Radiologic Technology
Program Policy
Manual
Academic Year
2015 – 2016
2
Radiologic Technology Program
Radiologic Technology Faculty
Julie Hall, M.P.H, R.T. (R) (CT)
Teresa Manis, B.S., R.T. (R)
Vickie A. Hensley, B.S., R.T. (R)
Program Director
Clinical Coordinator
Didactic Instructor
Clinical Instructors
Clinical Affiliates
Brad Harris, B.S., R.T (R)
Athens Regional Medical Center
Jenny Jenkins, A.S., R.T.(R)
Turkey Creek Medical Center
Noreen Geffert, R.T. (R)
Blount Memorial Hospital, Inc.
Carrie Trisdale, B.S., R.T.(R)
Cookeville Regional Medical Center
Sarah Phy, A.A.S.,R.T.(R)
Cookeville Regional Medical Center
Lesley Sapp, A.A.S., R.T.(R)
Cumberland Medical Center
Darryl Atkinson, A.S., R.T.(R)
Cumberland Medical Center
Wawana Walker, R.T. (R)
East Tennessee Children’s Hospital
Lisa Duncan, R.T. (R)
East Tennessee Children’s Hospital
Michelle Moorman, A.A.S., R.T. (R)(CT)(MR) Fort Loudoun Medical Center
Leslie Gourley, R.T. (R), (CT) (BD)
Fort Loudoun Medical Center
Kristi Peterson, A.A.S., R.T.(R)
Fort Sanders Regional Medical Center
Micki Venable, A.A.S., R.T.(R)
Fort Sanders Regional Medical Center
David Howard, A.A.S., R.T.(R)(CT)(CI)(CNMT)
(NCT)(RICS)
LeConte Medical Center
Pat Gunter, R.T. (R)
Jamestown Regional Medical Center
Clarence Lane, R.T. (R)
Jamestown Regional Medical Center
Angie Crowe, A.A.S., R.T. (R)(CT)
Methodist Medical Center of Oak Ridge
Donna Hale, R.T. (R)
Methodist Medical Center of Oak Ridge
Elizabeth Swindeman, A.A.S.,R.T.(R)
Parkwest Medical Center
Tiffany Martin, A.A.S., R.T. (R)
Parkwest Medical Center
Jill Parham, A.A.S.,R.T.(R)
Roane Medical Center
Carrie Armes, A.A.S., R.T.(R)
Roane Medical Center
Holly Greenway, A.A.S., R.T. (R)
Physicians Regional Medical Center
Jenny Jenkins, A.S., R.T. (R)
North Knoxville Medical Center
Kelli Rosenbalm, A.A.S., R.T.(R)
Morristown-Hamblen Regional Medical Center
Deonna Carranza, A.A.S., R.T. (R)
LaFollette Medical Center
Regina Williams, A.S., R.T.(R)
Sweetwater Hospital Association
Marla Lawson, A.A.S., R.T.(R)
Sweetwater Hospital Association
Holly Licavoli, A.A.S., R.T.(R)
Turkey Creek Medical Cent
3
Policies ~ Forms Index
Page(s)
A
Accidents…………………………………………………………………………..….…….....
Advanced Placement……………………………………………………………...................
Affiliation Agreement (defined)……………………………………………………………
American Disability Act……………………………………………………………………..
Anatomy Testing (defined)………………………………………………………………….
Anatomy Testing……………………………………………………………………………..
ARRT (American Registry of Radiologic Technologist)………………………………….
ARRT Requirements for reporting a Felony……………………………………………….
ASRT (American Society of Radiologic Technologist)……………………………………
Assessment (defined)………………………………………………………………………...
Assessment Plan (defined)…………………………………………………………………..
Authorization for Release of Student Information and Acknowledgment…………….
43
20
16
17
16
82
14
17
14
16
16
101
B
Background Checks…………………………………………………………………………..
General Information…………………………………………………………..……….....
Program Information for Background Checks…………………………………..…….
Arranging for Background Check Report.............................................................…......
Background Check Results are Color Coded Yellow………………………………….
Background Check Results are Color Coded Red……………………………………..
Steps to Arrange Background Checks and Drug Screening………………………......
Drugs of Abuse Reference…………………………………………………………..……
LABCORP Locations………………………………………………………………..….....
Blood and Body Fluid Infection Control Precautions……………………………………..
Barriers………………………………………………………….…………………………
Disinfection……………………………………………………………………………….
Sharps………………………………………………………………………….…………..
Resuscitation……………………………………………………………….….…………..
Exposure Event…………………………………………………………………..………..
24
24
25-26
25
25
25
26-29
27
29
34
34
34
35
35
35
C
Calling in at External Rotation……………………………………………………………….
Certification…………………………………………………………………………………….
Cheating…………………………………………………………………………………………
Children on Campus…………………………………………………………………………...
Clinical Affiliates (list)…………………………………………………………………………
Clinical Assignments…………………………………………………………………………..
Clinical Competency Requirements / Form…………………………………………………
Clinical Coordinator (defined)………………………………………………………………...
Clinical Education Objectives………………………………………………………………….
Clinical Education Physical Skills……………………………………………………………..
38
20
18, 45
18
2
32
77-80
9
47-49
50
4
Clinical Education Plan…………………………………………………………………………
Laboratory Objectives……………………………………………………………………..
Laboratory Requirements…………………………………………………………………
Clinical Evaluation Performance………………………………………………………………
Psychomotor………………………………………………………………………………..
Cognitive……………………………………………………………………………………
Affective…………................................................................................................................ .
Clinical Exam Competency…………………………………………………………………….
Clinical Hours / Breaks………………………………………………………………………...
Clinical Instructor Primary (defined)………………………………………………………….
Clinical Instructor Secondary (defined)……………………………………………………….
Clinical Instructors (list)………………………………………………………………………
Clinical Objectives / Worksheets……………………………………………………………
Task – Digital Radiography Skills……………………………………………………….
Task – Front Desk / File Room…………………………………………………………..
Task – Patient Transport………………………………………………………………..
Task – Insertion of Enema Tip………………………………………………………….
Task – Barium Bag Preparation…………………………………………………………..
Task – Drawing Up Contrast Agents…………………………………………………….
Task – Venipuncture………………………………………………………………………
Task – Blood Pressures……………………………………………………………………
Task – Pulse / Respirations……………………………………………………………….
Task – Opening Sterile Supplies………………………………………………………….
Equipment – Radiographic / Fluoroscopic Rooms…………………………………….
Equipment – Mobile / Portable Units…………………………………………………...
Equipment – C-arms………………………………………………………………………
Equipment – Cysto…………………………………………………………………………
Evening Rotation…………………………………………………………………………...
External Rotation – Pediatrics…………………………………………………………….
Cat Scan (2 week rotation)………………………………………………………………...
Elective Rotation – Interventional Services………………………………………………
Elective Rotation – Radiation Therapy…………………………………………………...
Elective Rotation – Nuclear Medicine……………………………………………………
Elective Rotation – Computed Tomography…………………………………………….
Elective Rotation – Ultrasound……………………………………………………………
Elective Rotation – Magnetic Resonance Imaging………………………………………
Clinical Participation (defined)…………………………………………………………………
Clinical Performance Evaluation (CPE)………………………………………………………..
Clinical Site Disciplinary Action Process………………………………………………………
Clinical Site Grievance…………………………………………………………………………...
Clinical Site Policies………………………………………………………………………………
Clinical Supplies………………………………………………………………………………….
Positioning Pocket Guide………………………………………………………………….
Exam Logbook……………………………………………………………………………...
Clinical Competency Handbook………………………………………………………….
51
51
51
81
81
81
81
76
38
9
9
2
53-75
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
15
40,92-93
45
45-46
32
41
41
41
41
5
Clinical Testing……………………………………………………………………………………
Code of Ethics / Principles (ARRT)…………………………………………………………….
Communicable Diseases…………………………………………………………………………
Compassionate Leave……………………………………………………………………………
Competency Category (defined)………………………………………………………………..
Competency Requirements………………………………………………………………………
Confidential Patient Information HIPAA………………………………………………………
Consent Form……………………………………………………………………………………...
Consideration of Fellow Students……………………………………………………………….
Core Competencies (RSCC Allied Health)……………………………………………………..
Counseling………………………………………………………………………………………….
82
13
34
39
16
43
42
102
18
11
17
D
Didactic Instructor (defined)…………………………………………………...........................
Direct Supervision (defined)…………………………………………………………………...
Dress Code……………………………………………………………………………………….
Uniforms / Lab Jackets…………………………………………………………………...
Surgery Scrubs…………………………………………………………………………….
Shoes………………………………………………………………………………………..
Jewelry………………………………………………………………………………………
Hair & Nails………………………………………………………………………………...
Miscellaneous………………………………………………………………………………
Drug and Alcohol Policy………………………………………………………………………..
To Report an Occurrence………………………………………………………………….
Further Actions to be Taken………………………………………………………………
Substance Abuse……………………………………………………………………………
Consent to Drug / Alcohol Testing Form……………………………………………….
9
15
40
40
40
40
40
40
40
30
30
30-31
31
98
E
Educational Meetings……………………………………………………………………………
Electronic Devices………………………………………………………………………………..
Equipment Competency (defined)……………………………………………………………..
Exam Competency (defined)……………………………………………………………………
Exam Competency Objectives…………………………………………………………………..
14
18
15
15
76
F
Faculty (list)………………………………………………………………………………………
Fire Safety………………………………………………………………………………………...
First Semester Evaluation……………………………………………………………………….
Full-time Student…………………………………………………………………………………
2
42
90-91
20
6
G
General Patient Care Requirements……………………………………………………………
General RDT Program Grievance Procedure…………………………………………………
Grade Appeal Procedure………………………………………………………………………..
80
21
21
Grade Change……………………………………………………………………………………
Grade Sheet ~ 1st Semester……………………………………………………………………...
Grade Sheet ~ 2nd Semester……………………………………………………………………..
Grade Sheet ~ 3rd Semester……………………………………………………………………...
Grade Sheet ~ 4th & 5th Semesters………………………………………………………………
Graduation Requirements………………………………………………………………………
Grounds for Dismissal…………………………………………………………………………..
36
86
87
88
89
17
23
H
Harassment Policy……………………………………………………………………………….
Health / Physical Exams………………………………………………………………………...
Hepatitis Vaccination…………………………………………………………………………….
Holding Patients………………………………………………………………………………….
35
33
34
33
I
Imaging Approval Policy………………………………………………………………………..
Immediately Available (defined)……………………………………………………………….
Inclement Weather……………………………………………………………………………….
Indirect Supervision (defined)………………………………………………………………….
Internal Rotations………………………………………………………………………………...
43
15
36
15
32
J
JRCERT (defined)………………………………………………………………………………..
JRCERT Standards………………………………………………………………………………
12
12
L
Laboratory Simulation (defined)………………………………………………………………
Lead Markers……………………………………………………………………………………
Liability Insurance………………………………………………………………………………
15
42
33
7
M
Make Up Assignments………………………………………………………….………………
Scheduling Make-up Time……………………………………………………………….
Assignment Request Form for Missed Clinic Hours………………………………….
Marriage………………………………………………………………………………………….
Mastery Testing (defined)………………………………………………………………………
Mastery Testing………………………………………………………………………………….
Mastery Testing Documentation ~ First Year…………………………………………..
Mastery Testing Documentation ~ Second Year……………………………………….
Mastery Level Clinical Competency / Grade Sheet…………………………………...
Mission Statement (Radiologic Technology)…………………………………………………
Mobile Unit / Portable Radiography Guidelines……………………………………………
39
38-39
96
39
16
82
83
84
85
10
44
P
Parking…………………………………………………………………………………………..
Pediatric Rotation………………………………………………………………………………
Periodic Progress Report (also online)……………………………………………………….
Personal Health Insurance…………………………………………………………………….
Personal Leave Time……………………………………………………………………………
Personal Medical Needs………………………………………………………………………..
Personal Portable Electronic Devices…………………………………………………………
Personal References / Student Educational Records……………………………………….
Personal Student Information Form………………………………………………………….
Policy Revisions………………………………………………………………………………...
Policy Violations (Points of Final Grade)…………………………………………………….
Program Policy Violations Form…………………………………………………………
Pregnancy Policies Options 1, 2, 3 and 4……………………………………………………..
Pregnancy Declaration / Withdrawal Form……………………………………………
Professional Behavior (defined)……………………………………………………………….
Program Director (defined)…………………………………………………………………….
Program Dismissal………………………………………………………………………………
Program Goals……………………………………………………………………………………
42
33
94
33
37
33
18
36
100
19
42
97
22
95
15
9
23
10
R
Radiation Monitoring / Dosimeters…………………………………………………………..
Radiation Protection Procedures / Policies…………………………………………………..
Readmission / Admission Policies……………………………………………………………
Remediation – 3 time / 3 year rule……………………………………………………………
Repeat Policy…………………………………………………………………………………….
Repeat Policy Form………………………………………………………………………..
Reporting Communicable Disease……………………………………………………………
Resolution of Allegations of Non-Compliance of JRCERT Standards…………………….
41
32, 46
19
21
43
99
34
21
8
Retention Policies……………………………………………………………………………….
Revoking Exam Competencies………………………………………………………………..
Room / Equipment / Tasks Worksheets…………………………………………………….
Rotation Assignments………………………………………………………………………….
RSCC Library and Library Resource Center………………………………………………....
19
44
37
32
17
S
Scheduled Class Alternatives…………………………………………………………….……
Senior Student Form……………………………………………………………………………
Sick Leave or Pregnancy……………………………………………………………………….
Smoking / Smokeless Tobacco………………………………………………………………..
Social Media……………………………………………………………………………………..
Specialty Area Rotations……………………………………………………………………….
Standards (JRCERT)…………………………………………………………………………….
Standards for Readmission (2nd attempt)…………………………………………………….
Student Conduct and Disciplinary Sanctions………………………………………………..
Student Formal Complaints / Grievances and Due Process……………………………….
Student Learning Outcomes…………………………………………………………………...
Student Radiographers…………………………………………………………………………
Study / Review of Assignments………………………………………………………………
17
104
39
42
103
33
12
20
23
21
10
44
36
T
Tardiness………………………………………………………………………………………..
Task Competency (defined)…………………………………………………………………..
Technologist (defined)………………………………………………………………………...
Telephone / Cell Phones……………………………………………………………………...
Theft……………………………………………………………………………………………..
Time Keeping…………………………………………………………………………………...
Tips and Gifts…………………………………………………………………………………...
Transfer Student………………………………………………………………………………..
Transportation & Parking Fees……………………………………………………………….
TSRT (Tennessee Society of Radiologic Technologists)…………………………………….
38
15
9
42
43
37
43
20
36
14
U
Uniforms / Lab Jackets………………………………………………………………………..
Unreasonable Absences……………………………………………………………………….
40
38
W
Withdrawal / Failure of RDT Course(s)…………………………………………………….
20
9
Faculty Position Descriptions
Program Director
A full-time employee of the sponsoring institution with primary responsibilities to include
organization, administration, periodic review, continued development, and general effectiveness
of the program. In addition to these responsibilities, the Program Director will teach didactic
courses/labs, and ensure the effectiveness of the clinical education component of the program.
Clinical Coordinator
Individual responsible for coordination of all hospital affiliations and the student’s subsequent
rotations. Instruction and clinical competency evaluation of students within the scope of site
visits. The clinical instructors along with the coordinator will assist all students with problems
regarding clinical education. The coordinator also assists the Program Director in curriculum
planning and design as well as supervision and assisting all clinical faculty.
Didactic Instructor
Individual who teaches Radiologic Technology classes on the college campus only. Assists
Program Director in curriculum planning and design as well as ensures the effectiveness of the
clinical education component of the program.
Clinical Instructor (Primary)
A registered technologist responsible for record-keeping, clinical instruction, clinical anatomy
testing and evaluation of students. The clinical instructor will assist students with all matters
regarding clinical education.
Clinical Instructor (Secondary)
A registered technologist of the clinical affiliate responsible for supervision of students in the
absence of primary clinical instructor as college designated personnel. The clinical instructor will
assist the student with problems regarding the department if the primary clinical instructor is not
available.
Technologist
Must be a registered technologist with the ARRT. Only registered technologists will be able to
sign off on competencies, observe repeats, and complete evaluations.
10
Roane State Community College Radiologic Technology Program
Mission Statement, Program Goals, and Student Learning Outcomes
__________________________________________________________________
Program Mission
The RSCC Radiologic Technology Program seeks as an overall goal to provide students
with a complete educational and clinical experience in order to ensure students will
achieve all skills necessary for employment as competent entry-level radiologic
technologists. This overall goal is further defined as follows:
Program Goals and Student Learning Outcomes
The Radiologic Technology Program has established goals and student learning
outcomes in accordance with Joint Review Committee on Education in Radiologic
Technology Standards. The program establishes benchmarks and utilizes a variety of
tools to assess whether student learning outcomes are achieved. Tools include but are
not limited to student assignments, exams and laboratory assignments, the clinical
performance evaluation form, as well as employer, graduate, and exit surveys.
Goal: Students will demonstrate clinical competency.
Student learning Outcomes: Students will apply appropriate positioning skills.
Students will practice/apply appropriate radiation
protection.
Students will select appropriate technical factors.
Goal: Students will demonstrate effective communication skills.
Student learning Outcomes: Students will demonstrate effective verbal communication
skills with patients and healthcare staff.
Students
will
demonstrate
effective
written
communication skills with patients and healthcare staff.
Goal: Students will develop critical thinking and problem-solving skills.
Student learning Outcomes: Students will demonstrate the ability to make decisions
and use independent judgment.
Students will be able to exercise judgment in the technical
performance of medical imaging procedures.
Students will be able to adapt patient positioning,
projections, and technical factors based on patient
condition.
Goal: Students will model professionalism.
Student learning Outcomes: Students will understand the importance of professional
growth and continuing education.
Students will display professional behaviors in the clinical
setting.
Revised 7/2014
11
Roane Sate Community College
Allied Health Sciences Division
Core Competencies
Upon completion of the Radiologic Technology Program the graduate
will be able to:
1. Communicate verbally and non-verbally with co-workers, staff members,
patients, and their families in an effective and appropriate manner
2. Demonstrate a commitment to professional career development and self-directed
lifelong learning
3. Identify and respect patients’ differences, values, preferences, and needs
4. Understand and apply relevant legal and ethical concepts within your discipline
5. Work efficiently and effectively in diverse patient-centered care/service
environments
6. Demonstrate knowledge and understanding of the structure and function of the
human body to include the biological and physical sciences
7. Manage workload whether performed alone or as part of a team in an efficient
and effective manner
8. Uphold professional standards and responsibilities to promote quality in practice
9. Solve problems commonly encountered in one’s own work efficiently and
effectively
10. Practice safety awareness (techniques, universal precautions, etc.) in the clinic
and/or the community
11. Demonstrate an awareness of social responsibility, citizenship, and advocacy,
including participation in community and service organizations and activities
12. Demonstrate knowledge of principles, techniques, and equipment appropriate to
the discipline
Revised and approved 6/2015
12
Joint Review Committee on Education in Radiologic Technology
Standards for an Accredited Educational Program in Radiologic Technology
www.jrcert.org
The Joint Review Committee on Education in Radiologic Technology accredits the Radiologic
Technology program. The Standards for an Accredited Educational Program in the Radiologic
Sciences are listed below:
Standard One:
The program demonstrates integrity in the following:
 Representations to communities of interest and the public,
 Pursuit of fair and equitable academic practices, and
 Treatment of, and respect for, students, faculty, and staff.
