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Triton College

Nuclear Medicine Technology

Program Handbook

'I' Triton College

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Table of Contents

Mission Statement 3

Outcome and Goals 3

Introduction 4

Admissions 4

Tuition and Fees 5

Academic Policies 5

Readmission Policy 5

Work Policy 6

Curriculum/Course Sequence 7

Didactic Course Descriptions and Objectives 8

Student Complaint Process 23

Clinical Education 25

Clinical Affiliates 26

Performance Based Clinical Proficiency Evaluations 28

Clinical Procedure Master Proficiency List 29

Clinical Education Student Performance Procedures 30

Statement of Health 33

Drug Testing 34

Background Check 34

Health Insurance 34

Professional Liability 34

Pregnancy Policy 34

Extended Illness 35

Attendance and Tardiness Policy 36

Excessive Absence/Tardy Policy 36

Cell phone and Electronic Device Policy 37

Dress Code 37

Identification 38

Personal Radiation Monitoring 38

Clinical Calendar 39

Clinical Midterm/Final Student Evaluation 40

Quality Control of Imaging Instrumentation Evaluation 43

Patient Care Proficiency Evaluation 44

Patient Injection Proficiency Evaluation 45

Procedure Proficiency Evaluation 46

Radiopharmacy Proficiency Evaluation 47

Weekly (summer) Clinical Experience Log 48

Weekly Clinical Experience Log 49

Weekly (fall/spring) Clinical Experience Log 50

Weekly Clinical Experience Log 51

Clinical Rotation Agreement 52

Social Network and Blogging Policy 53

Triton College Incident Report 54

Acknowledgement of Contents Sign-Off Sheet 55

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Triton College: Nuclear Medicine Technology Program

Mission Statement Consistent with the mission statement of Triton College, the Nuclear Medicine Technology program is dedicated to providing positive learning experiences for its students that emphasize competent, compassionate patient care, responsible professional practices and essential knowledge and skills to be eligible for the certification board exams and gain entry level employment in the nuclear medicine field.

Outcome and Goals

Through the didactic and clinical experiences the Nuclear Medicine Technology program provides, upon successful completion of the program, the graduate will have developed the knowledge and skills to: Goal 1: Competently perform the entry level job skills of a Nuclear Medicine technologist. Program Outcomes:

Demonstrate understanding of the theories and principles of ionizing radiation.

Employ proper imaging technique to provide quality results that reflect current practice.

Properly receive, prepare, handle and dispose of radiopharmaceuticals and radioactive material.

Complete quality control procedures to ensure optimum instrumentation performance.

Assist in therapeutic procedures with authorized personnel. Goal 2: Demonstrate proper professional and ethical behavior. Program Outcomes:

Provide supportive patient care, assessing and responding to the needs of the patient.

Comply with ALARA and other radiation protection practices to minimize radiation exposure.

Operate within the scope of Nuclear Medicine Technology practice. Goal 3: Be capable of passing the national certification board(s) Nuclear Medicine Technology Certification Board (NMTCB) and/or American Registry of Radiologic Technology- Nuclear (ARRT-N), and fulfill requirements for state licensure. Program Outcomes:

Program graduates will be eligible to sit for the NMTCB and/or ARRT certification board exams and pass with minimum score of 75.

Program graduates will be eligible for Illinois state licensure through Illinois Emergency Management Agency (IEMA).

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Nuclear Medicine Technology Program

Introduction

The Nuclear Medicine Technology program is fully accredited by the Joint Review Committee on Educational Programs in Nuclear Medicine Technology (JRCNMT) and Triton College is accredited by the Higher Learning Commission of the North Central Association of Colleges and Schools (NCA-HLC). The program provides learning experiences for its students though academic, laboratory and competency based clinical education offerings. Graduates of the program complete an Associate in Applied Science degree. The Nuclear Medicine Technology Program through its curriculum provides educational experiences to prepare students to function with essential knowledge and skills to meet employment needs in Nuclear Medicine, as well as be eligible for either of the national certification board exams; the Nuclear Medicine Technology Certification Board (NMTCB) and/or the American Registry of Radiologic Technologist (ARRT-N). Students enrolled in the Triton College Nuclear Medicine Technology Program will be responsible for observing the College rules and regulations as stipulated in the current Triton College Catalog and the College's Student Handbook. Clinical sites while separately located are considered an integral part of the college campus. The rules and policies stated in this Program Handbook represent an agreement between Triton College, its clinical affiliates and the student for the entire time they're enrolled in the program. While in the program, students will be required to follow the policies and procedures intended to learn and develop professional work ethics. The Program Handbook is published; however the information in this Handbook is not regarded as an irrevocable contract between the student and the Program. Program assessment is an ongoing process and the Program reserves the right to make changes at any time, notwithstanding any information set forth in this Program Handbook in accordance with Triton College policies and procedures.

Admissions

The program will admit only a limited number of students. The number of students admitted is determined by the availability of rotations at the clinical sites. Clinical sites are chosen because of their appropriate learning environment and clinical supervision. Admission to the program is open to all qualified students. Triton College and the Nuclear Medicine Technology Program do not discriminate on the basis of race, color, national origin, sex, age, gender, religion, marital status, disability, sexual orientation or any other protected class. To be considered for admissions, students are encouraged to attend a Nuclear Medicine Technology information session to find out more about the field, the program and career pathways. All interested students must complete the Selective Admission Application for Health Careers online application. To determine the most qualified students, a Merit evaluation is completed of coursework credit or equivalent. Points are awarded for college credit hours and grades earned for prerequisites and coursework towards an Associates in Applied Science. International students must have prior credits translated and evaluated in detail for accepted credit at Triton College. Applications are reviewed on a regular basis and qualified applicants are notified of acceptance by email. Letters of Acceptance are sent out to the most qualified applicants. Applicants must in turn respond acknowledging their acceptance by the noted

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deadline. If no response is received from an applicant, they will lose their spot and the next applicant from list will be contacted. Each applicant that accepts an appointment must attend the mandatory Program Orientation session during the summer.

The following non-academic skills are necessary for employment in the field of nuclear medicine. In order to be considered for admission or to be retained in the program after admission, all students must retain the following abilities:

Speak, hear and observe the patient in order to properly care and effectively communicate both verbally and non-verbally.

Problem solve and respond to critical situations.

Maneuver in small spaces, lift 50 lbs., execute motor skills to care and move patients, operate equipment and administer intravenous material. This involves being able to perform multiple tasks simultaneously.

Travel to academic and clinical affiliates.

Perform job for extended period without breaks.

Availability of jobs in nuclear medicine field varies and is cyclic. There may be fewer jobs available which may result in graduates considering relocation to secure employment. The program does not guarantee job placement upon graduation.

Tuition and Fees

Current tuition and fees can be found in the college catalog and on the college website. The responsibility for tuition and all fees lies solely with the student. Students will not be allowed to register for the next semester courses unless the previous coursework has been paid in full. Students not residing in Triton's district must pay out of district tuition unless the student qualifies for tuition assistance known as a chargeback. Many community college districts do not approve chargebacks for courses offered at their own facility. It is the responsibility of the student to check with their own school district to verify this. A student who officially withdraws from any course may be refunded a percentage of the course tuition. For questions in this matter the student is directed to contact the Cashier's Office at the college. The costs of travel, parking, drug testing, criminal background check and health screening required for participation in clinical education are the responsibility of the student.

Academic Policies

To fulfill the Program requirements as well as the requirements for completion of an Associate in Applied Science degree, the student must complete all general education and nuclear medicine didactic courses at the college with a grade of "C" or better. The student must complete all assigned clinical hours and earn a grade of "P" for each clinical course. An incomplete grade must be completed prior to the start of the next semester as a prerequisite for the next course in the educational series. An Incomplete grade will become an "F" on the student’s record unless the coursework is completed within 30 days after the beginning of the next regular semester.

Readmission Policy Students that leave the program may be granted admission back into the program for the next year, but there is no guarantee the student will be able to be readmitted in the program. Program readmission is permitted one time only. Readmission is dependent on the following conditions:

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1. Space is available in the class. 2. Student must meet the admission requirements for the semester for which they

are readmitted. 3. If more than one semester has elapsed since a student has been in a clinical rotation,

he/she must demonstrate proficiency prior to readmission. 4. The program reserves the right to assess the student's level of knowledge in order

to ensure current competency (including lab, lecture and clinical content). 5. Students need to submit a completed "Request for Readmission to a Health

Career Program" form 30 days prior to the start of the semester they are interested in seeking readmission that outlines any changes which will contribute to their success.

Students that receive an "F" in any nuclear medicine course will only be considered for readmission to the program if substantial steps have been made by the student to ensure this attempt to complete the program will be more successful. Further information regarding the policy for readmission to Health programs can be found in the college catalog.

Work Policy

Students may not be substituted for regular staff; they may not take responsibility in place of qualified staff. After demonstrating proficiency however, students may be permitted to undertake certain defined activities with appropriate supervision and direction outside assigned program hours. Class credit shall not be awarded for such activities. Students may be employed after assigned clinical time for duties and responsibilities other than those directly related to the performance of technologists. Class credit shall not be awarded for such activities. The college is in no way responsible for the "employee" actions while working in this capacity. Students are eligible to participate in campus work-study program. Some students work off campus after hours. When it is determined that work schedules negatively impact their academic progress, students are referred to a counselor to assist them working out a more realistic schedule.

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Curriculum/Course Sequence The Triton College Nuclear Medicine is a 5 college semester (22 months) long program. Below is a suggested format for completion of the Associate of Applied Science degree. Students may take the associate courses in any sequence but all must be completed before the 3rd semester or first clinical rotation. Nuclear Medicine courses must be taken in planned sequence. Students may not progress to next course unless they have completed the previous course with a grade of "C" or higher for college classes or a grade of "P" for the clinical courses.

Program prerequisite:

Must read and write at college level; can be demonstrated by course equivalency, or by meeting all current reading and writing requirements for RHT101 placement

PHYl00 (General Physics)

MAT110 (College Algebra) or must meet current college math requirement for completion of MAT110.

BIS240 (Human Anatomy and Physiology I) Completion of the Math and Science pre-requisites must not be more than 5 years old. All prerequisite coursework must be completed with a grade of "C" or better. All test scores must be within the last two years.

Semester 1

AHL120 Comprehensive Medical Terminology 3

CHM110 Fundamentals of Chemistry 4

RHT101 Freshman Rhetoric & Composition I 3

NUMl00 Science of Nuclear Medicine 3

NUM103 Radiation Safety and Protection 2

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Semester 2 AHL102 Ethics and Law for Allied Health 1

BIS241 Human Anatomy and Physiology II 4

SPE101 Principles of Effective Speaking 3

NUM140 Instrumentation in Nuclear Medicine 5

NUM155 Patient Care in Nuclear Medicine 2

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Semester 3 NUM160 Nuclear Medicine Procedures I 3

NUM161 Nuclear Medicine Technology I 1

NUM181 Applied Nuclear Medicine Technology II 1

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Semester 4 Social and Behavioral Science general ed.

requirement

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NUM260 Nuclear Medicine Procedures II 4

NUM261 Applied Nuclear Medicine Technology Ill 2

NUM262 Nuclear Medicine Pharmacy I 2

NUM265 Principles of PET in Nuclear Medicine 2

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Semester 5 Humanities general education requirement 3

NUM280 Nuclear Medicine Procedures Ill 4

NUM281 Applied Nuclear Medicine Technology IV 2

NUM282 Nuclear Medicine Pharmacy II 2

NUM285 Principles of CT in Nuclear Medicine 1

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Total credits required for graduation 60

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Didactic Course Description and Objectives

NUM 100: Science of Nuclear Medicine

Course Description:

Principles of radiation as used in practice of Nuclear Medicine, methods of decay, decay schemes, production

of radionuclides and gamma radiation interactions with matter. Calculations of decay, biological and physical

half -life and half- value layer

Objectives:

Mathematical properties:

Solve algebraic equations using operations in correct order and obtain the correct sign in solution

Solve for quadratic equations

Using a scientific calculator, solve calculations used in Nuclear Medicine

Accurately convert fractions to decimals

Accurately convert between whole numbers and scientific notation in mathematical problems

Define and solve equations using the following: exponent, base, root and power

Accurately solve calculations using log and antilog as used in Nuclear Medicine

Use proportions in mathematical problems and identify inverse or direct proportional relationship

Accurately convert between units within the metric system

Properties of nuclear physics:

Describe the atomic structure and the concepts of orbital shells

Explain the concept of radiation

Use the Periodic Table and Chart of Nuclides to locate information to answer questions and solve problems

Define the characteristics of alpha, beta and gamma radiation

Use A, Z and X notation to describe given elements

Explain the principles of binding energy, energy states and orbital electron energy levels

Describe the different kinds of nuclear transformation

Identify the components of a decay scheme, such as parent, daughter, type of emission, energy of emission

Describe the principles of particulate interactions with matter: alpha, beta- and beta+ decay

Explain the properties of gamma interaction: Compton scatter, photoelectric effect and pair production

Distinguish the differences of Bremsstrahlung, characteristic X-rays and Auger electrons

In a decay scheme identify the parent, daughter, half- lives and types of emissions

Calculate the radioactive decay using the decay formula, decay chart and pre-calibration factors

Calculate effective and biological half- life when given the appropriate data

Discuss concepts of half- value layer and accurately solve problems about shielding radiation

Radionuclide production: Explain the operational principles of a generator system

Explain the parent/daughter relationship in generator systems

Explain the operational principles of a nuclear reactor

Explain the operational principles of a cyclotron

Identify how each isotope used in Nuclear Medicine is produce

NUM 103: Radiation Safety and Protection

Course Description:

Introduction to the history and development of the Nuclear Medicine field. Philosophy of As Low as

Reasonably Achievable (ALARA) and practical measures to apply in the clinical setting, including safe

handling, receiving, storage, disposal and decontamination of radioactive material. Occupational exposure,

personal monitoring, limits and associated exposure units, regulations and documents governing the use of

radioactive material. Principles of radiation biology and potential effects of exposure to the human body.

