RADIOLOGIC TECHNOLOGY PROGRAM

RADIOLOGIC TECHNOLOGY PROGRAM

PROGRAM POLICIES

AND

CLINICAL EDUCATION MANUAL

2016-2017

Yearly Revision(s)/Update(s) - RT Program Director & RT Faculty Revised: 6/2014 6/2015 6/30/2016

TABLE OF CONTENTS PART I

Page

I. Program Mission Statement ................................................................................... 1 II. Code of Ethics of the American Society for Radiologic Technology .................... 5 III. Program Overview .................................................................................................. 6 IV. Course Description ................................................................................................. 7 V. Service Learning ..................................................................................................... 11 VI. Student/Faculty Expectations ................................................................................. 12 VII. Channels of Communication .................................................................................. 13 VIII. Course and Instructional Evaluation ...................................................................... 14 IX. Student Incident/Injury ........................................................................................... 14 X. Program Policies

A. Program Health Policies ................................................................................. 14 B. Communicable Diseases ................................................................................. 16 C. Radiation Protection ........................................................................................ 16-19 D. CPR Policy ...................................................................................................... 20 E. Health Insurance Policy .................................................................................. 20 F. Behavioral/Dress Code for Clinical Experience ............................................. 20-21 G. Attendance ...................................................................................................... 22 H. Clinical Remediation ...................................................................................... 24 I. Progression in R.T. Program ........................................................................... 24 J. Disciplinary Action ......................................................................................... 24 K. Readmission Policy ......................................................................................... 24 L. Grading Policy ................................................................................................ 26 M. Transfer/Advanced Placement of Students ..................................................... 27 N. Students with Special Needs ........................................................................... 27 O. College Safety and Security ............................................................................ 29

P Course/Classroom Policies .............................................................................. 30 PART II ................................................................................................................................ 33

APPENDICES ....................................................................................................................... 47

TEXTBOOKS/PUBLICATIONS

(Includes Requirements & Recommendations)

Bruce W. Long, Jeannean Hall Rollins, Barbara J. Smith, Merrill’s Atlas of Radiographic Positions and

Radiologic Procedures. Mosby, Inc., St. Louis, MO., 13th ed. 2015. 3 Volume Set Dutton, A. G., Linn-Watson, T., Torres, L. S. Patient Care in Imaging Technology. Lippincott, Williams &

Wilkins. Baltimore, MD. 8th ed. 2012. (Recommended) Eisenberg, R.L. and Johnson, N.M. Comprehensive Radiographic Pathology. C.V. Mosby Co. St. Louis,

MO. 6th ed., 2016. Fauber, Terri L. Radiographic Imaging & Exposure. C.V. Mosby Co., St. Louis, MO. 4th ed., 2013. Kelley, Lorrie and Peterson, Connie. Sectional Anatomy for Imaging Professionals. Mosby Elsevier, St.

Louis, MO. 3rd Edition 2013 (Recommended) National Council on Radiation Protection. (NCRP) Federal Reports. New York State, Department of Health: - State Sanitary Code 16 for Ionizing Radiation October 2011, Public Health Law, Section 225. - Practice of X-Ray Technology: Article 35 (Amended 2009) -Part 89 Practice of Radiologic Technology Statkiewicz Sherer, Mary Alice, Visconti, Paula J., Ritenour, E. Russell. Radiation Protection in Medical

Radiography. C.V. Mosby Co. St. Louis, MO. 7th ed. 2014. (Recommended) D. A. Saia, McGraw Hill Professional, Lange Q & A Radiography Examination, 10th Edition, 2016

(Recommended)

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TROCAIRE COLLEGE


I. MISSION STATEMENT - Trocaire College

Trocaire College, a private career-oriented Catholic college in the spirit of the Sisters of Mercy,

strives to empower students toward personal enrichment, dignity, and self-worth through education in a

variety of professions and in the liberal arts. Recognizing the individual needs of a diverse student body,

Trocaire College provides life learning and development within a community-based environment.

Trocaire College prepares students for service in the universal community.

VISION STATEMENT

Trocaire is the College where lives are transformed. Our graduates will be the first choice of employers.

Mission Statement - Radiologic Technology Program

The faculty of the Radiologic Technology Program accepts the philosophy and mission of Trocaire

College and functions within its framework.

The mission of the Radiologic Technology Program is to provide students with the theoretical

foundation, laboratory, and clinical experiences which will prepare them for entry positions in the field

of Diagnostic Radiologic Technology. The Radiologic Technology faculty sees as its mission the need

to instill those values which will aid the student in his/her development to become a competent

practitioner. This education, requiring academic and technical competence, should prepare him/her for a

career in Radiologic Technology and foster a desire for continuous learning.

The Liberal Arts core curriculum is an integral component of this program. It challenges students not

only to discover and confront their own values, beliefs and ideas, but also to sharpen their skills of

critical thinking, communication, and problem solving, skills vital to success in life and career. Program Goals/Student Learning Outcomes

Goal 1: Students/graduates will demonstrate entry-level clinical competence. Student Learning Outcomes: - Students will utilize appropriate radiographic procedures. - Students will correctly utilize equipment to produce quality radiographic images. - Students will utilize principles of radiation protection. Goal 2: Students/graduates will provide competent and compassionate healthcare to culturally diverse populations. Student Learning Outcomes: - Students will demonstrate competent care to all patients.

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- Students will communicate (oral and written) effectively with a diverse population. Goal 3: Students/graduates will utilize critical thinking and problem solving skills necessary to practice within the radiology profession. Student Learning Outcomes: - Students will assess patient needs, and adapt as required. - Students will identify anatomy, and appropriate levels of quality on radiographic images. Goal 4: Students/graduates will demonstrate professionalism. Student Learning Outcomes: - Students will conduct themselves in a professional and ethical manner. - Students will understand the importance of professional development activities. Goal 5: The Program will graduate entry-level radiologic technologist. (See information on Program’s Effectiveness Data)

Program Assessment Method

Assessment of program effectiveness in the program mission and the program goals will be determined

by didactic, clinical, and program effectiveness goals and criteria.

DESCRIPTION OF THE PROFESSION

Radiologic Technologists use complex radiographic equipment to perform a variety of studies.

Responsibilities include, but are not limited to: patient interviews, instruction, and preparation; quality control testing; execution of patient imaging procedures; computer image acquisition and image enhancement; and, patient preparation for various procedures. A medical Radiologic Technologist must demonstrate knowledge and understanding of pathology and pathophysiology in different disease states. A Radiologic Technologist must have an understanding of radiographic physics and instrumentation. The Radiographer must exhibit professionalism in the performance of these duties, demonstrate an empathetic and instructional approach to patient care, and, maintain confidentiality of information as required. Professional growth and development is achieved through participation in medical and technical education and research to enhance the quality of patient care.

Upon successful completion of the Trocaire College Radiologic Technology Program, the graduate should be able to demonstrate entry level competencies in the above areas of the professional practice. Therefore, all applicants who are admitted to the program and become Radiologic Technologists in training must demonstrate the following abilities and meet the following expectations:

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Observation

Visual acuity is necessary for watching patients’ vital signs and for accurate image acquisition for all radiographic examinations.

Communication

Hearing and speech needs to be sufficient to communicate effectively and efficiently with all patients. Communications include not only speech, but also reading and writing. The applicant/Radiologic Technologist in training must be able to:

Read and comprehend technical and professional materials. Follow verbal or written instruction in order to correctly and independently perform procedures. Clearly instruct patients prior to and during procedures. Communicate with faculty members, fellow students, staff and other healthcare professionals verbally and in a recorded format (writing, typing, etc.). Psychomotor

The applicant/Radiographer in training must have manual dexterity and good physical coordination to position patients and operate and transport radiographic equipment and must have full range of motion, utility of arms, hands and fingers in order to perform examinations and operate equipment. This is also necessary to assist patients on and off examination tables and to assist patients and other Radiologic Technologists with lifting patients out of wheel chairs and off carts onto examination tables when necessary. The applicant/Radiologic Technology student in training must be able to push the portable equipment (500 pounds) and maneuver this equipment along with patient equipment in the patient’s room.

Intellectual

The Radiologic Technology applicant/student must:

Possess these intellectual skills: comprehension, measurement, mathematical calculation, problem solving, reasoning, integration, analysis, comparison, self-expression and criticism. Be able to exercise sufficient judgment to recognize and correct performance deviations. Be prepared to recognize any condition, whether observed in the radiographic image, or in patient behavior, which may pose immediate threat to health or life and react appropriately. Behavioral and Social

The Radiologic Technology applicant/student must:

Be able to manage time to complete didactic and clinical tasks within realistic time constraints. Possess emotional health necessary to effectively employ intellect and exercise appropriate judgment. Be able to provide professional and technical services in spite of the stresses of heavy workloads. Be flexible, creative and adaptable to clinical and didactic changes.

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Recognize potentially hazardous materials, equipment and situations and be able to proceed safely to reduce risk of injury to patient or self. Support and promote the activities of fellow students and health care professionals. Be honest, compassionate, ethical and responsible. Always safeguard and preserve the confidentiality of patient information in accordance with office policy.

Technical

The Radiologic Technology applicant/student must perform radiographic procedures by demonstration appropriate competency in the following:

Patient education Patient care and management. Radiation protection. Obtaining appropriate clinical history in order to adapt imaging techniques accordingly. Equipment configuration and operation. Performing radiologic exams. Determining if contrast injection is indicated, and acting accordingly, as in venipuncture. Wearing lead aprons, thyroid shield and/or lead glasses for extended periods of time. It is your responsibility to notify the Program Director/and or Clinical Coordinator if there is any reason you cannot meet the expectations for the Radiologic Technology students described above with or without reasonable accommodations.

Availability of Program Standards

In order to be an approved and accredited program in Radiography, Trocaire College must meet the

"Standards for an Accredited Educational Program in Radiologic Sciences" published by the Joint

Review Committee in Education of Radiologic Technology (JRC/ERT). The "Standards" present the

minimum accreditation standards for an educational program and include all the requirements for which

the program is held accountable.

A copy of the "Standards" is available on the RT bulletin board outside the Radiology Laboratory, in

the Program Director's Office.

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II. CODE OF ETHICS OF THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS

The Code of Ethics forms the first part of the Standards of Ethics. The Code of Ethics shall serve as

a guide by which Registered Technologists and Applicants may evaluate their professional conduct as it

relates to patients, health care consumers, employers, colleagues and other members of the health care

team. The Code of Ethics is intended to assist Registered Technologists and Applicants in maintaining

a high level of ethical conduct and in providing for the protection, safety and comfort of patients. The

Code of Ethics is aspirational.

Principle 1. The Radiologic Technologist conducts herself /himself in a professional manner,

responds to patient needs, and supports colleagues and associates in providing quality

patient care.

Principle 2. The Radiologic Technologist acts to advance the principle objective of the profession to

provide services to humanity with full respect for the dignity of mankind.

Principle 3. The Radiologic Technologist delivers patient care and service unrestricted by the

concerns of personal attributes or the nature of the disease or illness, and without

discrimination on the basis of sex, race, creed, religion or socio-economic status.

Principle 4. The Radiologic Technologist practices technology founded upon theoretical knowledge

and concepts, uses equipment and accessories consistent with the purposes for which

they were designed, and employs procedures and techniques appropriately.

Principle 5. The Radiologic Technologist assesses situations; exercises care, discretion and judgment;

assumes responsibility for professional decisions; and acts in the best interest of the

patient.

Principle 6. The Radiologic Technologist acts an agent through observation and communication to

obtain pertinent information for the physician to aid in the diagnosis and treatment of the

patient and recognizes that interpretation and diagnosis are outside the scope of practice

for the profession.

Principle 7. The Radiologic Technologist uses equipment and accessories, employs techniques and

procedures, performs services in accordance with an accepted standard of practice, and

demonstrates expertise in minimizing radiation exposure to the patient, self and other

members of the health care team.

Principle 8. The Radiologic Technologist practices ethical conduct appropriate to the profession and

protects the patient’s right to quality radiologic technology care.

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Principle 9. The Radiologic Technologist respects confidences entrusted in the course of professional

practice, respects the patient’s right to privacy and reveals confidential information only

as required by law or to protect the welfare of the individual or the community.

Principle 10. The Radiologic Technologist continually strives to improve knowledge and skills by

participating in continuing education and professional activities, sharing knowledge with

colleagues and investigating new aspects of professional practice.

III. PROGRAM OVERVIEW

RADIOLOGIC TECHNOLOGY - A.A.S.

The Radiologic Technology program prepares the graduate to assume the duties and responsibilities

of a Diagnostic Radiographer with confidence and ability. The Radiologic Technologist, as a skilled

professional and as a member of the health care team, exercises independent judgment and discretion in

technical radiographic procedures.

The Diagnostic Radiography course is a two year program with lecture and laboratory components

provided at the College. Related clinical experience is obtained at area hospitals or health agencies

affiliated with Trocaire. In addition to basic entry level skills, the student also has the opportunity to

observe the latest advanced imaging modalities. Cardio-Pulmonary Resuscitation Certification (CPR) is

required for all students before beginning the Radiologic Technology Program. Transportation to and

from the College and/or the clinical affiliates is the responsibility of the individual student.

The Radiologic Technology Program is accredited by the JRC/ERT (Joint Review Committee on

Education in Radiologic Technology). Upon completion of the academic and clinical requirements, the

graduate receives an Associate in Applied Science degree (A.A.S.), and is eligible to take the national

credentialing examination for both New York State Licensure and the American Registry of Radiologic

Technologists (ARRT)(R).**

**When a Radiologic Technology Student completes an application for New York State Licensure,

and, the ARRT(R), questions are asked about conviction of a crime and pending charges. These

questions appear on both application forms. If the answers are in the affirmative, particulars and

disposition of each charge must be listed. A conviction is not an automatic bar to licensure and registry;

however, each case is considered and investigated on its individual merits.

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IV. COURSE DESCRIPTION RADIOLOGIC TECHNOLOGY I *BIO 130/130L must be taken prior to or concurrently with RT I coursework. RT 101 Image Acquisition and Evaluation I (3) This course begins with the basics of conventional imaging and x-ray tube construction. Students then examine exposure factors and investigate density/brightness, contrast, blur distortion, beam restriction, filtration, grid use and scatter radiation and their effects on image quality. When appropriate, students work in class on mathematical calculations and evaluate image quality. (Fall Semester) RT 102 Radiographic Procedures I (2)* This course begins with an introduction to the specific nomenclature, as well as underlying principles of radiographic positioning. Routine and advanced positioning studies, correlated with anatomy of the upper and lower extremities, chest, abdomen, thorax and the urinary and digestive systems are presented. (Fall Semester) RT 102 L Applied Radiographic Procedures I (1)* The College Laboratory component of Radiographic Procedures I contains anatomy and positioning applications, as well as image critique sessions. A competency-based system of evaluation is utilized. Two Laboratory Hours (Fall Semester) RT 103 Patient Care and Management I (1)* This course is designed to assist the student to develop both general and specific interactive skills in patient care. It focuses on record maintenance and administrative procedures, ethics and medicolegal issues, patient safety and transfers, vital signs, emergency situations, infection control, oxygen delivery, EKG monitoring, and contrast media. (Fall Semester) RT 104 Clinical Education I (2)* This course requires practical clinical application of knowledge and skills, and involves clinical experiences in general radiographic areas and contrast studies. It is taken concurrently with the didactic components of the semester, and is provided at the College’s clinical affiliates. A competency - based system of evaluations is utilized. Two days (Fall Semester) RT 104 Clinical Education I – 2 Credit Hours

Credits Awarded

Minimum Contact Time

per week

Minimum Instructional

Time Total for 15 weeks

(Contact time x weeks)

Minimum Out of Class

Student Work per

week


Student Work total for 15

weeks (Outside

work x weeks)

Total of Instructional Contact time and Out of

Class student work

2

16 hrs./week = 960 mins/week

240 hrs. total = 14,400 mins

N/A N/A 240 hrs. total = 14,400 mins

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RADIOLOGIC TECHNOLOGY II Prerequisites: Radiologic Technology I (RT 101, RT 102/102L, RT 103, RT 104) and BIO 130/130L with a grade of “C” or better.

BIO 131/131L must be taken prior to or concurrently with RT II coursework

RT 105 Image Acquisition and Evaluation II (3)* This course continues instruction on radiographic imaging principles with an emphasis on radiographic techniques then digital imaging. Students first learn technique selection and the use of automatic exposure control, and technique charts. Mathematical formulas (algebra level) are utilized for technique compensation. Computerized radiography (CR) and direct readout (DR) digital radiography are discussed in terms of image receptors, image acquisition, spatial resolution, contrast resolution, and processing. (Spring Semester)

RT 106 Radiographic Procedures II (2)* This course focuses on both routine and advanced positioning studies, correlated with anatomy of the spine, skull, and thorax. (Spring Semester) RT 106L Applied Radiographic Procedures II (1) * The College laboratory component of Radiographic Procedures II contains anatomy and positioning applications of the spine, skull, and thorax correlating with film critique sessions. Again, a competency - based system of evaluation is utilized. Two Laboratory Hours (Spring Semester)

RT 107 Patient Care and Management II (1)* This course includes units on pharmacology, drug administration, and the monitoring of medical equipment. In addition, specialized radiographic procedures are discussed throughout this semester. (Spring Semester) RT 108 Clinical Education II (2)* In this semester, clinical experiences are provided in general radiographic areas and contrast studies to include radiography of the skull and spinal column. It is taken concurrently with the didactic components of the semester and is provided at the College’s clinical affiliates. A competency - based system of evaluation is utilized. Two days (Spring Semester) RT 108 Clinical Education II – 2 Credit Hours

Credits Awarded


per week





Student Work per

week



weeks (Outside

work x weeks)


Class student work

2




9

RT 109 Applied Radiologic Technology I (6) In the first summer clinical component, the student continues to gain experience in general radiographic and contrast studies, as well as portable and surgical radiography. Experiences are provided at the College’s clinical affiliates. A competency - based system of evaluation continues to be utilized. Five days per week for a total of eight weeks. (Summer I) The Program/College Service Learning Component is included within this session.

