Diagnostic Medical Sonography College Credit Certificate Program Handbook The Diagnostic Medical Sonography (DMS) program reserves the right to make any revisions, deletions, or additions to the regulations or procedures which, in the opinion of the faculty and/or Eastern Florida State College, serves in the best interest of the program and its students. Revised March 2015 TABLE OF CONTENTS Contact Information Welcome Letter Accreditation of EFSC Prerequisites for Board Examinations EFSC Mission Statement DMS Program History, Mission, Philosophy, and Goals Program Objectives Admission Criteria DMS Program Curriculum DMS Course Descriptions Performance Standards How to be Successful Graduation Requirements Approximate Program Costs Textbook Requirements Grading Policy Attendance Health Requirements and Information Pregnancy Policy Insurance Student Appeals Procedure Complaints General Information Accident Reporting Procedure Probation and Requested Withdrawal Dismissal Policy Safety Clinical Education Selection Criteria for Clinical Education Sites Clinical Education Planning Forms Clinical Affiliation Placement Process Active Clinical Affiliation Sites Preparation for Clinical Education Clinical Practicum Objectives Clinical Affiliation Rules Clinical Attendance Policy Clinical Violations Clinical Practicum Assignments Clinical Performance Instrument DMS (CCC) PROGRAM HANDBOOK 2 Forms to be found in the CLINICAL HANDBOOK that are referenced in this handbook: Standards of Ethical Conduct for the Sonographer Minimum Required Skills of Sonographer Graduates Direction and Supervision of the Sonographer Confidentiality Agreement Informed Consent Form Authorization to release information Code of Conduct for the Diagnostic Medical Sonographer (DMS) “Volunteer to Scan” form Infection Control and Blood Bourne Pathogens Clinical Site Information form Clinical Education Planning forms Weekly Communications (CASE) logs Attendance Logs Clinical Performance Instrument (CPI) DMS (CCC) PROGRAM HANDBOOK 3 CONTACT INFORMATION Faculty Harry H. Holdorf PhD, MPA, RDMS (Ab, OB/Gyn, BR) RVT, RT (ARRT-ret), AS (LRT) DMS Program Manager Cocoa Campus, Building 3, Room 114 (321) 433 - 7130 holdorfh@easternflorida.edu DMS Clinical Coordinator and Instructor Cocoa Campus, Building 3, Room 115B (321) 433 -71xx DMS Program Support Staff Dottie Ross Administrative Assistant Cocoa Campus, Building 20, Room 233 (321) 433 - 7755 rossd@easternflorida.edu Suzanne Diaz Administrative Assistant Cocoa Campus, Building 20, Room 233 (321) 433 - 7747 diazs@easternflorida.edu Dr. Kathinka Babb Dean of Health Sciences Cocoa Campus, Building 20, Room 232B (321) 433 - 7755 babbk@easternflorida.edu Danielle McKinnon Health Sciences Advising Cocoa Campus, Building 20, Room 211B (321) 433 - 7548 mckinnond@easternflorida.edu DMS (CCC) PROGRAM HANDBOOK 4 WELCOME The Diagnostic Medical Sonography (DMS) Student Handbook is intended to provide the student in the Diagnostic Medical Sonography Program with basic information and policies for the classroom as well as for the clinical setting. This handbook is not meant to replace the Eastern Florida State College Catalog or Eastern Florida State College Student Handbook, but rather to serve as a supplemental source of information pertinent to the DMS Program. It is your responsibility to become familiar with and abide by the policies and regulations as stated within this handbook and within the Eastern Florida State College Catalog. During the preparation for your Diagnostic Medical Sonography career, personal characteristics which will be emphasized are ethical behavior, maturity, a spirit of cooperation, a sense of responsibility, and professionalism. As future healthcare professionals, you must learn to organize your time and take responsibility for your actions. Combine and coordinate the above traits with your intelligence and clinical skills you will have a successful future in Diagnostic Medical Sonography. We work hard at teaching and expect our students to work hard at learning. It is your responsibility to learn the material and it is our responsibility to make the learning process as productive as possible. Students are expected to read course syllabi, come to class prepared, and utilize faculty office hours. Personal problems can easily influence your academic achievement and clinical skills. Management of your personal affairs should be your first priority. Lack of personal discipline will hamper your development as a professional clinician. Our goal at EFSC is to graduate highly qualified Sonographers. Hopefully, the information within this handbook will assist you in determining program expectations. Please realize that the information herein is subject to revision at any time as deemed necessary by the DMS Program Faculty or the EFSC Administration. Congratulations on your acceptance into Eastern Florida State College’s DMS Program! DMS (CCC) PROGRAM HANDBOOK 5 ACCREDITATION Institutional Accreditation Eastern Florida State College is accredited by the Southern Association of Colleges and Schools Commission on Colleges (SACSCOC) to award baccalaureate and associate degrees, as well as specialized certificate programs. Contact the Commission on Colleges at 1866 Southern Lane, Decatur, Georgia 30033-4097 or call 404-679-4500 for questions about the accreditation of Eastern Florida State College. BOARD EXAMINATIONS Pre-requisites to sit for the (American Registry of Diagnostic Medical Sonography (ARDMS) examinations: the CCC DMS program The Sonographic Physics and Instrumentation (SPI) requirement (Student can sit for exam while in the program) A transcript reflecting successful completion of a graded general, medical or sonographic college, post-secondary or higher education physics class with a grade of C or above OR A CME certificate denoting successful completion of a general, medical or sonographic physics seminar, physics review course, or physics correspondence course, denoting a minimum award of 12 ARDMS-accepted CME credits. The certificate must meet ARDMS CME documentation requirements. The CME credits must be earned within two years prior to application submission AND Photocopy of a non-expired government issued photo identification with signature; the name on the identification must exactly match the name under which you are applying for the ARDMS examination. DMS (CCC) PROGRAM HANDBOOK 6 Prerequisite 1: For Specialty examinations (Abdomen, Obstetrics & Gynecology) Student can sit for exam following program completion Official transcript from two-year allied health education program. Must state specific number of credits and indicate quarter or semester based system AND Copy of education program certificate, credential or license, AND Original letter from supervising physician, sonographer/Technologist or educational program director indicating a minimum of 12 months of full-time clinical/vascular experience including exact dates of ultrasound experience/successful completion of sonography program. AND Original signed and completed clinical verification form for each appropriate specialty area(s). AND Photocopy of a non-expired government issued photo identification with signature; the name on the identification must exactly match the name under which you are applying for the ARDMS examination. DMS (CCC) PROGRAM HANDBOOK 7 EASTERN FLORIDA STATE COLLEGE MISSION STATEMENT Our Mission To engage our diverse population in quality, accessible learning opportunities which successfully meet individual and community needs. Eastern Florida State College fulfills its mission by offering the following: Undergraduate studies, Associate Degrees, and Baccalaureate Degrees Technical and vocational training for Associate Degrees and Certificates, for entering the workforce, improving professional skills, and developing new competencies Instructional support services such as advisement and career guidance Activities supporting cultural enrichment, economic development, sports, wellness and quality of life Workshops and classes for personal growth, developmental instruction, and lifelong learning DMS (CCC) PROGRAM HANDBOOK 8 DIAGNOSTIC MEDICAL SONOGRAPHY PROGRAM HISTORY AND MISSION The DMS Program was instituted at Eastern Florida State College in 2015. Admission to the DMS program is selective and is based upon evidence of probable success in the program. An admissions committee reviews each student’s application and makes an appropriate recommendation. Points are awarded for GPA, health care experience, letters of recommendation, health science advisement session, and group orientation. Bonus points are awarded for the successful completion of certain specified courses. The program continues to change and improve through the efforts of faculty, administration, graduates, professional organizations, and the DMS Advisory Committee. The DMS Advisory Committee is composed of educators, Diagnostic Medical Sonographers, department managers and other individuals from communities of interest. It contributes support and advice based on the current needs of the Sonography community and the current trends in Diagnostic Medical Sonography technology. Eastern Florida State College and the DMS Program take pride in the many accomplishments of its students, graduates, faculty and administration. We continually strive for quality assurance and improvement in all areas of the educational process. The future will continue to present many crossroads at which the graduate, the student, the program, and the college must make important decisions. Our intention is to make decisions based on the student’s educational and professional success in the years to come. Diagnostic Medical Sonography Program Mission In keeping with the College's Mission and Philosophy, the mission of the Diagnostic Medical Sonography Program is to meet the needs of students by offering quality instruction using theory and evidenced-based practice to achieve academic excellence and success as a Diagnostic Medical Sonographer. Through compassionate care, EFSC students will provide the local community with superior diagnostic information to aid physicians in caring for their patients. DMS (CCC) PROGRAM HANDBOOK 9 DMS Program Philosophy The Diagnostic Medical Sonography program philosophy supports the mission and values of Eastern Florida State College. Our purpose is to provide students with a strong, academic and clinical foundation that encourages lifelong learning and a passion for the field of Diagnostic Medical Sonography. Students and faculty of the DMS program are held to high standards and expected to demonstrate professionalism at all times. The relationship between the students, faculty, and local community will enhance learning by creating the foundation needed to achieve EFSC DMS Program’s mission. Goals of EFSC Diagnostic Medical Sonography Program Monitor the academic progress of each student in order to maintain a 100% graduation rate in which students will receive a College Credit Certificate (CCC) upon successful completion of the core program and certificate requirements. Prepare entry-level Sonographers to be competent clinicians by meeting academic and clinical course competencies under the direction and supervision of an appropriately credentialed Diagnostic Medical Sonographer in different clinical settings. Maintain 100% pass rate on the national board examinations for the Diagnostic Medical Sonographer. Assist graduates with employment assistance (as necessary) to ensure 100% employment rates within 6 months of graduation. Maintain current and evidenced-based curriculum to meet the needs of the community and prepare students for entry-level careers. Promote lifelong learning through involvement in professional organizations and continuing education courses to ensure proficiency in current trends in Diagnostic Medical Sonography. DMS (CCC) PROGRAM HANDBOOK 10 PROGRAM OBJECTIVES 1. Communicates verbally and non-verbally with the patient, the diagnostic medical sonographer, health care delivery personnel, and others in an effective, appropriate, and capable manner. 2. Recognizes individual and cultural differences and responds appropriately in all aspects of Diagnostic Medical Sonography services. 3. Exhibits conduct that reflects a commitment to meet the expectations of members of society receiving health care services. 4. Exhibits conduct that reflects a commitment to meet the expectations of members of the profession of Diagnostic Medical Sonogrpahy. 5. Exhibits conduct that reflects practice standards that are legal, ethical and safe. 6. Communicates an understanding of the plan of care developed by the Diagnostic Medical Sonographer to achieve short and long term goals and intended outcomes. 7. Demonstrates competence in implementing selected components of interventions identified in the plan of care established by the diagnostic medical sonographer. 8. Demonstrates competency in performing components of date collection skills essential for carrying out the plan of care. 9. Adjusts interventions within the plan of care established by the diagnostic medical sonographer in response to patient clinical indications and reports this to the supervising Sonographer/physician. 10. Recognizes when intervention should not be provided due to changes in the patient's status and reports this to the supervising sonographer/physician. 11. Reports any changes in the patient’s status to the supervising sonographer/physician. 12. Recognizes when the direction to perform an intervention is beyond that which is appropriate for a diagnostic medical sonographer and initiates clarification with the supervising sonographer/physician. 13. Participates in educating patients and caregivers as directed by the supervising sonographer. 14. Provides patient-related instruction to patients, family members, and caregivers to achieve patient outcomes based on the plan of care established by the diagnostic medical sonographer. 15. Takes appropriate action in an emergency situation. 16. Completes thorough, accurate, logical, concise, timely, and legible documentation that follows guidelines and specific documentation formats required by state practice acts, the practice setting, and other regulatory agencies. 17. Reads and understands the health care literature. DMS (CCC) PROGRAM HANDBOOK 11 18. Under the direction and supervision of the diagnostic medical sonographer, instructs other members of the health care team using established techniques, programs, and instructional materials commensurate with the learning characteristics of the audience. 19. Educates others about the role of the diagnostic medical sonographer. 20. Interacts with other members of the health care team in patient-care and nonpatient care activities. 21. Describes aspects of organizational planning and operation of the diagnostic medical sonography service. 22. Participates in performance improvement activities (quality assurance). 23. Demonstrates a commitment to meeting the needs of the patients and consumers. 24. Demonstrates an awareness of social responsibility, citizenship, and advocacy, including participation in community and service organizations and activities. 25. Identifies career development and lifelong learning opportunities. 