Standard Two:
The program has sufficient resources to support the quality and
effectiveness of the educational process.
Standard Three:
The program’s curriculum and academic practices prepare students for
professional practice.
.
Standard Four:
The program’s policies and procedures promote the health, safety, and
optimal use of radiation for students, patients, and the general public.
Standard Five:
The program develops and implements a system of planning and
evaluation of student learning and program effectiveness outcomes in
support of its mission.
Standard Six:
The program complies with JRCERT policies, procedures, and
STANDARDS to achieve and maintain specialized accreditation.
Programs are required to comply with these and other administrative
requirements for maintaining accreditation. Additional information
on policies and procedures is available at www.jrcert.org.
13
American Registry of Radiologic Technologists’ Code of Ethics
www.arrt.org
Principle 1
The radiologic technologist conducts himself/herself 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 principal 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 concerns of personal
attributes or the nature of the disease or illness, and without discrimination, regardless of sex,
race, creed, religion or socioeconomic status.
Principle 4
The radiologic technologist practices technology founded upon theoretical knowledge and
concepts, utilizes equipment and accessories consistent with the purpose for which they have
been 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 as an agent through observation and communication to obtain
pertinent information for the physician to aid in the diagnosis and treatment of the patient and
recognizes that interpretation and diagnosis are outside the scope of practice for the profession.
Principle 7
The radiologic technologist utilizes equipment and accessories, employs techniques and
procedures, performs services in accordance with an accepted standard of practice, and
demonstrates expertise in minimizing the 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.
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 educational and professional activities, sharing knowledge with colleagues and
investigating new aspects of professional practice.
14
Radiologic Technology Program and Professional Organizations
The American Registry of Radiologic Technologists (ARRT) www.arrt.org
The ARRT promotes high standards of patient care by recognizing qualified individuals in
medical imaging, interventional procedures, sonography and radiation therapy.
In support of this mission, the ARRT:

Adopts and upholds standards for educational preparation for entry into the profession;

Adopts and upholds standards of professional behavior consistent with the level of
responsibility required by professional practice;

Develops and administers examinations which assess the knowledge and skills underlying
the intelligent performance of the tasks typically required by professional practice in the
modality.
In addition to initial recognition, ARRT provides a mechanism to recognize individuals who
continue to demonstrate their qualifications through adherence to the standards of professional
behavior and compliance with the continuing education requirements.
American Society of Radiologic Technologists (ASRT) www.asrt.org
The ASRT is a professional organization which consists of 54 affiliate societies, which represent
the 50 states, District of Columbia, Philadelphia, Puerto Rico and Guam. It is through these
organizations that information flows back and forth from individual members to the leadership.
The affiliates also provide momentum for grassroots efforts affecting state and federal legislative
initiatives in the imaging arena.
Tennessee Society of Radiologic Technologists (TSRT) www.tsrt.org
The TSRT is a state level society, one of the 54 ASRT affiliates whose purpose is to advance the art
and science of Radiologic Technology, to assist in establishing and maintaining high standards of
education and training, to elevate the quality of patient care, and to improve the welfare and
socioeconomics of Radiologic Technologists.
Educational Meetings
Students who wish to attend educational meetings must receive prior approval from the RDT
faculty, both clinical and didactic instructors. These attended educational functions must include
topics pertinent to diagnostic imaging. Students will be held accountable for any unprofessional
behavior or misconduct during attendance since they are representing RSCC and the Radiologic
Technology Program.
15
Program Terms and Definitions
Direct Supervision
A registered technologist is in the imaging area supervising the performance of radiographic
exams by the student. Direct supervision is required prior to and during completion of
competency requirements. All portable, surgery exams, and repeat radiographs/images always
require direct supervision regardless of level of student competency.
Indirect Supervision
A registered technologist is in the radiology department and available to assist students in the
performance of radiographic examinations (not applicable to mobile/surgery competencies or
repeat radiographs/exposures performed by student where direct supervision is always
required).
Immediately Available:
This is interpreted as the physical presence of a registered technologist adjacent to the room or
location where an imaging procedure is being performed.
Clinical Participation
Observation, assisting the registered technologist, performance of radiographic procedures and
examinations.
Professional Behavior
Conduct or actions regarding the didactic & clinical environment. Characterized by or
conforming to the technical or ethical standards of a profession and exhibiting a courteous,
conscientious, and generally businesslike manner in the workplace.
Laboratory Simulation
Demonstration of radiographic procedures or examinations followed by student practice, and
simulation evaluation of skills on non-energized equipment prior to practice and performance on
patients in the clinical setting.
Task Competency
Demonstration of competent performance of job tasks performed routinely in the radiology
department and in ancillary work areas in preparation for radiographic procedures. Worksheets
must be completed as the student is assigned to these areas and submitted by the end of the third
semester if availability allows.
Equipment Competency
Demonstration of competent performance in the manipulation and adjustment of the various
radiographic equipment and accessories.
Worksheets must be completed for each
radiographic/fluoroscopic room, mobile radiographic unit, and C-arm(s).
All clinical
competency worksheets, with the exception of C-arms, must be completed by the end of the third
semester. Completion dates for the C-arm(s) will be the end of the fourth semester.
Exam Competency
Competency demonstration on radiographic procedures at the clinical affiliate during scheduled
clinical hours. Students may perform exam competencies after successful classroom/lab
positioning testing. Repeat films will not be accepted for competencies. Exceptions may be made
at the discretion of the clinical faculty.
16
Competency Category
Divisions or sub-groups of radiographic procedures and examinations determined by anatomical
area, equipment usage, or need for contrast media.
Mastery Testing
Verification of competency exams completed during the program.
Exams will not be simulated and must be approved by the clinical instructor.
Anatomy Testing
Anatomy testing of competency procedures demonstrated in the clinical setting.
Assessment
The systematic collection review and use of information to improve student learning, educational
quality and program effectiveness.
Assessment Plan
Provides direction for actions and is a way to determine progress at a minimum, assessment
plan should include goals, evaluation criteria and benchmarks, outcomes and a plan of action.
Affiliation Agreement
A formal written understanding between an institution sponsoring the program and an
independent clinical education setting.
17
Didactic Education Information and Campus Policies
RSCC Library and Library Resource Center
Radiologic Technology students are encouraged to use the resources of the campus library. The
program director and clexical coordinator also maintain a small library in the radiology lab.
Counseling
The program director and faculty are available for counseling and advisement, as needed.
Students may be referred to the Counseling and Career Resource Center to meet with a licensed
counselor.
American Disability Act
It is the student’s responsibility to self identify with the Office of Disability Services in order to
receive accommodations. Disability Services is located in B-106, ORBC. Only students with
official documentation from the Office of Disability services will receive accommodations.
Students with documented disabilities should present the Accommodations Plan Form from
Disability Services to the instructor no later then the first two weeks of the semester. The
Accommodation Form should be immediately returned to Disability Services so accommodations
can be finalized. If services are requested later in the semester, Disabilities Services will
determine whether accommodations will be feasible.
Scheduled Classes Alternatives
The faculty secretary will post a note on the doorway of the classroom any time that an instructor
is unable to meet the students for a scheduled class. The students are encouraged to take
advantage of this additional study time and utilize college resources such as the library, complete
labs, or other resources to prepare for other RDT classes.
ARRT Requirements for Reporting a Felony www.arrt.org
Students found guilty of a felony may be restricted from sitting for the registry, even though they
have successfully completed the program. Students with such a record are encouraged to start
the pre-application process as soon as possible by scheduling a meeting with the program
director for the procedures associated with the ethics review pre-application.
Graduation Requirements
All students must complete the general education requirements as prescribed by the college and
specific requirements set forth for the associate degree sought. Refer to the Degree Requirements
section of the RSCC catalog and also appropriate program requirements for graduation. Each
student must file an Intent to Graduate Form in the Office of Admissions and Records before the
beginning of the semester in which the student expects to graduate. Each student must complete
at least 25 percent of the credit hours required for their degree program through Roane State
Community College and attain a cumulative GPA of 2.0.
All students seeking a degree from Roane State will be required to take the Academic Profile
exam prior to being granted the degree. This exam must be taken on the student’s own time and
cannot be scheduled during clinical hours or didactic classes.
Graduation exercises are held at the end of the spring semester only. Students who anticipate
completing their work during the current calendar year are eligible to participate in graduation
exercises if their grade point average is sufficient for graduation and an Intent to Graduate Form
has been officially processed.
18
Cheating
Cheating and other forms of academic and clinical dishonesty are prohibited. The instructor has
the authority to assign an "F" or a zero for the exercise or examination, or to assign an "F" in the
course, to a student found guilty of academic or clinical misconduct (refer to the current college
catalog).
Consideration of Fellow Students/Patients
Cologne, perfume, scented body lotions, and sprays are not allowed in the clinical site or
classroom.
Personal Portable Electronic Devices in the Clinical Setting or Classroom
Use of personal portable electronic devices (e.g. cell phone, smartphones, camera phones, iPads)
shall not be used at the clinical site. Photographing or capturing images in a clinical facility
(including photographing x-rays) is prohibited. Violation of this policy will result in disciplinary
action and possible dismissal from the program.
Cell phones are not allowed in the classroom or lab setting. If a cell phone rings in class, the
student will be asked to leave.
The Radiologic Technology Program will obtain case studies through its own legal avenues. Do
NOT bring in copies of x-rays (printed or electronic) from the clinical site to any of the
instructors.
Children on Campus
Children must not be brought to class or left unattended in any area of the college. Out of
consideration to fellow students, faculty and staff, and for safety reasons; please secure
appropriate babysitting services off campus.
19
Program Specific Policies
Policy Revisions
Future changes in medical care, standards of accreditation, legal, and other socioeconomic factors
may necessitate modification or amendment of these policies at any time.
Retention Policies
The Health Sciences Admissions Committee will evaluate students’ grades at the end of each
semester. A student must maintain the following standards or he/she will be dismissed from
his/her respective program:
1.
2.
A grade of "C" or better in each Radiologic Technology (RDT) course.
Completion of RDT courses as specified by the degree checklist. A student must be
able to complete courses with the class in which he/she was admitted. A student who
cannot graduate with the class in which he/she was admitted will be dropped from that
class and must reapply to a subsequent class.
Readmission / Admission Policies
Readmission Procedures
1.
2.
3.
4.
5.
6.
7.
8.
9.
Students applying for readmission must meet all admissions criteria for the selected
degree program.
The applicant must submit a readmission request in writing to the Program Director at
least thirty (30) days prior to enrollment. The request must be a detailed personal
reflection of the reason(s) for the unsuccessful performance and a plan of correction.
One (1) readmission to an AHS degree program will be permitted.
Note: Some degree programs may have a time limitation on discipline-specific or general
education courses. This requirement is listed in the program’s admission information
located on the specific program web page. The applicant must meet this requirement, if
applicable.
The applicant applying for readmission may be required to interview with the program
director and other program faculty, if applicable, before the review date by the AHS
Admissions Committee. Interview requirements are listed on the program webpage.
An acceptable level of discipline-specific competency may need to be demonstrated prior
to readmission. A student with previous unsatisfactory clinical performance must be
recommended for readmission by consensus of the program faculty.
Note: The program director will verify that all readmission documents including
licensure/credentials are current and valid.
Readmission to an AHS degree program is contingent upon the availability of space.
Students who are dismissed for reasons associated with academic misconduct or code of
ethics violations will not be considered for readmission.
Final selection of students will be made by the Allied Health Sciences Admissions
Committee. Students may repeat a course once and on a space available basis.
Students will be notified by e-mail of their acceptance to an Allied Health Sciences
program by the Dean of Allied Health Sciences. Students must acknowledge acceptance
and return an e-mail within 10 days.
Meeting Minimum Requirements Does Not Guarantee Acceptance. Preference will be given to
Tennessee residents.
Successful admission and completion of any RSCC Allied Health Sciences program does not
guarantee state or national licensure or registration to practice as there may be additional
state/national criteria required for attainment of various allied health licenses/certifications.
20
Standards for Readmission (2nd attempt) to Clinical Education Courses





Reverify all exam competencies received during the 1st attempt in program during the
semester of readmission.
Maintain established exam competency requirements for the specific clinical education
course. See current semester clinical education syllabus for specific number of exam
competencies required.
Meet new site orientation requirements.
Follow current program policy manual and submit signed form verifying review of
manual.
Repeat Clinical Objectives/Worksheets for new clinic site regarding different equipment
and radiographic rooms during the semester of readmission.
Transfer Student
A student may be accepted from another institution if that student shows successful completion
of all courses attempted at the institution and provides a letter of good standing from the former
program director. However, the student capacity of Roane State Community College's
Radiologic Technology Program must allow for the transfer. All transfer students must meet the
admissions policies of the Allied Health Sciences Admissions Committee. Transfer students from
certificate programs will be required to prove proficiency through examination for each credit
course. Clinical competencies accepted for transfer must have been performed on patients in the
hospital setting. An interview with program faculty is also required.
Withdrawal / Failure of RDT Course(s)
Any student who chooses to withdraw from the Radiologic Technology program at any time
must state their reason(s) in a letter to the Program Director. Any student that chooses to reapply
to the program after withdrawing will be required to follow college policy for readmission to the
Health Sciences Division. See main heading of “Health Science A.A.S. Programs” in the current
college catalog for additional information.
SPECIAL NOTE: Students who withdraw after the college’s specified deadline or make below a
C in a particular RDT class may finish other RDT courses for the remainder of that particular
semester. The student must then follow the steps under readmission to be considered to continue
in a subsequent class.
Full-time Student in the Radiologic Technology Program
Any student that is enrolled in 12 credit hours of didactic and clinical courses is defined as fulltime. Didactic and clinical courses will not exceed 40 hours per week. The student may choose to
make up clinical hours that may result in greater then 40 hours per week with prior approval
from the Clinical Instructor and Clinical Coordinator. Students may audit an RDT course only if
the student has previously passed that course.
Advanced Placement
Graduates of accredited diploma programs who have successfully passed the national registry
examination may pursue a degree at Roane State Community College after acceptance by the
Allied Health Sciences Admissions Committee. Refer to the current college catalog.
Certification
Students successfully completing the Radiologic Technology program may apply to take the
certification exam administered by the American Registry of Radiologic Technologists.
21
Remediation - 3 attempt / 3 year rule
Applicants found eligible for the A.R.R.T. examination are allowed three attempts to pass the
examination. After three attempts, it will be required that the applicant reapply to and graduate
from an accredited educational program.
Student Formal Complaints/Grievances and Due Process
The program’s policy is consistent with RSCC policies outlined in the Student
Handbook/Calendar and the current college catalog which can be found on the RSCC website.
General RDT Program Grievance Procedure
Any grievance related to the RDT Program in general must be submitted in writing to the
program director during the semester in which the grievance is perceived by the student. The
program director will respond to the grievance in writing within five working days. If the
program director’s response fails to resolve the grievance or complaint, the student may appeal
in writing within five working days to the Dean of Health Sciences who will, within ten working
days, respond in writing to the student. If the Dean’s response fails to resolve the grievance, the
student may appeal in writing within five working days to the Vice President for Academic
Affairs. The Vice President will respond in writing to the student and all concerned parties
within ten working days of receiving the student’s written grievance.
Resolution of Allegations of Non-Compliance of JRCERT STANDARDS
The program assures a timely and appropriate resolution of complaints regarding allegations of
non-compliance with JRCERT standards and appropriate documentation.
JRCERT standards are listed in the Program Policy Manual, admission information packet, and in
the radiologic technology laboratory on campus. Upon receipt of allegations of non-compliance
with the standards, the program director will contact the Dean of the Division of Allied Health
Sciences and they will review the complaint. The dean will then proceed by following the
college’s due process policy to investigate the complaint. Upon resolution, copies of all
documents will be maintained by the Radiologic Technology Program and by the division office.
Grade Appeal Procedure
Grades, as well as transcript information, withdrawals and other data perceived by a student to
be in error, must be appealed within the subsequent semester after the information is posted. If a
student believes there are circumstances which warrant an appeal of a grade received for other
than academic misconduct, the student must appeal the grade within 45 calendar days following
the last day of the end of the semester in which the grade was posted. The appeal process must be
initiated by the student and includes the following steps which must be followed in this order:
1.
2.
3.
Contact the instructor in writing to ensure that no calculation or administrative
error occurred and if it is not possible to resolve the problem at this level (The
appeal must be in writing and not by phone or text.)
The student must submit in writing an appeal to the division dean or
appropriate supervisor of the instructor and the student can expect a written
response. If issue is not resolved at this level, then
The student can submit the written appeal to the Vice President for Academic
Services, whose decision will be final
*Protests initiated after the allowed time frame of 45 days will not be reviewed.
22
Pregnancy Policies/Options
If a student suspects that she is pregnant at any time during the twenty-two month program,
they will receive individual counseling on radiation safety and protection. Pregnant students
should refer to the handout provided for specific guidelines provided by the Tennessee
Department of Environment and Conservation, Division of Radiological Health. If the student
chooses to voluntarily inform officials of her pregnancy, a physician statement verifying the
pregnancy shall be submitted by the student. This statement must include a medical release
which allows the student to continue with clinical assignments. The pregnant student will have
four options after voluntary disclosure:
Option 1:
In writing, the student may voluntary declare pregnancy while continuing her studies in the
program and should comply with the following guidelines:
 Student should wear a wrap-around apron while participating in or observing any
radiographic procedures.
 Student should not be present in fluoroscopy rooms during the fluoro portion of the
examination.
 Student should not perform surgical examinations.
 Student should only assist in portable examinations and should wear a lead apron and
distance herself from the patient during an exposure made by another technologist.
 Student should not participate in optional rotations which involve fluoroscopic studies
(e.g. G.I. lab or cardiac catheterization lab)
 Student should wear an additional monitor for fetal exposure along with her regular film
badge monitor. The National Council on Radiation Protection and Measurement (NCRP)
recommends that the maximum permissible dose equivalent to the embryo-fetus from
occupational exposure should be limited to 0.5 rem for the entire gestation period and
0.05 rem per month. The additional monitor should be worn at waist level and
underneath a protective lead apron.
 Student will consult the clinical coordinator about any necessary make-up time.
Option 2:
The pregnant student may voluntarily declare pregnancy to the faculty and continue in the
program without any modifications.