Objectives:

Introduction to Nuclear Medicine Technology:

Identify the historical events that led up to the start of Nuclear Medicine, and detail the progress Nuclear

Medicine has achieved to date

Identify pertinent figures and their role in the field of Nuclear Medicine

Describe the structure of the Nuclear Medicine department

Define the terms Accreditation, Licensure and Certification and explain how the Nuclear Medicine

technologist maintains these

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Identify governing agencies affiliated with Nuclear Medicine and explain their responsibilities

Describe the importance of documents 10CFR20, 10CFR35 and 10CFR71

Explain practices used to protect the patient from unwarranted exposure

Receiving handling and storage of radioactive material:

Explain ALARA

Describe 3 ALARA practices of time, distance and shielding and their practical applications

Explain the principles of the Inverse Square Law and correctly use the equation in solving calculations

Discuss levels of exposure and the associated signage and allowable access

Describe the steps to properly receive radioactive material

Demonstrate proper method of opening a radioactive package

Identify the action levels when receiving a package

Describe the proper methods for storage and disposal of radioactive material

Explain the procedure of decontamination

Demonstrate decontamination methods in various situations

Personnel monitoring:

Identify maximum permissible doses for Nuclear Medicine personnel and the general public

Discuss proper use of personnel monitoring devices used in Nuclear Medicine

Explain principles of exposure

Units of radiation protection

Identify unit used in radiation protection and the proper application of these in Nuclear Medicine

Identify the System International (SI) units and their traditional unit counterpart

Calculate conversion between SI units and traditional units.

Radiation biology:

Explain the function of the various components of the human cell

Identify the differences between mitosis and meiosis

Explain the replication steps of the cell

Explain how free radicals are formed and their effect in the body

Explain the relationship between carcinogenesis and radiation induced mutations.

Describe the relationship between Linear Energy Transfer (LET) and different types of radiation

Discuss the relationship between radiosensitivity and the cellular response

Explain Lethal Dose (LD) 50/30

Discuss factors that play a role in the response of the cell to radiation

Discuss the law of Bergionie and Tribondeau

Explain the systemic effects of radiation, hematopoietic, gastrointestinal, central nervous system, and

cardiac syndromes

Explain the effects of radiation to the developing embryo/fetus

Describe the risk/benefit of radiation exposure in terms of diagnosis and therapeutic use

NUM 140: Nuclear Medicine Instrumentation

Course Description:

Principles and operation of gas detector and scintillation detection systems and the components that make up

each of these systems. Methods of image reconstruction and enhancement used in studies.

Fundamental components, applications and processing techniques used in Nuclear Medicine computers.

Laboratory experience supporting use of instrumentation, quality control parameters and computer

applications.

Objectives:

Gas detectors:

Identify and explain the regions on the characteristic curve of pulse height versus voltage curve

Describe the operation and uses of gas filled detectors

Identify the quality control tests done on dose calibrators, their purpose and their frequency

Demonstrate proper operation of survey meter

Perform laboratory survey

Perform wipe test

Create a survey instrument for use in the clinical setting according to regulations

Scintillation detectors:

Identify and explain function of components of scintillation detector

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Describe the operation and uses of scintillation detectors

Identify the characteristics of different collimators used in scintillation detectors

Explain characteristics of an the energy spectrum

Identify the principles of spectrometry

Describe spatial resolution and its role in scintillation systems

Describe sensitivity and its role in scintillation systems

Describe energy discrimination and its role in scintillation systems

Explain the process of image formation for scintillation detectors

Compare and explain the characteristics of different collimators used in scintillation detectors.

Perform a linearity simulation and calculate and graph the results

Perform and record constancy test

Perform an accuracy test simulation and calculate the result

Calculate energy resolution of detector (FWHM)

Calculate energy efficiency (chi-square)

Perform peaking of camera

Observe and describe the effects of resolution loss/gain with distance of collimator to source

Computer:

Demonstrate comprehension of basic computer terminology by correctly using it during discussion and

explanations

Explain the purpose of basic characteristics of computer systems

Describe how information is stored in computer memory

Explain factors that determine the speed and memory capacity of computers

Compare and contrast read only memory (ROM) and random access memory (RAM)

Explain different types of software used in Nuclear Medicine applications

Explain the characteristics that make up spatial resolution and how it affects the study

Explain what determines matrix size and the role it plays in acquisition of a study

Explain the different modes of acquisition; frame and list mode

Explain the various methods of image visualization used to manipulate and display data to aid the user

processing data

Describe processing techniques such as region of interest (ROI) time activity curves (TAC), image smoothing

and edge detection

Describe the relationship between ROI and a histogram generated from a dynamic study

Explain the process of image co-registration when more than one imaging modality is used

Explain the use of buffer, zoom and filters in Nuclear Medicine computer applications

Explain how digital imaging and communications in medicine (DICOM) is used and its impact in the clinical

setting

Explain how picture archiving and communication systems (PACS) are used in the clinical setting

Practicing with different filters commonly used in Nuclear Medicine computer applications, explain each

filter's effect on generated data

Using different filters commonly found in Nuclear Medicine computer applications describe their effect on

generated data

Practice some of the processing techniques used in Nuclear Medicine computer application and describe

how data is manipulated

Observe and describe the effects of different color schemes on data results and image clarity

Using simulated practice describe the effects of smoothing on images

Outline the steps that data is processed

Single photon emission computed tomography (SPECT):

Identify the basic components of a SPECT detector system

Explain the process of SPECT image reconstruction

Explain the use of filters in SPECT imaging

Identify specific parameters for SPECT acquisition

Explain the methods used for attenuation correction in SPECT imaging.

Simulate and describe sinogram formation

Simulate and describe the effects of different filters on SPECT data

Describe the differences after comparing simulated attenuated and non-attenuated data

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Camera Quality control:

Outline the steps of comprehensive quality control programs for a scintillation camera and SPECT

Compare intrinsic and extrinsic quality control measurements

Evaluate the uniformity of a given set of flood images

For different sets of phantoms, evaluate in terms of spatial resolution and linearity

Compare and describe acquisition parameters for a SPECT versus planar imaging

Describe the principles of center of rotation, uniformity and resolution quality control tests used for SPECT

Set up and perform quality control tests on gamma camera.

Set up and perform quality control tests on SPECT system

Identify some of the more commonly performed Nuclear Medicine studies

NUM 155: Patient Care in Nuclear Medicine

Course Description:

Principles of patient care to prepare students for work in the clinical setting. Professionalism and ethics,

cultural competency, effective patient interaction, body mechanics, patient transfer and positioning,

infection control, emergency procedures, patient support, specialized equipment and venipuncture

techniques. Includes orientation to the student's three clinical rotation sites.

Objectives:

Patient Communications and Interactions

Describe and demonstrate the verbal and non-verbal components of communication

Discuss various communications-related problems and demonstrate appropriate non-confrontational

methods for achieving effective communications

Discuss and demonstrate communications methods for achieving effective communication with specific

groups of people, such as the terminally ill, physically or emotionally impaired

Cultural Awareness

Discuss and demonstrate communications methods for achieving effective communication with specific

groups of people, such as non-English speaking or culturally diverse

Explain the development of a personal value system

Explain the influence a person's value system has on their behavior

Differentiate between culture and ethnicity

Explain the societal issues that influence health care

Compare alternative medicine to traditional western model

Patient History-taking

Describe the appropriate process for receiving and evaluating a requisition for a Nuclear Medicine

procedure, including actions to be taken if the requested procedure appears to be inappropriate

Describe the appropriate procedures for identifying patients who are to have Nuclear Medicine procedures

Demonstrate appropriate procedure for acquiring a patient's history prior to procedure

Explanation of procedures

Demonstrate how to explain specific aspects of a diagnostic procedure to a patient, including ascertaining

the patient's needs and ability to cooperate.

Describe a variety of techniques that can be employed to ensure compliance with a patient's right to privacy

and modesty

Ethics

Review and apply the Code of Ethics from the Society of Nuclear Medicine, Technologist Section

Explain the difference between morality and ethics

Describe and discuss the ethical principles encountered in the practice of Nuclear Medicine

Discuss the American Hospital Association's Patient's Bill of Rights and give examples of how it affects the

delivery of health care

Review the Patient's Bill of Rights with respect to ethical principles

Describe and apply the standards and scope of practice for Nuclear Medicine technologists to practical

situations

Explain how the scopes/standards of practice affect the ethical and legal aspects of the practice of Nuclear

Medicine technology

Explain the differences between civil and criminal liability

Discuss the impact of standards of care in relation to professional liability

Describe the concepts of informed, uninformed, and implied consent

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Discuss the implications and responsibilities associated with living wills, Do Not Resuscitate (DNR) orders,

and health care surrogates

Medical Records and Confidentiality

Discuss the purpose, content and organization of a medical record

Discuss the confidentiality of medical records, and the benefits and problems associated with computer

based medical records systems

Describe the responsibilities of a Nuclear Medicine technologist in regards to the maintenance of a patient's

medical record

Discuss the concept of patient confidentiality, and how a patient's privacy can be protected

Explain the problems associated with maintaining confidentiality in oral and written communications

Describe the challenges associated with maintaining the confidentiality of patient information stored in

computer systems and transmitted via networks

Professionalism

Discuss how keeping the patient as the main focus can enhance professional relationships

Discuss the need for cooperation and teamwork in the health care setting

Explain how conflict can be experienced by Nuclear Medicine technologists and other health care

professionals

Describe the accepted rules of professional etiquette in healthcare

Describe and demonstrate appropriate methods of restraint and discuss how and when restraint can and

shouId be used

Describe and demonstrate proper techniques for using Nuclear Medicine cameras and ancillary equipment

to assure patient and staff safety

Patient Position

Demonstrate patient positioning for acquisition of imaging procedures

Demonstrate special techniques necessary when working with specific populations such as pediatric and

elderly

Differentiate between sagittal, coronal and axial planes of the body

Venipuncture Procedures

Identify proper site selection and type of injection equipment given specific situations

Explain injection procedures to patients and adapt to their needs during the explanation and injection

process

Describe and demonstrate aseptic technique, proper procedure for accessing vessels during injection or

angiocatheter placement

Describe and demonstrate proper techniques for performing routine intravenous injections, bolus

injections, flushing of intravenous lines and injections through heparin locks and intravenous lines

Describe and demonstrate the proper technique for removing an intravenous line and proper method of

waste management to ensure appropriate disposal

Discuss the potential complications that can occur in relation to injections and intravenous lines

Orientation at clinical sites

List information pertinent to each clinical rotation site including the site's hours of operation, contact

information, dress code and possible special rotations available

Discuss some of the professional attitudes that must be considered by Nuclear Medicine technologists, such as

upholding the goals of the profession, supporting professional organizations, keeping professional confidences,

maintaining competency, and exhibiting a professional image

Discuss the importance of personal appearance and hygiene for a Nuclear Medicine technologist

Define and discuss scope of practice, including how state and federal regulations affect it

Infection Control

Define medical and surgical asepsis

Define nosocomial infection and its implications in health care in general and Nuclear Medicine in particular

Describe the various sources and methods of transmission of pathogens

Discuss the risks to health care personnel posed by blood-borne and airborne pathogens; discuss the actions that

should be taken to prevent infection through prophylaxis or after exposure

Describe and demonstrate operational procedures intended to control exposure to or contamination by

pathogens, including standard precautions, hand washing, isolation, disinfection, etc.