26. Recognizes the role of the diagnostic medical sonographer in the clinical education of diagnostic medical sonography students. What is Sonography? Ultrasonography, commonly called Sonography, is a diagnostic medical procedure that uses high frequency sound waves (ultrasound) to produce dynamic visual images of organs, tissues, or blood flow inside the body. Sonography can be used to examine many parts of the body, such as the abdomen, breasts, female reproductive system, prostate, heart and blood vessels. The process involves placing a small device called a transducer against the patient's skin near the body part to be imaged. The transducer works like a loudspeaker and microphone because it can both transmit and receive sound. The transducer sends a stream of high frequency sound waves into the body that bounce off the structures inside. The transducer detects sound waves as they bounce off the internal structures. Different structures in the body reflect these sound waves differently. These sounds are analyzed by a computer to make an image of the structure(s) on a television screen or that can be recorded on videotape. Sonographers are non-physician professionals who perform ultrasound procedures. Sonographers that specialize in imaging and tests of blood vessels are known as vascular technologists. A diagnostic Medical Sonographer is a highly-skilled professional who uses specialized equipment to create images of structures inside the human body that are used by physicians to make a medical diagnosis. Sonographers have extensive, direct patient contact that may include performing some invasive procedures. They must be able to interact compassionately and effectively with people who range from healthy to critically ill. DMS (CCC) PROGRAM HANDBOOK 12 There are several areas of specialization in the field of Sonography. Abdomen - Evaluation of all the soft tissues, blood vessels and organs of the abdominal cavities (for example: liver, spleen, urinary tract, and pancreas). Breast - Frequently used to evaluate breast abnormalities that are found with screening or diagnostic mammography. Obstetrics/Gynecology - Evaluation of the female reproductive system. Vascular Technology - Evaluation and analysis of the hemodynamics (blood flow) of peripheral and abdominal blood vessels. Neurosonology - Evaluation of the brain and spinal cord. Ophthalmology - Evaluation of the eye, including orbital structures and muscles. Echocardiography - Evaluation of the anatomy and hemodynamics (blood flow) of the heart, its valves and related blood vessels. Professional Responsibilities Providing an oral or written summary of the technical findings to the physician for medical diagnosis. Providing quality patient care. Collaborating with physicians and other members of the health care team. Obtaining and recording an accurate patient history. Performing diagnostic procedures and obtaining diagnostic images. Analyzing technical information. Using independent judgment in recognizing the need to extend the scope to the procedure according to the diagnostic findings. Technical Standards Lift more than 50 pounds routinely Push and pull routinely Bend and stoop routinely Have full use of both hands, wrists and shoulders Distinguish audible sounds Adequately view sonograms, including color distinctions Work standing on their feet 80% of the time Interact compassionately and effectively with the sick or injured Assist patient on and off examining tables Communicate effectively with patients and other health care professionals Organize and accurately perform the individual steps in a sonographic procedure in the proper sequence DMS (CCC) PROGRAM HANDBOOK 13 Program Goals - our graduates are able to perform the following: Obtain, review, and integrate pertinent patient history and supporting clinical data to facilitate optimum diagnostic results Perform appropriate procedures and record anatomic, pathologic, and or physiologic data for interpretation by a physician. Record, analyze, and process diagnostic data and other pertinent observations made during the procedure for presentation to the interpreting physician Exercise discretion and judgment in the performance of sonographic and or other diagnostic services Demonstrate appropriate communication skills with patients and colleagues Act in a professional and ethical manner Provide patient education related to medical ultrasound and or other diagnostic tests and promote principles of good health Program goals of minimum expectations for our graduates: To prepare competent entry-level General Sonographers in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains. DMS (CCC) PROGRAM HANDBOOK 14 ADMISSION CRITERIA The DMS Program, offered by the Health Sciences Institute at EFSC, has limited enrollment. Admission to the program is based on a point system in which the Selection Committee tabulates and confirms points accumulated by each applicant by the application deadline. The top 20 applicants will be sent letters of acceptance. The next 4 applicants will be placed on the waiting list and admitted at the declination of an admitted applicant only through the first week of class. Application files must be completed and submitted by May 1st. Application files MUST include: - Online application to the DMS Program, with application fee paid to the cashier’s office - All unofficial transcripts; student copy from all colleges and universities attended, including EFSC - Advisement card (no copies permitted) - Group orientation card (no copies permitted) - Letters of recommendation (no more than 3) Selection Criteria: NOTE: The TEAS TEST HAS BEEN WAVED FOR THE CCC PROGRM. 1. Points for TEAS version V: Applicants should earn a minimum of 58% on the overall score to be considered. Points will be awarded as follows: 91-100% = 15 points 86-90% = 13 points 81-85% = 11 points 76-80% = 9 points 71-75% = 7 points 66-70% = 5 points 60-65% = 3 points Section scores for the TEAS V test are as follows: 68 or higher in Reading Comprehension 68 or higher in Math 50 or higher in Science 60 or higher in English language and Usage DMS (CCC) PROGRAM HANDBOOK 15 2. Grade Point Average: All applicants are required to have at least a 2.5 GPA. The most recent grade point average will be used. For the college grade point average to be used, at least 12 credit hours of college courses must be completed, 4 of which are college-level science. GPA 4.0 3.8-3.9 3.5-3.7 3.0-3.4 2.5-2.9 Points 20 18 16 14 12 G.E.D. 350-375 325-349 300-324 275-299 250-259 3. Letters of Recommendation: Each application is required to have at least three letters of recommendation. Two bonus points will be given for each additional letter worth a maximum of 4 points. (No more than 3 letters will be reviewed.) 4. Health Science Advisement Session: Applicants who have completed an advisement session with a Health Science Student Advisor, as evidenced by a signed advisement card, will receive 5 points. This card can only be obtained from a Health Science Student Advisor and no duplicates will be issued. If lost, the student must attend another advisement session for another card. The card is valid for only 1 year after the issue date. Please view office location, contact number, and hours at Academic Advising in order to attend session. Appointments are not required. 5. Group Orientation: Each applicant will receive 5 points for attending a group orientation regarding the DMS Program. Group orientations will be hosted in the few months preceding the application deadline. Cards will be issued at the orientation as proof of attendance - no duplicates issued. Applicants must submit their signed group orientation card with their application packet. If lost, students will be required to attend another group orientation to receive another card. Group orientations are valid for one year from the date on the card. DMS (CCC) PROGRAM HANDBOOK 16 6. Bonus Points for Specific College Course Work: Each course is worth a maximum of 5 points. A total of 25 possible points. An “A” is worth 5 points, a “B” is worth 3 points, and a “C” is worth 1 point. Only courses completed within the last 5 years can be used for bonus points: General Biology Anatomy and Physiology I Anatomy and Physiology II Medical Terminology Introduction to Health Care College level Physics College Algebra or higher ***The DMS admissions committee reserves the right to give special consideration for repeat applicants.*** Additional Requirements for Accepted Students After receiving acceptance into the DMS Program, students must complete the following. Full acceptance into the program will not be finalized until all of the following requirements are met: 1. Complete criminal background check 2. Submit physical exam form complete with immunizations documented 3. Proof of personal health insurance DMS (CCC) PROGRAM HANDBOOK 17 DMS PROGRAM CURRICULUM The DMS CCC Program consist of a 12 month curriculum, totaling 47 credits, beginning in the fall term. Courses follow a specific sequence to allow integration of new information and skills into an existing base of knowledge. All courses require a grade of “C” or higher in order to proceed to the subsequent semester. Fall SON 2804 Practicum 1 & Skills Laboratory 3 SONC 2000 Principles and Fundamentals of Sonography 4 SONL 2003 Fundamentals of Sonography Laboratory 1 2 SON 2211 Ultrasound Physics and Instrumentation 3 SON 2111 Abdominal Sonography 3 SON 2121 Obstetrics and Gynecology Sonography 1 3 Spring SON 2214 Practical Aspects of Sonography 1 2 SON 2814 Practicum 2 & Skills Laboratory 3 SONL 2013 Fundamentals of Sonography Laboratory 2 2 SON 2212 Ultrasound Physics and Instrumentation 2 3 SON 2112 SON 2122 Abdominal Sonography 2 Obstetrics and Gynecology Sonography 2 3 3 Summer III SON 2824 Practicum 3 3 SON 2061 Seminar in Sonography 2 SON 2170 Sonography of the Circulatory System 3 SON 2215 Practical Aspects of Sonography 2 2 SON 2144 Superficial Sonography 3 DMS (CCC) PROGRAM HANDBOOK 18 DMS COURSE DESCRIPTIONS DMS coursework is described below. Courses are in a particular sequence in which student’s build upon the concepts that were previously taught. The program curriculum includes 3 clinical practicums in which students will utilize the information taught and apply it practically towards patient situations. SON 2804: Practicum 1 & Skills Laboratory This course introduces the student to clinical education requiring application of the knowledge learned within the didactic setting as well as the skills laboratory. Professionalism and personal interaction are stressed along with technical abilities. As the student progresses, he or she will perform examinations with less and less supervision. Lab Fee. SONC 2000: Principles and Fundamentals of Sonography This course provides an entry-level exploration of the historical, professional and occupational development of medical imaging with an emphasis on diagnostic medical sonography. Current uses and future trends are discussed in the areas of diagnostic radiology, computed tomography (CT), magnetic resonance imaging (MRI), mammography, and nuclear medicine. Clinical exploration through the radiology department’s imaging sections coupled with laboratory assignments and case studies will give the student full understanding of the entire function of a medical imaging department. Case studies of the various imaging modalities, and how to correlate these findings with ultrasound will be emphasized. Medical-legal issues as well as ethics are also discussed. Radiation safety practices will be discussed. Ergonomics in sonography (working smarter) will be discussed SONL 2003: Fundamentals of Sonography Laboratory 1 This course incorporates an introduction to ultrasound scanning techniques using ultrasound equipment to practice the principles and protocols to the performance of adequate diagnostic sonographic imaging and Doppler procedures in a supervised setting. SON 2211: Ultrasound Physics and Instrumentation 1 This course emphasizes study of the principles of diagnostic ultrasound, the fundamental properties of ultrasonic physics, stressing tissue interactions, and DMS (CCC) PROGRAM HANDBOOK 19 interfaces. Focusing characteristics, methods, intensity, and power considerations are introduced along with system resolution consideration. SON 2111: Abdominal Sonography 1 This course is an introduction to the cross-sectional anatomy of the abdominal area and its recognition on sonographic visualization systems. SON 2121: Obstetrics and Gynecology Sonography 1 This course in an introduction to the cross-sectional anatomy of the female reproductive system with an existing pregnancy. This course emphasizes the detection of normal obstetrical anatomy as well as its associated anomalies and deviation from the normal. The planes that must be sonographically imaged for accurate diagnosis are stressed. SON 2814: Practicum 2 & Skills Laboratory This course is a continuation of applied learning in the clinical setting with increased responsibility in problem solving and critical thinking based on the individual patient situation. This course further introduces the student to clinical education, requiring application of the knowledge learned within the didactic setting as well as the skills laboratory. Lab Fee SONL 2013: Fundamentals of Sonography Laboratory 2 This lab course incorporates ultrasound scanning techniques using ultrasound equipment to practice the principles and protocols to the performance of adequate diagnostic sonographic imaging and Doppler procedures in a supervised setting. SON 2212: Ultrasound Physics and Instrumentation 2 The application of the principles of diagnostic ultrasound, the fundamental properties of ultrasonic physics, stressing tissue interactions, and interfaces are covered. The lab also focuses on the characteristics, methods, intensity, and power considerations as well as system resolution considerations. Lab Fee. SON 2112: Abdominal Sonography 2 This course is a continuance of SON 2111 and is designed to provide an in-depth presentation of the abdominal area, stressing deviations from the normal and the methods used to create a diagnostically acceptable study. SON 2122: Obstetrics and Gynecology Sonography 2 DMS (CCC) PROGRAM HANDBOOK 20 This course is a continuance of SON 2121 and is designed to emphasize the detection of obstetrical anomalies, pathology, and the deviation from normal. The planes that must be sonographically imaged for accurate diagnosis are stressed. SON 2214: Practical Aspects of Sonography 1 This course emphasizes the study of the principles of diagnostic ultrasound and practical aspects of scanning techniques, film critique, film identification and patient care and handling as related to sonographic examination. The course stresses the operation of diagnostic ultrasound equipment and routine images obtained SON 2824: Practicum 3 This course is an application of all the material presented requiring the student to make judgment decisions regarding clinical applications. Professional interaction with those with whom he or she comes into contact is stressed. The student is expected to progress to the point where, after successful testing, he or she may be accepted as a competent sonographer for general, vascular, and breast sonographic exams. SON 2061: Seminar in Sonography This course is comprehensive, covering all topics that appear in the current American Registry of Diagnostic Medical Sonography (ARDMS) test content outline for general abdomen, obstetrics and gynecology, breast, and vascular technology. SON 2170: Sonography of the Circulatory System This course details the hemodynamics of the circulatory system and the sonographic imaging and vascular technological assessment of the systemic arterial and venous systems, as well as the extra-cranial vascular system. This course provides a foundation for the use of techniques in vascular diagnosis. Emphasis is placed on a thorough understanding of the basic principles underlying the Doppler examination and clinical applications using color and spectral Doppler techniques SON 2215: Practical Aspects of Sonography This course offers more advanced principles of diagnostic ultrasound, adding knowledge of pathological processes. The course also presents the practical aspects of scanning