*Prerequisites: Radiologic Technology II (RT 105, 106, 106L, 107, 108) and BIO 131/131L with a grade of a “C” or better. RT 109 Applied Radiologic Technology I – 6 Credit Hours

Credits Awarded


per week



SUMMER (Contact time

x weeks)


Student Work per

week



weeks (Outside

work x weeks)


Class student work

6

35 hrs./week = 2,100 mins/week


N/A N/A Subtotal 280 hrs. total =

16,800 mins

Subtract 2 holidays =

14 hrs. = 840 mins

Total =

266 hrs. = 15,960 mins

RADIOLOGIC TECHNOLOGY III *Prerequisites: Radiologic Technology II (RT 105, 106, 106L, 107, 108) and BIO 131/131L, RT 109 with a grade of a “C” or better. RT 201 Equipment Operation and Maintenance I (3)* This course covers basic electrical and mechanical examples as applicable to the structure and operation of radiologic equipment. It includes identification of structure and function of x-ray generating devices and circuitry with emphasis on the radiographic tube. (Spring Semester) RT 202 Radiation Physics and Protection (3)* This course explores the interactions between radiation and matter. The electromagnetic spectrum and related radiation concepts are discussed. Students will learn about radiation detection and monitoring and the appropriate units of measurement. All aspects of radiation protection and dose reduction for patients and occupational radiation workers are explained. (Fall Semester) RT 203 Applied Radiologic Pathology (3)* This course provides the student with investigation into the basic principles of radiographic pathology. The student will research a pathologic condition and place emphasis on the disease/injury process, the radiographic appearance and treatment. Normal anatomy and physiology is reviewed and compared with pathologic abnormalities. There is a focus on the changes which occur as a result of disease and injury which necessitates alteration of standard radiographic exposure applications. (Fall Semester)

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RT 205 Clinical Education III (2)* In the second year, students continue to gain general radiographic experiences, as well as begin experiences with special procedures, the emergency room, and other imaging areas. These areas include CT (computerized tomography), MRI (magnetic resonance imaging), Sonography, and Bone Densitometry. All experiences are offered at the College’s clinical affiliates. A competency-based system of evaluation is utilized. Two days (Fall Semester) RT 205 Clinical Education III – 2 Credit Hours

Credits

Awarded


per week





Student Work per

week



weeks (Outside

work x weeks)


Class student work

2




RADIOLOGIC TECHNOLOGY IV *Prerequisite: Radiologic Technology III (RT 201, 202, 203, 205)

RT 207 Radiation Biology (2)* This course begins with the effects of radiation on normal cell biology. Factors influencing the molecular and cellular response are discussed. Stochastic (probalistic) and non-stochastic (deterministic) effects of radiation on tissue, organs, and whole body systems are presented with in-utero and genetic effects. (Spring Semester) RT 209 Advanced Topics for the Radiographer (2)* This course offers the student a variety of integrated topics. Advanced positioning methods, special procedures, interventional radiography and computerized tomography (CT). Numerous special imaging modalities are explored and communicated to the class through student research projects. Career development engages the student with resume preparation and mock interviewing. The student technologist will be prepared to contribute to the diagnostic imaging team upon completion of this course. (Spring Semester) RT 210 Clinical Education IV (2)* Specialty clinical experiences continue as the students demonstrate applications of knowledge and skill. This course is taken concurrently with the didactic components of the semester and is provided at the College’s clinical affiliates. A competency - based system of evaluation is utilized. 2.5 days (Spring Semester) RT 210 Clinical Education IV – 2 Credit Hours

Credits Awarded


per week





Student Work per

week



weeks (Outside

work x weeks)


Class student work

2




11

RT 211 Applied Radiologic Technology II (6) * Clinical experience involving general radiography, contrast studies, portable radiography, surgery, and specialty examinations. In addition, the student is provided opportunities for preparation for the American Registry (R) Examination. Five days per week for a total of eight weeks. (Summer II)

RT 211 Applied Radiologic Technology II – 6 Credit Hours

Credits Awarded


per week



SUMMER (Contact time

x weeks)


Student Work per

week



weeks (Outside

work x weeks)


Class student work

6

35 hrs./week = 2,100 mins/week


N/A N/A Subtotal 280 hrs. total =

16,800 mins

Subtract 2 holidays =

14 hrs. = 840 mins

Total =

266 hrs. = 15,960 mins

RT 212 Sectional Anatomy for the Radiographer (1) * This course is designed to provide the Radiologic Technology student with an introductory overview of human anatomy, viewed in body sections, as it related to imaging. Anatomical structures are viewed in the axial, coronal and sagittal planes. Emphasis is placed on the head, thorax and abdomen. (Fall Semester) V. Service Learning is a method whereby students learn and develop through active participation in

thoughtfully organized service that is conducted in the community and meets the needs of the community. It

is a teaching method in which students apply course concepts to real life experiences that meet a community

need. Students will apply their willingness to learn through service to others. The experience will provide

students with interaction with individuals outside the institutional setting. In keeping with the Mission of

Trocaire College and Mission of the Radiologic Technology program, service learning has been incorporated

into the Program. Arrangements are made on an annual basis for the students.

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VI. STUDENT/FACULTY EXPECTATIONS

Faculty members are here to assist the student in acquiring radiologic knowledge and techniques to

meet our combined goals. However, you, the student, must make the decision to learn as well as to have

strong motivation to succeed. In order to work together successfully, students and faculty need mutual

expectations.

Students may expect the following from the faculty:

1. Lectures designed to emphasize important information.

2. Faculty to function as role models.

3. Clinical experiences allowing the application of theoretical knowledge to practice with

appropriate supervision.

4. Assignments that are designed to meet classroom objectives and clinical competencies.

5. Assignments that are returned at an agreed upon time.

6. Classes and laboratories that begin and end on time.

7. Office hours observed as stated.

8. Clinical observation to include advanced imaging applications in updated modalities within the

field.

Faculty expect the following from students:

Be informed of, and, adhere to College policies and procedures, as published in the Student Handbook

and/or Catalog. These include: academic, financial aid, student services, student conduct, disciplinary

action, alcohol, drugs, health program, AIDS & HIV, sexual assaults, smoking, speakers, release of student

records, Family Rights, and privacy, etc.

Adhere to regulations concerning cheating, plagiarism, and misrepresentation in general, as outlined in

Trocaire College Student Handbook.

1. Report to classes and laboratories on time and be prepared to learn.

2. Read assignments and objectives prior to classes and laboratories. Submit any written

assignments on time.

3. Report to clinical education center on time, in proper attire according to Code for Professional

Behavior, and be prepared to give safe, effective care.

4. Notify the clinical instructor of absence prior to the start of the clinical day (see directions

under Program Policies).

5. Treat each patient with dignity and respect.

6. Adhere to clinical instructor's directives in all aspects of patient care.

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7. Maintain confidentiality regarding patient information, which includes strict adherence to

HIPAA Guidelines.

8. Seek appropriate guidance. Contact instructor for an appointment during instructor’s scheduled

office hours.

9. Make and keep scheduled appointments.

10. Complete clinical competencies within required period of time.

11. Check the appropriate bulletin board(s) for current information.

12. Read and initial the personnel monitor report(s) posted on the RT bulletin board.

13. NO cell phones, beepers or text messaging during any learning activities at the College and the

Clinical Education Centers (CEC).

14. Email is considered the College’s official means of communication. Students are expected to

check this on an ongoing basis.

When faculty and students adhere to these expectations, our combined goals will be met.

Student-Faculty Appointments

Students may make appointments to see faculty members during scheduled office hours or at other

pre-arranged times. Office hours will be found posted on individual office doors. Faculty may also be

contacted by leaving a message via voice mail or e-mail.

VII. CHANNELS OF COMMUNICATION - RADIOLOGIC TECHNOLOGY

Every RT student is appointed an advisor at each RT level. The advisor is a RT faculty member

who assists an individual student in matters related to academic progress within the program/College.

If a problem should arise, the student initially sees the faculty member directly involved to seek a

resolution. If the student feels the problem has not been satisfactorily resolved, the Program Director should

then be consulted. If no resolution is reached, the matter will be brought to the Dean of the Division of

Health Professions.

Channels of Communication

STEP I - Faculty Member Directly Involved (Professor, RT Advisor, Adjunct Faculty and/or or Clinical Instructor) STEP II - Director of Radiologic Technology: Mrs. Nancy L. Augustyn Clinical Coordinator: Mrs. Ann Smith

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VIII. COURSE AND INSTRUCTIONAL EVALUATION Evaluation of Radiology courses - At the end of every semester, students are asked to

constructively evaluate the instructor(s) and courses they have completed. The purpose of evaluation is to

rate the course in an objective manner and offer constructive suggestions. This is done on-line via Trocaire

website and includes a rating scale and an opportunity to write comments. Evaluation forms are reviewed by

the RT faculty and administration. Changes in the curriculum have resulted from student evaluations.

An exit interview with each graduate is conducted by the Clinical Coordinator to evaluate the entire

program and to discuss future plans.

Evaluation of Instruction - At the end of the semester students will also be asked to rate both

classroom and clinical instructors. Students are asked to evaluate instructors in an objective manner and have

the opportunity to offer constructive suggestions. Students' evaluations are used by faculty members for

self-growth and improvement in their individual teaching responsibilities.

In addition to students, faculty members are evaluated by peers, administrators and themselves. The

total process of evaluation is to ultimately improve the total RT program.

IX. STUDENT INCIDENTS/INJURIES

A student must report incidents to the instructors or appropriate facility personnel immediately.

When an incident occurs at a clinical site, i.e. student injury or patient/client-related mishap, after initial

actions are complete, appropriate facility and College forms must be completed. (See Appendix for copy of

form). Forms are available through the Coordinator of Health Records.

A student who sustains personal injury must report to the Student Health Office for completion of

necessary paperwork, as soon as possible after the incident has occurred.

X. PROGRAM POLICIES

A. PROGRAM HEALTH POLICIES

In order to participate in Health Science Programs, the student must be in good health and free from

communicable diseases and, further, must be physically (See Technical Standards) and emotionally capable

of performing all of the required responsibilities of clinical experiences and meeting program objectives.

Students must also meet health requirements of Health Science Program affiliates as stated in clinical

affiliate agreements and/or clinical affiliate policies. Students are expected to provide a safe level of patient

care and must understand that the welfare of the patient supersedes the special needs of the student.

A health report consisting of a medical history, an immunization record and a physical examination is

required of each accepted student. The health report "shall be of sufficient scope to ensure that no person

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shall assume his/her duties unless he/she is free from a health impairment which is of potential risk to

patients or personnel or which might interfere with the performance of his/her duties, including the

habituation or addiction to depressants, stimulants, narcotics, alcohol or other drugs or substances which may

alter the individual's behavior." (New York State Department of Health Code 405.3 [b] [10]).

1. The student must have adequate visual and auditory (with or without hearing aids) acuity, and

communication skills necessary to meet objectives of the program.

2. The student must have sufficient physical ability and manual dexterity to meet program

requirements including: the physical ability to stand, walk, kneel, lift, bend, push, carry, hold,

grasp without restriction and/or assistance and draw up solutions in a syringe.

3. Any students with a seizure disorder must present medical certification, from the attending

physician, of being seizure free for one year.

4. Any student who has been treated, hospitalized or absent due to pregnancy, surgery, injury, serious

physical and mental illness or emotional disorders must present medical documentation of:

a. Ability to participate without restriction in classroom, college laboratories and clinical

areas.

b. Adequate physical, mental and/or emotional ability to continue in the program of study.

5. Any student who, because of medical restriction, is unable to meet program objectives will

be required to withdraw from the respective program. (See Appeals Process)

6. Students must have submitted proper documentation of all required health information or

provide a documented statement of medical/religious exemption prior to the commencement of

classes and/or continuance in a Health Science Program

7. New RT Students must meet all immunizations and health record requirements prior to the start

of clinic. Yearly TB tests and flu vaccines are required. Students meeting these requirements

will be permitted to attend classes, clinic or laboratory experiences. A student may elect NOT

to have the flu vaccine. He/she must also sign the “Declination of Influenza Vaccination for

Health Care Personnel” form. (See Appendix)

8. The student will be responsible for submitting to the Health Office all required updated

immunization records, test results, medical clearance forms, and annual health

assessments. Failure to do so will result in suspension of clinical experiences, and in some

cases, suspension from class attendance.

9. The College must provide student health information to clinical agencies as required by New

York State Department of Health regulations and legal contracts with affiliating agencies.

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Any student accepted into a Health Science Program at Trocaire College will be required to meet the

technical criteria outlined above. Students are advised that the College and clinical agencies associated with

the Health Science Programs will rely upon the health information supplied by and for the student. Any

student who withholds or knowingly submits incorrect health information shall be subject to disciplinary

action (Student Handbook).

B. COMMUNICABLE DISEASES

Any Trocaire College student who has been exposed to and/or has any communicable disease or

condition must do the following:

1. The professor/instructor or student must contact the Director of Health Records and

Services to discuss the condition. (716-827-2489) Room 114

2. Students will need a written physician’s release to once again attend classes or clinical.

3. If they have seasonal flu and/or H1N1 flu, the physician does not need to be contacted

unless the student is very ill. Students must stay home until symptoms subside and their

temperature is normal for 24 hours without Tylenol, etc.

1. Radiation Protection -State and Federal Guidelines

The Radiologic Technology program is governed by and strictly adheres to the rules,

regulations, and Codes for Radiation Protection of the Student Radiologic Technologist (SRT)

and the patient as written in:

a. New York State Department of Health, Bureau of Environmental Radiation Protection:

1. Sanitary Code Chapter I - Part 16

2. Public Health Law - Article 35 - Practice of Radiologic Technology

3. Chapter II Administrative Rules and Regulations, Subchapter L - Part 89 - Practice of

X-ray Technology

4. Publications: Newsletter, Articles

b. National Council on Radiation Protection and Measures Reports.

All RT students are expected to follow the radiation protection practices put forth by the

above agencies and presented, discussed, and applied during Radiation Protection lectures

and labs. Sample regulations include:

c. . Consumer – Patient Radiation Health and Safety Act of 1981.

(Title IX of Public Law 97-35).

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2. Radiation Exposure and/Protection

During the course of the Radiology Technology program students will be exposed to ionizing radiation. All students, when working with ionizing radiation, must adhere to the ALARA concept, which means: as low as reasonably achievable. The main components of the ALARA concept are time, distance, and shielding. All students must make the attempt to minimize the time of an exposure, maximize distance for personnel and others in the exposure area from the primary beam, and shield themselves, the patient or others when possible. This is a concept the students will learn and utilize during the education process of becoming a Radiologic Technologist.

a. To ensure compliance the student will: • Take the time to assure they are properly protected under all circumstances (portables, fluoroscopy, etc.) • Practice ALARA concepts. • Always wear the badge at the neck level and OUTSIDE the apron. • Not allow the body to be in the primary beam. • Not hold patients or image receptor (IR) under any circumstances. • Take proper precautions with Thermoluminescent Dosimeter (TLD). Do not leave them in radiation areas

or use them for personal exposure.

3. Shielding

Examples of shielding guidelines are presented in the lecture/lab courses during the Orientation and

the semesters.

a. RT Students

Proper lead shielding must be worn during fluoroscopy and mobile radiographic and

fluoroscopic work.

b. Patients

The student is expected to exercise sound radiation protection practices for the patient’s

welfare at all times.

c. Provisions for Radiation Safety Rules require:

1. Mechanical devices (instead of persons) must be used whenever possible to

immobilize patients.

2. Women of child-bearing age and persons under 18 must never be used to hold patients.

3. Any person holding patients must be monitored for radiation exposure.

4. Any person other than the patient who remains in an x-ray room during exposure must be

protected with shielding devices such as lead aprons and gloves.

5. No person may regularly hold patients during exposure.

6. No person who regularly works with radiation (including technologists and student

technologists) may hold patients during exposure.

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7. Persons holding patients during exposure must be protected with lead aprons

and gloves and no part of their bodies may be in the direct X-ray beam.

Students are required to abide by all safety precautions. The importance of keeping exposure as low as

reasonably achievable (ALARA) through a combination of time, distance and shielding is stressed.

4. Radiation Monitoring Device The student will be issued a radiation monitoring device (personnel monitors/TLD) for use in the clinical education setting. Students cannot participate in any clinical experience or energized laboratory experience without the radiation monitoring device on their person. The student is responsible for changing personnel monitors/TLD at the required time. Badges are distributed by the Radiation Safety Officer (RSO) who will collect the old and distribute the new monitors. Failure to meet the RSO’s due date results in a mini-grade drop on the final clinical grade. If a student becomes pregnant and discloses pregnancy, an additional fetal monitor will be ordered. The fetal monitor should be worn at the waist level. Please see section on pregnancy located in the RT Program and Policies Manual. Additional paperwork/documentation must be signed. a. Radiation Monitoring Device — Lost Students who have lost their radiation monitoring device are required to do the following: Report the loss to the Radiation Safety Officer. A new radiation monitoring device will be ordered and provided. The lost radiation monitoring device will be replaced at the student's expense ($20.00 fee).

Prepare and deliver a letter addressed to the RSO explaining how the radiation monitoring device was lost. A statement regarding the proper way to handle and store the radiation monitoring device must be addressed as well as the steps that will be taken to assure the incident will not happen again. Pick up the replacement radiation monitoring device as directed by the clinical faculty/Radiation Safety Officer, Professor Carol Weber. b. Radiation Monitoring Report/Exposure Records Student/Faculty radiation exposure will be monitored during the entirety of the program and will be maintained by the Program as part of the students’ permanent file. A copy of the radiation monitoring report will be filed in the RSO’s office for confidentiality. It is the student's responsibility to review report. The most current radiation monitoring report will be posted on the RT bulletin board. Students will be identified by badge number ONLY to ensure confidentiality. Upon review, students will initial that they have read their report. Failure to review and sign the report within the required time frame results in a mini-grade drop on the final clinical grade.

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The radiation monitoring report will be reviewed upon arrival by the RSO. If a student‘s radiation limits are outside of the program’s designated exposure limits**, the RSO is to notify the Program Director, verbally and in writing (email) immediately. Additionally, the RSO will notify the student verbally and/or via email. At this time the student, upon direction from RSO & Program Director, may be asked to: 1. Cease clinical assignment until investigation into the radiation monitoring report is completed to insure accuracy.

2. Schedule an appointment to meet in person with the Program Director, Clinical Coordinator, and/or RSO for necessary course of actions and radiation counseling. At this time a radiation physicist will possibly be contacted for input depending on the radiation exposure amount.

3. A course of action and documentation of the meeting outcome will be given to the student and placed into the student‘s file to insure the health and safety of the student.

** The program’s threshold dose for incidents in which dose limits are exceeded is considered to be an average biannual dose of 120mrem or 1.2mSv. The Annual Occupation Effective Dose limit to the whole body is 5000mrem or 50mSv. Educational Consideration Effective Dose Limit (if younger than 18 years of age) is 100mrem/yr or 1mSv or biannual dose of 50mrem or 0.50mSv. All doses are taken from NRC Title 10 of the Code of Federal Regulation, Part 20 (10 CFR 20) 5. Radiation Protection During Pregnancy

Should any student suspect pregnancy, the student is HIGHLY RECOMMENDED to meet with the RT

Program Director, Clinical Coordinator, and the Radiation Safety Officer, however, DISCLOSURE IS

VOLUNTARY. Student radiographers are lectured on x-rays, and pregnancy and relative policies are

reviewed during new Freshmen Orientation.

(2). Pregnancy – Banked Time

The pregnant student will be allowed to “bank” a maximum of 4 clinic days, which are

to be used strictly for maternity leave.

The male student will be allowed to “bank” a maximum of 4 clinic days, with proper medical

documentation.

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C. CPR POLICY

CPR certification must be submitted prior to the start of Radiologic Technology I and must be kept current

for the duration of the Radiologic Technology Program. (Students not in compliance will not be allowed to

participate in clinical experience until this requirement has been met).

Required CPR Program:

CPR/BLS for Health Care Providers 6 hour Sessions for health care professionals covering adult and pediatric cardiopulmonary resuscitation and basic life support (2 year certification)

D. HEALTH INSURANCE POLICY

A copy of the student’s health insurance card, if available, must be submitted to the RT clinical

coordinator prior to the start of the Radiologic Technology Program. Some clinical sites require

students to be insured.

The RT Clinical Coordinator is responsible for student CPR verification and health insurance

verification.

E. CLINICAL ASSIGNMENTS -

a. The RT Program shall not mandate more than (40) hours in one week. This includes

formal classes on campus and clinical assignments.

b. RT students will be assigned a particular Clinical Education Center (CEC) for each

semester/session. REQUESTS BY STUDENTS FOR SPECIFIC CEC’S WILL NOT BE

ACCEPTED

c. It is the STUDENT’S RESPONSIBILITY to provide/arrange transportation to/from the site.

F. BEHAVIORAL/DRESS CODE FOR CLINICAL EXPERIENCE

1. Expected Behavior at Clinical Site: See Radiologic Technology Code of Ethics for RT Student in section II of Manual.

2. Personal Grooming The personal appearance and demeanor of Radiography students at Trocaire College reflects both the

College and Program standards. Students are expected to be professionally groomed at all times. Students

not in compliance with dress code will not be permitted in the clinical area. Professional grooming includes

meticulous personal hygiene.

- Hair will be neat at all times. Tie back long hair and keep it off the face and chest.

Head coverings must not be loosely wrapped around the neck.

While in the operating room, head wraps must be contained by surgical attire.

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Appropriate color make-up is acceptable.

Nails must be no longer than ½ inch above the fingertips. Trendy colored polish is not

acceptable.

- All tattoos must be covered.

- Males must be clean shaven. Beards, mustaches, and sideburns must be well trimmed. While

in the operating room, beards must be contained by a surgical mask.

- No perfumes, colognes, excessive makeup, jewelry and rings (except wedding bands and

watches) are to be worn.

- A maximum of two small, plain post earrings may be worn in each ear lobe – no dangling

earrings.

- No other visible body jewelry and/or body piercings allowed.

Valuables are to be left at home.

3. Required Clinical Dress Code: As presented in the RT Uniform Letter

All clinical attire must be cleaned, pressed, appropriate, and modest.

Navy or white scrub uniform shirt and pants, unless deviation mandated by site.

Solid white/navy tee shirt: long or short sleeved

White or navy lab coat is required at the clinic site.

Undergarments are to be unobtrusive and not visible at the sleeves or hem.

White or navy socks must be worn to cover ankle area.

White, navy or black professional shoes or "subdued" athletic shoes, nursing sneakers, or

White or navy or black medical crocs (No canvas shoes/sneakers)

Personal monitoring device (TLD) and Identification Markers

Pen and pocket notebook

Trocaire Photo I.D. Badge is required.

