BSc (Hons) Medical Imaging (Diagnostic Radiography)
PAM2006: Clinical Assessment
(Contrast Agent Administration)
Student:
Assessor:
2nd Assessor (if applicable):
Clinical Tutor:
Placement Site:
Date:
Time commenced:
Time completed:
Examination undertaken:
The aim of this assessment is to enable the student to demonstrate
organisational skills that require reflection-in-action in order to respond
effectively to changing priorities.
The student should, therefore, be asked to take responsibility for an area
where the work-load can vary within the time-frame of the session and where
effective management is required to ensure high quality patient care and
efficient use of resources.
The student must also engage in the imaging of patients during the session.
The current clinical assessment marking criteria published at
http://newton.ex.ac.uk/handbook/RadCAC.html
must be used when completing this document.
Page 1 of 9
The student is expected to provide a verbal commentary throughout the assessment to
demonstrate understanding of, and compliance with, safe and proficient practice.
Section 1. Exam Preparation
Undertaken?
Tasks
Prompt
No
Yes
THE IMAGING REQUEST
Check for Referrer’s signature and date
Stop
Explain the medical terminology and justify
examination under IR(ME)R
Stop
Justify the use of intravenous iodine-based
contrast media
Stop
Discuss correctly the need for a pregnancy
check
Stop
Describe the imaging procedure
Stop
Consider previous images / reports, whether
a duplicate request etc
Stop
ROOM PREPARATION AND INFECTION CONTROL
Tidy the room in line with departmental
protocols
Clean the room in line with departmental
infection control protocols
Prepare equipment and accessories
Check emergency drug box
Stop
(including expiry date)
CONTRAST AGENT PREPARATION
Prepare the injection trolley / tray
Stop
Describe the contrast agent to be used
Stop
(including concentration, volume and
preferred flow-rate / method of injection)
Check and record the batch number and
expiry date of the contrast agent
Stop / N/A
Prepare the contrast agent for administration
Stop
(in line with departmental protocols)
Demonstrate observance with departmental
infection control policies (hand hygiene etc)
Describe emergency procedure in case of
severe adverse reaction
Stop
Stop
(including knowledge of correct telephone
number, location of nearest resuscitation
trolley etc)
Mark for Section 1:
Maximum mark = 10
Page 2 of 9
Projection 1
Section 2. Administration of Contrast
Agent
Tasks
No
Prompt
Yes
PATIENT PREPARATION
Greet the patient
Stop
Obtain a positive identification
Stop
Check for pregnancy as required
Stop
Check for contra-indications to the use of the
contrast agent (in line with departmental
protocols) and take appropriate action as
required
Stop
Correct patient preparation for imaging
procedure
Stop
Confirm area of interest with patient
Stop
Provide a clear explanation of procedure
(including the use of the intravenous
contrast agent)
Stop
Gain informed consent prior to undertaking
the examination
Stop
ADMINISTRATION OF CONTRAST AGENT
Assist the member of staff undertaking the
intravenous administration as appropriate
Stop
Provide high quality patient care throughout
cannulation and administration
Stop
Demonstrate compliance with departmental
infection control policies during and after
administration
Stop
Ensure safe disposal of associated
equipment (e.g. swabs, glass vials etc)
Stop
Demonstrate an awareness of safe practice
when handling and disposing of sharps
Stop
Mark for Section 2:
Maximum mark = 10
Page 3 of 9
Section 3. Exam Completion
Undertaken?
Tasks
No
Prompt
Yes
PATIENT AFTERCARE AND RECORD KEEPING
Demonstrate an understanding of correct
wound aftercare
Stop
Relevant general aftercare provided
Correct information given (e.g. regarding
results etc)
Tidy room and equipment ready for next
patient in line with departmental protocol
Clean room and equipment ready for next
patient in line with departmental infection
control protocols
Dose Area Product reading / exposure
factors recorded
Stop
All radiology records / archiving / paper
work completed
Stop
Demonstrate an understanding of all the
records / paperwork that must be
completed by the staff member
administrating the contrast agent
Stop
Mark for Section 3:
Maximum mark = 10
Page 4 of 9
Clinical Assessor to select a single image that demonstrates the key anatomy and uptake of the
administered contrast agent for the student to evaluate.
Section 4. Radiographic Awareness
Undertaken?
Tasks
No
Check for correct identification information
(patient name, date)
Prompt
Yes
Stop
Ensure that correct anatomical marker(s) are
clearly visible on final image (either primary or
added) before archiving
Stop
Correct identification of all bones, bony
landmarks and key features
Correct identification of all visible soft tissue
anatomy/associated structures
Explain why iodine-based contrast media was
required for this particular examination
Correctly identify the uptake of contrast media
on the image
Identify normal and any abnormal regions of
contrast enhancement on the image
Correct assessment of artefacts (including
identification of avoidable & unavoidable
artefacts)
Mark for Section 4:
Maximum mark = 10
Page 5 of 9
Section 5. Assessor Evaluation of Conduct
Undertaken?
Required
prompting
Tasks
Intermittently
throughout the
assessment
Consistently
throughout the
assessment
PATIENT CARE AND PROFESSIONAL CONDUCT
Did the student act in the patient’s best
interests throughout the examination?
Did the student respect the confidentiality and
dignity of the patient at all times?
Did the student maintain proper and effective
communication with the patient throughout the
examination?
Did the student keep accurate patient
records?
Did the student deal fairly and safely with the
risks of infection?
Did the student carry out their duties in a
professional and ethical way?
Was the student’s conduct throughout the
entire examination such that they gained the
confidence of the patient?
Mark for Section 5:
Maximum mark = 10
Page 6 of 9
In your opinion, did the student produce images which were:
Unacceptable / Diagnostically Acceptable / Optimal ? (please circle as appropriate)
Please comment upon two or more aspects where you have indicated on the assessment form
that the student could improve for future practice:
1.
2.
Please comment upon two or more aspects where you have indicated on the assessment form
that the student has demonstrated a strength or strengths during the assessment:
1.
2.
Page 7 of 9
Marking Summary
Marks according to
criteria
Section 1: Exam Preparation
Maximum 10 marks
Section 2: Radiographic Technique
Maximum 10 marks
Section 3: Exam Completion
Maximum 10 marks
Section 4: Radiographic Awareness
Maximum 10 marks
Section 5: Assessor Evaluation of Conduct
Maximum 10 marks
Total Marks
Overall Total Marks
(maximum 50 marks)
(Pass mark = 20 marks)
Percentage:
Clinical Assessor’s Signature:
Date Clinical Assessor discussed feedback with Student:
Page 8 of 9
Student’s Reflective Comments:
Did any of the assessor’s comments surprise you? Where you expecting any of these
comments? How will you use these comments to develop your practical radiographic ability?
What did you gain from this experience?
What did you do well?
What could you have done better?
How will your future practice change as a result of this assessment?
Students signature:
Date:
Page 9 of 9