BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM2006: Clinical Assessment (Contrast Agent Administration) Student: Assessor: 2nd Assessor (if applicable): Clinical Tutor: Placement Site: Date: Time commenced: Time completed: Examination undertaken: The aim of this assessment is to enable the student to demonstrate organisational skills that require reflection-in-action in order to respond effectively to changing priorities. The student should, therefore, be asked to take responsibility for an area where the work-load can vary within the time-frame of the session and where effective management is required to ensure high quality patient care and efficient use of resources. The student must also engage in the imaging of patients during the session. The current clinical assessment marking criteria published at http://newton.ex.ac.uk/handbook/RadCAC.html must be used when completing this document. Page 1 of 9 The student is expected to provide a verbal commentary throughout the assessment to demonstrate understanding of, and compliance with, safe and proficient practice. Section 1. Exam Preparation Undertaken? Tasks Prompt No Yes THE IMAGING REQUEST Check for Referrer’s signature and date Stop Explain the medical terminology and justify examination under IR(ME)R Stop Justify the use of intravenous iodine-based contrast media Stop Discuss correctly the need for a pregnancy check Stop Describe the imaging procedure Stop Consider previous images / reports, whether a duplicate request etc Stop ROOM PREPARATION AND INFECTION CONTROL Tidy the room in line with departmental protocols Clean the room in line with departmental infection control protocols Prepare equipment and accessories Check emergency drug box Stop (including expiry date) CONTRAST AGENT PREPARATION Prepare the injection trolley / tray Stop Describe the contrast agent to be used Stop (including concentration, volume and preferred flow-rate / method of injection) Check and record the batch number and expiry date of the contrast agent Stop / N/A Prepare the contrast agent for administration Stop (in line with departmental protocols) Demonstrate observance with departmental infection control policies (hand hygiene etc) Describe emergency procedure in case of severe adverse reaction Stop Stop (including knowledge of correct telephone number, location of nearest resuscitation trolley etc) Mark for Section 1: Maximum mark = 10 Page 2 of 9 Projection 1 Section 2. Administration of Contrast Agent Tasks No Prompt Yes PATIENT PREPARATION Greet the patient Stop Obtain a positive identification Stop Check for pregnancy as required Stop Check for contra-indications to the use of the contrast agent (in line with departmental protocols) and take appropriate action as required Stop Correct patient preparation for imaging procedure Stop Confirm area of interest with patient Stop Provide a clear explanation of procedure (including the use of the intravenous contrast agent) Stop Gain informed consent prior to undertaking the examination Stop ADMINISTRATION OF CONTRAST AGENT Assist the member of staff undertaking the intravenous administration as appropriate Stop Provide high quality patient care throughout cannulation and administration Stop Demonstrate compliance with departmental infection control policies during and after administration Stop Ensure safe disposal of associated equipment (e.g. swabs, glass vials etc) Stop Demonstrate an awareness of safe practice when handling and disposing of sharps Stop Mark for Section 2: Maximum mark = 10 Page 3 of 9 Section 3. Exam Completion Undertaken? Tasks No Prompt Yes PATIENT AFTERCARE AND RECORD KEEPING Demonstrate an understanding of correct wound aftercare Stop Relevant general aftercare provided Correct information given (e.g. regarding results etc) Tidy room and equipment ready for next patient in line with departmental protocol Clean room and equipment ready for next patient in line with departmental infection control protocols Dose Area Product reading / exposure factors recorded Stop All radiology records / archiving / paper work completed Stop Demonstrate an understanding of all the records / paperwork that must be completed by the staff member administrating the contrast agent Stop Mark for Section 3: Maximum mark = 10 Page 4 of 9 Clinical Assessor to select a single image that demonstrates the key anatomy and uptake of the administered contrast agent for the student to evaluate. Section 4. Radiographic Awareness Undertaken? Tasks No Check for correct identification information (patient name, date) Prompt Yes Stop Ensure that correct anatomical marker(s) are clearly visible on final image (either primary or added) before archiving Stop Correct identification of all bones, bony landmarks and key features Correct identification of all visible soft tissue anatomy/associated structures Explain why iodine-based contrast media was required for this particular examination Correctly identify the uptake of contrast media on the image Identify normal and any abnormal regions of contrast enhancement on the image Correct assessment of artefacts (including identification of avoidable & unavoidable artefacts) Mark for Section 4: Maximum mark = 10 Page 5 of 9 Section 5. Assessor Evaluation of Conduct Undertaken? Required prompting Tasks Intermittently throughout the assessment Consistently throughout the assessment PATIENT CARE AND PROFESSIONAL CONDUCT Did the student act in the patient’s best interests throughout the examination? Did the student respect the confidentiality and dignity of the patient at all times? Did the student maintain proper and effective communication with the patient throughout the examination? Did the student keep accurate patient records? Did the student deal fairly and safely with the risks of infection? Did the student carry out their duties in a professional and ethical way? Was the student’s conduct throughout the entire examination such that they gained the confidence of the patient? Mark for Section 5: Maximum mark = 10 Page 6 of 9 In your opinion, did the student produce images which were: Unacceptable / Diagnostically Acceptable / Optimal ? (please circle as appropriate) Please comment upon two or more aspects where you have indicated on the assessment form that the student could improve for future practice: 1. 2. Please comment upon two or more aspects where you have indicated on the assessment form that the student has demonstrated a strength or strengths during the assessment: 1. 2. Page 7 of 9 Marking Summary Marks according to criteria Section 1: Exam Preparation Maximum 10 marks Section 2: Radiographic Technique Maximum 10 marks Section 3: Exam Completion Maximum 10 marks Section 4: Radiographic Awareness Maximum 10 marks Section 5: Assessor Evaluation of Conduct Maximum 10 marks Total Marks Overall Total Marks (maximum 50 marks) (Pass mark = 20 marks) Percentage: Clinical Assessor’s Signature: Date Clinical Assessor discussed feedback with Student: Page 8 of 9 Student’s Reflective Comments: Did any of the assessor’s comments surprise you? Where you expecting any of these comments? How will you use these comments to develop your practical radiographic ability? What did you gain from this experience? What did you do well? What could you have done better? How will your future practice change as a result of this assessment? Students signature: Date: Page 9 of 9