techniques, film critique, film identification and patient care and handling as related to sonographic examination. Stressing the correlation of all patient data, including sonographic images obtained to assist in the DMS (CCC) PROGRAM HANDBOOK 21 differential diagnosis process is also included. SON 2144: Superficial Sonography This course emphasizes sonographic features and characteristics of normal and abnormal anatomy of superficial structures. The course integrates clinical and diagnostic procedures of the male pelvis, abdominal wall, non-cardiac chest, neck, thyroid, para-thyroid glands, infant hips, and pylorus DMS (CCC) PROGRAM HANDBOOK 22 DMS PROGRAM PERFORMANCE STANDARDS Sonographers use cognitive, affective, sensory, and psycho-motor domains in the performance of their duties as a Diagnostic Medical Sonographer. Students in this program are held to the standards that guide Diagnostic Medical Sonography practice when participating in clinical experiences. Thus, performance standards have been developed which apply to all DMS courses in the EFSC DMS program. Students should personally determine whether they are able to comply with each of the standards prior to enrolling in the program. Students who believe reasonable accommodations would allow them to meet the following standards should speak to the Office for Students with Disabilities (OSD) at EFSC. Determination will be made on an individual basis as to whether accommodations may be reasonably made. Students with disabilities are highly encouraged to work closely with the OSD to determine their appropriate course of action. Affective Domain Interpersonal Relationships: Must be able to interact meaningfully with individuals, families, and groups as well as maintain patient confidentiality. Socio-Cultural Sensitivity: Must be able to interact on a personal, intimate, and professional level with persons from all walks of life. Communication: Must have the potential to communicate effectively with health care team, clients, and families utilizing verbal, nonverbal, and written communication. Cognitive Domain Computational Skills: Must have the cognitive ability to accurately calculate measurements. Language: Must be able to read, follow written and verbal instructions, and write using correct grammar, punctuation, & spelling. Critical Thinking: Must be able to display sound clinical judgment, reasoning, discernment, and decision-making abilities, even under extreme stress. Psycho-Motor Domain Gross Motor Skills: Must have gross motor skills sufficient to operate equipment, navigate hallways, stairways, and client rooms, perform patient transfers, ambulation, and patient positioning using vary levels of assistance. The Sonographer must also be able to utilize proper body mechanics to assist with patient techniques which may include: stooping, kneeling, crouching, crawling, reaching, and handling. DMS (CCC) PROGRAM HANDBOOK 23 Fine Motor Skills: Must have fine motor skills sufficient to perform specific DMS duties including the manipulation and calibration of equipment. Endurance: Must have stamina sufficient for sustained physically demanding activities such as patient transfers as well as prolonged sitting, standing, and walking. Sensory Domain Tactile Abilities: Must be able to perform physical assessments and procedures which require touch. Visual Abilities: Must have adequate distance, close and peripheral vision, be able to identify colors and patterns, and have adequate depth perception to assist in observation of patient condition in response to treatment. Hearing Abilities: Must have hearing adequate for assessments and avoidance of danger for self and patients. In addition, to the above-identified standards, DMS students must also be able to: Tolerate tight, small places, face masks and other protective gear Endure exposure to latex, bleach and strong cleaning agents Function effectively during sustained stressful situations. Adapt to duty times during nights and weekends when necessary Navigate portable (mobile) environment DMS (CCC) PROGRAM HANDBOOK 24 HOW TO BE SUCCESSFUL 1. Make school a top priority! We understand that most students enrolled have families, jobs, and other commitments outside of the DMS program. Students who are successful in this program treat school as a full-time job. Make sure to attend class regularly, study hard, and become involved within the school and classroom to enhance your learning experience. 2. Attend faculty office hours Faculty office hours will be posted on individual course syllabi, DMS program bulletin board, and window/door of each faculty member’s office. 3. Attend “Open Lab” sessions Sessions will be monitored by DMS program faculty and allow students time to practice competencies outside of regularly scheduled class times. Open lab is not mandatory but highly recommended. 4. Participate in peer study groups Healthcare in general utilizes a team approach to treat patients. Working together will allow students to engage in conversations related to course material as well as practice skills necessary. 5. Time management skills Time is very valuable in the DMS program. Stay organized, plan ahead, and prioritize your tasks to avoid overloading your schedule. It is important that you are flexible with your time but also avoid procrastination as unexpected issues will arise. Keep your eyes focused on a future career as a Diagnostic Medical Sonographer! 6. Test-taking tips Stay positive! Make a study plan at least a week prior to the test to provide adequate time to review all content. Do not cram the night before! The night before a test should be strictly review. Eat something prior to the test. Read the instructions on the test. DMS (CCC) PROGRAM HANDBOOK 25 Manage your time while taking the test. Sometimes quickly scanning a test will allow you to prepare you for what’s coming or to assist with answering hard questions. Don’t allow hard questions to ruin your confidence. Eliminate choices on multiple-choice questions to help choose the correct answer. Writing should be legible and bubbles should be filled completely. Make sure you erase your mistakes. If time allows, review test for any careless mistakes. DMS (CCC) PROGRAM HANDBOOK 26 GRADUATION REQUIREMENTS To qualify for graduation, the DMS student must have: Earned a "C" or better in all SON technical, general education, and science courses Successfully completed the college’s requirements for the College Credit Certificate (CCC) as described in the EFSC catalog Request and review a graduation check with the Program Manager prior to or before second and third semester registration. Completed and paid the college's application for graduation Paid all fees and fines owed to the college Returned all equipment and materials checked out to the student Upon graduation from the college, the DMS student will be: Granted a College Credit Certificate in Diagnostic Medical Sonography from Eastern Florida State College Diagnostic Medical Sonography Board Examinations Successful completion of the DMS program at EFSC allows graduates eligibility to sit for the ARDMS specialty examinations in Obstetrics & Gynecology and Abdomen. The DMS student at EFSC can sit for the SPI ARDMS board exam after completing both Physics and Instrumentation courses with a C or above. When applying for an ARDMS board exam, you will be required to complete a section regarding a prior arrest record. It is possible to be denied an ARDMS credential if a record exists. It is recommended you check with the Compliance section of the ARDMS website. DMS (CCC) PROGRAM HANDBOOK 27 APPROXIMATE PROGRAM COSTS Tuition $4,760.00 Lab Fees $120.00 Books $900.00 Uniforms (Lab coats, Polo Shirts) $250.00 Liability Insurance and Accident Insurance $26.00/year Hepatitis Vaccination & Titer $110.00 Miscellaneous Expenses $150.00 Society of Diagnostic Medical Sonography Membership fee $45.00 Background Check and Drug Screen $112.00 ARDMS Board Examinations: Sonography Principles & Instrumentation (SPI) Specialty Board Examination $200.00 $250.00/Each Approximate Total $6,923 ***Miscellaneous Expenses include physical examination, CPR, AIDS certificate, graduation fees, etc. Above costs are just estimates and subjective to change.*** Financial Aid Information There is a wealth of information on scholarships in the Financial Aid Office located in the Student Center. If interested, you are urged to spend time scanning the bulletin board to find a source of financial aid that may apply to your needs. Expenses are high in this program, and everyone is encouraged to apply for as much aid as they can. DMS (CCC) PROGRAM HANDBOOK 28 TEXTBOOKS FOR DMS PROGRAM Prefix Course Text SON 2804 Practicum 1 & Skills Laboratory Curry, R., Tempkin, B., Sonography: Introduction to Normal Structure and Function. 3ed Ed. Saunders, 2011. ISBN: 978-1-4160-5556-3 Rumack, C., Diagnostic Ultrasound; Vol. One. 4th Ed. Mosby, 2011. ISBN: 978-0323-05397-6 SONC 2000 Principles and Fundamentals of Sonography Curry, Curry, Arnez, Sonography, Introduction to Normal Structure and Function. 3rd Ed. Saunders, 2011. ISBN: 978-1-4160-5556-1 SON 2003 Fundamentals of Sonography Laboratory 1 Curry, Curry, Arnez, Sonography, Introduction to Normal Structure and Function. 3rd Ed. Saunders, 2011. ISBN: 978-1-4160-5556-1 SON 2211 Ultrasound Physics and Instrumentation 1 Edelman, S., Understanding Ultrasound Physics. 4th Ed. ESP, Inc., 2012. ISBN: 09626444-5-5 SON 2111 Abdominal Sonography 1 Rumack, C., Diagnostic Ultrasound volume one. 4th Ed. Elsevier, 2011. ISBN: 978-0-323-05397-6 SON 2121 Obstetrics and Gynecology Sonography 1 Callen, P., Ultrasonography in Obstetrics and Gynecology. 5th Ed. Saunders, 2008. ISBN: 978-1-4160-3264-9 DMS (CCC) PROGRAM HANDBOOK 29 Curry, R., Tempkin, B., Sonography: Introduction to Normal Structure and Function. 3ed Ed. Saunders, 2011. ISBN: 978-1-4160-5556-3 Rumack, C., Diagnostic Ultrasound; Vol. One. 4th Ed. Mosby, 2011. ISBN: 978-0323-05397-6 SON 2814 Practicum 2 & Skills Laboratory SONL 2013 Fundamentals of Sonography Laboratory 2 Curry, Curry, Arnez, Sonography, Introduction to Normal Structure and Function. 3rd Ed. Saunders, 2011. ISBN: 978-1-4160-5556-1 SON 2212 Ultrasound Physics and Instrumentation 2 Edelman, S., Understanding Ultrasound Physics. 4th Ed. ESP, Inc., 2012. ISBN: 09626444-5-5 SON 2112 Abdominal Sonography 2 Rumack, C., Diagnostic Ultrasound volume one. 4th Ed. Elsevier, 2011. ISBN: 978-0-323-05397-6 SON 2122 Obstetrics and Gynecology Sonography 2 Callen, P., Ultrasonography in Obstetrics and Gynecology. 5th Ed. Saunders, 2008. ISBN: 978-1-4160-3264-9 SON 2214 Practical Aspects of Sonography 1 Applegate, J. Edith, The Sectional Anatomy Learning System, Applications. 3ed Ed. Saunders, 2010. ISBN: 978-1-41605013-1 Applegate, J. Edith, The Sectional Anatomy Learning System, Concepts. 3ed Ed. Saunders, 2010. ISBN: 978-1-41605013-1 SON 2824 Practicum 3 DMS (CCC) PROGRAM HANDBOOK Curry, R., Tempkin, B., Sonography: 30 Introduction to Normal Structure and Function. 3ed Ed. Saunders, 2011. ISBN: 978-1-4160-5556-3 Rumack, C., Diagnostic Ultrasound; Vol. One. 4th Ed. Mosby, 2011. ISBN: 978-0323-05397-6 SON 2061 Seminar in Sonography Middleton W., Ultrasound: The Requisites. 2ed. Mosby, 2004. ISBN-13: 978-0-323-01702-2 Grill, Kathryn A., Breast Sonography Review. Davies, 2014. ISBN-0-941022-75-0 Rumwell, Claudia. Vascular Technology, An Illustrated Review 5th ed. Davies, 2015. ISBN-978-0-941022-85-9 SON 2179 Seminar of the Circulatory System Rumwell, C., McPharlin, M., Vascular Technology: An Illustrated Review. 5th Ed. Davies, 2015. ISBN: 978-0-941022-85-9 SON 2215 Practical Aspects of Sonography 2 Applegate, J. Edith, The Sectional Anatomy Learning System, Applications. 3ed Ed. Saunders, 2010. ISBN: 978-1-41605013-1 Applegate, J. Edith, The Sectional Anatomy Learning System, Concepts. 3ed Ed. Saunders, 2010. ISBN: 978-1-41605013-1 SON 2144 Superficial Sonography Gill, K., Breast Sonography Review. Davies, 2014. ISBN: 978-0-941022-75-0 Curry, R., Sonography: Introduction to Normal Structure and Function. 3rd Ed. Elsevier/Saunders, 2011. ISBN: 978-14160-5556-3 Middleton, W., Ultrasound: The Requisites 2nd Ed. Mosby, 2004. ISBN: 978-0-323-01702-2 DMS (CCC) PROGRAM HANDBOOK 31 GRADING POLICY 1. Didactic: Students must achieve a minimum of "C" for the final grade in ALL COURSES that are required for completion of the degree. The DMS courses are presented in a cumulative sequence and to continue in the program, a "C" or higher must have been earned on each preceding course (DMS core curriculum, general education, and science courses). Individual course syllabus will be given and will describe evaluative methods used to determine grades in that particular course. 2. Laboratory: A student must complete minimal performance standards in laboratory prior to progressing to the next laboratory or clinical course. Competency scores must be 75% or above to be passing. If a student fails a practical exam, the student will be given one opportunity to re-take the practical exam. If the student fails on their first attempt, the student cannot achieve a grade higher than a 75 on their second attempt. If a student fails the re-take, the student will fail the course. Safety criteria will be delineated by an asterisk (*). If a student fails to satisfactorily complete a safety component, the student will automatically fail the skills checklist or laboratory practical examination. 3. Clinical: The student must meet minimal performance standards in order to successfully pass the clinical educational component of the program. The “Clinical Performance Instrument” will be used to assess students during the midterm and final portion of each clinical. Clinical education is graded on a satisfactory vs. unsatisfactory scale. Should a student receive unsatisfactory, the student will be placed on academic probation and will be expected to meet with Program Manager and Clinical Coordinator to develop a plan of action. The plan of action will be kept in the student’s clinical file. If necessary program officials will meet with clinical affiliate to determine cause for unsatisfactory grade. 4. In order to progress through the program, students must complete each course with a grade of “C” or better. Should a student not receive a “C”, they will not continue on to the next semester and must re-take the course at its next scheduled offering. If the student does not pass a course with a “C” or better a second time, the student will be dismissed from the program. This guideline is strictly adhered to maintain patient safety. 5. As soon as it is made apparent that a student is in jeopardy of receiving a grade lower than a “C”, the student is required to attend a mandatory meeting with the course instructor to develop a plan of action to improve the course grade. DMS (CCC) PROGRAM HANDBOOK 32 6. The grading scale utilized by the DMS Program is: A = 93 - 100 B = 86 - 92 C = 75 - 85 D = 67 - 74 F = 0 – 66 7. An incomplete grade (I) is given to a student who, although passing the majority of the given course, has not completed the full class requirements. All "I"s must be completed prior to beginning subsequent courses. At the time grades are submitted, the student will be given a list of work not yet completed and an explanation of how completion of the requirements will contribute to the final grade. (Refer to specific course syllabus) 8. If a student withdraws from or fails the program, they must reapply to the program. The student’s application will be given the same consideration as all other applicants applying for the DMS Program. 9. All clinical, laboratory, and classroom assignments are to be handed in on time. Late assignments will not be accepted without prior approval from the course instructor. 