No student is to leave the hospital with hospital scrub attire (surgical dress, pants or shirts).

These are the hospital's property.

If you wear a hijab/head scarf: Please style your hijab away from your chest so that it does not

fall forward to your patient. For Operating Room Rotation, either style your hijab so that it is not covering

your neck; or wear the “beard, head/neck cover” from the operating room (OR). This cover will fit over

your head like a hood with ties that go around the front to cover your hijab at your neck. If you must cover

your arms with long sleeves, wear an operating room “coat/gown” over your uniform. Another option is to

wear a turtle neck and style your hijab off your neck. Protocol at sites may vary.

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G. ATTENDANCE POLICY

Attendance affects the quality of academic performance. Therefore, prompt and regular attendance

in lectures and laboratory sessions, as well as in the clinical education centers, is expected of all

students.

1. Academic Attendance

a. See current College Student Handbook and current College Catalog for Class/Academic

Attendance Policies.

b. RT courses may have specific attendance policies relative to particular courses. See

syllabus for details.

c. College Closing/Cancellation of Classes - Cancellation of classes will be posted. Closures

for inclement weather will be announced over all major Buffalo radio and TV stations

(e.g. WBEN, WGR, etc.), and the Trocaire Emergency Notification System.

2. Clinical Attendance

Starting times may vary as per clinic site/adjunct faculty. Students requiring special

arrangements will be reviewed on an individual basis.

a. Clinical Absenteeism Policy:

In case(s) of absence(s) from the clinical site, it is the student's responsibility to:

1) Call the clinical affiliate prior to site start time.

2) Ask to speak with, or leave a message for the assigned adjunct faculty, instructor, and/or

radiology department.

3) Adjunct Faculty will notify the clinical coordinator of ANY clinical absence. Absences

per given course are to be made up according to the clinical make-up policy. (See below).

All medical notes and/or legal documentation must be submitted to the Adjunct Faculty

within 2 weeks from date of last absence. The adjunct faculty will write the date received

on the note. Medical notes will indicate student illness or injury (while maintaining

confidentiality). Regularly scheduled appointments are not acceptable.

For additional information regarding absenteeism, please see Non-Compliance Attendance

Record Form.

b. Banked Clinical Hours are granted by the following terms

1) Proof of attendance at a pre-approved seminar/event, with a complete summary

report (See Appendix). In order to receive banked hours for clinical use, the student must

have approval from the RT faculty for the specific seminar he/she plans to attend.

2) Students have the opportunity to volunteer as a patient in the Echocardiography

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Program, which grants two (2) banked hours. This also must be approved. A maximum of

4 hours per semester may be accrued.

3) Banked hours may not be used to shorten the length of the program. They may NOT

be used during the last 2 days in any semester/session.

4) Banked hours may be used during the semester/ session they were accrued, or during

the following semester. The time will be forfeited if not utilized.

5) Maternity/Paternity

Students will be allowed to bank a maximum of 4 days during the academic semesters

and summer sessions.

c. Clinical Make-Up Policy:

Should a student require clinical make-up hours, he/she must be scheduled with written permission of

the adjunct faculty or clinical instructor of the radiology department at the clinical education center where

the student is presently assigned. Make-up days must be completed at the specific clinical site where the

student was scheduled when the absence(s) occurred. (See Make-up Verification Form in Appendix.) The

student is not able to make up clinical hours when the College is officially closed.

Weekends, holidays, evening and night hours are not allowed.

a. Fall & Spring Semesters:

Make-up dates are to be scheduled as soon as possible after the absence has occurred and must be

completed no later than the final week of the semester. Failure to do so will result in an F(X) grade

for the course.

Extenuating circumstances will be reviewed on an individual basis.

b. Summer Clinical Component:

Make-up dates must be completed immediately following the last scheduled clinic day.

Extenuating circumstances will be reviewed on an individual basis. 4. Holidays - All holidays observed by the College will be honored for clinical and didactic education. Holidays are printed in the Trocaire College Student Handbook and Planner. Observance of other religious holidays will be discussed. 5. Bereavement Policy - In the event of the death of a spouse, life partner, parent, sibling, child, mother or father-in law, grandparent, or grandchild, a leave not to exceed three (3) consecutive days within the week of death will be granted. Any time that exceeds the 3 days must be made up. Students must bring proof of death.

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6. Clinical Remediation

When an RT student exhibits difficulty (ies) in clinical psychomotor skills/performance (i.e. patient

positioning, radiographic technique, etc.), remediation is highly recommended. The adjunct faculty

member(s) and/or clinical instructor will submit the recommendation for remediation. The student is

responsible for arranging an appointment with the RT Clinical Coordinator. Whenever possible,

remediation will occur within the College laboratory. A clinical remediation form will be utilized and

will be placed in the student’s folder upon completion of the stated objective(s). Failure to follow this

procedure will be documented and utilized in conjunction with the student’s clinical evaluation(s). (See

Remediation form in Appendix)

H. PROGRESSION IN THE RT PROGRAM

If a student is unsuccessful in any of the Radiography courses in the major sequence, or if the objectives

for clinical education are not met, the student cannot advance to the next level of the RT Program.

Failure to meet program requirements contained within this handbook (pertaining to specific, general,

didactic, and/or clinical requirements) will also prevent progression within the RT Program.

I. DISCIPLINARY ACTION Disciplinary action will be initiated if an RT student fails to follow program policy guidelines and/or

meet program requirements. Students are also expected to follow the Trocaire College Student

Handbook. Action taken may include probationary measures, possible grade adjustments or dismissal.

See the Non-Compliance form in Appendix.

J. RE-ADMISSION POLICY

1. If an RT student fails to achieve a grade of "C" or better in any RT core course and/or A&P I and II

(lecture/lab), the Radiologic Technology Re-admission Faculty will review the following criteria to

determine if that student is eligible for readmission.

a. Academic Performance:

1. Examination, quiz grades, homework and course performance

2. Attendance

b. Clinical Performance:

1. Clinical Evaluations

2. Clinical Anecdotal Records

3. Clinical Adjunct Faculty Recommendations

4. Attendance

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5. Mastery Level Competency Sheet

c. Radiologic Technology Advisor's recommendation

d. Achievement in other required program and core courses.

e. Adherence to Code for Professional Behavior to include Non-compliance Form

2. The Director of Radiologic Technology will then notify the student if he/she is eligible for re-admission to the Radiologic Technology Program. 3. Re-admission is contingent upon the following: a. Completed forms sent to the Director of the Radiologic Technology Program, requesting readmission. (See Appendix) b. Successful completion of the RT Program Readmission criteria: Would include (See Appendix - “Readmission”) WOULD INCLUDE ALL LABORATORY READMISSION COMPETENCIES. 1. Review assigned media and complete a one page summary of each 2. Successfully complete selected laboratory competencies 3. Successful completion of the RT review multiple choice examination with a grade of 75 or higher. Students failing to complete all the above requirements will be denied readmission to the program. When space is available, the student will have to follow these RT requirements: 4. A student is allowed re-admission into the RT Program only once. A student denied readmission

has the right to appeal the decision. A student who desires an appeal should contact the Director of Radiologic Technology.

5. Clinical auditing (of a specific clinical education course) may be available. For more information, see the RT Program Clinical Coordinator.

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K. COLLEGE GRADING POLICY

Radiologic Technology Program Grading Policy

Grade (Range) A = 95-100

A- = 92-94 B+ = 89-91

B = 85-88 B- = 82-84

C+ = 79-81 C = 75-78

C- = 72-74 D+ = 69-71

D = 65-68 F = 64 and below

FX- Failure because of excessive absence. I- Incomplete - See College Catalog under Grading. W- Withdrawal - See College Student Handbook/ Planner WF- Withdrawal failure A student cannot progress to the next level in the Radiologic Technology Program if he/she receives any grade below “C” in ANY of the Radiologic Technology core courses, as well as Anatomy & Physiology I and II.

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L. TRANSFER/ADVANCED PLACEMENT STUDENTS - Policy: The Radiologic Technology Program of Trocaire College has instituted a policy to accept transferring and advanced standing students. Purpose: To establish guidelines for accepting students outside of the normal application process. Procedure: 1. There must be a vacancy before any discussion takes place with a perspective student. 2. The transferring student must be attending or did attend a program that the ARRT deems accredited. 3. The perspective student must complete an application form and submit the College application fee. 4. The Program Director and at least one other faculty member of the Radiologic Technology Program will interview the perspective student. After the interview the Program Director will initiate contact with the Program Director of the school the student attended or is attending. The student is responsible for furnishing all pertinent records from the school that he/she previously attended. 5. Since transfer candidates will vary in their achievements and competencies, a step by step testing criteria will be developed for each individual. This criteria must be documented before any testing begins and both the Program Director and candidate must sign this document. The candidate will be furnished course objectives, and be provided access to school resources to prepare for testing. The document will indicate a reasonable cost the candidate must pay prior to the testing. If the student is deemed acceptable for admission, the payment received will be credited toward the tuition expense. 6. The testing criteria to be developed will be based on didactic and clinical competencies of the Radiologic Technology Program at Trocaire College. The transferring student must take all final examinations for courses that the Program Director deems necessary. The appropriate instructor will grade the final examinations. If the student does not score 75% or better on the final examination, the Program Director will decide if the course must be repeated. It may be a possible, through remedial instruction, for the student to retake the final and pass it. 7. It will be made clear to the candidate how clinical competency is tested and achieved. The transfer student must document clinical competence according to the College policy before graduating. 8. The student that transfers in, must pay School’s tuition expense after being deemed acceptable for admission regardless of when, in the program cycle, the student transfers in. The student will also be responsible for any book purchases necessary for the didactic courses remaining. 9. Based upon the performance on the examinations and the applicants previous transcripts and experience, the Program Director will make the judgment as to whether the applicant’s academic standing warrants admission. M. SERVICES FOR STUDENTS WITH DISABILITIES

Trocaire College offers students with disabilities reasonable academic accommodations and services to

enable them to fully participate in the mainstream of the educational process. In compliance with Section

504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990 and Amendment Act

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of 2008, the College provides services on an individual basis for students with disabilities. Students are

required to provide documentation to indicate need for services.

Students are encouraged to contact the Coordinator of Disabilities at the time of admission to the College.

Services or academic accommodations will be based on individual needs and course requirements. They

include, but are not limited to, extension of time for testing, tutoring, note-taking, readers and writers for

examinations, ipads for use of recording of reading material and lectures, learning materials in special

format, and assistive technology.

1. Responsibilities:

Every student has a responsibility to provide documentation from a qualified licensed professional of their

disability prior to accommodations.

Every student has a responsibility to follow recommendations and established procedures for academic

support.

2. General Guidelines for Documentation:

a. Student must setup appointment with the Coordinator of Disability Services, located in

Room 133.

b. The Coordinator of Disability Services will conduct an initial intake interview. In this

interview you will be expected to identify yourself as having a disability and will be askedto

provide documentation that includes a diagnosis or an assessment of a disability.

c. If the student has:

1. No prior documented disability then the student will be referred for appropriate evaluation.

2. Prior documented disability the student will be granted provisional accommodations for 30

calendar days until up-to-date documentation is provided. Failure to adhere to the above stated

timeframe will result in the suspension of accommodations until the documentation is

delivered.

d. After proper documentation has been turned in, please allow (5) working days before

accommodations are granted.

e. A letter is given to a student’s instructors informing them of the accommodations.

f. Students must sign up in the PCAS at least three (3) days before the test/exam/quiz is to take

place. Accommodations will not be granted without the appointment.

g. Students must meet with the Coordinator of Disability Services at the start of each semester to

review/update accommodations.

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In determining the acceptability of documentation, Trocaire College follows “Best Practices:

Disability Documentation to Higher Education,” including the “Seven Essential Elements of

Quality Disability Documentation.” See the website at http://www.ahead.org

3. Confidentiality

Information regarding a student’s disability is considered confidential and will be shared only with those at

Trocaire College who need to know. That includes administrators, faculty and staff who have access to

disability relation information, only in so far as it affects their functioning in their respective areas of

responsibilities.

N. COLLEGE SAFETY AND SECURITY

Campus Safety and Security at Trocaire College works in conjunction with students, faculty, and staff toward ensuring their security throughout the campus. Trocaire employs uniformed guards through a private security service. The guards work closely with the Buffalo Police Department. In order to support emergency services on and around the Trocaire campus, we rely upon a strong working relationship with not only the Buffalo City Police Department, but also the Buffalo Fire Department. We also call on the services provided by local first responders. In keeping with the Cleary Act, we provide vital information and statistics about incidents on and around the campus community in an annual security report published on the Department of Education website. We believe in a well-informed community; in keeping with this, notices of pertinent security related happenings and incidents are posted on security boards throughout campus. For additional information contact Director of Facilities, Choate Campus Room 200. 1. Crime Prevention The key to a safe and secure environment in any area is crime prevention. Campus Safety and Security utilizes uniformed guards in most cases when classes are in session. The college also utilizes security cameras which are installed in several areas on campus. Crime prevention is a joint effort however, and cannot be accomplished without the assistance of the entire Trocaire community of students, faculty, and staff. The security committee has composed a list of several crime prevention and safety tips which are distributed at the beginning of each semester. In addition to uniformed security officers, there is a campus-wide Security Advisory Committee comprised on faculty, staff, administration and students. 2. Campus Safety and Security Phone Numbers 716-826-1200: Non-emergency – Main Desk Choate Campus 716-445-2104: Emergency – Choate Campus Only 716-827-2405: Director of Facilities 3. Fire Safety: If the alarm sounds, all occupants of the building must vacate immediately. Close office and classroom doors.

http://www.ahead.org/

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Revised 6/2015 Revised 7/6/16

TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY

COURSE/CLASSROOM POLICIES Testing Policy 1. Examination dates will be given at least one week in advance. 2. If an absence occurs on a test date, the student must present documentation that the absence was unavoidable. Acceptable documentation provided to the respective faculty member includes: A medical or legal excuse on official letterhead; Proof of death of an immediate family member; Written request for observance of religious obligation. If proper documentation is submitted, the student will be afforded the opportunity to be provided with an equivalent test, project, paper, or other make-up exam. Without proper documentation, a permanent grade of “O” will be recorded. 3. Examination grades will be determined from computer answer sheets only. This will be the only indicator of the student’s grade. There are no exceptions. 4. Computer answer sheets will not be handed back to the student. If the student wants to review his/her answer sheet, it is the individual’s responsibility to arrange an appointment with the instructor. 5. The examinations will be handed back to the students during a class period for a review of each question. Following the review, exams will be returned to the instructor. 6. If a student receives an examination grade below 75%, it is highly recommended that the student make an appointment with the professor to review the exam/grade. Final Examination 7. Final examinations in the Radiologic Technology courses occur during the last two (2) weeks of the college academic semesters. Students are EXPECTED TO BE IN ATTENDANCE the assigned time. Final exams will NOT be re-arranged for any reason (i.e. vacation), except in extenuating circumstances (i.e., illness, death of immediate family member). Failure to take the final exam at the assigned time will result in a grade of zero (0) for that exam. 8. Students are required to be present and/or available on Tuesday and Thursday the last week of the semester.

Extra Credit – Student grades are based on criteria explained in course syllabi. At no time is extra credit given to boost grades in a course.

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Academic Dishonesty Academic dishonesty may include but is not limited to cheating, plagiarism & furnishing information to other students. Cheating & Plagiarism Policy Any student who (1) knowingly represents the work of others as his/her own (2) uses or obtains unauthorized assistance in the execution of academic work, and (3) gives fraudulent assistance to another, is guilty of cheating. Cheating and plagiarism will not be tolerated. If detected, the following procedure will be followed: 1. A failing grade of F or 0% will be entered for the test or other educational activity in question. 2. If the activity is a major test, the student will be assigned a failing grade for the course, midterm or final. 3. The College system for reporting cheating or plagiarism will be followed. See Student Handbook for further information. Classroom Policy During Test Taking All personal belongings are required to be placed in the front of the room, or on the windowsill ledge. This is to include, but not limited to: books, papers, backpacks, book bags, purses, cell phones, and pagers.

Cell phones are to be turned off, including vibration mode. Cell phones are not to be used as calculators. No ear pieces are to be used.

Hair should be styled away from the face. No hats or hoods are to be worn during testing.

Shoes must remain on at all times during testing.

No food or beverages allowed during testing.

Students are not allowed to ask questions of any kind during tests, quizzes and/or exams unless he/she is verifying a typographical error. Attendance Policy ATTENDANCE IS MANDATORY. As taken from the Trocaire College Student Handbook: “Students are expected to attend all regularly scheduled classes. Each instructor will determine the requirements for attendance within specific courses.” Any student having absences greater than what is allowed will see a lowering of the final grade. Specifics for individual courses are stated in the course contract. Attendance will be taken at the start of each class. If it is necessary to miss a class, please notify the instructor as soon as possible. You are responsible for all missed material.

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Tardiness Policy Classes begin promptly. Tardiness will not be tolerated; it is very disruptive to classmates as well as instructors. If you are not present when attendance is taken at the start of class, you will be considered tardy. Tardiness will result in a lowering of your final grade. Late 2-3x = 1 grade drop (mini step) EX: B+ to B Late 4-5x = 2 grade drop (mini steps) EX: B+ to B- More than 5x + 1 full step EX: B+ to C+ Cell Phone Policy Cell phones should be silenced or shut off and out of sight during class/laboratory. Cell phones will not be used as a time piece or a calculator. (See Non-Compliance Form – Category II) Dress Code: Faculty expect students to dress appropriately. Students may wear walking type shorts but not ultra-short athletic (running shorts or unusually tight shorts (i.e. Spandex) Tee shirts are acceptable provided that the shirt is clean and does not contain any offensive language or pictures. For women, “tube tops”, “halter tops”, deep-set necklines, and very short, tight skirts should not be worn to class. Shirts and blouses must extend to the waistband. Bare midriffs are not acceptable. Please be conscious of the “fit” of your clothes when you are in different positions such as leaning forward or bending at the waist. For men, no underwear should be visible above pants that are riding below hip line. Sunglasses should not be worn in the classroom. Social Media Policies The student will respect the policies of confidentiality related to social media. Any statements, pictures or expressions that could cause harm or injury to an individual or to the school will be considered grounds for dismissal from the program. Recording of class is prohibited without prior approval. This includes tape recordings, video recordings, mobile/cell phone recordings, etc. Under NO circumstance may any item be posted to on-line services such as You Tube or Facebook.

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PART II

Clinical Education

Page

1. Structure of Clinical Education for RadiologicTechnology Program 35

2. Supervision - Clinical Education Policy .................................................................... 36

3. Course Descriptions:

RT 104 .......................................................................................................................... 37

RT 108 .......................................................................................................................... 39

RT 109 .......................................................................................................................... 40

RT 205 .......................................................................................................................... 41

RT 210 .......................................................................................................................... 43

RT 211 .......................................................................................................................... 43

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I. STRUCTURE OF CLINICAL EDUCATION FOR RADIOLOGIC TECHNOLOGY PROGRAM

Clinical Education for Radiologic Technology at Trocaire College is divided into six semesters. Each unit will be termed Clinical Education. The six semesters include the following: 1. RT 104 - Clinical Education I 1st Semester Freshman 2. RT 108 - Clinical Education II 2nd Semester Freshman 3. RT 109 -Applied Radiologic Technology I Clinical Education Summer Session Freshman 4. RT 205 - Clinical Education III 1st Semester Sophomore 5. RT 210 - Clinical Education IV 2nd Semester Sophomore 6. RT 211 - Applied Radiologic Technology II Clinical Education Summer Session Sophomore Each Clinical Education semester will include the following criteria:

1. Course Descriptions for (Freshman or Sophomore Student) and Prerequisite.

2. Type of Supervision

3. Objectives

4. Grading System

5. Competencies

6. Student Handouts for each course All handouts are in the student’s clinical folder that is kept in a secured location at the clinical site or the Clinical Coordinator’s office.