Describe and demonstrate proper disposal of single-use and reusable supplies and equipment

Describe the steps that should be followed if injury or known exposure to pathogens occurs

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Describe and demonstrate the proper procedure for donning and removing isolation gowns, gloves, etc.

Describe and demonstrate the proper procedure for opening sterile packages and maintaining a sterile field

Equipment and Support Devices

Describe and demonstrate how to attend to basic patient needs such as assisting with dressing and undressing,

assisting with bedpans and urinals, providing comfort and modesty, etc.

Maintain normal operation of patient support equipment, such as intravenous lines, infusion pumps, catheters,

oxygen, drainage tubes, etc., while the patient is undergoing Nuclear Medicine procedures

Emergency Care procedures

Describe and recognize emergencies, such as seizure, syncope, shock, cardiac arrest, etc., and take appropriate

actions in each case

Patient Vitals

Explain and demonstrate proper method of acquiring and evaluating vital signs

Body Mechanics and Patient Transfer

Discuss and demonstrate proper body mechanics and safety procedures to be used when transporting and/or

transferring patients, including patients with special equipment and/or special needs

Discuss and demonstrate the safety devices available for stretchers, scanning tables and wheelchairs, and their

proper use

Describe and demonstrate appropriate methods of restraint and discuss how and when restraint can and should

be used

Describe and demonstrate proper techniques for using Nuclear Medicine cameras and ancillary equipment to

assure patient and staff safety

Patient Position

Demonstrate patient positioning for acquisition of imaging procedures

Demonstrate special techniques necessary when working with specific populations such as pediatric and elderly

Differentiate between sagittal, coronal and axial planes of the body

Venipuncture Procedures

Identify proper site selection and type of injection equipment given specific situations

Explain injection procedures to patients and adapt to their needs during the explanation and injection process

Describe and demonstrate aseptic technique, proper procedure for accessing vessels during injection or

angiocatheter placement

Describe and demonstrate proper techniques for performing routine intravenous injections, bolus injections,

flushing of intravenous lines and injections through heparin locks and intravenous lines

Describe and demonstrate the proper technique for removing an intravenous line and proper method of waste

management to ensure appropriate disposal

Discuss the potential complications that can occur in relation to injections and intravenous lines

Critical Thinking

Respond to clinical scenarios, identify essential issues and questions of a problem, gather and interpret relevant

data, recognize and evaluate assumptions and points of view to develop an informed conclusion /solution.

Articulate critical thinking abilities either in writing or orally.

Orientation at clinical sites

List information pertinent to each clinical rotation site including the site's hours of operation, contact

information, dress code and possible special rotations available

NUM160: Nuclear Medicine Procedures I

Course Description

Introduction to clinical Nuclear Medicine, bone and lung imaging procedures, associated

anatomy/physiology and radiopharmaceuticals, indications, pathology and scan interpretation. Pediatric

imaging, review of statistics used in the practice of Nuclear Medicine and case study presentations.

Objectives:

Clinical Handbook

Complete necessary recordkeeping for clinical progress.

Explain procedure to follow in the event of potential problems that could occur in the clinical setting

General pathology

Define terms commonly used in pathology

Explain the steps of the inflammatory process in the body

Compare and contrast benign and malignant processes

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Radiopharmaceutical

Discuss pertinent information found on packet inserts for radiopharmaceuticals

Identify the sites and time frame of technetium localization within the body

Discuss the methods of localization that radiopharmaceuticals utilize

Match the correct method of localization and the normal bioroute of the radiopharmaceuticals used for

bone and lung imaging

Explain the preparation of radiopharmaceuticals used for bone and lung imaging

Skeletal

Name and describe the structures of the skeletal system

Differentiate between osteoclast, osteoblast and osteocyte

Discuss the substances necessary for bone formation including the hormones involved in this process

Identify the parts of the skeletal system

Identify indications for a bone scan

Describe the procedure and practices involved with skeletal imaging

Compare and contrast, normal/abnormal bone scans

Name clinical findings consistent with bone pathology

Lung

Name and describe the structures of the respiratory system

Identify the parts of the respiratory system

Identify the indications for a lung scan

Describe the procedure and practices involved with lung imaging

Discuss the equipment and its operation used in ventilation studies

Compare and contrast, normal /abnormal lung scans

Name the clinical findings consistent with lung pathology

Pediatric Imaging

Discuss practices specific to pediatric imaging in Nuclear Medicine

Perform calculations for adjusting pediatric dose

Identify disease and pathology related to pediatric patients found in Nuclear Medicine procedures

Statistics

Differentiate precision and accuracy

Correctly perform calculations on data: mean, standard deviation

Calculate percent error, and percent difference on a given set of data

Determine and calculate confidence levels needed for Nuclear Medicine studies

Calculate Chi - square on data sets

Case studies

Present case studies demonstrating knowledge of procedure supported by discussion of study findings

NUM161 Applied Nuclear Medicine Procedures I

Course Description

Part one in the first supervised clinical experiences to orientate the student to basic procedures in Nuclear

Medicine, patient care, instrumentation and quality control, radiopharmacy, Positron Emission

Tomography (PET), Computerized Tomography (CT) and injection procedures may be completed.

Objectives

Imaging Procedures

Review requisition for completeness of information

Identify relevant data from medical records

Obtain positive patient identification

Explain procedure to patient

Identify the correct radiopharmaceutical and dosage

Set up for administration of radiopharmaceutical, or any other drug to be utilized

Select instrument, collimator and auxiliary equipment for the study and determine that all equipment is

functioning properly

Correctly select and set any parameters on camera system as needed by study

Select correct parameters for computer data acquisition as appropriate

Use correct body mechanics in moving patient into/off table and during position for scanning

Correctly position patient for all necessary views

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Evaluate images for artifacts or other problems

Have study approved by physician

Quality Control of Cameras:

Perform a proper peak for a specific radionuclide

Perform and analyze a field uniformity check

Perform and analyze a detector linearity check

Perform and analyze a spatial resolution check

Perform and analyze a uniformity check on a SPECT system

Perform a Center of Rotation (COR) on a SPECT system

Perform constancy on dose calibrator

Perform Daily QC on survey meter

Patient Care

Welcome the patient to the department, introducing themselves

Maintain patient confidentiality and effectively interact with patient

Prevent unnecessary radiation exposure to the patient

Work efficiently in order to minimize the patient waiting for long periods

Ensure that the patient is comfortable at all times

Recognize personal limits and responsibilities in the work situation, seeking assistance when necessary for

the good of the patient and yourself

Explain the e procedure to the patient taking into consideration age, degree of illness and possible language

difficulties

Communicate to the patient throughout the procedure to ensure patient comfort

Radiopharmacy

Demonstrate the correct procedure for elution of a 99 M o/ 9m9 Tc generator :

Assemble shield, vials, and all materials necessary for elution of the generator.

Perform complete elution procedure.

Assay eluate in dose calibrator for Mo99 and Tc99m and data.

Label all vials as required.

Perform alumina check and record

Demonstrate the correct procedure in labeling Tc99m kit

Check dose amount in dose calibrator

Properly dispose of radioactive waste

Log data appropriately

Check in radioactive packages

Radiation Safety

Use appropriate practices to reduce exposure to self, staff and patients

Properly monitor for radiation contamination

Injection


Assemble and dispose of all supplies used in patient venipuncture

Use aseptic practices during patient venipuncture

PET

Observe radiation safety practices specific to performing PET studies

Prepare patient for PET study

Enter patient data into system

Set up patient on scanner, perform study

Review study, and observe processing CT

Observe patient preparation and set up for study

Observe patient's study and processing of images

NUM181 Applied Nuclear Medicine II

Course Description

The second part of the first of three supervised clinical experience to orientate the student to basic

procedures in Nuclear Medicine, patient care, instrumentation and quality control. Radiopharmacy, PET,

CT and injection procedures may be completed.

16

Objectives:

Imaging Procedures Review requisition for completeness of information

Identify relevant data from medical records Obtain positive patient identification Explain procedure to patient


Set up for administration of radiopharmaceutical, or any other drug to be utilized Select instrument, collimator and auxiliary equipment for the study and determine that all equipment is functioning properly Correctly select and set any parameters on camera system as needed by study Select correct parameters for computer data acquisition as appropriate Use correct body mechanics in moving patient into/ off table and during position for scanning Correctly position patient for all necessary views Evaluate images for artifacts or other problems Have study approved by physician


Perform a proper peak for a specific radionuclide Perform and analyze a field uniformity check Perform and analyze a detector linearity check Perform and analyze a spatial resolution check Perform and analyze a uniformity check on a SPECT system Perform a Center of Rotation (COR) on a SPECT system Perform constancy on dose calibrator


Patient Care Welcome the patient to the department, introducing themselves Maintain patient confidentiality and effectively interact with patient Prevent unnecessary radiation exposure to the patient Work efficiently in order to minimize the patient waiting for long periods Ensure that the patient is comfortable at all times Recognize personal limits and responsibilities in the work situation, seeking assistance when necessary for the good of the patient and yourself Explain the procedure to the patient taking into consideration age, degree of illness and possible language difficulties


Radiopharmacy

Demonstrate the correct procedure for elution of a 99 Mo/99m Tc generator: Assemble shield, vials, and all materials necessary for elution of the generator. Perform complete elution procedure.

Assay eluate in dose calibrator for Mo99 and Tc99m and data. Label all vials as required.

Perform alumina check and record Demonstrate the correct procedure in labeling Tc99m kit Check dose amount in dose calibrator Properly dispose of radioactive waste Log data appropriately


Radiation Safety

Use appropriate practices to reduce exposure to self, staff and patients Properly monitor for radiation contamination

Injection

Explain procedure to patient Assemble and dispose of all supplies used in patient venipuncture Use aseptic practices during patient venipuncture

PET





Review study, and observe processing CT



NUM 260: Nuclear Medicine Procedures II Course Description:

Second in procedural courses, principles of nuclear medicine procedures for cardiac, gastrointestinal,

genitourinary and central nervous systems. Associated anatomy/physiology, indications, pathology and scan

interpretation. Overview of lab principles and procedures for invitro nuclear medicine studies.

17

Objectives:

Laboratory:

Identify governing agencies and their role in hospital laboratory safety and regulation Outline

laboratory safety rules

Identify laboratory equipment and proper operation of each.

Explain the quality control tests performed on laboratory equipment

Identify the components of blood and their function

Explain and demonstrate proper method for blood collection for laboratory procedures

Explain the dilution principle and its application to laboratory tests

Identify the pathology associated with blood disorders

Cardiac:

Name and describe the structures of the cardiac system

Identify components on EKG and describe what part of the cardiac cycle they represent Explain

the stress testing procedure: Bruce treadmill protocol and pharmacological protocol Identify

indications for cardiac procedures

Identify the radiopharmaceutical and its dose range used for each cardiac procedure Identify

contraindications for each cardiac procedure

Describe patient preparation for each cardiac scan

Describe the procedure and practices involved with cardiac imaging

Compare and contrast, normal/abnormal cardiac scans

Name clinical findings consistent with cardiac pathology

Describe the use of non-radioactive drugs utilized to support cardiac procedures. Gastrointestinal:

Name and describe the structures of the gastrointestinal {GI) system

Identify the indications for a scan in the GI system

Identify the radiopharmaceutical and its dose range used for each GI procedure

Describe the procedure and practices involved with GI imaging, identify any contraindication to studies Compare

and contrast, normal /abnormal scans of the GI system

Name the clinical findings consistent with GI pathology

Describe the use of non-radioactive drugs utilized to support various GI procedures

Genitourinary Imaging:

Name and describe the structures of the genitourinary {GU) system

Identify indications for genitourinary procedures

Identify the radiopharmaceutical and its dose range used for each GU procedure

Describe the procedure and practices involved with GU imaging, identify any contraindication to studies Compare

and contrast, normal /abnormal scans of the GU system

Name clinical findings associated with suspected pathology for GU imaging

Describe the use of non-radioactive drugs utilized to support various GU procedures Attend and

participate in Medical Directors lecture series

NUM261: Applied Nuclear Medicine Procedures Ill

Course Description

The second of three supervised clinical experience provided to develop competency in Nuclear

Medicine procedures, patient care, and instrument quality control, radiopharmacy, Positron Emission

Tomography

{PET), Computerized Tomography (CT) and injection procedures may be completed.