10. Examinations will be taken on the day scheduled. Excused absences will be determined on an individual basis. Makeup exams will be done at the discretion of the instructor and may not be the same exam as given previously. 11. Individual course syllabi further detail specific academic standards relative to any given course and therefore students should review each syllabi in its entirety. 12. A Student who is dismissed from the school due to infractions of the Code of Conduct and wish to re-apply will be handled on a one-on-one basis. DMS (CCC) PROGRAM HANDBOOK 33 ATTENDANCE Attendance General Information 1. All lecture, laboratory, and clinical classes are MANDATORY. Regardless of the cause, absenteeism exceeding 10% of the class time will result in a reduction of the course grade by one letter grade. EFSCʼs attendance policy will be enforced. Any student who is absent more than 15% of the scheduled classes will be academically withdrawn from the class and the program. 2. The student should be seated and ready to begin class at the designated class time. Tardiness is considered unprofessional conduct. Any student not present within 10 minutes of the start of class will be marked absent. If the student is late to class, the student should inform the instructor at the end of the class period indicating a reason for the tardiness. 3. It is the responsibility of the student to obtain all information, assignments, etc. from the course instructor if class, lab, or clinical time is missed. (Refer to specific course syllabus for details regarding attendance.) Absenteeism from Lecture, Laboratory, or Clinical Affiliations A student’s “serious illness" shall mean a condition such as pneumonia, surgery, hospital confinement, or valid medical reason. A physician’s note verifying illness should be available at the faculty member’s request. "Death in the immediate family" shall be interpreted to mean mother, father, spouse, child, brother, sister, grandparents, or significant other. Documentation must be provided. "Statutory governmental responsibilities" refer to such matters as jury duty or subpoena for court appearance. Documentation must be provided. If the student expects to be absent from a given class, the student must contact the instructor directly or leave a voicemail prior to the scheduled class. Failure to do so may result in dismissal from the Program. If the student expects to be absent from a clinical assignment, the student must contact the clinical instructor prior to the start of the clinical day. It is the responsibility of the student to obtain all lecture/laboratory materials and if necessary, schedule a time to meet with the course instructor for specifics regarding course material. Makeup quizzes or exams must be arranged by the student and the instructor for the day the student returns. There will be no makeup quizzes or exams for unexcused absences. The student will receive a zero for that quiz or exam. DMS (CCC) PROGRAM HANDBOOK 34 HEALTH REQUIREMENTS AND INFORMATION Health Examination 1. Good physical and mental health are required. All students must provide documentation that they are in good physical and mental health PRIOR to the program start date. 2. PRIOR to clinical assignments, students must have: a. Annual evidence of a negative tuberculin test b. Documentation of rubella immunization c. Documentation of or signed declination for Hepatitis B Vaccine. (Refer to Appendix for Vaccination Declaration/Declination Form.) i. 3-series Hepatitis B Vaccine ii. Immunity status (titer) iii. Carrier status d. Documentation of Varicella status e. Background check and drug screen 3. Any tests, physical examinations, and immunizations will be conducted at the student’s expense. 4. The student must provide updates to their health record as necessary. Changes in medical condition and/or drug regimen that may affect clinical and/or classroom performance or safety should be promptly reported in writing to the Program Manager. Failure to do so may result in dismissal from the program. 5. It is the responsibility of each student to see that the appropriate documentation is on file with the Program Manager and/or Clinical Coordinator. There are no exceptions. Additional Health Requirements 1. Students must provide evidence of current, meaning maximum of biennial, certification in Cardiopulmonary Resuscitation (CPR) American Heart Association: Health Care Provider and HIV/AIDS 104 Certificate. 2. The DMS Program has an Infectious Disease Policy. Each student must read, understand, and sign this policy. (Refer to Appendix A for the Infectious Disease Policy.) 3. The DMS Program recognizes that a student who is not physically or mentally well can pose a threat to patient/client safety. a. Students who have a change in health status while enrolled in the program will be expected to report the nature of their change in status to the Program Manager or Clinical Coordinator. b. Any student who exhibits symptoms of illness which pose such a threat and/or who is under the influence of alcohol or illegal drugs may be immediately removed from the clinical area and will be referred to their private physician. (Refer to Substance Abuse Policy, EFSC catalog, or EFSC Student Handbook) c. After any significant change in health status, the student must submit a statement from their physician to the effect that their condition is not detrimental to the safety or health of themselves or patients/clients before returning to the program. d. In cases where multiple absences caused by a change in health status interfere with student’s progress, the student will be asked to withdraw from the program. DMS (CCC) PROGRAM HANDBOOK 35 PREGNANCY POLICY As is your right to privacy, disclosure of pregnancy is completely voluntary. It is the right of the student to disclose or not disclose the pregnancy and/or to withdraw disclosure of the pregnancy at any time by written notification. However, because of the physical demands of the DMS program, students who are pregnant or become pregnant while enrolled are encouraged to inform the instructor if a contraindication to a Diagnostic Medical Sonography procedure exists. Any alteration or deferment of required competencies must be agreed upon by the individual course instructor and DMS Program Manager. It is possible that the student may need to withdraw from the program and re-enter the following year. If pregnancy occurs during a student’s clinical affiliation, the student shall provide the clinical affiliation facility with a physician’s release to participate without any limitations and update as the student progresses in their pregnancy to ensure student safety. DMS (CCC) PROGRAM HANDBOOK 36 INSURANCE Each student is required to purchase medical liability insurance through the college; the college has contracted with an independent insurance carrier. Malpractice/liability insurance fees must be paid each fall before a student may begin clinical education. Time lost due to non-payment of fees will be considered an unexcused absence. 1. Liability Coverage: Florida Community College Risk Management Consortium a. Name of Insured: Students of the Allied Health Science Program. b. Limits of Liability: Will not exceed $1,000,000 per each "Medical Incident." Total liability of the company for all damages to which this insurance applies shall not exceed $3,000,000. c. Person Insured: Students and faculty of the Allied Health Science Programs, but only while the Students and Faculty are participating in the activities of the program. 2. Accident Coverage: is required. Liability insurance is not a substitute for accident or health insurance. For more information see section on Accident Reporting Procedures. 3. Health Coverage: Each student should locate his/her health insurance card and keep it available for emergencies. Payment for treatment is the responsibility of the student. You should know the insurance company and the identification number. This is vital information and could be critical in the event of an emergency. STUDENTS ARE STRONGLY URGED TO CARRY HEALTH INSURANCE! ***Insurance coverage with respect to injuries or accidents sustained during College activities is recommended. All students of the college may purchase accident and injury insurance through a private company or the college approved carrier. Applications will be made available on each campus to the students through the Admissions Office or Student Development. EFSC will not be accountable for money transactions between the insurance carrier and students.*** DMS (CCC) PROGRAM HANDBOOK 37 STUDENT APPEALS PROCEDURE Alleged violations of the Student Code of Conduct are referred to the Associate Provost/Dean. Academic dishonesty includes conduct aimed at making false representation with respect to a student's academic performance. Academic dishonesty includes but is not limited to: cheating; plagiarism or falsifying records; unauthorized collaboration in work to be presented; unauthorized access to the learning management system or allowing another individual to access one's learning management system; stealing examinations or course materials, or knowingly and intentionally assisting another student to commit academic dishonesty. Please relay any questions about this policy to your professor and/or the Associate Provost / Dean's office. Procedure for Academic Appeals Prior to submitting the formal appeal form, students must do the following, and in this order: 1. The academic student concern must be addressed as soon as possible in a nonconfrontational manner with the appropriate faculty member. 2. If not resolved at this level, the student must contact the Department Chair or Program Coordinator/Manager to address the concern. 3. If not resolved through steps 1 and 2, the student may submit a formal appeal form with attached documentation to the Campus Associate Provost's/Dean's office for processing and resolution. Appeal forms, as well as additional information regarding the appeal process, are available through the campus Associate Provost's/ Dean's office. Appeals will only be accepted within two years from the date of the incident or issue on which the appeal is based. 4. If not satisfied with the resolution at step 3, the student may request in writing, through the Associate Provost's/ Dean's office, a review by the Provost. The request must be received within ten days of student notification of the resolution and must contain additional documentation that is pertinent to the appeal. The decision of the Provost is final. 5. If the student feels that the established procedures were violated, the student may request an administrative review by the Vice President of Academic Affairs/CLO. This is NOT a re-trial of the incident, but a procedural review. The request for administrative review must be made in writing through the Provost's Office within five days of receiving notification of the resolution. The decision of the Vice President is final. DMS (CCC) PROGRAM HANDBOOK 38 Administrative Appeal Administrative issues include issues with administration, registration, late withdrawals due to medical problems or other extenuating circumstances. Procedure for Administrative Appeals 1. Administrative student issues should be addressed as soon as possible with the appropriate staff member. 2. If not resolved through step 1, the student may submit a formal appeal form with attached documentation to the Campus Associate Provost's/Dean's office for processing and resolution. Appeal forms, as well as additional information regarding the appeal process, are available through the campus Associate Provost/Dean's office. Appeals will only be accepted within two years from the date of the incident or issue on which the appeal is based. 3. If not resolved at step 2, the student may request in writing, through the Associate Provost's/Dean's office, a review by the Provost. The request must be received within ten days of student notification of the resolution and must contain additional documentation that is pertinent to the appeal. 4. If not resolved at this level, the student may request, with additional documentation that is pertinent to the appeal, a review by a campus based appeal committee. This request must be in writing and received in the Associate Provost's/ Dean's office no later than five days following the student's receipt of written notification in follow up to the appeal. This committee will make recommendations to the Provost. The decision of the Provost is final. 5. If the student feels that the established procedures were violated, the student may request an administrative review by the appropriate Vice President. This is NOT a re-trial of the incident, but a procedural review. The request for administrative review must be made in writing through the Provost's Office within five days of receiving the written report stipulating the findings and sanctions. The decision of the Vice President is final. DMS (CCC) PROGRAM HANDBOOK 39 COMPLAINTS This procedure is only for comments or concerns that cannot be addressed by existing grievance/due process procedures described previously. This may include complaints from clinical education sites, employers of graduates, and the general public. Procedure 1. Comments must be provided in writing and signed by the author. Anonymous submissions will not be acknowledged. 2. Comments should be submitted to the DMS Program Manager at: Eastern Florida State College Attn: Harry H. Holdorf 1519 Clearlake Road, Bldg. 3-Rm 114D Cocoa, FL 32922 3. The Program Manager will respond to all comments within ten (10) working days to further discuss and resolve the issue. If satisfactory resolution is unable to be reached, appeal may be made along the chain of command to the Dean of Health Science, Vice President of Academic Affairs, and President. 4. Records of all correspondence will be confidentially maintained by the Program Manager for five (5) years. These records are not open to the public. Procedure for Complaint Resolution of a Programmatic Nature It is the policy of EFSCʼs DMS program to work with the students in finding fair and just solutions to problems, including any student grievance, appeal, question, misunderstanding, or discrimination. Students are urged to take their problems to the instructor assigned to the course(s) in which they are experiencing problems as in the step process below: Step 1: The student should first take their problem or question to their assigned instructor. Usually the instructor will have direct knowledge about the subject and is best qualified to resolve the situation. Step 2: If the student and instructor are unable to find a solution or answer within a reasonable amount of time, the student may then bring the matter to the attention of the Dean of Allied Health Sciences. The student should feel free to discuss the matter fully. DMS (CCC) PROGRAM HANDBOOK 40 Step 3: Should a satisfactory and impartial solution not result from Step 2, the student may pursue the matter through appropriate administrative channels. The college’s student grievance procedure is found in Policy 409.1 of the EFSC Procedures Manual found on EFSC publications on the EFSC website. If complaints concerning non-compliance with the Joint Review Committee on Education in Diagnostic Medical Sonography (JRC-DMS) standards occur, they will be resolved in the following manner: Step 1: The staff/student will first take the problem or question to the program manager. Step 2: If the staff/student is unable to find a solution or answer with the program manager, within 5 working days, the staff/student may then contact the JRC-DMS office. Complaints concerning non-compliance with JRC-DMS standards will be documented on Documentation Forms and kept on file in the DMS faculty office. DMS (CCC) PROGRAM HANDBOOK 41 GENERAL INFORMATION Confidentiality of Student Records The confidentiality of the student’s records (academic and health) are protected by the DMS Program. Information will be released only to authorized members of the College community. A student may authorize the program to release information regarding their academic record to outside sources upon written consent. EFSC complies with the Family Educational Rights and Privacy Act of 1974 (FERPA), as amended (also sometimes referred to as the Buckley Amendment), which is a federal law regarding the privacy of student records and the obligations of the institution, primarily in the areas of release of the records and the access provided to these records. While in the clinical setting, discussion of student’s performance is limited to the clinical instructor and/or Clinical Coordinator and only to relevant information regarding present affiliation. Confidentiality of Patient Information All hospital and patient records are confidential in nature. Requests for information concerning a patient should be referred to the clinical supervisor or appropriate facility staff member. Students are expected to maintain patient confidentiality in a professional manner. All DMS students rotating in a clinical affiliate will sign a confidentiality agreement which will be kept in the students' file in the Clinical Coordinator’s office. Students who do not adhere to this policy will be dropped from the program immediately. Students must comply with the Health Insurance Portability and Accountability Act (HIPAA). HIPAA forbids healthcare providers from disclosing patient protected healthcare information (PHI) except upon written authorization by the patient or as otherwise permitted by the law. 1. Do not discuss a patient's condition especially within hearing range of patients. 