• Examination Selection • Radiography Clinical Competency Requirements (ARRT) – blue • Check List for Competency Testing – orange • Clinical Competency Evaluations (standard, c-arm, pediatric, repeat) • CT Check-off Sheet – purple • Daily Log Sheet • Repeat/Reject Log Sheet • Pediatric Log Sheet – yellow • Clinical Competency Midterm/Final Evaluation • Non-Compliance form – pink • Clinical Orientation to Policies and Procedures regarding Health & Safety - gold

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Reference for Clinical Education Courses:

1. Curriculum Guide for Program in Radiologic Technology. (The American Society of Radiologic Technologists)

2. Standards for an Accredited Educational Program in Radiologic Sciences.

3. Content Specifications for the Examination in Radiography - ARRT(R).

II. SUPERVISION - CLINICAL EDUCATION CENTER

A. Freshman Level Supervision/Direct Supervision

Direct Supervision is defined as a licensed radiographer/ clinical instructor actually present for

all radiographic procedures at the specific exposure site. Until students achieve the program's required

competency in a given procedure, all clinical assignments are carried out under direct supervision of

qualified radiographers. Following are the parameters of direct supervision.

1. The qualified radiographer reviews the procedure in relation to the student's achievement.

2. The qualified radiographer evaluates the condition of the patient in relation to the student's knowledge.

3. The qualified radiographer is present during the procedure.

4. The qualified radiographer reviews and approves the procedure.

In support of professional responsibility for provision of quality patient care and radiation

protection, unsatisfactory radiographs shall be repeated only in the presence of a qualified radiographer,

regardless of the student's level of competency. (Source: Standards)

B. Sophomore Level Supervision/Indirect Supervision

Indirect Supervision is defined as that supervision provided by a qualified radiographer (and/or

Clinical Instructor) immediately available to assist students regardless of the level of student achievement.

"Immediately available" is interpreted as the physical presence of a qualified radiographer adjacent to the

room or location where a radiographic procedure is being performed. This availability applies to all areas

where ionizing radiation equipment is in use. (Source: Standards)

The clinical instructor or adjunct faculty members are present at the affiliate to review the

request for examinations, evaluate patient condition, assign patients to students, assist students and evaluate

radiographs with the student.

In support of professional responsibility for provision of quality patient care and

radiation protection, unsatisfactory radiographs shall be repeated only in the presence of a qualified

radiographer, regardless of the student's level of competency. (Source: Standards 4.4)

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III. COURSE DESCRIPTION

RT 104 Clinical Education I

This course has two components designed for the first semester freshman student. It first

includes the Clinical Orientation component of the program, and second, the student’s first clinical rotation

in an affiliated Clinical Education Center (CEC). CEC assignment begins at the end of September or the

first week of October. Clinical Orientation and rotation take place on Tuesdays and Thursdays.

The student will remain in the Clinical Education Center for two consecutive semesters to

become oriented to the radiology department procedures, protocols, and patient care.

The student begins with site orientation and case observation. As the semester advances, he/she

progresses from an observer to a more active participatory role. The student learns to perform radiologic

procedures under direct supervision, gaining experience for competency evaluation. Prerequisite - None

Clinical Orientation:

The student receives instruction in the following topics as a means to prepare him/her for the clinical environment: Introduction to Equipment Basics of an X-ray Exam Positioning/Medical Terminology Digital Radiography Professionalism in the Clinical Setting OSHA & HIPAA Kaleida Health and Catholic Health Systems Introduction Nursing Principles Proper Body Mechanics/Patient Lifting and Transport Venipuncture and Vital Signs Advisement Beginnings Abdominal Landmarks and Anatomy Medical Ethics Aseptic Technique The Culturally Responsive Healthcare Professional Fundamentals of Radiologic Science and Healthcare Healthcare Communication Program Policies and Clinical Center Orientation

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Clinical Goals:

The student experience includes clinical participation with:

1. Observation 2. Assistance to the Radiographer 3. Practice/performance under direct supervision of assigned examination 4. Critique of produced images Type of Supervision:

Direct supervision by College Instructor(s) and/or Clinical Adjunct Faculty; Refer to Program policy - Program Policies and Clinical Education Manual

Objectives:

The student will demonstrate competency in the following domains: Cognitive, affective, and psychomotor. Students will be able to complete a basic routine patient examination. Students will demonstrate professional behavior in the clinical setting. Grading System: RT 104 - Clinical Education I Grades are based on the following:

Maximum Points

Percentage

1 – Written Orientation Examination 100 25% 2 --Clinical Competency Practical Evaluations S/U 1 - Final Clinical Competency Evaluation 75 75% 100%

Terminal Competency:

With the successful completion of RT 104 Clinical Education I, the student will have complied with policies presented in the Trocaire College Student Handbook, Radiologic Technology Program Policy Manual, and the Code of Ethics of the American Registry of Radiologic Technologists. All semester competencies must be completed during the semester, or the student will fail RT 104. The student may not advance to the next level within the Radiologic Technology Program. Course Description RT 108 Clinical Education (Second Semester)

This course is designed for the second semester freshmen student. It includes the components

for continued basic instruction, plus enhancement of the student's clinical participation. Spring CEC

assignments are usually the same as the fall assignments for the freshman student.

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The student continues to perform under direct supervision, gaining further experiences for

competency evaluation in the broad categories of chest, abdomen, upper and lower extremities, spine, skull

and facial bones, portables/mobile radiography and operating room procedures.

Prerequisite: RT 104, BIO 130 Anatomy and Physiology (Lecture and Lab) with a grade of "C" or better.

Clinical Goals:

The student experience includes clinical participation with:

1. Observation. 2. Assistance to the radiographer. 3. Practice/performance under direct supervision of assigned examinations. 4. Critique of produced images. Type of Supervision: Direct Supervision by College Instructor(s) and/or Clinical Adjunct Faculty; Refer to Program policy - Program Policies and Clinical Education Manual.

Objectives:

The student will demonstrate competency in the following domains: Cognitive, affective, and psychomotor. Students will be able to complete a basic routine patient examination. . Students will demonstrate professional behavior in the clinical setting. Grading System: RT 108 - Clinical Education II Grades are based on the following:

Maximum Points 6 - Clinical Competency Practical Evaluations S/U 1 - Midterm Clinical Competency Evaluation 50 1 - Final Clinical Competency Evaluation 50 100%

Terminal Competency:

With the successful completion of RT 108 Clinical Education II, the student will have complied with policies presented in the Trocaire College Student Handbook, Radiologic Technology Program Policy Manual, and the Code of Ethics of the American Registry of Radiologic Technologists. All standard semester competencies must be completed during the semester or the student will fail RT 108. The student may not advance to the next level within the Radiologic Technology Program. The student is also encouraged to strive for completion of competencies listed in the Radiography Clinical Competency Requirements designated by the ARRT (blue sheet).

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Course Description

RT 109 Applied Radiologic Technology I (Clinical Education - Summer)

For this course, the student will be assigned to a different Clinical Education Center. The

summer semester freshman student will continue practice of the RT skills learned in class and in the

previous clinical site. The student actively assists the Radiographer in radiographic examinations and

performs a variety of examinations under direct supervision. With gained experience in various procedures,

he/she gradually moves to an independent clinical performance stage.

Students will be provided experiences in each area of the radiology department in order to gain expertise

and master radiographic examinations. This includes general radiography, fluoroscopy, portable/mobile

studies, and operating room procedures. Because the summer clinical component offers even more

opportunity for case/examination variety, students are strongly advised to complete mandatory and elective

competencies listed in the Radiography Clinical Competency Requirements designated by the ARRT (blue

sheet) during summer clinic.

Prerequisite: RT 108, BIO 131 (lecture and lab) with a grade of "C" or better

Clinical Goals:

1. Observation. 2. Assistance to the radiographer. 3. Practice/performance under direct supervision of assigned examinations. 4. Critique of produced images. 5. Develop proficiency and confidence in the performance of routine radiographic procedures including: contrast studies, spines, cranium, portables/mobile work and the operating room. 6. Continue development in professional attitude and behavior.

Type of Supervision:

Direct Supervision by College Instructor(s)/Radiographer(s). Refer to Program policy - Program Polices and Clinical Education Manual. Objectives:

The student will demonstrate competency in the following domains: Cognitive, affective, and psychomotor. Students will be able to apply correct positioning and technical skills. Students will demonstrate professional behavior in the clinical setting. Students will adapt positioning skills for non-routine radiographic examinations.

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Grading System: RT 109 - Summer Clinical

Maximum Points 8 - Clinical Practical Evaluations S/U 1 - Midterm Clinical Competency Evaluation 50 1 - Final Clinical Competency Evaluation 50 1 –Service Learning “Reflection Paper” S/U

Terminal Competency: With the successful completion of RT 109 Clinical Education II, the student will have complied with policies presented in the Trocaire College Student Handbook, Radiologic Technology Program Policy Manual, and the Code of Ethics of the American Registry of Radiologic Technologists. All standard summer session competencies must be completed during this session or the student will fail RT 109. In addition, RT 109CA requires a Service Learning “Reflection Paper”. This is a one page double spaced, Time RN, Font #12 paper. The written assignment must be completed by the given date and submitted to the Clinical Coordinator. This is a College-wide requirement and is expected to be completed in order to continue to the next level in the RT Program. The student may not advance to the next level within the Radiologic Technology Program if all requirements are not met. Course Description

RT 205 Clinical Education III - First Semester - Sophomore

This course is designed for first semester sophomore students entering the second year of their

clinical education. The student is assigned a new Clinical Education Center and actively assists the

Radiographer in radiographic procedures. With more experience in radiographic procedures, the student

moves into the indirect supervision clinical performance stage. Actual independent performances are under

supervision of the Radiographer, College Instructor or Adjunct Faculty. The student will also participate in

special imaging modalities, C-arm, and CT (Computerized Tomography). The student is strongly

encouraged to complete mandatory and elective competencies listed in the Radiography Clinical

Competency Requirements designated by the ARRT (blue sheet).

Prerequisite: RT 109 with a "C" or better.

Clinical Goals:

1. Assistance to the radiographer 2. Practice/performance under indirect supervision of assigned examinations 3. Critique produced images. 4. Develop proficiency and confidence in the performance of routine radiographic procedures including: contrast studies, spines, cranium, portables/mobile work and the operating room 5. Continue development in professional attitude and behavior 6. Participate, develop confidence and begin to function more independently 7. Utilize critical thinking and problem solving skills

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Indirect Supervision - Refer to Program Policy - Program Policies and Clinical Education Manual

Objectives:


Grading System: RT 205 - Clinical Education III

Maximum Points 6 - Clinical Practical Evaluations S/U 1 - Midterm Clinical Competency Evaluation 50 1 - Final Clinical Competency Evaluation 50

Terminal Competency: With the successful completion of RT 205 Clinical Education II, the student will have complied with policies presented in the Trocaire College Student Handbook, Radiologic Technology Program Policy Manual, and the Code of Ethics of the American Registry of Radiologic Technologists. All standard semester competencies must be completed during the semester or the student will fail RT 205. The student may not advance to the next level within the Radiologic Technology Program. Course Description RT 210 Clinical Education IV - Second Semester - Sophomore This course is designed for the second semester sophomore student. The student is assigned a new

Clinical Education Center. This course provides an opportunity for the student to gain expertise in the skills

necessary to become a practicing radiographer. Although the student still has direct supervision, he/she is

also expected to perform with indirect supervision and strive for confidence with critical thinking and

problem solving. Participation in special imaging modalities and completion of all semester competencies is

required.

Prerequisite: RT 205 with a grade of "C" or better.

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Clinical Goals:

1. Assistance to the radiographer 2. Practice/performance under indirect supervision of assigned examinations 3. Critique produced images 4. Develop proficiency and confidence in the performance of routine radiographic procedures including: contrast studies, spines, cranium, portables/mobile work and the operating room. 5. Continue development in professional attitude and behavior 6. Utilize critical thinking and problem solving skills/applications in given situations (during competency performances) 7. Participate, develop confidence and begin to function more independently


Indirect Supervision - Refer to Program Policy - Program Policies and Clinical Education Manual

Objectives:

The student will demonstrate competency in the following domains: Cognitive, affective, and psychomotor. Students will be able to apply correct positioning and technical skills. Students will demonstrate professional behavior in the clinical setting. Students will adapt positioning skills for non-routine radiographic examinations. Grading System: RT 210 - Clinical Education III

Maximum Points 6 - Clinical Practical Evaluations S/U 1 - Midterm Clinical Competency Evaluation 50 1 - Final Clinical Competency Evaluation 50

Course Description RT 211 Applied Radiologic Technology II Clinical Education - Summer

This course is designed for last semester (summer) graduate students. The student is assigned a

new Clinical Education Center and performs procedures under direct and indirect supervision by the

Radiographer, College Instructor, or Adjunct Faculty. Throughout the summer, the student is also involved

in special radiographic procedures and has opportunities in advanced imaging modalities. Through these

experiences, the student is able to develop confidence and professionalism in order to perform routine

procedures for certification.

Prerequisite: RT 210 with a grade of "C" or better.

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Clinical Goals: 1. Assistance to the radiographer 2. Practice/performance under indirect supervision of assigned examinations 3. Critique produced images 4. Develop proficiency and confidence in the performance of routine radiographic procedures 5. Continue development in professional attitude and behavior 6. Utilize critical thinking and problem solving skills/applications in given situations (during competency performances) 7. Participate, develop confidence and be able to function mostly in an independent manner

Type of Supervision

Indirect Supervision - Refer to Program Policy - Program Policies and Clinical Education Manual.

Objectives:


Grading System: RT 211- Applied Radiologic Technology II Clinical Education

Maximum Points 4 - Clinical Practical Evaluations S/U 1 - Final Clinical Competency Evaluation 100%

Graduate Terminal Competency: At the completion of RT 211 - Applied Radiologic Technology II (Clinical Education Summer), the student will be able to: 1. Successfully perform all competencies related to basic and advanced radiographic procedures. 2. Successfully perform the highest level of competencies regarding patient care. 3. Maintain the highest level of interpersonal and communicative relationship. 4. Conform to the Code of Ethics that governs the profession of Radiologic Technology. 5. Utilize both the academic and clinical criteria for successful completion of the American Registry Examination and New York State Requirements. 6. Pursue employment opportunities and continuing education possibilities.

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Additional Handouts: 1. American Registry of Radiologic Technologists Examiner Handbook and forms 2. New York State Radiologic Technology Licensure Application Form 3. Graduate Exit Interview 4. Graduate Summative Evaluation 5. Clinical Site Evaluation 6. Clinical Instructor Evaluation With the successful completion of RT 211, the student will have complied with policies presented in the Trocaire College Student Handbook, Radiologic Technology Program Policy Manual, and the Code of Ethics of the American Registry of Radiologic Technologists. All mandatory/elective competencies listed in the Radiography Clinical Competency Requirements designated by the ARRT (blue sheets) must be completed during summer session (RT 211) or the student will attend for an additional period of time at a site to be determined. Unless in compliance, the student will fail RT 211. NYS – RT Temporary license will not be distributed unless all financial obligations have been met.

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APPENDICES Page 1. Clinical Orientation to Policies and Procedures Regarding Health & Safety........................................ 49 2. ARRT Examination Selection …………………………………………………… .................................. 51

3. Master Plan for Clinical Competency Testing…………………………………… ................................... 52

4. Clinical Competency Requirements ...................................................................................................... 53

Imaging Procedures for Mandatory Electives -- ARRT

5. Checklist of Competency Testing – Freshmen…………………………………... ................................... 56

6. Checklist of Competency Testing – Sophomores………………………………………………………… 57

7. Clinical Competency Evaluation Form………………………………………………………………….. 58

8. Clinical Competency Repeat Evaluation Form………………………………….. ................................... 60

9. Clinical Competency Pediatric Evaluation Form………………………………. .................................... 62

10. Clinical Competency Evaluation Form for C-Arm Procedures………………… ................................... 64

11. Computed Tomography (CT) Check-Off Sheet……………………………….… ................................. 66

12. MRI Screening Protocol .......................................................................................................................... 70

13. MRT Safety screening............................................................................................................................. 72

14. Anecdotal Record – Log Sheet………………………………………………….. .................................. 74

15. Examination Log Sheet………………………………………………………….. .................................. 76

16. Repeat/Reject Log Sheet………………………………………………………… .................................. 82

17. Pediatric Examination Log Sheet………………………………………………... ................................. 84

18. Clinical Competency Midterm/Final Evaluation………………………………… ................................. 86

19. Clinical Attendance ................................................................................................................................. 90

20. Medical Clearance………………………………………………………………... ................................ 92

21. Declination of Influenza Vaccination for Healthcare Personnel ............................................................. 94

22. Student Incident Report………………………………………………………….. ................................. 96

23. Non-Compliance……………………………………………………………….... .................................. 98

24. Program Grievance Policy ...................................................................................................................... 100

25. Remediation Form……………………………………………………………..... .................................. 102

26 Make-Up Verification Form…………………………………………………….. ................................... 104

27. Clinical Make-Up Time Sheet…………………………………………………... .................................. 106

28. Verification of Attendance at a Professional Seminar………………………….. ................................... 108

29. Verification of Service Learning ............................................................................................................. 110

30. Site Evaluation………………………………………………………………….. ................................... 112

31. Graduate Exit Interview………………………………………………………... .................................... 114

32. Graduate Summative Evaluation………………………………………………. .................................. 116

33. Employer Evaluation .......................................................... ................................................................. 118

34. Clinical Grading Forms……………………………………………………………………………… .. 120

35. Request for Re-Admission…………………………………………………………………………… ... 130

36. Re-Admission Request Form………………………………………………….. ...................................... 132

37. Freshman Re-Admission Letter Sample……………………………………….. .................................... 134

38. Sophomore Re-Admission Letter Sample……………………………… ............................................... … 136

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39. Due Process Procedure (Appeal of Academic Decisions) …………………………………………… .. 137

40. Student Pregnancy Packet………………………………………... ........................................................ 147

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Trocaire College Radiology

Clinical Orientation to Policies and Procedures Regarding Health and Safety

I, _____________________________________have completed orientation of clinical (name/signature) Policies and Procedures with regard to Health and Safety. __________Hazard (fire, electrical, chemical) __________Emergency preparedness __________Medical emergencies __________HIPAA __________Standard Precautions Date: __________Clinical Education Center _____________________ Date: __________Clinical Education Center _____________________ Date: __________Clinical Education Center _____________________ Date: __________Clinical Education Center:______________________ Instructor Signature Source: JRC Standard 4.8 Css:hlthsci/rt/smith/Clinical Orientation to Policies & Procedures Regarding Health and Safety

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TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY

Examination Selection

The following reflects the ARRT requirements: Upper Extremity Hand/fingers(s) Wrist Forearm Elbow Humerus Shoulder Clavicle Scapula A-C joints Trauma: Shoulder (scapular Y, transthoracic, or axial) Trauma: Upper extremity (non-shoulder)

Lower Extremity Foot/Toes Ankle Knee Tibia/Fibula Trauma; lower extremity Patella Calcaneus Femur Mobile Studies Chest Abdomen Orthopedic

Fluoroscopic Studies Upper GI Series (single or double contrast)

OR Barium Enema (single or double contrast) Small Bowel Series Esophagus Cystography/Cystourethrography ERCP Myelography Arthrography

Abdomen Abdomen Supine (KUB) Abdomen Decubitus Abdomen Upright Intravenous Urography Pediatrics (age 6 or younger) Chest Routine Upper Extremity Lower Extremity Abdomen Mobile study

Mobile C-Arm Studies C-Arm Procedure-(2 projections) Surgical C-Arm Procedure (manipulation around a sterile field) Chest and Thorax Chest Routine Chest AP (Wheelchair or Stretcher) Ribs Chest Lateral Decubitus Sternum Upper airway (Soft-Tissue Neck) Geriatric Patient (physically or cognitively impaired as a result of aging) Chest Routine Upper Extremity Lower Extremity

Cranium Skull Paranasal Sinuses Facial Bones Orbits Zygomatic Arches Nasal Bones Mandible Spine and Pelvis Cervical Spine Cervical Spine Cross Table Lateral (horizontal beam) Thoracic Spine Lumbar Spine Pelvis Hip Cross Table Lateral Hip (horizontal beam) Sacrum and/or Coccyx Scoliosis Series Sacroiliac Joints

Css/hlth-sci/rt/Smith/Examination Selection-ARRT requirements

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TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

MASTER PLAN FOR CLINICAL COMPETENCY TESTING

The college instructor and/or adjunct faculty will select, administer and evaluate the student in each of the following categories.

