Course Outline and Syllabus
Course Title:
RAD 203 Clinical Education II
Clock Hours:
220 Clinical Hours
Quarter Units:
7 Quarter Credits
Prerequisite:
Successful completion of RAD 104 Clinical Education I
Instructor:
Michelle Henderson (510) 231-5040 and Audrey Lee (510) 231-5084
Office Hours:
Confirm office hours with instructor and by appointment
Contact Info:
Office: As noted above
Course Description
The purpose of this course is to further introduce the student to procedures performed in Radiography, and to provide the
student with greater opportunities to gain practical experience. During this second quarter of clinical education, the student is
expected to develop the competency to perform simple clinical procedures with progressively less assistance. Specific
rotation objectives may be noted from the attached lists. Emphasis continues to be given to the development of professional
responsibility and the practice of total patient care and radiation safety practices. This course is delivered as a continuing
clinical practicum in a medical-imaging department of an affiliated clinical training center and builds on previously acquired
skills.
Course Approach
1. Through assigned rotations, students will observe, assist, and ultimately perform standard Radiography
procedures under the direct supervision of a qualified professional.
2. Clinical site visits will be conducted to reinforce and bridge principles and concepts learned in the classroom
setting to that of the clinical setting. (Refer to the “Site Visit Schedule” in Section Two of the clinical logbook for
the specific date).
3. The Clinical Log Book will be used to facilitate learning, and promote better communication between KPSAHS
faculty and clinical site personnel. Students are required to update and maintain the clinical logbook daily.
Clinical logbooks MUST be with the student at the clinical setting at all times.
Course Objectives
This course is designed to allow the student to become proficient in all Radiography clinical procedures. These objectives
are stated as Proficiency Objectives under the Learning Outcomes as detailed below. This course is delivered as a clinical
practicum in a medical-imaging department of an affiliated clinical training center.
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Learning Outcomes
The student will perform all previously achieved objectives/competencies in the radiography department. In addition, by the
end of the second quarter, the student will demonstrate to the satisfaction of the clinical preceptor or program instructor that
the student is able to:
1. Communicate with patients and clinical staff.
2. Consistently wear their personal radiation dosimeter while on duty at clinical site and exchange at monthly
intervals.
3. Consistently verify correctness of patient image identification (ID and laterality) indicating patient and site specific
information.
4. Determine patient’s identity by using at least two methods of patient identification.
5. Consistently question female patients of childbearing age about menstrual cycle and/or possible pregnancy to alert
physician.
6. Give patient appropriate instructions regarding radiographic procedures.
7. Use proper radiopaque markers.
8. Demonstrate awareness to patient needs.
9. Consistently demonstrate use of proper radiation protection practices.
10. Remove all unnecessary persons from area prior to taking radiograph to reduce exposure to radiation.
11. Follow site-specific standard precaution protocols when in contact with all patients to include
cleaning/disinfection/sterilization techniques to clean equipment following contact with body fluids. Dispose of
single-use equipment appropriately following all procedures.
12. Prepare radiographic exam room for next use including replacing clean linen on table and organizing work area.
13. Follow site protocols for image processing.
14. Discuss imaging workflow.
15. Performs imaging tasks under direct / indirect supervision including, but not limited to positioning of the patient,
adjustment of the radiographic table, radiographic and/or fluoroscopic equipment, and image receptor to produce
desired radiographic views.
16. Demonstrate knowledge of KPSAHS and clinical site policies and procedures.
17. Follow instructions given by clinical coordinators, clinical preceptors, technologists, physicians, and other hospital /
clinical personnel.
18. From the master competency list, complete at seven Clinical Competency Evaluations with a minimum of 80%
accuracy from quarter two.
19. Keep accurate records of attendance, procedures observed/performed, goals, and compliance forms.
20. Complete two image critiques with an average of 80% accuracy.
Evaluation System
The student’s final course grade will be a composite of all clinical forms/evaluations for a total of 100 points as follows:
(7) Completed Clinical Competency Evaluations
(2) Instructor Evaluations
(2) Film Critiques--Written & Oral
(2) Clinical Instructor Evaluations
40 points
20 points
10 points
30 points
100 points
Note: This is a “Pass,” “Fail” course. A grade of 70% or higher must be achieved in order to “Pass”
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Competency Exams:
During each term, the student is responsible for choosing procedures to demonstrate competency. These procedures are
based on the competency requirements and time frames developed by the ARRT and JRCERT. The student is expected to
complete a predetermined number of competency exams each quarter. A passing score is considered a grade of 80%. If
the student does not obtain the designated number of competency exams in any given term, s/he will earn a zero (0) for
each examination not completed.
