BSc (Hons) Medical Imaging (Diagnostic Radiography) Record of Clinical Competency Student Name: Intake Year: BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency This record of Clinical Competency supplements the Clinical Assessments which are undertaken as part of each placement module and demonstrates the breadth of experience gained during these placements. Successful completion of this record will enable competency to be demonstrated in a range of examinations including general radiography, contrast-enhanced radiography and CT of the head. In addition, this record demonstrates a range of experience in other imaging modalities. Definition of Terms Demo’: Demonstrated i.e. a radiographer has demonstrated this examination to the student whilst giving an explanation of the procedure. Assisted: The student has undertaken this examination, non-modified technique, with direct assistance from a radiographer. Unassisted: The student is capable of performing this examination, unassisted, on an ambulatory patient, where it is not necessary to modify technique. The student must be capable of undertaking all procedures listed here unassisted by the end of the stage one clinical placement. Competent: The student is able to undertake this procedure on any patient, and is capable of modifying technique accordingly with minimal or no intervention from a radiographer. All competencies must be completed by the end of the non-elective component of the stage three clinical placement. Competent 1 and competent 2 require the student to demonstrate the same level of competence. No additional patient difficulty or modification of technique is required for competent 2 as compared to competent 1; however, competent 1 and 2 must not be signed off by the same radiographer and must be completed on different days. Modified Technique refers to any procedure requiring an alteration in approach e.g. due to severe pain, immobility or the pathological condition of the patient. It can also include those patients where different communication skills are required e.g. due to differences in language, sensory impairment etc. Examinations in italics, with a shaded background indicate those examinations where infrequent numbers are undertaken and so it unlikely that competency will be attained, although any experience of these examinations must be recorded where possible. Page 2 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency Student Name Clinical Placement Site PAM 1007: PAM 2006: PAM 3005: Appendicular Supervising Radiographer’s Signature and Date Skeleton Examination Demo’ Assisted Unassisted Competent 1 Competent 2 Upper Limb Shoulder Humerus Elbow Radius & Ulna Wrist Scaphoid Hand Thumb Fingers Lower Limb Single hip Femur Knee Patella Tibia & Fibula Ankle Foot Calcaneum Page 3 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency Axial Skeleton & Contents Examination Supervising Radiographer’s Signature and Date Demo’ Assisted Unassisted Competent 1 Competent 2 Thorax Soft Tissue Neck Sternum Thoracic Inlet Clavicle Chest Ambulant Chest – Non ambulant Abdomen & Pelvis Abdomen / KUB Pelvis Sacro-iliac Joints Pelvis for prosthesis Vertebral Column Cervical Spine Thoracic Spine Lumbar Spine Miscellaneous Skeletal Survey Whole spine (computer stitched) Page 4 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency Mobile Radiography Supervising Radiographer’s signature and date. Examination Demo’ Assisted Unassisted Competent 1 Competent 2 Mobile Chest (not ITU, SCBU or NNU) Chest on ITU Chest / Abdomen on SCBU / NNU Dental Supervising Radiographer’s Signature and Date Examination Demo’ Assisted Unassisted Competent 1 Competent 2 Dental, Skull and Facial Bones Dental – intra-oral Orthopantomogram Supervising Radiographer’s Signature and Date Computed Tomography CT Examination Demo’ Assisted Unassisted Competent 1 Competent 2 Head Chest/abdo/pelvis Contrast Agents Supervising Radiographer’s Signature and Date Examination Demo’ Assisted Unassisted Competent 1 Competent 2 Contrast-enhanced Radiography Intravenous Urography Administration of Iodine Based Contrast Undertaken in CT, IVU or venogram sessions.. Preparation of contrast & patient, aftercare etc Page 5 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency Paediatric Radiography Minimum number required = 20 At least 5 different types of examination must be documented. Only those examinations undertaken unassisted can be recorded. No dentals of OPT’s. Examination (Type) Patient Age (max age 10) Clinical Indications Supervising Radiographer’s Signature & Date 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Page 6 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency Skull, Facial Bones and Orbits. 3 assisted 3 unassisted – a variety of examination required. Examination (Type) Clinical Indications Mark as Assisted or Unassisted Supervising Radiographer’s Signature & Date 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Page 7 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency Theatre A minimum of 5 different examination types must be recorded (no more than 5 of any particular type). 