COURSE NO. OF EXAMS FROM EACH CATEGORY

RT 104 - FIRST SEMESTER (2 Total) FRESHMAN CLINICAL EDUCATION I

1 EXTREMITY 1 CHEST (PA & LAT)

RT 108 - SECOND SEMESTER CLINICAL EDUCATION II

(6 competencies)

RT 109 SUMMER SESSION

CLINICAL EDUCATION

(8) competencies)

ABDOMEN (AP) ABDOMEN COMPLETE (MUST INCLUDE UPRIGHT) UPPER EXTREMITY UPPER EXTREMITY LOWER EXTREMITY LOWER EXTREMITY CHEST (IMMOBILE/NOT PORTABLE) THORAX/SPINE/PELVIS/HIP THORAX (RIBS OR STERNUM) CRANIUM/INSTRUCTORS CHOICE INSTRUCTORS CHOICE INSTRUCTORS CHOICE MULTIPLE STUDY* FLUOROSCOPIC STUDY (UGI/BE)** PORTABLE ABDOMEN/ORTHO PORTABLE CHEST

RT 205 - FIRST SEMESTER (6 Total) SOPHOMORE CLINICAL EDUCATION III

RT 210 - SECOND SEMESTER (6 Total) SOPHOMORE CLINICAL EDUCATION IV

UPPER EXTREMITY UPPER EXTREMITY LOWER EXTREMITY LOWER EXTREMITY CONTRAST STUDY CONTRAST STUDY THORAX/SPINE THORAX/SPINE THORAX/SPINE CRANIUM PORTABLE MULTIPLE STUDY MULTIPLE STUDY INSTRUCTOR’S CHOICE INSTRUCTOR’S CHOICE

RT 211 - SUMMER #2 (4 Total) GRADUATES APPLIED RADIOLOGIC TECHNOLOGY II CLINICAL EDUCATION (SUMMER II)

1 MULTIPLE STUDY 3 INSTRUCTORS CHOICE

ADDITIONAL REQUIRED COMPETENCIES: C-ARM ORTHOPEDIC C-ARM NON ORTHOPEDIC PEDIATRIC CHEST PEDIATRIC NON-CHEST *At no time, during examinations, especially contrast studies will the patient or examination be jeopardized for the sake of a competency evaluation. **NOTE: Some exams will occur more frequently in some clinical affiliates as compared to other affiliates. If a clinical affiliate has an insufficient number of these examinations to incorporate them into the evaluation system, those examinations may be used as simulated examinations. Simulation examinations begin with a grade of 28 points.

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TROCAIRE COLLEGE

Radiologic Technology Program

Name: _____________________________________________________

Clinical Competency Requirements

As part of the educational program, candidates must demonstrate competence in the following clinical activities:

• Six mandatory patient care activities

• 37 mandatory imaging procedures

• 15 elective imaging procedures from a list of 34

• One of the 15 elective imaging procedures must be from the head section

• Two of the 15 elective imaging procedures must be from the fluoroscopy studies section, one of which must be either an UGI or a BE.

• 10 patient care activities Demonstration of competence must include:

• Patient identity verification

• Examination order verification

• Patient assessment

• Room preparation

• Patient management

• Equipment operation

• Technique selection

• Patient positioning

• Radiation safety

• Image processing

• Image evaluation Every effort should be made to perform the competencies on actual patients. However, three (3) electives may be simulated if demonstration on patients is not feasible. Simulations begin with a grade of 28. Maximum of 8 mandatory procedures may be simulated if demonstration on a patient is not feasible. Institutional protocol will determine the projections/positions used for each procedure.

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TROCAIRE COLLEGE - RADIOLOGIC TECHNOLOGY PROGRAM CHECKLIST FOR COMPETENCY TESTING (FRESHMAN)

NAME __________________________________________ CLASS OF __________________________ 50% of the semester/ session competencies must be completed by midterm.

COURSE NO. OF MANDATORY RADIOLOGIC PROCEDURES

STUDY SATISFACTORY (S) UNSATISFACTORY (UN)

DATE INSTRUCTOR

1 2 3 R.T.104 - FALL SEMESTER EXTREMITY CLINICAL EDUCATION 2 Competencies CHEST(PA) & (LAT) SITE:

R.T.108 - SPRING SEMESTER ABDOMEN (AP)

CLINICAL EDUCATION UPPER EXTREMITY 6 Competencies only UPPER EXTREMITY LOWER EXTREMITY SITE: LOWER EXTREMITY CHEST (IMMOBILE /NOT PORTABLE) THORAX/SPINE/PELVIS/HIP THORAX (RIBS OR STERNUM) R.T.109 - SUMMER ABDOMEN COMPLETE

(MUST INCLUDE UPRIGHT)

CLINICAL EDUCATION CRANIUM 8 Competencies FLUOROSCOPY STUDY (UGI/BE)** MULTIPLE STUDY* PORTABLE ABDOMEN/ORTHO PORTABLE CHEST

*Multiple Studies consist of two (2) or more exams. **All contrast studies must include a minimum of two overheads. Revised June 2016

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TROCAIRE COLLEGE - RADIOLOGIC TECHNOLOGY PROGRAM CHECKLIST FOR COMPETENCY TESTING (SOPHOMORE)

NAME CLASS OF 50% of the semester/ session competencies must be completed by midterm.

COURSE NO. OF MANDATORY RADIOLOGIC PROCEDURES

STUDY SATISFACTORY (S) UNSATISFACTORY (UN)

DATE INSTRUCTOR

1 2 3 R.T 205 - FALL SEMESTER UPPER EXTREMITY

CLINICAL EDUCATION UPPER EXTREMITY GERIATRIC (M) 6 Competencies only LOWER EXTREMITY LOWER EXTREMITY GERIATRIC (M) SITE: FLUOROSCOPY STUDY THORAX/SPINE/PELVIS/HIP THORAX/SPINE/PELVIS/HIP R.T. 210 - SPRING SEMESTER THORAX/SPINE/PELVIS/HIP CLINICAL EDUCATION PORTABLE 6 Competencies only MULTIPLE STUDY MULTIPLE STUDY SITE: INSTRUCTOR’S CHOICE

R.T. 211 - SUMMER MULTIPLE STUDY

CLINICAL EDUCATION INSTRUCTOR’S CHOICE 4 Competencies INSTRUCTOR’S CHOICE SITE: INSTRUCTOR’S CHOICE *C-ARM COMPETENCY C-ARM PROCEDURE 2 VIEWS (M) C-ARM SURGICAL PROCEDURE (/M)

*PEDIATRIC COMPETENCY CHEST (6 years of age and under) (M)

NON-CHEST(6 years of age and under) (E)

*May be completed at any time Revised June 2016

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Clinical Competency Evaluation Form

Name: Semester:

Clinical Site: Competency In the clinical education setting, the student will demonstrate competencies from the following domains: cognitive, affective and psychomotor. Following each statement, check the point value achieved. Numerical values of 0-2 points may be achieved in each category. A zero in ANY category is an automatic failure, but the entire form must be filled out for each exam.

PERFORMANCE CRITERIA 2 1 0 A. Reads and Interprets Requisition & script prior to calling patient. 2. Correctly interprets terminology, and procedure protocol to include requisition documentation. 1. Limited understanding of terminology, projections procedure protocol. 0. Misinterprets terminology, projections needed, procedure protocol.

B. Patient Relationship - Applies communication skills. Explanation, history and identification verifications are demonstrated. 2. Introduces self, verifies, explains procedure, and takes history and LMP/Pregnancy History. 1. Communicates with patient, leaves some detail out. 0. Does not introduce self, verify, explain or talk to patient acceptably. Omitted LMP/Pregnancy History.

C. Room/Equipment Setup and Use - Properly sets up room and control panel for procedure. Room reasonably prepared before patient enters. 2. Prepares table, chair, equipment and films, sets control panel and SID. 1. Improperly sets up room, control panel; catches and corrects mistake. 0. Has to be corrected before study is compromised.

D. Image Receptor/Direction - Used according to department protocol. 2. Uses correct image receptor, used in the proper orientation. (Landscape/Portrait; CW vs. LW) 1. Uses incorrect image receptor, but is logical in choice and orientation. 0. Uses incorrect image receptor, IR used in wrong orientation.

E. Patient Position - Applies class lecture and department protocol. 2. Patient placed in correct position for study. 1. Minor corrections made (EX: Oblique not quite 45 degrees). 0. Patient placed in completely wrong position for study.

F. Central Ray/Landmarks - Applies class lecture and department protocols. 2. Correct central ray and landmark use. 1. Acceptable central ray and landmark use, part is sufficiently in field. 0. Correct central ray and/or landmarks are not used.

G. Tube/Image Receptor/Part Alignment - Applies class lecture and department protocols. 2. All alignment is correct 1. Alignment slightly off, but acceptable. 0. Alignment inappropriate - part is, or, would be cut off.

H. Breathing Techniques/Immobilization (as needed) - Applies class lecture with patient safety in mind. 2. Breathing and immobilizing techniques correctly and creatively applied. 1. Breathing and immobilizing techniques adequate for procedure. 0. Breathing and immobilization techniques are incorrect, not used, or ineffectively applied.

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2 1 0 I. Markers, I.D. - Used according to lecture, legal guidelines and department protocols. 2. Used markers and patient ID correctly, seen on radiograph. 1. Uses markers and ID, not seen on radiograph/not used properly. 0. Does not have/use markers, mismarked a film, and/or does not ID (flash) all films properly.

J. Technique - Applies technique based on department protocols & technique source. 2. Consults technique charts/control panel and correctly sets all technical factors. 1. Consults technique charts/control panel, makes small error, film not affected. 0. Does not consult technique chart/control panel, uses incorrect technical factors.

K. Collimation - Applies class instruction and department protocol. 2. Uses proper collimation (collimation to film or better, part not cut off). 1. Collimates, but should be better for this exam. 0. Does not collimate or collimates, but cuts off part.

L. Shielding/Radiation Protection - Applies classroom information and/or department protocol. 2. Shields patient and staff properly; acknowledges awareness of proper shielding. 1. Shields patient, more area could be covered. 0. Does not shield, covers part, or does not shield patient and/or staff properly.

M. Patient Safety - Applies class lecture and department protocol for safe practices, is aware of patient needs and responds appropriately. 2. Applies safe practices and responds appropriately to patient needs. 1. Acceptably safe practices, good response, unsure of some patient needs. 0. Unacceptable safety measures, and/or unaware of patient needs and/or Inappropriate response to patient’s needs.

N. Work Pattern - Applies logical steps in preparing and performing procedure in a timely manner. 2. All steps follow a logical sequence in a timely manner. 1. Some steps cause wasted time. 0. No logical order, seems confused, disorganized, excessive time taken with study.

O. Image Evaluation - Films are properly evaluated for quality and completeness. 2. Identifies all anatomy and positions, properly judges quality (Artifacts, etc.). 1. Identifies most anatomy and positions, fairly good judgment of quality. 0. Unable to identify anatomy or position, poor judgment of quality.

TOTAL POINTS:

SATISFACTORY/UNSATISFACTORY COMMENTS:

KEY 26 POINTS AND ABOVE SATISFACTORY 25 POINTS AND BELOW UNSATISFACTORY

A Zero In Any Category = Unsatisfactory

Student Signature Date: Clinical Instructor Signature: Date: Adjunct Faculty Signature: Date: *Student must sign this evaluation to verify it has been reviewed. Signature does not imply agreement.

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Clinical Competency Repeat Evaluation Form

Name: Semester:










64





M. Patient Safety - Applies class lecture and department protocol for safe practices, is aware of patient needs and responds appropriately. 2. Applies safe practices and responds appropriately to patient needs. 1. Acceptably safe practices, good response, unsure of some patient needs. 0. Unacceptable safety measures, and/or unaware of patient needs and/or inappropriate response to patient’s needs.



TOTAL POINTS:


KEY 26 POINTS AND ABOVE SATISFACTORY 25 POINTS AND BELOW

UNSATISFACTORY

A Zero In Any Category = Unsatisfactory Student Signature Date: Clinical Instructor Signature: Date: Adjunct Faculty Signature: Date: *Student must sign this evaluation to verify it has been reviewed. Signature does not imply agreement.

65


Clinical Competency Pediatric Evaluation Form (6 years old or younger)

Name: Semester:










66





M. Patient Safety - Applies class lecture and department protocol for safe practices, is aware of patient needs and responds appropriately. 2. Applies safe practices and responds appropriately to patient needs. 1. Acceptably safe practices, good response, unsure of some patient needs. 0. Unacceptable safety measures, and/or unaware of patient needs and/or Inappropriate response to patient’s needs.



TOTAL POINTS:





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Clinical Competency Evaluation Form For C-Arm Procedures

Name: Semester:

Clinical Site: C-Arm Procedure: Orthopedic/Non-Orthopedic In the clinical education setting, the student will demonstrate competencies from the following domains: cognitive, affective and psychomotor. Following each statement, check the point value achieved. A zero in ANY category is an automatic failure, but the entire form must be filled out for each exam.

PERFORMANCE CRITERIA 2 1 0 A. Identifies patient, surgical procedure being performed and location 2. Verifies correct surgery room, type of case and name of patient 1. Limited understanding of type of surgery case or how to ID patient in the OR 0. Unable to find surgery room, unable to identify procedure, does not verify patient ID

B. Locates and drives C-arm to appropriate OR room 2. Locates and drives C-arm without assistance 1. Minimal assistance needed 0. Unable to drive C-arm

C. Sets up C-arm properly 2. Carefully enters OR room, inquires for correct side, connects and turns on unit 1. Improper setup, but catches error 0. Enters room without being cautious or unable to connect or turn on unit

D. Enters patient information 2. Enters all patient information necessary 1. Leaves out some information, needs minimal assistance 0. Unable to enter patient information or forgets to

E. Selects settings from C-arm control panel 2. Selects proper settings for motion reduction, fluoro, pulsed fluoro or digital single image 1. Acceptable settings, could be better 0. Unable to select proper control panel settings

F. Practices radiation safety 2. Wears lead apron, practices ALARA by limiting exposure time 1. Wears lead apron, but room for improvement with ALARA 0. Does not wear lead apron, does not warn staff about radiation when necessary

G. Observes and maintains sterile field 2. Properly moves about room without risking contamination of sterile field and staff 1. Needed to be warned by staff of near contamination 0. Unaware of sterile field concepts and distance required or contamination occurs

H. Practices patient safety 2. Carefully raises, lowers or tilts C-arm without patient injury 1. Needs to be reminded of possible arm pinch or other danger 0. Unaware of potential for patient injury

I. Centering of body part, awareness of patient position under drapes 2. Moves and centers anatomy as directed by surgeon 1. Needs frequent reminders to recenter 0. Fails to center body part adequately for procedure

J. Evaluates Image Quality 2. Able to make adjustments as needed 1. Makes some adjustment, could be much better 0. Unable to correct poor image quality

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2 1 0 K. Able to manipulate images – Rotate, Flip, Mirror, Magnify, Save, Recall 2. Shows ability to do all the above image manipulations 1. Able to do all of the above, but with hesitation 0. Unable to do all of the above

L. Able to work all locks, brakes and manipulate C-arm to necessary positions 2. Can move C-arm with in-out, wig-wag, orbital rotation (AP/LAT), and flip 1. Can perform each movement but with difficulty 0. Unable to adequately manipulate C-arm for surgery

M. Able to reset fluoro timer and record total fluoro time 2. Performs the above tasks 1. Able to reset timer, forgets to record time 0. Unable to reset timer alarm or unaware of need to record fluoro time

N. Records type of surgery for radiologist 2. Writes down type of surgery for association with images 1. Writes down type of surgery but should be more specific 0. Fails to record any information for radiologist

O. Work pattern efficiency 2. Steps are followed in logical sequence in a timely manner 1. Some steps cause wasted time 0. Seems unprepared, confused or takes excessive time

TOTAL POINTS:





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Student Name Clinical Site Date

Computed Tomography (CT) Check-Off Sheet

During the rotation in Computed Tomography (CT) Department, the student will demonstrate the following objectives. Objectives at the Clinical Site: 1. Identify the equipment listed on the check-off sheet. 2. Explain the basic function of each piece of equipment. 3. Recognize each of the CT exams below by their cross-sectional appearance. 4. Find anatomic structures listed for each exam. 5. Demonstrate skills of patient transfer and care (pre and post scan) Place a check mark when you are able to identify the following: I. CT Equipment 1. Gantry 2. CT table 3. Contrast Injector, standing unit or mounted on the ceiling 4. Emergency Scanner Shut Off Button (The first four items are located in the actual CT room) 5. CT Control Workstation Monitor & Keyboard 6. Injector Remote Control & Monitor 7. Compact Disc Writer (located in the computer tower) 8. Window/Level viewing adjustment 9. Control Box (contains the start & stop buttons, allows you to speak to the patient and moves the table in and out of the gantry) II. The student should see and view at least five out of the nine procedures listed: 1. CT Head 6. CT spine 2. CT Chest without contrast 7. CTA (abd., neck, or head) 3. CT Chest with contrast * 8. Code stroke procedure 4. CT abd/pel without contract 9. CT Sinuses 5. CT abd/pel with contrast *

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III. CT Head - Observe and locate the following cross-section anatomy: 1. Frontal lobe, Occipital lobe, Parietal lobe, Temporal Lobe 2. Orbits 3. Mastoid Air Cells 4. Ethmoid & Sphenoid sinuses 5. Cerebellum 6. Lateral Ventricle - (anterior horn, posterior horn) 7. Falx of Cerebrum 8. Superior Sagittal Sinus 9. Occipital Bone 10. Choroid Plexus (located inside posterior horn) IV. CT Chest with contrast - observe and locate the following cross-section anatomy: 1. Esophagus 2. Trachea 3. Ribs 4. Heart 5. Lungs (view lungs in mediastinum window vs. Lung window) 6. Pulmonary arteries (Rt. & Lt.) 7. Ascending Aorta 8. Descending Aorta 9. Post Coronal and Sagittal reformats V. CT Abdomen/Pelvis - (with contrast preferred locate the following cross-section anatomy: CT Abd.: 1. Liver 2. Gallbladder 3. Stomach 4. Spleen 5. Pancreas 6. Kidneys 7. Descending Aorta or (Abd. Aorta) 8. Inferior Vena Cava 9. Colon 10. Vertebra & Spinous process CT Pelvis: 1. Bladder 2. Rectum 3. Sacrum 4. Head of Femur 5. Acetabulum & Pelvic Girdle

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VI. Skills to Demonstrate 1. Patient Identification (Name & D.O.B.) 2. Methods of Patient Transfer to CT Table 3. Checking of MD orders (chart or script) 4. Understanding why consents and questionnaires are necessary Student Signature Date CT Technologist Signature Date Instructor Signature Date Comments

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Trocaire College

Radiologic Technology Program Magnetic Resonance Imaging (MRI) Safety/Screening Protocol

Explanation of the MRI Safety Screening Student Information Form, along with a 25 minute introductory video on MRI are presented to first level RT Students at the end of their Spring Semester. These educational tools help prepare the students and enhance their knowledge on safety issues involving the intensity of the magnet for imaging. Once the information form is reviewed and signed, the students are required to return the signed form to the Clinical Coordinator. The students are aware that, at any time, while enrolled in the RT Program should there be any changes (i.e. medical issues, health concerns, etc.) related to items on the MRI Safety Screening Student Information form, notification about this to the Program’s Clinical Coordinator is MANDATORY. If a student is absent from this class, he/she is responsible to contact the program’s Clinical Coordinator who will repeat the MRI information session and also have him/her watch the video. If a student has any concerns that would prevent him/her from entry into an MRI environment, an alternate learning experience has been devised. The student is required to go to the Trocaire College Library to view medium on reserve: 1. RES DVD616.07548 DIA 2009. 2. Streaming: 616.0754 PHY 2008. Additional question/concerns may be addressed to the Program’s Clinical Coordinator. In addition, prior to immediate entry to an MRI Suite, students will follow the safety protocol of the Sponsoring Institution which typically includes questions: *Does the student have: Batteries, watches, all types of phones, hearing aids, etc. Credit cards/bank cards with magnetic strips Metal in pockets (coins, keys, pen, etc.) Loose jewelry, hair pins, steel toes boots/shoes, etc.

