Note: The liability insurance covers only activities in the clinical agency performed as a student. Individuals who are hired for pay to work at clinical agencies, urgent care centers, doctors' offices, etc., are NOT covered by their student liability insurance purchased through the college. MEDICAL INSURANCE Students who are injured in the clinical agency must fill out an incident report. The student is completely responsible for the cost of subsequent medical and surgical care. Students are not employees of the hospital; therefore, are not covered by workers' compensation. Consequently, all students are urged to have their own medical insurance coverage. STUDENT CLINICAL SCHEDULES The Clinical Coordinator and/or Program Director, near the end of each semester, will produce student clinical schedules for the next semester. Every effort will be made to schedule all students similarly, but occasional inequities may occur. Students will have an opportunity to request special considerations during the upcoming semester, but these requests cannot be guaranteed. STUDENT INJURIES Should a Radiologic Technology Student injure him/herself in the clinical site, an incident report should be filled out and the student instructed to see a physician of his/her choice. While a student cannot be forced to seek medical advice, it should be noted on the incident report that the student was instructed to do so. In addition, the injured student must notify the Radiologic Technology faculty regarding the injury so that the incident may be recorded in the student’s file on the LCCC campus. STUDENT RESPONSIBILITY REGARDING CONFIDENTIALITY

RDTC STUDENT HANDBOOK 46 It is imperative that the student maintain confidentiality regarding all aspects of patient care. This includes talking about patients in public areas (elevator, cafeteria, restrooms) in the hospital, and talking about patients outside of the hospital. It also involves not discussing the patient's physician, the patient's personal life, or even acknowledging that a person is a patient or under medical care. Students should realize that violation of the above can result in being dismissed from this program for unprofessional behavior, and possible lawsuits. TELEPHONE NUMBERS - CLINICAL AGENCIES UH Elyria Medical Center (440) 329-7435 UH Elyria Outpatient Testing Center at Avon (440) 988 6940 Cleveland Clinic Foundation Main Campus (216) 444-6484 CCF – Lorain / Oak Point (440) 204-7453 CCF – Avon/ Jacobs (440) 695-4151 Mercy Medical Center (440) 960-3542 or 960-3047 Metro Health Medical Center (216) 778-5454 UH St. John West Shore Medical Center (440) 414-6046 Southwest General Medical Center (440) 816-8778 UNSATISFACTORY CLINICAL PRACTICE Students receiving an unsatisfactory (U) clinical evaluation for a Radiologic Technology clinical course will receive a failing grade (F) in the clinical course. Unsatisfactory clinical grades for unprofessional or unsafe clinical practice will make the student ineligible for program re-entry.


CLINICAL EVALUATION


RADIOLOGIC TECHNOLOGY 114 EVALUATOR'S SIGNATURE STUDENT NAME STUDENT'S SIGNATURE CLINICAL SITE DATE ABSENCES & TARDIES OVERALL CLINICAL GRADE ________ The purpose of this evaluation is to assess your strengths and weaknesses, and to insure that you are

progressing at an acceptable rate based upon the clinical objectives set forth in each course. All clinical requirements and objectives of each course must be met.

This evaluation will be done the end of the first clinical semester. The evaluation will be used by

clinical instructors, hospital personnel and will also be used as a self-evaluation by you, so that you know where you are at any given time with respect to clinical proficiency.

RATING SYSTEM NA -Not Applicable A -Excellent -Indicates that you are exceeding many clinical objectives and

clinical requirements. B -Very Good -Indicates that you are exceeding some clinical objectives and

clinical requirements while meeting others. C -Satisfactory -Indicates that you are meeting all clinical objectives and clinical

requirements. NI -Needs Improvement -Indicates that you are minimally meeting some objectives and (Less Than Satisfactory) not meeting others. Timely improvement is necessary to continue

in the program. U -Unsatisfactory -Indicates that you are not meeting some or all of the objectives

and/or requirements, and therefore cannot continue in the program.

SELF NA A B C NI U


I. Patient Care A. Properly identifies each patient 1.Name 2.Age 3.Sex 4.Location

B. Explains the procedure to the patient in understandable terms

1. Answers patient questions

C. Takes patient's history as appropriate. 1. Height 2.Weight 3. Allergies 4. Location of pain or injury 5. Nature of injury 6. Pregnancy or last menstrual period

D. Maintains comfort and safety of patient. Use of restraint bands or side rails. Patient has adequate blankets, pillows, etc.

E. Maintains patient privacy. F. Uses correct aseptic technique as needed. G. Safely handles needles, equipment, etc. H. demonstrates caring, concern, compassion II. Knowledge of Procedures

A. Basic positioning skills 1. Positions patient 2. Positions tube 3. Positions IR 4. Uses appropriate anatomic landmarks for

centering 5. Identifies anatomy demonstrated on image

III. Radiation Protection A. Uses protective equipment for protection of self.

1. Lead aprons. 2. Lead gloves. 3. Stands behind lead walls. 4. Closes all doors to radiographic and

fluoroscopic rooms.

