Date approved or revised 08/20/14 Angelina College Health Careers Division RADR 1260 – Clinical – Radiologic Technology/Science-Radiography Instructional Syllabus I. BASIC COURSE INFORMATION A. Course Description: RADR 1260. Clinical – Radiologic Technology/Science-Radiographer. Two hour credit. A health-related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional. One hundred thirty-two clinical hours. Prerequisites: RADR 1202 and 1203. Lab fee. Program acceptance required. B. Intended Audience: Fall semester. Freshman accepted in the program. C. Instructors: Conner, Autumn Donahoe, Steve Geist, Bridgett Lee, John Lumbley, Susan Wilcox, Angie HCII 222B HCII 121B HCII 129 HCII 121A HCII 129 HCII 128 936 633-5422 936 633-5414 936 633-5415 936 633-5411 936 633-5267 936 633-5413 aconner@angelina.edu sdonahoe@angelina.edu bgeist@angelina.edu jlee@angelina.edu N/A awilcox@angelina.edu II. INTENDED STUDENT OUTCOMES: A. Core Objectives – (Basic Intellectual Competencies-Tentative) 1. Critical Thinking Skills: Includes creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information. 2. Communication Skills: Includes effective development, interpretation and expression of ideas through written, oral, and visual communication. 3. Empirical and Quantitative Skills: Includes the manipulation and analysis of numerical data or observable facts resulting in informed conclusions. 4. Teamwork: Includes the ability to consider different points of view and to work effectively with others to support a shared purpose or goal. 5. Personal Responsibility: Includes the ability to connect choices, actions, and consequences to ethical decision making. 6. Social Responsibility: Includes intercultural competence, knowledge, and civic responsibility, and the ability to engage in regional, national, and global communities. Students are encouraged to review the following information in Blackboard: Critical Thinking—Supplemental Unit for Critical Thinking 1.1 B. Course Learning Outcomes for all Sections— As outlined in the learning plan, the student will apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry. Upon completion of this course, the Radiologic Technology student will be able to demonstrate competency in the following: The student will be able to successfully demonstrate competency in Chest Radiography (Routine CXR) or Abdominal 1vw. Radiography. The student will be able to successfully demonstrate competency in checking a patient’s vital signs (Temperature, Blood Pressure, Pulse, and Respiration) and oxygen administration. The student will become certified in CPR and AED use before clinical participation. 5/9/2011 Position and align anatomical structure and equipment. Evaluate radiographic images for proper demonstration of anatomy. The student will maintain a professional demeanor and work ethic within the clinical setting. The student will demonstrate competency in routine transport of patients with medical equipment (IV poles, O2 bottles, and/or UA catheter). The student will successfully demonstrate competency in the transfer of a patient to and from a radiographic table utilizing wheelchair or stretcher. The student will demonstrate competency in selecting/inputting patient data and processing patient data (select patient data, input exam data, and process IR). Additionally, upon completion of this course, the Radiologic Technology student will be able to: Exercise the priorities required in daily clinical practice. Execute medical imaging procedures under the appropriate level of supervision. Adhere to team practice concepts that focus on organizational theories, roles of team members and conflict resolution. Adapt to changes and varying clinical situations. Describe the role of health care team members in responding/reacting to a local or national emergency. Provide patient-centered, clinically effective care for all patients regardless of age, gender, disability, special needs, ethnicity or culture. Integrate the use of appropriate and effective written, oral and nonverbal communication with patients, the public and members of the health care team in the clinical setting. Integrate appropriate personal and professional values into clinical practice. Recognize the influence of professional values on patient care. Explain how a person’s cultural beliefs toward illness and health affect his or her health status. Use patient and family education strategies appropriate to the comprehension level of the patient/family. Provide desired psychosocial support to the patient and family. Demonstrate competent assessment skills through effective management of the patient’s physical and mental status. Respond appropriately to medical emergencies. Examine demographic factors that influence patient compliance with medical care. Adapt procedures to meet age-specific, disease-specific and cultural needs of patients. Assess the patient and record clinical history. Demonstrate basic life support procedures. Use appropriate charting methods. Recognize life-threatening electrocardiogram (ECG) tracing. Apply standard and transmission-based precautions. Apply the appropriate medical asepsis and sterile technique. Demonstrate competency in the principles of radiation protection standards. Apply the principles of total quality management. Report equipment malfunctions. Examine procedure orders for accuracy and make corrective actions when applicable. Demonstrate safe, ethical and legal practices. Integrate the radiographer’s practice standards into clinical practice setting. Maintain patient confidentiality standards and meet HIPAA requirements. Demonstrate the principles of transferring, positioning and immobilizing patients. Comply with departmental and institutional response to emergencies, disasters and accidents. Differentiate between emergency and non-emergency procedures. 