Clinical Objectives Technical Affective Skills
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Transcript of Clinical Objectives Technical Affective Skills
Clinical ObjectivesClinical Objectives
Technical and Affective SkillsTechnical and Affective Skills
Patient InteractionsPatient Interactions
Interacts with the patient in a courteous, Interacts with the patient in a courteous, professional manner by:professional manner by:
Patient InteractionsPatient Interactions
Treating All Patients EquallyTreating All Patients Equallydoes not discriminate on the basis of sex, age, does not discriminate on the basis of sex, age, race, creed or religionrace, creed or religion
cares for patients with communicable diseasescares for patients with communicable diseases
Patient InteractionsPatient InteractionsCommunicating With Patients in a Polite and Communicating With Patients in a Polite and
Reassuring MannerReassuring Manneraddresses adult patients by surnameaddresses adult patients by surnamemaintains a positive demeanormaintains a positive demeanorresponds to patient requests and inquiries responds to patient requests and inquiries promptlypromptlylistens and responds to patient concernslistens and responds to patient concernsdirects attention to the patientdirects attention to the patientanswers patient questions to best of abilityanswers patient questions to best of ability
“Hey, I only work here.”
Patient InteractionsPatient Interactions
Maintaining Confidentiality of Patient Maintaining Confidentiality of Patient InformationInformationonly discusses patient information in a only discusses patient information in a professional contextprofessional context
Patient InteractionsPatient Interactions
Maintaining Patient Comfort and ModestyMaintaining Patient Comfort and Modestyprovides patient blanket, pillow, etc. as needed provides patient blanket, pillow, etc. as needed and appropriateand appropriate
covers patient to maintain modestycovers patient to maintain modesty
uses table pads, sponges, etc. as appropriate to uses table pads, sponges, etc. as appropriate to increase patient comfortincrease patient comfort
“I didn’t have time.”
Peer InteractionsPeer Interactions
Interacts with peers in a courteous, Interacts with peers in a courteous, professional manner by:professional manner by:
Peer InteractionsPeer Interactions
Conducting Professional and Courteous Conducting Professional and Courteous Conversations in the Work AreaConversations in the Work Arealistens and responds to inquiries and commentslistens and responds to inquiries and comments
addresses individuals by name and/or titleaddresses individuals by name and/or title
“No Dr., it is actually my second day here.”
Peer InteractionsPeer Interactions
Using Proper Telephone EtiquetteUsing Proper Telephone Etiquetteupon answering the telephone identifies self and upon answering the telephone identifies self and departmentdepartment
listens and responds to inquirieslistens and responds to inquiries
ask permission before placing caller on holdask permission before placing caller on hold
verify that transferred calls reach intended verify that transferred calls reach intended recipientrecipient
“I just assumed that I transferred the call to the right place.”
Peer InteractionsPeer InteractionsMaintaining a Positive Attitude That Is Maintaining a Positive Attitude That Is
Supportive Of Other StudentsSupportive Of Other Studentsdirects concerns to proper authoritydirects concerns to proper authoritycomplaints are of a reasonable naturecomplaints are of a reasonable natureabides by due process guidelines abides by due process guidelines assists other students when not busyassists other students when not busydoes not talk about other students in a does not talk about other students in a negative waynegative way
“I think that other student put barium in my soda!”
Initiative/DependabilityInitiative/Dependability
Displays initiative and dependability by:Displays initiative and dependability by:
Initiative/DependabilityInitiative/Dependability
Completing Assigned TasksCompleting Assigned Tasksonce begun, completes examinationonce begun, completes examination
carries out assigned tasks expeditiouslycarries out assigned tasks expeditiously
Initiative/DependabilityInitiative/Dependability
Seeking Instruction and Guidance When Seeking Instruction and Guidance When NecessaryNecessaryasks for help when unsure of selfasks for help when unsure of self
has radiographs checked by proper authority has radiographs checked by proper authority before releasing patientbefore releasing patient
“But everyone was busy!”
Initiative/DependabilityInitiative/DependabilityPerforming Radiographic Examinations with Performing Radiographic Examinations with
Appropriate SupervisionAppropriate Supervisionhas a technologist directly supervise exams prior has a technologist directly supervise exams prior to competency testingto competency testing
has a technologist indirectly supervise exams has a technologist indirectly supervise exams following competency testingfollowing competency testing
has a technologist directly supervise all repeatshas a technologist directly supervise all repeats
has a technologist approve all radiographs taken has a technologist approve all radiographs taken regardless of the level of competenceregardless of the level of competence
“They said that I should be able to do portables alone.”