Objectives

Imaging Procedures







Select instrument, collimator and auxiliary equipment for the study and determine that all

equipment is functioning properly



Use correct body mechanics in moving patient into/off table and during position for scanning

18






Perform and analyze a field uniformity check Perform and analyze a

detector linearity check Perform and analyze a spatial resolution check

Perform and analyze a uniformity check on a SPECT

system Perform a Center of Rotation (COR) on a SPECT

system Perform constancy on dose calibrator


Patient Care






Recognize personal limits and responsibilities in the work situation, seeking assistance when

necessary for the good of the patient and yourself

Explain the procedure to the patient taking into consideration age, degree of illness and possible

language difficulties


Radiopharmacy

Demonstrate the correct procedure for elution of a 99 Mo/99m Tc generator:











Radiation Safety



Injection




PET




Set up patient on scanner, perform study Review

study, and observe processing

CT



NUM 262: Nuclear Pharmacy I Course Description:

Essentials of radiopharmaceuticals, diagnostic versus therapeutic, review of new drug approval process, Properties of

technetium, its chemistry and quality control tests. Fundamental concepts of radiopharmaceutical design, preparation

and pharmacokinetics of agents utilized in the imaging of cardiac, gastrointestinal, and genitourinary systems.

Objectives:

Explain the difference between the terms nuclide, isotope, and radiopharmaceutical

19

Describe the characteristics of a diagnostic and of a therapeutic radiopharmaceutical

Describe the various routes of administrations used with radiopharmaceuticals in Nuclear Medicine

Explain how a new drug is developed and the approval steps that are taken

Explain the rules for lnvestigational New Drug (IND) and New Drug Application (NOA) in Nuclear Medicine settings

Discuss the possible adverse reactions that may occur with radiopharmaceutical administration

Explain the quality control tests performed on technetium

Discuss the physical /chemical properties of technetium and the types bonds it interacts with Identify the

appropriate actions necessary in the event of a medical event

Identify the pharmacodynamics for each radiopharmaceutical in systems reviewed

Describe the procedure and any special considerations in the preparation, name the proper dose range and critical organ

of radiopharmaceuticals used for imaging in cardiac, gastrointestinal, and genitourinary systems

Determine the reason for use and possible side effects of pharmacological interventions used in cardiac, central nervous,

gastrointestinal and genitourinary imaging

NUM265: Principles of PET in Nuclear Medicine Course Description:

Nuclear Medicine practice specific to Positron Emission Tomography (PET) imaging; physics of positron emission,

principles of radionuclide production and use, normal and abnormal distribution, radiation safety practices, design and

operation of detector, patient management and review of role of PET imaging in cardiology, neurology and oncology.

Objectives:

Describe the characteristics of the interactions of positrons and gamma radiation

Explain the principles of coincidence as used in imaging

Describe the techniques used to create the image in a PET or PET/CT scanner

Describe the function of the components of PET and PET/CT scanners

Compare the operation and generated images of traditional and time of flight PET scanners

Explain the function of attenuation correction used in PET or PET/CT scanners

Describe the purpose, procedure and frequency of quality control tests performed on PET and PET/CT scanners

Explain the operation of cyclotrons in the production of radiopharmaceuticals for PET imaging

Explain the principles of radiopharmaceuticals use for PET imaging

Explain the role that glucose plays in FOG PET scanning and procedures used to produce diagnostic images

Compare the radiation safety practices used in PET and traditional nuclear medicine

Identify normal variants and artifacts found on PET images

Summarize the importance of patient preparation on resulting images

Differentiate the radiopharmaceutical administration methods used for cardiac, brain and oncology

PET imaging

Explain the scanning protocols for cardiac, brain and oncology PET imaging

Discuss the role PET and PET/CT play in monitoring the response to a patient's therapy.

Create a practical workflow for a PET or PET/CT scanner to account for patient's needs, scheduling, and

equipment allowances

Design a layout for a PET/CT facility accounting for practical issue regarding space, hospital requirements

and government regulations

Identify current research and discuss the role that PET plays in the future of patient care

NUM 280: Nuclear Medicine Procedures III

Course Description:

Principles of Nuclear Medicine procedures for endocrine, infection, central nervous system (CNS),

oncology and therapy procedures. Associated anatomy/ physiology, indications, pathology and scan

interpretation. Overview of Nuclear Regulatory Commission (NRC) rules and regulations associated with

therapy practices and procedures. Review for certification board exam and creation of presentation for

Program's Legacy project.

Objectives:

Identify the organs in the endocrine system and explain their function

Thyroid Imaging

Explain the process of iodine metabolism and thyroid hormone production

Identify indications for imaging/therapy

Explain the procedure for scan and uptake

Calculate simulated thyroid uptake

Compare and contrast, normal/abnormal scans

20

Name clinical findings associated with suspected thyroid pathology

Identify the NRC radiation safety regulations associated with therapy procedures and explain how they are

followed in practice; safety precaution s, measurements of exposure, survey of areas, release of patient and

responsibilities of staff

Explain the procedure for therapeutically dosing a patient

Explain the imaging procedure used post therapy

Parathyroid Imaging

Explain the process of parathyroid hormone production

Identify indications for imaging

Explain the scanning procedure


Name clinical findings associated with suspected parathyroid pathology

Adrenal Imaging

Explain the process of adrenal hormone production




Name clinical findings associated with suspected adrenal pathology

Infection Imaging

Explain the body's mechanisms to protect and heal itself against disease and infection




Name clinical findings associated with suspected infection pathology

Central Nervous System Imaging

Identify structures and vascularization of CNS and explain the role they play




Name clinical findings associated with suspected CNS pathology

Oncology Imaging

Identify indications for tumor imaging



Name clinical findings associated with suspected tumor pathology

Therapy Procedures

Explain the principles of 90YMonoclonal Antibodies, 90Y

Microspheres and 89 Strontium therapies

Compare therapies used in Nuclear Medicine with other treatment options

Review in preparation for certification board exams

Complete Mock Board exam

Plan and create Legacy project with classmates

Attend and participate in Medical Directors Lecture series

NUM 281: Applied Nuclear Medicine Procedures Ill

Course Description:

The last of three supervised clinical experiences to develop competency in Nuclear Medicine procedure s,

patient care, instrument quality control, radiopharmacy, Positron Emission Tomography (PET}, Computed

Tomography (CT} and injection procedures may be completed .

Objectives:

Imaging Procedures







21

Select instrument, collimator and auxiliary equipment for the study and determine that all equipment is

functioning properly



Use correct body mechanics in moving patient into/ off table and during position for scanning






Perform and analyze a field uniformity check

Perform and analyze a detector linearity check

Perform and analyze a spatial resolution check

Perform and analyze a uniformity check on a SPECT system

Perform a Center of Rotation {COR} on a SPECT system

Perform constancy on dose calibrator


Patient Care






Recognize personal limits and responsibilities in the work situation, seeking assistance when necessary for

the good of the patient and yourself

Explain the procedure to the patient taking into consideration age, degree of illness and possible language

difficulties


Radiopharmacy

Demonstrate the correct procedure for elution of a 99 M o/ 99m Tc generator:











Radiation Safety



Injection




PET





Review study, and observe processing

CT



22

NUM 282: Nuclear Medicine Pharmacy II

Course Description:

Preparation and localization of radiopharmaceuticals utilized for therapy and imaging of tumors and

endocrine, immune and Central Nervous Systems (CNS}. Preparation for job search including resume

writing and interviewing. Management and leadership in clinical setting. Board exam review.

Objectives:

Identify the dose used for radiopharmaceuticals used in oncology and endocrine, immune, and Central

Nervous Systems (CNS} imaging;

Explain the proper use and pharmacokinetics of radiopharmaceuticals used for oncology and endocrine,

immune, and Central Nervous Systems imaging

Explain the normal and altered biodistribution properties of radiopharmaceuticals used for oncology and

endocrine, immune, and Central Nervous Systems (CNS} imaging

Discuss non - radioactive agents used in imaging of endocrine and CNS imaging procedures

Explain the safety precaution s, measurements of exposure, survey of areas, release of patient and

responsibilities of staff in therapy procedures used in Nuclear Medicine

Discuss issues involved in management of Nuclear Medicine department

Discuss decisions involved in planning and design of radiopharmacy

Create a workable Nuclear Medicine technologist resume and cover letter

Prepare for national certification board exam test

NUM285: Principles of CT for Nuclear Medicine

Course Description:

Essentials of computerized tomography (CT} for the Nuclear Medicine technologist. Principles of CT physics,

scanners, imaging, protocols and quality control. Review of cross sectional anatomy.

Objectives:

Describe events leading to the discovery of computed tomography and its evolution

Describe the components of the CT imaging system

List the characteristics of x-rays and explain the interaction of x-rays with matter

Explain the configuration of the radiographic tube and its components

Define the heat load capacity of the radiographic tube and explain what it means in both conventional and

spiral CT scanning

Explain the functions of collimators in CT

Explain the location and function of detectors used in CT systems

Define "attenuation" and list the associated parameters

Define linear attenuation coefficient

Explain the difference between reconstructing and reformatting an image

List the selectable scan factors and explain how each affects the CT image

Name the factors affecting image quality in CT

Name the common controls found on CT operator consoles and describe how and why each is used

Define the term "artifact," list the types of artifacts and name and describe the appearance of those most

commonly affecting CT images

Explain how artifacts may be eliminated or reduced

Trace the sequence of events in CT scanning from the application of electrical current to the radiographic

tube through image display

Name the radiation protection devices that may be used to reduce patient dose in CT and describe the

correct application of each

Identify anatomical structures on cross sectional slices

Discuss the use and precautions with various types of contrast media

Discuss the quality control test used to ensure scanner performance

23

Triton College Student Complaint Process

Triton College, in its mission, is committed to student success through institutional and academic excellence, and providing a student-centered, lifelong learning environment for our diverse community. To that end, our desire is for you to have a positive experience at Triton College. We recognize that at times situations may occur whereby students need to have the opportunity to voice a complaint. The student complaint process governs any case in which a student has a complaint on an action that is deemed objectionable by the complainant against Triton College or a member of the faculty, administration, or employee of the institution. The student complaint process does not apply to grade appeals, complaints of sexual harassment, or complaints of discrimination. Please refer to the student handbook for procedures regarding these types of complaints (i.e. "change of grades", " sexual harassment", "non-discrimination policy”). Students are strongly encouraged to resolve any concern informally through the appropriate individual or department with whom the concern resides. If however, an issue or problem still exists, there is a formal complaint process that students may initiate.

Procedure All complaints should be submitted in writing (complaints may also be submitted via email) in complete detail promptly after the occurrence and must include the name and contact information for the student who is communicating the concern. In addition, the complaint should include the name of the person(s) involved and the nature of the complaint, the name of any witnesses and the signature of the complainant. A delay in reporting can make it difficult to investigate and address the concern. The complainant should clearly and concisely describe the concern as well as the desired remedy. All complaints must be filed within 30 days of the date that the incident occurred.

Academic Student Complaint

Step I. Student confers with the involved faculty and/or staff member in order to resolve the issue informally. If the complaint is not resolved, the student may submit a written complaint to the individual's supervisor (Department Chair, Dean, Associate Vice President). The supervisor will attempt to reach a mutually acceptable resolution. Step II. If the student feels that the issue is still unresolved, she/he may submit a written complaint to the appropriate Academic Dean who supervises that area. The Academic Dean discusses the complaint with the student and affected party and attempts to reach a mutually acceptable resolution. Step Ill. If the resolution presented by the Academic Dean is not reached, the student may appeal the resolution to the Associate Vice President of Academic Affairs. The Associate Vice President of Academic Affairs may:

A. Offer a resolution to the complaint B. Dismiss the complaint C. Take appropriate action

Decision of the Associate Vice President is final.

24

Non Academic Student Complaint

Step I. Student confers with the employee involved in order to resolve the issue.

Step II. If the student feels that the issue is still unresolved, a formal complaint should be made to the immediate supervisor of the person involved in the alleged violation. The administrative officer or immediate supervisor discusses the complaint with the student and affected party and attempts to reach a mutually acceptable resolution. Step Ill. If the resolution presented by the administrative officer or immediate supervisor is not reached, the student may appeal the resolution to the appropriate Dean of the area. In the absence of a Dean, the student may appeal to the appropriate Associate Vice President. The Associate Vice President may:

A. Offer a resolution to the complaint B. Dismiss the complaint C. Take appropriate action

Decision of the Associate Vice President is final.

In the event a student complaint should be brought forward to the Office of the Vice President, Office of the President, or Board of Trustees, the complaint should be redirected in order to ensure the student complaint process is adhered.

25

Clinical Education The clinical education portion of the Program is designed to ensure each student receives an opportunity to achieve all clinical proficiencies that are required and be exposed to a variety of environments in which nuclear medicine is performed. The student's rotational plan is developed to include experience in PET, injection opportunities, a major medical center and a clinical site staffed with a full time nuclear medicine physician to observe.