5. Observes all safety regulations of the department and agency.

B. Uses protective equipment for protection of patient.

1. Gonadal shielding. 2. Collimation. 3. Cones. IV. Professionalism A. Absences - are within acceptable limits according

to policies in course outline.

B. Punctuality - has minimal amount of tardiness. C. Appearance -follows the prescribed uniform policy D. follows ARRT Code of Ethics 1. Removes self from the position of malicious

gossip.


2. Respects and maintains confidentiality of patient information.

E. Follows the policies of the clinical agency. F. Respects the rights of patients. G. Demonstrates understanding of the student's role. H. Makes constant effort to become involved. 1. Offers assistance to staff. 2. Seeks responsible assignments. 3. Keeps busy. I. Cooperates with Clinical site staff. 1. Accepts constructive criticism. 2. Observes rules and regulations.

COMMENTS:

SELF NA A B C NI U V. Communication Skills A. Verbal

1. Gives accurate instructions to patient. 2. Speaks clearly, distinctly and with sufficient

intensity.

B. Written 1. Correctly spells and writes information on

history sheets and wet reading slips.

2. Uses acceptable and appropriate medical terminology.

C. Nonverbal 1. Demonstrates positive nonverbal communication D. Listens attentively and follows directions. VI. Interpersonal Skills A. maintains professional demeanor in all clinical Interactions

B. respects cultural & personal differences of others C. is non-judgmental about patients’ lifestyles D. maintains confidentiality in all clinical interactions E. demonstrates appropriate age-specific competencies VII. Attitude A. Is cooperative. B. Is friendly and courteous. C. Is respectful to staff, colleagues and patients. D. Acts maturely. E. Takes pride in work. F. Exhibits enthusiasm for work and profession. G. Demonstrates a positive and even disposition. H. Requires little nurturing. VIII. Responsibility A. demonstrates dependability, punctuality B. follows through on tasks C. recognizes own limits; asks for help when needed

COMMENTS:


SELF NA A B C NI U IX. Competency A. Student has completed required competencies.

B. Number of attempts to complete competencies is within acceptable limits. (3 or fewer attempts)

X. General overall evaluation, based on clinical level, completion and/or progress on procedures, competencies and quantity and quality of clinical cases.

COMMENTS: STRENGTHS:

WEAKNESSES:

STUDENT’S REMARKS:


CLINICAL EVALUATION FOR USE AT MID-SEMESTER AND SEMESTER END


RADIOLOGIC TECHNOLOGY 116, 119, 213, and 234 EVALUATOR'S SIGNATURE STUDENT NAME _________________________________________________________________ STUDENT'S SIGNATURE CLINICAL SITE _________________________________________________________________ DATE ___________ ABSENCES & TARDIES OVERALL CLINICAL GRADE ________ The purpose of this evaluation is to assess your strengths and weaknesses, and to insure that you are


This evaluation will be completed at mid-semester and at the end of the semester. The evaluation

will be used by clinical instructors, hospital personnel and will also be used as a self-evaluation by you, so that you know where you are at any given time with respect to clinical proficiency.







RDTC STUDENT HANDBOOK 52 I. Patient Care SELF NA A B C NI U A. Properly identifies each patient 1. Name 2. Age 3. Sex 4. Location

B. Explains the examination to be done to the patient

C. Takes patient's history as appropriate

1. Height 2. Weight 3. Allergies 4. Location of pain or injury 5. Nature of injury 6. Pregnancy or last menstrual

period


E. Maintains patient privacy. F. Uses correct aseptic technique as

needed

G. Safely handles needles, equipment, etc.

H. Demonstrates caring, concern, compassion

Comments: II. Knowledge of Procedures SELF NA A B C NI U A. Demonstrates routine views

(special views where applicable) 1. Positions patient 2. Positions tube 3. Positions IR 4. Uses appropriate anatomic

landmarks for centering 5. Identifies anatomy

demonstrated on image 6. Retains knowledge of

previously learned procedures, positions and anatomy.