5/9/2011 Adhere to national, institutional and departmental standards, policies and procedures regarding care of patients, providing radiologic procedures and reducing medical errors. Select technical factors to produce quality diagnostic images with the lowest radiation exposure possible. Critique images for appropriate anatomy, image quality and patient identification. Determine corrective measures to improve inadequate images. III. ASSESSMENT MEASURES: A. Assessments for the Core Objectives: 1. Critical Thinking Skills – N/A 2. Communication Skills – N/A 3. Empirical and Quantitative Skills – N/A 4. Teamwork– N/A 5. Personal Responsibility – N/A 6. Social Responsibility – N/A B. Assessments for Course Learning Outcomes – Assessment is done continuously throughout the semester through the combined efforts of the faculty and clinical staff. Assessment will be documented for each student using the following program forms: ACRT Form #21, ACRT Form #23, ACRT Form #22, and ACRT Form #15. The clinical evaluation will be recorded on ACRT Form #26. C. Assessments for the Course Objectives for all sections – SCANS Skills Assessments Foundation Skills Required reading and writing assignments Interpreting patient records Oral presentations/discussions Critical thinking situations Applying mathematical calculations in selection of technical factors. Demonstrated clinical competency Workplace Competencies Reducing radiographic repeat rate Written patient histories Communication / collaboration with patients, physicians, staff, peers and instructor Maintain supply storage and radiographic room readiness Applying time management in exam performance BLS (Basic Life Support) Computer Usage IV. INSTRUCTIONAL PROCEDURES: A. Methodologies common to all sections One or more of the following methods will be employed: Discussion Individualized Instruction (as needed) Performance Observation Programmed instruction B. Methodologies determined by the instructorClinical: Required number of Clinical Competencies (7) and one Clinical Instructor Evaluation. Methodologies utilized in this course include familiarization with examinations, procedures, image evaluation and equipment which will occur through explanation, observation, demonstration, guided practice and evaluation. Additional methods designed for remediation or enrichment may be individually tailored as needed. V. COURSE REQUIREMENTS AND POLICIES: A. Required Textbooks, Materials, and Equipment – Bontrager, K. ..... Textbook of Radiographic Positioning and Related Anatomy, 8th edition. 5/9/2011 Radiography Faculty,..... Angelina College Radiography Program Handbook Angelina College, .......AC Student Handbook SUPPLEMENTAL REFERENCES Ballenger,Thomas. Merrill's Atlas of Radiographic Positioning and Radiologic Procedures, Vol.I&II COMPUTER ASSISTED INSTRUCTION SOFTWARE AVAILABLE: Corectec's Radiographic Procedures Challenge…………………………………………..Dept Holding Clinical Supervision Students enrolled in this course cannot take the responsibility or place of a qualified staff radiographer in a clinical education setting. Angelina College Radiography Program students are instructed through a competency based clinical education plan. Program clinical operational policies to be implemented by the clinical instructor/preceptor: Until a student achieves the prescribed competency level (documented in Rad. Program Clinical Log book), he/she will carry out assignments under the direct supervision of a qualified radiographer. 1. Direct Supervision: The radiographer evaluates the requisition, the patient’s condition and especially the students’ competency relating to the condition of the patient, observes the student’s work and reviews the radiographs with the student following the procedure. 2. Once the student has achieved documented competencies, he/she may complete assignments under indirect supervision. Indirect Supervision: A qualified radiographer must be in the immediate area or adjacent room to assist the student regardless of the competency level of the student. Under no circumstances should a student be assigned alone to an area. A qualified radiographer should review all radiographs with the student. 3. Repeat Radiographs: Unsatisfactory or unacceptable radiographs may be repeated by a student only in the presence of a qualified radiographer. 4. Clinical Competency Evaluation: After sufficient documented practice, students may request a competency evaluation for a qualifying examination. Competencies are achieved on a pass/fail basis. Students must have completed lecture and lab, must have had the lab practical, and must have documented observations, assists, or performed procedures in their program clinical log book. 5 Acceptance or Denial of Clinical Competency Evaluations: Angelina College Radiography Program faculty reserve the right to accept or deny a student performed clinical competency. All radiographic competencies not graded by an AC radiography program faculty member must be reviewed by the assigned instructor before the competency can be recorded. Those radiographs that are reviewed and found to be substandard or diagnostically deficient (even if passed by the facility) will be denied by the assigned instructor. Students will be informed of this occurrence as soon as possible. Assignments – 1. Students will be given written and/or laboratory assignments throughout the semester which will correlate with the criterion objectives. 2. A written/oral assignment outlining the students’ assigned clinical education settings covering procedures and protocol for chest, abdomen, ribs, sternum, upper and lower extremities, and pelvis. 