Initiative/DependabilityInitiative/DependabilityPerforming Non-Patient Tasks On Own Performing Non-Patient Tasks On Own
InitiativeInitiativemaintains room supply of accessory itemsmaintains room supply of accessory itemskeeps assigned room clean and neatkeeps assigned room clean and neatassists in ancillary areas (i.e. film library, assists in ancillary areas (i.e. film library, patient escort) when patient examinations patient escort) when patient examinations are not availableare not availabledoes not use the internet for entertainment does not use the internet for entertainment purposespurposes “But MySpace threatened to
close my account, I have to clean up my blog!”
Initiative/DependabilityInitiative/Dependability
Remaining In Vicinity of Assigned AreaRemaining In Vicinity of Assigned Areais immediately available to participate in exams is immediately available to participate in exams performed in assigned roomperformed in assigned room
let others know when you are leaving the let others know when you are leaving the departmentdepartment
Initiative/DependabilityInitiative/DependabilitySeeking Opportunities for Clinic PracticeSeeking Opportunities for Clinic Practice
volunteers to perform patient examinationsvolunteers to perform patient examinations
asks questions pertinent to examinations asks questions pertinent to examinations performedperformed
practices positioning when patient examinations practices positioning when patient examinations are not availableare not available
practices equipment manipulation when patient practices equipment manipulation when patient examinations are not availableexaminations are not available
“But, I already comped on that.”
Acceptance of Constructive Acceptance of Constructive CommentaryCommentary
Acknowledges constructive commentary Acknowledges constructive commentary by:by:
Acceptance of Constructive Acceptance of Constructive CommentaryCommentary
Accepting Comments Graciously and Uses Them Accepting Comments Graciously and Uses Them to Improve Performanceto Improve Performancelistens politely to commentslistens politely to commentsallows comments to be completed before allows comments to be completed before respondingrespondingresponds to comments in a professional mannerresponds to comments in a professional mannerconsults appropriate authority for mediation of consults appropriate authority for mediation of problem areasproblem areasnotes areas needing improvingnotes areas needing improvingwhile in clinic attempts to improve areas of while in clinic attempts to improve areas of weaknessweakness
AppearanceAppearance
Maintains a proper, professional Maintains a proper, professional appearance by:appearance by:
Adhering To the Uniform Policy As Outlined Adhering To the Uniform Policy As Outlined In the Student HandbookIn the Student Handbook
AppearanceAppearance
Keeping Uniforms and Shoes Clean and Keeping Uniforms and Shoes Clean and NeatNeatshoes are cleanshoes are clean
uniform is freshly laundereduniform is freshly laundered
AttendanceAttendance
Acknowledges the need for responsible Acknowledges the need for responsible clinic attendance by:clinic attendance by:
AttendanceAttendance
Minimizing AbsenteeismMinimizing Absenteeismis absent no more than three days in any one is absent no more than three days in any one semestersemester
PPS grade begins to lower after 1 to 2 absencesPPS grade begins to lower after 1 to 2 absences
AttendanceAttendance
Reporting To Clinic on Time Reporting To Clinic on Time is not late to clinical siteis not late to clinical site
PPS grade begins to lower after 1 to 2 tardiesPPS grade begins to lower after 1 to 2 tardies
Remember…..your attendance record is the Remember…..your attendance record is the most inquired about attribute by future most inquired about attribute by future employersemployers
QualityQuality
Produces radiographs of diagnostic quality Produces radiographs of diagnostic quality by:by:
QualityQuality
Preparing the Radiographic Room Prior To Preparing the Radiographic Room Prior To Patient ArrivalPatient Arrivalhas appropriate number of IRshas appropriate number of IRs
has prepared contrast media / consent forms if has prepared contrast media / consent forms if applicableapplicable
has enough lead shielding availablehas enough lead shielding available
has anatomic markers, sponges, grids, tape, etc.has anatomic markers, sponges, grids, tape, etc.
QualityQuality
Placing Proper Anatomic Marker and Patient Placing Proper Anatomic Marker and Patient Identification Information on the FilmIdentification Information on the Filmright/left marker is visible and not in pertinent right/left marker is visible and not in pertinent anatomyanatomy
date, patient name and number are visibledate, patient name and number are visible
QualityQuality
Setting Appropriate Technical FactorsSetting Appropriate Technical Factorsmeasure SID – no “guessing”measure SID – no “guessing”
mAs and kVp to produce optimum contrast and mAs and kVp to produce optimum contrast and densitydensity
focal spot size used to produce optimum detailfocal spot size used to produce optimum detail
measures patient and consults technique chartmeasures patient and consults technique chart
selects appropriate AEC cellselects appropriate AEC cell
QualityQuality
Following Department Protocol for the Exam Following Department Protocol for the Exam RequestedRequestedseeks to memorize departmental protocolsseeks to memorize departmental protocols
correct projections are taken for each correct projections are taken for each examinationexamination
“I don’t need to write it down.”