Option 3:
The student may withdraw from her clinical course and any other course(s) in which she could
be exposed to ionizing radiation. This is, of course, based on her own decision or that of her
obstetrician. The student will maintain the privilege of re-enrolling the following year in any
courses she withdrew from because of pregnancy.
Option 4:
The student may choose to voluntarily withdraw, in writing, the declaration of pregnancy at any
time and continue in the program without any modifications.
The voluntary pregnancy declaration and withdrawal of the declaration of pregnancy
forms are located on page 95.
23
Program Dismissal
Program dismissal will result from any grade below a C in any RDT course, a violation of
probationary status, attendance, requested removal of student from a clinical site by the hospital
affiliate, or violation of program policies as stated in the Program Policy Manual or the RDT
Attendance Policy. The program director will notify the student in the event of dismissal from
the program. Students dismissed from the Program may appeal the decision in writing within
three (3) working days of dismissal. This appeal should be made to the Dean of Allied Health
Sciences who, in turn, will gather information from the parties involved and notify the student
within ten (10) working days of the appeal.
The student may appeal this decision in writing within three (3) working days to the Vice
President of Academic Affairs. The Vice President will review the appeal and notify the student
of the decision within ten (10) working days.
Student Conduct and Disciplinary Sanctions
Refer to the current college catalog which can be found on the RSCC website
(www.roanestate.edu).
Grounds for Dismissal
A student could be dismissed from the Radiologic Technology Program at any time for particular
violation(s). These infractions include the following, but are not limited, to one of the policies
listed below:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
Less than a grade of C in any Radiologic Technology course.
Incomplete or falsified information on health physical forms.
Cheating in related or professional courses.
Falsification of records including exam competency book, logbooks, clocking in/out
procedure.
The known use of, distribution of, or possession of illegal drugs or controlled substances.
Reasonable suspicion of drug or alcohol use during clinical assignments.
Sexual Harassment issues as explained in the current RSCC catalog.
Unreasonable absences from clinical assignments or didactic classes.
Unprofessional or unethical conduct.
Unsatisfactory clinical performance.
Unsatisfactory clinical evaluations.
HIPAA Violations as described by both program and affiliate sites.
Performing repeat radiographs without a registered technologist present in the
radiographic room at the time of necessary modifications and subsequent exposure to the
patient.
Performing mobile and/or surgical radiography without a registered technologist in
attendance.
Radiographing a fellow student, family, or friend without a physician’s order.
Holding patients or being in the exam room during exposures other than fluoroscopy/
surgery is not permitted.
If a clinical affiliate refuses to allow a student on hospital property, the student will
thereby be unable to complete the clinical requirements and thus will receive a grade of F
in that clinical course and be dismissed from the program.
Wearing or taking hospital surgery scrubs from the facility premises.
Failure to use markers and verify incorrectly marked images.
24
ROANE STATE COMMUNITY COLLEGE
RADIOLOGIC TECHNOLOGY PROGRAM
STUDENT INFORMATION AND REQUIREMENTS
BACKGROUND CHECKS
General Information
In response to the 2004 Human Resource Standards of the Joint Commission on
Accreditation of Healthcare Organizations (JCAHO), the majority of the major
healthcare facilities and agencies that serve as clinical affiliates for RSCC Health Sciences
programs will require that all students undergo a background check prior to
participating in clinical rotations at their facilities. The background check shall include
the following:
i)
ii)
iii)
iv)
v)
vi)
Name and Social Security number verification;
Seven-year multi-county felony and related misdemeanor
criminal record
Violent Sexual Offender and Predator Registry Search
Tennessee Abuse Registry
Employment verification (previous 2), if applicable;
FACIS Level 3 includes the following:
 HHS/OIG list of excluded individuals/entities
 GSA list of parties excluded from federal programs
 US Treasury, Office of Foreign Assets Control (OFAC)
 List of Specially Designated Nationals (SDN)
The drug screening consists of urine testing, one of the most common screening methods as well
as an accurate and reliable way to detect casual drug use that occurred within the past 72 hours.
Testing is performed at Substance Abuse and Mental Health Services Administration (SAMHSA)certified laboratories. Truescreen uses LabCorp to conduct the drug screening.
25
Program Information for Background Checks
No student will be permitted to participate in a clinical rotation at a clinical facility without a
background check and drug screening. If you are assigned to a Tennova clinical site, you will be
required to do drug screening annually. The college must receive a satisfactory search result.
Failure to submit the required background check and drug screening report by the due date
established by the program director will result in the student not being assigned to a clinical
rotation and dismissal from the program.
Arranging for Your Background Check and Drug Screening
Each student, at his/her expense, will be responsible for acquiring the background check and
drug screening report, and authorizing the submission of the results to the College. Estimated
cost for the background check is $65.00 and $35.00 for the drug screening, and may be paid by
credit or debit card, electronic check, or money order on the website. Students continuously
enrolled in the Radiologic Technology program will only be required to have one background
check and drug screening with the exception of Tennova clinical sites. Students who have a gap
in enrollment in the Radiologic Technology program will be required to have an abbreviated
background check and drug screening at his/her expense when re-enrollment occurs.
What if my background check results are color coded Yellow?
1.
A Yellow-coded report indicates additional information is required.
2.
Provide requested information. Failure to provide requested information may result in
the student being unable to complete their clinical obligations.
What if my background check results are color coded Red in the Criminal
background section?
1.
A Red-coded report in the Criminal background section indicates the results are not
satisfactory and may mean you are not eligible for clinical participation.
2.
You should forward the email containing the detailed results from Truescreen to the
Program
Director
at
hallja3@roanestate.edu
or
Clinical
Coordinator
at
manistl@roanestate.edu.
3.
After your student identification information has been removed from the detailed report,
it will be forwarded to your prospective clinical site(s) by the Dean of Allied Health
Sciences. The clinical site will evaluate the report. If the clinical site rules favorably, you
will be permitted to attend your assigned clinical practice.
4.
All documentation will be included in your file for future reference.
5.
If the clinical sites rule unfavorably, you will not be able to participate in clinical rotations.
As clinical practice is necessary to successfully complete the Radiologic Technology
Program requirements, you will be advised to withdraw from the Radiologic Technology
Program.
Revised: July 2014
26
STEP 1: What to do if you need a Background Investigation?
Below are step-by-step instructions for accessing Application Station: Student Edition to
authorize and pay for a background investigation.
1. Click the link below or paste it into your browser:
http://www.applicationstation.com
2. Enter the Code: ROANESCCRADTECH-CBC in the Application Station Code field.
3. Click the "SIGN UP NOW" button to create an account.
4. Follow the instructions on the Application Station web site.
Note – please store the username and password created for Application Station in a secure
location. This information is needed to enter Application Station in the future which includes
obtaining a copy of your background investigation report.
If you encounter issues with the Application Station: Student Edition or have questions
regarding the site, please contact Truescreen’s Help Desk at 888-276-8518, ext. 2006 or
itsupport@truescreen.com.
Background Investigations are completed, on average, within 3 to 5 business days. Once
completed, you will receive an email from Truescreen, studentedition@truescreen.com.
Follow the link in the email to access Application Station: Student Edition to view the
report. To access the site use the same username and password created at the time you
submitted your background check. Application Station includes instructions for
disputing information included in the background check should you feel anything is
incorrect.
The initial background investigation consists of the search components listed below. All
records are searched by primary name and all AKAs, a student’s primary address, and
all addresses lived within the past seven years.






Social Security Number Validation and Verification
County Criminal Records Search – all counties of residence lived in the past 7
years
National Sexual Offender Registry Search
Employment Verification – all employers for the past 7 years
SanctionsBase Search
OIG/EPLS Search
The cost of the Background Investigation is $50.50. Truescreen accepts credit cards and
PayPal. Payment is collected within ApplicationStation: Student Edition.
STEP 2: What to do if you need a Drug Screen?
Below are step-by-step instructions for accessing Application Station: Student Edition to
authorize and pay for a drug screen, as well as locate a specimen collection site. Drug
screen collection facilities are listed on the final page of Application Station: Student
Edition.
27
1. Click the link below or paste it into your browser:
http://www.applicationstation.com
2. Enter the Code: ROANESCCRADTECH-DS in the Application Station Code field.
3. Click the "SIGN UP NOW" button to create an account.
4. Follow the instructions on the Application Station web site.
Note – you can use the same username and password created for the background investigation.
Please store the username and password created for Application Station in a secure location. This
information is needed to enter Application Station in the future which includes obtaining a copy
of your drug screen report.
If you encounter issues with the Application Station: Student Edition or have questions
regarding the site, please contact Truescreen’s Help Desk at 888-276-8518, ext. 2006 or
itsupport@truescreen.com.
If none of the collection sites listed are convenient (within 30 minute drive), please contact
Truescreen’s Occupational Health Screening Department (i.e. TriTrack and Scheduling
Hotline) for assistance with locating an alternate location; phone number 800-803-7859.
If the initial drug screen is reported as positive/non-negative, you will receive a call
from Truescreen’s Medical Review Officer (MRO). The MRO will obtain medical proof
as to why you test positive. If you are taking any form of prescription medicine, it is
wise to proactively obtain proof from your physician to be provided to the MRO when
contacted. This will speed up the process of reporting drug test results.
All drug screens conducted for Roane State Community College are 10-panel and tests
for:
 Amphetamines
 Cocaine Metabolites
 Marijuana Metabolites
 Opiates
 Phencyclidine
 Barbiturates
 Benzodiazepines
 Methadone
 Propoxyphene
 Methaqualone
You will receive an email from Truescreen, studentedition@truescreen.com, once drug
test results are available. Follow the link in the email to access Application Station:
Student Edition to view the report.
The cost of the Drug Screen is $31.00. Truescreen accepts credit cards and PayPal.
Payment is collected within ApplicationStation: Student Edition.
28
STEP 3: Results
If you receive a “REVIEW” (red X) or “FAIL” (solid red square) on either the
background investigation or drug screen, you should forward the email containing the
detailed results from Truescreen to the Program Director or Clinical Coordinator at
(hallja3@roanestate.edu or Manistl@roanestate.edu ).
After your student identification information has been removed from the detailed
report, it will be forwarded to your prospective clinical site(s) by the Dean of Allied
Health Sciences. The clinical site will evaluate the report. If the clinical site rules
favorably you will be permitted to attend your assigned clinical practice.
All documentation will be included in your file for future reference. If the clinical sites
rule unfavorably, you will not be able to participate in clinical rotations. As clinical
practice is necessary to successfully complete the (Radiologic Technology) program
requirements, you will be advised to withdraw from the program
Report Delivery Manager
Report Delivery Manager (RDM) allows students to distribute an electronic copy of your
background check and drug screen results to a third party for clinical rotations. RDM
can be found in Application Station: Student Edition. Reports are available to students
for 36 months. If reports are needed beyond 36 months, students must print a copy to be
distributed as needed.
1.
2.
3.
4.
5.
6.
7.
8.
9.
Click
the
link
below
or
paste
it
into
your
browser:
http://www.applicationstation.com
To access the Report Delivery Manager, choose the “If you are returning” option
on the left side of the home page and click “Sign back in.”
Enter the username and password created at the time of submitting your
background investigation and/or drug screen.
Report Delivery Manager can be found at the bottom of the Welcome Back
screen.
To authorize a new third party to view a background check, click “Create a New
Delivery.”
Read the “Important Notice”, type your name and click “Agree.”
Supply the third party’s contact information: Last Name, First Name and
Organization.
Report Access Keys are generated, including an
ApplicationStation Code and Access PIN.
To authorize an e-mail, locate “Other Delivery Options, Option 2” and click
“here to send an email.”
Provide and confirm the recipient’s e-mail address, and then select either Option
1 or Option 2, which determines what information is sent to the recipient via email.
29
Truescreen recommends that the student contact the third party and provide the
ApplicationStation website address, code and PIN to their contact verbally. This method provides
the highest level of security. However, the student can also authorize that an e-mail
containing this information be sent to the contact at the clinical facility. If you wish to
have an email containing the Access Keys to be sent directly to the clinical facility,
follow steps 8 and 9.
The system provides confirmation that an e-mail has been sent, along with the
ApplicationStation Code and Access PIN for future reference.
By my signature, I acknowledge that I have received and read the information provided regarding
the background check. I am aware that if I have questions about the material herein, it is my
responsibility to seek assistance from any (Radiologic Technology Program) faculty member.
Student Name (printed):_____________________________________
Student ID Number: ________________________________________
Student Signature: _________________________________________
Date: _____________________________
19.0 LABCORP
689 Medical Park Drive
Lenoir City, TN 37772
(865)
988-6490
Monday –
Friday
27.7 LABCORP
4206 Sutherland Avenue
Knoxville, TN 37919
(865)
588-2036
Monday –
Friday
Lunch Drug
Screen
34.9 LABCORP
1932 Alcoa Highway
Knoxville, TN 37920
(865)
305-9720
Monday –
Friday
Drug Screen
30
Drug and Alcohol Policy
If a faculty member, clinical instructor, or member of the staff at a clinical facility determines that
a student is exhibiting suspicious behaviors indicative of drug or alcohol consumption that is
impairing that student’s ability to perform in a safe manner in the clinical setting, that person
should immediately report the occurrence to the clinical coordinator.
The professional(s) observing the student’s behavior must immediately document in writing their
observations of the student’s behaviors as well as any incidents observed including interaction
with clients and or facility staff. This signed statement should be given to the supervising faculty
member and a copy of the statement will be placed in the student’s record. If the professional
observing the student is not an RSCC faculty member, the statement should also include
information about the person’s position at the facility.
To Report An Occurrence (Reasonable Suspicion):
All incidents of reasonable suspicion must be immediately reported to the Dean of Allied Health
Sciences and/or the Dean of Student Services and Multicultural Affairs. Clinical faculty and
clinical facility personnel may contact the Program Director and/or Clinical Coordinator to
report the incident. The Program Director and/or Clinical Coordinator will then be responsible
for notifying the Dean of Allied Health Sciences and/or the Dean of Students. The reporting of
the incident must occur at the time of the incident. Documentation of any witness’s statement is
also required.
Further Actions to be taken (in accordance with due process for the student):
1. A student cannot be suspended from class/clinical without due process. Therefore, the
Dean of Student Services must talk to the student by phone immediately after the occurrence and
notify the student of the specific violation. The professional who determined reasonable
suspicion must be part of this process. If not present, that professional must fax a written account
of the occurrence to the Dean of Students. The Dean of Students must have this information
before talking to the student; thus the student can respond to the specific accusation, charge, or
allegation. If it is the Dean of Student’s position that there is reasonable suspicion to believe the
student is in violation, the student can be summarily suspended until the results of the drug or
alcohol test comes back. If the results are positive, the Dean of Students will hold a hearing on
the merits. If negative, the student will be allowed back to class/clinical.
Faculty may alert security on site to stand by in case a student becomes violent or call the police if
necessary. If there is strong indication that the student could become violent, security may be
asked to be in the same room. If a student refuses to submit to a drug or alcohol test, the Dean of
Students will summarily suspend the student. A disciplinary hearing will follow. The student’s
refusal to submit to drug or alcohol testing will greatly affect his/her probability of return to the
program. The student signed a contract to submit to testing when he/she entered the program if
reasonable suspicion was established.
31
2. The student will be directed to the appropriate facility for drug and /or alcohol testing. The
student will incur all cost of transportation and testing.
3. The student will be directed to contact a family member for transportation to a clinic site if
drug testing is not available in the facility where the suspicious behavior has been observed.
4. If necessary, the faculty member or clinical facility staff member may call the police to
transport the student. Faculty should not restrain nor transport the student.
5. The student will not be allowed to return to the class/clinical until the Dean of Students has
met with the student, investigated the incident, received test results, and made a decision based
upon the test results.
6. Students may review the avenues for appeal outlined in the RSCC Catalog and Program
Policy Manual, in the section designated “Student Conduct and Disciplinary Sanctions”.
Substance Abuse
The student’s education shall be conducted in an environment free from the effects of any type of
substance abuse. The general policy is found under “Disciplinary Offenses” 0240-3-13-.02 in the
college catalog. In addition, this RDT Program Policy Manual, outlines the program’s substance
abuse policy in detail. Students must sign the form below during freshman orientation to
document their understanding of the substance abuse policy.
The form for consent to Drug / Alcohol Testing is located in the forms section of the policy
manual on page 98.
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Clinical Education Information & Policies
Clinical Site Policies
The clinical site has the option of adjusting policy based on the site’s policies and procedures. The
adjustment in policy will be discussed and approved by the clinical coordinator for that site only.
Therefore you may have a different policy based on your clinic site than students at another site.
Radiation Protection Procedures
The RSCC Radiologic Technology Program Policy Manual and standard radiation protection
procedures will be reviewed with all Radiologic Technology students prior to reporting to
assigned clinical sites. All students are required to attend an extensive information session
during program orientation which will include radiation safety practices as well as other clinical
policies and guidelines. Students must pass two exams based on these sessions before being
admitted to clinical assignments. Results of the exams will become a part of the student’s file.
Clinical Assignments
The clinical coordinator and clinical faculty are responsible for the scheduling of all clinical
assignments. Students cannot alter the assignments. A hospital orientation must be completed
prior to beginning clinical assignments. Clinical faculty may reassign due to specific clinical
needs. Faculty will observe, evaluate and/or counsel students as needed. Faculty will intervene
when a student is not progressing by program standards as outlined in the Program Policy
Manual.
Rotation Assignments
Areas of rotation will differ from one semester to the next depending on assigned clinical sites.
In the clinical area, the student is responsible for remaining in the assigned area for the purposes
of observation, assistance, and practice of examinations. Students must ask the technologist or
clinical instructor prior to leaving the assigned area.
Each area of rotation through the clinical affiliate will have specific competency objectives
outlined for the student. The competency objectives are designed to assist the student in
knowing what is expected of him/her, to serve as a guide in his/her learning experience, and are
not intended to set limits for the student. The objectives set forth the minimum standards for
performance in each clinical area.
Internal Rotations
Transport /File Room /Front Desk rotations are to be completed in the first two weeks of clinical
rotation. All three areas, if available, needs to be completed in a maximum of two weeks. A
traditional CPE is not required for the transport, file room, and front desk areas.
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Radiographic/fluoroscopic rooms
Portables/Surgery
Outpatient Imaging
Emergency Room Imaging
Evening Clinic (2nd year, 1-9 p.m. or 2-10 p.m., 96 total hours required)
CT 2 week Rotation (4th and 5th semesters)
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Specialty Area Rotations
A student may spend eight hours (one day) per semester observing in a different modality other
than diagnostic radiography, such as Nuclear Medicine, Interventional Radiography, Ultrasound,
Radiation Therapy, Computed Tomography or Magnetic Resonance Imaging. This will be
scheduled by the clinical instructor. Please complete the objective checklist for each area upon
rotating through these departments. They are found in the 2 nd half of the program policy
manual. All competencies and masteries must be completed before observing in a specialty area.
HSG exams are not available during clinical time.