The student will rotate through three different departments working with a variety of equipment and protocols. The selection of the clinical rotations is decided by the Program Coordinator with input from the student. The clinical rotations are divided over three college semesters. NUM161, the first clinical course usually occurs in the summer semester with students attending 4 days a week for a five week period, followed by NUM181 which keeps a similar schedule for a second five week period (minimum 38 days). NUM261, the third clinical course occurs in fall semester with students attending 3 days a week for 15 weeks (minimum 38 days). NUM281, the last clinical course takes place in the spring semester; and students attend 3 days a week for 15 weeks (minimum 38 days). Some clinical rotations may occur over 2 semesters depending on site availability.

The Nuclear Medicine Program Coordinator or designated faculty will visit clinical education sites during the semester. The goals of the clinical visit are to observe the student in clinical environment and evaluate their interactions with patients and staff members. The student's clinical performance will be observed and discussed with the student and clinical staff. The student will have the opportunity to discuss their performance and any related issues during these visits with the coordinator or faculty. Clinical grades are assigned as Pass/Fail. The student needs to complete and hand in all clinical records at the appropriate times and complete necessary proficiencies in order to evaluate the psychomotor area of their performance. The Coordinator reserves the right to reverse or change any proficiency evaluation conducted by someone other than themselves. Using the Student Clinical Evaluation form the clinical supervisor in conjunction with the clinical staff will assess the performance of the student at midterm and final grading periods. Student's attendance and participation at the clinical site will be recorded on the Weekly Clinical Experience Logs. All weekly clinical logs, student evaluations and proficiencies will be uploaded in to the student's clinical course shell as a permanent record. The clinical objectives are listed on the syllabi for NUM161, NUM181, NUM261, and NUM281. Clinical affiliates may deny access to any student who does not meet the center's standards for safety, health or ethical behavior. Students are subject to actions listed in this handbook.

26

Nuclear Medicine Technology Program Clinical Affiliates

Clinical Affiliate

Phone PET Inject ion

Advocate Christ Medical Center

4440 W 95th

Oak Lawn, Illinois 60453

708-684-5652

X

X

Advocate Illinois Masonic Medical Center

836 W Wellington

Chicago, Illinois 60657

773-97 5-1 600

Ext. 5559

X

X

Advocate Lutheran General Hospital

1773 Dempster Street

Park Ridge, Illinois 60068

847-723-6040

X

X

Alexian Brother Medical Center

800 W Biesterfield Road

El k Grove Village, Illinois 60007

847-437-5500

Ext. 5924

X

X

Elmhurst Memorial Healthcare

155 E. Brush Hill Road

Elmhurst, I L 60126

331-221-1000

X

X

Little Company of Mary Hospital

2800 West 95t h Street

Evergreen Park, Illinois 60642

708-422 -6200

Loyola University Medical Center

2160 South First Avenue

Maywood , Illinois 60153

708-21 6-9427

X

X

MacNeal Hospital

3249 South Oak Park Ave

Berwyn, Illinois 60402

708 -795-9100

X

27

Nuclear Medicine Technology Program Clinical Affiliates

Clinical Affiliate Phone PET Injection

Mercy Hospital and Medical Center

2525 S Michigan Ave.


312-567-2193

X

X

Palos Community Hospital

12251 S 80th Avenue

Palos Heights, IL 60463

708 -923-51 22

Presence Resurrection Medical Center

7435 West Talcott

Chicago Illinois 60631

773-792-5845

X

RUSH University Medical Center

1620 W Harrison St.

Chicago, IL 60612

312-947-6379

X

Swedish Covenant Hospital

5145 N California

Chicago, IL 60625

773-878-8200

Ext. 5410

X

X

University of Chicago Hospitals

5841 South Maryland


773-702-0383

X

X

University of Illinois Medical Center

1740 West Taylor


312 -996-3967

X

X

West Suburban Hospital Medical Center

3 Erie Court

Oak Park, Illinois 60302

708-383-6200

X

28

Performance Based Clinical Proficiency Evaluations

At each clinical rotation the student must complete a proficiency evaluation for

Patient Care

Quality Control of Detectors

If students are allowed to inject at your clinical site, complete the injection proficiency

The Radiopharmacy proficiency may need more than one rotation to complete depending on available and allowable procedures at different affiliates. The completed proficiency is required by the end of the program.

By the conclusion of 3 clinical rotations, the student must complete a proficiency evaluation for all procedures listed on the Procedure Proficiency list. As the workload and opportunities to gain proficiency on procedures varies with each clinical site, the student should discuss with each clinical supervisor a plan for completing proficiencies. Although throughout the program students will be exposed to varying opportunities for gaining experience, by the conclusion of the program all students should have attained equal opportunities to observe, assist and perform nuclear medicine procedures.

It is preferred that a student perform procedure proficiencies on actual patients; but due to scheduling or availability of procedures, it may require students to mock proficiencies. During the third semester, the student should discuss with the clinical supervisor the possibility of completing proficiencies that are incomplete and are not listed as ones that may not be mocked as indicated on the Master Proficiency list. Procedures may be mocked with the clinical supervisor, staff technologist if allowed or the program coordinator. Mocked proficiencies require a typed procedure to be attached to the proficiency form before attempting to perform the mock. Photocopies of procedural manuals will not be accepted as a write up.

In order to take advantage of available procedures, students are allowed to complete proficiencies if they are ready even though may not be the suggested semester with the exception of myocardial perfusion studies which cannot be signed off during the summer semester or before the unit on nuclear cardiology has been covered in the didactic curriculum.

Suggested plan of proficiencies to correlate with the college didactic curriculum for each semester:

Summer Semester

Bone

Pulmonary

Fall Semester

Cardiovascular

system

Gastrointestinal

system

Genitourinary

system Central

Nervous system

Laboratory

Spring Semester

Endocrine

Central Nervous

system Oncology

Infection

Therapy

30

For completion of the competencies required by ARRT to sit for the NMT certification examination, please refer to the following link: https://www.arrt.org/docs/default-source/discipline-documents/nuclear-medicine-technology/nmt-competency-requirements.pdf?sfvrsn=a9dd01fc_14

Clinical Education Student Performance Procedure

These procedures were developed for the purpose of encouraging continuous exchange between clinical supervisors and students in an effort to assist the students in meeting the expectations of clinical performance. Clinical education is an integral component of most health technology programs. In these programs, students learn in a combined format of classroom, school laboratory, and clinical practice designed to develop safe, effective practitioners. In the clinical setting, the client's (patient's) welfare and safety must be considered; therefore, it is important for students and faculty to follow procedures which are objective, consistent, and fair when the student's clinical performance is unsatisfactory. In the clinical setting, the instructor observes the student's practice and provides feedback about the quality of the performance. Moreover, the instructor may maintain anecdotal records which can be used in teaching and grading the student. It is only at the end of the learning period designated for a particular clinical procedure that a student's performance can be labeled unsatisfactory. Should unsatisfactory performance occur, these procedures must be followed:

A. Clinical Performance

In the clinical setting, the normal teaching process includes considerable observation of the student's performance and feedback to the student regarding the quality of the performance. Therefore, it is the responsibility of the instructor to keep the student informed about the quality of the performance. It is the responsibility of the student to make sure that the clinical paperwork is presented to the clinical supervisor for completion and then handed in at the College to the Coordinator when they are due. Two areas of evaluation are completed regarding the student's performance: psychomotor and affective.

The psycho motor evaluations are proficiency evaluations completed after the student has become proficient at specific procedures or tasks. Students that have received any "U" (unacceptable) grade in an area of the proficiency evaluation will have to repeat the proficiency until completed satisfactorily in all areas.

The affective evaluations are completed at midterm, and the final grading periods. Any grade of "U" (unsatisfactory) given on the final evaluation will result in a grade of "F" for the clinical course.

A weekly evaluation is completed by the clinical supervisor to comment on both psychomotor and affective skills to help the student gauge their progress.

1. Where a student does not meet approved standards of practice, for a particular procedure, within the designated time for the teaching/ learning period, as stated in the course syllabus, the instructor must inform the student of the unsatisfactory performance.

2. The student will be informed of unsatisfactory performance at a conference to be held before or during the instructor's next scheduled conference time. Documentation of the unsatisfactory clinical performance must be presented to the student at this conference. The Triton College Anecdotal Record Clinical Performance form must be used for this purpose.

https://www.arrt.org/docs/default-source/discipline-documents/nuclear-medicine-technology/nmt-competency-requirements.pdf?sfvrsn=a9dd01fc_14



31

3. At the same conference, a corrective plan for resolution of unsatisfactory clinical performance, developed by the instructor, must be presented to the student. The activities outlined in the corrective plan must be appropriate for correcting the procedure at issue. The corrective plan will be signed by the student and instructor

4. After the "Date of Compliance with Plan", a conference with the student will be held by the instructor to inform the student verbally and in writing if the expectations of satisfactory performance as specified in the corrective plan has or has not been met. The Triton College Anecdotal Record Clinical Performance form must be completed for this purpose, documenting the outcome of the corrective plan.

5. In addition, a conference must be held to discuss the final evaluation and final course grade at the end of the grading period.

6. If the student's clinical performance does not meet the criterion specified in the clinical performance objectives or course syllabus, a grade of "F" for unsatisfactory clinical performance will be given.

7. In the event that a student is not in agreement with the final grade, the student may follow the established grievance procedure in the Triton College Student Handbook. The handbook can be found online at www.triton.edu/moveoxfer/data/Handbook/411_book.pdf

B. Behavior in the Clinical Area

The course syllabi for all clinical courses includes a statement that when a student is at a clinical site, the rules and regulations of that affiliating institution are to be followed in addition to those of Triton College. This is in accordance with the affiliation agreement signed by representatives of Triton College and the affiliating agency. Inappropriate behavior includes but is not limited to:

Failure to maintain proper dress and appearance

Disrespect to superiors or non-cooperation in assigned duties

Discourteous treatment of patients, visitors or employees

Incompetent, neglect of duty or poor performance

Violation of hospital safety rules

Non-adherence of patient confidentiality

Gambling on hospital property

Use of profane language within the hearing distance of patient or hospital personnel

Refusal to work in assigned areas

Physically fighting on hospital property

Absent 2 days without calling in or without a reasonable explanation for not calling in

Abuses of Social Networking and Blogging that implicate the college, Nuclear Medicine Technology program, clinical affiliate, classmates, hospital physician and staff or patients

Any student found to meet any of the following behaviors will meet with program dismissal and a grade of "F" for the clinical course:

Theft of hospital property, dishonesty, falsification of records or possession of clinical records

Possession of drugs, narcotics or alcohol

Attendance under the influence of drugs, narcotic or alcohol

http://www.triton.edu/moveoxfer/data/Handbook/411_book.pdf

32

If the student is suspected of being under the influence of alcohol or drugs while at the clinical site, they can be asked to submit to a drug test for documentation purposes. This test will be the financial responsibility of the student. An incident report should be completed by the clinical site and placed in the student's file at Triton College. Students receiving program dismissal for disciplinary action will not be considered for further participation in the program in any way. They will not be considered for transfer to another affiliate with the current class or with a future class. They will be permanently denied access to affiliates and the program. If a student acts in unacceptable or inappropriate manner and does not comply, the following procedures should be observed:

1. Informal Resolution a. When unacceptable/inappropriate behavior is observed in the clinical area by the

instructor or is reported by agency staff, the instructor must inform the student of the incident immediately and the Department Coordinator and/or Academic Dean as soon as possible.

b. The instructor must review the student's past clinical records to determine if the unacceptable behavior is a first or repeated offense. If it is repeated, the instructor may invoke the formal procedure.

c. Documentation of the unacceptable/ inappropriate behavior must be presented to the student at a conference, which must be held within one week of the original incident. The Triton College Anecdotal Report of Unacceptable Behavior form must be used for this purpose.

d. At the same conference, a corrective plan for resolving the problem must be presented to the student. After the incident is discussed at the conference, the student will be expected to behave in an acceptable and appropriate manner as outlined in the corrective plan. If the student's unacceptable behavior persists, then the formal procedure will be followed.

2. Formal Resolution a. When a student continues to demonstrate unacceptable/ inappropriate

behavior, and student's record indicates repeated noncompliance with rules and regulations of the agency and/or the College, faculty must file a Triton College Incident Report. The faculty member must refer the incident report to the academic dean and department chairperson.

b. A formal report must be sent to the Vice President of Student Affairs at the earliest possible time. It shall include a copy of the incident report.

c. Formal disciplinary action may be invoked by the Vice President of Student Affairs in accordance with the Student Handbook.

d. A copy of the incident report must be filed in the student's records, both in the academic and student affairs areas.

e. The student may file a grievance and appeal the Vice President's decision by following the procedures in the Student Handbook, Ill. Student Disciplinary Procedures, E through H.

f. Resolution of the grievance within one month of origination date or before the end of the semester, whichever comes first.