For each competency attempt, the student will ask the preceptor/designee to observe performance of a competency prior to
the exam. The preceptor/designee will observe and score the student as per the scoring rubric with the competency form. If
the preceptor terminates an exam prior to completion (generally due to the well-being of the patient), the student fails that
exam. A score of less than 80% on a competency exam is also considered a failing grade. Once competency has been
demonstrated on a procedure, the student may be asked to perform a similar procedure at anytime thereafter with indirect
supervision. Until a student has proven competency for an exam, the student must be directly supervised by qualified
personnel.
Clinical Coordinators as well as Clinical Preceptors may perform competency exams with students. Students should
address competency concerns to the clinical preceptor or clinical coordinator. Competencies may be revoked at a later time
should the student fail to maintain competency of an exam.
KPSAHS Clinical Grading Policy
KPSAHS clinical courses are graded on a credit (CR) no credit (NC) basis. Students must complete all required course
work with the equivalent of 70% or better. No grade points are recorded and the grade does not affect the student’s GPA.
The NC grade is considered failing and is used in determination of academic probation status.
A student may be assigned an Incomplete “I” grade if s/he meets the following criteria:
1. Absences are due to justifiable reasons or because of an unforeseeable emergency (i.e. surgery, car accidents,
death in family)
2. The student MUST have completed a minimum of 80% of the competencies required for the clinical course.
3. The student MUST have the permission of both their Clinical Coordinator and their Program Director to complete
the unfinished portion of the course during the next quarter. ALL reasons for non-completion of required materials,
including medical and/or personal problems are subject to approval by both the Clinical Coordinator and the
Program Director.
KPSAHS Clinical Policies
Dosimetry and ID Badges
Students are provided radiation monitoring badges by the Radiography Program. These monitoring devices are exchanged
every month and are reviewed and initialed by the program’s Clinical Coordinator or Program Director and the student. The
Medical Director of KPSAHS discusses all readings identified as exceeding normal limits with the student. All discussions
will be documented in the student’s academic file. The Clinical Coordinators are responsible for the monthly collection and
distribution of film badges. Badges will be collected and distributed during the first didactic class of the month.
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Students are required to wear their KPSAHS student ID badges and radiation monitoring badges in the clinical setting at all
times. Should one be lost/misplaced, the student is required to replace lost badge immediately and will not be allowed to
attend clinic until the correction is made. KPSAHS shall be notified immediately. All missed clinical hours are required to
be made up during interquarter break.
Professional Appearance
The image a student presents to patients has a direct impact on how the student is perceived. If the student’s appearance is
unacceptable, students will be asked to leave clinic to correct the problem and time missed will be deducted from their
clinical hours. Students should present a professional image. A neat, well-groomed appearance is important and promotes
confidence in the quality of care. Therefore, students must dress appropriate to the job, suitable for the professional
situation, and not interfering with job performance. Apparel must be well maintained, clean, and consistent with health and
safety guidelines for the department and the Medical Center. Good hygiene is to be maintained at all times. Any medical
restrictions will be considered by Administration for possible accommodation.
Make-up, jewelry and perfume/cologne should be minimal and unobtrusive; long hair must be up off the collar or pulled
back. Facial jewelry (other than earrings) is unacceptable. Gum chewing is unacceptable. Students must wear the
KPSAHS student ID badge and the radiation monitoring badge at all times. Students are required to have school-provided
scrubs. Medical Centers and clinical education affiliates reserve the right to establish personal appearance requirements for
individual work areas. In all circumstances, the specific personal appearance requirements of the clinical education site
supercede the KPSAHS professional appearance expectations.
If a student dresses inappropriately and does not appear professional or does not adhere to the KPSAHS, Medical Center,
or Department specific standards or guidelines, the Clinical Preceptor or Clinical Coordinator will send the student home and
require the student to return to work properly attired. Any clinical time missed must be made up. In the event a trip home is
necessary, the student will also be counted tardy for that day.
Clinical Hours and Attendance Policy
Students must complete all clinical education hours stipulated for the Program. Clinical education is scheduled for a specific
number of hours per week depending on the program of enrollment. The accrediting bodies of all programs do not permit
students to perform more than a total of 40 hours per week in any combination of clinical and didactic activities.
Students must complete all Program clinical education hours stipulated for each quarter. Clinical absences for each quarter
must be made-up during the inter-quarter break immediately following the quarter in which the absences occurred. Students
will be prohibited from participating in the next didactic quarter until all clinical absences are made up. Any student who fails
to meet the requirements of their clinical assignment will face disciplinary action up to and including dismissal from the
clinical site and termination from the program.
Definitions: The following definitions are for clarification purposes. Students must meet the 15 minute timeline for reporting
tardiness, illness, absence.
Clinical Tardy: The student arrives one (1) hour or less past the designated starting time.
Clinical Absence: The student does not arrive or is not ready to begin clinical education requirements more than
one (1) hour past the designated starting time.