Pediatric Rotation
Each student may be scheduled for a rotation at East Tennessee Children's Hospital to give the
student experience in working with pediatric patients. Students must complete an online
orientation program and present the certificate of completion on the first day of their assignment.
An objective worksheet specifically for this rotation and the traditional CPE will be completed by
the clinical instructor. Students can go to www.etch.com for parking maps and driving
directions. Evidence of having had rubella or documentation of rubella vaccination is required
for rotation at East Tennessee Children's Hospital and several other clinical assignments.
Students must also have a TB skin test and flu shot within 12 months of their rotation at
Children's Hospital. Students that sign a waiver to decline the flu shot will not be permitted for
the rotation.
Holding Patients
Students are never allowed to hold patients or cassettes/grids during routine exposures or
mobile radiography. Students are allowed to be in the radiographic room during fluoroscopic
and surgical C-arm procedures only.
Personal Medical Needs
Students should not approach doctors for attention to their personal needs. Students who feel
the need for the attention of a physician should make suitable arrangements. Physicians should
not be compromised by assigned students at their hospital while attending to their hospitalized
patients.
Personal Health Insurance
It is highly recommended that students carry personal health insurance. Students are responsible
for medical expenses incurred for illness or injury while in the program. Students must provide a
doctor’s written release stating that they can return to clinical assignments with no restrictions,
prior to returning after illness or injury. A copy of this release must be provided to the clinical
coordinator and the clinical instructor. Some clinical agencies may require that personal health
insurance be carried by the student prior to the clinical experience.
Liability Insurance
It is mandatory that students have liability insurance. Liability insurance will be purchased
before fall semester on an annual basis through the Roane State Community College business
office. Documentation must be provided to the clinical instructor prior to the first day of
assigned clinics or the student will be sent home until documentation is provided.
Health/Physical Exams/Recommendations
It is the student's responsibility to obtain a physical exam prior to the 1 st clinical day of the 1st
semester. An accurate and complete health form must be on file for each student prior to
entering clinical assignments and must be updated accordingly. Intentional omission or
inaccurate information on medical records can result in dismissal from the program. Pre-existing
medical conditions, medications or injuries that could affect clinical performance must be listed.
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Hepatitis Vaccination
It is required that each student receive the hepatitis B vaccination prior to entering the clinic.
Clinical facilities require that all students assigned to their site must have at least begun the
Hepatitis B series of injections prior to the start of the first clinical day.
Reporting Communicable Disease
Students with communicable diseases must stay at home until their personal physician releases
them. Notify clinical instructor with explanation of absences. The student may return to clinic
after presenting a doctor's release slip to the clinical instructor. This release slip does not negate
the possibility of a grade drop due to excessive absences (if student has already used all personal
leave time).
Communicable Diseases
Students will demonstrate safe practices to self and others when working in a clinical
environment that might include exposure to blood and body fluids or communicable diseases of
any kind. Students will not refuse to work with patients with communicable diseases, but will
take appropriate precautions with each patient according to principles of standard precautions.
In situations in which the student is unsure of the appropriate precautionary measures needed,
refer to the departmental policy and procedure manual, program policy manual, or seek
advisement from the clinical instructor.
Blood and Body Fluid Infection Control Precautions
It is the responsibility of each student to maintain current knowledge and practice of any
revisions in standard precautions. It is also the responsibility of each student to immediately
report to the clinical instructor and/or clinical coordinator any exposure to blood/body fluids via
direct contact or needle stick. These incidents must be documented on specific forms provided
by the clinical affiliate.
Since medical history and examination cannot identify all clients infected with blood-borne
pathogens, blood, and body fluid precautions should be consistently used for all patients.
A. Barriers
All health care workers should routinely use appropriate barrier precautions to prevent
skin and mucous membrane exposure when in contact with blood or other body fluids of
any patient. Gloves should be worn for all patients according to the principle of
universal precautions. Gloves should also be worn when handling items or surfaces
soiled with blood/body fluids and for performing Venipuncture or other vascular access
procedures. Gloves must be changed and hands washed after each patient. Masks,
protective eyewear or face shields, and gowns or aprons should be worn during
procedures likely to generate droplets or splashes of blood or other body fluids.
B. Disinfection
Hands and other skin surfaces should be washed immediately and thoroughly if
contaminated with blood or other body fluids. Hands should be washed after each
patient and immediately after gloves are removed. Gloves should be worn for cleaning
radiographic areas and items used in these areas.
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C. Sharps
Precautions should be taken to prevent injuries caused by needles, scalpels, and other
sharp instruments during disposal of used needles and when handling sharp
instruments after procedures. Needles should not be recapped, purposely bent, or
broken by hand, removed from syringes, or otherwise manipulated by hand. After use,
disposable syringes and needles, scalpel blades, and other sharps should be placed in
appropriate sharps containers for disposal.
D. Resuscitation
Mouthpieces, resuscitation bags, or other ventilation devices should be available and
used when mouth-to-mouth respiration is likely to be performed in emergency
situations.
E. Exposure Event
Any student who suspects he/she may have been exposed to or contracted a
communicable disease must notify the clinical coordinator immediately. In the event a
student has been exposed; appropriate action will be taken to ensure the health and wellbeing of hospital patients, staff, and fellow students. Students with communicable
diseases must stay at home until their personal physician releases them. Additionally,
they must notify their instructors and clinic site when they must be absent. The student
may return to classes/clinic after presenting a doctor’s release slip to the instructor.
Release slip does not negate the unexcused absence penalty if student has already used
all personal leave time.
Harassment Policy
Any form of harassment including, but not limited to, racial harassment, sexual harassment, or
stalking, is prohibited by Title II of the Civil Rights Act of 1964. All faculty members, students,
and staff are subject to this guideline. Any faculty member, student, or staff found to have
violated guidelines by engaging in harassing behavior based on race, color, religion, ethnic or
national origin, sex, sexual orientation, disability, or age will be subject to disciplinary action
which may include dismissal, expulsion, or other appropriate sanction. Any complaints of
harassment should be made to the Affirmative Action Officer, Odell Fearn. In the case of student
harassment by other students, the Student Affairs Officer, Assistant Vice President for Student
Services, will address the complaint. Any student who believes he or she has been subject to
harassment at Roane State should complete the following:
Immediately contact the nearest person of authority. If the situation occurs on campus,
the student will report the occurrence to the program director. If it occurs in the clinical
setting, the student will report it to the clinical instructor and the clinical coordinator.
The incident will be written up and forwarded to the appropriate administrator that the
allegation corresponds to (Affirmative Action Officer or Assistant Vice President for
Student Services). The incident will be properly and promptly investigated according to
the steps outlined in RSCC Policy PA-02-01.
For additional information, please see the above referenced TBR policy, TBR Guideline P-080,
or RSCC Policy PA-02-01.
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Transportation & Parking Fees
Roane State's Radiologic Technology students will be responsible for providing their own
transportation to all clinical assignments, paying any parking fees that are required, and
purchasing any required parking permits. Students will park in designated areas.
Personal References/Student Educational Records
The program director and clinical personnel will provide reference information to potential
employers when authorized by the student to do so. Just about any information provided by a
student to RSCC for use in the educational process is considered part of the student’s educational
record. The following are examples:
*Personal information
*Enrollment records
*Grades
*Schedules
Grade Change
Any student that receives an "incomplete" grade must remove that "incomplete" before the end of
the next semester or the grade automatically converts to an "F". It is the student’s responsibility
to ensure that the grade change has been made on the official transcript.
Inclement Weather
Classes will be cancelled only under extreme weather conditions. Designated radio, television
stations, and college website will carry information about Roane State cancellations and delays
during bad weather (website: www.roanestate.edu). The student will report to the clinic site at
the announced time by the college.
When evening classes are cancelled, the student does not have to report for evening clinical
rotations or make up the time if the college is closed. Students are advised to have Raider Alert
to let them know of college closings due to weather conditions.
If RSCC classes have been canceled in a student’s area of residence, then that student is not
required to attend clinical assignments. If there is no official cancellation of classes, students must
use their own judgment regarding travel on hazardous roads. However, time must be made up
by using a personal leave day or by making up the hours if personal time is depleted. Students
must call in to the clinic site when they are going to be absent or late due to weather. Points will
not be deducted for weather-related absences provided the student calls in to report the absence.
Study/Review of Assignments
Students will not be allowed to study materials such as physics and exposure during clinical
hours. Students are also not allowed to read books or use electronic devices for reading or
playing games. A student may utilize slow times in the department to manipulate and practice
with equipment, review radiographic exams which may be coming up on their next clinical
assignment, or complete objective sheets required by the program.
Instruction for positioning will take place in the lab on campus. The only exception will be due
to an absence of a lab instructor. If this occurs, the clinical instructor will be notified with
instructions on what needs to be covered in a demonstration or testing session. Instruction for
radiographic anatomy and film critique will take place on campus in scheduled image analysis
courses.
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Room/Equipment/Tasks Worksheets
The objective worksheets are the student’s responsibility and will be turned in prior to the due
date listed on each worksheet. They should be obtained during the scheduled rotation for that
area or diagnostic room, while working with the department registered technologists, or during
down time.
Personal Leave Time
First-year students will receive 8 hours of personal time per semester. Second-year students will
receive sixteen hours of personal time per semester. Personal time is designed to cover
unexpected absences. Students are strongly encouraged to use personal leave time wisely and
not view these hours as vacation days. Personal leave hours will not have to be made up and
will not affect the final clinical course grade. However, the student is responsible for calling their
assigned clinical site prior to 8:00 a.m. (clinical instructor will discuss acceptable criteria). Personal
leave time will be forfeited if not used by the last week of the semester. There is absolutely no
“banking” of hours or accumulation of time because the student chose to clock in early or was a
result of staying past their scheduled end of shift.
Excessive absenteeism is not acceptable for a health care professional and will result in
disciplinary action. After exhausting personal leave time, any time missed due to excessive
tardiness, absenteeism, or leaving early will result in disciplinary action as outlined below.
1.) On the first occurrence (up to 8 hours or 1 day), the student will receive a verbal warning
and counseling regarding attendance. This time must be made up.
2.) On the second occurrence, the student will receive a formal written warning regarding
their precarious position in the program and will be placed on probation. The student will
receive a letter grade drop. This time must be made up.
3.) On the third occurrence, the student will receive a clinical letter grade of “F” and will be
dismissed from the program. The student may follow published re-admission procedures
(if applicable).
*Habitual tardiness is subjected to disciplinary action as stated in the Tardiness policy. It must be
made up and will be added to the accumulation of time missed. Any missed time up to 30
minutes must be made up the same day.
**Special circumstances may be considered in situations where there is extraordinary emergency
situations and can only be granted by the Clinical Coordinator and Program Director. A doctor’s
note will be required for extended illnesses.
***Absenteeism past the allotted personal leave time for students who have already been placed
on program/clinical probation, will result in immediate dismissal.
Time Keeping
Students will clock in and out promptly on the online time keeper (Rad School). If the online
system is not available, designated persons(s) such as the clinical instructor, team leader, or
supervising registered technologist must sign the student in and out each day immediately upon
arrival and departure. Clocking in and out on other devices other than clinical computers will
result in disciplinary action. Students are responsible for faxing an attendance report to the
clinical coordinator during mid and end semester reports. An incomplete for the semester will be
given if attendance is not reported in a timely manner.
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Clinical Hours / Breaks
The clinical workday will begin at 8:00 a.m. and end at 4:00 p.m., with a 30-minute break for
lunch. Only the clinical instructor or team leader will authorize additional breaks. Lunch
breaks are mandatory and cannot be used to leave early for the day. If a student leaves hospital
grounds for lunch, they must clock out and in again within their 30 minute lunch. If a student
needs to leave a clinical assignment early due to illness or an emergency then clinical faculty
must be notified. If clinical faculty is not available, a supervisor must be informed and timesheet
must be signed by the supervisor.
Calling In at External Rotations
If a student is assigned to an external site and is absent, such as East Tennessee Children’s
Hospital or another facility for special procedures, then they must call that site as well as their
home site/clinical instructor prior to their assigned shift. Text messaging is not an acceptable
method of calling in for personal leave time unless given prior approval by clinical faculty.
Unreasonable Absences
Unreasonable absences from clinical assignments will lead to disciplinary action and possible
dismissal from the program since the reduction of a letter grade may result in a grade lower than
a C. Disciplinary action may become necessary when the student has used all the excused
personal time allowed for the semester. See personal leave time policy for details.
Tardiness
Habitual tardiness is defined as 4 occurrences within a semester. The accrued occurrences will
result in a drop of a letter grade. Each additional tardy will result in the drop of an additional
letter grade. After each occurrence, your clinical instructor will council you accordingly. If the
tardy is due to unavoidable circumstances, this must be reported to the clinical coordinator on
the day of the occurrence. You are considered tardy after your scheduled start time. There is a
two minute grace period, so 8:03 and later is considered tardy. This also applies to evening and
external rotations. Text messaging is not an acceptable method for calling in late or for an
absence. Exceptions to this policy are entirely at the discretion and judgment of the Clinical
Instructor.
Scheduling Make-up Time
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Make up time must be scheduled with the Clinical Instructor at the assigned clinical site
at which the student is assigned. An Assignment Request Form must be approved and
signed by the Clinical Instructor in order for the make-up time to be counted.
Make up time must be scheduled in time blocks of no less than 4 hours, unless the total
amount of time is less than 4 hours.
Skipping a lunch period cannot be counted as make-up time or for the purpose of leaving
early. All students must take the 30-minute lunch that is given during the clinic day.
Students who make up time during the regular Monday-Friday week are doing so
voluntarily. Students may choose to make up time at the end of the semester or during
the exam period of the final week of the semester. Making up time which constitutes a
combination of clinical and didactic time greater than 40 hours per week is voluntary on
the part of the student.
Unexcused absences must be made up by the end of the semester to avoid receiving a
final grade of “Incomplete”. If a student receives such a grade, the clinic hours must be
made up before the end of the following semester or the “l” will automatically convert to
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an “F”, resulting in automatic dismissal from the program. It is the students
responsibility to follow up with the records office to ensure the grade has been officially
changed in the system. This will also guarantee that the student’s transcript will be
correct at time of graduation.
First Year Students are only allowed to make up missed clinic time between the hours of 4:00pm8:00pm, Monday thru Friday or during the exam period at the end of the semester. Scheduling
make up time will be at the discretion of the clinical instructor and clinical coordinator.
Second Year Students are allowed to make up missed clinic time during evening shift hours
(4:00pm – 10pm) only or during the exam period at the end of the semester.
Make Up Assignments
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The clinical instructor must give the students a variety of times to choose from for
making up clinical assignments.
Time made without pre-approval from clinical faculty will not be accepted.
If a student does not complete approved make-up time as scheduled, two points will be
deducted from the clinical grade and time will need to be rescheduled.
A registered technologist must be scheduled to supervise the student's performance.
A registered technologist signature as well as a beginning and ending time must be
obtained at the onset of the make-up period as well as clocking in and out on the online
timekeeping system.
A record of exams performed or tasks completed by the student must be recorded by the
student.
A student will only be allowed one letter grade drop due to missed clinical time.
The form for requesting make up time is located in the forms section of the policy manual on
page 96.
Compassionate Leave
Three days consecutive (e.g. Sunday, Monday, and Tuesday) may be authorized for students
following a death in the immediate family (spouse, parent, step-parent, children, step-children,
brother, sister, grandparent, mother-in-law, father-in-law, or grandchildren). Note: these are
NOT three consecutive clinical days, but rather three calendar days.
Sick Leave or Pregnancy
Any extended absence, whether for pregnancy or illness of any nature, resulting in failure to
attend classes or complete competency requirements, will necessitate withdrawal from the
program; with the possible option of starting that semester over the next academic year. Proper
notice is required due to the selection process and student capacities (refer to Pregnancy
Policies/Options, p 22. and Readmission Policies, p.19).
Marriage
Due to the close working relationship necessary in imaging departments, most hospitals have
policies in place which state that employees cannot be married and work in the same
department. Since the Radiologic Technology student is much like a hospital employee, it is the
program's policy that if a student marries, dates another student or employee at that same clinical
affiliate then the student will be transferred to another clinical site. If a relative works in the
clinical site that the student is assigned to, the student could be reassigned to another facility.
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Clinical Performance Evaluation (CPE)
Every 2 weeks, an evaluation will be completed on each student. The form will be filled out by a
clinical instructor with input from all technologists involved in the assigned rotation. The
evaluation form includes areas such as critical thinking skills, patient care, and ability to follow
instructions, radiation safety, and initiative. The evaluation will be used in determining a portion
of the final course grade and further document any instances of program policy violations.
Students with failing scores on a CPE will be subject to disciplinary action, counseling, and
possible program dismissal. Completed Clinical Performance Evaluations, Competencies,
Masteries, Anatomy Testing and Objective sheets must be locked and secured at all times.
Dress Code
All students are responsible for reviewing their department’s dress code and adhere to it
accordingly. Consult the clinical instructor for specific guidelines. Restrictions may vary from
hospital to hospital. The following are the minimum guidelines for dress code.
Uniforms/Lab Jackets
Students must wear uniforms which fit properly and look professional. Lab jackets may be worn
with prior approval of the clinical faculty and should be gray or white.. If a shirt is worn under
the uniform, it must be solid white. Hoodies/sweatshirts or thermal shirts are not acceptable in
the clinical facility.
Surgery Scrubs
Students must wear proper attire to the clinical facility prior to changing into surgery scrubs. No
shorts or torn clothing is permitted. Surgery scrubs are not to be worn outside the facility.
Shoes
Students must wear all black leather tennis/clinic shoes. Canvas or backless shoes/clogs
are unacceptable.
Jewelry
Students must wear minimal jewelry. Acceptable items include a watch, wedding rings, and one
set of small earrings. Bracelets, necklaces, dangling earrings, and facial/oral piercing are not
allowed. All piercings with the exception of earrings must be removed prior to all clinical
rotations.
Hair & Nails*
(*must comply with assigned clinical site policies)
Long hair that falls over the shoulders should be secured away from the face with barrettes, clips
or pony-tail holder. Beards/mustaches are acceptable if kept neat and trim. Fingernails should
be kept clean and short. Artificial nails are not allowed. Nail polish can only be worn in neutral
shades.
Miscellaneous
Perfume, cologne, scented lotions and body sprays are not allowed in clinic or didactic classes.
Visible tattoos are not permitted. All tattoos must be covered by clothing and not visible to
patients and/or staff. Students may be sent home by clinical faculty for violation of this policy.
Time missed will need to be made up and points will be deducted from clinical grade. No kind
of piercing is allowed. No chewing gum or smokeless tobacco during clinical hours.
Final decisions regarding acceptable or appropriate dress will be at the
discretion of the program faculty.
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Clinical Supplies
The following clinical supplies must be purchased in the bookstore:
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Positioning Pocket Guide
Students will carry their Pocket Guide when on clinical assignment. The student is
required to list routine projections and technical factors in the pocket guide for each
examination while observing the procedure in clinic.