2. Do not take any records from clinical site without permission. If you have permission, patient name and personal information must be removed. 3. Only access patient information that is pertinent to your job. 4. Never share your electronic identification number or password with ANYONE! 5. Follow facilities policies regarding confidentiality and privacy. DMS (CCC) PROGRAM HANDBOOK 42 Equal Access Policy Eastern Florida State College complies with state and federal laws and does not deny equal access to individuals based on disability, race, ethnicity, color, genetics, religion, national origin, age, gender, gender preference, physical or mental disability, marital status, veteran status, ancestry, or political affiliation. EFSC recognizes the rights of students and applicants with disabilities, including those with hepatitis B, under the protections of the Americans with Disabilities Act and Section 504 of the Rehabilitation Act. Change of Personal Information It is very important the program has current contact information for you. Any change of personal information such as your name, address, phone number, legal status must be reported to the DMS Program Manager and the EFSC Records Department on campus. Changes should be reported as soon as possible after a change occurs to prevent any delay of important information. Student Activities Eastern Florida State College provides opportunities for students to develop leadership skills, through club membership in professional and honorary societies, as well as, through participation in a well-respected intercollegiate and intramural sports program. All students are encouraged to participate in the activities of their choice. Contact the Student Activities Office/Student Government Advisor for additional information located in the Student Center. Support Services Please refer to the Eastern Florida State College catalog for information concerning support services and personnel. (i.e., Financial Aid, Child Care, Student Disabilities Services, Testing services, etc.) Transportation The student is responsible for travel to and from clinical sites, community presentations assigned as part of a course, and/or arranged orientations. DMS (CCC) PROGRAM HANDBOOK 43 Transfer Policy Students wishing to transfer credits from another DMS program will be considered providing the following criteria is met: 1. Transfer student is currently enrolled in a CCC DMS program 2. The student is receiving a passing grade in all Diagnsotic Medical Sonography related coursework 3. A letter from former program director stating student is in good standing with the program 4. The student has at least a 2.5 GPA 5. Has evidence of a physical examination and annual TB test 6. Student has current CPR certification and Florida AIDS 104 certification 7. Student must submit course descriptions, clinical schedule, clinical rotations and successfully completed competencies to be reviewed by the DMS Program Manager Admission to the DMS program will be conditional on available clinical space. The program will consider transfer students on an individual basis. The above criteria must be met before any credit will be given. The transfer student must complete all requirements of the EFSC DMS program in order to graduate. There is no guarantee the transfer student will complete the program at same rate as his/her classmates. Classroom Expectations All students are expected to uphold the highest standards of professionalism, honesty and integrity, and accept responsibility for acting in an ethical manner. The EFSC student code of conduct can be found in the student handbook. Students in EFSC’s DMS Program are also to abide by the SDMS Standard of Ethical Conduct for a Diagnostic Medical Sonographer listed in in Appendix C. Laboratory Participation During lab sessions, each student is expected to be an active participant. Each student will be used to demonstrate those anatomical areas that are being taught. The "Volunteer to Be Scanned" form is to be read and signed by all students and will be kept in your student file. If a precaution, contraindication, or objection (religious or cultural) to a procedure exists, then the student must notify the instructor prior to the beginning of class and a different method of delivery for the group will be developed. Through collaboration, the instructor and student will determine the safest method for the student to deliver the treatment in the clinical setting. Students must be able to demonstrate competence in required Objectives DMS (CCC) PROGRAM HANDBOOK 44 and Competencies as well as data collection activities in order to successfully complete the program. Dress Code Laboratory Attire 1. Shorts with “bike-type short” underneath 2. DMS student t-shirt (At times, a sports bras with clasp in the back for women might be required.) 3. Closed toed shoes 4. Student photo ID 5. Long-sleeve lab coat 6. Hair must not interfere with student performance 7. Minimal jewelry (watch, wedding ring, stud earrings) 8. Fingernails no longer than the end of fingertips Clinical Attire 1. Students are required to wear an EFSC DMS program scrubs. Inappropriate fitting uniforms will not be permitted. Appropriate underwear must be worn. It should not be visible. 2. Closed toed shoes—No high heels or clogs may be worn. 3. Student photo ID 4. Long-sleeve lab coat (if required by clinical site) 5. Hair must not interfere with student performance or patient, and must be kept neat and clean. If worn, facial hair must be kept neatly trimmed and clean. 6. Minimal jewelry (watch, wedding ring, stud earrings) 7. Fingernails no longer than the end of fingertips. Only conservative nail polish may be worn. 8. Make-up may be worn in moderation. 9. Deodorant should be used and perfume/cologne should be used in moderation. 10. Skin should be clean and intact. Cuts and abrasions are to be cared for promptly and properly. All tattoos must be covered as best as possible. ***Any student NOT in uniform may be sent home from their clinical site and the day MUST be made up. It may also be reflected in the students overall clinical grade.*** Eating NO eating in the classroom during lecture or in the clinical laboratory during laboratory sessions will be permitted. DMS (CCC) PROGRAM HANDBOOK 45 Technology All cell phones must be set to vibrate in order to not disrupt lecture or laboratory sessions. Computers/tablets may be used for classroom purposes, however, if a student is noted to be using computer/tablet for unrelated purposes, loss of this privilege may result. At times, circumstances arise that cell phone use will be permitted. This will be at the discretion of the instructor. Audio and video recording is permitted if given permission by instructor. Videotaping, audio recording, and photography may be performed by EFSC faculty and staff to use for teaching and grading purposes. Students will sign a form giving permission to EFSC to allow use of these technologies. SDMS Membership Students in the EFSC DMS program are Strongly Recommended to become members of the Society of Diagnostic Medical Sonography (SDMS) while studying at EFSC. Students are eligible for student affiliate memberships in the SDMS. Participation in a professional society pre- and post-graduation demonstrates a personal contribution to one’s field of practice. Benefits of membership include: 1. Subscriptions to sonography literature 2. Access to Continuing Medical Education (CME) lessons 3. Information regarding continuing education programs 4. Discounted rates for registration for educational courses sponsored by the SDMS Open Lab Throughout the semester, the DMS laboratory will be open outside of scheduled lecture/lab times in order for students to practice skills learned throughout the semester. The lab will be supervised by DMS program faculty. These times are not mandatory but highly encouraged. Open lab times will be announced at the beginning of the semester. Students will be held to the same rules and requirements of regularly scheduled lab times. Employment while in DMS Program Due to the depth of information provided in both lecture and laboratory classes, full time employment is strongly discouraged while enrolled in EFSC’s DMS program. Part time employment may be possible as long as it does not interfere with scheduled course times or impact the student’s completion of the program. Employment during clinical affiliations is strongly discouraged as students will be required to attend clinical sites 40 DMS (CCC) PROGRAM HANDBOOK 46 hours/week. In addition, no student will act as an employed Diagnostic Medical Sonographer or receive compensation for Sonographic services while attending the DMS program at EFSC. Social Media While enrolled in EFSC’s DMS Program, professionalism is to be maintained in and out of the classroom and clinical sites. Discretion should be used when posting on different media outlets and should maintain patient confidentiality. Post regarding clinical sites and/or instructors are to be avoided. Academic probation and/or dismissal from the program will be considered should a violation of this policy occur. Library and Learning Lab The EFSC/UCF Joint-Use Learning Resources Center, also known as the Library, provides current and comprehensive services to support the particular information and academic needs of the students. Hours for the library and learning lab are available on the website. The Learning Lab is equipped with computer-assisted instruction, programmed materials and computer software in most academic disciplines. Programs also provided in the lab include the Reading Lab, the System for Applied Individualized Learning (S.A.I.L.), Student Support Services, Career Resources Center, and Student Job Placement Office. Weekly and monthly publications are available for students to conduct job and career searches. Professional assistance and tutoring is also available in English, reading and mathematics. DMS (CCC) PROGRAM HANDBOOK 47 ACCIDENT REPORTING PROCEDURE Our goal is to prevent all accidents and disease transmission, thus ensuring a safe learning environment for students, faculty, and staff. Unfortunately, accidents do regrettably occur. Familiarize yourself with the following procedure so that you will be able to respond quickly and safely to receive assistance and report accidents. Accidental/Incident Reports Students and faculty must complete an incident report as soon as possible for any of the following that may occur in the clinic, the lab, or in the classroom: 1. 2. 3. 4. 5. Physical injury incurred to themselves Physical injury incurred to the patient/client Accidents Thefts and/or suspected thefts Damage to patients and/or student property Accident/Incident Report Instructions: 1. Notify the supervising instructor of the incident immediately to obtain assistance and the proper forms. (The specific forms will be provided by the clinical site and /or EFSC depending on location of incident) 2. In the event of an accident involving possible exposure to blood-borne pathogens, the proper documentation will take place at the clinical site with notification made to program officials. 3. In the case of an incident on campus, an "Accident-Incident" report shall be initiated by the program officials or campus security and then submitted to the Program Manager, Department Chair, and Assistant Provost for the Health Science Institute. 4. The final "Accident-Incident" Report must be signed by the initiator of the report and the student involved in the incident. 5. Resources for counseling regarding potential disease transmission and preventive health measures are available through Health Science Institute Office. (Building 20, room 233) Should the incident occur while a student is participating in a clinical practicum, the clinical facility must notify the DMS Program officials immediately. The student must then make an appointment with the DMS Program Manager and course instructor within one week of the incident. The student may not continue with clinical unless approved by the DMS Program Manager, the Clinical Coordinator, and the clinical instructor. The incident form will be attached to the CPI for that clinical practicum. DMS (CCC) PROGRAM HANDBOOK 48 Communicable/Contagious Disease Notification Eastern Florida State College DMS program officials will notify any student or graduate of the possible exposure to a communicable/contagious disease during their enrollment period as a student as necessary. Program officials will be notified by the clinical affiliates in writing regarding incidents of possible exposure of students. Current students or graduates shall notify program officials if they believe that they may been exposed to communicable/contagious disease. Procedure for current students: 1. Upon written notification by the clinical affiliates, program officials will notify students in the form of a written memorandum. 2. Students will follow recommended guidelines for treatment provided by the clinical affiliates' employee health coordinator. 3. Students shall notify program officials if they believe they may have been exposed to a communicable/contagious disease. Procedure for graduate students: 1. Upon notification by clinical affiliates, program officials will notify graduates by mail and/or telephone. 2. In the event that program officials are unable to contact graduates by the aforementioned methods, attempts will be made to contact that individual by contacting spouses and/ or parents, relatives or by any information that might be contained in the graduate students' permanent file. 3. Upon notification, graduates will be referred to the clinical affiliate’s employee health coordinator to advise treatment and information. 4. Graduates shall notify program officials if they believe they may have been exposed to a communicable/contagious disease. DMS (CCC) PROGRAM HANDBOOK 49 PROBATION AND REQUESTED WITHDRAWAL The program manager will counsel and place a student on probation for any of the following reasons: 1. 