3. A program clinical examination log book is to be maintained by the student and checked periodically by the assigned clinical instructor. COMPETENCY EVALUATION OF OBJECTIVES (EXAMINATIONS): Clinical - After sufficient practice, students will demonstrate competency in performing selected radiographic examinations relative to the clinical objectives of this course. Evaluation of competency is achieved through the use of ACRT Form #21, Standard of Performance, and ACRT Forms #22 and 5/9/2011 #23, Clinical Grade Sheets. Competency is achieved when the student attains a passing grade as determined from a pass/fail basis. The Clinical Instructor Evaluations (1) will equate as 90% of the course grade. ACRT Forms #22 and #23 (Clinical Competency Grade Sheet), ACRT Form #15, and compliance with the radiography program student handbook will influence the Clinical Instructor Evaluations (ACRT Form #26) regarding overall student performance. B. Course Policies – This course conforms to the policies of Angelina College as stated in the Angelina College Radiography Handbook. 1. Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should see Karen Bowser, Room 208 of the Student Center. At a post-secondary institution, you must self-identify as a person with a disability; Ms. Bowser will assist you with the necessary information to do so. To report any complaints of discrimination related to disability, you should contact Dr. Patricia McKenzie, Administration Building, Room 105 or 936-633-5201. Angelina College admits students without regard for race, color, creed, sex, national origin, age, religion, or disability. Inquiries concerning sex equity, disability or age should be directed to Dr. Patricia McKenzie at (936) 633-5201, Angelina College Administration building, Room A105. Angelina College is a TOBACCO FREE campus, as are most hospital sites. Use of tobacco products is limited to the student’s vehicle. 2. Attendance – Students will follow the attendance policy recorded in the Angelina College Radiography Handbook. According to the A/C Radiology Handbook, students are allowed two absences per clinical semester. Upon the third absence, one letter grade will be deducted from the final course grade. With each subsequent absence, another letter grade will be deducted from the final course grade. NOTE: Three tardies equal one absence. NOTE:**If you are going to be absent from clinical, YOU must call the assigned Clinical Instructor (AC Office #) and assigned Hospital BEFORE 8:00 am. Leave a voice mail!** Additional Policies Established by the Individual Instructor - It is the policy of the instructor that the student be responsible for knowing and understanding the information contained in the AC and Program Student Handbooks. The student is advised to carefully and thoroughly read the handbooks and to review them periodically. Students having any questions regarding rules, requirements, or policies as stated in the handbook should contact their clinical instructor for clarification. All forms of electric and/or digital communication devices and data storage/retrieval devices are prohibited from being in the clinical facilities. This includes, but is not limited to: Cellphones Laptops iPads or similar tablet devices Kindle or similar devices Cameras- digital, analog, or video You are advised to store them in a safe place in your vehicle. Clinical site phone usage is with the instructor or technologist’s permission. If the need arises, information in this course syllabus may be altered by the Instructor. Students will be given adequate notice of any schedule changes. When visiting clinical education settings or hosting a guest speaker, dress appropriately. No shorts, crop 5/9/2011 tops, overalls, or faded jeans. You are representing Angelina College and need to look like a professional. VI. COURSE CONTENT: A. Required Content/ Topics – I Introductions, Course Syllabus, Program Handbook. II Radiographic Equipment Orientation. III Radiographic Image Receptor Orientation. IV Equipment Orientation. V College and Hospital Regulations and Procedures VI Clinical visitation Lufkin and Nacogdoches. Appropriate dress required VII Clinical Simulation of Patient Transport and Transfers. CLASS CALENDAR/ASSIGNMENTS DATE 9/02 RADIOGRAPHIC INSTRUCTION EXAMS Introductions, Course Syllabus, Program Handbook 9/18 Clinical Visitation **Dress appropriately** All Facilities N/A 9/30 Vital Signs Check-Off & Pre Clinical Conference Angelina College Campus N/A 10/02-11/25 Random Radiographic Exams Clinical Practice 11/27 Thanksgiving Holiday No Clinical 12/02 - 12/04 Random Radiographic Exams Clinical Practice 12/09 Post Clinical Conference Written/Oral Clinical Presentation due Program Clinical Log Book is due 12/11 - 12/17 EVALUATION N/A Competency Evaluations Competency Evaluations 8:00 - 2:00 pm On Campus Clinical Evaluation will be done on campus by the assigned instructor . B. Additional Content – Smarthinking uploaded on Blackboard—General Tutoring available for students’ use. VII. EVALUATION AND GRADING: A. Grading Criteria The grading policy for this course is based upon: One Clinical Instructor Evaluation…………………………………………………………………………. 90% Clinical Oral Presentation……………………………………………………………………………………05% Program Clinical Log Book…………………………………………………………………………………..05% TOTAL GRADE……………………………………………………………………………………………..100 % B. Determination of Grade The alphabetic grading policy is as follows: A = 92 - 100, B = 83 - 91, C = 75 - 82, D = 70 - 74, F = 69 & below VIII. SYLLABUS MODIFICATION: The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class in advance as to the changes being made. 5/9/2011