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Exam Logbook
Students will carry their logbook during clinical assignments. All exams which a student
observes or in which student participates must be logged. Only repeat exams must be
initialed by the supervising registered technologist. It may become necessary to
purchase several logbooks to complete the program. All logbooks must be turned in to
the clinical ccoordinator at the end of summer semester and after completion of the
program for ARRT & JRCERT accreditation purposes.
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Clinical Competency Handbook
Students will carry their Competency Handbook when on clinical assignment. The
handbook must be presented to the registered technologist for the check-off procedure
prior to beginning the examination. It may become necessary to purchase an additional
competency handbook to complete the program. All exam competency handbook(s)
must be turned in to the clinical ccoordinator at the end of the program for ARRT &
JRCERT accreditation purposes.
Radiation Dosimeter Monitoring
Students will always wear a radiation monitoring device while on clinical assignment or when
using the energized x-ray lab on campus. Radiation monitoring badges will be provided by the
clinical affiliation for clinic and by the program for the lab on campus. Under no circumstances
are students allowed to use the student clinical film badge during employment hours in any
ionizing radiology department.
Film badges are monitored at this time by the Radiation Safety Officer (RSO) and clinical faculty
in each clinical site’s imaging department. Students may view their quarterly radiation
monitoring reports within 30 thirty days of receipt by making an appointment with the manager
of the imaging department or submitting a request to the clinical instructor. Students will
comply with NCRP No. 102C and other applicable guidelines. In the event that a monitor report
indicates an exposure of greater then 80 mrem per quarter, the student will be notified,
counseled, and monitored closely. The program director and clinical coordinator will consult the
clinical site’s RSO or a certified medical physicist in order to establish an action plan to reduce
further excessive exposure. For example, a student may temporarily be restricted from clinical
areas where radiation exposure is typically higher (e.g. fluoroscopy or surgery). If the student
continues to exceed safe radiation exposure limits, disciplinary action may be taken which could
include dismissal from the program.
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Lead Markers
Students will use right and left lead markers with a minimum of 2 initials to properly identify the
radiographic procedures they perform. Students must purchase their own markers from either
their assigned clinical site, the bookstore, or other resources such as internet websites (please
check with clinical site before ordering). It is highly recommended that students purchase two
sets of markers so students have a set with them at all times. Students that do not have markers
will be sent home and points will be deducted from the clinical grade and the time will have to be
made up. Students can only perform exam competencies with their initialed personal markers.
Points will be deducted from the student’s final clinical grade for failure to use lead markers
during a patient exam. If a student fails to use lead markers during an exam competency, it will
automatically be revoked.
Parking
Students will park only in designated areas. It will be necessary to purchase a parking
sticker/tag for on campus parking. Students will also be responsible for any parking fees
applicable during clinical assignments.
Telephone/Cellphones
No personal telephone calls are to be placed or received on department phones except in case of
an emergency. No cell phones allowed in clinical area! Use of cell phones during clinical
hours will result in points off the final clinical grade. When answering the department
telephone, always identify the department and yourself. When taking phone messages, write
down all pertinent information before delivering the message.
Smoking/Smokeless Tobacco
RSCC is a tobacco free campus; no smoking or tobacco products are allowed except in designated
areas. Smoke breaks during clinic hours are not permitted unless approved by the clinical
faculty. The student must check with the clinical instructor/faculty member for approved areas.
In non-smoking/tobacco free hospitals, the student will follow hospital policies.
Confidential Patient Information / HIPAA
All departmental and hospital records are legal documents. Precautions should be maintained to
see that only the proper personnel handle these records. Under no circumstances should these
charts or information be shown to a patient, a member of the family, or other unauthorized
person. Refer to HIPAA requirements as outlined in hospital orientation. HIPAA violations will
result in disciplinary action and possible dismissal from the program (see page 100).
Radiographs/images must not be shown to the patient or any unauthorized person. If anyone
insists upon seeing the radiographs/images, contact the clinical instructor or department
supervisor.
Fire Safety
The student needs to become familiar with:
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The location of all extinguishers in the work area
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How to use the fire extinguisher
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How to report a fire
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The evacuation procedures
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Tips and Gifts
Acceptance of money from the patient or from persons with whom the hospital does business is
not permitted. Anyone wishing to make a donation or gift to the hospital should be referred to a
clinical instructor or to the administrator.
Theft
Any student that steals or tampers with the personal belongings or money of other students,
hospital employees, or patients will be reported to the RSCC Disciplinary Committee and
immediate dismissal from the program will be recommended to the Admissions Committee.
Accidents
Immediately report all accidents involving yourself, other personnel, patients, and visitors to
your clinical instructor or team leader. Accurate and timely information will be needed for
completing reports and other required documents.
Imaging Approval Policy
According to certain clinical affiliate policies, students must have all of their radiographs/images
approved by registered technologists whether or not a competency has been achieved on that
particular exam. After viewing the images, the technologist will instruct the student to release
the patient.
Repeat Policy
A registered technologist must directly supervise the student, regardless if they are a 1st or 2nd
year student, when repeat exposures are performed. A student can be dismissed from the
program for performing unsupervised repeat exposures. Direct supervision means the registered
technologist is in the room while the repeat exam is performed. The student must have the
technologist sign the logbook at the time of the repeat.
Repeat Policy Form can be found on page 99.
Competency Requirements
All competency requirements must be completed at the assigned clinical affiliate or approved
external rotation. Students are not allowed to perform exam competencies until the material
has been covered in the classroom and exams passed in the campus radiology lab. This is a
policy in accord with JRCERT Standards and is mandatory. If the assigned facility has an exam
deficiency in a particular category, then the clinical instructor will make arrangements at another
site to assist the student in reaching the required number of competencies. As a last resort and
with prior approval, a simulation exam may be performed by the student under the direct
supervision of the clinical instructor. All details must be well documented by the clinical
instructor and placed in the student’s file. A student will never be allowed to float competency
requirements from semester to semester due to a student’s lack of interest, initiative, or
participation. Students will not use work performed at other hospitals for employment purposes
in place of clinical competencies. Failure to complete the required exam competencies per
semester will result in a grade less than C in the clinical course. (Under extreme circumstances
approved by the clinical coordinator, a student may be given an Incomplete for failure to
complete that semester’s required competencies).
44
Revoking Exam Competencies
An exam competency will be revoked if the student performs that same exam and it is not
deemed diagnostic by a radiologist, team leader, clinical instructor, or staff registered
technologist with proper written documentation provided to the clinical faculty. REVOKED and
the date will be written across the students exam competency handbook for that particular exam.
The student must perform another acceptable, documented exam competency in the competency
handbook. If a student should have the same exam competency revoked again, then two points
will be deducted from the students final average for each additional failed attempt.
Example:
*Student successfully obtains competency via R.T. (R) on cervical spine exam
*Student performs cervical spine exam independently but is observed and documented as unable to
successfully do the exam post-competency (i.e. excessive repeats, incorrect usage or lack of lead markers,
poor radiation safety practices, incorrect patient prep, inappropriate patient care) The clinical instructor is
notified, reviews exam images, confirms documentation, meets with the student, and revokes the student’s
cervical spine competency.
*Student attempts to regain cervical spine exam competency, but fails at the attempt. Possibly incorrectly
marks the wrong side of the patient, does incorrect exam routine positions, poor positioning resulting in
poor images deemed undiagnostic, and etc. Student will have two points deducted from their final
average.
Student “Radiographers”
Students hired by radiology departments will not use work hours in place of scheduled clinical
time or make-up time for unexcused absences. A separate film badge must be used for
employment regardless of the student’s assigned clinical site. Students cannot clock out of their
scheduled student radiographer shift to perform an exam competency and then clock back in.
All exam competencies must be performed during a regularly scheduled clinical assignment.
Mobile Unit / Portable Radiography Guidelines
All students must have a registered technologist present when performing portable/surgery
exams, regardless of the student’s competency level. JRCERT does not accept electronic devices
as a form of direct supervision. Direct supervision is defined as supervision provided by a
qualified registered technologist immediately available to assist the students. "Immediately
available" is interpreted as present in the room during the exam. This availability applies to all
areas where ionizing radiation equipment is in use, including mobile radiography, surgery and
surgery set-ups. A student can be dismissed from the program for performing mobile
radiography or fluoroscopy without the supervision of a registered technologist. All students are
required to wear leaded aprons while performing portable examinations.
Policy Violations (Points off Final Grade)
Points will be deducted from students final grade (2 per policy violation) if they do not follow
hospital, program or college polices or do not conform to expected and professional behavioral
norms. The program director and the clinical faculty will determine the need for points being
deducted. The clinical instructor will log the deducted points each semester and write it on the
clinical gradesheet.
Form for recording policy violation is located in the forms section of the policy manual on
page 97.
45
Cheating
If cheating occurs during a clinical competency, the student forfeits that clinical competency and
it will also result in the student having points deducted from their final course grade or
dismissed from the program. If a student is found guilty of compromising a clinical exam
competency, the competency will immediately be aborted and documented in the student exam
competency handbook. Anything used to help facilitate cheating by the student will be kept by
the RSCC faculty and placed in the students permanent records. The Clinical Coordinator and
Program Director will be notified of the incident. The Deans of Allied Health Sciences and
Student Affairs may also be notified. Refer to current RSCC Catalog.
Clinical Site Disciplinary Action Process
The program faculty will follow the following process for disciplinary action which does not
include disciplinary action for Personal Leave Time. (Refer to Personal Leave Time on page
1st infraction – Written Warning; a written warning will be submitted to the student notifying a
student that a policy has been violated but no points will be deducted at this time.
2nd infraction – Written Warning; Any policy violation that occurs will result in two points being
taken off the overall clinical grade.
3rd infraction – Clinical Probation; The student will receive an overall letter grade drop. Any
policy violation that occurs during the probationary period may result in program dismissal.
4th infraction – Dismissal from the program.
Disciplinary process will be determined by the clinical instructor and will be followed up by the
clinical coordinator.
Dependent on the severity of the infraction, a student can be subject to point deduction, clinical
probation or immediate dismissal.
Disciplinary action taken against any student will become a part of the student’s permanent
record.
Clinical Site Grievance
If a student has a grievance related to a clinical site, the student must contact the site’s Clinical
Instructor and/or the program’s clinical coordinator. The incident must be reported to the
clinical coordinator or the program director within five (5) working days. The clinical
coordinator may involve the program director or the Dean of Allied Health Sciences, as well as
the affiliate’s director of imaging services, depending on the nature of the grievance. The
program faculty will make every effort to resolve the student’s problem at the program level and
will notify students of any decision or action taken within five (5) working days of the reported
incident.
The student may appeal the decision in writing within five (five) working days, to the Dean of
Allied Health Sciences. The dean will gather information from all parties involved and provide a
decision within ten (10) working days after the appeal is submitted.
46
The student may appeal to the Vice President of Academic Affairs within five (5) working days
after notification of the dean’s decision. Within ten (10) working days, the vice president will
submit a written decision to the student and all concerned parties.
In the event that a clinical affiliate has a problem with a student’s conduct at the site, the terms of
the contract between the college and the affiliate will apply. Article II, C states:
Discipline—While enrolled in clinical experience at the facility, students (and faculty), if
applicable, will be subject to applicable policies of the institution and the affiliate. Each party will
be responsible for enforcing all applicable policies including that of the other party.
Students shall be dismissed from participation in the clinical experience only after the
appropriate disciplinary actions and procedures of the institution have been followed. However,
the affiliate may immediately remove from the premises any student who poses an immediate
threat or danger. In either event, the due process policy for disciplinary actions will be followed
as outlined in the current college catalog.
Radiation Protection Policies
Following an introduction to the radiation protection policies and procedures of the program, the
student will adhere to the following rules:
1. Responsibility to insure the protection of themselves, the patient, and general public
from the harmful effects of ionizing radiation to the best of their ability using ALARA
principles
2. Always wear a radiation monitoring device while in the clinical setting (any student not
wearing a radiation monitor will not be allowed at clinic and the time missed will be
considered an absence). Students will always wear a radiation monitoring device when
using the energized x-ray lab on campus. Radiation monitoring badges will be provided
by the clinical affiliation for clinic and by the program for the lab on campus
3. Students will not hold patients or support a cassette during an exposure
4. Maintains personal awareness of the levels of radiation exposure received by monitoring
monthly reports
5. Wear a lead apron and thyroid shield during procedures such as: fluoroscopy, C-arm
procedures, and portable radiography (dosimeter will be placed outside the lead apron)
6. Properly shield all patients while performing radiographic procedures, regardless of age
unless it will negatively affect the quality of the images
7. Stand a minimum of six feet from the patient during mobile radiographic examinations
8. Always use proper collimation
9. Determine the pregnancy status of female patients when appropriate
10. Understand and adhere to the radiation safety rules at the individual clinical site
11. Will not operate fluoroscopic units by themselves. This includes, but is not limited to,
spot filming and the operation of the remote control fluoroscopic units for positioning
12. Under no circumstances should a student serve as a model for test exposures or
experimentation. Students will not radiograph anyone without a physician’s order and
proper patient registration
Notice: Failure to adhere to these policies may result in immediate dismissal from the program
47
Clinical Education Objectives
Specific skills that a student must possess to produce a satisfactory radiograph/image:
Evaluation of Requisition
Student will be able to:
a.
Identify procedures to be performed and positions required
b.
Recall the patient's age and name
c.
Identify mode of transportation to the clinical area
d.
Pronounce the patient's name (within reasonable limits)
Readiness of Physical Facilities
Student will be able to:
a.
Provide clean table
b.
Exhibit orderly cabinets and storage space
c.
Have appropriate size and type of cassettes/image receptor settings ready
d.
Have supplies ready
e.
Locate syringes and needles as necessary
f.
Turn machine "on" and be prepared for exposures
g.
Turn tube in position necessary for the examination
h.
Find and re-supply linens if appropriate
Patient and Technologist Relationship
Student will be able to:
a.
Select the correct patient by checking two forms of identification.
(i.e. ID bracelet, asking patients name and date of birth)
b.
Assist patient to and from radiographic room
c.
Assist patient to and from radiographic table
d.
Keep patient clothed and/or draped for modesty
e.
Introduce self and explain exam in a calm manner
f.
Remove glasses, teeth, etc. as necessary
g.
Talk with patient in a concerned, professional manner
h.
Give proper instructions for moving and breathing
i.
Have patient gowned properly
j.
Follow proper isolation procedure when appropriate
k.
Verify prep of patient, if needed
l.
Write history on request
m.
Initial requests
Positioning Skills
Student will be able to:
a.
Position the patient correctly on table (head at the appropriate end, prone or
supine)
b.
Align center of part to be demonstrated to the center of the IR
c.
Center x-ray beam (CR) to the center of the IR
d.
Use correct baselines/landmarks
e.
Oblique the patient correctly if required
f.
Angle the CR to the center of the IR
g.
Remove unwanted anatomical parts from the radiographic area via
collimation
h.
Check prior radiographs, if available
i.
Adjust for body habitus, pathology
48
Equipment Manipulation
Student will be able to:
a.
Turn tube from horizontal to vertical (and vice versa)
b.
Move the bucky tray and utilize locks
c.
Identify and utilize tube locks
d.
Insert and remove cassettes from bucky tray and spot film device
e.
Select correct accessories (film holder and immobilization devices, sandbags
and sponges)
f.
Operate film advance for automatic changers
g.
Select factors at control panel
h.
Measure the patient using calipers
i.
Use a technique chart
j.
Identify the film with "R," "L" and other appropriate identifications
k.
Fill syringes using aseptic techniques
l.
Safely drive the mobile unit
m.
Operate the controls for the mobile unit
n.
Select proper cassette size and placement thereof
o.
Adapt for technique changes in focal film distance, grid ratio, collimation,
etc.
p.
Proper archiving of completed images
q.
Proper dismissal procedure of patient
Evidence of Radiation Protection
Student will be able to:
a.
Cone or collimate to part
b.
Use gonad shields, if appropriate
c.
Demonstrate utilization of lead apron and gloves, if appropriate
d.
Produce the film badge as required by the institution
e.
Select the proper exposure factors
f.
Adjust exposure technique for motion, when appropriate
g.
Ask persons in room to step behind the leaded, shielded area
Evaluation of Radiograph
Student will be able to evaluate the radiographic image for:
Anatomical part(s)
a.
Part is shown in proper perspective
b.
No motion is present
Proper Alignment
a.
Film is centered
b.
Part is centered
c.
Tube is centered
d.
Patient is oblique or rotated correctly
e.
Correct IR or film holder and/or grid usage
f.
No motion, grid lines or artifacts
49
Radiographic Techniques
a.
b.
c.
Chart was used correctly (proper contrast and density)
Compensation of factors of pathology and body habitus
Correct focal spot size and/or time used to produce image sharpness
Film Identification or Other Identifications
a.
b.
c.
d.
"R" and/or "L" in correct location
Time or position markers correctly placed
Patient information and data can be identified
Identify by name and outline involved anatomy
Radiation Protection
a. Cone or collimation limits are visible
b. No repeats
c. Gonad shields in place
After successful completion of the Clinical Competency Program and with additional clinical
experience for development of proficiency-level skills and knowledge, the student will:
1.
Be aware of the role of a Radiologic Technologist as a member of the health care team by:
a.
Maintaining professional attitudes toward patients
b.
Keeping all patient information confidential
c.
Assuming responsibility for continuing education
2.
Perform radiologic examinations accurately and with a minimum amount of delay by:
a.
Organizing time and techniques most efficiently
b.
Practicing procedures in the clinical setting
3.
Demonstrate knowledge of techniques, principles, and equipment by:
a.
Assuming responsibility and accountability for diagnostic value of exams
b.
Consider the patient's physiological condition in obtaining diagnostic exams
50
Clinical Education Physical Skills
Registered technologists including radiologic technology students must be able
to perform the following physical skills:
A. STRENGTH: Perform physical activities requiring ability to push/pull objects/persons more than
100 pounds and to transfer objects of more than 100 pounds.
B.
MANUAL DEXTERITY: Perform simple motor skills such as standing, walking, handshaking;
manipulative skills such as writing and typing; setting up exposure factors on x-ray control panel;
manipulating the x-ray tube, bucky tray and x-ray table; injecting contrast; catheterizing patient;
calibrating x-ray equipment, adjusting film processors, loading/unloading film magazines, etc.
C.
COORDINATION: Perform body coordination such as walking, filing, retrieving equipment; eyehand coordination such as aligning x-ray beam with body part and film tray; computer/keyboard
skills; arm-hand steadiness such as taking blood pressures; performing venipuncture,
catheterizing, calibration of tools and equipment, etc.
D. MOBILITY: Perform mobility skills such as walking, standing, bending; pushing portable
equipment throughout the hospital; prolonged standing while wearing leaded aprons during
invasive x-ray exams/procedures; manipulate equipment in a sterile setting, such as surgery or
special studies; manipulate x-ray equipment 40” above recumbent patients, etc.
E.
VISUAL ABILITY: See objects far away and to discriminate colors and to see objects closely as in
reading faces, dials, monitors, etc.