2. 3. 4. 5. 6. Academic level below that required by the program Failure to complete clinical objectives Unprofessional conduct, including dress code violations Health problems Unsafe clinical practice Inability to function adequately with members of health teams, peers, program instructors 7. Violation of patient confidentiality 8. Failure to report incidents in clinical education which may cause harm 9. Utilizing EFSC DMS Program computers inappropriately The program manager may recommend that a student withdraw from the program for reasons stated above if the behavior is not corrected during the probationary period. If the offense is of a serious nature, the director may recommend immediate withdrawal. In the event that the student wishes to withdraw from the program of their own volition, this should be discussed with the program manager. Student self-withdrawal from the program should be in writing and submitted to the program manager. DISMISSAL POLICY The DMS student may be dismissed from the program at any time for any of the following reasons: 1. Breech of rules or regulations of the student’s assigned clinical education site 2. Conviction, distribution, or possession of illegal drugs or controlled substances (Refer to EFSC catalog and EFSC Student Handbook.) 3. Reporting for class or clinic under the influence of alcohol or narcotics or partaking of these substances while in clinic or classroom (Refer to EFSC Student Handbook.) 4. Malicious destruction or theft of property 5. Refusal to comply with the DMS program policies and requirements 6. Habitual absence or absences totaling more than 15% of scheduled class (see Attendance and Academic Policies) 7. Academic dishonesty (Refer to EFSC Catalog and EFSC Student Handbook) 8. Unprofessional or unethical conduct 9. Insubordination DMS (CCC) PROGRAM HANDBOOK 50 10. Violations of hospital, clinical, or facility departmental policies and procedures appropriately documented by the clinical instructor and confirmed by the clinical education coordinator or the program manager 11. Inappropriate contact with a patient while on clinical practicum DMS (CCC) PROGRAM HANDBOOK 51 SAFETY On-Campus Educational Experiences For information regarding campus safety and emergency procedures, please reference the following documents: EFSC Emergency Management Response Plan EFSC Campus Security EFSC Student Handbook Annual Security Report For information regarding safety in dealing with body substances and hazardous materials, please reference the following documents: EFSC Emergency Management Response Plan EFSC’s DMS program is responsible for maintenance of the equipment utilized throughout the DMS program. An equipment log book will be maintained in the Program Manager’s office to keep track of safety inspections and calibrations. Faulty equipment is either repaired, replaced, or discarded. Necessary safety regulations and/or procedures will be reviewed prior to participation in a specific course and/or activity and will be demonstrated by the instructor first. This includes operating machinery. Students are held responsible when acting as the subject or patient-simulator while participating in all laboratory or classroom interactions. The student is responsible for notifying the instructor of any contraindications and/or precautions to participating in any given laboratory activity. Students have the right to refuse participation if the simulation poses a threat to their safety. Any actions taken by a student that do not adhere to the necessary safety precautions will be addressed by the course instructor. If a student choses to participate in open lab, the student must demonstrate competence of the procedure prior to performing the activity independently. Students who are pregnant or have a history of back pain are advised to use their own discretion while performing laboratory activities. All hazardous substances such as alcohol, lotions, gels, etc. will be handled and disposed of according to published and posted guidelines in the MSDS located in both the DMS and Physical Therapist Assistant (PTA) labs. DMS (CCC) PROGRAM HANDBOOK 52 Classrooms and laboratories utilized by the DMS program are to be kept in as neat an order as possible with all students participating in that upkeep. Doors will be closed and locked at the end of each day. Closed toe and heel shoes are required during lab activities. Program equipment may only be utilized for practice on individuals within EFSC’s DMS program and may only be performed to practice for a skill competency. Laboratory practice may not take place outside of the posted hours unless given pre-approval by a DMS Course Instructor. Assistance for minor cuts is available through the use of the first aid kit located in the DMS laboratory. Should the need arise for medical assistance due to injury during classroom or lab interactions the college’s policy for injury/illness occurring on campus will be followed. Off-Campus Educational Experiences During off-campus educational experiences, students have the responsibility to familiarize themselves with the facility’s safety policies including handling body substances and hazardous materials, security and evacuation procedures, and use of equipment. The program has the responsibility to ensure that all off-campus facilities are licensed and/or regulated by the appropriate agency. In case of an emergency during clinical rotations and/or off-site campus activities, students should access “911” or emergency services available at the site. Emergency medical care and any other health care required by the student will be at the student’s expense, the student assuming full responsibility for all billed charges. DMS (CCC) PROGRAM HANDBOOK 53 CLINICAL EDUCATION The clinical education component of the DMS program allows the student to apply the skills practiced in the classroom and laboratory in a clinical setting. Clinical experiences are vital to the DMS education program to ensure competency of skills prior to graduation. The DMS student is expected to exhibit professional and ethical behavior while on clinical affiliations to maintain the reputation of EFSC’s DMS program and the reputation of the Diagnostic Medical Sonography profession in general. At EFSC, DMS Program students will complete three clinical practicums at several different clinical facilities. Prior to starting clinical rotations, students will have started taking didactic coursework and skill competencies pertinent to basic patient care and administrative duties while in the clinical setting. Upon successful completion of the clinical component of the DMS program, graduates are to be considered “entry-level” prior to entering the workforce. During all laboratory sessions, students will be expected to demonstrate competence with all “Critical Safety Elements.” While in clinical education, students will be instructed and supervised by a designated clinical instructor who will rate the student’s ability to apply didactic and practical knowledge in a clinical setting. End of course grades will be determined by EFSC’s DMS Clinical course evaluation metrics and the student’s clinical instructor. Evaluations based on student performance will be performed at midterm and at semester’s end. Following completion of the student’s final practicum, students shall be rated at entry-level for all competencies. DMS (CCC) PROGRAM HANDBOOK 54 SELECTION CRITERIA FOR CLINICAL EDUCATION SITES To determine which sites would be appropriate to help fulfill the goals of the clinical education component, EFSC’s DMS program utilizes data gathered from each site. Students are assigned to sites which are deemed appropriate for required clinical Objectives and Competencies to be met. Clinical sites are not compensated for their assistance in EFSC’s DMS program as this is a voluntary, non-contractual position. Clinical affiliate faculty are privileged with the following: 1. Recognition as clinical affiliate 2. Attend and/or participate in all DMS Program events, such as Advisory Committee meetings 3. Certificate of Appreciation at the conclusion of each clinical practicum CLINICAL SITE INFORMATION FORM This form is distributed by the JRC-DMS in order for DMS educational programs to acquire information regarding clinical education sites to facilitate clinical site selection and student placement, assess the learning experiences and practice opportunities available to students, and provide assistance with documentation relevant for future accreditation. The Clinical site information form will be updated as necessary. CLINICAL EDUCATION PLANNING FORMS Planning forms will be sent to all clinical sites one semester prior to each clinical experience in order to determine if a clinical site has availability for an EFSC DMS student. The Designated clinical instructor of each site will then return the form to the DMS Clinical Coordinator as soon as possible. If the clinical site is needed for a practicum experience, the site will be notified 2 weeks prior to student placement along with additional paperwork required for that student. DMS (CCC) PROGRAM HANDBOOK 55 CLINICAL AFFILIATION PLACEMENT PROCESS EFSC has contracts with various healthcare facilities in Brevard County. Some students enrolled in the DMS program may have to attend clinical experiences that could potentially be as far as one hour away from the EFSC Cocoa Campus. Selection Procedure 1. Students will complete a “Clinical Experience Preference Form” preferring their choices for all three affiliations which will be submitted to the Clinical Coordinator prior to determining clinical selections. The student will document any potential conflicts of interest at certain sites on this form as well. Conflicts of interest include: where the student has been employed in the Diagnostic Medical Sonography department or any family member is employed, and/or where the student has accepted a scholarship, tuition reimbursement, or money in return for employment after graduation 2. Forms must be submitted by the last day of the student’s first semester. If the student has not chosen a site or the site has not finalized its contract, the Clinical Coordinator will assign an alternative site to the student if available. 3. If no facility placement is available or the student refuses to attend an alternative site, the student may not be able to graduate from the DMS program or graduation will be delayed. 4. The Clinical Coordinator will assign students to sites based on order of preference and site availability. In the event that multiple students have indicated the same first choice, a lottery drawing may be held at the discretion of the Clinical Coordinator. 5. Students may “trade” sites if approved by the Clinical Coordinator. A date will be set after which no changes can be made unless at the discretion of the Clinical Coordinator. 6. The Clinical Coordinator will make the final decision on student placement for all three clinical practicums to ensure all educational objectives are met. All costs associated with clinical affiliations (i.e. food, housing, travel, parking) are the responsibility of the student. Students may need to consider obtaining a loan or financial aid to cover expenses during practicum experiences. All contact with clinical facilities MUST be done by the Clinical Coordinator only. Students and/or family members are not permitted to contact any clinical facility for the purpose of requesting a clinical affiliation site. DMS (CCC) PROGRAM HANDBOOK 56 Affiliation Agreements Eastern Florida State College Health Science Institute will ensure students are assigned to only those clinical facilities in which a properly executed and unexpired affiliation agreement is in place. Clinical affiliation agreements at Eastern Florida State College will extend for three (3) years. A designated administrative assistant within the Health Science Institute will pull a monthly report off an access database showing which agreements will be expiring within the coming months. Clinical facilities with an upcoming expiration date will be sent a renewal form letter along with the new affiliation agreement to be returned to the college. Additional documentation requirements specific to the DMS program will be sent as well. The DMS program manager and Clinical Coordinator within the program will also be notified of the upcoming renewal. Per the affiliation agreement, either party shall have the right to terminate the agreement, with or without cause, upon six (6) months of written notice. The Clinical Coordinator for the DMS program will also review affiliation agreements at the beginning of the fall semester each year. All agreements must be up-to-date and signed prior to students beginning their clinical experience. If an agreement is not in compliance, students will not be placed at that clinical facility. DMS (CCC) PROGRAM HANDBOOK 57 ACTIVE CLINICAL AFFILIATION SITES Clinical affiliate Parrish Medical Center 951 N. Washington Avenue Titusville, Florida 3780 321 268 6198 Objectives Breast Center General Ultrasound Abdomen Ob/Gyn Vascular Wuesthoff Medical CenterRockledge 110 Longwood Avenue Rockledge, Florida 32955 321 636 2211 Ext. 1176 Breast Center General Ultrasound Abdomen Ob/Gyn Vascular Rockledge MRI & PET Imaging Center 1910 Rockledge Blvd., Suite 102 Rockledge, Florida 32955 Breast Center General Ultrasound Abdomen Ob/Gyn Vascular Holmes Regional Medical Center 1350 S. Hickory Street Melbourne, Florida 32901 321 434 7177 Breast Center General Ultrasound Abdomen Ob/Gyn Vascular NSI Merritt Island 255 N Sykes Creek Pky Merritt Island, FL 32953 General Abdomen Ob/Gyn Vascular Palm Bay Hospital- Health First 1425 Malabar Road NE Palm Bay, Florida 32907 General Ultrasound Abdomen Ob/Gyn Vascular/Echo Wuesthoff Medical Center 250 N. Wickham Rd Melbourne, Florida 32935 General Ultrasound Abdomen Ob/Gyn Vascular/Echo DMS (CCC) PROGRAM HANDBOOK 58 Cape Canaveral Hospital 701 West Cocoa Beach Causeway Cocoa Beach, Florida 32931 General Ultrasound Abdomen OB/Gyn Vascular Breast center/Mammography Health-First Medical Group 1223 Gateway Drive Melbourne, Florida 32901 General Ultrasound OB/Gyn Vascular OP services (thyroid) DMS (CCC) PROGRAM HANDBOOK 59 CLINICAL EDUCATION PREPARATION It is the student’s responsibility to be prepared to successfully and professionally complete each clinical practicum in which are they assigned. To begin this process, students will be expected to attend all meetings related to clinical education. Students will be notified of meetings dates and times at the beginning of each semester in order to allow students time to make arrangements to attend. Attendance is mandatory and will be recorded. Once a student is assigned to a clinical education site, the student should arrange a conference with the Clinical Coordinator to review the following important information regarding facility hours, parking, dress code, etc. to ensure a successful first day of practicum. If any questions arise, the student should discuss them with the Clinical Coordinator to verify information. Two weeks prior to the start of the clinical practicum, the student MUST contact their clinical education site to confirm start date and dates of clinical practicum. The student must also send the Student Introduction Form and any other necessary information required by the assigned site. Again, any questions may be directed to the Clinical Coordinator. As previously mentioned, a student’s health status must be up-to-date with the Clinical Coordinator at all times to ensure safety of the student, clinical site, and possible patients. The Clinical Coordinator will not