*An affirmative answer to any of the above questions requires the student remove these items from his/her self before entering the MRI Suite. Css:hlthsci/RT/Augustyn/MRI Safety Screening Protocol

75

RADIOLOGIC TECHNOLOGY PROGRAM MRI SAFETY SCREENING

STUDENT INFORMATION FORM

(Print) Name: _______________________________Date :_______________ The following questions must be answered prior to entering an MRI suite. An affirmative answer may preclude the student from entering the suite and he/she may not be able to view the study(ies). PLEASE CIRCLE ALL THAT APPLY! DO YOU HAVE ANYTHING ARTIFICIAL in YOUR BODY? -kidney disease (diabetic) - -wire sutures -insulin pump -Hickman or Broviac catheter -transdermal patches -eye prosthesis -cardiac pacemaker or wires from a pacemaker -Intrauterine Device (IUD) -vascular clips: brain, aortic, or carotid -middle ear prosthesis/cochlear implant -prosthetic heart valve or any previous heart surgery -hearing aid/dentures -metal fragments from shrapnel, welding, gunshot wound, especially near the eye -neurostimulators -shunt (ventricular or spinal) -joint replacement, artificial limb -metal plates, pins, screws, spine rod, or any metal bone device FEMALE STUDENTS: ___I am pregnant ___I am not pregnant I am aware that, at any time, while enrolled in the RT Program should there be any changes (i.e. medical issues, health concerns, etc.) related to items on the MRI Safety Screening Student Information form, notification about this to the Program’s Clinical Coordinator is MANDATORY. If I have answered yes to any of the above, I am aware that I must contact the program’s Clinical Coordinator for additional follow-up/instruction(s). __________________________________ _______________________________ Student’s Signature Clinical Coordinator Css;hlthsci/RT/Smith/MRI Information Form

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TROCAIRE COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM Clinical Education

R.T. 104, 108, 109, 205, 210, 211 Anecdotal Record - Log Sheet

Anecdotal Record - Log Sheet may be used by instructor to record student information on an on-going basis in order to aid the instructor in Clinical Performance Evaluation of students. Student Name __________________________________________ Level Class of _______________________________________________ Semester

Date

___________

Comments

__________________________________________________

Instructor

____________

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Date ____________

Comments

__________________________________________________

Instructor

____________

STUDENT SIGNATURE DATE CLINICAL INSTRUCTOR SIGNATURE DATE ADJUNCT FACULTY SIGNATURE(s) DATE (if applicable) DATE

Student must sign this evaluation to verify it has been reviewed.

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TROCAIRE COLLEGE: RADIOLOGIC TECHNOLOGY EXAMINATION LOG SHEET Student: _______________________________ Semester/Year:___________________ DATE

TOTAL

EXAMS Daily Total Exams

CHEST & THORAX Chest Routine

Chest AP (Wheelchair or Stretcher)

Ribs

Chest Lateral Decubitus

Sternum

Upper Airway (Soft-Tissue Neck)

Sternoclavicular Joints

UPPER EXTREMITY

Thumb or Finger

Hand

Wrist

Forearm

Elbow

Humerus

Shoulder

Trauma: Shoulder (Scapular Y, Transthoracic or Axillary)

Clavicle

Scapula

80

AC Joints

Trauma: Upper-Non shoulder

DATE

LOWER EXTREMITY Foot

Ankle

Knee

Tibia-Fibula

Femur

Trauma: Lower Extremity

Patella

Calcaneus (Os Calcis)

Toe

HEAD Skull

Paranasal Sinuses

Facial Bones

Orbits/Orbits for MRI

Zygomatic Arches

Nasal Bones

Mandible (Including Panorex)

TMJ’s

SPINE & PELVIS

Cervical Spine

81

Trauma: Cervical Spine (Cross Table Lateral)

Thoracic Spine

Lumbosacral Spine

Pelvis

DATE

Hip

Cross Table Lateral Hip

Sacrum and/or Coccyx

Scoliosis Series

Sacro-iliac Joints

ABDOMEN

Abdomen Supine (KUB)

Abdomen with Upright

Abdomen with Decub

CONTRAST EXAMS

Upper GI Series (Single or Double Contrast)

Barium Enema (Single or Double Contrast)

Small Bowel Series

Esophagus/BAS

Video Swallow

Intravenous Pyelogram (IVP)

Lumbar Puncture

ERCP

82

Myelogram/Discogram

Arthrogram

SURGICAL STUDIES

C-Arm Procedure (2-views)

C-Arm Procedure

Urology Procedures DATE

MOBILE STUDIES

Chest

Abdomen

Orthopedic

PEDIATRICS (age 6 or younger)

Chest Routine

Upper Extremity

Lower Extremity

Abdomen

Mobile Study

Pediatric Fluoroscopy Exams

Other Pediatric Exams

OTHER EXAMS/MODALITIES

CT Exam (Check Off)

MRI Exams

Ultrasound/Echocardiography Exams

ERCP

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C-Arm Procedures and Other OR

Bone Density/DEXA

Leg Lengths

Bone Survey

Interventional Exams

Dobhoff/PICC Insertion, etc.

Css/hlth-sci/RT/Weber/Daily Log Sheet- Summer 2015

85

Trocaire College Radiologic Technology

Repeat/Reject Log Sheet

Student Name: __________________________________ Level: ________________

DATE EXAM OR POSITION REASON FOR REPEAT R.T. THAT DIRECTLY

SUPERVISED

86

DATE EXAM OR POSITION REASON FOR REPEAT RT WHO DIRECTLY

SUPERVISED

Revised 2015

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TROCAIRE COLLEGE


Pediatric Examination Log Sheet

Student _______________________________ Clinical Education Center ______________________ Semester _________________ Year ______

Date Examination Child’s Age

ARRT: Pediatric studies are considered 6 years old and under. (Continue on back)

88

Date Examination Child’s Age

css\hlth-sci\rt\smith\exlogsht.doc\cf

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CLINICAL COMPETENCY MIDTERM/FINAL EVALUATION

Student Name _____________________________ Semester Year ________________ Affiliation ________________________________ Level _________________ In a clinical education center, the student will demonstrate the competencies listed below. Following each statement, check (√) the area achieved. The following rating scale is to be used:

0 pts. - does not consistently meet clinical competency standards 1 pt. - demonstrates consistent performance Maximum Point Total = 50

The student will demonstrate the competencies from the following domains: cognitive, affective, and psychomotor.

A. PROFESSIONAL CONDUCT 0 1 COMMENTS (Total Points___/13_)

1. Prompt notification of absence or tardiness.

(see Non-Compliance Form)

2. Adheres to assigned break and lunch times. Willing to follow directions from instructor and clinical personnel.

3. Adheres to scheduling assignments, and is clinically prepared; name tags, film badge, markers, pen etc. and pocket notebook.

4. Adheres to departmental and program rules and regulations, including dress code.

5. Maintains a respectful and cooperative relationship with professional staff, and effectively communicates with them.

6. Limits conversations to appropriate time and place.

7. Demonstrates motivation by seeking assignments and willingly tries new tasks, and demonstrates a positive attitude.

8. Accepts constructive criticism, and assumes responsibility for actions.

9. Completes competencies within required period of time, and maintains daily log, repeat/reject sheets.

10. Performs quality tasks during “down time” (Assists staff, studies, reviews positioning/images, etc.).

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PROFESSIONAL CONDUCT (Cont’d) 0 1

11. Displays self-confidence with reliability and dependability when performing exams.

12. Maintains patients’ confidentiality and respects their privacy (HIPPA).

13. Overall performance results in earning patient’s confidence.

B. PATIENT CARE 0 1 Comments (Total Points ___/ 3)

14. Understands concepts of patient transfer skills, and is able to effectively perform them. Provides patient safety during exams.

15. Attentive to patient’s needs.

16. Implements Standard Precautions (Follows isolation technique and self-protection techniques when applicable).

C. COMMUNICATION 0 1 Comments (Total Points ___/ 3) (verbal) 17. Able to effectively communicate with professional

personnel.

18. Demonstrates effective patient communication skills (volume, tone, eye contact, content, etc.)

(written) 19. Properly obtains and records patient history to

include proper spelling.

D. TECHNICAL COMPETENCY 0 1 COMMENTS (Total Points___/20)

20. Interprets requisition and compares with script before taking an exposure.

21. Prepares room, equipment, and contrast media prior to exam.

22. Correctly identifies patient as per department protocol, and introduces self.

23. Verifies procedure with patient, and provides clear and appropriate instruction.

24. Gives proper changing instructions (Clothes, jewelry, snaps, etc.). Provides for patient modesty.

25. Utilizes references and selects proper routines and positions as per department protocol.

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26. Proper use and orientation of IR (Crosswise vs. lengthwise; Landscape vs. Portrait)

TECHNICAL COMPETENCY (cont’d) 0 1 COMMENTS

27. Is familiar with, and able to manipulate radiographic equipment, including fluoroscopic and mobile units.

28. Properly detents tube when applicable and consistently aligns tube - part - IR. Sets proper SID (source - image - distance).

29. Positions patient correctly for various exams to include obliques, and/or rotates body into the proper position(s).

30. Accurately use body landmarks while positioning.

31. Correct use of central ray “perpendicular or angled”, and correct direction.

32. Familiar and knowledgeable with, and able to select settings on control panel; technique selection appropriate for level.

33. Relays proper breathing instructions and observes patient for movement.

34. Seeks direct supervision when a repeat/reject image is performed and has limited number of repeat/rejects.

35. Knowledgeable in digital image processing, manipulation, and annotation.

36. Demonstrates evidence of ability and knowledge appropriate to clinical level (Freshman vs. Sophomore vs. Graduate).

37. Learns and retains repetitive routine skills.

38. Adjusts to various patient conditions. (Cart/wheelchair exams, cast, various patient tubes, etc.) and applies critical thinking skills to patient condition.

39. Performs exam in an organized manner and routine.

E. RADIATION PROTECTION 0 1 COMMENTS (Total Points____/ 3 )

40. Wears personnel monitoring device and utilizes lead aprons and gloves when necessary, practicing radiation safety rules.

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41. Inquires, understands, and documents for LMP and possible pregnancy as per department protocol.

42. Routinely applies or acknowledges gonadal shielding as per department protocol.

F. FILM/IMAGE EVALUATION 0 1 COMMENTS (Total Points____/ 8 )

43. Anatomical part is properly aligned on the image receptor with no cut-off.

44. Proper density and contrast are consistently displayed on images.

45. Markers are visualized, and/or in correct location.

46. Collimation applied according to class instruction and department protocol.

47. Images are consistently identified with appropriate patient information.

48. Able to identify projection/position, and related anatomy.

49. Can offer critique of image with regard to diagnostic acceptability.

50. OTHER

NUMEROUS “NON-COMPLIANCE INFRACTIONS” THROUGHOUT THE STUDENT’S LENGTH OF TIME WITHIN THE PROGRAM (SEMESTER(S)/SESSION(S) WILL RESULT IN DISMISSAL FROM THE PROGRAM/GRADE OF “F”. Total Points:__________

____________________________________ _____________________________ Student Signature Date ____________________________________ _____________________________ Clinical Instructor/Adjunct Faculty Date Student must sign this evaluation to verify it has been reviewed. Student signature does not imply agreement. Additional comments:

93

TROCAIRE COLLEGE - CLINICAL ATTENDANCE RADIOLOGIC TECHNOLOGY PROGRAM

SAMPLE Clinical Site: Schedule:

Group: Clinical Instructor:

Hlth-Sci/RT/Smith/Clinical Attendance-Graduates Summer 2015

May June

18 19 20 21 22 26 27 28 29 1 2 3 4 5 6 7 8 9 10 11 12 1.

2.

3.

4.

5.

6.

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Please Record the Date(s) of Rotation

STUDENT’S NAME FLUORO OR GEN. DIAGNOSIS ER PORT SPEC. PROCEDURES

*OTHER

1.

2.

3.

4.

5.

6.

7.

8.

*Other includes: CT, MRI, Interventional DEXA, etc. Css:hlthsci/RT/Smith/Clinical Attendance/2015 Record of Rotation April 28, 2015

95

Trocaire College 360 Choate Avenue Buffalo, New York 14220-2094 (716) 826-1200, Fax 828-6107

MEDICAL CLEARANCE

RADIOLOGIC TECHNOLOGY STUDENT

STUDENT NAME: ATTENDING PHYSICIAN: NAME:______________________________________________ ADDRESS:______________________________________________ ______________________________________________ PHONE #:___________________________ CONDITION BEING TREATED: IF PREGNANT - EDD Physician’s recommendation regarding participation in Radiologic Technology program. Immediate leave of absence. Withdrawal from clinical rotations with continued participation in didactic instruction. Continued full-time status with limited participation in fluoroscopy, surgery and mobile radiography. STUDENT MAY PARTICIPATE IN THE FOLLOWING ACTIVITIES: CLASS ROOM CLINICAL WITHOUT RESTRICTIONS ANY ADDITIONAL COMMENTS PERTINENT TO THE STUDENT’S HEALTH STATUS: (If additional space is needed, use back of this sheet.) PHYSICIAN SIGNATURE DATE

97

Declaration of Influenza Vaccination for Healthcare Personnel

I have been advised that I should receive the influenza vaccine to protect myself and the patients I serve. I understand that by refusing the vaccination against influenza, I will be required to wear a surgical mask in areas where patients and residents may be present from November1 to May 1 of the designated year, or as otherwise designated "prevalent" by the Commissioner of the New York State Depar tment of Health (NYSDOH).

I have read the above information and please check one of the following: I have a severe allergy to eggs (or other component of the vaccine)

I have a medical condition that might worsen by the vaccine

I do not wish to receive the vaccine because of religious reasons

l have been informed of the risks and benefits of the vaccine and l do not wish to receive it

I am aware that I can change my mind at any time and accept an influenza vaccination.

Name (print)

Signature __________________________________________Date:

99

STUDENT INCIDENT REPORT DATE OF INCIDENT: _____________________ TIME: _________________

STUDENT NAME: ________________________________ PROGRAM: ____________

ADDRESS: ______________________________________ DOB: __________________

______________________________________

PHONE#: _______________________________________

LOCATION OF INCIDENT: ______________________________________________________________________________________________________________________________________________________ HOW INCIDENT OCCURRED (DESCRIBE IN DETAIL): _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ DISPOSITION: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ INJURIES: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ MISC. PERTINENT INFORMATION: ______________________________________________________________________________________________________________________________________________________________________________ WITNESSES: ___________________________________________________________________________ ____________________________________________ ______________ SIGNATURE OF INDIVIDUAL PREPARING REPORT DATE Program Director: Health Office: Sr. Marie Andre Revised 6/22/12 827-2489 or Fax: 825-0416 css/college/incident.doc

360 Choate Avenue • Buffalo, NY 14220-2094 • (716) 826-1200 • Fax: (716) 828-6107

101

RADIOLOGIC TECHNOLOGY POLICY MANUAL

Non-Compliance Form Student Name: __________________________________ Date: ____________ Clinical Site/Instructor: ___________________________ Semester: _________ This counseling report was issued today and is to be made part of the student’s file. The student is in non-compliance of the following:

Non-Compliance Incident Action Taken

Tardiness 1st time

2nd time ______student initials 3rd time ______ student initials

Three (3) offenses in tardiness (within a semester/session) results in a full grade drop.

Prompt notification of absences or tardiness to the affiliate by 8:00 AM.

Points will be deducted on midterm and/or final evaluation.

Two (2) excused** absences or unexcused*** absences within a semester/session

Points will be deducted on midterm and/or final evaluation.

Three (3) excused** absences within a semester/session.

Points will be deducted on midterm and or final evaluation.

Three (3) unexcused *** absences within a semester/session.

Full grade drop.

Four (4) unexcused *** absences within the semester/session

FX grade

Cell Phone Infraction 1st time

2nd time ______student initials 3rd time ______ student initials

Two (2) cell phone infractions within a semester/session result in a mini grade drop.

Three (3) or more infractions result in a full letter grade drop.

Other Please see back of form

* Numerous infractions within the length of the program will result in dismissal from the RT Program. (To be determined by RT Faculty)

**An excused absence occurs when legal/medical documentation is submitted within two weeks of absence. ***An unexcused absence occurs when legal/medical documentation is not submitted within two weeks of absence.

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CATEGORY I

Dismissal from site/program according to College Policy.

CATEGORY II To be determined by RT Faculty. (i.e. lowering of grade)

X X Narcotic and/or other drug infraction

Unprofessional/disorderly behavior

Misuse/theft of hospital property Leaving assigned clinical area

Disclosure of confidential information Failure to be alert/sleeping

Falsification of clinical documents Hindering clinical flow

Unprofessional/unethical conduct Non-compliance with Code of Ethics of ARRT

Insubordination, to include, but not limited to repeated negative attitudes, actions and/or responses; refusal to perform radiographic exams at expected competency levels; refusal to complete didactic and/or clinical assignments as requested and/or required

Possession of weapons Violation of safety rules/regulations

Assault, abuse or negligence with respect to any person

Failure to comply with supervision policy (i.e. direct or indirect supervision)

Tampering with official documents Unauthorized use of hospital equipment, supplies

Academic Dishonesty to include, but not limited to cheating, plagiarism, furnishing false information to any college/clinic official or office

Radiation protection policy infraction

Causing dissension between or among other program students, program faculty, clinical officials, and/or clinical staff

Poor quality patient care and/or comfort

Improper exam protocol/procedure

Inappropriate personal appearance and/or violation of dress code

Attendance at the mandatory college ARRT ® (Registry review session).

____________________________________________ _____________ Student Date ____________________________________________ _____________ Clinical Instructor Date Revised 6/2015

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Trocaire College Division of Health Professions


Program Grievance Policy When a student believes there are grounds for a grievance, the aggrieved student shall meet with the instructor involved in the incident to discuss and attempt to resolve the grievance within five (5) working days. If the incident involves clinical education setting personnel, the aggrieved student shall initially meet with the clinical instructor or clinical coordinator, not affiliate personnel. If the grievance is the result of disciplinary action against the student, the student shall meet with the instructor and program director. All meetings shall be recorded. If the aggrieved student is not satisfied with the outcome of this meeting, the student should follow the grievance procedure outlined in the Trocaire College Student Handbook under the section on Student Code of Conduct: Disciplinary Procedures. Note: A student may be removed from the clinical site for reasons related to the student’s physical or emotional safety and well-being, or for reasons relating to the safety and well-being of patients, students, faculty or hospital property. Approved by Radiologic Technology faculty on June 10, 2014.

105


Remediation Form

Student ___________________________________ RT ________________ Date _____________________ Competencies to be improved: _____________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Instructor recommendation: ________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Appointment made with RT Clinical Coordinator Date _____________________ Instructor Signature _____________________________ Date _____________________ Student Signature ______________________________ Date _____________________ (Indicates I have read this form) Student Comment (optional): _______________________________________________________ _______________________________________________________________________________ Instructor Follow-Up Statement: ____________________________________________________ _______________________________________________________________________________ Signature _______________________________________ Date _____________________

107

TROCAIRE COLLEGE


MAKE-UP VERIFICATION FORM

Student Name: __________________________________ Clinical Education Center: ____________________________________ Date: ____________________________ I understand that I must be in attendance, on time, the date(s) listed below. These dates will constitute the make-up time for the clinical absence(s) I have accumulated. I also understand that if I do not make up all of this time I will receive an “F(X)” grade, failure due to excessive absence, in Radiologic Technology. Student Signature ______________________________________ Faculty Signature ______________________________________ Adjunct Faculty Signature _______________________________ Clinical Make-up time:

Date Clinical Site

109

TROCAIRE COLLEGE

RADIOLOGIC TECHNOLOGY

CLINICAL MAKE-UP TIME SHEET STUDENT NAME DATE CLINICAL SITE PATIENT EXAMINATIONS: Time Period Involved: LEVEL FULL DAY HALF DAY CLINICAL SUPERVISOR

111

TROCAIRE COLLEGE


Verification of Attendance at a Professional Seminar

CIRCLE:

FALL SEMESTER 20 SPRING SEMESTER 20

Amount of Banked Time:

FULL DAY HALF DAY

Date of Seminar Attended: Topic/Title of Seminar: Speaker(s): Summary of Main Points: ● Discuss how this seminar furthered your professional development (relative to specific learning, etc.). Attach an additional sheet to this form – 1-2 typed pages. *If typed summary is not submitted, banked time will NOT be granted. STUDENT NAME: I hereby verify that the above student was in attendance at the stated meeting. Organization Member’s Signature Revised 6/2015

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Service Learning Verification RT Program

Please return completed form to: Pam Jablonicky

Coordinator of Service Learning Office 302; Phone 827-2543

SUMMER year

Community Partner Site Address Instructor

Student Name Date Time In Time Out Number of Hours

Supervisor Signature

Community Partner comments: Instructor comments:

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Site Evaluation

Affiliation: ______________________________________ Date: ____________________ Student Radiographer Level: ________________________ Semester: ________________ This form gives the student an opportunity to evaluate the clinical site, clinical staff, and/or adjunct faculty, supervision, and other related clinical education activities. This student form will be administered at the end of each Semester and Summer Rotation. Answer or complete the following statements:

1. Was this clinical education site conductive to learning? (include strengths and areas in need of improvement)

STRENGTHS AREA(S) IN NEED OF IMPROVEMENT

2. Was the quality and quantity of work sufficient? 3. Did learning activities presented at the College correlate with what was presented at this clinical

education center?