F.
HEARING: Hear normal sounds (patient/staff communication) with background noise from x-ray
generators, computers, etc., and to distinguish sounds.
G. CONCENTRATION: Concentrate on details with moderate amount of interruptions such as
patient request, doctor and staff request, etc.
H. ATTENTION SPAN: Attend to task/functions for periods up to 60 minutes in length and periods
exceeding 60 minutes in length.
I.
CONCEPTUALIZATION: Understand and relate to specific ideas, concepts and theories
generated and simultaneously discussed.
J.
MEMORY: Remember task/assignments given to self and others over both short and long periods
of time; duplicate settings/exposure factors of x-ray machine.
K.
STRESS: Work with patients who may be very young or old, critically ill or injured, or mentally or
physically deficient/impaired; work in other departments such as surgery and emergency room,
work with a constantly changing group of staff and resident physicians, medical students, etc.
L.
CRITICAL THINKING: Have ability to make clinical judgments when working independently to
obtain diagnostic images.
M. COMMUNICATION: Communicates sufficiently for interaction with others in verbal and written
form.
N. SUBSTANCE ABUSE: Not use a Schedule 1 drug, does not use amphetamines, narcotics, or any
other habit-forming drug unless prescribed by a licensed medical practitioner.
O. INTERPERSONAL: Interact with individuals, families, and groups from a variety of social,
emotional, cultural, and intellectual backgrounds. Must be able to establish rapport with patients,
colleagues, faculty, and professional staff.
51
Clinical Education Plan
The clinical education plan is designed to lead the students through a progressive study of the
practical skills and knowledge required to perform the entry-level job skills of a registered
radiologic technologist. As the student progresses through phase I, II, and III of the plan, the
theories of positioning and related techniques will be demonstrated and practiced in supervised
laboratory activities; followed by observation and practice in the clinical area. The final phase of
the plan implements a clinical competency program to clinical setting.
Phase I:
Lecture and written examination
Phase II:
Lab demonstration, simulated practice & Lab exam
Phase III:
Clinical observation and practice (with direct supervision)
Phase IV:
Demonstration of clinical competency
Phase V:
Clinical practice of competency achieved exams (with indirect supervision)
Phase VI:
Mastery testing
Phase VII:
Clinical proficiency
Laboratory Objectives
After demonstration and practice, the student will, under simulated conditions:
1.
Select the correct IR size
2.
Determine exposure technique
3.
Properly place cassette lengthwise or crosswise
4.
Use R or L marker
5.
Correctly position marker on cassette
6.
Use correct distance
7.
Center tube to bucky tray, if applicable
8.
Position patient
9.
Direct central ray
10.
Use correct central ray angle
11.
Use correct centering point
12.
Demonstrate collimation and shielding
13.
Demonstrate communication and patient care skills in simulated exam.
Laboratory Requirements
Students will follow these guidelines when in the laboratory:
A.
Attendance is mandatory; demonstrations will not be repeated. Students
must provide their own patients for make-up tests. See Procedure course
syllabus for precise details.
B.
Be prompt.
C.
Handle equipment and accessories with care.
D.
Take turns playing the patient role.
E.
Listen carefully to instructions provided during demonstrations.
F.
Ask questions during practice.
G.
Observe classmates as they practice.
H.
Clean up personal food and drink containers.
I.
Do not energize the tube with personnel, students or visitors present in the lab.
J.
Close lab door when tube is energized.
K.
Turn on "in-use" sign when lab is in use.
L.
Demonstrate communication and patient care skills in simulated exam.
M.
Complete each lab exam with a minimum score of 70%. Less than a 70% score requires
that the exam be repeated in the presence of two instructors. Failure to pass a lab exam
on the second attempt will result in a D in the Procedures course and consequent
dismissal from the program at the end of the semester.
52
Clinical Objectives / Worksheets
53
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Completed by end of the 2nd semester)
Task – Digital Radiography Skills
Upon completion of the rotation through any digital radiographic room, the
student will have a registered technologist check each of the following steps
indicating successful completion of the objectives.
a.
Enter patient information in to the system
b.
Set up digital Control Panel for exposure
c.
Display and store images
d.
Ability to manipulate images for satisfactory diagnostic quality
e.
Capability to recall or retrieve images as needed
f.
Successfully transmit images for interpretation
_______________________________________
Registered Technologist Signature
__________________
Date
_______________________________________
Student Signature
__________________
Date
54
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Completed by end of 1st semester)
Task – Front Desk/File Room
Upon completion of the orientation through the front desk and file room, the
student will have a registered technologist or other clerical personnel check each of
the following steps indicating successful completion of the objectives.
a.
Proficient with the departmental telephone system
b.
Practices good phone etiquette and can transfer calls
c.
Print films/images from PACS or other imaging system
d.
Burn CD’s for patient/physician use (if applicable)
e.
Proficient with the departmental fax system
_______________________________________
Registered Technologist /Clerical Signature
__________________
Date
_______________________________________
Student Signature
__________________
Date
55
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Completed by end of 1st semester)
Task - Patient Transport
Following demonstration of transporting patients, the student will have a
registered technologist or transport employee check each of the following steps
indicating successful completion of the objectives.
a.
Transfer the patient from bed to wheelchair safely
b.
Transfer patient from wheelchair to radiographic table safely
c.
Transfer patient from radiographic table to wheelchair safely
d.
Transfer patient from wheelchair to bed safely
e.
Locate wheelchair locks and safety restraints
f.
Transfer the patient from bed to stretcher safely
g.
Transfer the patient from stretcher to radiographic table safely
h.
Transfer the patient from radiographic table to stretcher safely
i.
Transfer the patient from stretcher to bed safely
j.
Locate stretcher locks and safety restraints
k.
Turn oxygen on and off and regulate flow according to order on chart
l.
Transferring of IV tubing safely while transporting
m.
Accurately disconnect and attach leads before and after procedures
____________________________________
Registered Technologist/Transport Personnel
Signature
_________________
Date
____________________________________
Student Signature
__________________
Date
56
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Completed by the end of 3rd semester if availability allows)
Task - Insertion of Enema Tip
Upon completion of the rotation through the radiographic room designated for
barium enema studies, the student will have a registered technologist check each of
the following steps indicating successful completion of the task.
a.
Place the patient in Sim's position
b.
Lubricate tip generously
c.
Expose anus and insert tip about 3 inches or until it passes the
anal sphincter
d.
If retention catheter is used, inflate and clamp catheter
per radiologist's instructions
e.
Return patient to supine position
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
Date
57
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(To be completed by the end of the 3rd semester)
Task - Barium Bag Preparation
Upon completion of the rotation through the radiographic/fluoroscopic room
designated for barium enema studies, the student will have a registered technologist
check each of the following steps indicating successful completion of the task.
a.
Attach plain tip to tubing and clamp tubing
b.
Fill pre-packaged bag with approximately 1500 ml of warm
water and shake to mix
c.
Displace the air in the tubing
d.
Attach retention catheter, if needed
e.
Place bag approximately 30 inches above the tabletop
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
Date
58
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Form to be completed at the demonstration during the first
Semester at the ORBC Radiology lab)
Task - Drawing Up Contrast Agents
a.
Select appropriate contrast agent
b.
Attach 1-1/2 inch, 18-gauge needle to 60 cc syringe
using sterile technique
c.
Remove metal cap from bottle
d.
Wipe rubber stopper with alcohol prep
e.
Draw air into syringe
f.
Invert bottle
g.
Insert needle through rubber stopper into solution
h.
Inject air into the bottle and solution will run into syringe
i.
Clear air bubbles from syringe tip
j.
Attach butterfly needle, if needed, and displace air in tubing
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
Date
59
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Form to be completed at the demonstration during the first
Semester at the ORBC Radiology lab)
Task – Venipuncture
Upon completion of the venipuncture session using the prosthetic arm, the student
will have the instructor check each of the following steps indicating successful
completion of the task. After the lab session, students may attempt venipuncture
and administer contrast if clinic site allows.
TO BE DONE ONLY UNDER THE DIRECT SUPERVISION of REGISTERED
TECHNOLOGIST OR REGISTERED NURSE. Violation of this policy of
direct supervision will result in dismissal from the program.
a.
Collects appropriate materials. (tourniquet, prepping solutions,
needles, tape, gauze & gloves)
b.
Selects needle and extend tubing, leaving it capped for sterility
c.
Apply tourniquet, allowing veins to distend, then inspect and
choose an appropriate vein
d.
Put on gloves, utilizing standard precautions
e.
select venipuncture site
f.
Prepare venipuncture site, prepping with betadine and/or alcohol
cleaning in a circular motion starting at point of entry and move outward
g.
Stabilize the vein
h.
Enter the skin at a 45-degree angle while holding the needle
bevel up (when needle has entered the skin, lower it until it is
nearly parallel to the skin, 10-15 degree angle)
i.
Insert needle into the vein until a backflow of blood is observed
j.
Secure needle position by loosely taping the tubing down
k.
Release the tourniquet
l.
Removes the tubing cap and check for adequate blood flow
m.
Attach to solution line (syringe, IV's, medications)
n.
When removing needle after the exam, do not re-cap or re-use.
o.
Student successfully utilizes aseptic technique throughout the procedure.
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
Date
60
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Form to be completed at the demonstration during the first
Semester at the ORBC Radiology lab)
Task - Blood Pressure
Upon completion of objectives, the student will have a registered technologist check
each of the following steps indicating successful completion of the task.
a.
Gather equipment: sphygmomanometers
with self-securing cuff & stethoscope
b.
Remove clothing from mid to distal humeral area
c.
Place deflated sphygmomanometer cuff evenly around
patient's arm
d.
Place the bell of stethoscope over the brachial artery
(located at the center of the anterior elbow and may be
identified by palpation)
e.
Place the gauge of the sphygmomanometer on a flat surface
or attach to loop on cuff so it can be easily read
f.
Place earpieces of stethoscope in ears
g.
Tighten the thumbscrew of the pressure bulb and pump the
bulb until it reaches 180 mm Hg or until you no longer hear a
pulse beat
h.
Open valve slowly and allow mercury to fall. Listen carefully for
the pulse beat to begin and take reading at the level of mercury or
on the gauge, where it is first heard; this is the systolic reading
i.
Continue to listen until pulsations become soft or quiet, or
the sound changes from loud to very soft; this is the diastolic reading
j.
Record reading and remove blood pressure equipment from patient.
Normal Ranges:
Systolic = 110 - 140
Diastolic = 60 - 90
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
Date
61
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Form to be completed at the demonstration during the first
Semester at the ORBC Radiology lab)
Task - Pulse/Respirations
Upon completion of objectives the student will have a registered technologist check
each of the following steps indicating successful completion of the tasks.
PULSE
a.
Locate pulse
Radial/wrist
Temporal/ear
Carotid/neck
Femoral/groin
Pedal/foot





b.
Continue by counting pulsations for 1 minute


c.
Record reading


Respirations
Adult’s 60 - 100 beats/minute
Infants 70 – 120 beats/minute (10 and under)
do not use thumb (has pulse also)
do not press hard (compress artery)
**best to check immediately following pulse count
a. Observe patient's breathing by watching the rise and
Fall of the chest.
b. Determine rate by observing for a full minute
Adults 12-20/minute Child(10 and Under) 20-30/min
c. Document results. Can be described as:
*rapid *shallow *labored *regular * irregular
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
Date
62
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Form to be completed at the demonstration during the first
Semester at the ORBC Radiology lab)
Task – Opening Sterile Supplies
a.
Select an appropriate surface for setting up a sterile field
b.
Open wrapper of sterile object beginning with the farthest wrapper
flap and ending with the nearest flap
c.
Put on sterile gloves (in the appropriate manner) to arrange
items on the sterile field
d.
Arrange items on the sterile try (discard any item with
questionable sterility)
e.
Add items to sterile tray (as requested by Radiologist);
do not reach across sterile field
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
Date
63
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Worksheets for each room must be completed by the end of the 2nd semester)
Equipment - Radiographic/Fluoroscopic Rooms ~ Set-up Procedures
Upon completion of each rotation through each radiographic/fluoroscopic room,
the student will have a registered technologist check each of the following steps
indicating successful completion of the worksheet.
Radiographic /Fluoroscopic Room Number_______________________
a.
locates and operate main wall switch
b.
c.
d.
turn machine off and on
selects upright or table bucky
locate controls for exposure factors
e.
f.
g.
perform warm up procedure
operate tube locks
center tube to bucky tray
h.
adjust collimator
i.
j.
k.
turn on field light indicator
locate distance indicator
adjust tube angulations in all directions
l.
properly insert and remove cassette from bucky tray
m.
lock bucky tray in place
n.
move table travel in all directions
o.
p.
q.
r.
set controls on console in fluoro
set controls on image intensifier
operate spot devices
attach and remove footboard when needed
__________________________________
Registered Technologist Signature
_________________
Date
__________________________________
Student Signature
_________________
Date
64
CLINICAL COMPETENCY OBJECTIVES
(Worksheets for each different machine must be completed by the end of the 2nd semester)
Equipment – Mobile/Portables Units
Upon completion of the rotation for portables/surgery, the student will have a
Registered technologist check each of the following steps indicating successful
completion of the worksheet for each different model/make of portable equipment.
Mobile/Portable I.D. (model/number)
_________________________
a.
Charge the machine
b.
Turn the machine on and off
c.
Adjust controls for exposure factors
d.
Operate tube locks
e.
Operate collimator controls
f.
Operate field light indicator
g.
Angle the tube
h.
Drive in forward and reverse
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
Date
65
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Worksheets for each different C-arm must be completed by the end of the 4th semester)
Equipment - C-Arm
Upon completion of the portable/surgery rotation, the student will have a registered
technologist check each of the following steps indicating successful completion of the
worksheet for each different model/make of C-arm equipment.
C-arm I.D. (model/number) _____________________
a.
Operate the equipment for positioning
(storage to room mobility)
b.
Connect cables from C-arm to video and video
to power source
c.
Turn machine on and off in proper sequence
d.
Adjust controls for exposure factors (fluoroscopic and
radiographic)
e.
Identify tube and intensifier
f.
Operate all locks: extension, rotation, angulation, and
vertical movement, AP to lateral C-arm rotation
g.
Identify all control panel capabilities
h.
Collimation and shutter identification (if applicable)
i.
Attachment of frame for producing radiographs
j.
Foot pedal and hand switch identification and use
k.
Sterile technique for attaching cover (if applicable)
l.
Storage placement, cleaning of equipment
and storage covers
m.
Identify brand of equipment
__________________________________
Registered Technologist Signature
_________________
Date
__________________________________
Student Signature
_________________
Date
66
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Worksheet must be completed by the end of the 4th semester)
Equipment – Cysto (if available)
Upon completion of the portable/surgery rotation, the student will have a
registered technologist check each of the following steps indicating successful
completion of the worksheet for the surgical cystography room(s).
a.
Turn machine on and off
b.
Set proper exposure factors for exam, radiographic and
fluoroscopic (if applicable)
c.
Properly load cassette into tray
d.
Move table in all directions
e.
Expose film and development (identification of film)
f.
Observe sterile technique
g.
Operate equipment for shut-down
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
Date
67
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Evening hours are scheduled during the fall and spring semesters of the second
year and this worksheet must be completed during these assignments)
Evening Rotation
Each student will have a registered technologist check each of the following steps
indicating successful completion of the rotation. A regular CPE must also be
completed and turned into the clinical instructor for calculation of the clinical
education grade.
a.
Assist the registered technologist in performing routine, mobile and
trauma exams
b.
Enter exams into the computer
c.
Work as member of a health care team
d.
Manage workflow by prioritizing and sending for patients
e.
Develop proficiency, versatility, and independence by
participating in a variety of examinations with minimal
supervision
f.
Work toward completion of required exam competencies
identified in the Clinical Competency Handbook
g.
Demonstrate proficiency by performing exams with indirect
supervision
h.
Accurately disconnect and attach leads before and after exams
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
68
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Worksheet & traditional CPE to be completed while assigned to
Children’s Hospital of East Tennessee)
External Rotation – Pediatrics
Each student will have a registered technologist check each of the following steps
indicating successful completion of the rotation.
a.
Demonstrate use of immobilization devices and techniques
used in pediatric radiography
b.
Properly shield pediatric patients
c.
Closely collimate on each projection/position
d.
Communicate effectively with the patient, parents and staff
e.
Evaluate the radiograph
f.
Produce identical densities on follow-up studies
g.
Assist the registered technologist in performing the examinations and
procedures
h.
Work toward completion of required exam competencies identified
in the Clinical Competency Handbook
i.
Perform exams on a pediatric patient with minimal assistance
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
Date
69
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Worksheet to be completed during each 2 week rotation in
Cat Scan in the 4th and 5th semesters)
Cat Scan *
Upon completion of this rotation the student will have a registered technologist check
each of the following steps indicating successful completion of the rotation.
a.
Locate and operate main wall switch
b.
Turn machine off and on
c.
Perform tube warn up
d.
Control Panel - list/select, patient schedule, exam Rx, routine
display, retro-recon and archive
e.
Transport patients in and out of CT room
f.
Properly identify patient
g.
Obtain patient history
h.
Place patient on table using correct orientation for selected
exam (i.e. head first, feet first)
i.
Position and center patient using correct landmarks for
selected exam
j.
Gantry/Table - Move table, buttons, zero in and out, tilt angle,
change cradle, seat belt and attachments
k.
Observe radiation safety practices
l.
Identify pertinent anatomy on scans
m.
Printer/PACs – print, load film, film compose auto and manual,
send to PACs, verify
n.
Understand the education method and experience required to
become a Computed Tomography technologist
* Competency is required in this rotation ~ CT Head, CT Abdomen
(Without IV contrast)
_________________________________
Registered Technologist Signature
____________________________________
Student Signature
_______________
Date
_________________
Date
70
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
Elective Rotation - Interventional Services (Special Procedures)
Upon completion of this rotation the student will have a registered technologist check
each of the following steps indicating successful completion of the rotation.
a.
Correctly identify patient, verify physicians orders in chart for
correct procedure.
b.
Check patient’s chart for possible contraindications along with pertinent lab
work results, such as BUN (blood urea nitrogen) and creatinine levels.
c.
Assist registered technologist in preparing patient for procedure including
ECG monitoring, oximeter readings, and blood pressure
d.
Successfully put on sterile gown without contamination
e.
Successfully put on sterile gloves without contamination
f.
With assistance, set up trays (instruments, materials) under sterile
conditions
g.
If permitted, scrub and assist in passage of catheter under sterile conditions
h.
Distinguish between catheters, guide wires, and needles
*Competency is not required in this area.
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
Date
71
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Worksheet to be completed during assigned 8-hour day in department)
Elective Rotation- Radiation Therapy
Each student will have a registered technologist check each of the following steps
indicating successful completion of the rotation.
a.
Assist the registered technologist with patient care
b.
Identify patients
c.
Transport patients in and out of the treatment room
d.
Assist the registered technologist in positioning the patient
e.