II. Knowledge of Procedures cont. SELF NA A B C NI U

RDTC STUDENT HANDBOOK 53 B. Image Critique 1. Is able to identify views

obtained. 2. Identifies need for alteration

of appropriate technique factors

3. Is able to discuss the need for additional views as appropriate

Comments: III. Knowledge of Equipment SELF NA A B C NI U A. Demonstrates correct exposure

settings

B. Is able to manipulate table C. Is able to manipulate x-ray tube D. Selects proper IR holder E. Retains knowledge of previously

learned equipment

F. Uses collimator and/or cones correctly

G. Is able to read and demonstrate use of technique and tube rating charts

H. Can make corrections of exposure factors

I. Is able to apply exposure theory to practice

Comments: IV. Radiographic and Fluoroscopic

Room SELF NA A B C NI U

A. Has necessary equipment for each examination

B. Room is cleaned and prepared for each patient

C. Room is restocked with necessary supplies and linens

Comments:

RDTC STUDENT HANDBOOK 54 V. Radiation Protection SELF NA A B C NI U A. Uses protective equipment for

protection of self 1. Lead aprons 2. Lead gloves 3. Stands behind lead walls 4. Closes all doors to radiographic

and fluoroscopic rooms 5. Observes all safety regulations of

the department and agency

B. Uses protective equipment for protection of patient, others

1. Gonadal shielding 2. Collimation 3. Cones

Comments: VI. Professionalism SELF NA A B C NI U A. Absences - are within acceptable

limits according to policies in course outline

B. Punctuality - has minimal amount of tardiness

C. Appearance follows prescribed uniform policy

D. Follows ARRT Code of Ethics 1. Removes self from the

position of malicious gossip 2. Respects and maintains

confidentiality of patient information

E. Follows the policies of the clinical agency

F. Respects the rights of patients G. Demonstrates understanding of

the student's role

H. Makes constant effort to become involved

1. Offers assistance to staff 2. Seeks responsible

assignments 3. Keeps busy

RDTC STUDENT HANDBOOK 55 I. Cooperates with clinical site staff 1. Accepts constructive criticism 2. Observes rules and

regulations

Comments: VII. Communication Skills SELF NA A B C NI U A. Verbal 1. Gives accurate instructions to

patient 2. Speaks clearly, distinctly, and

with sufficient intensity

B. Written 1. Correctly spells and writes

information on history sheets and wet reading slip

2. Uses acceptable and appropriate medical terminology

C. Nonverbal 1. Demonstrates positive

nonverbal communication

D. Listens attentively and follows directions

Comments: VIII. Interpersonal Skills A. Maintains professional demeanor

in all clinical interactions

B. Respects cultural & personal differences of others

C. Is non-judgmental about patients’ lifestyles

RDTC STUDENT HANDBOOK 56 D. Maintains confidentiality in all

clinical interactions

E. Demonstrates appropriate age-specific competencies

Comments: IX. Initiative and Motivation SELF NA A B C NI U A. Works independently with a

minimum of supervision on previously checked-off procedures

B. Is willing to attempt new procedures and learn new equipment

C. Exhibits industriousness D. Is willing to help others E. Picks up requisitions without

being told

F. Exhibits curiosity Comments: X. Attitude SELF NA A B C NI U A. Is cooperative B. Is friendly and courteous C. Is respectful to staff, colleagues

and patients

D. Acts maturely E. Accepts constructive criticism F. Takes pride in work G. Exhibits enthusiasm for work and

profession

H. Projects self-confident bearing and good self-image

I. Demonstrates a positive and even disposition

J. Requires little nurturing Comments: XI. Responsibility SELF NA A B C NI U

RDTC STUDENT HANDBOOK 57 A. Demonstrates dependability,

punctuality

B. Follows through on tasks C. Recognizes own limits; asks for

help when needed

Comments:

Comments:

XII. Critical Thinking SELF NA A B C NI U A. Evaluates and critiques films, asks

vital questions, develops solutions for challenges encountered in clinical setting, identifies when additional information is needed

B. Is able to modify routines to accommodate special patient or imaging needs (at an appropriate skill level for the current semester)

C. Problem-solving 1. recognizes problem situations 2. describes known solutions to

problems 3. identifies resources needed to

develop solutions

XIII. Competency SELF NA A B C NI U A. Student has completed minimum

required competencies

B. Number of attempts to complete competencies is within acceptable limits (3 or fewer attempts)


STRENGTHS: WEAKNESSES: STUDENT REMARKS:


CLINICAL EVALUATION FOR USE AT MID-SEMESTER AND SEMESTER END RADIOLOGIC TECHNOLOGY 116, 119, 213, and 234

EVALUATOR'S SIGNATURE STUDENT NAME _________________________________________________________________ STUDENT'S SIGNATURE

SELF NA A B C NI U General overall evaluation, based on clinical level, completion and/or progress on procedures, competencies, and quantity and quality of clinical cases

RDTC STUDENT HANDBOOK 59 CLINICAL SITE _________________________________________________________________ DATE ___________ ABSENCES & TARDIES OVERALL CLINICAL GRADE ________ The purpose of this evaluation is to assess your strengths and weaknesses, and to insure that you are














period



needed














settings


learned equipment










Comments:
















the student's role





regulations