3. Critical Incident A Critical Incident refers to a situation where the behavior or performance of a student in the clinical agency presents an immediate threat to the safety of the client/ patient, self, or others, as observed by the instructor or clinical agency staff.

33

a. The student must be informed of the significance of the incident immediately and must be temporarily removed from the clinical site by the clinical supervisor. The student may be suspended by the instructor up to three days or until a formal hearing occurs.

b. The department chair and/or academic dean must be notified verbally of the incident as soon as possible. They must review the incident report form before it is submitted to the Vice President

c. The instructor must send, immediately, a formal notification of the incident to the Vice President, using the Triton College Incident Report form. If the incident involved clinical staff, a report from the staff must be obtained utilizing the clinical agency form. If an agency form is not available, the Triton College Incident form may be completed by agency staff.

d. The student must be scheduled for a hearing at the College with the Vice President or designee, as soon as possible, but in no case longer than three days, so that the fewest possible days of instruction would be lost by the student if the ruling is to return the student to the clinical setting. The instructor involved, chair, and dean will be notified of the scheduled hearing by the Vice President and will be in attendance

e. The decision of whether or not to readmit the student to the clinical area will be made after the hearing with the Vice President or designee. In accordance with the Student Handbook the Vice President or designee will render a decision on the appropriate level of discipline.

f. If the student is allowed by the Vice President or designee, to return to the clinical site, the clinical affiliate may request that the involved student NOT be reassigned to the same agency, as stated in the contractual agreement with each clinical affiliate. In this case, all possible efforts will be made by the instructor, program coordinator and/or department chair to reassign the student to another facility. When a student cannot be reassigned because no affiliate is available or other affiliates refuse the student, the student is subject to termination for the course with an incomplete grade. Removal of the incomplete must be done the next time the course is offered. Should all clinical affiliates refuse to accept a student, the student must be terminated from the program.

g. The student may file a grievance and appeal the Vice President's decision by following the procedures in the Student Handbook, Ill. Student Disciplinary Procedures, E through H.

h. If there is evidence that the student is suffering from a mental disorder, the Standards and Procedures for Voluntary and Mandatory Withdrawal in the Student Handbook must be followed.

Statement of Health

Students admitted to the program must complete and submit a physical history and physical examination that certifies their health status prior to entrance to the clinical sites. The physical examination must also include a Quantiferon "OR" 2 step TB, tetanus Varicella, Rubella, Rubeola, RPR and Hepatitis B screening to determine immunity. If no immunity exists, the student must obtain appropriate vaccinations. After all health requirements are completed the Heath Services of Triton College or authorized agency (CastleBranch) will issue a completed checklist. A copy of the checklist is on file in the Program Coordinator's office. All health examination, inoculations and titers are the responsibility of the student. Failure to maintain current health status throughout the clinical rotation schedule is cause for removal from clinical site.

34

Drug Testing

Mandatory drug testing is completed prior to the start of the summer semester or NUM161. Securing required drug testing is the responsibility of the student and test results should be forwarded to the Program Coordinator prior to the start of the NUM161 clinical rotation.

Background Check

All students are required to undergo a criminal background check with the Illinois State Police processed by CastleBranch. Students with a positive background check that contain disqualifying conditions may be prohibited from attending clinical rotations, sitting for board examinations and future employment. Students are responsible for the cost of performing the background check. In the event that a student has a misdemeanor or felony in his/her background, an ethics Review will be required prior to continuing in the program. ARRT PRE-APPLICATION ETHICS REVIEW https://www.arrt.org/earn-arrt-credentials/requirements/ethics-requirements/ethics-review-preapplication NMTCB PRE-APPLICATION REVIEW https://www.nmtcb.org/policies/preappreview.php

Health Insurance

Students are not considered employees of the hospitals and are not covered under any of the clinical education site's Employee Health services. If a student sustains an injury while performing any clinical work or become sick while in the clinical setting the student will need to use their own personal health insurance and assume responsibility for any and all costs associated with any treatment provided. Students must provide proof they carry health insurance and it must be maintained while they are in attendance in the clinical sites as stipulated by the contracts of the clinical affiliates.

Professional Liability Insurance

Professional liability insurance is required while the student is in attendance at the clinical affiliate. This is included in the tuition for the Applied Nuclear Medicine courses. Students must be officially registered and the college must be open on days of attendance in order to be covered by this insurance.

Pregnancy

Students who may be pregnant or become pregnant while enrolled in the Program are not required to inform Program officials. The Program follows the Nuclear Regulatory Commission (NRC) and the Illinois Emergency Management Agency (IEMA) regulations regarding the declared pregnant student (declared pregnant worker). A declared pregnant worker is defined as a woman (female student) who has voluntarily informed her employer (the Nuclear Medicine program Coordinator), in writing, of her pregnancy and the estimated date of conception. Upon receipt of written notification, the risks of radiation exposure will be reviewed with the student by the Radiation Safety Officer/Program Coordinator. The student's schedule will be reviewed and she will be removed from any

https://www.arrt.org/earn-arrt-credentials/requirements/ethics-requirements/ethics-review-preapplication

https://www.arrt.org/earn-arrt-credentials/requirements/ethics-requirements/ethics-review-preapplication

https://www.nmtcb.org/policies/preappreview.php

35

therapy or PET dosing exposure. In addition, she will be provided a fetal body badge to wear along with her regular badges for the entire gestation period. She will also be advised and provided with an apron type shield from the clinical site if she chooses. Students who are pregnant are given the same options as students with extended illness, who incur an injury during the course of the Program or with extenuating circumstances (e.g. pregnancy). See Extended Illness Policy that follows. If the student should decide to continue in the Program while in the clinical rotation, she must obtain her physician's written permission to perform the duties of a Nuclear Medicine technologist. The physician's release must be submitted to the Program Coordinator. The original release will be placed in the student’s file with the program and a copy will be submitted to the Health Services office at Triton College. It is the intention of this policy that the declared pregnant student be given all the information necessary to make an informed decision. It should be noted however, that any decision lies with the student and her physician.

The student can exercise one of the following options if a pregnancy is declared:

1. She may choose to withdraw from the program and allowed to re-enter the program the next year where she left following the readmission policy and if a clinical site is available.

2. She may choose to withdraw from the clinical coursework, but complete the didactic courses for the semester in which she is currently enrolled and re-enter the next year where she left off if a clinical site is available.

3. She may choose to remain in the program for completion of one or more semesters provided the anticipated due date allows the student to complete the semester chosen. If the student chooses this option, she must have her physician provide the college with a statement of the anticipated due date and that the tasks required of the student for the clinical proficiencies will not cause undue harm to the student or fetus. The clinical site must be willing to accept the increased responsibility for the student that may be necessary.

Extended Illness

Students with an extended illness, who incur an injury during the course of the Program, or with extenuating circumstances that may limit their abilities to fully perform the functions required in the clinical education course, meet the attendance requirements and/or accomplish the semester objectives have two options:

1. Receive an Incomplete (I) grade in the clinical education course for the semester in which the illness/injury occurred. All course requirements, objectives, and absences must be made up by the end of the subsequent semester. Keep in mind that all requirements, objectives and time for the clinical education course in the new semester must be satisfied in addition to the completion of the prior semester's requirements, objectives and time. Failure to concurrently complete all requirements, objectives and time may result in the failure of BOTH clinical education courses. In addition, a physician's complete release of the student must be granted in order for the student to return and continue in the Program. Light duty release is not considered acceptable for the practice of nuclear medicine.

2. Withdraw from the Program and re-enter at a later date. Students considering this

option should be aware that voluntary withdrawal from the Program holds no guarantee for re-entry or former clinical assignment.

36

Attendance and Tardiness Policy

Clinical education can only be provided at the clinical site. In order for the student to gain the appropriate level of knowledge in order to perform the skills necessary in the practice of Nuclear Medicine, they must be in attendance at each of their clinical rotations.

If a student must be absent, it is their responsibility to notify the Clinical Supervisor and the Program Coordinator by email at [email protected] or by contacting 708-456-0300 ext.3487. Notification of absence or tardiness should take place before the student's scheduled time of start.

Make up time must be scheduled on days when comparable experiences as the day of absence can occur and must be completed within the semester during which they occurred. This time must meet with the approval of the Clinical supervisor and must not infringe upon the rights of other students. Students are not allowed to be in attendance at clinical sites on days when the college is closed. Make up time not completed prior to the end of the semester will result in an incomplete grade. Time must be made up at the clinical site where it was missed. Failure to complete make-up time within the first 30 calendar days of the next regular semester will result in the grade of Incomplete being changed to a Failure. In cases where the summer semester is the next semester, the student has 15 calendar days to make up the time. It is the student's responsibility to notify the clinical site/supervisor and program coordinator of their absences from the hospital prior to their regular start time. All missed clinical time will need to be made up. Students making up missed time on non-scheduled days can do so with the permission of the clinical supervisor and notification of the program coordinator. All student absence must be noted on the Weekly Clinical Experience Log. This includes illness, personal days, funerals and career days. All required clinical days must be accounted for.

Failure to notify the clinical site of absence: 1s time - verbal warning 2nd time - written warning 3rd time - 1 week suspension 4th time - program dismissal

All absence of 3 consecutive clinical days due to illness requires a physician's release in writing upon return to the clinical site.

Excessive Absence Policy Absences in clinical education course shall not exceed the days the course meets per week in the semester. In semester clinical courses that meet 4 clinical days per week, four absences will be considered excessive. In semester clinical courses that meet 3 clinical days per week, three absences will be considered excessive.

Disciplinary Policy for Excessive Absences: a. Verbal Warning (documented) when student reaches day of occurrence of first

excessive absence. b. Written warning of impending suspension on next absence. c. One day suspension on next occurrence. d. Termination from clinical course on next occurrence.

mailto:[email protected]

37

Excessive Tardy Policy

Tardiness in clinical education course shall not exceed the days the course meets per week in the semester. In semester clinical courses that meet 4 clinical days per week, four late occurrences will be considered excessive. In semester clinical courses that meet 3 clinical days per week, three late occurrences will be considered excessive. Disciplinary Policy for Excessive Tardiness:

a. Verbal Warning (documented) when student reaches day of occurrence of first excessive tardy.

b. Written warning of impending suspension on next day tardy. c. One day suspension on next occurrence. d. Termination from clinical course on next occurrence.

Cell phone and Electronic Devices

The use of cell phones or other electronic devices is prohibited while the student is working in the clinical setting. Their use is only permitted during breaks and lunch periods. Students should respect others when using these devices. If an emergency occurs where the student must be in contact with family, cell phones may be left on silent or vibrate mode only and any emergency calls must be taken away from patient areas. If this emergency situation occurs, the student should notify the Clinical Supervisor of such situations beforehand. Students who disrespect this policy can be sent home by the clinical supervisor and any time missed will be the responsibility of the student to make up.

Dress Code The dress code put forth by the Nuclear Medicine Technology program is instituted to provide a professional appearance so the student will gain the public's confidence and generate an image of an individual who takes pride in their profession, as well as adhering to safety standards. Students are required to adhere to the following dress code. It is the Clinical Supervisor's discretion if a student's appearance is inappropriate. Noncompliance can result in the loss of clinical time as a result of being sent home. Continued non-compliance can result in dismissal from the program. Uniform

Long white lab coat with the Triton College patch attached to upper left sleeve

Appropriate shirt or blouse (no T shirts)

No tight fitting, low cut or see through fabric allowed

Ties optional unless specified at the clinical site for male students

Dark pants

Scrubs may be allowed at some clinical sites - Black, blue, or white long sleeved shirts are allowed under scrubs

All must be clean and in good condition

Shoes and Stockings

Shoes must be clean and in good condition.

Sturdy shoes are recommended to provide comfort and protection for feet

No canvas shoes, clogs, sandals or open toed shoes

Gym shoes may be allowed (limited colors) at some clinical sites

Socks or hose must be worn, No bare legs or feet

38

Hair

Hair must be clean, neat and should not fall into the face of the patients

If necessary, hair needs to fastened up and off the shoulders

Beards and/or mustaches must be kept trimmed, clean and neat Cosmetics and Nails

Make up is to be moderate

Limited perfume/ cologne and lotions should be worn in consideration of patients and coworkers. Strong scents can be offensive to others, especially patients

Nails should be trimmed short and kept clean. Artificial nails or long nails are not allowed as they can be a source of injury and infection to the patient, as well as to the student technologist

Jewelry and Accessories

Items should complement the uniform in a conservative way, no large and/or brightly colored accessories. Examples include one small set of earrings, one or two small hair accessories

Facial and Body Piercing

Student may not wear any piercings or accessories that can be seen with the exception of earrings noted above while at the clinical site

Tattoos

Tattoos which might be considered offensive are prohibited and it is the discretion of the clinical site if students must cover tattoos while at their rotation.