QualityQuality
Maintaining a Repeat Rate That Is Consistent Maintaining a Repeat Rate That Is Consistent With Level of Knowledge and SkillWith Level of Knowledge and Skillpositioning patient properlypositioning patient properly
aligning the x-ray tube, patient and image aligning the x-ray tube, patient and image receptor device appropriatelyreceptor device appropriately
adjusting routine protocol for patient limitationsadjusting routine protocol for patient limitations
QuantityQuantity
Maintains a high level of active Maintains a high level of active participation by:participation by:
QuantityQuantity
Performing Examinations in an Organized Performing Examinations in an Organized MannerMannertakes radiographs in a logical sequence that takes radiographs in a logical sequence that minimizes patient discomfortminimizes patient discomfort
prioritizes tasks to improve efficiencyprioritizes tasks to improve efficiency
QuantityQuantity
Assisting Others When Not BusyAssisting Others When Not Busyvolunteers to help othersvolunteers to help others
“But, I’m not going to be a file room clerk when I graduate.”
QuantityQuantity
Performing Tasks at a Speed Consistent Performing Tasks at a Speed Consistent With Level of EducationWith Level of Educationspeed at which successfully tested competency speed at which successfully tested competency exams are performed gradually increases with exams are performed gradually increases with added practiceadded practice
QuantityQuantity
Seeking Opportunities for Clinic ExperienceSeeking Opportunities for Clinic Experiencevolunteers to assist othersvolunteers to assist others
continues to practice previously completed continues to practice previously completed competencies to increase skillcompetencies to increase skill
with assistance, attempts exams not yet with assistance, attempts exams not yet competency testedcompetency tested
“But, I already have enough comps for the semester.”
Radiation Protection/General Radiation Protection/General SafetySafety
Provides radiation/general protection for Provides radiation/general protection for patients, others and self by:patients, others and self by:
Radiation Protection/General Radiation Protection/General SafetySafety
Asking Female Patients of Child Bearing Asking Female Patients of Child Bearing Age about the Possibility of PregnancyAge about the Possibility of Pregnancycompletes institutional pregnancy questionnairecompletes institutional pregnancy questionnaire
seeks appropriate action when possibility of seeks appropriate action when possibility of pregnancy existspregnancy exists
Radiation Protection/General Radiation Protection/General SafetySafety
Shielding PatientsShielding Patientsshields all patients of childbearing ageshields all patients of childbearing age
may shield all patients upon request by patient may shield all patients upon request by patient or facilityor facility
places shield appropriately for each projection places shield appropriately for each projection takentaken
Radiation Protection/General Radiation Protection/General SafetySafety
Limiting the X-Ray Field to the Area of Limiting the X-Ray Field to the Area of InterestInterestuses the smallest IR possible uses the smallest IR possible
collimates to the partcollimates to the part
Radiation Protection/General Radiation Protection/General SafetySafety
Using Appropriate Radiation Safety Methods Using Appropriate Radiation Safety Methods for Self and Othersfor Self and Othersremoves all unnecessary persons from the room removes all unnecessary persons from the room prior to making the exposureprior to making the exposureensures all persons, other than the patient, in ensures all persons, other than the patient, in the room during radiographic exposure wear the room during radiographic exposure wear protective apparelprotective apparelwears a personnel radiation monitoring deviceswears a personnel radiation monitoring devicespractices the principles of time and distance to practices the principles of time and distance to reduce exposurereduce exposure
Radiation Protection/General Radiation Protection/General SafetySafety
Transporting Patients without Accident or Transporting Patients without Accident or InjuryInjurylocking wheels on wheelchair before assisting locking wheels on wheelchair before assisting patient in or outpatient in or out
driving transport vehicles safelydriving transport vehicles safely
checking for tubing, lines, etc. before moving the checking for tubing, lines, etc. before moving the patientpatient
“I’m sorry nurse, I didn’t mean to pull out that IV line that took you two hours to put in.”