report any changes to the clinical site without approval from the student. DMS (CCC) PROGRAM HANDBOOK 60 CLINICAL PRACTICUM OBJECTIVES SON 2804 Practicum 1 Demonstrate skills in utilizing equipment, in scanning techniques and in interpersonal relationships associated with a routine sonography department Identify the role of the sonographer in relationship to the radiologist and health care team Explain the various modes involved in sonography Demonstrate the loading and processing of film cassettes and/or handling of other hard copy Identify the major sectional parts and controls of an ultrasonic unit Identify transverse and longitudinal scans and distinguish coronal and/or lateral decubitus (right or left side up) views Explain transducer function, construction and types Summarize major areas of examination in diagnostic scans Explain what is meant by "plane anatomy" Identify various scanning techniques Choose the sonographic procedure with patient preparation needed for examination Identify the medical ethics involved in sonography Demonstrate personal skills and qualifications of a sonographer Summarize the basic pulse-echo system and Doppler principles Explain the correct manipulation of the TGC Demonstrate communication skills required on a daily basis in the typical sonography setting Demonstrate the basic protocol used for assigned clinical affiliate Observe procedures in a routine ultrasound department Observe a cardiac sonographic procedure to help prepare for future courses Observe a peripheral vascular procedure to help prepare for future courses Interact with the patient in a manner appropriate for a sonographer, and should be able to follow Department protocol Schedule patients for examinations Prepare room and equipment for examination Instruct patient concerning procedure Prepare the patient for the scan Record the patient's history Process the sonograms correctly Identify on sonograms the anatomical structures concerned in the examination DMS (CCC) PROGRAM HANDBOOK 61 Demonstrate protocols and procedures associated with gynecological examinations (Clinical 64 hours) Explain the normal anatomy and scanning techniques used to demonstrate the female pelvis, utilizing both transabdominal (TA) and transvaginal (TV) approaches Explain the protocol for scanning the female pelvis - TA and TV Assess pelvic anatomy Distinguish uterus location, position and size Identify ovarian location, position and size Identify other adnexal structures Distinguish gynecological pathology from normal gynecological anatomy and note size, consistency and contour Perform all preliminary procedures leading to actual examination by sonography and all procedures necessary post examination Identify sonographic representation of normal anatomy Identify uses of Doppler techniques in gynecologic sonography Demonstrate scanning protocols and scanning procedures associated with obstetrical examinations in all stages of pregnancy Confirm intrauterine pregnancy Assess fetal viability Identify methods used to determine gestational age in the first trimester Identify methods used to determine gestational age after the first trimester Identify placental location Demonstrate knowledge of normal fetal anatomy Explain routine measurements obtained and methods used to measure fetal structures Distinguish discrepancies in fetal measurements Identify the scanning techniques and routine protocols for scanning obstetrical patients with both the transabdominal and transvaginal approach Describe the scanning techniques and routine protocols for scanning obstetrical patients with both the transabdominal and transvaginal approach Describe the scanning techniques and routine protocols for scanning obstetrical patients with both the transabdominal and transvaginal approach Identify sonographic representation of normal fetal anatomy Explain appropriate uses for Doppler techniques in obstetric sonography Perform all preliminary procedures leading to actual examination by sonography and all procedures post examination DMS (CCC) PROGRAM HANDBOOK 62 Demonstrate scanning protocols and other procedures associated with scanning abdominal structures Explain the normal preparations for the sonographic demonstration of the upper abdominal organs Explain the protocol for scanning the each of the upper abdominal organs Demonstrate the normal anatomy of the upper abdomen Assess abdominal anatomy and identify gross abdominal structures as demonstrated by ultrasound, such as the liver, gallbladder, aorta, IVC, stomach, pancreas, bowel and spleen Distinguish abdominal organ, location and size Perform positioning and scanning procedures for the gallbladder and biliary tract Perform positioning and scanning procedures for the liver Perform positioning and scanning procedures for the prevertebral vessels Perform positioning and scanning procedures for the kidneys Perform positioning and scanning procedures for the spleen Perform positioning and scanning procedures for the pancreas Perform positioning and scanning procedures for general retroperitoneum studies Explain appropriate Doppler techniques for abdominal vessels Identify normal spectral and color-flow Doppler patterns in abdominal vasculature Perform all preliminary procedures leading to actual examination by sonography and all procedures necessary post examination Evaluate patient history and chart/record data pertinent to the examination SON 2814: Clinical Practicum II Demonstrate roles and duties of sonographers in the operation of equipment and in relation to the healthcare field Perform the role of the sonographer Recognize the role of the sonographer in relationship to the radiologist and health care team Acknowledge the relationship of ultrasound to other imaging fields Utilize proper orientation and standard labeling of ultrasound images Perform pre- and post-examination protocols for a sonogram Operate various modes in sonography Identify basic concepts of ultrasound equipment available Identify major sectional parts and controls of an ultrasonic unit Demonstrate various scanning techniques Select appropriate sonographic procedures and patient preparation for the DMS (CCC) PROGRAM HANDBOOK 63 anatomical part Explain criteria for film evaluation Summarize medical ethics involved in sonography Recognize special issues encountered in a clinical setting Demonstrate personal skills and qualifications of a sonographer Manipulate time gain compensation (TGC) Summarize the organizational structure common to most hospitals with special emphasis on the role of the ultrasound department Assess the relationship of the sonographer to patients and their special needs Demonstrate communication skills required for an effective participant in the healthcare system Perform in a manner assuring patient confidentiality and respect for cultural diversity Use appropriate medical ethics in sonography Complete Laboratory Skills Workbook Objectives in Abdomen Complete Laboratory Skills Workbook Objectives in Gynecology Complete Laboratory Skills Workbook Objectives in Vascular Technology Complete Laboratory Skills Workbook Objectives in Obstetrics Complete laboratory Skills Workbook Objectives in the Breast Demonstrate sonographer-patient interactions following department protocol Schedule patient for examination Prepare room and equipment for examination Instruct patient concerning procedure Prepare patient for the scan Record patient history Process sonograms correctly Identify anatomical structures concerned in the sonographic examination Provide psychological support to the patient Demonstrate scanning procedures associated with the non-pregnant female pelvis Identify pathology common to the female pelvis and special techniques for sonographic demonstration Distinguish gynecological pathology from normal gynecological anatomy and note size, consistency and contour Perform positioning and transabdominal and transvaginal scanning procedures of the female pelvis as appropriate to the exam and the clinical affiliate Correlate patient history, laboratory results, and sonographic appearance to assist in providing a differential diagnosis Explain the role of Doppler techniques in assessing pelvic pathology DMS (CCC) PROGRAM HANDBOOK 64 Assess the need for additional sonographic scanning protocols related to specific conditions Perform complete and diagnostic exams of the pelvis Present completed examinations in detail with justification of all techniques, methods, or procedures used Identify normal anatomy and gross pathology of the pelvis on sonograms and related imaging modalities Demonstrate anatomy, physiology, pathophysiology, and scanning procedures associated with the abdomen Identify pathology common to the abdomen and special sonographic techniques Distinguish abdominal pathology from normal abdominal anatomy and note size, consistency and contour Perform positioning and scanning procedures for the abdomen utilizing transabdominal techniques, as appropriate to the exam and the clinical affiliate Correlate patient history, laboratory results, and sonographic appearance to assist in providing a differential diagnosis Explain role of Doppler techniques in assessing abdominal pathology Assess need for additional sonographic scanning protocols related to specific conditions Perform complete and diagnostic exams of the abdomen Present completed examinations in detail with justification of all techniques, methods, or procedures used Identify normal anatomy and gross pathology of the abdomen, both on sonograms and related imaging modalities Use sonographic equipment controls and operation Identify patient information systems Utilize keyboard functions Enter patient information into instrument memory Select appropriate transducer Select menu items for each type of equipment available Compensate for acoustic artifacts Explain various types of transducers available on the market, their construction, and selection for sonographic imaging and Doppler evaluation Produce diagnostic quality sonograms using appropriate amplification, power, processing, and scanning movements Demonstrate optimal recording and analysis of data Demonstrate permanent image record processing methods, image processing, and storage DMS (CCC) PROGRAM HANDBOOK 65 SON 2824: Clinical Practicum III Demonstrate role and responsibility of the sonographer in healthcare Explain the sonographer's role within the healthcare setting Identify various modes of sonography Identify sectional parts and controls of ultrasound machines Summarize various scanning techniques Match sonographic procedures with patient preparation Explain medical ethics Demonstrate personal skills and qualifications of a sonographer Manipulate time gain compensation (TGC) controls Produce a sonographic exam in completed form Demonstrate laboratory safety techniques Label sonograms Interact professionally with fellow healthcare workers Demonstrate sonographer-patient relationships and interactions utilizing Departmental Protocol Complete patient scheduling for examinations Assign room and equipment for examinations Translate instructions to patients concerning procedures Instruct patient concerning procedure Utilize patient history Perform exam utilizing departmental protocols Explain anatomical structures required for examination completion Identify psychological support for patient comfort Perform gynecological scanning procedures Distinguish gynecological pathology from normal gynecological anatomy Perform positioning and scanning procedures for the female pelvis Apply patient history and laboratory results to final test results Perform gynecological examinations utilizing departmental protocol Complete examinations in detail with justification of techniques, methods, and procedures Identify normal anatomy and gross pathology of the pelvis DMS (CCC) PROGRAM HANDBOOK 66 Perform obstetrical scanning procedures Define informed consent Discuss elements of the informed consent process Discuss effective communication and guidelines for communicating with persons with disabilities Discuss barriers to effective communication Discuss forms of non-verbal communication Discuss inter-professional communication Discuss safety considerations and recommendations pertaining to patient care Perform abdominal scanning procedures Execute positioning and scanning procedures for the gallbladder and biliary tract Execute positioning and scanning procedures for the liver Execute positioning and scanning procedures for the prevertebral vessels Execute positioning and scanning procedures for the kidneys Execute positioning and scanning procedures for the adrenal glands Execute positioning and scanning procedures for the pancreas Execute positioning and scanning procedures for the gastrointestinal tract Apply patient history and laboratory results to the final exam summary. Execute abdominal examinations according to departmental protocol Complete examinations justifying techniques, methods, and procedures Identify normal anatomy and gross pathology of the abdomen on sonograms Utilize Doppler techniques when indicated Perform scanning procedures of superficial structures Complete documentation for examination of superficial structures Utilize Doppler techniques Apply history and laboratory results to exam summary Execute positioning and scanning procedures for the thyroid Execute positioning and scanning procedures for the parathyroid glands Execute positioning and scanning procedures for the abdominal wall Execute positioning and scanning procedures for the testicle DMS (CCC) PROGRAM HANDBOOK 67 Perform scanning procedures of the vascular system Choose correct transducer type and frequency Explain Doppler ultrasound principles, spectral analysis, and color-flow imaging Explain anatomy, physiology, pathology, and pathophysiology relevant to the vascular system Perform sonographic examinations of the vascular system Differentiate normal from abnormal sonographic patterns of the vascular system Execute measurements from sonographic images and data Perform scanning procedures of the breast Choose correct transducer type and frequency Apply Doppler ultrasound principles, spectral analysis, and color-flow imaging Explain anatomy, physiology, pathology, and pathophysiology relevant to the breast Perform sonographic examinations of the breast Differentiate normal from abnormal sonographic patterns of the breast Execute measurements from sonographic images and data DMS (CCC) PROGRAM HANDBOOK 68 CLINICAL AFFILIATION RULES 1. The Program reserves the right to search and seize any article in a student’s possession when probable cause exists. The clinical center reserves the right to refuse admission to any student who is involved in any activity not considered professional or conducive to patient care. Failure to abide by these rules will result in dismissal from the clinical site and possibly the DMS Program. 2. Students are subject to all rules, regulations and policies of the clinical education centers. 3. All student’s academic and clinical records are considered confidential. No records are released except by written permission of the student. Records may be reviewed by the student at any time. 4. All patients with whom the student comes into contact will be treated with respect, dignity, and with careful attention given to patient modesty. Treat every patient as if you were the patient being treated. 5. All hospital and patient records are confidential in nature. Students are expected to maintain confidentiality in a professional manner. 6. Unless otherwise instructed, any student who begins or assists in the beginning of a scanning session, must complete the scan before leaving the clinical center. 