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Clinical Absence / Clinical Tardy Notification
Students must notify both their clinical preceptor and program clinical coordinator no later than 15 minutes after scheduled
start time in case of tardiness, illness or absence. Failure to notify both the Clinical Preceptor and Educator/Clinical
Coordinator by the identified timeframe is considered an unexcused absence. Unexcused absences, excessive clinical
absences or patterns of attendance abuse will lead to progressive disciplinary action up to and including termination from
the program.
Clinical Tardiness
Clinical time missed as a result of tardiness must be made up at the end of the assigned shift the same day. All tardiness
will be recorded. Three (3) tardies within one quarter for all medical imaging programs will result in the deduction of 5
points from the final clinical grade and corrective disciplinary action. Excessive tardiness is unacceptable behavior and
affects ones clinical performance.
Clinical Absence
Two (2) days of clinical absences are allowed each quarter without a reduction in clinical grade points. For each clinical day
missed after the 2-day allowance, 5 points per absence will be subtracted from the final clinical course grade. A physicians’
excuse will remove the point loss.
Students may miss a maximum of 6 days per quarter. If a student exceeds 6 days of absence during the quarter he/she will
receive an “Incomplete” for the clinical course. To meet the graduation requirements of the KPSAHS, the student must
repeat the course after the completion of the last quarter of the program.
ALL missed clinical hours must be made-up during the inter-quarter break period following the quarter in which they were
accrued. Missed clinical hours must be made up in full eight (8) hour days. If the number of hours is less than 8 hours, all
missed hours must be made up in one day.
If extenuating circumstances occur, (for example: surgery, car accidents, death in a family) the instructor may make
arrangements on an individual basis. Advance notification, whenever possible, should be made to the Program Director,
Program Instructor, and Clinical Instructor.
If you are unable to report to your assigned clinical site, contact the Clinical Instructor or Supervisor and call the school
attendance line at (510) 231 – 5040.
Clinical Attendance Make-up Agreements
It is the responsibility of the student to notify both KPSAHS and the clinical site in the event of an absence. Students are to
call the appropriate attendance line PRIOR to the start time of their shift. On return, the students are to work with their
preceptor and complete a make-up agreement. Clinical Attendance Make-Up agreements are required to be completed for
ALL clinical absences. Clinical Attendance Make-up Agreements will require the verification signature from the clinical
preceptor and the student’s Educator/Clinical Coordinator. This agreement MUST be faxed to KPSAHS no later than 7
calendar days after their return. Five points will be deducted if KPSAHS does not receive the makeup agreement in the
specified time frame. Should the absence take place on a site visit day, the student is responsible for contacting the Clinical
Coordinator to make up the site visit.
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The Program Director will sign the "Clinical Attendance Make-up Agreement" form upon completion and prior to assigning a
letter grade to the student for the Clinical Experience course. The student will be given an “Incomplete” for the clinical
quarter until completion of make-up time. Students will not be allowed to continue in the program unless Clinical Make-Up
Agreement is fulfilled. Once completed, the agreement will become a part of the student’s permanent file.
Repeating a Clinical Class
1. The student must repeat the entire class. Any clinical hours previously completed are not counted toward meeting
the requirements of the course being repeated.
2. The student must begin repeating the course after the completion of the final quarter of their program.
3. The student may begin repeating the course only if clinical space is available. The student may perform make up
time at another clinical site if required.
4. Prior to the start of make-up time, the student and their clinical coordinator will develop an educational plan.
5. The student must adhere to all clinical policies (absence, tardy, etc.) and complete all required forms as stated in
the clinical make up policy in the student handbook.
Clinical Logbooks
Students are responsible for maintaining a current and orderly logbook. All forms are to be completed on a daily basis. If the
student does not maintain a current logbook, the student will be penalized 5 points per infraction on their Clinical Grade
Calculation Sheet during their site visits. Infractions include (but are not limited to) an incomplete attendance log, lack of a
make-up agreement in the event of an absence, an incomplete daily procedures record, an outdated dosimetry report,
incomplete self-assessments, and lack of preceptor evaluations. At the discretion of the Clinical Coordinator, the student
may be released from his/her clinical site until the logbook has been organized and brought up to date. Make-up visits may
be arranged at a later date.
Once the logbooks are turned in, infractions include (but not limited to) unsigned (student and preceptor) attendance and
quarter procedure records, outdated dosimetry reports, and lack of preceptor evaluations. Again, students will be penalized
5 points per infraction.
Logbooks are due at the beginning of the student’s first final exam.
Refer to the “Evaluations/Forms Checklist” at the end of Section 1 for a listing of forms and due dates.
Failure to turn in the completed logbook by ______________________ will result in a grade deduction of 10 points
for Clinical Experience II.
*** NO EXCEPTIONS***
Use of cell phones, PDA’s, Blackberry’s, PSPs, tablets, or other electronic devices during clinical hours is
prohibited. Students found to be in possession of and/or using such devices during clinical time will be asked
to leave the clinical site and this will count as a missed clinical day.
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