Campus Location:
Wilmington
Effective Date: 2013-51
Course Number and Title:
NMT 296 - Clinical Internship II
Prerequisite:
NMT 295
Co-Requisites:
NMT 202, NMT 211, NMT 223
Course Credits and Hours:
5 Credits
0 Lecture hours/week
25 Lab hours/week
Course Description:
Provides initial training in the field of Nuclear
Medicine Technology by rotating through each
section of the affiliate hospitals. Administration,
clinical procedures, equipment operations, and health
physics will be mastered by supervised hands-on
experience.
Required Text(s):
Obtain current textbook information at
www.dtcc.edu/student-resources/bookstores or
www.dtcc.edu/allschedules or by visiting the
Bookstore. You will need to know the course number
and section to purchase or obtain information.
Additional Materials:
(required)
Uniform, lab coat, goggles and film badges.
Nuclear Medicine Program Policy Manual
Allied Health/Science Department Policy Manual
Method of Instruction:
Face-to-Face
Disclaimer:
No late assignments will be accepted
Core Course Performance Objectives:
1.
Perform under the direct supervision of a certified technologist all in-vivo and invitro nuclear medicine procedures.(CCC-1,3; PGC- 1)
2.
3.
4.
5.
6.
7.
Evaluate, demonstrate and prepare the patient prior to commencing a
procedure.(CCC- 1, 2, 3; PGC- 1, 3, 4, 6)
Apply knowledge of radiation physics, NRC and state regulations in the practice of
radiation safety.(PGC- 1)
Prepare, assay and administer radiopharmaceuticals and pharmaceuticals employing
sterile techniques.(PGC- 1)
Perform all quality control and quality assurance procedures on instrumentation
prior to a patient’s study. (CCC-6; PGC-1)
Achieve competency in designated assigned techniques and computer
analysis.(CCC- 6; PGC- 2, 5)
Develop, conduct, and analyze research data.(CCC- 1, 2, 3, 4, 5, 6; PGC -3, 4)
See Core Curriculum Competencies (CCC) and Program Graduate Competencies (PGC) at
the end of the syllabus. Course objectives are coded to the competency(cies) they develop.
Measurable Performance Objectives:
Upon completion of this course, the student will:
1.
Perform under the direct supervision of a certified technologist all in-vivo and invitro nuclear medicine procedures.
1.1 Differentiate between gross and microscopic anatomy and the relationship
among the cellular, organ and tissue physiology.
1.2 Describe and reference the correct anatomical organs and structures for
procedural positions.
1.3 Identify surface landmarks on the body.
1.4 Correctly position the patient for all exam views to correlate with the initial
suspected pathology.
1.5 Correctly label and develop patient films for each procedure.
1.6 Objectively evaluate each study for technical mistakes, encompassing
additional images and repeat images when necessary.
1.7 Administer the radiopharmaceutical and pharmaceutical to the patient.
1.8 Assemble all patient films, paperwork, and billing for presentation to the
assigned instructor and/or physician.
2.
Evaluate, demonstrate and prepare the patient prior to commencing a procedure.
2.1 Demonstrate the proper methods for moving and handling the patient during a
procedure.
2.2 Demonstrate proper verbal and nonverbal language before, during and after the
patient procedure.
2.3 Determine the following vital signs: temperature, respiration, pulse and blood
pressure and tend to the patient’s progress throughout the procedure.
2.4 Implement emergency procedures when the patient is in distress.
2.5 Prepare each patient for the proper IV technique.
3.
Apply knowledge of radiation physics, NRC and state regulations in the practice of
radiation safety.
3.1 Wear whole-body and thermoluminescence dosimeters at all times in clinical
restricted and non-restricted areas.
3.2 Use appropriate procedural protection techniques to keep radiation exposure to
the patient, public, occupational workers and oneself as low as reasonably
achievable (ALARA).
3.3 Implement all facets of the department’s NRC and state radiation licensing
requirements and/or restrictions that apply to:
a. decontamination and storage
b. disposal of radioactivity
c. records of radioactive use
4.