Radiation Protection/General Radiation Protection/General SafetySafety
Transferring Patients without Accident or Transferring Patients without Accident or InjuryInjuryproviding step stools for the patientproviding step stools for the patient
physically assisting the patient as neededphysically assisting the patient as needed
obtaining sufficient lifting help to transfer obtaining sufficient lifting help to transfer stretcher patientsstretcher patients
Radiation Protection/General Radiation Protection/General SafetySafety
Positioning the Patient and Equipment without Positioning the Patient and Equipment without Causing Further Injury to the PatientCausing Further Injury to the Patientprovides pads, cushions etc. for patient comfort and provides pads, cushions etc. for patient comfort and safetysafetymoves x-ray tube away from the table before assisting moves x-ray tube away from the table before assisting patient on and offpatient on and offprovides hand grips for the patient when availableprovides hand grips for the patient when availablecautions patient about grasping the edges of the tablecautions patient about grasping the edges of the tablegives clear instructions to the patientgives clear instructions to the patient
Equipment ManipulationEquipment Manipulation
Properly and safely manipulating the Properly and safely manipulating the radiographic and ancillary equipment by:radiographic and ancillary equipment by:
Equipment ManipulationEquipment Manipulation
Driving and Maneuvering Mobile EquipmentDriving and Maneuvering Mobile Equipmentdrives mobile units safelydrives mobile units safely
maneuvers mobile units in and out of patient maneuvers mobile units in and out of patient rooms or OR suitesrooms or OR suites
Equipment ManipulationEquipment Manipulation
Operating Ancillary EquipmentOperating Ancillary Equipmentturns oxygen on and off as necessaryturns oxygen on and off as necessary
prepares suction machine for usageprepares suction machine for usage
Equipment ManipulationEquipment Manipulation
Processing Radiographs ProperlyProcessing Radiographs Properlyfeeds film into the processor correctlyfeeds film into the processor correctly
processes radiographs properlyprocesses radiographs properly
secures film bin before leaving darkroomsecures film bin before leaving darkroom
produces copies of radiographsproduces copies of radiographs
DR/CR/PACSDR/CR/PACShas understanding of software, image has understanding of software, image manipulation, and exposure protocol (S#, EI, etc.)manipulation, and exposure protocol (S#, EI, etc.)
Patient CarePatient Care
Courteously provides patient care and Courteously provides patient care and comfort by:comfort by:
Patient CarePatient Care
Properly Identifying the PatientProperly Identifying the Patientchecks patient wristbandchecks patient wristband
questions the patient to ascertain identityquestions the patient to ascertain identity
matches patient information to examination matches patient information to examination requestrequest
Patient CarePatient Care
Assisting the PatientAssisting the Patienthelps patient with clothing changeshelps patient with clothing changes
assists patient on and off x-ray tableassists patient on and off x-ray table
provides patient help with bathroom needsprovides patient help with bathroom needs
Patient CarePatient Care
Collecting Pertinent Clinical DataCollecting Pertinent Clinical Datacompletes any required institutional formscompletes any required institutional forms
Patient CarePatient Care
Providing Patient EducationProviding Patient Educationexplains examination preparationexplains examination preparation
explains examination procedureexplains examination procedure
answers patient questions to best of abilityanswers patient questions to best of ability
“Oh, it’s just a little injection, no big deal.”
Patient CarePatient Care
Talking In a Voice That Is Appropriate In Talking In a Voice That Is Appropriate In Tone and VolumeTone and Volumevoice tone and volume are adequate for hearing voice tone and volume are adequate for hearing under normal circumstancesunder normal circumstances
Senior studentsSenior students
meet with me when you are ready to meet with me when you are ready to begin modality rotationsbegin modality rotations
1.1. comps are completedcomps are completed
2.2. approval of rotations by site / Pima approval of rotations by site / Pima
3.3. no more than four weeks at a timeno more than four weeks at a time
HarborviewHarborview
4 week rotations4 week rotationsparking: pay in garage, take bus, locate parking: pay in garage, take bus, locate street parking (limited)street parking (limited)expectations: be aggressive, be proactive, expectations: be aggressive, be proactive, learn to adapt to patient learn to adapt to patient condition/limitations quicklycondition/limitations quicklycan earn compscan earn compsturn in completed trauma objectives and turn in completed trauma objectives and evaluationevaluation
Children’sChildren’s
2 week rotations2 week rotationsparking: whale garage, lower levels (at least for parking: whale garage, lower levels (at least for first day)first day)radiology is located on the 4radiology is located on the 4 thth floor floorexpectations: observe first day or so, earn expectations: observe first day or so, earn confidence from techs, let them know that you confidence from techs, let them know that you are ready to try somethingare ready to try somethingcan earn comps: let clinical instructor know can earn comps: let clinical instructor know which area you want more time in (x ray, fluoro, which area you want more time in (x ray, fluoro, OR)OR)no objectives or evaluations to be completedno objectives or evaluations to be completed