Identification

Students should wear identification name badges provided by the clinical site. All hospital badges are considered property of the site and are to be returned at the end of the rotation.

Personal Radiation Monitoring

Personal radiation monitoring devices for measuring individual radiation exposure will be provided by the college. Students are expected to wear their badges both ring and body while at clinical rotations. The badges will be replaced on a monthly basis. The exposure records are available for review with the Program Coordinator. Students will sign off monthly that they have reviewed their badge readings once received. Students will be responsible for the $25 fine for handing in badges late to cover late fee charged by the reporting company. If a film badge is lost, the Program Coordinator should be notified in writing as soon as possible by the student. Students are responsible for the $25 fine to cover the cost of a lost badge from the reporting company.

Investigational Levels

(mrem per calendar quarter)

Level I Level II

Whole Body 125 375

Extremities 1875 5625

39

Triton College Nuclear Medicine Technology Program

Clinical Calendar

Each clinical has a minimum number of hours determined by the number of credits and ICCB guidelines. 1 credit clinical course = 19 days minimum 2 credit clinical course = 38 days minimum

The program coordinator will assign the days of each specific clinical rotation at the start of the third semester of the program.

Clinical rotation education is also based on availability of clinical sites.

40

Student Name


Student Clinical Evaluation

Clinical Instructor:

Clinical Affiliate Semester:

Evaluation Type. Date:

Student signature: Coordinator Signature

At start of term, the Clinical Supervisor establishes the site's expectations. At the final grading period the student's performance will be assessed to determine pass or

failure of clinical course. Any category marked Unsatisfactory results in failing grade of F.

Site Expectation

Exceeds

Expectation

Meets

Expectation

Needs

Improvement

Unsatisfactory

NIA

Patient Care:

1. Locate and review physician order for study □ □ □ □ □ □

2. Properly introduce him/herself to patient □ □ □ □ □ □ 3. Properly identify patient □ □ □ □ □ □ 4. Explain procedure □ □ □ □ □ □ 5. Take patient history □ □ □ □ □ □ 6. Assist patient on/off scanning table □ □ □ □ □ □ 7. Transfer patient from chair or cart to table □ □ □ □ □ □ 8. Use appropriate safety measures during care of patient □ □ □ □ □ □ 9. Effectively communicate with patient during procedure □ □ □ □ □ □ 10. Monitor patient during study □ □ □ □ □ □ 11. Assist patient to washroom or with bedpan □ □ □ □ □ □ 12. Demonstrate compliance with HIPAA regulations □ □ □ □ □ □ 13. Demonstrate cultural competency □ □ □ □ □ □ 14. Recognize when additional assistance needed □ □ □ □ □ □ 15. Adjust procedure to meet the needs of the patient □ □ □ □ □ □ 16. Displays compassion for the patient, making them feel physically/mentally comfortable □ □ □ □ □ □ 17. Is courteous □ □ □ □ □ □

Camera/ Procedure:

1. Set up room for study □ □ □ □ □ □ 2. Stock room with supplies □ □ □ □ □ □ 3. Position patient for study □ □ □ □ □ □ 4. Use appropriate aides for patient (pillow, supports, blanket) □ □ □ □ □ □ 5. Position camera □ □ □ □ □ □ 6. Change collimator □ □ □ □ □ □ 7. Follow safety practices with equipment □ □ □ □ □ □ 8. Clean room after procedure, properly remove any used supplies □ □ □ □ □ □

Computer:

1. Enter patient data □ □ □ □ □ □ 2. Set up patient study □ □ □ □ □ □ 3. Acquire study □ □ □ □ □ □ 4. Process study □ □ □ □ □ □

Injection:

1. Assemble needed supplies for injection □ □ □ □ □ □ 2. Set IV or butterfly □ □ □ □ □ □ 3. Inject RRX through IV □ □ □ □ □ □ 4. Remove IV □ □ □ □ □ □ 5. Straight stick □ □ □ □ □ □ 6. Flush using 3 way stop cock □ □ □ □ □ □ 7. Follow standard precautions □ □ □ □ □ □ 8. Uses aseptic techniques □ □ □ □ □ □

41

Site expectation

Exceeds

Expectation

Meets

Expectation

Needs

Improvement

Unsatisfactory

N/A

ALARA:

1. Properly monitor prior to leaving department □ □ □ □ □ □ 2. Use appropriate shielding devices to reduce exposure l □ □ □ □ □ 3. Use appropriate practices to reduce exposure to patient/ self/ staff □ □ □ □ □ □

Quality Control:

1. Perform daily camera QC floods □ □ □ □ □ □ 2. Perform SPECT QC- COR, uniformity □ □ □ □ □ □ 3. Perform Daily QC on survey meter □ □ □ □ □ □ 4. Perform QC on thyroid probe □ □ □ □ □ □ 5. Perform constancy on dose calibrator □ □ □ □ □ □ 6. Perform linearity on dose calibrator □ □ □ □ □ □

Hot Lab:

1. Operate survey meter □ □ □ □ □ □ 2. Check in package □ □ □ □ □ □ 3. Calculate dose □ □ □ □ □ □ 4. Prepare RRX □ □ □ □ □ □ 5. Reconstitute and draw up CCK/ cold PYP □ □ □ □ □ □ 6. Eluate generator □ □ □ □ □ □ 7. Ensure proper dose delivered to patient □ □ □ □ □ □ 8. Operate dose calibrator □ □ □ □ □ □ 9. Check dose amount in dose calibrator □ □ □ □ □ □ 10. Properly dispose of RRX waste □ □ □ □ □ □ 11. Log data appropriately □ □ □ □ □ □ 12. Assist in ordering doses □ □ □ □ □ □

Professionalism:

1. Uses legible documentation □ □ □ □ □ □ 2. Uses appropriate verbal skills with patient /staff □ □ □ □ □ □ 3. Demonstrates proper psychomotor skills performing technologist job □ □ □ □ □ □ 4. Works independently without prompts □ □ □ □ □ □ 5. Makes good use of time □ □ □ □ □ □ 6. Works well with others □ □ □ □ □ □ 7. Presents professional appearance according to Program Handbook □ □ □ □ □ □ 8. Asks for clarification as needed □ □ □ □ □ □ 9. Keeps conversations professional in all settings and displays mature adult behavior □ □ □ □ □ □ 10. Is respectful and avoids being argumentative □ □ □ □ □ □

Reliability:

1. Arrives on time in the morning and from lunch or breaks □ □ □ □ □ □ 2. Remains in assigned clinical area □ □ □ □ □ □ 3. Properly notifies if tardy or absent □ □ □ □ □ □ 4. Is not excessively absent □ □ □ □ □ □ 5. Is not excessively tardy □ □ □ □ □ □ 6. Notifies technologist when they are leaving the clinical site □ □ □ □ □ □

Motivation/Initiative•

1. Volunteers to help in other areas without being asked. □ □ □ □ □ □ 2. Demonstrates a desire to complete clinical objectives □ □ □ □ □ □ 3. Performs all procedures expected of them, as well as seeking out work to be done □ □ □ □ □ □ 4. Seeks out unfamiliar and difficult studies to perform □ □ □ □ □ □

Dependability:

1. Can be relied upon to perform and complete specific procedures □ □ □ □ □ □ 2. Performs most previously learned tasks with indirect supervision □ □ □ □ □ □ 3. Accepts responsibility for actions and admits errors □ □ □ □ □ □

Attitude:

1. Accepts constructive criticism in a positive manner □ □ □ □ □ □ 2. Uses criticism as a learning tool □ □ □ □ □ □ 3. Demonstrates control under pressure, handles stressful situations □ □ □ □ □ □ 4. Demonstrates confidence □ □ □ □ □ □ 5. Shows interest in continuing to learn /improve in the clinical setting □ □ □ □ □ □

42


Student Clinical Evaluation

At midterm, please indicate the following:

# times student has been absent ________

# times student has been tardy

Clinical Instructor comments for current semester:

Student's Goals for second half of semester:

Clinical Instructor's recommendations for future:

43

Triton College

Nuclear Medicine Technology

Instrumentation Quality Control Evaluation

Student Name:

Date: ISemester:

Clinical Affiliate:

Evaluator Name

Evaluator Signature:

Camera Quality Control

S U Comments

1 Select radionuclide source of appropriate activity

and energy

2 Calibrate pulse height analyzer

3 Perform field uniformity intrinsically

4 Perform field uniformity extrinsically

5 Perform spatial and linearity resolution checks

6 Perform QC on SPECT system

7 Perform SPECT Uniformity

8 Perform SPECT Center of Rotation

9 Analyze and compare with prior images

10 Maintain the required records for all control checks

Others:

- -

-

-

S= Satisfactory U= Unacceptable N/ A= not applicable

Satisfactory Level: The student can complete the task in an effective and safe manner.

Unsatisfactory Level: The student cannot complete the task in an effective and safe manner.

Any U's appearing on evaluation will warrant a repeat proficiency.

44

Triton College: Nuclear Medicine Patient Care Proficiency Evaluation

Student Name:

Date: ISemester: Clinical Affiliate:

Evaluator name: Evaluator signature:

Patient Care S U !Comments

1 Greets the patient in professional manner

2 Properly verifies patient identification

3 Checks requisitions and physician order

4 Explains procedure to patient before and during exam at

the proper level of understanding

5 Speaks in a voice that the patient can hear

6 Takes patient history with proper amount of detail

7

Follows HIPAA standards and maintains confidentiality of

the patient's information

8 Addresses patient properly, e.g. doesn't refer to them as

"honey", or the "Cardiac patient"

9 Assists patient to imaging equipment

10 Maintains patient's dignity (e.g. covers patient if they

become exposed, privacy for bedpan use)

11 Maintains patient safety (e.g. use of side rails, locked

wheelchairs)

12 Maintains proper care of ancillary patient equipment (e.g.lV

bags hung properly, changed if necessary, Foley catheter

bags below bladder level)

13

If required is able to set up IV bag and adjust if necessary

14 Contacts the proper personnel when help is needed for

patient of help with malfunctioning equipment(e.g. IV

pump, EKG monitoring)

15 Properly assist patient with any movements needed

during procedure

16 Assists patient to be comfortable during procedure (e.g.

offers pillows, wedges or blankets if necessary)

17 Addresses any concerns the patient has during the

procedure

18 During procedure doesn't conduct inappropriate behavior

or conversation in the presence of the patient

19 When procedure is complete, escorts patient back to

waiting room and arranges for transportation

S= Satisfactory U= Unacceptable N/A= not applicable

Satisfactory level: The student completes the task in an effective and safe manner.

Unsatisfactory level: The student cannot complete the task in an effective and safe manner.