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4. Were you motivated to reach your potential educational ability? 5. Was the supervision helpful and sufficient?

ADDITIONAL COMMENTS:

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TROCAIRE COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM GRADUATE EXIT INTERVIEW

Student’s Name _________________________________ Date ____________________ Current Address ________________________________ Phone ___________________ E-Mail _________________

I. Continuing Education Plans Do you have continuing education plans? A. Advanced Level Degree (i.e. – Bachelor’s Degree) Circle one YES NO Comments:

B. Advanced Level Certificate (i.e. – Diagnostic Medical Sonography) Circle one YES NO Comments:

C. Life-Long Learning Program Circle one YES NO Comments: II. Employment Plans: Circle one and supply information on sites.

A. I have secured a position in Radiologic Technology. B. I am being considered for employment at ____________________________________ (Name of Site)

C. Radiology position is: Full-time Part-time Per-diem Temporary D. Do not at present have any radiology job promise. E. Will not seek employment until completion of American Registry of Radiologic Technologists Examination ARRT®. F. Will not seek employment in the diagnostic imaging field. Reason: III. Program/College Evaluation:

A. What were the greatest strengths of the program?

B. What improvements could be made within the program?

C. Were your goals and expectations met in the Radiology Technology Program? Yes/No Please explain:

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D. Overall, how satisfied were you with your academic experience in this program Very Satisfied Satisfied Not Satisfied E. Would you recommend this program to others? Why or why not? F. Were the informational resources (PLC/Library) sufficient and conducive to your learning at Trocaire? Yes/No G. Please rate the following areas of the college, on a scale of: 1 = Poor 2 = Fair 3 = Good 4 = Excellent _____Admissions Process _____Bookstore service _____Library -- Availability of materials _____Library – helpfulness of staff _____Financial Aid – helpfulness of staff

IV. Miscellaneous: a. Do you plan to relocate to a different geographic region? Yes/No b. If yes, please indicate where you plan to relocate to___________________________ V. Additional Comments:

Css:hlthsci/RT/Graduate Exit Interview June 2014

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TROCAIRE COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM GRADUATE SUMMATIVE EVALUATION

Rating: 4 - Demonstrates superior ability; performs with consistent distinction. 3 - Demonstrates above average ability; performs with consistent quality. 2 - Demonstrates average ability; performs with supervision because of limited practice and/or experience. 1 - Demonstrates minimal ability; needs continued supervision and instruction to improve performance. STUDENT: _________________________________________ DATE: _________________________________________

1. Attendance/Punctuality. 1 2 3 4

2. Professional appearance and demeanor. 1 2 3 4

3. Adherence to assigned lunch & break times. 1 2 3 4

4. Constructive comments – accepts and profits from constructive suggestions.

1 2 3 4

5. Demonstrates accountability for own actions. 1 2 3 4

6. Identifies and records deviations from normal for a patient with an acute and/or chronic health problem.

1 2 3 4

7. Organization and efficiency of work. 1 2 3 4

8. Willingness to work independently and ask questions when appropriate.

1 2 3 4

9. Ability to work cooperatively with other students and with staff. 1 2 3 4

10. Quality of work performed. 1 2 3 4

11. Ability to handle stressful situations. 1 2 3 4

12. Initiative by seeking additional assignments. 1 2 3 4

13. Respect towards patients, staff and peers. 1 2 3 4

14. Willingness to help others. 1 2 3 4

15. Motivation – assumes responsibility for professional growth. 1 2 3 4

Instructor/Adjunct Faculty Signature ________________________________________

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RADIOLOGIC TECHNOLOGY PROGRAM EMPLOYER EVALUATION

IF YOU HAVE EMPLOYED ANY OF OUR GRADUATES IN THE PAST FIVE (5) YEARS,

PLEASE CHECK (√) THE APPROPRIATE BOX

Graduate’s Name:__________________________________________________ Year of Graduation:___________ Place of Employment:_____________________________________________ Status: Full-time: _____ Part-time _____ Per diem _____ Exceeds

Expectation Regularly Meets Expectations

Seldom Meets Expectations

Not Applicable

A. Educational Sufficiency

Is knowledgeable regarding positions required for each examination.

Is knowledgeable about radiation safety practices.

Is knowledgeable about anatomy and physiology.

Is knowledgeable about contrast agents commonly encountered in radiologic practice.

Utilizes medical terminology properly.

Understands prime exposure factors of mas, kvp, & SID.

Understands the concepts of CR, DR & PACS.

B. Clinical Competence

Produces quality images (Positioning, collimation, marker placement, etc.)

Correctly utilizes radiation safety procedures

Capable of evaluating images for appropriate image quality.

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(over) Exceeds

Expectation Regularly Meets Expectations

Seldom Meets Expectations

Not Applicable

Implements changes needed to improve image quality.

Adapts to and improvise for patient condition.

Completes cases thoroughly.

Properly completes all written documentation pertaining to case.

C. Professionalism

Maintains patient confidentiality.

Demonstrates initiative.

Is receptive to constructive criticism and assumes responsibility for actions.

Effectively communicates with professional personnel.

Signature of Evaluator: ______________________________________________ Date: _______________ css:rt/Smith/RT Employer Evaluation

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TROCAIRE COLLEGE Radiologic Technology program

Clinical Grading

Semester: ____________ Academic Year: _______ Clinical Education Center: ______________

Freshmen First Semester

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12. ______________________________________________ ___________________ Instructor Signature Date

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TROCAIRE COLLEGE

Radiologic Technology Program Clinical Grading


Freshmen Second Semester

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TROCAIRE COLLEGE Radiologic Technology Program

Clinical Grading


Freshmen First Summer Session

Se

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Clinical Grading

Semester: ____________ Academic Year: _______ Clinical Education Center: ___________

Sophomores Fall/Spring

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12. ________________________________________________ _______________________ Instructor Signature Date

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Clinical Grading

Semester: ____________ Academic Year: _______ Clinical Education Center: ___________

Graduates N

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Absence(s) in mandatory ARRT ® review session will result in a final grade no higher than a “C”. ________________________________________________ _______________________ Instructor Signature Date

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REQUEST FOR RE-ADMISSION

Please complete this form and return it to the Program Director: Name Last First Address Street City State Zip Phone Numbers Home Work I wish to be re-admitted to: at the Indicate the program you are seeking re-admission Indicate the level you wish to enter Semester Indicate the semester you wish to begin Student Signature Date

The Mercy College of Western New York 360 Choate Avenue • Buffalo, NY 14220-2094 • (716) 826-1200 • Fax: (716) 828-6107

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Trocaire College Radiologic Technology Program

Re-admission Request Form

Student Name_____________________________ Date_________________ Submitted to______________________________ Please complete the following questions to request RT Program readmission. Completion of this form DOES NOT GUARANTEE readmission to the RT program! 1. Why were you unsuccessful in your RT course(s) for this semester? What went wrong for you? 2. What will you do differently when you repeat this/ these RT course(s)? 3. Why do you deserve a “spot” in our RT program? Why do you want to become a Radiologic Technologist?

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4.) What characteristics do you think make a successful RT student? Do you see those in yourself? EXPLAIN! 5.) Formalize and describe an “action plan” that you will utilize for the RT program (i.e. work, schedule, study times, use of RT tutoring, RT lab. Work, etc.)

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Freshman Re-Admission

Dear: To successfully complete the Re-Admission Program for Radiologic Technology, you must complete the following requirements: 1. Review the media listed below and upon completion write a one (1) page typed summary of each to be

submitted on the day you are scheduled to perform the competencies. a. Radiography RES – RT DVD 616.075 RAD (37 min) b. Recognize and Respond RES - RT DVD 616.075 REC (30 min.) c. Preventing Bloodborne Infections DVD 614.4 BLO 2013, B54 A-C

The media may be viewed in the Library or streaming through Trocaire website. The Library is on the 4th floor at the Choate location. (827-2434)ppendixpp Please bring your Trocaire ID to view the media on campus. 2. A Radiologic Technology review multiple-choice test will be taken the same day arranged as the

laboratory competencies. This test encompasses basic review from the first semester RT courses. A grade of 75% must be achieved. 3. Once the videos are reviewed and the test is completed, you will then have to perform seven (7) out of ten (10) competencies in the College RT Laboratory. These will be selected by the Re-Admission Committee: (1) Elbow….......................................AP, both obl, lateral (2) Wrist............................................PA, OBL, LAT, STECHERS (3) Ankle...........................................AP, OBL, LAT (4) Knee............................................AP, both obliques, Tunnel, Lateral (5) Complete Abdomen.....................AP supine, AP upright, & decubitus (6) Routine Chest..............................PA. LAT (7) Clavicle.........................………….AP, AP axial (8) Shoulder……...............................Internal, external rotation and axillary and “Y” view (9) Pelvis...........................................AP, Frog-leg (10) Hip………………………………....AP, Lateral, X Table Lateral The three volumes of Merrill’s should be used as references. The first 4 competencies will be performed in the CR room; the last 3 competencies will be in the DR

room. If possible, I recommend that you make arrangements to come into the R.T. Laboratory to familiarize

yourself with the manipulation of the equipment before the competencies are performed. The R.T. Lab can be open with arrangements. You will be required to perform your competencies on _________________. Once you have received this letter, please contact me at Trocaire College, 827-2494 and leave a voice message for confirmation.

Reminder: If all above requirements are not successfully completed, you will not be allowed to re-enter the Radiologic Technology Program. Also, be aware that all College Health Records and CPR Certification must be in order before you will be allowed into the assigned clinical site. We will need a copy of your health insurance card.

______________________________ Ann Smith, Clinical Coordinator

Css/Hlth-sci/rt/smith/letters/readmit

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Sophomore Re-Admission

Dear,

To successfully complete the sophomore Re-admission Criteria for the Radiologic Technology Program you must complete the following requirements:

1.) Pre-Test A Radiologic Technology review multiple choice/matching test will be taken on the same day of the competency performance in the R.T. laboratory. This exam encompasses basic review from the Radiologic Technology courses previously taken. A grade of 75% must be achieved.

2.) Skill Performance

The student is required to perform seven (7) out of ten (10) competencies successfully in the College Laboratory. The Re-admission Committee has selected the following list of the 10 studies to review:

( 1) Shoulder . . . internal and external rotation, axillary, “Y” view ( 2) Cervical . . . AP, OBL, and Swimmers ( 3) Unilateral ribs . . . AP & OBL (upper and lower) ( 4) Abdomen complete . . . (flat and decubitus) ( 5) Upper gastrointestinal . . . AP, LPO, RAO, Right LAT ( 6) Lumbar spine . . . AP, OBL, LAT, SPOT (L-5 - S-1) ( 7) Sinuses . . . PA, Caldwell, Waters, Pirie, LAT ( 8) Knee . . . AP, OBL, LAT, Patella (sunrise) ( 9) Pelvis and Hip . . . Ap pelvis, frog hip, x-lateral hip (10) Wrist . . . PA, OBL, LAT, both deviations

The three volume set of Merrill’s and the RT laboratory manuals should be used as references. Arrangements to perform the 7 competencies will be made after the test and software review have been completed. It is recommended that the student make arrangements to come into the RT Laboratory to re-familiarize himself/herself with the manipulation of the equipment before the competencies are performed. Reminder: If all above requirements are not successfully completed, you will not be allowed to re-enter the Radiologic Technology Program. Also, be aware that all College Health Records and CPR Certification must be in order before you will be allowed into the assigned clinical site. We will need a copy of your health insurance card. If you have any questions or concerns, please contact me at 827-2494. _______________________________ Ann Smith, RT ®, MS Clinical Coordinator [email protected]

mailto:[email protected]

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ADMINISTRATIVE REGULATION No. 663 TITLE: Appeal of Academic Decisions PURPOSE Provides procedures for student appeal of an action or decision on the part of faculty or professional staff affecting a student’s academic status. POLICY The college provides for procedural steps by which a student might appeal an academic decision on the following grounds:

1. A practice/policy at variance with accepted College practice/policy. 2. Computer/calculation error. 3. Inconsistent application of grading standards within an instructor’s sections of the same course. 4. Capricious or arbitrary application of standards concerning grading, curriculum, or placement

status. 5. Allegation of academic dishonesty not supported by evidence.

DEFINITIONS Academic decisions—decisions affecting the assignment of course grades, academic level placement, curriculum status, and academic dishonesty. Business day—day when the administrative offices of the college are open. Administrator—the administrator is the director or designee. Appeal of Academic Decisions Form (AADF)—form originated in the director or other or Dean’s office of the academic area in question documenting the results of each step in the appeal process. Respondent(s)—the person or persons making the academic decision. PROCEDURES 1. The steps in the Appeal Process (AP) must be followed in sequence. The only exception should be the lack of availability of the respondents. In that case the student would begin with step two ( ). 2. Step One—Meeting with the respondents

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Step one must be completed within thirty (30) business days of the decision date. This date shall begin 2 days after the last day of the term, or the date shown in any letter or other written communication advising the student of any other academic decision. The student consults with the respondent(s), the instructor or other persons responsible for the academic decision, to discuss the issue in question. This step shall not be skipped unless the respondent(s) are unable to meet with the student. The supervisor of the respondent(s) shall make every effort to notify the respondent(s) concerning the appeal, but if that is unsuccessful, the student may start with Step Two. Outcomes of Step One:

A. The respondent(s) may find that an error has been made, or that a compromise can be reached, and take the appropriate steps for correction.

B. The respondent(s) may uphold their decision, in which case the student may either accept the decision or proceed to Step Two.

3. Step Two—Discussion with Program Director or Administrator Step Two must be initiated within ten (10) business days of the completion of Step One and must be completed within the next ten business days of its initiation. In summer sessions, the administrator or Director may take up to 20 days. Step Two may not be skipped. If the student feels his/her grievance exists after conferring with the instructor or other professional, he/she may present the complaint in writing to the Program Director or Supervisor of the Director if the decision has been made by a director. There shall again be an attempt at mediation. The complaint in writing must state the grounds of appeal, as explained in the Policy of this regulation.

Outcomes of Step Two: A. A mutually agreeable resolution might be reached. B. The Director or Supervisor may find that the appeal is not timely, is without merit, or does not meet

the appeal criteria set forth within the appeal procedure. C. The Director or Supervisor may find that he/she cannot sustain the academic decision.

In any case, the Director or Supervisor will note the outcome on the Form, sign it, notify both the student and the respondent(s) of the outcome, and secure their signatures on the AADF. A copy of the form will be given to all parties. At this time, if appropriate, the student will be reminded of the right to proceed to Step Three and any impending deadlines in the appeal process.

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After receipt of the AADF, the student may:

a. accept the decision and take no further action b. proceed to Step Three

4. Step Three—Appeal Committee Step Three must be initiated within five business days of the completion of Step Two and must be completed within the next ten business days of its initiation. In summer sessions this may take up to twenty days. If the grievance remains unsettled the Director or Dean shall refer the decision to the chief academic officer (CAO). The CAO shall appoint an Appeal Committee to hear the case. The appeal committee shall consist of three faculty members for a grade appeal. The committee will be supplemented by a Director or Dean (appointed by the CAO) for other academic decisions and one other professional. The mandated three faculty will be selected in the following manner:

a. The student selects a faculty member. b. The faculty member or other respondent selects another faculty member. c. The CAO selects a faculty member.

Efforts shall be made to avoid conflicts of interest for any member of the Appeal Committee. Attendance at the Appeal Committee meeting shall be limited to only persons with pertinent information. The student and the respondent are not present when the other party is presenting. At this step the appeal shall be in writing and shall:

1. Describe the decision form which the appeal is taken, name the respondents, if known, and state the reason for the appeal (noted in Policy above).

2. Include any documents to be relied upon, including grades, reports, correspondence, themes or other papers.

3. Be signed by the student. 4. The CAO shall send copies of the appeal to the respondent, the supervisor of the respondent, and

other names parties prior to the Appeal Committee meeting. The respondent comes prepared with documents such as grade books, testing information, reports of actions taken, copies of grading or other policies, and other appropriate evidence. Outcomes of Step Three

1. The Appeal Committee may reverse the decision in the previous step, with a two-thirds vote of the Committee. The AC must render its decision within three business days of the date of the hearing(s). The student and respondent(s) will be informed in writing of the ruling of the AC.

2. The AC may meet informally with either or both parties and obtain a written resolution. Such resolution may grant the student’s request or establish a compromise solution.

3. The AC may communicate the committee’s decision to the student that the appeal is not timely, without merit, or that it does not meet the appeal criteria set forth within this administrative regulation.

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The AADF shall be completed and signed by the respondents, the student, the supervisor of the respondent(s), and the CAO. This shall terminate the process. GUIDELINES

1. Confidentiality of information is to be maintained at all steps with only those college officials having a right and reason to know being advised and/or consulted about the appeal, and being allowed to attend any meetings or hearings.

2. The CAO is responsible for ensuring that this procedure is administered properly and for resolving procedural issues which may arise.

3. The Vice President, AA keeps notes of any hearing committee meetings and limits the review to clarification of the issues.

4. Tape recordings and verbatim records may be maintained only upon agreement of all parties concerned. Legal advice may be requested by the Hearing Committee through the Office of the President of the college.

5. The procedure does not apply to student appeals of the content of college policies such as academic probation, satisfactory academic progress, academic suspension, readmission, disciplinary actions, or other college policies of a similar nature.

6. The CAO develops standard operating procedures for the Hearing Committee.

Tm/tm Approved: Effective: Review Date:

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Appeal of Academic Decisions Form

(Attachment to Reg 663)

REASON FOR APPEAL (From list found in Reg 663): _________________________________________________________

Step One: Student Meets with Respondent Date of Initial Meeting: _________________ Outcome:_______________________________________________________________________

_______________________________________________________________________________

______________________ ___ ______________________________________ Student's Name (printed) Respondent(s) Name(s) (printed) ______________________________ ______________________________________ Student's Name (signature) Respondent(s) Name(s) (signature) Date:_______________________________ Step Two: Administrator Meets with Student and Respondent (individually or together) Date of Initial Meeting: ________________ Outcome:_______________________________________________________________________

_______________________________________________________________________________

______________________________ _____________________________________ Student's Name (signature) Respondent(s) Name(s) (signature) _______________ ____________________ _____________________________________ Administrator's Name (printed) Administrator's Name (signature) Date:_______________________________

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Step Three: Appeal of Academic Decisions Committee Meeting Date of Initial Meeting: ___________________ Outcome:____________________________________________________________________________

_____________________________________________________________________________________

___________________________________________ CAO's Name (signature) Date:________________________________ Deadlines (Business Days) (Fall/Spring Semester)

Action

*D to D + 30 Complete Step One - meeting with respondents Within 10 days of completing Step One. Initiate Step Two Within 10 days of initiating Step Two Complete Step Two - discussion with

administrator or program director Within five days of completing Step Two Initiate Step Three Within ten days of initiating Step Three Complete Step Three - AAD committee action *D = Date of Decision

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STUDENT PREGNANCY

PACKET

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TROCAIRE COLLEGE RADIOLOGIC TECHNOLOGY PREGNANCY POLICY

Pregnancy Policy (as per Title IX of the Education Amendment) The statute reads “No person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity receiving Federal financial assistance.” The Radiologic Technology Program does not discriminate against any individual who is enrolled in the program and who is pregnant. Appropriate accommodations and alternate comparable activities will be offered as the situation warrants. Students enrolled in the Radiologic Technology Program are informed about the pregnancy policy and are instructed in proper safety precautions and personnel monitoring. General Statement: It is Trocaire College’s policy to provide a radiation safe environment for pregnant students. The program encourages the student to notify the Radiation Safety Officer as soon as possible. Students choosing to declare pregnancy are given the opportunity to do so and will be counseled and assisted by the program faculty to ensure proper radiation safety measures are taken. All student radiographers are lectured on X-rays, pregnancy, risks, and relative policies during Freshman Orientation. The benefits of declaring pregnancy and following radiation protection methods early in the pregnancy are emphasized, but also described as voluntary recommendations. Policy and Procedure: According to New York State Sanitary Code, Chapter 1 – Part 16.6(h), (4/18/2001) and the US NRC Regulatory Guide 8.13 – Instruction Concerning Pregnant Radiation Exposure (June 99) the pregnant student has the right to decide whether to declare her pregnancy or not. This voluntary decision can be withdrawn at any time. (Declared pregnant woman means a woman who has voluntarily informed the department in writing of her pregnancy.) If she chooses to do so, the declaration of pregnancy must be in writing. The student will complete and submit the form title “Pregnancy Declaration”. (See appendix).