Understand the function of the radiation therapy department
f.
Identify the reasons that radiation therapy is prescribed
(i.e. which types of cancer/pathology)
g.
Understands the education method and experience required to become
a radiation therapist.
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
Date
72
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Worksheet to be completed during assigned 8-hour day in department)
Elective Rotation- Nuclear Medicine
Each student will have a registered technologist check each of the following steps
indicating successful completion of the rotation.
a.
Assist the registered technologist with patient care
b.
Identify patients, obtains patient history
c.
Transport patients in and out of the exam room
d.
Assist the registered technologist in positioning the patient
e.
Understand the function of the nuclear medicine department and
which exams are most commonly ordered
f.
Identify pertinent anatomy on scans and which specific radionuclides
were used
g.
Observe radiation safety practices
h.
Understands the education method and experience required to become
a nuclear medicine technologist.
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
Date
73
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Worksheet to be completed during assigned 8-hour day in department)
Elective Rotation- Computed Tomography
Each student will have a registered technologist check each of the following steps
indicating successful completion of the rotation.
a.
Assist the registered technologist with
b.
Identify patients, obtains patient history
c.
Transport patients in and out of the exam room
d.
Assist the registered technologist in positioning the patient
e.
Understand the function of the computed tomography department and
which exams are most commonly ordered
f.
Identify pertinent anatomy on scans
g.
Observe radiation safety practices
h.
Understands the education method and experience required to become
a computed tomography technologist.
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
patient care
_________________
Date
_________________
Date
74
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Worksheet to be completed during assigned 8-hour day in department)
Elective Rotation- Ultrasound
Each student will have a registered technologist check each of the following steps
indicating successful completion of the rotation.
a.
Assist the registered technologist with patient care
b.
Identify patients, obtains patient history
c.
Transport patients in and out of the exam room
d.
Assist the registered technologist in positioning the patient
e.
Understand the function of the ultrasound department and which
exams are most commonly ordered
f.
Identify pertinent anatomy on scans
g.
Learn some patient preps for several exams performed
h.
Understands the education method and experience required to become
an ultrasound technologist.
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
Date
75
CLINICAL COMPETENCY OBJECTIVES/WORKSHEET
(Worksheet to be completed during assigned 8-hour day in department)
Elective Rotation- Magnetic Resonance Imaging
Each student will have a registered technologist check each of the following steps
indicating successful completion of the rotation.
a.
Assist the registered technologist with patient care
b.
Identify patients, obtains patient history
c.
Transport patients in and out of the exam room
d.
Assist the registered technologist in positioning the patient
e.
Understand the function of the MRI department and which exams are
most commonly ordered
f.
Identify pertinent anatomy on scans
g.
Learn all safety precautions expected in this area
h.
Understands the education method and experience required to become
a MRI technologist.
__________________________________
Registered Technologist Signature
__________________________________
Student Signature
_________________
Date
_________________
Date
76
CLINICAL EXAM COMPETENCY
 Objectives
 Requirements
 Categories
 Checklist
 Evaluation
Clinical Exam Competency
Fulfillment of the exam competency requirements will prepare the student for a career as an
entry-level radiologic technology graduate. The student, upon classroom completion of
radiographic material and lab assignments, will practice performance of exams on patients under
the direct supervision of a registered technologist. When the student feels prepared, he/she will
challenge the competency checklist requirements. The checklist is the format that the registered
technologist will use in evaluating the skills and techniques of the student. The student will
attempt competencies on 48 exams throughout the five semesters in the program. The clinical
education syllabus will outline the number of competencies that are required for each semester.
The 48 exams are divided between 10 categories. The exam competencies must be chosen from
the category distribution list.
Exam Competency Objectives
The following objectives are to be followed in evaluating the student's competency in performing
an examination.
The student will correctly identify the patient and:
A. Select the correct IR size if applicable
B. Correctly align IR and patient
C. Use R/L markers correctly
D. Use correct SID
E. Properly position the patient
F. Correctly center tube to cassette/bucky/image receptor.
G. Adjust tube angle correctly with proper direction
H. Identify correct centering point
I. Show evidence of collimation
J. Select appropriate technical factors
K. Shield the patient
77
Clinical Competency Requirements
Candidates must demonstrate competence in all 33 procedures identified as mandatory (M). This
includes competency of CT exams. Procedures should be performed on patients; however
minimal simulation exams are allowed (as mandated by ARRT) if demonstration on patients is
not feasible.
Candidates must demonstrate competence in 15 of the 35 elective (E) procedures. Candidates
must select one elective procedure from the head section. Candidates must select either Upper
GI or Barium Enema plus one other elective from the fluoroscopy section. Elective procedures
should be performed on patients; however minimal simulation exams are allowed if
demonstration on patients is not feasible. A total of 48 competencies must be achieved before
graduation.
Simulations will be carried out in the same manner as a traditional exam competency except for
the actual exposure. The student must be prepared to answer questions from the simulation
instructor pertaining to exposure technique, control panel set-up, and radiographic anatomy
demonstrated.
Institutional protocol will determine the positions or projections used for each procedure. The
student must notify the staff technologist prior to receiving the patient of their intent to challenge
the exam for competency. An exam competency may be discontinued by the technologist if at
any time they feel the patient’s care and safety are at risk. All exam competencies attempted
must be documented in the exam comp logbook; regardless of completion. If an exam comp
attempt is aborted please list reason(s) in the exam comp logbook. Repeat images are allowed if
due to involuntary/uncontrolled patient motion or equipment malfunction.
Requirements:
First Semester – 5 Comps / 3 Masteries / 5 Anatomy
Second Semester – 10 Comps / 9 Masteries / 10 Anatomy
Third Semester – 9 Comps / 5 Masteries / 5 Anatomy
Fourth Semester – 12 Comps / 10 Masteries / 10 Anatomy
Fifth Semester – 12 Comps / 10 Masteries / 10 Anatomy
Demonstration of competence includes













.
requisition evaluation
patient assessment
patient identification by two methods
patient history (to include personal introduction, questions such as possible pregnancy,
exam prep completed, pertinent patient history)
room preparation
patient management
equipment operation (SID, tube-to IR centering, tube angle/direction, collimation)
technique selection
positioning skills (centering point, patient position)
lead marker usage
radiation safety (collimation, shielding, radiation protection measures)
image processing
image evaluation
78
CLINICAL COMPETENCY REQUIREMENTS
New Requirements Beginning January 2012
Radiographic
Procedure
Chest & Thorax
Chest Routine
Chest AP& Lat * (w/c or stretcher)
Ribs
Chest Lateral Decubitus
Sternum
Upper Airway (soft-tissue neck)
Mandatory
or Elective
Date
Completed
Patient or
Simulated
Competence
Verified By
M
M
M
E
E
E
Upper Extremity
Thumb or Finger
Hand
Wrist
Forearm
Elbow
Humerus
Shoulder
Trauma: Shoulder (Scapular Y,
Transthoracic or Axillary)*
Clavicle
Scapula
AC Joints
Trauma: Upper Extremity (non
shoulder)*
M
M
M
M
M
M
M
M
E
E
E
M
Lower Extremity
Toes
Foot
Ankle
Knee
Tibia-Fibula
Femur
Trauma: Lower Extremity*
Patella
Calcaneus (Os Calcis)
E
M
M
M
M
M
M
E
E
Cranium / Head **See note
below for instructions
Skull
Paranasal Sinuses
Facial Bones
Orbits
Zygomatic Arches
Nasal Bones
Mandible (Panorex acceptable)
E
E
E
E
E
E
E
* Chest & Thorax – revised requirement – AP & Lat is required on w/c or stretcher chest
** Cranium / Head – Candidates must select at least one elective from this section.
Radiologic
Procedures
Mandatory
or Elective
Date
Completed
Patient or
Simulated
Spine & Pelvis
Cervical Spine
Trauma: C-Spine Exam to include
Cross Table Lateral*
Thoracic Spine
Lumbosacral Spine
Pelvis
Hip
Trauma: Hip to include Cross Table Lat
Hip*
Sacrum &/or Coccyx
Scoliosis Series
Sacroiliac Joints
M
E
M
M
M
M
M
E
E
E
Abdomen
Abdomen Supine (KUB)
Abdomen Upright
Abdomen Decubitus
Intravenous Urography
M
M
E
E
Fluoroscopy Studies
Upper GI Series (Single or Double
Contrast)
Barium Enema (Single or Double
Contrast)
Small Bowel Series
Esophagus
Cystography/Cystourethrography
ERCP
Myelography
Arthrography
E
E
E
E
E
E
E
E
Surgical Studies
C-Arm Procedure (Orthopedic)
C-Arm Procedure (Non-Orthopedic)
M
E
Mobile Studies
Chest
Abdomen
Orthopedic
M
M
M
Pediatrics (age 6 or younger)
Chest Routine
Upper Extremity
Lower Extremity
Abdomen
Mobile Study
M
E
E
E
E
Cat Scan
Head w/o IV contrast
Abdomen w/o IV contrast
79
Competence
Verified By
M
M
* Trauma is considered a serious injury or shock to the body. Modifications may include
variations in positioning, minimal movement of the body part, etc.
80


For quality control purposes the clinical faculty may re-check a student on any exam
competency at any time. The clinical faculty can evaluate an exam competency and
invalidate the competency if they decide it is not diagnostic and does not meet the
appropriate criteria. The student must then repeat the invalid competency exam.
The ARRT requirements specify that certain clinical procedures may be simulated.
Simulations must meet the following criteria: (a) the student is required to competently
demonstrate skills as similar as circumstances permit to the cognitive, psychomotor, and
affective skills required in the clinical setting; (b) the program director is confident that the
skills required to competently perform the simulated task will generalize or transfer to the
clinical setting.
General Patient Care Requirements
Candidates/students must demonstrate competence in all six patient care activities listed
below. The activities should be performed on patients; however, simulation is acceptable if
state or institutional regulations prohibit candidates from performing the procedures on
patients.
General Patient Care
CPR
Vital signs (blood pressure, pulse, respiration)
Sterile and aseptic technique
Venipuncture
Transfer of patient
Care of patient medical equipment (e.g., oxygen tank, IV
tubing)
Date
Completed
Competence
Verified By
81
Clinical Evaluation Performance
Overall clinical performance will be evaluated for each rotation. The evaluation will include
assessment in the three domains (psychomotor, cognitive, and affective) and will be completed
by the technical staff and/or clinical instructor. The student is urged to maintain better than
satisfactory performance in his/her clinical assignments and overall performance. The
evaluation will serve as a progress indicator and will pinpoint problem areas, possible need for
disciplinary measures, and will be used to determine the student’s final grade.
The categories in which the student will be evaluated are as follows:
PSYCHOMOTOR (clinical skills)
1. Quality of work
2. Quantity of work
COGNITIVE (clinical knowledge)
3. Knowledge
4. Attitude
5. Communication
6. Judgment
AFFECTIVE (professional conduct)
7. Self-confidence
8. Appearance
9. Professional ethics
10. Initiative
82
Clinical Testing
Mastery Testing
Fall Semester – 3 Masteries
Spring Semester – 9 Masteries
Summer Semester – 5 Masteries
Fall Semester – 10 Masteries
Spring Semester – 10 Masteries
Each student has the option of completing 37 Masteries before graduation.
Mastery Testing
You will perform these procedures on patients at the clinical site with your clinical instructor or
designated technologist. It is the student’s responsibility to inform the clinical staff of the intent
to do a mastery before the procedure is done. Clinical staff will not notify the students when
these exams need to be performed. The competency book and the mastery form must be
presented to clinical staff before a mastery can be performed. The number of masteries performed
each semester will determine 10% of the overall clinical education grade.
You will be expected to perform each procedure according to the clinical site protocol. Each
mastery will be evaluated at the level of a competency. The failure of a mastery will result in the
corresponding competency being revoked therefore; the competency and the mastery must be
repeated.
Anatomy Testing
Students will be expected to do 10 competency anatomy testing procedures every semester, with
the exception of the first and third semester, only 5 will need to be completed. All tests will be on
exams that the student has already comped on and will be done according to the availability of
the clinical instructor. This is not a scheduled test. This will count for 10% of the overall clinical
education grade. This will be a pass/fail score. If a student scores less than ten on a test, this is
considered unacceptable and the student will be retested. The student will receive the first
attempted score as part of the overall clinical grade. If the student does not have enough
competencies to complete the required number of exams for anatomy testing; a random exam can
be retested.
83
Roane State Community College
Radiography Program
Mastery Testing Documentation
First Year
Student Name: ___________________________
Site: ____________________________________
Fall
3 = 100
2 = 90
1 = 80
Date
Spring
9 =100
8 = 90
7 = 80
6 = 70
5 = 60
4 = 50
3 = 40
2 = 30
1 = 20
0= 0
Examination
Performed
Comp
Date
Summer
5 = 100 2 = 40
4 = 80 1 = 20
3 = 60 0 = 0
Patient ID
Number
Tech
Initials
CI
Initials
1
2
3
4
5
6
7
8
9
List any failed Masteries Below:
1
2
3
4
5
Overall Score on Communication Skills:
Excellent _____ Very Good_____ Satisfactory_____ Poor_____ Unacceptable_____
84
Roane State Community College
Radiography Program
Mastery Testing Documentation
Second Year
Student Name: ____________________________
Site: _____________________________________
.
Fall
10 = 100
9 = 90
8 = 80
7 = 70
6 = 60
Date
5=
4=
3=
2=
1=
50
40
30
20
10
Examination
Performed
Spring
10 = 100
9 = 90
8 = 80
7 = 70
6 = 60
Comp
Date
5=
4=
3=
2=
1=
50
40
30
20
10
Patient ID
Number
Tech
Initials
CI
Initials
1
2
3
4
5
6
7
8
9
10
List any failed Masteries Below:
1
2
3
4
5
Overall Score on Communication Skills:
Excellent _____ Very Good_____ Satisfactory_____ Poor_____ Unacceptable_____
85
Mastery Level Clinical Competency / Grade Sheet
Student’s Name _____________________ Exam Name ____________________
All sections of the Mastery Level Competency must be achieved. Mastery level competencies
must be performed on exams that the student has successfully completed as a competency.
Repeats will cause failure of the mastery and repeats must be performed under Direct Supervision
(if a mastery results in repeats, exam competency will be revoked). Both competency and
mastery will need to be repeated. Repeats due to equipment failure or patient motion will not
result in failure of the mastery. Mastery Level Competency must be performed under the
supervision of the clinical instructor or a designated technologist.
Procedure & Image
Achieved
Did Not
Achieve
Evaluation of requisition & patient assessment. (Arm
band checked and pregnancy question must be asked.)
Room readiness
Patient care and management
Equipment operation & technique selection (Correct
Distance – TT, TB or Upright Bucky)
Positioning skills before exposure
Radiation protection for patient, self and others
Transfer of Image data
Evaluate anatomical part(s) & alignment
Evaluate speed and efficiency
Evaluate radiographic technique
Evaluate image identification ( correct name/dateCorrect marker and marker placement)
Collimation (radiation protection)
Film Repeats:
Patient’s ID:
Date:
Technologist Signature:
Overall Score on Communication Skills:
Excellent _____ Very Good _____ Satisfactory _____ Poor_____ Unacceptable______
86
Radiologic Technology Program ~
1st
Semester Grade Sheet
Student ______________________ Semester/Year________________
Site ___________________________
Rotation Evaluations = 80% of Clinical Grade
Evaluation #1 = ______
Evaluation #2 = ______
Evaluation #3 = ______
Total Number of Points Received= (
)
------------Total Number of Evaluations=
(
)
Evaluation #4 = ______
Average of Evaluations=
____________
CPE Average X 80%= _______
Mastery Testing = 10% of Clinical Grade
Overall Score on Communication Skills:
Excellent
_____
Very Good _____
Satisfactory _____
Poor
_____
3 exams = 100 Points
2 exams = 90 Points
1 exam = 80 Points
0 exams = 0 Points
Unacceptable______
Exams Passed = ____________
Total Points X 10 %= _________
Anatomy Testing Scores = 10% of Clinical Grade
1. ___________
Each Test Possible: 20 points
2. ___________
Total Points=___________
3. ___________
4. ___________
Total Points X 10 %= __________
5. ___________
CPE Points ________+ MT Points _______+ AT Points____ =_______ (Clinical Average)
Clinical Average = _________ - Points off Grade ________ = _________ (Final Grade)
(2 pts per violation)
94-100=A
87-93=B
80-86=C
Below 80=F
(REVISED 7/16/2014)
87
Radiologic Technology Program ~ 2nd Semester Grade Sheet
Student _____________________
Site ___________________________
Semester/Year_______________
Rotation Evaluations =80 % of Clinical Grade
Evaluation #1= _______
Evaluation #2 = _______
Total Number of Points Received=
Evaluation #3 = _______
Total Number of Evaluations=
(
)
------------(
)
Evaluation #4 = _______
Evaluation #5 = _______
Average of Evaluations=
____________
Evaluation #6 = _______
CPE Average X 80%= _______
Evaluation #7 = _______
Mastery Testing = 10% of Clinical Grade
9 exams = 100 Points
8 exams = 90 Points
7 exams = 80 Points
6 exams = 70 Points
5 exams = 60 points
Overall Score on Communication Skills:
4 exams = 50 points
3 exams = 40 points
2 exams = 30 points
1 exam = 20 points
0 exams = 0 points
Excellent
_____
Very Good _____
Satisfactory _____
Poor
_____
Unacceptable_____
Exams Passed = ____________
Total Points X 10 %= _________
Anatomy Testing Scores = 10% of Clinical Grade
1. ___________
6. ___________
Each Test Possible 10 points
2. ___________
7. ___________
Total Points=___________
3. ___________
8. ___________
4. ___________
9. ___________
5. ___________
10. ___________
Total Points X 10%= __________
CPE Points ________+ MT Points _______+ AT Points _____=_______ (Clinical Average)
Clinical Average = ___________ - Points off Grade ________ = _________ (Final Grade)
(2 pts per violation)
94-100=A
87-93=B
80-86=C
Below 80=F
(REVISED 7/16/2014)
88
Radiologic Technology Program ~ 3rd Semester Grade Sheet
Student _____________________
Site ___________________________
Semester/Year_______________
Rotation Evaluations =80 % of Clinical Grade
Evaluation #1 = ______
Evaluation #2 = ______
Evaluation #3 = ______
Total Number of Points Received= (
)
------------Total Number of Evaluations=
(
)
Evaluation #4 = ______
Average of Evaluations=
____________
CPE Average X 80%= _______
Mastery Testing =10 % of Clinical Grade
1
5 exams =
4 exams =
3 exams =
2 exams =
1 exam =
0 exams =
100 Points
80 Points
60 Points
40 Points
20 Points
0 points
Overall Score on Communication Skills:
Excellent
_____
Very Good _____
Satisfactory _____
Poor
_____
Unacceptable_____
Exams Passed = ____________
Total Points X 10 %= __________
Anatomy Testing Scores = 10% of Clinical Grade
1. ___________
Each Test Possible 20 points
2. ___________
Total Points=___________
3. ___________
4. ___________
Total Points X 10%= __________
5. ___________
CPE Points ________+ MT Points _______+ AT Points____ =_______ (Clinical Average)
Clinical Average = _________ - Points off Grade _________ = _________ (Final Grade)
(2 pts per violation)
94-100=A
87-93=B
80-86=C
Below 80=F
(REVISED 7/16/2014)
89
Radiologic Technology Program ~
4th
&
5th
Semester Grade Sheet
Student _______________________ Semester/Year________________
Site ___________________________
Rotation Evaluations = 80% of Clinical Grade
Evaluation #1= _______
Evaluation #2 = _______
Total Number of Points Received=
Evaluation #3 = _______
Total Number of Evaluations=
(
)
------------(
)
Evaluation #4 = _______
Evaluation #5 = _______
Average of Evaluations=
____________
Evaluation #6 = _______
CPE Average X 80%= _______
Evaluation #7 = _______
Mastery Testing = 10% of Clinical Grade
2e
10 exams = 100
9 exams = 90
8 exams = 80
7 exams = 70
6 exams = 60
Overall Score on Communication Skills:
5 exams = 50
4 exams = 40
3 exams = 30
2 exams = 20
1 exam = 10
Excellent _____
Very Good _____
Satisfactory _____
Poor
_____
Unacceptable_____
Exams Passed = ____________
Total Points X 10%= _________
Anatomy Testing Scores = 10% of Clinical Grade
1. ___________
6. ___________
Each Test Possible 10 points
2. ___________
7. ___________
Total Points=___________
3. ___________
8. ___________
4. ___________
9. ___________
5. ___________
10. ___________
Total Points X 10 %= __________
CPE Points ________+ MT Points _______+ AT Points _____=_______ (Clinical Average)
Clinical Average = _________ - Points off Grade ______ = _________ (Final Grade)
(2 pts per violation
94-100=A
87-93=B
80-86=C
Below 80=F (REVISED 7/16/2014)
90
First Semester Evaluation
Student: _______________________________________ Date: ___________________
Rotation Area: ________________________________ Semester: __________________
Objective:
Student accomplishes these tasks:
5
Without Any
Prompting
1) Appearance - Appears and
smells clean without perfume,
no visible tattoos, hair back,
approved jewelry, and etc.