5.
Prepare, assay and administer radiopharmaceuticals and pharmaceuticals employing
sterile techniques.
4.1 Demonstrate the correct procedure for the elution of a 99Mo/99mTc generator.
4.2 Assay the eluate in the dose calibrator and record results in the proper
radiopharmaceutical log and/or computer.
4.3 Determine the concentration of the eluate and adjust volume to correlate with
daily patient schedule.
4.4 Demonstrate the proper preparation of each required radiopharmaceutical kit.
4.5 Assay each radiopharmaceutical kit and/or unit dose in the dose calibrator.
Perform all quality control and quality assurance procedures on instrumentation prior
to a patient’s study.
5.1 Define and perform uniformity floods, bar phantoms, sensitivity checks, COR,
CHI squares, and FWHM on each scintillation detector.
5.2 Evaluate each quality control result.
5.3 Apply knowledge of NRC and state instrumentation regulations.
6.
Achieve competency in designated assigned techniques and computer analysis.
6.1 Correctly identify the patient.
6.2 Verify the doctor’s orders.
6.3 Paperwork completed and filled out properly.
6.4 Practice time, distance and shielding.
6.5 Assist the patient in all their needs.
6.6 Enter patient’s name and information into the computer.
6.7 Adjust the camera to correctly peak for the procedural isotope.
6.8 Select the correct procedural protocol and enter all pertinent information into
the computer.
6.9 Prepare the patient correctly before beginning the procedure, (empty bladder,
sign consent form, start IV, etc.)
6.10 Inject the patient properly and return radiopharmaceuticals to the hot lab.
6.11 All views are taken correctly for the particular study and patient case.
6.12 Align the camera correctly for each view (body contour, correct SPECT
ellipse, etc.)
6.13 Display images on film/paper correctly.
6.14 Label images correctly for all views and times.
6.15 Correctly file the images in the patient’s chart.
7.
Develop, conduct, and analyze research data.
7.1 Describe methods for evaluating research data.
7.2 Differentiate and apply sensitivity and specificity statistical equations.
7.3 List and discuss factors relating to instrumentation, patient demographics, and
pathologies.
7.4 Conduct supervised research.
7.5 Write an abstract based from research data.
Evaluation Criteria/Policies:
Students will demonstrate proficiency on all Core Course Performance Objectives at least to
the 75 percent level to successfully complete the course. The grade will be determined using
the College Grading System:
92 – 100 =
83 – 91 =
75 – 82 =
0 – 74 =
A
B
C
F
Students should refer to the Student Handbook for information on Academic Standing
Policy, Academic Honesty Policy, Student Rights and Responsibilities, and other policies
relevant to their academic progress.
Core Curriculum Competencies: (The competencies every graduate will develop)
1.
Communicate clearly and effectively both orally and in writing.
2.
Demonstrate effective problem solving and reasoning skills.
3.
Work effectively in groups of people from diverse backgrounds.
4.
Demonstrate ethical and professional understanding and conduct.
5.
Apply appropriate information literacy skills to locate, evaluate and use information
effectively.
6.
Use computer technology appropriate to the field.
7.
Use scientific and mathematical reasoning appropriate to the technology.
Program Graduate Competencies: (The competencies every graduate will develop specific
to his/her major)
1. Integrate principles of theoretical knowledge and demonstrate entry-level skills pertaining
to nuclear medicine in-vivo and in-vitro procedures, radiation safety, quality control,
quality assurance, NRC regulations, patient care, radiopharmaceutical preparation and
administration, instrumentation and medical informatics.
2. Perform all entry-level procedural computer analysis.
3. Exhibit professional behaviors, critical thinking and problem solving skills during the
practice of nuclear medicine.
4. Abide by the profession’ s code of ethics as stated in the American Registry of Radiologic
Technologists(ARRT) and Nuclear Medicine Technology Certification Boards
(NMTCB).
5. Competently perform all in-vivo and in-vitro procedures.
6. Exhibit verbal, nonverbal, and written communication skills during patient care, research,
and professional scope of practice.