7. Each student will be expected to perform non-technical duties (i.e., patient transporting, etc.) as scheduled by the clinical instructor. Each student is to assist in maintaining a clean department by helping to keep the scanning room to which he/she is assigned orderly and properly supplied. 8. A STUDENT MUST NEVER LEAVE A PATIENT UNATTENDED. 9. A student must receive permission from the Program Manager or Clinical Coordinator to leave a clinical assignment. 10. Students will, at all times, present themselves as professionals in the clinical education centers. 11. Students will, at all times, be aware of body and oral hygiene and will report to the clinical education centers with clean shoes, hair, and uniforms. 12. Students are to clearly identify themselves as a student Sonographer to all patients and staff before having any direct patient contact, thereby giving the patient the opportunity to refuse contact by a student. Patients have the risk-free right to refuse to participate in clinical education. After introduction, student Sonographers are required to ask patient for consent to scan. In addition to the previous rules, students are reminded of the following: Students will report to clinical in an alert condition. Students will not possess liquor or illegal drugs, nor engage in their use while in clinical. Do not sleep during clinical assignments. DMS (CCC) PROGRAM HANDBOOK 69 Do not engage in theft of any articles from the clinical affiliate. Students found guilty of theft will be dismissed from the Program. Do no engage in immoral conduct while in clinical. Do not smoke in areas where it is prohibited. Do not chew gum while in clinical. Do not eat in areas that are not specified for that purpose. Do not use the affiliate’s telephone for personal use. Do not refuse to accept clinically related assignments from the Clinical Coordinator or Clinical Instructor(s). Do not remove attendance or other records from their designated area. Do not accept any type of gratuity or “tip” from a patient or a patient’s family. Do not use language or manners unbecoming of a professional. Do not falsify attendance records. This will be considered cause for dismissal Adhere to appropriate guidelines as published by the college for initiation of grievances concerning any aspect of clinical or didactic coursework. Students subject to random drug test as required by affiliates will be at the student’s expense. Those that test positive will be suspended from the Program until they can prove they are not taking illegal drugs. Students will not bring firearms/weapons into class/clinical. Report all accidents and incidents, no matter how small, to the clinic/department supervisor. Get help immediately if a patient injures themselves. Professional Behavior is expected: You are expected to follow all instructions of the duly assigned supervisor or his/her substitute. Any use of vile or abusive language or acting in a disrespectful manner to any employee, patient, doctor, or visitor will not be tolerated. This constitutes grounds for dismissal. Good attendance and prompt arrival is an absolute necessity. Failure will constitute a reduction in grade and counselling. Students are expected to remain in their assigned area unless otherwise instructed by clinical supervisor. When leaving for any reason, students must notify their clinical instructor so they will know where you are at all times. All hospital care should be patient centered. o Never destroy a patient’s confidence in his/her doctor despite any feelings you personally might have. o Patients should never be left unsupervised on stretchers or on the table. o Unnecessary or loud talking in rooms or halls is disrespectful to the patient. o Any information the patient confides in you should be kept to yourself. Always have a friendly, optimistic attitude toward the patient. DMS (CCC) PROGRAM HANDBOOK 70 o All information regarding patients and pertinent hospital records is highly confidential and must not be discussed outside your area or in public places within the clinical facility (i.e. cafeteria, elevators, and restrooms). This includes family members. In the event a student performs unprofessionally and/or unethically while in the clinical center, the following guidelines will be used. If the action would not be tolerated by a regular employee: o The clinical instructor shall send the student home after informing the student of the reason for their dismissal and program officials contacted. o The clinical instructor shall write a brief description of the incident and send it DMS program officials within 24 hours. This incident will be placed in the student’s file. o The students will not be allowed to return to the clinical affiliate until the clinical instructor has been notified by program officials that the student has discussed the incident with program officials. o The student may write his/her version of the incident to be placed on file. o The student will make up all missed time at affiliation site determined by the program. The incident may or may not affect the student’s grade or status in the program. (See student appeals process) DMS (CCC) PROGRAM HANDBOOK 71 CLINICAL ATTENDANCE POLICY Due to the importance and the nature of the clinical educational experience, student Diagnostic Medical Sonographers must attend all scheduled clinical assignments as scheduled according to the following guidelines: 1. The number of hours for clinical assignments are based on eight hours per day. Variations in these hours must be approved by the Clinical Coordinator. 2. Students will be assigned a luncheon period which they are required to take. The time and length of the luncheon break will coincide with the practice of the clinical site. 3. Employment cannot substitute for clinical education. A student will not receive any wage, salary, etc. from a clinical education affiliate for any clinical education hours used to satisfy the clinical education requirement of the Program. 4. Attendance will be recorded and monitored by the clinical instructors and program faculty. It is your responsibility to enter your arrival and departure time on the form and have your supervising Sonographer initial the form. The attendance form must also have the clinical instructor’s signature prior to turning in your attendance form. If you are unable to attend clinical, you must notify both the Clinical Coordinator and your clinical instructor. 5. Emails or call-ins are the only recognized method of notification. You are responsible for making sure your time sheets are turned in to the Clinical Coordinator. 6. Students are not permitted to attend clinical at times other than scheduled. A student may NOT elect to attend clinical for an afternoon/night rotation instead of a scheduled day shift (or vice versa) unless you have prior approval by the Clinical Coordinator. 7. You are expected to attend every day you are scheduled. Any days missed will be made up in a timely manner. 8. The final course grade is directly affected by excessive absenteeism. 9. If a student is absent from clinical, they must call or email their Clinical Instructor or designated department supervisor at least 15 minutes prior to the beginning of their clinical day. A call must also be made to the appropriate DMS Program faculty. 10. As professionals you are expected to be at your clinical assignment on time. Tardiness will not be tolerated. Program officials understand that occasional situations occur that cannot be foreseen or helped. Your time sheet will document days tardy. 11. All make-up time must be approved by the Clinical Coordinator. This is done via email. You will submit your days, times etc. that your makeup will be done and this information will be forwarded to the clinical instructor. DMS (CCC) PROGRAM HANDBOOK 72 CLINICAL VIOLATIONS In the event of unsatisfactory clinical performance, the student’s clinical grade will be lowered. Clinical violations will be documented by the Clinical Instructor (s), Clinical Coordinator, Director of Clinical Education or the Program Manager. The total grade deduction will depend upon the seriousness and frequency of the infraction. Situations resulting in a grade reduction include but are not limited to: 1. Leaving clinic without permission 2. Violation of dress code 3. Not following professional standards or clinical affiliation rules and regulations 4. Failure to finish a treatment session (i.e., release of patient, complete paperwork, etc.) 5. Attendance violations (see clinical attendance policy) 6. Inconsistent performance in the clinical setting 7. Performing a scan without appropriate supervision 8. Not reporting situation that may jeopardize clinical and/or affiliation agreement NOTE: This is only a partial list. Violations may be given at the discretion of Program Officials. DMS (CCC) PROGRAM HANDBOOK 73 GUIDELINES FOR CLINICAL EDUCATION SITES, CENTER COORDINATORS OF CLINICAL EDUCATION, AND CLINICAL INSTRUCTORS Clinical Education Sites 1. The philosophy of the clinical education site and provider of Diagnostic Medical Sonography for patient/client care and clinical education is compatible with that of the academic program. 2. Clinical education experiences for students are planned to meet specific objectives of the academic program, the provider of Diagnostic Medical Sonography, and the individual student. 3. Diagnostic Medical Sonography personnel provide services in an ethical and legal manner. 4. The clinical education site is committed to the principle of equal opportunity and affirmative action as required by federal legislation. 5. The clinical education site demonstrates administrative support of Diagnostic Medical Sonography clinical education. 6. The clinical education site has a variety of learning experiences available to students. 7. The clinical education site provides an active, stimulating environment appropriate to the learning needs of students. 8. Selected support services are available to students. 9. Roles and responsibilities of Diagnostic Medical Sonography personnel are clearly defined. 10. The Diagnostic Medical Sonography personnel are adequate in number to provide an educational program for students. 11. A center coordinator of clinical education is selected based on specific criteria. 12. Diagnostic Medical Sonography clinical instructors are selected based on specific criteria. 13. Special expertise of the clinical education site personnel is available to students. 14. The clinical education site encourages clinical educator training and development. 15. The clinical education site supports active career development for personnel. 16. Diagnostic Medical Sonography personnel are active in professional activities. DMS (CCC) PROGRAM HANDBOOK 74 Designated Instructor of Clinical Education 1. The Designated Instructor of clinical education has specific qualifications and is responsible for coordinating the assignments and activities of students at the clinical education site. 2. The Designated Instructor of clinical education demonstrates effective communication and interpersonal skills. 6. The Designated Instructor of clinical education demonstrates effective instructional skills. 7. The Designated Instructor of clinical education demonstrates effective supervisory skills. 8. The Designated Instructor of clinical education demonstrates effective performance evaluation skills. 9. The Designated Instructor of clinical education demonstrates effective administrative and managerial skills. Clinical Instructors 1. The clinical instructor (CI) demonstrates clinical competence, and legal and ethical behavior that meets or exceeds the expectations of members of the profession of Diagnostic Medical Sonography. 2. The clinical instructor demonstrates effective communication skills. 3. The clinical instructor demonstrates effective behavior, conduct, and skill in interpersonal relationships. 4. The clinical instructor demonstrates effective instructional skills. 5. The clinical instructor demonstrates effective supervisory skills. 6. The clinical instructor demonstrates performance evaluation skills. EFSC Program Expectations for Clinical Instructors 1. 2. 3. 4. 5. Minimum of 2 years’ experience in the field Knowledge of DMS Program handbook and curriculum Understand of the use of the Clinical Performance Instrument The desire to teach futures Diagnostic Medical Sonography Students Communicates with the Program Manager and Clinical Coordinator with questions and concerns regarding a student’s clinical experience DMS (CCC) PROGRAM HANDBOOK 75 CLINICAL PRACTICUM ASSIGNMENTS Weekly Communication Logs Weekly communication logs are to be completed by the student and clinical instructor at the completion of each week and submitted to the course instructor no later than Sunday at midnight. Attendance Logs Attendance logs will be completed by the student and clinical instructor and will be submitted to the course instructor no later than one week following the last day of clinical rotation. Case Study Presentation Case study presentations will be presented and graded throughout the program. The purpose of this presentation is for students to evaluate their plan of care on a given patient they scanned during any clinical affiliation. The presentation should include a personal history, initial evaluation by a supervising Sonographer, course treatment (if pertinent). Evidence-based practice should be used throughout the presentation citing resources as necessary. Student Site Evaluation Form Upon completion each clinical rotation, students will be responsible for completing a DMS Student Site Evaluation Form. This form is critical in improving the success of future clinical placements. Clinical Coordinator Site Visits The Clinical Coordinator will attend each clinical site where a student is placed during each rotation. Onsite visits other than this can be requested by clinical faculty and/or student. During this visit, the Clinical Coordinator will meet with the student and DMS (CCC) PROGRAM HANDBOOK 76 clinical instructor to discuss the student’s progress thus far, including strengths and weaknesses, and areas in which the student needs to improve. CLINICAL PERFORMANCE INSTRUMENT/Clinical Evaluations The DMS program has developed a Clinical Performance Instrument to be used as a standardized assessment to assess a student’s performance while undergoing a clinical rotation. The Instrument is available both in a paper and on-line format to improve the accessibility and efficiency of student outcomes in clinical education. The DMS Clinical Evaluation Instrument consists of performance criteria for each sonography competency that the program has identified as an objective goal for a given student at a given site. Each performance criteria includes a list of essential skills, a section for mid-term and final comments, a rating scale, a significant concerns box for both mid-term and final evaluations, and a summative comments box. Please note, if the significant concerns box is checked, written comments are required. Comments are encouraged to provide students with feedback for growth. Overall evaluation of the student should be based on repeated performance. Following completion of Clinical Practicum I, students will be expected to be rated at advanced beginner with the exception of the red flag items in which a minimal expected score is intermediate. Following completion of Clinical Practicum II, students will be expected to be rated at intermediate with the exception of the red flag items in which a minimal expected score is advanced intermediate. Following completion of Clinical Practicum III, students will be expected to be rated at entry level for all criteria. Red flag items include: safety, clinical behaviors, accountability, communication, and clinical problem solving. . DMS (CCC) PROGRAM HANDBOOK 77