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Upon declaration of pregnancy by the student, the following procedure will be followed: The student will submit a statement from her physician verifying pregnancy and expected due date. The statement must include the physician’s recommendation as to which of the following options would be advisable. Upon declaration, the student is given the following options:

1. Immediate withdrawal from the program for health reasons.

2. Continued full-time status without restrictions in classroom but limited rotation in fluoroscopy and

portable/OR procedures (high radiation areas), including Radiation Safety precautions.

3. Continue full-time status without restrictions in clinic, classroom and laboratory.

The physician’s statement (Medical Clearance) shall be submitted to the RSO who discusses the situation with the Program Director. Additionally, a pregnant student has the right at any time, to withdraw/revoke the declaration of pregnancy. Should that occur, the lower dose limit for the embryo/fetus will no longer apply and the student will return to previous clinical expectations/experiences. (USNRC Regulatory Guide 8.13, appendix item 16, June 1999) Options for continuance in the program:

1. A student may withdraw for pregnancy with the option to return to the program at a later date.

2. A student may continue in the program, provided her physician has not placed any physical

limitations/restrictions on her medical clearance form. (aside from limited exposure to radiation). If the student chooses to continue, she must complete the following steps:

A. Consultation with the College’s Radiation Safety Officer prior to continuation in the college

laboratory and clinical assignments. At this time, the physician’s medical clearance is required.

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B. The RSO and the declared pregnant student will review the Program’s Radiation Safety Guidelines and the potential risks involving ionizing radiation to the developing embryo/fetus. This discussion includes the following:

• The pregnant student will be counseled regarding the nature and potential radiation injury or risk associated with in-utero exposure, the dose equivalent limits established by the NCRP, and, the required preventative measures to be taken throughout the gestation period.

• Specifically, the pregnant student will be informed of the specific exposure limits as: the

dose to the embryo/fetus during the entire pregnancy, due to occupational exposure should not exceed .5 rem (500mrem) or 50 mrem for monthly dose equivalent limit. The RSO will review the past exposure history and may adjust working conditions to avoid a monthly exposure rate of .05 rem (50mrem) to the declared pregnant worker. NYS- Chapter 1, part 16.6 (h). 4/01

• Two thermoluminescent dosimeters will be worn throughout the gestational period. One

TLD will be worn at the uniform collar, and the other fetal TLD will be worn at the waist level under the lead protective apron to monitor embryo/fetus. (NYS Sanitary Code, Chapter1 – Part 16.11, b (2). 4/18/01.

• The fetal TLD will be changed monthly. A monthly radiation exposure log will be

established throughout the gestational period. Analysis of the monthly exposure totals will be reviewed by the RSO and pregnant student.

• The RT Faculty and clinical instructor shall make every effort to schedule the declared

pregnant student, at least for the first 18 weeks of gestation, in areas that do not involve fluoroscopy and portable/OR work.

• ALARA: Time, distance, and shielding principles must be utilized by the pregnant student.

If at any time the pregnant student feels (despite clearance from her doctor), that she is working in an unsafe area or under conditions she feels are detrimental to herself, the embryo/fetus, she should report to the Clinical Instructor and RSO immediately.

C Upon completion of the counseling session and receipt of written material, the pregnant student will sign a form attesting to this meeting. (See appendix)

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PREGNANCY DECLARATION

This letter will serve to formally notify the Radiologic Technology Program that I am voluntarily declaring

my pregnancy. My estimated due date is: _________________________________. Additionally, I am

aware that I can withdraw this declaration at any time.

I understand that, with this declaration in effect, additional steps will be taken to monitor the radiation

exposure to my unborn child, as required by the State Code (10 NYCRR 16). I will not hold Trocaire College

or the Clinical Education site liable in cases of abnormalities to this pregnancy, which may be caused by

radiation exposure.

_______________________________________ ________________________

Student Signature Date

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REVOCATION/ WITHDRAWAL OF DECLARATION OF PREGNANCY FORM

This letter will serve to formally notify the Radiologic Technology Program at Trocaire College of my

voluntary withdrawal of my declaration of pregnancy. I am aware that lower dose limits for the

embryo/fetus will no longer apply.

________________________________________ ________________________

Student Signature Date of Withdrawal

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PREGNANCY ADVISEMENT This is certify that _______________________________________________, a student in the Radiologic Technology program has received instructions and counseling regarding radiation exposure and guidelines to be followed to reduce the risk of ionizing radiation for the duration of the pregnancy. In addition to personal counseling by the Radiation Safety Officer, she has been given copies of:

• Regulatory Guide 8.13 from the United States Nuclear Regulatory Commission: “Instructions

Concerning Prenatal Radiation Exposure.”

http://www.ehs.ucr.edu/radiation/regulatoryguide8.13.pdf

• National Council on Radiation Reports (NCRP)

#105 “Radiation Protection for Medical and Allied Health Personnel”, Embyronic and Fetal Effects, Sections 3.5 and 4.2 #116 “Limitation of Exposure to Ionizing Radiation”, Section 11

• Bushong, Stewart. “Radiation and Pregnancy” Radiologic Science for Radiologic Technologists. Pages 593-597. 10th edition 2012.

http://www.ehs.ucr.edu/radiation/regulatoryguide8.13.pdf

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TLD GESTATION LOG RECORD

Name: _________________________________________________________________

Badge Number: __________________________________________________________

Gestation Period: ________________________________________________________

Expected Due Date: ______________________________________________________

MONTH/ DATE

COLLAR WAIST DEEP DOSE

EYE DOSE

SHALLOW DOSE

INITIALS

All documentation reviewed monthly with student and RSO.

____________________________ ______________________________ Radiation Safety Officer Signature RT Student Signature

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RADIOLOGIC TECHNOLOGY

MEDICAL CLEARANCE PREGNANCY FORM

_______________________________________________________ __________________

Student Name DOB

The above named student is presently enrolled in the Radiologic Technology program at Trocaire College.

Due to the nature of the program, this student will be lifting and pushing patients, and have possible

exposure to radiation and contagious diseases. We are requesting the following information:

Approximate Due Date: __________________________________________

Medical Clearance is provided with:

______ ____ No restrictions or limitations for clinic, laboratory or the classroom setting.

__________ No restrictions in classroom and laboratory; limited participation in high radiation areas (Fluoroscopy, surgery and mobile/portable radiography). __________ Medical Clearance is NOT provided. Recommend immediate leave of absence or program withdrawal. Any additional comments pertinent to the student’s health status: __________________________________________ ______________________ Physician’s Signature Date __________________________________________ ______________________ Physician Address Phone Number

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ACKNOWLEDGEMENT OF RADIATION RISK DURING PREGNANCY

I, ______________________________________________, do acknowledge that there is a small probability

that my clinical assignment may in some way adversely affect my pregnancy. The reading material has been

given to me to demonstrate that the additional risk during my pregnancy is much less than that of most

occupational groups. I further understand that, I may be assigned to low-exposure duties and will be

provided with a second personal monitoring device.

___________________________________________ _______________________

Student Signature Date

Revised: 1/21/2016

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NCRP Report #105

Section 3

3.5 Embryonic and Fetal Effects The embryo or fetus is comprised of large numbers of rapidly dividing and radiosensitive cells. The amount of type of damage which may be induced are functions of the stage of development at which the fetus is irradiated and the absorbed dose. Radiation received during the pre-implantation period can result in spontaneous abortion or resorption of the conceptus. Radiation injury during the period or organogenesis (2 to 8 weeks) can result in developmental abnormalities. The type of abnormality will depend on the organ system under development when the radiation is delivered. Radiation to the fetus between 8 and 15 weeks after conception increases the risk of mental retardation (Otake and Schull, 1984) and has more general adverse impact on intelligence and other neurological functions. The risk decreases during the subsequent period of fetal growth and development and, during the third trimester, is no greater than that of adults. Special limits have been established for occupationally exposed pregnant women to ensure that the probability of birth defects is negligible.

NCRP Report #105

Section 4

4.1 Dose Limits for Radiation Workers and Others Occupational and public dose equivalent limits have been recommended by the NCRP (Table 4.1). These limits do not include exposure from natural background and exposures received as a patient for medical purposes. Occupationally exposed workers are limited to an annual effective dose equivalent of 50 millisievert (5000 millirem); the dose equivalent limits recommended for the general public generally are one-tenth or less of those for occupationally exposed individuals (NCRP, 1987a). Partial body exposures and exposures of individual organs are accounted for by establishing the limits in terms of the risks resulting from partial body or organ exposure. Students under the age of 18 who are training in jobs with a potential for exposure should not receive more than 1 mSv (100 mrem) per year from their educational activities. Some organs and areas of the body are less sensitive to radiation than others. As a result, for nonstochastic effects, the recommended annual occupational dose equivalent limit to the lens of the eye is 150 mSv (15,000 mrem); the annual dose equivalent limit recommended for other organs is 500 mSv (50,000 mrem).

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4.2 Dose Limits for the Embryo and Fetus The occupational exposure of pregnant or potentially pregnant women is an area of special concern (See Section 3.5). NCRP Report No. 53 (NCRP, 1077a) has specifically addressed this subject, and Report No. 91 (NCRP, 1987a) has given it further consideration, recommending special limits for the embryo/fetus. Although the mother can be considered as an occupationally exposed individual, the fetus cannot. Any exposure of the abdomen of a pregnant woman may also involve exposure of the fetus. The use of a surface dose as an estimate of the dose to the fetus fails to consider the attenuation of radiation in overlying tissue and amniotic fluid. Use of surface doses, therefore, will normally overestimate the fetal dose. Internal dose from certain ingested or inhaled radionuclides may represent a particular hazard if such materials can cross the placenta and be incorporated into fetal tissue. Premenopausal female radiation workers shall be informed of the risks to which the fetus may be exposed and the methods available for reducing exposure. Individual counseling for these women should be available. Included in any evaluation of risk and exposure will be existing personnel monitoring records, surveys of the workplace and a review of the sources of radiation. If this evaluation indicates the possibility of a dose equivalent to the fetus in excess of 5 mSv (500 mrem) during the gestation period, the employee should discuss her options with her employer. Once a pregnancy is made known by the employee, exposure of the embryo/fetus should be no greater than 0.5 mSv (50 mrem) in any one month. 4.3 Annual Occupational Doses Average annual occupational whole body dose equivalents to medical personnel who are monitored for radiation exposure have been compared with those from other types of employment (Table 4.2). The mean dose equivalent to medical personnel who work with x-rays or radiopharmaceuticals averages 1.0 to 1.4 mSv (100 to 140 mrem); similarly categorized dental personnel average 0.2 mSv (20 mrem). Annual dose equivalents for industrial workers are similar; monitored nuclear power plant employees average 5.6 mSv (560 mrem), while, for industrial radiographers, the mean dose equivalent is 2.8 mSv (280 mrem). All of these occupational doses are well below the limits, presumably because radiation safety personnel and radiation workers conscientiously follow good protection practices, and strive to keep doses as low as reasonable achievable.

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TABLE 4.1 Summary of recommendations a (After Report NO. 91, NCRP, 1987a) A. Occupational exposure (annual) b

1. Effective dose equivalent limit (stochastic effects) 2. Dose equivalent limits for tissues and organs (nonstochastic effects) a. Lens of eye b. All others (e.g., red bone marrow, breast, lung, gonads, skin and extremities) 3. Guidance: Cumulative exposure

50 mSv 150 mSv 500 mSv 10 mSv x age

(5 rem) (15 rem) (20 rem) (1 rem x age in years)

B. Public exposures (annual) 1. Effective dose equivalent limit, continuous or frequent exposure b 2. Effective dose equivalent limit, infrequent exposure b 3. Remedial action recommended when: a. Effective dose equivalent c b. Exposure to radon and its decay products 4. Dose equivalent limits for lens of eye, skin and extremities b

1 mSv 5 mSv >5 mSv >0.007 Jhm -3

50 mSv

(0.1 rem) (0.5 rem) (>0.5 rem) (>2 WLM) (5 rem)

C. Education and raining exposures (annual) c

1. Effective dose equivalent limit 2. Dose equivalent limit for lens of eye, skin and extremities

1 mSv 50 mSv

(0.1 rem) (4 rem)

D. Embryo/Fetus exposures b

1. Total dose equivalent limit 2. Dose equivalent limit in a month

5 mSv 0.5 mSv

(0.5 rem) (0.05 rem)

E. Negligible Individual Risk Level (annual) b

1. Effective dose equivalent per source or practice

0.01 mSv

(0.001 rem)

a. Excluding medical exposures b. Sum of external and internal exposures c. Including background but excluding internal exposures TABLE 4.1 Comparison of mean annual dose equivalents and collective dose equivalents for monitored workers (From NCRP, 1989b).

Occupation

Number of Workers

(thousands)

Mean Dose Equivalent

(mSv)a

Collective Dose Equivalent

(person-Sv)b

Year

Dentistry Private Medical Practice Hospital Industrial Radiography Nuclear Power Plant worker

259 155 126 8.5 98

0.2 1.0 1.4 2.8 5.6

60 160 170 24

552

1980 1980 1980 1985 1984

a

1 mSv = 100mrem b 1 person –SV = 100 person-rem

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The maximum permissible exposure to the conceptus of an occupationally – exposed female is 500 mrem during the gestation period. Since it has been very rare that any employee has received this exposure level in the normal course of their employment, pregnancy is not a contraindication to the performance of normal duties as a practitioner. All necessary steps will be taken to modify or adjust the worker’s schedule so that a monthly exposure rate of 50 mrem will not be exceeded during the pregnancy period. An employee has the option to declare or not declare her pregnancy. When an employee declares pregnancy using the attached form, the fetal dose limit is 500 mrem for the entire pregnancy. A woman who does not declare her pregnancy, or who withdraws her declaration, has no limit other than the standard 5,000 mrem per year occupational dose limit. An additional film badge will be worn under the apron, at the waist level, to document the minimal occupational exposure to the conceptus.

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11. Protection of the Embryo-Fetus The NCRP previously addressed irradiation of the embryo-fetus in NCRP Report No. 53, Review of NCRP Radiation Dose Limit for Embryo and Fetus in Occupationally-Exposed Women (NCRP, 1977a). The information that has become available (UNSCEAR, 1986) since the publication of NCRP Report No. 53 has been examined. There appears to be no greater, and probably less, risk of cancer induction that was assumed previously. There may also be greater reason to doubt that radiation exposure was the only or the major cause in observed associations between childhood cancer and prenatal diagnostic irradiation. After irradiation in utero, malformation of structures other than the human central nervous system seems to be uncommon in the human species, although common, at least at high doses, in experimental animals. However, it has been found that the development of the human central nervous system may be affected adversely by low radiation doses, with high, though variable susceptibility through a lengthy period of time during fetal development (Otake and Schull, 1984). The UNSCEAR (1986) has attempted to develop quantitative risk estimates for several effects of prenatal irradiation on the embryo-fetus in relation to the period of pregnancy over which the specific risk applies, using several qualifying assumptions. Mental retardation related to prenatal irradiation is not seen in children irradiated up to eight weeks after fertilization nor after 25 weeks after fertilization. For irradiation at 8 to 15 weeks after fertilization the probability of induction of mental retardation by prenatal irradiation appears to fit a linear relationship with dose, with no observed dose threshold in the available data. The probability of induction of mental retardation in this period has a mean value of approximately 0.4 Sv-1 (4 x 10-3 rem -1) over a fetal dose equivalent range of 0.01 to more than 2 Sv (1 to more than 200 rem.) Between the 16th and 25th week after conception, the dose response curve may be more complex but the risk of mental retardation is less and can be taken to be about 0.1 Sv-1 (1 x 10-3 rem-1). According to scores from objective tests of intelligence or mental capability, the severity of the radiation induced mental deficit following irradiation in these susceptible periods during gestation appears to increase with dose from slight to marked. The UNSCEAR’s (1986) value for the total risk for the period of gestation for several effects of irradiation of the embryo-fetus (mortality, induction of malformations, mental retardation, solid tumors and leukemia) is about 0.2 Sv-1 (2 x 10-3 rem-1) as an upper limit. UNSCEAR indicates that for the smaller doses likely to be encountered in practice, the risk is thought to be relatively small in relation to the natural incidence or probability, which is assumed to be of the order of 6 x 10-2 for anomalies of all kinds that may seriously affect health and viability of newborn children. The NCRP recommends a total dose equivalent limit (excluding medical exposure) of 5 mSu (0.5 rem) for the embryo-fetus. Once a pregnancy becomes known, exposure of the embryo-fetus shall be no greater than 0.5 mSu (0.05 rem) in any month (excluding medical exposure). This recommendation is intended to limit exposure to a fetus of an occupationally exposed mother. However, the special sensitivity of the fetus should be considered in all situations, including those involving medical exposure of the expectant mother. (See also ICRP, 1984a, 1986.) The total dose equivalent limit, for the whole period of pregnancy, is important for the limitation of the risk of cancer induction and of developmental anomalies, while the monthly limit is important to ensure that exposures of the embryo-fetus during particularly critical periods of organogenesis and development are adequately restricted. (The dose equivalent and the effective dose equivalent for the fetus are taken to be the same in this Report.)

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For purposes of radiation protection, the NCRP regards the embryo-fetus as a separate entity, distinct from the woman bearing it. Thus, the embryo-fetus carried by a woman who is a radiation worker is not regarded as subject to the occupational limits, but rather to lower limits that are necessary for its adequate protection. It is recognized that in the occupational case, the recommended limits for the embryo-fetus may place special restrictions on women who are known to be pregnant. This may pose problems concerning matters such as disclosure of potential and actual pregnancy, risk-sharing among workers, associated economic problems, equal employment considerations, and perhaps other legal matters. Some of these problems are discussed in somewhat greater length in NCRP Report No.53 (NCRP, 1977a). It is implied in the NCRP’s recommendations that women who are capable of becoming pregnant should not be exposed to radiation environments in which the uterus could receive a dose equivalent in excess of the total fetal limit, 5 mSv (0.5 rem), before a pregnancy becomes known. Therefore, special attention is required to ensure that if exposures are received occupationally, they are distributed uniformity with time so that the embryo-fetus does not receive more that its limit before pregnancy is known. It is the intention of the NCRP that the dose equivalent to the embryo-fetus, rather than the maternal dose equivalent, be the basic for implementation of the recommended limits for the embryo-fetus. When the exposure is restricted to radiation of low penetrating power the recommended dose equivalent limits for the embryo-fetus may be satisfied if the annual maternal dose equivalent, as measured by external dosimetry, is within the general occupational dose equivalent limit, if acquired at a fairly uniform rate. If the radiation is of high penetrating power, however, the difference between the maternal dose equivalent and the dose equivalent to the embryo-fetus will be much smaller than in the case of radiation of low penetrating power. In this case, it is especially important to estimate the dose equivalent to the embryo-fetus (NCRP, 1977b) in order to assure that the recommended embryo-fetus limit has not been exceeded. Internally deposited radionuclides pose special problems for protection of the embryo-fetus, and particular care should be taken with them because some remain in the body for long periods of time and their transfer and the doses delivered to fetal organs are not well known in all cases. Therefore, it is important to prevent intakes of radionuclides by fertile women that could give to a present or future embryo-fetus a dose equivalent that would exceed the recommended limit. The NCRP has a Task Group addressing the problem of radionuclides and the embryo-fetus. Also, the NCRP has a Committee concerned with the effects of radiation the embryo-fetus which will continue to examine information relevant to the protection of the embryo-fetus. Css/Hlth-Sci/RT/Policy Manual/11. Protection of the Embryo-Fetus.

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