Any U's appearing on evaluation will warrant a repeat proficiency. - --

45

Triton College: Nuclear Medicine Technology

Patient Injection Proficiency evaluation

Student Name:

Date: ISemester: Clinical Affiliate:

Evaluator name

Evaluator signature:

Injection s U Comments

1 Greets the patient in a professional manner

2 Properly verify patient identification

3 Checks requisitions and physicians order

4 Explains procedure to patient before performing venipuncture

5 Assembles all necessary equipment to perform venipuncture

6 Student practices ALARA principles by using a syringe shield on

radiopharmaceutical dose

7 Determine best site for venipuncture

8 Apply tourniquet 3-4 inches above injection site

9 Put on gloves

10 Anchor vein with non dominant hand or thumb to prevent movement

11 Puncture skin at a 20-45 degree angle with needle bevel up

12 Blood should enter flash chamber or tubing indicating the vein has been

entered

13 If butterfly or IV catheter, secure needle placement with tape

14 Inject radiopharmaceutical and drawback to rinse syringe

15 Gently remove needle or catheter from vein

16 Immediately apply pressure with dry gauze and secure with tape

17 Properly dispose of all sharps and potentially radioactive contaminated

material

18 Properly dispose of any material that may be contaminated with blood in

biohazard container

S=Satisfactory U=Unacceptable N/A=not applicable

Satisfactory level: The student completes the task in an effective and safe manner

Unsatisfactory level: The student cannot complete the task in an effective and safe manner .. - -------------- ···----- -·-- - - --~-···----------- ·-·-· ------- - ---- -----


46

Triton College: Nuclear Medicine Proficiency Evaluation

Student Name: IProcedure:

Date: Semester: Clinical Affiliate:

Mock: Actual:

Equipment:

Perform Nuclear Medicine Procedure: s u NA Comments

PRE-STUDY PREPARATION:

Check physician orders and requisition before study

Review patient history

Identify indication for exam

Ensure patient is properly prepped if necessary

Identify radiopharmaceut1cal and proper dose

Identify mechanism of localization and route of administration

Identify procedure time frames for injection and imaging

Explains procedure to patient

CAMERA PREPARTION:

Choose proper collimator

Select energy and window settings

Select static vs dynamic parameters

Set up time/counts per view

Set up ancillary equipment

COMPUTER PARAMETERS:

Enter patient information

Select proper protocol for study

Select proper matrix

Select patient views (time/ counts per view)

Static/ dynamic SPECT

Rotation/ number of views/ time per view

PERFORM STUDY:

Attend to patient's needs

Follows ALARA practices while performing study

Properly transfer patient to imaging table

Properly position patient

Performs safe administration of radiopharmaceutical

Circle method of administration: direct venipuncture. inject through existing line. inhalation, oral, not allowed to administer

Adjust instrument correctly to insure best quality image

Acquire prescribed images

Adapts protocol to meet patient's needs

Completes all necessary paper work in accordance with HIPAA

Format images for film

Check films with technologist physician

Release patient

Analyze computer data

Correctly responds to additional questions by technologist

S= Satisfactory U= Unacceptable NA= not applicable

Satisfactory level: Student completes task in an effective and safe manner

Unsatisfactory level: Student cannot complete the task in an effective and safe manner


Evaluator Name : Evaluator Signature:

47

Triton College: Nuclear Medicine Radiopharmacy Proficiency Evaluation

Student Name:

Date: !semester:

Clinical Affiliate:

Summer Fall Spring

Evaluator Evaluator Evaluator

Radiopharmacy Summer Fall Spring

1 Practices radiation safety, wears gloves, lab coat and badges (ring and body)

2 Follows ALARA principles

3 Performs steps to receive radioactive material

a. Visually inspect package

b. Survey exposure rate at surface and 1 meter

C. Open package and verify contents

d. Perform wipe tests

e. Log material into log book/ computer

4 Perform daily quality control on survey meter

5 Perform daily quality control on dose calibrator - Constancy

6 Perform quarterly dose calibrator quality control - Linearity

7 Properly use the dose calibrator to measure doses

8 Calculate patient dose

9 Dispense radiopharmaceutical

a. Verify radiopharmaceutical

b. Draw up correct volume into syringe using aseptic technique and following radiation safety rules

C. Verify dose in dose calibrator

d. Label dose with proper information

e. Record dose information in logs

10 Prepare radiopharmaceutical kit

a. Calculate amount of radioactivity to be added to kit

b. Record volume of eluate added

C. Check activity in dose calibrator

d. Prepare kit according to directions

e. Calculate concentration, label vial with date time of preparation, lot#, concentration and volume

f. Perform necessary quality control tests on radiopharmaceutical

11 Eluate generator with aseptic technique

a. Assay eluate in dose calibrator

b. Perform Molybdenum check

C. Calculate uci Molybdenum/ ml Technetium

d. Record assay results and time in log

12 Properly dispose of radioactive material

a. Perform necessary survey to monitor material

b. Deface radiation labels

C. Record disposal in log

d. Store radioactive material in approved areas

13 Practices good housekeeping

S= Satisfactory U= Unacceptable N/ A= not applicable

Satisfactory level: The student completes the task in an effective and safe manner.

Unsatisfactory level: The student cannot complete the task in an effective and safe manner. - - -


48

SUMMER SEMESTER CLINICAL EXPERIENCE week#

Indicate the amount completed daily with tally marks.

Date Date Date Date

PROCEDURE

Observed Assisted

Performed

Observed Assisted

Performed

Observed Assisted

Performed

Observed Assisted

Performed

CNS

Brain scan

Cisternogram

ENDOCRINE

Parathyroid

Thyroid Scan/Uptake

Thyroid Therapy

CARDIAC

MUGA / Wall motion

1st pass

Myocardial Perfusion

GASTROINTESTINAL

Gastric Emptying

GI Bleed

Hepatobiliary

Meckels

Liver spleen

GENITOURINARY

Renal

Cystogram

SKELETAL

Bone scan

3 phase Bone scan

RESPIRATORY

Perfusion

Ventilation

INFECTION/TUMOR

Gallium scan

WBC imaging

MIBG

Zevlin / Bexxar

Lymphoscintigraphy

PET

Brain scan

Whole body

Cardiac

OTHER

RADIOPHARMACY

Check in shipment

Prepare RRX

Elute generator

Draw up doses

Set IV

Injection

DEPARTMENT

Q.C. Cameras

Survey department

Wipe test department

Acquire patient history

Clinical Instructor: Clinical Instructor

name: signature:

49

Please indicate if the student has observed or performed the following this week:

OBSERVED PERFORMED


Radiopharmacy

Injections

Computer processing

Recommendations

Check those that apply to this week:

Make better use of time

Show more initiative

Pay more attention to patient schedule

Pay more attention to procedural details

Stay with assigned task

Ask more questions

Ask less repetitive questions

Less social conversation

More patient communication

Take notes

Additional Feedback:

50

FALL/ SPRING SEMESTER CLINICAL EXPERIENCE week#

Indicate the amount completed daily with tally marks.

Date Date Date

PROCEDURE Observed Assisted Performed Observed Assisted

Performed Observed Assisted

Performed

CNS

Brain scan

Cisternogram

ENDOCRINE

Parathyroid

Thyroid Scan/ Uptake

Thyroid Therapy

CARDIAC

MUGA / Wall motion

1st pass

Myocardial Perfusion

GASTROINTESTINAL

Gastric Emptying

GI Bleed

Hepatobiliary

Meckels

Liver /Spleen

GENITOURINARY

Renal

Cystogram

SKELETAL

Bone scan

3 phase Bone scan

RESPIRATORY

Perfusion

Ventilation

INFECTION/TUMOR

Gallium scan

WBC imaging

MIBG

Zevlin / Bexxar

Lymphoscintigraphy

PET

Brain scan

Whole body

Cardiac

OTHER

RADIOPHARMACY

Check in shipment

Prepare RRX

Elute generator

Draw up doses

Set IV

Injection

DEPARTMENT

Q.C. Cameras

Survey department

Wipe test department

Acquire patient history

Cinical Instructor: Clinical Instructor

name: signature:

...

51

Please indicate if the student has observed or performed the following this week:

OBSERVED PERFORMED


Radiopharmacy

Injections

Computer processing

Recommendations

Check those that apply to this week:

Make better use of time

Show more initiative

Pay more attention to patient schedule

Pay more attention to procedural details

Stay with assigned task

Ask more questions

Ask less repetitive questions

Less social conversation

More patient communication

Take notes

Additional Feedback:

52

Triton College

Nuclear Medicine Technology Program

Clinical Rotation Agreement

As a student in the Nuclear Medicine Technology program I agree to the following conditions

regarding my responsibilities and attendance during my rotations at the clinical site.

I understand that all clinical records are legal documents and any incidents of falsifying

(including forgery) will result in my immediate dismissal from the Nuclear Medicine

Technology program.

I understand that the program nor the clinical affiliate hold any responsibility to

accommodate my personal schedule for work, child care, or any other scheduling

issues that may arise.

I understand that I have made a commitment to my education and will follow the

assigned hours of the department during my clinical rotation.

I understand that there are no allowed absences during the semester and any

absences must be made up at that clinical site. Students will receive a grade of

incomplete for their clinical course until missed time is made up. Students may not start

their next clinical rotation or graduate until missed time is completed. The students

assigned to that clinical site for the next semester have priority over scheduled days

and will not be expected to accommodate the previous student's ability to make up

time.

I understand that it is my responsibility to make sure that the clinical supervisor and the

program coordinator have been informed of my absence before the student's assigned

start time at the clinical site.

___ I understand I am not allowed to bank time to be used for a future date.

I understand that while at the clinical site my first priority is to devote my attention to

learning and mastering the skills necessary to work in the clinical setting. At no time

should preparation or studying for my college coursework take time away from my

responsibilities at the clinical rotation. Students are expected to attend their clinical

rotation on the days before assigned tests in the college coursework.

I understand failure to follow these rules jeopardize my enrollment in the Nuclear

Medicine Technology program.

Student signature Student printed name

Date

53

SOCIAL NETWORKING and BLOGGING POLICY

Students enrolled in the Triton College Nuclear Medicine Technology program are expected to practice the professional ethics set forth by the program and the field of Nuclear Medicine. As an extension of those professional ethics, a policy on Social Network and Blogging has been established. Students should avoid all discussion on any social network concerning any physician, hospital staff or patient, or any incidents either positive or negative encountered during their experience at the clinical affiliate. Consideration of these policies includes postings on any of the following forms of social networking; e.g. Facebook, Snapchat, twitter, Pinterest, lnstagram, any professional profiles such as Linkedln, and any other message boards, as well as creating or contributing to any blogs.

These forms of communication contain opinions and views from the student's perspective which are not necessarily that of the Nuclear Medicine department, clinical affiliate or of the Nuclear Medicine Technology program. Readers of this material may not understand this and it may lead to negative outcomes for any of the stakeholders. Students are discouraged from discussing clinical experiences while using social networking sites. Confidentiality for all involved stakeholders must be protected and maintained. Students posting on any social network or blog must refrain from revealing any proprietary or trade secret information. Students should assume that the program faculty and coordinator, fellow students, hospital staff and potential future employers are reading your posts and contributions to blogs. Students are expected to exercise respect for all involved. The Nuclear Medicine Technology Program will decide if a social networking use or blog violates this policy set forth. As with all other policies of the Nuclear Medicine Technology program, discipline measures can follow any violation of this policy.

ACKNOWLEDGEMENT OF UNDERSTANDING

I have read and agree to comply with the terms of this policy that outline my responsibility to

the Triton College Nuclear Medicine Technology Program with regards to social networking

and blogs. I understand that violation of this policy may result in disciplinary action that

could include dismissal from the program.

Student Signature Date

Printed Name

54

T

TRITON COLLEGE INCIDENT REPORT

DATE OF INCIDENT: TIME OF INCIDENT:

LOCATION:

NAME(S) OF INDIVIDUAL(S) INVOLVED:

ANECDOTE OF INCIDENT (PROVIDE BRIEF, CONCISE DESCRIPTION OF INCIDENT. ATTACH

ADDITIONAL PAGE IF NEEDED):

(NAME OF STAFF FILING REPORT) (SIGNATURE)

IMMEDIATE ACTION TAKEN (TO BE COMPLETED BY STAFF FILING REPORT. CHECK ALL ITEMS THAT

APPLY): CONTACTED CAMPUS POLICE

CONTACTED HEALTH SERVICES

RECOMMENDED SECTION CHANGE

(PENDING INSTRUCTOR APPROVAL)

COUNSELING REFERRAL

ACADEMIC DEAN/DEPT. CHAIR REFERRAL

ADVISED STUDENT OF INTENT TO TERMINATE FROM CLASS

.3 DAY SUSPENSION INVOKED BY FACULTY

SCHEDULED CONFERENCE W1TH STUDENT

OTHER (PLEASE SPECIFY):

FINAL ACTION (PENDING FORMAL OR INFORMAL HEARING CONDUCTED BY DEAN OF STUDENTS OR

DESIGNEE. CHECK ALL THAT APPLY):

DISCIPLINARY WARNING

DISCIPLINARY PROBATION

SUSPENSION (INTERIM WITHDRAWAL) FROM INSTITUTION

DISMISSAL FROM INSTITUTION

_ TERMINATION FROM CLASS (SPECIFY COURSE AND SECTION #I

OTHER: _

(SIGNATURE) DEAN OF STUDENTS OR DESIGNEE

FOR OFFICE USE ONLY

GRIEVANCE PROCEDURES SENT TO STUDENT

STANDARDS FOR VOLUNTARY AND MANDATORY W1THDRAWAL SENT TO STUDENT

STUDENTADVOCACYSTATEMENTSENTTOSTUDENT

DEAN OF STUDENT RESTRICTION AUTHORIZED

COPIES OF REPORT SENT TO:

55

Acknowledgment of Contents Contained in Nuclear Medicine Technology Program Handbook

I, acknowledge that I have read the Nuclear Print Name

Medicine Technology Program Handbook. Having read its contents, I affirm that I

understand the contents of this document and acknowledge that the Program will

follow and enforce these policies.

Student's signature Date

triton college nuclear medicine technology program handbook€¦ · social network and blogging...

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