10 assisted – 5 in two different planes. 10 unassisted – 5 in two different planes. Examination (Type) Clinical Indications Supervising Radiographer’s Signature & Date Assisted 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Unassisted 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Page 8 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency Contrast examinations of the alimentary tract – Patient care Use of Equipment & Contrast, & Assisting the Radiologist / Advanced Practitioner. At least two different procedures. Examination (Type) Clinical Indications Supervising Radiographer’s Signature & Date 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Page 9 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency The following are examinations where competency is not compulsory. These examinations are recorded to demonstrate breadth of experience. Minimum numbers are required, and a range of procedures MUST be documented. Experience of a range of procedures in angiography, interventional radiography, CT, MRI, Ultrasound and Radionuclide Imaging MUST be demonstrated. Experience of DXA, Mammography and PET will be dependent on the individual sites placements have been undertaken at. OTHER MODALITIES: Angiography / Interventional / Vascular Imaging Minimum number required = 10 Each examination must be a different examination or for a different clinical indication Examination (Type) Clinical Indications Supervising Radiographer’s Signature & Date 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Page 10 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency OTHER MODALITIES: Computed Tomography (excluding CT of the head) 1 of 2 Minimum number required = 25 At least 5 different types of examination must be documented Examination (Type) Clinical Indications Supervising Radiographer’s Signature & Date 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Page 11 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency OTHER MODALITIES: Computed Tomography (excluding CT of the head) 2of 2 Minimum number required = 25 At least 5 different types of examination must be documented Examination (Type) Clinical Indications Supervising Radiographer’s Signature & Date 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. Page 12 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency OTHER MODALITIES: Magnetic Resonance Imaging 1 of 2 Minimum number required = 15 At least 5 different types of examination must be documented Examination (Type) Clinical Indications Supervising Radiographer’s Signature & Date 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Page 13 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency OTHER MODALITIES: Magnetic Resonance Imaging 2of 2 Minimum number required = 15 At least 5 different types of examination must be documented Examination (Type) Clinical Indications Supervising Radiographer’s Signature & Date 21. 22. 23. 24. 25. Page 14 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency OTHER MODALITIES: Ultrasound - Obstetric Minimum number required = 15 To include dating and anomaly scans Examination (Type) Clinical Indications Supervising Radiographer’s Signature & Date 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Page 15 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency OTHER MODALITIES: Ultrasound – General Minimum number required = 15 To include vascular, pelvic and upper abdominal examinations Examination (Type) Clinical Indications Supervising Radiographer’s Signature & Date 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Page 16 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency OTHER MODALITIES: Radionuclide Imaging 1 of 2 Minimum number required = 10 At least 3 different types of examination must be documented Examination (Type) Clinical Indications Supervising Radiographer’s Signature & Date 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Page 17 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency OTHER MODALITIES: Radionuclide Imaging 2of 2 Minimum number required = 15 At least 5 different types of examination must be documented Examination (Type) Clinical Indications Supervising Radiographer’s Signature & Date 21. 22. 23. 24. 25. Page 18 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency OTHER MODALITIES: Miscellaneous ( DXA, Mammography) To be undertaken where availability permits. Examination (Type) Clinical Indications Supervising Radiographer’s Signature & Date 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Page 19 of 20 Revision date: 13 Aug 2013 BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM1007, PAM2006, PAM3005 Clinical Placement - Record of Clinical Competency Record of Assessments Assessment Details of Assessment – i.e. areas of the body examined Supervising Radiographer’s Signature & Date Chest Abdomen Spine Extremity Contrast Skull/Facial Bones Mobile Chest Modified Technique Theatre Room Management CT Head Multiple Area Page 20 of 20 Revision date: 13 Aug 2013