2) Attitude - Appears interested,
asks questions, seems enthusiastic,
accepts direction without resistance,
values constructive criticism and
uses it for personal growth, displays
honesty & integrity by assuming
responsibility for actions and
reporting them to instructor
3) Identification - Correctly identifies
patient, introduces self to
patient/family, and verifies orders
on every patient for each exam to
evaluate accuracy
4) Judgment - Awareness of when
he/she is ready to comp or master,
evaluates difficulty of patient, asks
appropriate questions with good
timing, engages in appropriate
conversations and discussions
5) Competency – Demonstrates
accurate positioning skills. Student
learns quickly to anticipate next step
in frequently performed procedures,
understands the “flow” of the imaging
department, shows progression in
relation to length of time in program
4
With Little
Prompting
3
With Occasional
Prompting
2
Needs Constant
Prompting
1
No Initiative
After Prompt
91
6) Patient Communication – Age
appropriate, determination of
pregnancy, exam explanation,
records history, communicates
effectively during entire
procedure with clear instructions
to obtain optimal images
7) Patient Care - Maintains patient
safety and privacy as a top priority
(ensures patient is covered, provides
good instructions, follows HIPPA
rules, confirms bed rails are up, call
button left within reach and etc.)
8) Efficiency – Productively utilizes
any amount of down time (e.g. stock
supplies or linen, maintains clean
work area before and after exams),
acquires appropriate check offs
9) Radiation Protection - Shields all
patients and themselves, wears
dosimeter, utilizes adequate
collimation and radiation protection
principles for everyone’s protection
10). Equipment Utilization –
provides accurate exposure
techniques, correctly manipulates
tube, locks, and control panel
Strengths:
Weaknesses:
Additional Comments:
92
Roane State Community College
Radiography Program
Clinical Performance Evaluation
Student ______________________________________ Site/Rotation
Semester____________________________________
OBJECTIVE
a.
Adaptability – Exhibits the ability to adapt
to new and difficult situations if and when
necessary in a professional manner.
b.
Appearance – Follows dress code and
appears professional.
c.
d.
e.
f.
g.
h.
Attitude- Appears interested, asks
questions, is enthusiastic and participates
fully in rotational assignments
Cleanliness – Maintains clean work area
before and after exams
Communication – Effectively
communicates with technologists,
radiologists, & patients in order to perform
optimal images
Competence- Demonstrates competence
for previously mastered exams by
demonstrating accurate positioning skills.
Critical Thinking/Problem Solving- Shows
ability to improvise when deviations from
the routine are necessary (according to
level of training)
Efficiency and Organizational SkillsDemonstrates efficiency and organization
in performing procedures and selecting
optimal exposure factors
i.
Radiation Protection – Shields all patients
and uses collimation to protect the patient
and others
j.
Equipment Utilization- Correctly
manipulates tube, locks, and control panel
Date ____________________________
Exceeds
Expectations
Routinely
Performs
Sometimes
Performs
Needs
Improvement
Needs Major
Improvement
(5)
(4)
(3)
(2)
(1)
:
Comments:
93
k.
Constructive Criticism- Uses to his/her
advantage
l.
Environment – Cleans and stocks room
m.
Initiative – Shows motivation in
performing new and old procedures
n.
Ethics – Displays honesty & integrity by
assuming responsibility for actions
o.
Participation – Displays cooperation &
assist others independently; willing
participant of the health care team
p.
Patient Care – Performs proper patient
care practices and communicates
effectively with patients
q.
Professionalism – Exhibits professional
relationships and conduct in all situations
r.
Quality- Consistently produces
radiographs of optimum quality/ utilizes
markers
s.
Dependability- Good attendance and
provides the proper notification when
absent
t.
Self-Confidence – Demonstrates selfconfidence according to level of training
.
Registered Technologist ______________________________________ Student ____________________________________
Additional Comments:
__________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
94
Roane State Community College ~ Radiologic Technology Program
Periodic Progress Report for Clinical Education Assignments
Student Name_______________________________
Affiliate/Hospital _____________________
Clinical Instructor______________________
Date ____________________________
Semester/Year:
______________________
INSTRUCTIONS: As students, you are constantly evaluated by your instructors in order to monitor your progress
during the clinical education component of the program. Please complete the following information and check
the appropriate column or columns, which best describes your feelings about your level of proficiency at this
point in your education. Once completed return to your clinical instructor to make an appointment to discuss the
report and review CPE’s
Exam Competencies ________
Masteries_________ Tardies ________
Absences________
Policy Violations= ________________________________________________________
Repeat radiographs/images: mid-semester=_______ mid-semester to semester’s end=_______
Dosimeter Readings to date
________________________________________
Rate your abilities in each of the following areas.
5 (Excellent)
4 (Good)
3 (Fair)
1. PROFESSIONAL CONDUCT
2. ATTITUDE
2 (Poor)
1(Unacceptable)
5
4
3
2
1
Mannerisms, cleanliness, neatness
Enthusiasm for profession, interest in assignments
3. COMMUNICATION SKILLS
4. PATIENT CARE SKILLS
5. COOPERATION
6. DEPENDABILITY
7. SELF- CONFIDENCE
8. APPLICATION OF KNOWLEDE
9. ORGANIZATION OF DUTIES
Interpersonal skills w/ patients, staff
Awareness of emotions, honesty
Willingness to assume duties
Punctuality and reliability
Confidence in personal ability
Use of academic information
Logical and efficient performance
10. ADAPTABILITY
Achievement of routine procedures on nonRoutine patients, assists patients promptly following procedure
Clinical Instructor may also complete table if responses are inconsistent with actual student performance
and an area is unacceptable.
Comments: _________________________________________________________________________________________________
95
Roane State Community College ~ Radiologic Technology Program
Pregnancy Declaration Form
I voluntarily disclose my pregnancy. My signature below indicates that I have been
informed of my program options concerning clinical assignments while pregnant. I have
chosen:
(Please circle & initial option number).
____ OPTION 1
____ OPTION 2
____OPTION 3
___________________________________
Student Signature
____________________
Date
____________________________________
Program Director Signature
____________________
Date
Roane State Community College ~ Radiologic Technology Program
Voluntary Withdrawal of Pregnancy Declaration
(OPTION 4)
I voluntarily withdrawal my disclosure of pregnancy and wish to proceed in the
program without any modifications.
__________________________________
Student Signature
___________________
Date
__________________________________
Program Director Signature
___________________
Date
96
Assignment Request Form for Missed Clinical Hours
Please allow a minimum of 48 hours for clinical faculty approval to complete requested make-up
time. If a student attempts to make up missed clinical time without prior approval from the
faculty, the time will not be counted. If a student does not report to the clinical assignment at the
agreed date and time then points will be deducted from the final course grade. (Two points per
violation).
Student Name____________________________________________
I have missed __________ hours of clinic time: therefore, I am requesting permission to make up
________ hours according to the following date(s) and time(s). I acknowledge that making up
time which constitutes a combination of clinical and didactic time greater than 40 hours per week
is voluntary. I am aware that clinical time may be made up during the last week of the semester.
The reason for my absenteeism, which requires scheduling of make up time, is:
___________________________________________________________________
___________________________________________________________________
First year students can only make up time during Mon-Fri, 4pm-8pm or during the last week of
the semester.
Second year students can make up time during Mon.-Fri. 4p.m.-10p.m. or during the last week of
the semester.
**No weekend or midnight shifts (10pm-7am) are allowed.
Semester: ________________________Date & Time: _______________
*Start Time: ___________ *Exit Time: ___________
*Requires Registered
Technologist’s initials
Exam Roster (list each exam performed during assigned make-up time)
*Attach additional page if necessary
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
____________________________
Student Signature
__________________
Date
_____________________________
Clinical Faculty Signature
______________________
Date
97
Roane State Community College
Radiologic Technology Program
Program Policy Violations Notification Form
The student indicated below has violated a Radiologic Technology program clinical
policy as described in the current Program Policy Manual and the overall clinical
grade will be adjusted according to the violation. * This could result in points being
deducted or a drop in a letter grade. Fax completed form to Teresa Manis, Clinical
Coordinator at 865-425-2940.
STUDENT NAME__________________________________________
SEMESTER & YEAR________________________________________
CLINICAL AFFILIATE______________________________________
POLICY VIOLATION________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
PROGRAM POLICY MANUAL PAGE NUMBER(S) ___________________
Total number of policy violations this semester as of this date_______
DISCIPLINARY ACTION TAKEN__________________________________________
________________________________________________________________________
________________________________________________________________________
STUDENT SIGNATURE___________________________________________
DATE__________
CLINICAL INSTRUCTOR SIGNATURE_______________________________
DATE__________
98
Consent to Drug/Alcohol Testing
Statement of Acknowledgement of Understanding & Release of Liability
I, ______________________________, am enrolled in the Radiologic Technology Program at Roane
State Community College. I acknowledge receipt and understand the Health Sciences Division
policy with regard to drug and alcohol testing, and the potential disciplinary sanctions, which
may be imposed for violation of such policy.
I understand the purpose of this policy is to provide a safe working and learning environment for
patients, students, clinical and institutional staff, and property. Accordingly, I understand that
prior to participating in the clinical experience; I may be required to undergo drug/alcohol
testing of my blood or urine. I further understand that I am also subject to testing based on
reasonable suspicion that I am using or am under the influence of drugs or alcohol.
I acknowledge and understand the intention to test for drugs and/or alcohol and agree to be
bound by this policy. I hereby consent to such testing and understand that refusal to submit to
testing or a positive result of the testing may result in disciplinary action up to and including
dismissal from the Radiologic Technology Program. If I am a licensed health professional, I
understand that the state licensing agency will be contacted if I refuse to submit to testing or if
my test result is positive. Full reinstatement of my license would be required for unrestricted
return to the Radiologic Technology Program.
My signature below indicates that:
1.
I consent to drug/alcohol testing as required by clinical agencies or as directed by the
office of the Dean of Student Services and Multicultural Affairs.
2. I authorize the release of all information and records, including test results relating to the
screening or testing of my blood/urine specimen, to the office of the Dean of Student
Services and Multicultural Affairs, and Julie Hall, Program Director and other RSCC
officials deemed appropriate.
3. I understand that I am subject to the terms of the general regulations on student conduct
and disciplinary sanctions of the Roane State Health Sciences Division Drug and Alcohol
Policy.
I hereby release and agree to hold harmless Roane State Community College, and the Tennessee
Board of Regents, their officers, employees and agents from any and all actions, claims, demands,
damages, or costs arising from such test(s), in connection with, but not limited to, the testing
procedure, analysis, the accuracy of the analysis, and the disclosure of the results.
My signature indicates that I have read and understand this consent and release, and that I have
signed it voluntarily in consideration of enrollment in the Radiologic Technology Program.
_______________________________________________
Student’s Signature
______________
Date
99
Roane State Community College ~ Radiologic Technology Program
Repeat Policy Form
1. A student who has not achieved and documented competency in any given
procedure must perform that exam in the presence of a registered technologist.
2. All unsatisfactory images must be repeated in the presence of a registered
technologist, regardless of the student’s level of competency.
3. The student’s logbook must be initialed by the technologist immediately
following the repeated exposure.
4. Students must take individual responsibility to insure that these policies are
being adhered to in all cases:
a. If asked to perform an exam for which competence has not been
documented, inform the supervisor or clinical instructor of the need for
assistance.
b. If an image is unsatisfactory, ask a registered technologist to be present
during the repeat exposure or notify the supervisor of the need for direct
supervision.
I have read the policies stated above and understand that failure to take personal
responsibility for compliance with these policies may result in dismissal from the
program.
_______________________________________ ______________________
Student Signature
Date
100
Personal Student Information
*Complete and return to Instructor
PLEASE PRINT
Student Name ___________________
Last
_____________________ _____________________
First
Middle
Preferred Name/Nickname
Street Address
City __________________________ State ________
Home Phone (
Cellular Phone (
Zip _________
) _________________ Work Phone (
) ________________ Pager (
) __________________
) ________________________
E-Mail Address________________________________________________
Social Security Number _________________________________________
Date of Birth _____________ _______ __________
Month
Day
Year
IN CASE OF EMERGENCY
___________________________________________
Name/Relationship
________________
Phone
Alternate Phone(s) _____________________________________________________________
**Any change in name or address must be submitted with proper
Documentation to the Clinical Coordinator and Clinical Instructor
as soon as possible as well as notifying the Admissions Department at
RSCC.
101
AUTHORIZATION FOR RELEASE OF STUDENT INFORMATION AND
ACKNOWLEDGMENT
I, ___________________________ hereby authorize Roane State Community College
(“Institution”) including all employees, agents, and other persons professionally affiliated with
Institution having information related to the results of my background check and credential
check(s) as these terms are generically used by background check agencies, hospitals, clinics and
similar medical treatment facilities, to disclose the same to such facilities and the appropriate
Institutional administrators and faculty providing clinical instruction at such facilities, waiving
all legal rights to confidentiality and privacy.
I expressly authorize disclosure of this information, and expressly release Institution, its agents,
employees, and representatives from any and all liability in connection with any statement made,
documents produced, or information disclosed concerning the same.
I understand that a hospital, clinic or similar medical treatment facility may exclude me from
clinical placement on the basis of a background check. I further understand that if I am excluded
from clinical placement, I will not be able to meet course requirements and/or the requirements
for graduation. I release Institution and its agents and employees from any and all liability in
connection with any exclusion that results from information contained in a background check.
Any hospital, clinic, or similar medical treatment facility to which I am assigned may be required
by the Joint Commission on Accreditation of Healthcare Organizations’ policy to conduct an
annual compliance audit of five percent (5%) or a minimum of thirty (30) background
investigation files. I agree that, upon request from a hospital, clinic, or similar medical treatment
facility to which I am assigned, I will provide the results of my background check to be used for
audit purposes only.
_________________________________
Student Signature
_________________________________
Print Name
_________________________________
Date
(TBR Approved Form 1-6-2006)
102
ROANE STATE COMMUNITY COLLEGE
Radiologic Technology Program
CONSENT FORM
I.
I have accessed and read a copy of the Program Policy Manual for the RSCC Radiologic
Technology Program. I agree by my signature to abide by the contents within. Failure to
abide with the requirements stated herein will result in appropriate action by the
Radiologic Technology faculty.
SIGNATURE_______________________________
II.
I hereby give permission by my signature for the RSCC Radiologic Technology Program
to release information regarding my liability insurance and my CPR certification to the
clinical facility where I am assigned for required clinical experiences. I also grant
permission for RSCC Radiologic Technology Program to release information from my
physical form and background check to the clinical facility(s) as required by the
facility’s policy and to obtain appropriate radiation monitoring devices.
SIGNATURE______________________________
III.
DATE______________
I hereby give my permission for photocopying of my written work. I understand that
this material is to be utilized by the faculty for curriculum evaluation and development.
I understand that my name will not appear on the copy.
SIGNATURE______________________________
IV.
DATE______________
DATE______________
I hereby give permission for the RSCC Radiologic Technology Program to release my
name and address and educational information for purposes of employment and/or
educational references.
SIGNATURE______________________________
DATE______________
Program Director Signature_________________________________ Date __________
Clinical Coordinator Signature_______________________________ Date __________
Revised 7/15
103
Roane State Community College
Radiologic Technology Program
Social Media
The definition of social networking includes an online service, platform, or site that focuses
on building social network or social relations among people. This includes, but not limited
to, personal web sites, podcasts, web logs (“blogs”), multi-media and social networking
websites such as MySpace, Facebook, Yahoo, YouTube, LinkedIn, Twitter, chat rooms,
discussion boards and Wikis such as Wikipedia. It also includes any other sites or medium
where text, photographs, links, and other information can be posted or exchanged.
All information (including patient or other proprietary information) gained from clinical sites
is deemed to be confidential. Sharing of this information in any form (repeating to another
individual, posting on social media sites, or etc.) is a breach of confidentiality. This type of
unprofessional conduct is a HIPAA violation and will result in disciplinary action and
possible dismissal from the program. This encompasses any type of direct or indirect
clinic/patient information that could be potentially linked to a patient (including pictures or
videos).
Student Signature__________________________________________Date____________
Program Director Signature_________________________________ Date____________
Clinical Coordinator
Signature________________________________________________________Date_______________
104
ROANE STATE COMMUNITY COLLEGE
Radiologic Technology Program
Senior Students
I have accessed and read a copy of the Program Policy Manual for the RSCC
Radiologic Technology Program. I agree by my signature to abide by the contents
within. Failure to abide with the requirements stated herein will result in
appropriate action by the Radiologic Technology faculty.
SIGNATURE_______________________________
Revised 7/14
DATE______________
105
The End
Revised 7/15